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An upper endoscopy procedure performed on some half million patients annually in the United States might pose risk for transmission of the emerging New Delhi variety of carbapenem-resistant Enterobacteriaceae (CRE), even if current cleaning and high level disinfection protocols are followed.
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Case managers and social workers have to look for creative solutions as hospitals struggle with finding a safe discharge for uninsured, undocumented, and homeless patients.
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Florida Hospital East Orlando has developed a transitional care program for uninsured patients to coordinate their healthcare needs as they move from the hospital to home.
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By making personalized recorded discharge information and educational videos available to patients by telephone or computer, Cullman (AL) Regional Hospital has reduced 30-day readmissions by 15% and increased scores on the discharge section of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) by 63%
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A predictable, yet perhaps unwanted, change went into effect on Oct. 1, 2013.
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Tampa General Hospital has created a fund that case managers can use to pay for post-discharge services for unfunded patients when there is no other option.
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Patients at Medical City Dallas Hospital who are likely to have discharge challenges are assigned a dedicated social worker who spends time with patients and family members and starts to identify resources early in the stay.
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As part of its efforts to facilitate post-acute care for unfunded patients who no longer meet inpatient criteria, Sentara Healthcare has developed an Indigent Care Agreement for Post Acute Services that sets out four levels of bundled payments to the health system's seven skilled nursing facilities when patients who can't pay are transferred.
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As a Level 1 trauma center, Lutheran Medical Center treats a lot of patients who come in unconscious, appear to be homeless, or are confused as to their identify.
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Healthcare facilities report that they are realizing savings of up to a million dollars annually through efforts that target environmentally friendly practices such as energy and water reduction, as well as recycling.
