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Physicians aligned with Sutter Health in Sacramento, CA, are giving glowing reviews to a care coordination program they once failed to recognize, pleased that it is meeting myriad patients needs and saving office time in the bargain.
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After working 15 years as a discharge planner and earning masters degrees in nursing and clinical research, theres an incongruity that Diane Holland, RN, MS, MBS, who is now pursuing a PhD through the doctoral program at the University of Minnesota School of Nursing in Minneapolis, would like to resolve.
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Case managers often find themselves charged with the responsibility for solving problems without the accompanying authority needed to fix the problem. This can be very frustrating. You cant issue direct orders to solve the problem, so why should anyone listen to your suggestions?
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Normal PSA levels in elderly men should not be cause for reassurance that cancer does not exist. A rise in PSA level at any range should be a cause for concern about cancer.
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Moderate alcohol consumption is associated with a decreased incidence of diabetes mellitus and a decrease in heart disease in persons with diabetes.
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Investigators have found a disturbing trend of increased levels of sexual risk behavior among a small, little-studied group: Asian/Pacific Islander (API) men who have sex with men (MSM).
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Through an integrated five-pronged approach, Danbury (CT) Hospital has been able to improve patient care for patients with any of 13 diagnoses. The Clinical Practice Guidelines (CPGs) include five tools: clinical pathway, standardized physician orders, patient education materials, specific discharge instructions, and critical indicators for success. Each tool is linked to the others.
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Assigning case managers to physicians rather than units has eliminated the adversarial relationship that sometimes occurs between the two disciplines and increased satisfaction among the staff and patients, says Doris Imperati, RN, BSN, MHSA, CCM, director of clinical resource management.
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All Saints Healthcare, a multifacility system in Racine, WI, has adapted a pre-existing template for meeting structure to more closely mesh with its strategic goals, creating a more organized meeting process, while at the same time, reinforcing key mission and vision messages with staff personnel.
