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By creating a series of tools and other resources, Premera Blue Cross has been able to increase the efficiency of its case management department and earn coveted accreditation from Washington, DC-based URAC. The case management program at the Mountlake Terrace, WA, health plan is one of only two in the state of Washington to achieve URAC accreditation. The health plan covers members in Washington and Alaska.
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Synopsis: As determined by process of care measurement, adverse event occurrence, and patient satisfaction, quality of care is compromised by infection control procedures.
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Heres one for the strange-but-true case file: A 48-year-old woman under home therapy for continuous ambulatory peritoneal dialysis (CAPD) presented to the emergency department with a one-day history of fever and chills accompanied by general abdominal discomfort without nausea or vomiting.
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In a multicenter study of occupational HIV exposures, 38% of source patients had genotype mutations associated with resistance to anti-retroviral drugs. Recent antiretroviral treatment history was highly associated with resistance.
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At least six children have died this year of invasive infections with community strains of methicillin-resistant Staphylococcus aureus (MRSA) after acquiring influenza, Hospital Infection Control has learned.
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While annual respirator fit-testing has proven to be the most controversial element of the recent federal action on TB, a new requirement for medical evaluation of employees also will affect infection control and employee health programs.
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The Occupational Safety and Health Administrations (OSHA) 1998 respiratory protection standard, which now applies to tuberculosis exposures in health care settings, includes the following general requirements for respirator fit-testing:
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Its not unusual for members covered by Blue Cross Blue Shield of Arkansas to drop by the office and visit their case manager in person.
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When Blue Cross Blue Shield of Michigan decided to create a proactive case management and disease management program, the Detroit-based insurer turned to predictive modeling to identify which of its members were eligible for the BlueHealthConnection program.
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Before Blue Cross Blue Shield of Michigan launched its BlueHealthConnection program, disease management nurses and case management nurses were in separate departments and never talked.
