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Interpretation of results of genetic screening tests is potentially problematic for both providers and patients, and misunderstandings can arise regarding their implications.
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Harmonic scalpels and staples were missing at a hospital in Florida. A review of videotapes showed what appeared to be a surgical resident leaving the equipment storage room with items he was not authorized to take.
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As the concept of the patient-centered medical home grows in popularity, opportunities are opening up for case managers to work with patients on the primary care level to augment the care provided by physicians and spend the time necessary to help them learn about their disease and follow their treatment plan.
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As the Centers for Medicare & Medicaid Services (CMS) make yet another change in the regulations regarding "observation status, the confusion continues over when a patient qualifies or doesn't qualify for this type of care, and what is at stake in these decisions for patients and providers.
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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.
