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Mountain State Health Alliance opened a free heart failure clinic after determining that patients' inability to get a timely follow-up appointment and financial issues were the cause of many readmissions.
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When hospitals determine after discharge that a patient did not meet inpatient criteria, they can file a provider liable claim using Condition Code W2 and be reimbursed for all services as if the patient were an outpatient, according to Deborah Hale, CCS, CCDS.
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At The Nebraska Medical Center in Omaha, pharmacists are part of a multidisciplinary team and see many patients in person starting on Day 1.
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Having pharmacists on the multidisciplinary team can help ensure that patients progress well in the hospital and that they follow their medication plan at home and avoid emergency department visits or readmissions.
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The pharmacy at Strong Memorial Hospital in Rochester, NY, fills about 75% of the prescriptions that patients are given at discharge.
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Before Health Plan Alliance started HeartSmart Sisters, a cardiovascular disease management program, the health plan held focus groups to determine what interventions would be most effective with its targeted group, African-American women.
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There are two critical times when patients newly diagnosed with depression are likely to stop taking their medicine the early weeks of treatment and after three months when they start to feel better, says Laura Schneider, LSCW, CEAP, manager of assistance programs and the Taking Charge of Depression Program for PacifiCare Behavioral Health.
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When a member of Worcester, MA-based Fallon Community Health Plan is newly diagnosed with HIV-AIDS, the first person he or she is likely to see is Rita Wesolowski, RN, BSN, ACRN, the HIV-AIDS on-site care manager.
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When the case managers at HealthPartners work with patients who are at risk for clinical complications, they focus on helping their clients meet personal goals, not those of the health care organization.
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Although health care organizations are using innovative strategies to recruit and retain nurses and federal, state, and local government agencies are providing financial support to help alleviate shortages, the national nursing shortage will continue to be one of the greatest challenges to the health care industry for many years, according to a report issued by Fitch Ratings, an international credit rating agency based in New York City.