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Using a "daily rounding quality checklist," which takes just a few minutes to complete, the Los Angeles County/University of Southern California Hospital increased compliance with "care bundles" to prevent ventilator-associated pneumonia (VAP) and other intensive care unit complications.
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It could be a routine preoperative check X-ray that shows a suspicious-looking lesion or a STAT blood test suggesting a potentially virulent infection. The test results must be communicated to the ordering physician. When critical test results are not received by the physician in a timely manner there can be tragic results.
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Face-to-face case management for members at high risk for health care exacerbations has paid off for Great-West Healthcare, a Greenwood Village, CO, health plan that serves as a third-party administrator for about 6,000 self-insured employer groups.
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A community-based program that provides face-to-face care management for people with chronic disease has resulted in decreased health care costs, fewer missed days at work, and improved quality of life for program participants.
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Health literacy, according to the Institute of Medicine, is "the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions" and research has shown that patients are not all created equal.
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There are many resources that help health care institutions develop strategies for teaching people how to appropriately access health care and use it to their best interest. Following is a description of two sites:
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An asthma management program that includes telephonic case management, home visits, and physician incentives has saved money and earned accolades for Priority Health, a health plan company based in Grand Rapids, MI.
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To determine what barriers prevent patients with low health literacy from navigating a health care system, it's important for organizations to do an inventory.