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After The Reading Hospital in Reading, PA, implemented multidisciplinary walking rounds, patient satisfaction increased and length of stay decreased at the 615-bed tertiary care hospital.
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In three months following participation in a program that provides care management and outpatient services to the frail elderly in their homes after discharge, patients in Dartmouth Hitchcock Regional Medical Center's Bridge Program experienced a 41% decrease in emergency department visits and a 27% decrease in inpatient admissions compared to the three months before the program began.
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In 2004, as talk of health care reform escalated, North Oaks Health System appointed a multidisciplinary process improvement team to determine what changes the hospital needed to make to prepare for where health care was going in the future.
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If you're not already doing it, you need to start reviewing the cases of your patients receiving Medicaid benefits as vigorously as you do those of Medicare patients.
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There's little doubt that as health care reform rolls out and all payers tighten their reimbursement, hospitals are going to depend more and more on case managers to help them ensure that patients receive the appropriate services in an efficient manner and safely move to the next level of care.
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There will be dramatic changes in the works for patient access departments as a result of health care reform legislation. That is for certain. But many important details are still unclear.
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A new rapid tuberculosis test promises to help reduce health care worker exposures through early identification of patients.
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"Health care personnel refers to all paid and unpaid persons working in health-care settings who have the potential for exposure to patients and/or to infectious materials, including body substances, contaminated medical supplies and equipment, contaminated environmental surfaces, or contaminated air.
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"I was injured at work almost seven years ago. I am still going through financial difficulties. I can never return to nursing. I am left with a lot of nerve damage to my legs and continuous back pain. I receive about $400 biweekly from worker's comp. This is nowhere near my pre-injury pay. Learning to live with pain and limited mobility and chronic money problems has been the worst of it all. Nurse's post on an online forum of Work Injured Nurses' Group (WINGUSA)."
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Amid the successes in sharps safety in hospitals in the 21st century, there is one glaring gap: The operating room. Sharps injuries there remain as much of a problem as they were in 2000, when the Needlestick Safety and Prevention Act was signed into law.
