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Members of Blue Cross Blue Shield of Missouris Postpartum Depression Screening Program consistently give the St. Louis-based health plan patient satisfaction scores in the 90th percentile.
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Its been more than six years since the Office of Inspector General (OIG) published its compliance program guidance for hospices, listing 28 areas in which hospices are particularly vulnerable to fraud and abuse.
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Heart failure patients are less likely to die after they go home from the hospital if the hospital has participated in an organized quality improvement program, compared with patients treated at hospitals where such efforts arent undertaken, a new study from the University of Michigan Health System finds.
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Case managers have a lot of choices when it comes to what professional organizations to join and which certifications to pursue. There are a wide variety of organizations on the local, state, and national levels, along with several case management certifications.
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Every morning, a group of congestive heart failure (CHF) patients steps on a scale at home, then answers a series of questions asked by a device attached to their telephone.
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Washington state's new law mandating hospitals provide mechanical lift equipment to safely move and position patients is just the latest sign that nurses are taking charge of their ergonomic health.
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Fallon Community Health Plan is moving toward a comprehensive case management model in which all its nurse case managers in the outpatient care services department are trained in motivational interviewing and how to determine a member's readiness to change.
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Tarrytown, NY-based Hudson Health Plan's case management program, aimed at members with chronic diseases or disabilities, has increased the number of members in the program who see a primary care physician or a dentist.
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Soaring health care costs and an increase in the number of patients with multiple comorbidities or other barriers to compliance represent an opportunity for case managers who have the skills to work one-on-one with individuals to empower them to take charge of their own health care, says Connie Commander, RN, BS, CCM, ABDA, CPUR, national president-elect of the Case Management Society of America (CMSA) and owner and president of Commander's Premier Consulting Corp.
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Future health services managers must be prepared to deal with evolving integrated health care delivery systems, technological innovations, an increasingly complex regulatory environment, and restructuring of work.