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A patient should be educated with several topics when diagnosed with asthma, says Marc Riedl, MD, assistant professor of medicine, Division of Clinical Immunology and Allergy at Ronald Reagan UCLA Medical Center in Los Angeles. They include the following:
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At the University of Washington Medical Center (UWMC) in Seattle, educators ask inpatients how they prefer to learn and document that information on the electronic medical record, when there is no protocol for accommodating the patients' preferences. These actions are futile, members of the Patient and Family Education Committee complain.
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Children's Medical Center in Dallas found families were making repeated visits to the emergency department seeking treatment for a child with an asthma attack. These children were being admitted to the hospital repeatedly. To address the problem, the Asthma Management Program was initiated in 2001.
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The Library of Non-Traditional Patient Education Tools is an ongoing project hosted by Patient and Family Education Services at the University of Washington Medical Center in Seattle. It is an ongoing tracking system of educational tools to teach patients of various learning styles such as hearing, seeing, and hands-on.
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At Barnes-Jewish Hospital's Center for Diversity and Cultural Competence, St. Louis, MO, the Daylight program trains volunteers recognized and influential women from local refugee and immigrant communities to provide to their peers culturally sensitive information about breast health and breast cancer, including early detection methods. The program has been profiled by the Agency for Healthcare Research and Quality (AHRQ).
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Most patient education managers would agree that a system for documenting understanding of the teaching that takes place is important. Yet there is not a cookie-cutter method that institutions follow.
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The Asthma Management Program at Children's Medical Center in Dallas is a good example of a best practice in education. It received certification from The Joint Commission in 2003 for disease-specific care for pediatric asthma.
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Frequent news stories and headlines about the Department of Health and Human Services (HHS) Office for Civil Rights' (OCR) crackdown on covered entities that have reported data breaches or other privacy rule violations increase the importance of continually assessing compliance with privacy and security rules.
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A 56-year-old man with complaints of impaired balance and light headedness presented to his local hospital. A resident and attending radiologist interpreted the man's CT scan and read the scan to show old lesions. A physician assistant at the hospital diagnosed the man with vertigo and discharged him with medication. As the symptoms became more severe, the man approached his primary care physician, who completed a more thorough workup. Ultimately, a brain biopsy revealed an intravascular lymphoma.
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Compliance officers have taken on increasingly important and visible roles in healthcare organizations, and that role can lead to ruffled feathers when that person and the risk manager disagree on their authority and responsibilities. The result, too often, is an internal spat that prevents either party from doing their jobs well and exposes the provider to liability.
