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But this is how we've always done it." Whenever you hear this phrase, take a close look at the process to which it refers. The staff at Visiting Nurse Association of Greater Philadelphia did and the close look resulted in a process change that resulted in a $400,000 savings over an 8-month period.
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A new study from the Dartmouth Atlas Project seems to indicate the "report card" for Medicare patients at the end of their lives is a mixed bag of pluses and minuses.
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Medicare spending on hospice care for nursing facility residents has grown nearly 70% since 2005. Additionally, hundreds of hospices had a high percentage of their patients residing in nursing facilities, and most of these hospices were for-profit.
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This is the second of a two-part series that looks at communicating with patients who have difficulty communicating. Last month, we looked at innovative and proven strategies to communicate with patients who have dementia. This month, tips and strategies for communicating with pediatric patients, and their families, are offered.
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Hospices serving people with Medicare will see a 2.5% increase in their Medicare payments for fiscal year (FY) 2012, according to a final regulation released July 29, 2011, by the Centers for Medicare & Medicaid Services (CMS). Hospices also are called upon to begin reporting on the quality of care received by Medicare patients as a result of this final regulation.
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The oral administration of 500,000 IU cholecalciferol in fall or winter resulted in a slightly higher risk of falls and fractures vs placebo in 2,256 community-dwelling women aged 70 and above.
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Death by suicide is a significant occupational hazard for physicians. This is strongly associated with professional burnout, which is characterized by a loss of emotional, mental, and physical energy due to continued job-related stress. Studies have identified three factors that are independently associated with burnout for both surgeons and internal medicine physicians hours worked per week, experiencing a work/home conflict within the last three weeks, and how the most recent work/home conflict was resolved.
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It would be fair to say that nearly all formal clinical research begins before it is even recognized as such. Observant clinicians note patterns, or what appear to be patterns, in those they treat.
