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Case Management Advisor

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  • Program helps members lose weight, stay fit

    Based on the success of a weight management program targeted at already obese employees of a major Northwest corporation, Premera Blue Cross is offering a five-tier comprehensive weight management program to eligible employer groups who want to help their employees lose weight or stay fit.
  • Pioneer: Case managers are ‘guardian angels’

    During a career that spanned four decades and began at a time when selling case management services was like selling ice cubes to an Eskimo, Mary Gambosh, RN, CCM, was truly a pioneer in case management, says Jeanne Boling, MSN, CRRN, CDSM, CCM, executive director of the Case Management Society of American (CMSA), based in Little Rock, AR.
  • Clinic intranet encourages doctors to report concerns

    When officials with the Everett (WA) Clinic wanted to change the organizations culture to emphasize patient safety, they realized that a key strategy was getting physicians and employees to report their concerns freely and without fear of backlash.
  • Katrina: Unique challenges for displaced residents

    The devastation and human suffering caused by Hurricane Katrina is mind-boggling. While the television and radio talk shows were filled with people blaming each other for the slow response, home health agencies joined together to address the needs of patients who found themselves away from their homes, unable to reach their own health care providers, and in some cases, separated from their families.
  • If you’re not talking to patients, you’re not doing case management

    Nine years after an automobile accident left her a quadriplegic and seven years after she had a mastectomy following a diagnosis of breast cancer, Janet Brown, RN, BSN, BA, CPHQ, FNAHQ, was surprised to learn that case management services are available through both her independent practice association (IPA) and HMO.
  • Hospices, hospitals focus more on palliative care

    Palliative care programs are growing in number and prominence at hospitals and hospices across the nation, as increasing numbers of health care providers want to focus on medicine used as much for comfort and quality of life as for diagnoses and cures when dealing with patients who have chronic illnesses for which there are no easy resolutions.
  • Administrative support helps keep LOS low

    There are times when EDs can achieve dramatic improvements in average length of stay (ALOS) or reductions in their left without being seen (LWBS) percentages in a relatively short period of time by instituting significant new process improvements, such as bedside registration or new triage protocols.
  • Start with simple steps to cut procedure costs

    El Camino Surgery Center in Mountain View, CA, always has scored high in all the categories of the study on Knee Arthroscopy with Meniscectomy benchmark study by the Accreditation Association for Ambulatory Health Cares Institute for Quality Improvement.
  • ICU patients at risk for preventable errors

    Patients face a significant risk for preventable adverse events and serious medical errors in hospital critical care units, according to a study sponsored by the Agency for Healthcare Research and Quality (AHRQ).
  • CHF project aims to bridge gap between providers

    Drawing on 20 years of quality improvement experience, MPRO, Michigans Health Care Quality Improvement Organization, is bringing together hospitals, home health agencies, and physician practices to come up with solutions to communications barriers between providers, with the ultimate goal of improving the outcomes for the states cardiovascular disease patients.