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This spring during the H1N1 epidemic, registrations through EDs increased dramatically nationwide. The processes of virtually every patient access department were put to the test.
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Unemployment is at its highest level in decades, which has led to the largest-ever number of uninsured Americans. This has a direct impact on your patient access department.
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Rationing. Responsibility for immigrant health care. Socialism. Death panels. Individual responsibility. Single-payer option. Malpractice reform.
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The American Recovery and Reinvestment Act of 2009 (ARRA), signed into law earlier this year by President Obama, contained within it about a $20 billion allocation to increase provider utilization and networking of electronic medical records (EMR).
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Calling it "a significant turning point in American society's evolution to empower terminally ill patients with information and choices about how they will die," an article by the director of legal affairs for Compassion & Choices points to four medical professional and health policy organizations that have adopted policy to support physician-assisted suicide.
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In an increasingly diverse society, case managers must be aware of the cultural beliefs and practices of the people they serve in order to effectively coordinate their care and help patients or clients adhere to their treatment plan, says Catherine M. Mullahy, RN, BS, CRRN, CCM, president and founder of Mullahy & Associates, a case management training and consulting company.
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Increasingly, health plans and provider organizations are taking steps to understand the beliefs and values in the populations they serve and help gear their treatment plan to accommodate them.
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Eldery Mexican-Americans have higher rates of chronic illness than their non-Latino counterparts, but many don't receive the care they need because they and their caregivers resist home care services, says Janice Crist, RN, PhD, associate professor at the University of Arizona College of Nursing.
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"What [Goal 7] is doing is... reminding us that more Americans are dying of these infections than breast cancer, motor vehicle incidents, and HIV infection combined in this country," says Stephen Weber, MD, associate professor in the section of infectious diseases and chief health care epidemiologist at the University of Chicago Medical Center and consultant with Joint Commission Resources.
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It might feel like you're speaking a different language when you try to get physicians on board for your quality initiatives. And you actually are, according to one lawyer and health care consultant well versed on the topic.