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A comprehensive approach to depression management has paid off for Health Alliance Plan (HAP), a Detroit-based HMO. The Depression Disease Management program includes educational mailings for members, behavioral health case management, a partnership with physicians, and an adjunct program that helps identify people with congestive heart failure and diabetes who are at-risk for depression. A similar program helps identify new mothers who are at risk for postpartum depression.
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Regions of the United States where more health care is delivered dont provide better care than regions with more conservative practice patterns, according to studies by researchers at Dartmouth Medical School and the Veteran Affairs Medical Center in White River Junction, VT.
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Its disturbing to Mindy Owen, RN, CRN, CCM, when she encounters someone who calls him- or herself a case manager but whose job description doesnt sound like case management at all.
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When a CIGNA member is hospitalized in Tampa Bay, FL, he or she is likely to get a visit in the hospital from Joy Bazo, RN, CMC, LHRN, on-site review nurse for CIGNA in the Tampa Bay area.
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Patients with psychological disorders who have been prescribed anti-psychotic drugs, such as mood stabilizers, may really want to take their medication as prescribed but need a lot of help to do so, asserts Dawn Velligan, PhD, associate professor at the department of psychiatry at the University of Texas Health Science Center at San Antonio.
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If you work for an HMO with a computer system that tracks patient data, you may be able to take advantage of a research organizations expertise to help you develop programs to better manage your patients.
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When members enroll in one of Health Alliance Plans (HAP) disease management programs, the health assessment questionnaire they fill out includes trigger questions that may indicate that the member is at risk for depression.
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Targeted enforcement of the most hazardous workplaces, including nursing homes, would increase in the proposed FY 2004 budget for the Occupational Safety and Health Administration (OSHA). OSHA also announced an enhanced enforcement policy for employers who expose their workers to serious safety and health hazards and who continue to defy worker safety and health regulations.
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For a few days last fall, a hospitalist in Duluth, MN, came to work with a lingering cough that he thought was a stubborn case of bronchitis. In fact, he had an active case of tuberculosis and had inadvertently exposed patients and co-workers.