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Access managers continue to debate the intricacies of the Emergency Medical Treatment and Labor Act, despite the publication of an EMTALA final rule on Sept. 9, 2003, by the Centers for Medicare & Medicaid Services.
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Educating the public, keeping customers informed, and enlisting volunteers to serve as patient liaisons and advocates are the three main components of an ambitious campaign by Baptist Memorial Health Care in Memphis that aims to reduce emergency department overcrowding.
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When the access director asked her what shed like to do, Tara Tinsley, CHAM, access supervisor in the emergency department at Childrens Health System in Birmingham, AL, opted to take on the task of access department trainer, revamping the position into a proactive, hands-on job far different from the way it had been done in the past.
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With the help of some user-friendly software and a comprehensive staff training initiative, Parrish Medical Center in Titusville, FL, has dramatically reduced its medical necessity write-offs while improving customer service.
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Case managers at Oxford Health Plans have a new set of tools to help noncompliant members in the plans diabetes disease management program.
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Coaching diabetics to make lifestyle changes, helping members overcome issues that affect their compliance, and offering classes to help patients cope with chronic disease have paid off for MVP Health Cares award-winning Diabetes Care program.
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More and more often, case managers are being called on to demonstrate their value by reporting on outcomes. But there are no hard-and-fast rules as to what outcomes to measure because they differ from organization to organization, says Mary Jane McKendry, RN, CCM, MBA, director of education, training, and consulting for McKesson Health Solutions.
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When it needed to hire nine nurse care managers for its in-house diabetes management program, Fallon Community Health Plan found a way to overcome the areas nursing shortage. It gave the nurse care managers in the diabetes program the opportunity to work flexible hours.
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A woman with diabetes who has struggled with compliance for years before getting her disease under control told Gayle McLaughlin, RN, BSN, Every time I start to go off track, I keep hearing your voice in my head.
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