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After an exhaustive process that involved collecting more than 150 ways to define case management and testing them in the field, the Case Management Leadership Coalition has come up with a way that case managers can tell consumers what they do.
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The wound care center at Presbyterian Hospital of Plano (TX) takes a holistic approach to patient care by assigning each patient to one nurse who provides hands-on care and case management.
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To comply with the Joint Commission on Accreditation of Healthcare Organizations new National Patient Safety Goal to reduce the risk of patient harm resulting from falls, your organization must assess and periodically re-assess each patients risk of falling including the potential risk associated with the patients medication regimen and take action to address any identified risks.
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Everyone wants a good outcome from case management services, but not everyone knows what the result should be or how to measure it.
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To make full disclosure work, you first have to remember that it is not a program or an effort, or a policy, says a leader at one hospital that has undergone a major change in way adverse events are discussed with patients and families. Full disclosure is more of a philosophy and an overall way of working with people, says the chief operating officer and vice president of care delivery at Childrens Hospitals and Clinics of Minnesota in Minneapolis.
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Any statement by staff that is construed as discouraging a patient from staying for treatment could be seen as an EMTALA violation.
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A woman presented to the ED of a hospital. When told there would be a two-hour wait to be seen, she tried to drive to another hospital but had to stop and call for emergency medical assistance. She was taken by ambulance back to the first hospital where, several hours she later, she was diagnosed with a perforated bowel. Rather than immediately undergo the required emergency surgery, she agreed to be transferred to another hospital. She died shortly after arriving at the receiving facility.
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The Confidentiality Coalition, a group of hospitals, health plans, drug companies, medical device manufacturers, biotech firms, health product distributors, pharmacies, employers, medical teaching colleges, and others, is asking Health and Human Services Secretary Mike Leavitt to use his authority to change the HIPAA privacy rules accounting of disclosures requirement.
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An editorial in the February Annals of Epidemiology expresses concern that HIPAAs efforts to enhance patient confidentiality by restricting access to medical records is slowing the progress of critical biomedical research.