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As a result of a low-tech, high-touch case management program for women at risk for preterm delivery, preterm deliveries for ConnectiCare, a small, regional HMO based in Farmington, CT, consistently run 10% to 20% below national and regional averages.
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At Medical City Dallas Hospital, case managers and social workers tailor their discharge planning and education around the patient and familys cultural beliefs, particularly when end-of-life issues are involved.
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Are the terms discharge planning and case management interchangeable, or are they distinct, and is there a place for both in todays health care environment?
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A patient readiness scoring system that arose out of the tragedy of 9/11 has served as an effective way to address throughput, as well as an emergency preparedness tool, says Dee Page, RN, director of case management for Virtua Memorial Hospital of Burlington County in Mount Holly, NJ.
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When the Greenville (SC) Hospital System realized it was serving a growing population that didnt speak English, the four-hospital system launched a diversity initiative that not only helps staff understand the multicultural patients it treats but has the goal of making the hospitals the health care providers of choice among the citys immigrant population.
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To comply with the Joint Commission on Accreditation of Healthcare Organizations new National Patient Safety Goal to reduce the risk of patient harm resulting from falls, you must assess and periodically reassess each patients risk of falling including the potential risk associated with the patients medication regimen and take action to address any identified risks.
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Before clinical staff at the University of Washington Medical Center in Seattle provide care to a patient from another culture, they consult the hospitals Culture Clues, one-page laminated sheets with key points about a particular culture and how its members generally perceive health care.
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In an effort to spur documentation, standardize teaching, and ensure patients will be ready for a safe discharge, many institutions utilize checklists, guidelines, and teaching plans. However, the implementation of these tools doesnt necessarily guarantee the desired result will be achieved.