Employee Management
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Bundled Payments, Population Health Fuel Move to New Healthcare Models
A health network with more than a dozen acute care hospitals has developed teams with advanced care providers to work with Medicare at-risk patients to improve care and reduce costs. The case management-style teams also work with some privately insured patients. The team approach has resulted in a 9.5% reduction in 30-day readmissions, according to a healthcare organization’s internal data.
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Healthcare Organizations Use Different Approaches to Reducing Readmissions
Two different techniques highlight success in reducing healthcare costs and readmissions. What they have in common is a focus on teams. Developing the right skills and putting the right team in place are key to success.
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Employee Health and Emerging Infections
The CDC is stepping up efforts to fight Ebola in Africa, deploying more personnel and resources to stop an expanding yearlong outbreak in the Democratic Republic of Congo (DRC). The World Health Organization (WHO) recently declared an international health emergency in the DRC after an Ebola case appeared July 14 in Goma, a city of 2 million people that has connecting flights to global air travel. As of Aug. 18, 2,888 Ebola cases were reported, including 1,938 deaths for a morality rate of 67%. Cases continue to be reported among health workers, with the number infected rising to 153.
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Griefwork: The Experience of Loss in Healthcare
When a patient dies, healthcare workers may experience grief that they barely acknowledge because they know their role is to move on to the next patient. But over time, such grief can build up and contribute to stress and burnout. Healthcare organizations can help their staff cope with grief and prevent workplace burnout by ensuring policies acknowledge the emotional needs of staff.
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A Risk Management Look at Employee Trips and Falls
Falls, slips, and trips were the second most common event leading to workplace injuries and illnesses in hospitals, according to a report from the U.S. Bureau of Labor Statistics, accounting for 25% of all reported employee injuries. Addressing fall prevention with employees is different than with patients. With patients, fall prevention focuses mostly on transfers from beds and wheelchairs, as well as environmental factors. Employee slips and falls tend to be the top workers’ compensation claim in both frequency and severity.
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Measles Woes Lead to Pushback Against Antivaxxers
Measles resurgence coincides with parents citing unsafe vaccines in declining to have their children immunized. However, there is a growing pushback against the antivaccine movement, with herd immunity threatened and the real risk of measles to immunocompromised patients and those who cannot receive immunizations.
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Violence Prevention Begins With Culture of Respect
When a surgeon was shot and killed by a patient at a nearby hospital in 2015, clinicians at the University of Massachusetts Memorial Health Care in Worcester overhauled its comprehensive violence prevention program. The incident that shook the Boston area medical community was the murder of a popular and highly skilled surgeon at Brigham and Women’s Hospital by a relative of a deceased patient.
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Nurse Suicides Finally Coming to Light
Overcoming the historic dearth of data on a critical issue, the authors of a new study reported that nurses are at higher risk of suicide than the general population. Researchers reported that female nurse suicide rates in the United States were significantly higher than for women in general, with a rate of 11.9 per 100,000 nurses, compared to 7.5 suicides per 100,000 women in the population. Male nurse suicides are even higher, with a rate of 39.8 per 100,000, compared to 28.2 per 100,000 men in general.
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Case Studies Offer Clues to How Team Case Management Model Worked
West Virginia University's team case management approach to diabetes management has led to positive outcomes with patients.
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Program Targeting Patients With Diabetes Reaches A1c Goals
West Virginia University's diabetes care program helped patients lower their A1c levels from an average of 10.25 to an average of 8.7 within three to six months. Even at 18-month follow-ups, 86% of patients recorded lower A1c levels than they did in the beginning, and one-third of patients registered A1c levels below 8. The team-based diabetes care program started as a quality improvement initiative.