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A pilot project under way at Arnot Ogden Medical Center in Elmira, NY, is assessing how likely patients are to adhere to their prescribed medication regimen, with the ultimate goal of helping them to become more compliant, says Tina Davis, RN, MS, CNS, senior director of continuum of care.
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Collaboration between key hospital departments is crucial to making sure discharge planning starts at the earliest possible point in the patient encounter, and the latest advances in technology certainly can facilitate the necessary interdepartmental communication.
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Case management directors struggle daily with how best to assign caseloads to their staff, but its not enough to rely on benchmarks of caseload statistics. Many other factors can affect how many patients a case manager can manage adequately, experts say.
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Commissioners with the Commission for Case Manager Certification (CCMC) frequently are asked in many forums, such as conferences, how applicants can study and prepare for the Certified Case Manager (CCM) certification exam.
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Hospital case management should be a team approach, with everyone on the team looking at what needs to be done for the patients and making sure it gets done, says Judith Martin, RN, CCM, director of medical management for Regional Medical Center, a division of Trover Foundation, a nonprofit health care organization in Madisonville, KY.
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ED managers and staff will face even greater responsibility for compliance under the 2006 National Patient Safety Goals just unveiled by the Joint Commission on Accreditation of Healthcare Organizations.
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A patient came into the ED with acute onset of headache. A computed axial tomography (CAT) scan of the brain was performed, and a wet reading (an initial review of the study without definitive interpretation) in radiology reported intracranial hematoma. The patient went to the OR for emergency neurosurgery.
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In the world of bioterrorism drills, this was something special: TOPOFF3, a program mandated by Congress and sponsored by the Department of Homeland Security, simulated terror attacks in several locations in the United States including the entire state of New Jersey.
