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SAN FRANCISCO "It's not buying a car it's the driving that makes the difference."
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A Hispanic 13-year old girl with abdominal pain is accompanied by her father, who offers to act as a translator. An Asian woman says she has severe pain, but her facial expression and body language appear calm and serene. An African-American woman is experiencing pressure across her chest, but only tells you that she has a feeling of dread.
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A patient complaining of shortness of breath may "look good," but the history and pulse oximetry reading may tell a different story, warns Angela Westergard, RN, manager of emergency services at Mercy Medical Center in Oshkosh, WI.
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UCare's diabetes disease management program that rewards Medicare Advantage members for receiving their recommended examinations and tests has resulted in a decrease in hospitalization and emergency room visits.
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In today's litigious society, it's important for case managers to understand the laws and regulations that affect their practice and to protect themselves against lawsuits and allegations of fraud and abuse.
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The number of child sexual abuse cases could be dramatically cut by educating adults on how to prevent it from happening, says Nancy Chandler, ACSW, executive director of the Georgia Center for Child Advocacy in Atlanta.
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Lack of access to health care can keep people from learning how to self-manage a chronic disease and how to appropriately use medical care to achieve good health.
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By using state-of-the-art technology to ensure that members receive preventive care measures and rewarding staff, physicians, and members when the preventive services are rendered, Health Plan of Michigan has increased its membership dramatically and is ranked No. 10 among the Nation's Best Health Plans by U.S. News & World Report and NCQA.