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As part of its efforts to reduce admissions and emergency department visits, Capital District Physician Health Plan (CDPHP) has embedded case managers in 15 primary care practices and is conducting a pilot project that embeds a case manager in a local hospital.
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It is entirely understandable for emergency providers to question any new task or responsibility handed down by regulators or administrators. Busy providers are already stressed with burgeoning patient volumes and all the pressures associated with handling acute care crises.
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As a case manager, your job isnt done just because you told a patient something. Your job is done when the other person understands it, says Helen Osborne, MEd, OTR/L, president of Health Literacy Consulting, a Natick, MA-based firm.
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If your patients arent following their treatment plan and end up in the hospital or emergency department or fail to keep their chronic disease under control, resulting in complications, dont automatically blame the patient.
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Sometimes just making people aware of their performance is all that is necessary to significantly improve care. Investigators at the University of California at San Francisco (UCSF) found this to be precisely the case when they attempted to use this approach to improve door-to-needle times for stroke patients who presented to the ED for care at UCSF Medical Center.
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As part of its efforts to reduce admissions and emergency department visits, Capital District Physician Health Plan (CDPHP) has embedded case managers in 15 primary care practices and is conducting a pilot project that embeds a case manager in a local hospital.
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The continuing development and dissemination of high-cost medical treatments poses significant ethical questions regarding access to health care and just distribution of the benefits of these treatments, according to John C. Moskop, PhD, chair of the Clinical Ethics Committee at Wake Forest Baptist Medical Center in Winston-Salem, NC.
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Many patients dont discuss their end-of-life wishes with physicians, but even if they do, those wishes often fail to be added to patients medical records, according to a recent study.1 We expected to see some problems thats why we did the study but we were surprised by the magnitude of the problem! says Daren Heyland, MD, MSc, scientific director of the Clinical Evaluation Research Unit at Kingston General Hospital in Ontario, Canada.
