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  • Assessment tool helps prioritize CNA visits

    Hospice families often need assistance with personal care for their dying loved one, but it's sometimes difficult for hospice staff to determine which patients truly need the help and which would be just as well off without it.
  • Innovation aids nurse recruitment, retention

    Hospices have had to deal with the periodic nursing shortages for decades, but California arguably has one of the most challenging problems, so a Sunnydale, CA, hospice has developed a nursing retention and recruitment program that tackles the problem with innovative solution.
  • HIPAA Q&A

    Does instant messaging provide extra security concerns under HIPAA?
  • Is the doc available after the initial order?

    The hospital discharge planner calls your admission department about a patient for whom the physician ordered home care. Sounds like it is just business as usual, doesn't it? Not if the physician who ordered the home care only saw the patient once, for a brief time, and is never available to sign the plan of care or answer questions about the patient.
  • CMS takes steps to ease emergency

    The Centers for Medicare and Medicaid Services (CMS) relaxed some rules and requirements for home health agencies that provide care to patients who were relocated as a result of Hurricane Katrina.
  • Hurricane Katrina creates challenges in handling dislocated residents

    The devastation and human suffering caused by Hurricane Katrina is mind-boggling. While the television and radio talk shows were filled with people blaming each other for the slow federal response, home health agencies joined together to address the needs of patients who found themselves away from their homes, unable to reach their own health care providers, and in some cases, separated from their families.
  • Hospices, hospitals focus more on palliative care

    Palliative care programs are growing in number and prominence at hospitals and hospices across the nation, as increasing numbers of health care providers want to focus on medicine used as much for comfort and quality of life as for diagnoses and cures when dealing with patients who have chronic illnesses for which there are no easy resolutions.
  • Retention is a challenge during major changes

    The managers of Gaston Memorial Home Care in Gastonia, NC, were able to keep their agency off the chopping block after hospital administrators started questioning the value of maintaining a service that consistently lost money. They did it by evaluating payer agreements and restructuring the agency to improve productivity.
  • Insulin Therapy

    Normal circulating plasma glucose concentration is maintained by a delicate constant balance between glucose utilization (i.e., glycolysis or storage as glycogen by various tissues) on one hand and glucose production on the other (i.e., glycogenolysis and gluconeogenesis induced in certain tissues, such as liver, muscle, renal parenchyma, and adipose tissue). During the late post-absorptive period or starvation, normal glucose concentration is maintained by facilitating glucose production while inhibiting glucose uptake.
  • Proposed discharge change less oppressive in final form

    A potentially onerous hospital discharge rule proposed in April 2006 by the Centers for Medicare and Medicaid Services (CMS) is significantly less burdensome in its final form.