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In Lee County Florida, providing healthcare for the uninsured and under insured is a community-wide effort, according to Chris Nesheim, RN, MS, CMAC, system director, case management, Lee Memorial Health system with headquarters in Ft. Myers, FL.
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Faced with an increasing number of patients who have no insurance and can't afford to pay for their own care, the University of Iowa Hospitals and Clinics in Iowa City, has developed a multi-pronged approach to identify indigent patients early in their stay and help them get access to community providers who can provide ongoing care.
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IRB directors seeking to start their own local IRB network can make this happen with just a little up-front effort, experts say.
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IRB administrators who use the Harvard Catalyst's ceded review system say it performs as promised providing a more efficient way for institutions that collaborate frequently to handle multisite studies.
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When an institution's study portfolio gets large enough, its IRB must decide: Is it time for a new board? And if so, how do you divide the work? At many institutions, that division is based on methodology studies are assigned to either a biomedical IRB or one devoted to social-behavioral studies.
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Human research office managers sometimes need to identify ways to improve workflow and efficiency. One way to do this is to develop a process for evaluating resources and assessing needs, an expert advises.
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Multisite studies are a continuing challenge for IRBs how do you review these protocols quickly and efficiently while preserving the autonomy of individual IRBs?
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Keeping a small IRB in the know on the latest regulatory requirements, technological advances, etc., is a huge challenge. Some smaller IRBs have found that one cost-effective way to increase their knowledge of current requirements and trends is to be part of a networking group.
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Cybercrime and data exposure pose a relatively new risk to research participants. IRBs have been addressing this threat in recent years, but they haven't given as much thought to their own responsibility and risk from wireless technology, an expert says.
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At Cedars-Sinai Medical Center, research compliance depends on a continuous loop of quality improvement and education, each enhancing the other.