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The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) in Oakbrook Terrace, IL, recently presented the Ernest A. Codman Award, which recognizes excellence in the use of outcomes measurement by health care organizations to achieve improvements in the quality and safety of health care, to Childrens Hospital and Health Center in San Diego.
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At SSM Rehab in St. Louis, diversity has become part of the institutional culture. Staff have successfully built diversity into its ongoing operations rather than instituting one program that would meet federal and industry guidelines, says Kurt Delabar, director of human resources.
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Case managers sometimes are confused as to what constitutes a business associate as referred to in the Health Insurance Portability and Accountability Act (HIPAA), notes Cathy Kauffman-Nearhoof, RN, BSN, CCM, NMCC, CLNC, owner of Integrist Healthcare Consulting in Duncansville, PA.
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Even with their dependence on health maintenance organizations (HMOs), many of the nations elderly suffer from a lack of coordinated care, are often confused about their treatment including proper use of medications and frequently end up in the hospital for lack of proper preventive measures.
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Ttwo frequently asked questions from the Department of Health and Human Services HIPAA web site that specifically address the types of communication that case managers and discharge planners engage in.
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A study by Irvine, CA-based Cogent Healthcare Inc. has confirmed what many case managers know instinctively: Following discharge from the hospital, many patients are confused about their medication, their discharge instructions, and when to follow up with their primary care physicians.
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When a child is referred to the special needs program at the Childrens Hospital of Wisconsin, a multidisciplinary team assesses the case and decides where the family can get the help it needs. Childrens Hospital is a 222-bed tertiary care facility with multiple specialty clinics and a teaching hospital affiliated with Medical College of Wisconsin in Milwaukee.
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A typical day for Deb Jablonski, RN, CCM, may include going to visit a specialist with the family of a medically complex child; working with the inpatient case managers and treatment team at the hospital to coordinate the care of a hospitalized child; talking with a school therapist about the care a child needs; or communicating with the childs pediatrician.
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The Commission for Case Manager Certification (CCMC) in Rolling Meadows, IL, is revising its Code of Professional Conduct for case managers and is seeking feedback on the draft revision from professionals in the case management field, including certified and noncertified individuals.
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Whether as employees of a covered health care entity or independent business associates, case managers must ensure that they are in compliance with the privacy requirements of the Health Insurance Portability and Accountability Act (HIPAA).
