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In April 2002, Donna Zazworsky, MS, RN, CCM, FAAN, director of grants, partnerships, and policy at St. Elizabeth of Hungary Clinic in Tucson, AZ, got a telephone call from a case manager at a local hospital who wanted to know if the clinic had a hospital bed it could donate for use by a 17-year-old patient who was being discharged.
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The trauma team at Borgess Medical Center in Kalamazoo, MI, refers to Dorothy Malcolm, RN, BSN, as the glue that holds us all together. As trauma case manager, Malcolm coordinates care for trauma patients from the time they come into the emergency department (ED), during their entire stay in the hospital and while they are being treated in the outpatient follow-up clinics.
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Merging the case management department with the quality department is the best thing weve ever done, says Sharon Simmons, CRNP, MSN, CNOR, director of clinical excellence for St. Vincents Hospital in Birmingham, AL. Combining the departments has resulted in a tremendous improvement in quality of care as well as improved outcomes, she adds.
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Question: Under what conditions can a tertiary care center that usually receives patients refuse transfer?
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Many ED managers complain that their department is the Rodney Dangerfield of the hospital because they cant get any respect from upper management. But respect is earned, not given, says Gregory Henry, MD, FACEP, risk management consultant at Emergency Physicians Medical Group in Ann Arbor MI.
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The Centers for Medicare & Medicaid Services (CMS) has unveiled a new program to provide $1 billion over four years to help hospitals and other providers recoup the costs of providing needed medical care to uninsured patients who cannot pay their hospital bills regardless of the patients citizenship status.
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Qualifications & Major Responsibilities/Functions
