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Optima Health's asthma disease management program has generated $2.10 in savings for every dollar spent on members who have been continuously enrolled over a five-year period.
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The saying, "It takes a village" applies to asthma control as well, says Pamela Persichilli, RNC, director of clinical operations for Horizon NJ Health.
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Health plans across the country are coming up with innovative ways to tackle asthma, a disease that costs $11.6 billion a year in direct health care costs, according to the American Lung Association.
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Blue Cross of California State Sponsored Business takes a comprehensive approach to asthma management, partnering with the Fresno Valley Air Quality Board on ways to improve air quality in Fresno County, piloting a project to help physician practices improve their asthma treatment methods, and developing a three-tiered approach to managing members' asthma.
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The implementation of rapid response teams in seven different facilities in the Seton Healthcare Network in Austin, TX, is a virtual "living laboratory" of the many different ways hospitals can create and implement rapid response teams and they all seem to be working, says Alice Davis, RN, BSN, senior project coordinator, medical staff services.
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Despite widespread conversion to sharps safety devices, hospitals are more likely to be cited for violations of the bloodborne pathogens standard than any other standard.
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Hospices sometimes find it challenging to meet a community's needs in end of life planning and bereavement services, since these are only a small part of the services a hospice provides.
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The Centers for Medicare & Medicaid Services has proposed sweeping changes to the payment structure for hospitals, including the first significant revision of the Inpatient Prospective Payment System (IPPS) since it was implemented in 1983.
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In the first year after reorganizing the case management department, Lake Granbury (TX) Medical Center, a 59-bed facility, substantially increased reimbursement by improving documentation and saved $35,000 by putting case managers in charge of getting Medicaid forms signed, rather than relying on an outside vendor.
