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"What [Goal 7] is doing is... reminding us that more Americans are dying of these infections than breast cancer, motor vehicle incidents, and HIV infection combined in this country," says Stephen Weber, MD, associate professor in the section of infectious diseases and chief health care epidemiologist at the University of Chicago Medical Center and consultant with Joint Commission Resources.
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Eldery Mexican-Americans have higher rates of chronic illness than their non-Latino counterparts, but many don't receive the care they need because they and their caregivers resist home care services, says Janice Crist, RN, PhD, associate professor at the University of Arizona College of Nursing.
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Increasingly, health plans and provider organizations are taking steps to understand the beliefs and values in the populations they serve and help gear their treatment plan to accommodate them.
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In an increasingly diverse society, case managers must be aware of the cultural beliefs and practices of the people they serve in order to effectively coordinate their care and help patients or clients adhere to their treatment plan, says Catherine M. Mullahy, RN, BS, CRRN, CCM, president and founder of Mullahy & Associates, a case management training and consulting company.
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Calling it "a significant turning point in American society's evolution to empower terminally ill patients with information and choices about how they will die," an article by the director of legal affairs for Compassion & Choices points to four medical professional and health policy organizations that have adopted policy to support physician-assisted suicide.
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Increased communication among the multidisciplinary patient care team has increased patient throughput at Duke University Hospital, a 924-bed acute care facility in Durham, NC.
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By providing care coordination throughout the continuum for patients with multiple chronic conditions, the Sacramento Sierra Region of Sutter Health has significantly decreased emergency department visits and hospitalizations.
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If you want to convince your hospital administration to approve case managers in the emergency department, you have to put together a plan that outlines why doing so would be in the hospital's best interest, suggests Toni Cesta, RN, PhD, FAAN, senior vice president, operational efficiency and capacity management at Lutheran Medical Center in Brooklyn, NY, and health care consultant and partner in Case Management Concepts LLC.
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The Centers for Medicare & Medicaid Services (CMS) has granted hospitals a temporary reprieve from a reduction in Medicare payments.
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In today's health care environment, hospitals are challenged on all fronts. The Recovery Audit Contractors (RACs) are carefully scrutinizing hospital records, looking for inappropriate admissions, incorrect level of care, and inaccurate coding in the charts of Medicare patients.