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Community Memorial Hospital in Menomonee Falls, WI, had an occupational health and wellness program that had served its 1,500 employees quite well for many years. But the rocketing costs of health care benefits suddenly meant that Community Memorials occ-health program had to do more.
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Education is the backbone of home health care, says Eileen McFadden, BSN, MN, manager of educational services at VNA Home Health Care Services in Spokane, WA. It is through education that the patients goals and outcomes are met.
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When a home care patient is from another culture it is a good idea to learn as much as possible about his or her cultural beliefs before the visit, says Jeanne M. Martinez, RN, MPH, CHPN, former quality and education specialist at Northwestern Memorial Home Health Care in Chicago and now a quality specialist with palliative care and home hospice at Northwestern Memorial.
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If you arent taking advantage of the assistance your case management physician advisor can offer, or if you dont have an advisor, you may be missing opportunities to move patients safely and efficiently through the continuum of care.
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By working as a team, the physician advisor and case management staff at Mercy Medical Center in Canton, OH, have decreased Medicare length of stay, cut managed care denials dramatically, and made physicians aware of the cost to the hospital of inpatient services that could be done on the outpatient side.
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If your hospital is routinely filing claims under Condition Code 44, which changes a patients status from inpatient to outpatient, your system for determining appropriate admissions may be failing.
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If youre not involved when your hospital contracts with managed care companies, you may miss an opportunity to eliminate denied or avoidable days and maximize reimbursement.
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Park Nicollett Health Services (PNHS), a health care system based in St. Louis Park, MN, has demonstrated savings of $7.5 million in 2004 as the result of adopting the Toyota Production System also known as Lean Production. The systems success stories include:
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An emergency department patient is brought in for an X-ray, but the nurse forgets to tell the radiologist about the patients allergy to contrast dye. During a change of shift, a caregiver doesnt mention that the patient is at high risk for a fall injury.
