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Ninety-five patients with vaginal vault prolapse were randomly assigned to having either an abdominal sacral colpopexy with Prolene mesh or unilateral sacrospinous colpopexy. All patients in both groups with stress incontinence also had Burch colposuspension. The abdominal approach was associated with longer operating room time, higher cost, and longer convalescence.
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The loss of heterozygosity in the tumor tissue of carriers coupled with the high frequency of patient and family history of breast and ovarian malignancies suggest that USPC might be part of the manifestation of familial breast-ovarian cancer in Ashkenazi Jews.
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At the heart of the decision to use computer simulation modeling at Overlook was the need to answer one basic question: Will the flow-gorithms work?
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The latest requirements from the Centers for Medicare & Medicaid Services (CMS) call for more detailed evaluation of processes than ever before, causing one health care system to look to industry for the tools needed to respond appropriately.
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The Disease-Specific Care (DSC) certification offered by the Joint Commission on Accreditation of Healthcare Organizations is designed to evaluate disease management and chronic care services provided by hospitals, health plans, disease management service companies, and other care delivery settings.
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With a care coordination program in place that has dramatically reduced acute care and emergency department (ED) utilization by the chronic frail elderly while enhancing patients quality of life, Sutter Health Sacramento Sierra Region (SHSSR) was looking for a way to take the program to yet a higher level, says Jan Van der Mei, RN, care management director.
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The best way for hospital case managers to provide patient-centric care is to get themselves in a position to influence the physicians who are treating their patients, asserts Stefani Daniels, RN, MSNA, managing partner of PHOENIX Medical Management Inc., a Pompano Beach, FL-based consulting firm.
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A pre-discharge order form and an 11 a.m. target time for discharging patients are among the initiatives the care management teams at the Medical University of South Carolina (MUSC) in Charleston have created to help move patients through the continuum of care more efficiently. The 596-bed tertiary care center serves as a resource for the entire state of South Carolina.
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