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Hospital case managers routinely face what I call the Bermuda Triangle of case management ethics. The top of the triangle is the clinical concern, encompassing the medical and treatment needs of the patient. On the right are the financial concerns, and on the left are the legal and ethical issues. In the middle of this triangle is the patient.
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Traditional disease management programs that help patients manage their diseases after they become costly are like arriving at the scene of an accident that has already happened, John Palumbo asserts.
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When case managers at Highmark Blue Cross and Blue Shield bring up advance directives with their patients, they are well prepared.
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End-of-life care may be the most difficult subject youll take up with your clients, but youll be doing them a big disservice if you dont discuss it.
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Clinicians at PacifiCare Behavioral Health use a variety of techniques to identify patients who may be at risk for suicide, beginning with a members first call to the managed behavioral health plans behavioral health line, which is staffed by customer service associates trained to identify members who need immediate interventions.
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The Robert Wood Johnson Foundation has selected 10 hospitals systems to participate in a national program to reduce emergency department (ED) crowding and assess the health care safety net.
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The Kansas, Michigan, and Nebraska hospital associations have joined a growing list of American Hospital Association (AHA)-affiliated associations formally endorsing The Quality Initiative, the voluntary data reporting effort developed by the AHA, the Federation of American Hospitals, and Association of American Medical Colleges.
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As a result of case management interventions at the hospital bedside, emergency department (ED) visits, hospital admissions, and net days in the hospital have dropped dramatically for the Social Security Disability Insurance (SSI) population served by Horizon/Mercy.
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Case managers should always remember that giving patients the right information about their condition is a form of care, Molly Mettler, MSW, says.
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Being at work and re-establishing a normal life rhythm is an important part of a successful return to work after someone is disabled.