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Georgene Siemsen, MS, RN, GNP-BC, visited the home of a 74-year-old patient at Bend (OR) Memorial Clinic because of concerns that she was not refilling her medication consistently. Inside, Siemsen found a disorganized collection of old bottles, expired prescriptions, and multiple refills of the same medications.
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When the Bend Memorial Clinic receptionist offered a 90-year-old patient a brochure describing the clinic's medical home model and a letter introducing the nurse care management program, the patient angrily threw the materials back.
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When patients who have a high risk of rehospitalization are discharged from Bayada Home Health Care's home health services, the Mooretown, NJ, home health company calls them monthly for the next year to find out how they are feeling and whether they need assistance or additional services that will help them avoid another hospital admission.
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As a result of a patient-centered medical home pilot program based around preventive and coordinated care, Bend (OR) Memorial Clinic's hospital admissions and emergency department visits dropped for Medicare Advantage members of PacificSource Health Plans.
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Lack of reporting of infectious disease exposures may also result in a lack of treatment. And that can have serious, even deadly, consequences.
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It began as an infection control nightmare in New Hampshire, but it didnt stop there. A medical technician who worked in the cardiac catheterization lab in Exeter Hospital in Nashua was charged with diverting drugs and reusing the syringes on patients.
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As the nation faces the largest outbreak of pertussis in 50 years, the rate of vaccination of health care workers languishes at about 20%.
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In the age of safer needles, vaccination and prophylaxis, the risk of hepatitis B among health care workers has dropped dramatically, from a high of about 12,000 cases a year in the 1980s to 203 reported acute cases from 2005 to 2010. Routine HBV vaccination of infants, which began in 1991, promises to make transmission from blood and body fluid exposures even rarer.