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By using a combination of education and case management, Molina Healthcare of Michigan has decreased the number of members who frequently visit the emergency department with primary care issues.
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Not long ago, case managers for Medical Management International lugged huge cases of patient files with them when they visited clients and often worked into the night, entering documentation and patient notes into their computers.
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Major findings of a recent report by the Kaiser Commission on Medicaid and the Uninsured include the following:
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Medically disabled Medicaid patients who are obese and have bariatric surgery are more likely to return to work than those who don't have surgery, according to a new study.
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If your ED doesn't use preprinted order sheets for asthma, children are more likely to return within 72 hours, according to a new study.
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At Childrens Hospital in Los Angeles, ED nurses typically give cephalexin for children with straightforward cellulitis without an abscess, says Inge Morton, RN, CPN, education manager for the ED. "However, nowadays with MRSA [methicillin-resistant Staphylococcus aureus] being prevalent in the community, clindamycin or trimethoprim/sulfamethoxazole are the choice especially with repeated cellulitis or if there is an abscess involved," she says.
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(Editor's note: This month's issue of ED Nursing features a special pediatric package. We cover burn injuries, treatments for cellulitis, interventions to speed care of asthma patients, and overdoses of cold and cough medications.)
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Any ED protocols involving emergency nurses administering medications as standing orders are under scrutiny, as a result of interpretive guidelines issued Feb. 8, 2008, by the Centers for Medicare & Medicaid Services (CMS).
