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As the baby boomers reach retirement age, the senior population in this country is growing by leaps and bounds.
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There might be pressure to return an injured employee to work as soon as possible by management, human resources, or supervisors. However, returning someone to work too soon can put the employee at risk, warns Mary D.C. Garison, RN, COHN-S, CCM, COHC, FAAOHN, an Angleton, TX-based occupational health nurse.
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It might seem like a "no-brainer" to you, but it's not always enough to simply ask workers to make changes for better health.
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A program that sends geriatricians and nurse practitioners into the homes of high risk, frail elderly patients has resulted in a 195% return on investment (ROI) for Fallon Community Health Plan in Worcester, MA.
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The ethical decision-making process is similar to the case management process and the nursing process. The steps include:
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Now that the Centers for Medicare and Medicaid Services (CMS) has launched a program that adjusts Medicaid payments for provider-preventable conditions, including healthcare-acquired conditions, it's essential for case managers to work with physicians to make sure all conditions that are present on admission are clearly documented on a patient's chart.
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One solution to perennial problems such as ethics issues might be the formation of an organizational ethics committee. Different from a clinical ethics committee, an organizational ethics committee deals with organizational dilemmas that should be solved in a formalized manner.
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I will never forget my biggest ethical dilemma. It happened when I was a director of case management at a large medical center in New York City. It was the day after Thanksgiving.
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When case managers think about ethical dilemmas, they are thinking about much more than when to discontinue a ventilator, or to stop treatment, or any of the myriad of clinical ethical decisions that must be made every day in hospitals throughout the United States.