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With the number of uninsured patients increasing rapidly, the case management and social work staff at North Broward Medical Center are faced with the challenge of making sure patients receive the follow up they need to stay healthy and out of the hospital.
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At a health insurer in the northwest mountain state region, case managers and disease managers work hand in hand and share an electronic care management software system that allows them to seamlessly manage the care of their Medicare Advantage members.
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IRBs have an important role to play in improving community involvement in cancer clinical trials everything from increasing their own community membership to working with community advisory boards and pushing for more community-friendly informed consent.
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More meaningfully involving communities especially minorities and other ethnic groups in clinical research isn't just good ethics it could help address under-recruitment and failure of cancer clinical trials, says one of the authors of a new report on the subject.
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Payer denials for inappropriate observation patient status dropped by 50% the first year after Good Samaritan Hospital in Dayton, OH, instituted a case management protocol that delegates responsibility for determining patient status to case managers.
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When patients are admitted to Alamance Regional Medical Center in Burlington, NC, care managers are responsible for assigning the DRG and length of stay and establishing medical necessity and the correct patient status.
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It will take well-organized data to show your hospital administration how case managers can affect patient flow and to justify additional staff to focus on the effort, says Toni Cesta, RN, PhD, FAAN, vice president, patient flow optimization for the North Shore-Long Island Jewish Health System and health care consultant and partner in Case Management Concepts LLC.
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With today's shrinking health care dollars and pressure from payers to move patients through the continuum faster than ever, hospitals need to focus on improving patient flow. That's where case managers come in.
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News: A man was admitted to the hospital complaining of anxiety and being under tremendous pressure at work. The man was seen by an internist and a neurologist, and antidepressant and anti-anxiety medications were administered. After a few days, the man's condition improved, and the results of a brain MRI came back normal. The next morning, the man asked his nurse for a razor so that he could shave. Three hours later, he was found dead, locked in the bathroom, having committed suicide with the razor.