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Federally qualified community health centers: These centers are funded through federal grants to provide primary and preventive health care in medically underserved areas and must provide the uninsured if they meet guidelines.
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When chronically ill patients who have no insurance coverage and no medical home come into the emergency department at Harbor-view Medical Center in Seattle, they are referred for follow-up to a nurse case manager who links the patients to a primary care provider and helps them learn to manage their disease.
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Amajor software upgrade has dramatically increased the ability of a New Jersey health system's behavioral health call center to serve as a "one-stop connection" for local emergency departments, psychiatric emergency screening services, and a stand-alone psychiatric hospital, says Dawn Fenske, director of Saint Barnabas Management Services in Toms River, NJ.
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Due to the increased demand for more in-depth information, there is a new resource for all your discharge planning needs.
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As health insurance costs escalate and employers reduce coverage for employees, raise deductibles, or stop providing health insurance altogether, hospitals are providing care for an increasing number of patients who have no means to pay.
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When patients are medically ready to leave the acute care hospital and have no coverage for post-acute care, it's a "no-brainer" for the hospital to pay to move the patient to a lower level of care, says Jay Cayner, director of social patient and family services at the University of Iowa Hospitals and Clinics.
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A middle-aged male patient let's call him "Tom" showed up in the emergency department at Massachusetts General Hospital in Boston about a year ago complaining of pains in his chest and legs.
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Oakwood Hospital and Medical Center reduced the number of patients waiting more than four hours in the emergency department by 35% and cut salaries by $60,000 after installing an electronic bed management system that provides information on bed availability and patient status and location in real-time.
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Behavioral health patients are put at risk if the players coming to the table are not coordinating efforts to make the most efficient use of available resources, notes Mark Catalano, LCSW, manager of admissions at Seton Shoal Creek Hospital in Austin, TX.
