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In-Ambulance Troponin Measurements
A study of triaging suspected non-ST-elevation acute coronary syndrome patients by employing in-ambulance troponin measurements augmented the predictive value for 45-day major adverse cardiac events. This could help identify very high-risk patients who would benefit from urgent coronary angiography.
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The Natural History of Tricuspid Regurgitation
A retrospective analysis of patients with moderate or severe tricuspid valve regurgitation (TR) and who underwent an earlier echo with no or mild TR showed that progression of TR was independently associated with age, female sex, new device leads, and right ventricular or tricuspid annular dilation.
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TAVR Beneficial for Patients With Severely Reduced Ejection Fraction
In patients with low-flow, low-gradient aortic stenosis and severe left ventricular dysfunction, transcatheter aortic valve replacement was associated with significant improvement in left ventricular ejection fraction and similar mortality compared to patients with milder left ventricular dysfunction.
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Late Mortality With Paclitaxel-Coated Balloons and Stents in Peripheral Arterial Disease
A newly published meta-analysis of randomized, controlled trials concerning paclitaxel-coated balloons and stents in femoral popliteal disease patients revealed a marked increase in all-cause death at two and five years.
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Johns Hopkins’ Intrahospital Patient Transfer Program Reduces Risk
Adult and pediatric patients moving from one area of Johns Hopkins Hospital in Baltimore to another face less risk than might be found in other institutions because of a program ensuring that they will receive the same quality of care during transfer as they do on a unit.
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Innovative Staffing Model Reduces Handoffs, Boosts Provider Satisfaction
Recognizing the risks to patient safety, many investigators have focused on improving handoff processes to reduce the potential for errors when the care of patients is transferred to new providers.
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Keep an Eye Out for Noncompliance Red Flags
Case management directors can train staff to log their hours, maintain accurate documentation, and follow all payer rules and requirements to maintain compliance with laws and regulations.
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Basic Compliance Training Should Focus on Payer Service Standards
Case management departments can prevent False Claims Act violations by training case managers to follow the rules set by their program funders and payers, including the Centers for Medicare & Medicaid Services.
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Case Study Illustrates How Care Team Works
A healthcare organization’s care team model provides complex patients with holistic care, helping them stay out of the hospital and ED.
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Care Managers Who Are Social Workers Make Magic Happen for Complex Patients
A prevention-focused care management program successfully reduced hospital admissions and ED visits among a vulnerable population.