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A case of fatal respiratory diphtheria in an unvaccinated Pennsylvania resident who had visited Haiti brings to light the need for all international travelers to be current with all recommended vaccinations, including a primary series of diphtheria toxoid.
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Blastocystis hominis, a protozoan parasite, is frequently identified in stools of returned travelers. There is, however, no conclusive evidence that this parasite causes symptoms in humans or that it requires specific treatment.
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At Good Samaritan Hospital in San Jose, CA, care for stroke patients is coordinated by a registered nurse who follows the patient throughout his or her hospital stay, educates the patient and family members, and coordinates with the hospitals other case managers on discharge needs.
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A dramatic overhaul of the emergency department (ED) process at Paradise Valley Hospital in National City, CA, began with a single question from the director of emergency medicine.
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When people are unhappy with case management services, they will tell someone about it. In fact, research shows that people who have a problem are likely to tell eight to 10 other people about it. However, fewer than one in 20 people who have a complaint will protest formally.
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At Delnor Community Hospital in Geneva, IL, case managers work side by side with the clinical staff nurses, an arrangement that has helped earn the hospital the coveted magnet designation from the American Nurses Association in Washington, DC.
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When you tackle problems such as avoidable days and denials management, keep the lines of communication open with all departments in your hospital, back up your findings with data, and make sure you provide training to break the cycle, advises Jim Martin, revenue cycle management consultant with VHA Inc., an Irving, TX-based health care cooperative.
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