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Perhaps the saddest thing about the Hospital Survey on Patient Safety Culture: 2012 User Comparative Database Report, released in February by the Agency for Healthcare Research and Quality (AHRQ) is not that so many people believe the culture in their hospitals is an impediment to error reporting, but that so many people who work in the patient safety arena are not surprised at the high number of people responding that way.
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To help frail Medicare Advantage members with multiple medical problems live independently at home, Independent Health Association in Buffalo, NY, works with Family Choice, a care management provider, to arrange home visits. During visits, they educate members about their healthcare conditions and treatment options, discuss medication, and arrange for needed services.
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At the Open Door Medical Center, a community health center in Ossining, NY, embedded case managers work with patients infected with HIV, helping them navigate the healthcare system and get the medical care and other assistance they need to keep their condition under control.
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A proactive approach to engage at-risk members before they have an adverse medical event is paying off for CareFirst BlueCross and Blue Shield, a Baltimore-based health plan.
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When an interdisciplinary team including patient access, insurance verification, and radiology personnel was formed to reduce claims denials, "realizing where denials are coming from was definitely our first step," reports Brian A. Todd, CHAM, manager of patient access staff development and training at Lourdes Health System in Camden, NJ.
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Hard hit by one of the worst recessions in nearly a century, hundreds of thousands of Californians lost insurance coverage across the state as employers shed jobs and the health plans that came with those jobs, according to a report from the University of California, Los Angeles (UCLA) Center for Health Policy Research.
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New research suggests weight training for two years significantly improves the motor symptoms of Parkinson's disease compared to other forms of exercise such as stretching and balance exercises.
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As they go about their day-to-day activities, case managers should take steps to protect themselves from possible legal action if the patients whose care they manage experience an adverse outcome.
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A study published in The Journal of the American Medical Association (JAMA) found that there is no significant difference between safety-net and non-safety-net hospitals when it comes to the length of stay for emergency patients.
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When Cigna HealthCare of Arizona Medicare Advantage members are homebound, have complex care management issues, or are at risk for readmission to the hospital, the home-based care team from Cigna Medical Group, located in Phoenix, visits the patients in their homes, assesses their needs, and arranges for the services they need to stay healthy and safe in the home environment.
