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Over 22,000 of Santa Clara, CA-based Intel's employees have participated in its "Health for Life 3-Step Wellness Check" program at least once in the last two years. How did the company get such great participation?
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Thousands of dollars are invested in a new diabetes program, but participation rates are dismal and you don't know why. How do you turn this all-too-common situation around?
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Imagine your workers' compensation claims going from 543 a year to about a dozen companywide, with incurred medical costs plummeting from $3.5 million to $300,000 and claims costs going from $4.04 for each $100 of payroll to only $1.27.
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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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All that hard work educating lawmakers, providers, and the public about the value of case management is paying off. This year, the Case Management Society of America (CMSA) has been invited to give input into the health care reform bills under consideration by Congress, the new president of CMSA, Margaret Leonard, MS, RN-BC, says.
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A pregnant woman contacted her doctor with complaints of decreased fetal movement. He advised her to go to the triage outpatient obstetrical department, where she was placed on a fetal heart monitor and underwent a biophysical profile. The monitor showed a nonreactive fetal heart rate pattern, and the profile confirmed that the fetus was in distress.
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The recent settlement by the University of Medicine and Dentistry of New Jersey (UMDNJ) in Newark has some legal experts concluding that the hospital ended up with a relatively light punishment considering the extent of the alleged billing fraud and the long, contentious litigation that was prompted by a whistle-blower lawsuit.
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Most hospitals already have against-medical-advice (AMA) forms they use when the patient gives the staff a chance, but Helenemarie Blake, JD, a shareholder with the law firm of Fowler White Burnett in Miami, says risk managers should remember that merely having an AMA form and procedure does not guarantee they will be used correctly.
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When patients leave the ED early, what your staff do afterward can make the difference between insulating yourself against a lawsuit and encouraging one, says Robert A. Bitterman, MD, JD, FACEP, a lawyer and emergency physician who is president of Bitterman Health Law Consulting Group in Harbor Springs, MI, and also vice president of Emergency Physicians Insurance Company (EPIC) in Auburn, CA.
