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INTEGRIS Rural Health (IRH), based in Oklahoma City, has been able to cut its systemwide average length of stay by at least a day across its eight-hospital system by implementing a physician-aligned model of case management.
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A quality improvement project in Dayton, OH, achieved a 36% drop in mortality from acute myocardial infarction (AMI) among a group of hospitals cooperating on the effort, and participants say it could not have been done without high-quality data collection.
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Quality improvement projects can be especially challenging if you try to implement them on a systemwide basis across many health care institutions, but a diabetes project in Iowa shows that it can be done if you give people the tools and let individual organizations decide how best to use them.
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Cardiopulmonary resuscitation (CPR) is a good skill for every parent to learn, says Jennifer Bay, RN, BSN, the CPR coordinator for Childrens Healthcare of Atlanta.
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Todays case management departments need access to information as quickly as possible, and that can be a challenge unless your hospitals information technology (IT) system is tailored to fit the needs of the department and someone knows how to retrieve the information thats needed, asserts Don Collins, owner of Clarity Report Development, a Paradise, CA, computer technology consulting firm.
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When Carol Reeder, RN, BSN, MSA, first goes into a hospital to consult on setting up a physician-aligned case management model, she encourages case managers to try to understand what physicians have to deal with in their daily practice.
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Before INTEGRIS Rural Health (IRH) implemented its physician-aligned model of case management, the process was piecemeal throughout the eight-hospital system.
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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.