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While Providence Health System has used such methods as measuring length of stay (LOS) and focusing on discharge by 11 to improve patient throughput, a recent Institute for Healthcare Improvement (IHI) call around offered some new food for thought on the subject, notes Kathy Campbell, black belt project manager for health services integration.
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The Joint Commission on Accreditation of Healthcare Organizations has issued Standing Together: An Emergency Planning Guide for Americas Communities, a step-by-step guide for small, rural, and suburban communities to prepare for and successfully respond to major local and regional emergencies.
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When a case manager or social worker at Saint Lukes Medical Center is concerned about a patient who is being discharged, he or she asks the RNs staffing the hospitals Nurseline to make a follow up call after the patient gets home.
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The percentage of patients with community-acquired pneumonia who received antibiotics within four hours of admission doubled in just three quarters after the staff at Saint Lukes Health System in Kansas City, MO, instituted a process improvement initiative.
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For case managers at Our Lady of the Lake Medical Center in Baton Rouge, LA, Hurricane Katrina presented challenges most people cant even imagine.
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At Good Samaritan Hospital in Baltimore, support staff collaborate with case managers to follow up on tests, consultations, evaluations, and other procedures, making sure anything that could impede a patients progress is carried out in a timely manner.
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Salaries for case management are increasing, but the vast majority of case managers are working far more than the traditional 40-hour week and are being asked to take on expanded duties that may include health coaching, utilization management, motivational interviewing, and disease management.
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A Pennsylvania hospital reports that it is seeing tremendous results from a computerized order entry system (CPOE), with an 85.7% decrease in improper doses and a 76.8% decrease in medication omissions.
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Based on the success of a weight management program targeted at already obese employees of a major Northwest corporation, Premera Blue Cross is offering a five-tier comprehensive weight management program to eligible employer groups who want to help their employees lose weight or stay fit.
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During a career that spanned four decades and began at a time when selling case management services was like selling ice cubes to an Eskimo, Mary Gambosh, RN, CCM, was truly a pioneer in case management, says Jeanne Boling, MSN, CRRN, CDSM, CCM, executive director of the Case Management Society of American (CMSA), based in Little Rock, AR.