Employee Management
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Preserving Respirators and Extending Use
CDC guidelines for extending respirator supplies for the emerging novel coronavirus include excluding or limiting patient visitors and considering cohorting patients or staff. A standard face mask — not an N95 respirator — should be used as source control on a suspected COVID-19 patient. Regarding cohorting, when single patient rooms are not available, patients with confirmed COVID-19 may be placed in the same room.
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Tampa General Hospital COVID-19 Screening Questionnaire
Tampa General Hospital developed a screening tool to use for patients and healthcare workers suspected of COVID-19 infection. Patients can be screened via phone or in person.
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COVID-19 Outbreak in Nursing Home Includes HCW Infection, Resident Deaths
An outbreak of novel coronavirus COVID-19 at a long-term care facility near Seattle has killed at least five elderly residents and infected two healthcare workers. The situation was changing rapidly as this report was filed, but other residents and workers at the facility were under investigation for COVID-19 infection. More cases were expected as the Seattle area is experiencing the largest community outbreak in the United States.
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Program Tailored to Reducing Senior Patient Readmissions
A program in the Chicago area is demonstrating the value of tailoring discharge plans to the particular needs of elderly patients with little support outside the hospital. These “solo seniors” often face complex medical challenges after discharge and can experience high rates of readmission without help from family and friends. With hospitals facing significant penalties from 30-day readmissions, the program could be a model for hospitals to emulate.
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Case Managers Can Help Patients With Autism Spectrum Disorder
A hospital’s strange sounds, sights, and people can be overwhelming for a child with autism. But a case manager who watches for behavioral cues — and listens carefully to parents — can help that child cope more easily.
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Case Managers See an Influx of Elderly Patients in the ED
As baby boomers shift into their senior years, hospital EDs are seeing increasing numbers of older patients, a trend noted by a care coordinator at the Cleveland Clinic. These older, at-risk patients need case management services.
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Pulmonary Maintenance Programs Reduce Readmissions, Lower Costs
A hospital-based pulmonary maintenance exercise program can help patients with chronic lung conditions improve their exercise tolerance and regain some lung function, while reducing readmissions, according to the authors of a recent study. The potential cost savings are significant as well.
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An Escalation Team Can Improve Care for Complex Cases
Patients with complex needs can stretch the resources of even the most experienced case manager. These tend to be patients who have been admitted via the ED, not elective admissions. They are ready for discharge, but various barriers can cause complications.
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Person-Centered Case Management Tool Improves Discharge
A patient-centered, collaborative case management tool can help hospital case managers anticipate patients’ needs and ensure an appropriate discharge and transition of care. Inadequate care coordination can lead to rehospitalizations and expensive care.
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Consent Library Is Consistent With Quick Access to Better Wording
Dedicated editors help a research program manage an informed consent library of terms that can be included in consent forms as a substitute for medical/scientific language.