Discharge Planning
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Undiagnosed Diseases Are Common Among Young Trauma Patients
There is a largely untapped opportunity for health systems to identify young adults with chronic diseases before they end up hospitalized for their illness. Trauma, such as car crashes, falls, assaults, and gunshot wounds, can be the entry point to the healthcare system, according to researchers.
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Program to Improve Management of Heart Failure Shows Positive Results
Case management and care coordination programs that target heart failure patients with low socioeconomic positions can succeed in improving their outcomes, but it takes time and consistent effort across the continuum. The next step is to improve care management and care coordination through targeted, consistent, and persistent efforts.
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Feelings of Betrayal and Burnout Rampant Among HCWs During the Pandemic
HCWs experienced institutional betrayal and high rates of burnout during the COVID-19 pandemic from July 2020 to January 2021, according to the authors of a new study. Nearly three in five HCWs believed their institution betrayed them. They experienced stress, fear, anxiety, and concerns about their work environments.
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Health System Finds Adding Pharmacist to Team Improves Diabetes Care
A care coordination team pilot project improved clinical outcomes by adding a pharmacist to the team to counsel patients with diabetes, according to the results of an unpublished pilot program.
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Hospital-at-Home Primary Care and Case Management Team Helps with Challenging Cases
As any case manager knows, preventing readmissions and ED visits by the most at-risk patients is an enormous challenge. It requires addressing all the social determinants of health needs they may have, as well as finding creative and affordable solutions.
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Hospital-at-Home Programs Can Work — Even When the Home Is a Car
A case management-style hospital-at-home program produced $6 million in savings and cut hospitalizations by 53% in one year.
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Navigating Antimicrobial Resistance
As more patients request antibiotics for managing many types of illnesses, it is no surprise that antimicrobial resistance is on the rise. According to the CDC, 2.8 million antimicrobial-resistant infections occur every year in the United States, with 35,000 deaths.
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Caring for COPD Patients During Winter
Navigating the care of patients who are living with chronic conditions already is challenging, but it takes an extra layer of thoughtfulness for a case manager to also consider the climate and season when making plans and facilitating decisions for patients with COPD.
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Pharmacists Can Help Improve Diabetes Outcomes in the Community
Some health systems are trying to integrate pharmacists in primary care units in hopes of improving outcomes for patients with chronic diseases, such as diabetes and hypertension. One model is to assign four or five primary care providers per pharmacist and create a co-visit model that integrates pharmacists in care involving medication management.
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Care Coordination Connects Students with Healthcare Providers
School mental health providers find care coordination to be important for students in public school districts. Care coordination refers to care activities for delivering services through communication to all involved, with the central goal of meeting the student’s needs and preferences and addressing gaps in care.