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Keystone Mercy Health Plans Acute Care Transitions program, which embeds case managers in hospital emergency departments to work with patients who seek treatment or are hospitalized, reduced emergency department visits by 21% and hospital inpatient admissions by 32% over the course of a year among members who received interventions when compared to a control group.
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In todays climate of healthcare reform and with the growing emphasis on quality, there are more opportunities for case managers than ever before.
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EmblemHealths team approach to providing face-to-face care coordination after hospitalization resulted in a 31% reduction in the 30-day readmission rate for members who received the interventions when compared to a baseline group.
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As providers struggle with that small percentage of patients who consume the majority of healthcare dollars, theyre finding that having care coordinators who work face to face with patients often can help patients navigate the healthcare system and follow their treatment plan.
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Telemedicine has been used to connect patients in rural areas with providers, and to obtain quick access to a neurologist when patients present with symptoms of stroke.
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Senior citizens are just like everyone else: They prefer living in their own homes where they feel secure and can do as they please, when they please, instead of being in an institution where they are at the mercy of the facility's routine.
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Although all of them qualify for a skilled nursing level of care, 86% of participants in Summit ElderCare are able to live in the community.
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Shift changes are a point of risk in hospital settings because as outgoing clinicians hand off patients to incoming staff, it is easy for important information to be missed or misunderstood. And this risk is heightened in the emergency setting, where providers are working under a constant state of urgency.
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Women with gestational diabetes who received telephone-based management from a nurse had a lower risk of high birth weight for newborns in a study conducted by the Kaiser Permanente Northern California Division of Research.
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The emergency medicine community has pushed hard against complaints that too many patients with non-urgent needs are being seen in the ED, but there is little doubt that so-called super-utilizers patients who come to the ED regularly for one reason or another are not receiving the kind of care they need in the most appropriate setting.