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"Increasingly, physicians and managed care organizations are being held accountable for quality of care based on the processes and outcomes of medical care and patient satisfaction. Yet high-quality care delivery involves more than good technical quality and acceptable customer service it also means upholding high ethical standards."
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Even with the driven culture of modern medicine, one study published recently in the Journal of Medical Ethics found that 73% of 338 respondents said that they usually discuss their mistakes with their colleagues.
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The IntegratedEthics program developed by the Department of Veterans Affairs (VA) for its facilities, which comprise the largest health care system in the United States, has drawn interest and attention both domestically and internationally.
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Several states are re-energizing hospital board member education efforts with moves to certify and mandate educational requirements. Minnesota has started a voluntary certification program, and New Jersey has passed laws to require education.
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What makes educational material a must-read? The key is to make documents easy to read and understand, says Doug Seubert, guideline editor in Quality Improvement and Care Management at Marshfield (WI) Clinic.
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As the result of an initiative in which the entire hospital staff collaborate to improve length of stay, Spartanburg (SC) Regional Healthcare System's average severity-adjusted length of stay has dropped from an average of 5.40 days in 2007 to an average of 5.18 days so far in 2008.
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An intensive case management program for patients with end-stage renal disease resulted in an 83% drop in hospitalization in just six months for members of DaVita VillageHealth's Special Needs Plan.
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Many resources are available to help patient education managers produce clear, readable patient handouts. To write documents in plain language Doug Seubert, guideline editor in Quality Improvement and Care Management at Marshfield (WI) Clinic frequently uses the following resources:
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When difficult medical terms are used in a text the reading grade level is higher.