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While EDs are designed to respond to acute care needs, they are often inundated by patients with complex medical, social, and behavioral health problems .
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Two-midnight rule stirs controversy.
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Medicas program for dual eligible seniors offered through the Minnesota Senior Health Options programs combines medical care coordination and psycho-social support to help seniors live independently in the community.
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As the Centers for Medicare & Medicaid Services (CMS) make yet another change in the regulations regarding "observation status, the confusion continues over when a patient qualifies or doesn't qualify for this type of care, and what is at stake in these decisions for patients and providers.
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As the concept of the patient-centered medical home grows in popularity, opportunities are opening up for case managers to work with patients on the primary care level to augment the care provided by physicians and spend the time necessary to help them learn about their disease and follow their treatment plan.
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As part of its efforts to reduce admissions and emergency department visits, Capital District Physician Health Plan (CDPHP) has embedded case managers in 15 primary care practices and is conducting a pilot project that embeds a case manager in a local hospital.
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Sometimes just making people aware of their performance is all that is necessary to significantly improve care. Investigators at the University of California at San Francisco (UCSF) found this to be precisely the case when they attempted to use this approach to improve door-to-needle times for stroke patients who presented to the ED for care at UCSF Medical Center.
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If your patients arent following their treatment plan and end up in the hospital or emergency department or fail to keep their chronic disease under control, resulting in complications, dont automatically blame the patient.
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As a case manager, your job isnt done just because you told a patient something. Your job is done when the other person understands it, says Helen Osborne, MEd, OTR/L, president of Health Literacy Consulting, a Natick, MA-based firm.