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Kaiser Permanente's six-step process to improve transitions of care has resulted in reduced preventive hospital readmissions, an increase in the percentage of patients with physician appointments within five days of discharge, and raised patient satisfaction scores.
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Providers and payers alike are recognizing that ensuring smooth transitions when patients move between levels of care and implementing projects to help transitioning patients avoid an emergency room visit or a hospital readmission is the right thing to do.
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Aetna's pilot program sending advanced practice nurses into the home of at-risk Medicare patients within seven days of hospital discharge resulted in a 20% decrease in hospital readmissions, over and above the 23% readmission reductions already achieved by the health plan's case management program for Medicare Advantage patients.
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On any given day, the ED at Mercy Hospital in Springfield, MO, has two zone captains acting as mini-charge nurses, for the east and west sides of the department.
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After interviewing hundreds of patients and family members, a multi-disciplinary team at Kaiser Permanente redesigned the process for transitioning patients from the hospital to home and developed a list of six processes that should happen during every discharge for every patient.
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CLEVELAND Every year the Cleveland (OH) Clinic releases the Top 10 list of medical innovations for the coming year.
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IRBs frequently worry that questioning subjects who have undergone physical or emotional trauma can cause distress, but research has shown that such questions do not tend to cause additional damage to subjects.
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As the technology that enables genetic research becomes more sophisticated, it opens a kind of Pandora's box to researchers telling us information about subjects that they weren't looking for and may not necessarily want to know.
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One of the key attributes of a strong human research protection program is an institution's ability to optimize its resources, an expert says.
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Many researchers have stories about the challenges of getting reviews from multiple IRBs for a study the differing standards, varying risk assessments and the duplicated paperwork.