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Since Harvard Pilgrim Health Care, based in Wellesley, MA, started its Health Advance care management system to intervene with at-risk members before they require intensive medical services, the hospitalization rate for members in the program has been cut in half.
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Involving members in goal setting and getting them to take personal responsibility for their own health are keys to the success of Harvard Pilgrim Health Cares Health Advance Care Management system, according to Liz Estabrook, RN, manager of care management for the Wellesley, MA-based health plan.
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The publicly insured members covered by Horizon-Mercy often have psychological and social needs along with their medical conditions. To better serve these needs, the Trenton, NJ, health plan for the publicly insured started a social work program in May 1997.
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A comprehensive asthma management program has paid off for Care Choices HMO of Farmington Hills, MI.
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A child comes in for an injury in a traffic accident in which others were hurt and killed. The ED clinicians take care of the physical injuries, and the patient is discharged. Still, the staff members feel uneasy about the impact of the accident on the childs mental health.
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Somewhere deep in an ED managers mind, maybe when youre feeling cynical at 3 a.m., the patients who left without being seen (LWBS) might seem like a blessing. After all, your ED is too busy, and they probably didnt need emergency care in the first place.
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The fast track in the ED at Onslow Memorial Hospital in Jacksonville, NC, is designed to keep everyone in the ED moving, not just those seen in the minor emergency care unit (MECU), says Pat Stark, RN, BSN, nurse manager for the ED.
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Far too many emergency physicians are complacent about the use of lumbar punctures following a negative computed tomography (CT) scan to rule out subarachnoid hemorrhage in a patient with high-risk headache (worst ever or thunderclap headache), some experts say.
