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Two-midnight rule stirs controversy.
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Medicas program for dual eligible seniors offered through the Minnesota Senior Health Options programs combines medical care coordination and psycho-social support to help seniors live independently in the community.
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As the Centers for Medicare & Medicaid Services (CMS) make yet another change in the regulations regarding "observation status, the confusion continues over when a patient qualifies or doesn't qualify for this type of care, and what is at stake in these decisions for patients and providers.
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As part of its efforts to reduce admissions and emergency department visits, Capital District Physician Health Plan (CDPHP) has embedded case managers in 15 primary care practices and is conducting a pilot project that embeds a case manager in a local hospital.
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Sometimes just making people aware of their performance is all that is necessary to significantly improve care. Investigators at the University of California at San Francisco (UCSF) found this to be precisely the case when they attempted to use this approach to improve door-to-needle times for stroke patients who presented to the ED for care at UCSF Medical Center.
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As a case manager, your job isnt done just because you told a patient something. Your job is done when the other person understands it, says Helen Osborne, MEd, OTR/L, president of Health Literacy Consulting, a Natick, MA-based firm.
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It is entirely understandable for emergency providers to question any new task or responsibility handed down by regulators or administrators. Busy providers are already stressed with burgeoning patient volumes and all the pressures associated with handling acute care crises.
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In today's fragmented healthcare world, case managers are so inundated with tasks that care coordination and transition management often suffer, as this case study illustrates.
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The debate raging over whether it is wrong or right for lawmakers to be looking at ways to limit ED utilization may be missing the more important discussion.