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The approximately 4,000 indigent patients in the University of Iowa Hospital and Clinics Care Management program (CMPUI) in Iowa City make up 3% of patients but utilize 6.5% of hospital resources and represent 6.4% of acute admissions.
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A multidisciplinary program staffed by nurse practitioner case managers and social workers has resulted in dramatic decreases in admissions, lengths of stay, and emergency department visits among indigent patients cared for at the University of Iowa Hospitals and Clinics in Iowa City.
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Case managers are no strangers to quality improvement (QI) tools; for many years they have used a number of QI tools to improve processes and to help them meet accreditation standards.
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These are the Commission on Accreditation of Rehabilitation Facilities (CARF) standards (copyrighted by CARF in the 2003 standards manuals) that are new for every type of facility:
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Starting July 1, all organizations accredited by the Tucson, AZ-based Commission on Accreditation of Rehabilitation Facilities (CARF) must meet a new set of standards, regardless of what area of rehabilitation they are involved in.
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Case management stands at a crossroads and needs a common vision plan that unites case managers across the broad health care spectrum, a group of case management leaders has concluded.
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At Griffin Hospital, patients sometimes point out to the staff that they were scheduled for a test but didnt have it. Some comb their patient record and suggest changes.
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The following summaries represent a selection of papers from among those presented at the 42nd Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC), held September 27-30, 2002, in San Diego and the 40th annual meeting of the Infectious Disease Society of America (IDSA), held October 24-27, 2002, in Chicago. Antiretroviral therapy is not included.
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FDA Issues Black Box Warning Based on WHI Study; ALLHAT: Thiazide for Hypertension Treatment; Candesartan Effective Against Migraines; Cough! No Cold Relief from Echinacea; COX-2 Inhibitors and GI Benefits Could Be Overrated; FDA Actions
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Stroke Reduction in Older Hypertensives with Abnormal Nocturnal Blood
Pressure Dipping; Primary Prevention of Hypertension; Effect of
Aggressive Screening and Treatment on Prostate Cancer Mortality;
Diuretics, Mortality, and Nonrecovery of Renal Function in Acute Renal
Failure; Nut and Peanut Butter Consumption and Risk of DM-2 in Women;
Optimal Diets for Prevention of CHD
