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Blue Cross of California State Sponsored Business takes a comprehensive approach to asthma management, partnering with the Fresno Valley Air Quality Board on ways to improve air quality in Fresno County, piloting a project to help physician practices improve their asthma treatment methods, and developing a three-tiered approach to managing members' asthma.
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Health plans across the country are coming up with innovative ways to tackle asthma, a disease that costs $11.6 billion a year in direct health care costs, according to the American Lung Association.
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The saying, "It takes a village" applies to asthma control as well, says Pamela Persichilli, RNC, director of clinical operations for Horizon NJ Health.
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Optima Health's asthma disease management program has generated $2.10 in savings for every dollar spent on members who have been continuously enrolled over a five-year period.
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When members of Passport Health Plan are hospitalized in the intensive care unit for asthma, the plan's asthma disease managers visit them on-site and work with the hospital's asthma educator to help them learn to manage their disease.
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Health services is the largest private industry sector in the United States, but being trained in health and safety did not prevent that group from being the most-injured group of workers in 2002 more health care workers were hurt on the job that year than construction workers and miners combined.
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Billing data, supply costs, staff costs, and patient satisfaction are top issues for all outpatient surgery managers, but benchmark studies that address these areas don't always focus on similar procedures so that comparisons can be made easily.
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Project Dulce, a diabetes care management program housed at Whittier Institute for Diabetes in La Jolla, CA, has successfully addressed not only the difficult challenge of helping patients manage their diabetes, but also another issue of growing concern to quality managers: improving outcomes among minority populations.
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The profession of geriatric care manager has evolved because of the tremendous challenges that health care professionals and families face in managing the care of senior citizens, says Beverly Bernstein Joie, MS, CMC, president of Elder Connections in Philadelphia.
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Do you have an elderly client who, despite your best efforts, is in and out of the hospital and emergency department, has problems with medication compliance, and otherwise seems incapable of understanding or following his or her recommended treatment plan?
