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A descriptive study enrolled children 2-18 years of age presenting to a pediatric emergency department in Rhode Island during the months of April through December of 2006-2009.
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In order to facilitate smooth transitions between levels of care and ensure that patients continue to recover after they are discharged from the hospital, Baystate Health, with headquarters in Springfield, MA, is partnering with post-acute providers and meeting regularly to discuss opportunities for improved patient care and partnership.
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A multi-disciplinary initiative to make sure patients receive care in the right setting at the right time for the right reason has resulted in a drop in length-of-stay at the two hospitals in the Memorial Health Care System in Chattanooga, TN.
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Salaries for case managers are increasing but the vast majority of case managers are working far more than the typical 40-hour week, according to the 2011 Hospital Case Management Salary Survey.
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In the December 2011 issue of Case Management Insider we discussed the roles most commonly used by case managers in today's acute care setting. These included the following:
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Researchers have found that patients who are diagnosed with a substance use disorder are about twice as likely to be readmitted to the hospital as patients without this diagnosis. These findings suggest that hospitals could intervene with substance use screening and programs designed to reduce subsequent hospital utilization.
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One of the key discharge priorities in care for children involves asthma. Poor patient compliance with medication and self-care can lead to acute episodes and extra emergency room visits and hospitalizations.
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Health care systems nationwide increasingly are focusing on the care continuum and discharge process as a focal point for improving care, quality, and utilization efficiency. So why shouldnt medical schools make it a priority to offer coursework related to the discharge process?
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There is a large body of evidence that some people will avoid taking medication to save money, and this can lead to acute episodes that land patients in the hospital. The key is to identify this and other silent obstacles at discharge and provide patients with solutions that will improve their care transition.