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AmeriHealth Mercy's care coordinator, Lynne Major MSW, CCM, touches base with every member who comes into the physician office where she works, encourages them to call her if they have questions and spending extra time with those who have complex needs.
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An innovative care coordination pilot project jointly developed by AmeriHealth Mercy Family of Companies' Keystone Mercy Health Plan based in Philadelphia, PA, and providers affiliated with the Mercy Health System, also based in Philadelphia, PA, resulted in decreased costs, reduced hospital admissions, and a decrease in inpatient days for members in the health plan's Medicaid managed care plan.
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It's a new era for hospitals and for case managers as a multitude of auditors from the Centers for Medicare and Medicaid Services (CMS) and commercial payers scrutinize patient records looking for errors.
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To maintain stability and effectiveness in meetings, the following steps should be considered.
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The devil is in the details when it comes to convening a successful interdisciplinary meeting.
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It is expected that metrics will be available so that the contributions of case management are quantified, as outlined by Toni Cesta, PhD, RN, FAAN, senior vice president, Lutheran Medical Center, Brooklyn, NY, in her April 2011 Case Management Insider article "You're only as good as yesterday's discharges Strategies to demonstrate case management's value."
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Make sure your health care workers are handling hazardous drugs safely.
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Latex gloves are back on the public agenda. The U.S. Food and Drug Administration has issued a proposed warning label for powdered gloves and is considering a ban on the use of powder in latex gloves and alternatives, even as hospitals greatly reduce their use of powdered gloves.
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The American College of Occupational and Environmental Medicine (ACOEM) has taken a strong position in favor of the Occupational Safety & Health Administration's proposed federal Illness and Injury Prevention Programs (I2P2) standard, including strengthening the requirements in certain ways beyond what California OSHA already requires, says Paul Papanek, MD, MPH, chairman of the board for the San Francisco, CA-based Western Occupational Environmental Medical Association.