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Case management salaries are on the rise, but the vast majority of case managers are working far more than the typical 40-hour week, according to the 2008 Hospital Case Management salary survey.
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Sometimes the best response to regulatory and payer changes in health care is to improve the discharge planning process.
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When hospitals rely on a patient's family members to interpret medical news, they might be placing the patient at risk, an expert says.
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"Throughout our health care system, VA patients and staff face difficult and potentially life-altering decisions every day whether it be in clinics, in cubicles, or in council meetings. In the day-to-day business of health care, uncertainty or conflicts about values that is, ethical concerns inevitably arise." IntegratedEthics: Improving Ethics Quality in Health Care (U.S. Department of Veterans Affairs monograph)
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The IntegratedEthics program developed by the Department of Veterans Affairs (VA) for its facilities, which comprise the largest health care system in the United States, has drawn interest and attention both domestically and internationally.
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Even with the driven culture of modern medicine, one study published recently in the Journal of Medical Ethics found that 73% of 338 respondents said that they usually discuss their mistakes with their colleagues.
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"Increasingly, physicians and managed care organizations are being held accountable for quality of care based on the processes and outcomes of medical care and patient satisfaction. Yet high-quality care delivery involves more than good technical quality and acceptable customer service it also means upholding high ethical standards."
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In a new study, for which Nancy Kass, ScD, of the Johns Hopkins Berman Institute of Bioethics is the lead author, she and others outline their vision of an ethical response to a severe influenza pandemic: Keep society functioning.
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Criminal or administrative charges and sanctions for prescribing opioid analgesics are rare, according to a recent study.1 In addition, there appears to be little objective basis for concern that pain specialists have been "singled out" for prosecution or administrative sanctioning for such offenses, the study found.
