Employee Management
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Efforts Underway to Diversify Clinical Ethics Field
Success depends on available ethics resources and overall organizational diversity. Broader changes to the ethics field resulting in more diversity would require regulatory, legal, or accreditation oversight. Absent that, it is going to be one institution at a time, or one or several ethicists at a time, trying to create the right kind of mix of diversity and representation.
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Making More Protected Time for Clinical Ethics Work
To make a good case for investing in protected time, ethicists can engage with department heads to identify the unmet needs of healthcare providers. Testimonials from providers who have benefitted from ethics consultation demonstrate direct benefit to patient care.
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Trauma Patients at Risk for Developing Opioid Use Disorder
Better identification and referral of patients with opioid use disorder could enhance the quality and continuity of care these patients receive, while also reducing reliance on EDs and the crowding that ensues.
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Ethical Responses if Family Abandons Loved One at Hospital
By leveraging their mediation skills, ethicists can build trust between weary family caregivers and clinicians who are unsure about how to handle a delicate situation. This can help everyone identify patient needs and find possible solutions.
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Shortage of Nursing Home Beds Prompts Creative Solutions
The nursing home crises of too few beds and not enough staff is expected to continue for the foreseeable future. Case managers, discharge planners, and transition of care leaders need to find alternative solutions that will keep patients safe and avoid unnecessary hospitalizations.
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Hospital-to-Nursing Facility Admissions Plunged for VA Patients from 2020 to 2021
The Veterans Health Administration’s community nursing home program reported a readmission decrease of more than one-third from April 12, 2020, to Dec. 26, 2020, when compared with the same period in 2019, according to the results of a recent study.
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Free Meals Available for Seniors, But Too Few Referrals from Case Managers
A lesser-known option to improve nutrition for older Americans is congregate meals, which are available in almost every American community. Case managers sometimes are unaware of this resource for both nutritious food and socialization, which both of which benefit seniors.
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How Food Pharmacies Serve Local Populations
The food pharmacy model is growing in popularity. Hospital Case Management offers this snapshot of several food pharmacy programs that have produced positive results for their target populations.
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Health Systems Turn to Food Pharmacies to Improve Nutrition
Solving community food insecurity could be as simple as opening a food pharmacy. Increasingly, population health efforts are turning to social determinants of health, including finding ways to overcome obstacles like food deserts and poor nutrition. New programs tackle the food insecurity issue by prioritizing nutrition and food access the same as medication — a necessary treatment for various chronic conditions.
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Worker Shortage, Pandemic Make Drug Diversion Easier
Drug diversion can happen quickly as healthcare workers move from one facility to another, enabled by lax reporting systems and hospital disincentives to alert patients and raise liability issues. Diverters may slip through cracks in oversight by medical and nursing boards as they move to other facilities and are lost to follow-up.