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Case managers often find themselves charged with the responsibility for solving problems without the accompanying authority needed to fix the problem. This can be very frustrating. You cant issue direct orders to solve the problem, so why should anyone listen to your suggestions?
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Through an integrated five-pronged approach, Danbury (CT) Hospital has been able to improve patient care for patients with any of 13 diagnoses. The Clinical Practice Guidelines (CPGs) include five tools: clinical pathway, standardized physician orders, patient education materials, specific discharge instructions, and critical indicators for success. Each tool is linked to the others.
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Assigning case managers to physicians rather than units has eliminated the adversarial relationship that sometimes occurs between the two disciplines and increased satisfaction among the staff and patients, says Doris Imperati, RN, BSN, MHSA, CCM, director of clinical resource management.
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All Saints Healthcare, a multifacility system in Racine, WI, has adapted a pre-existing template for meeting structure to more closely mesh with its strategic goals, creating a more organized meeting process, while at the same time, reinforcing key mission and vision messages with staff personnel.
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A health care attorney cautions that you should not rush to use liability waivers until you have confirmed that your informed consent processes are the best they can be.
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A Dallas County, TX, jury has awarded an $8 million verdict to a woman and her husband after a group of doctors and other medical professionals failed to diagnose the womans breast cancer for more than a year after she discovered a lump in her breast.
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A poll released in March by the Health Coalition on Liability and Access reveals that Americans believe a growing crisis in health care liability is pushing health care costs up and forcing good doctors out of medical practice.
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Youre fed up with being dragged into every lawsuit that has even the slightest connection to your institution, so you daydream about having patients just sign a waiver up front promising to never sue you for anything. Nice fantasy, but those things dont really hold up in court, do they?
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Liability waivers are best used for voluntary activities or when patients refuse your clinicians advice, says Jeffrey Driver, JD, MBA, chief risk officer with Stanford (CA) University Medical Center and president of the American Society for Healthcare Risk Management in Chicago. He suggests these categories.