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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 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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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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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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They may not grab many headlines, but grievance policies and procedures are, nonetheless, a critical component of a thorough, effective quality improvement effort.
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The authors of this study sought to characterize symptoms women experience in association with an acute myocardial infarction.
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In this European study, researchers compared three different topical treatment regimens for patients with acute otitis externa: acetic acid alone, acetic acid with steroids (triamcinolone 0.1%), or antibiotic with steroids (neomycin/polymixin with dexamethasone).
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For the clinician, the area of sports concussions and mild traumatic brain injury can be confusing due to the relative paucity of scientific evidence to support the clinical decision-making process in the emergency department and beyond. Good scientific research in this area has been hampered by an inconsistent definition of concussion, widely divergent injury mechanisms, poor means of measuring cognitive deficits, and inconsistent return to play guidelines.
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The nonsequential rhythm strips shown in the Figure were obtained from a 71-year-old man with a history of congestive cardiomyopathy and renal insufficiency. The patient was admitted for an exacerbation of heart failure. Digoxin was among the many medications he was taking. Assessment of the bottom rhythm strip was 2:1 AV block, Mobitz Type II. Do you agree?
