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When PacifiCare Health Systems Inc. decided to expand its disease management programs, the Cypress, CA-based insurer looked at all the options and decided to contract with vendors who were experts in their field rather than developing the comprehensive programs in-house.
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When it comes to disease management programs, Kathy Cartelli, director of disease management for PacifiCare Health Systems Inc. recommends hiring experts.
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Under current federal regulations, manufacturers can state that they comply with the ASTM standards but cannot label the boxes with the level of antigenic and total protein. The proposed rule sets maximum allowable protein levels of 1,200 mcg per dm2 and requires labeling of protein content.
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Identification of patients at high risk of, or with documented Mycobacterium tuberculosis disease is to occur at the earliest point in the health care encounter. Avoiding delays in such identification will reduce potential staff and patient exposure to TB.
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Here are some frequent questions and answers about needle safety compliance provided by the Safety Institute of Premier Inc., an alliance of 1,700 nonprofit hospitals and health systems based in Oak Brook, IL. More information is available on the Premier web site at www.premierinc.com/safety.
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Achieving ISO 9001:2000 registration has helped Humana Inc.s Personal Nurse service move quickly to respond to customer feedback and improve services.
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At Humana Inc., specially trained registered nurses called Personal Nurses fill the gap between the companys traditional case management and disease management programs. The nurses, who work from home-based offices, call members identified by a predictive model as likely to need health care interventions in the future, says Trish Whitt, RN, director of clinical product management for the Louisville, KY-based health benefits company.
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At Integrated Home Care, nurse case managers provide hands-on care as well as handling the traditional case management duties, such as evaluating patients, developing a customized plan of care, coordinating with other members of the health care team, and arranging services such as social work or dietitian services.
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As she takes office as the 14th president of the Case Management Society of America, Sherry Aliotta, RN, BSN, CCM, is determined to make sure case managers no longer are the best kept secret in health care.
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In a complex and often confusing health care arena, case managers are an important resource for patients who need access to the right care at the right time. As they provide services for catastrophically ill or injured individuals or those with chronic illnesses, including elderly patients, case managers may be working more frequently with another group of specialty practitioners: life care planners.
