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CASE MANAGEMENT :: CLINICAL

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02.03.2012		Readmissions Reporting Methods Explained Targeting and reducing hospital readmission rates has become a top priority for the Medicare program, and beginning in October, the Patient Protection and Affordable Care Act will start slashing payments to hospitals with higher than average readmission rates...

11.14.2011		Initiative Lays the Groundwork for Less Antibiotic Misuse A new effort led by the Massachusetts-based Institute for Healthcare Improvement will aim to decrease the overuse and misuse of antibiotics in hospitals, a growing problem across U.S. healthcare facilities. Eight hospitals in eight states will pilot...

06.28.2011		Bill Would Expand Home Health Referral Powers to NPs, PAs Seniors would have faster access to home health services if a new bipartisan bill that allows nurses and physicians’ assistants to approve these services for Medicare patients is passed by Congress. Current Medicare regulations recognize nurse...

03.09.2011		Transitioning Complex Patients From the ICU More patients are surviving acute, severe illness or injury because of increased technology and improvements in overall patient management. The clinical management of the critically ill is the priority, but the primary objective of care is to stabilize the...

02.15.2011		5 Ways To Boost Patient Self-Management of Care With the emergence of patient-centered care comes the express need for patients to move into an active role and take ownership of their care – an increasingly crucial characteristic to success. Yet propelling patients into this position of empowerment...

02.03.2011		Afraid of Deadly Medical Mistakes in the Hospital? 10 Ways To Avoid Them Patient safety efforts in hospitals are falling short. A new six-year study at 10 North Carolina hospitals that was published in the New England Journal of Medicine suggests that efforts to decrease the number of medical mistakes in U.S. hospitals have...

12.17.2010		Healthy Beginnings for a Mother and Child During the past decade, there has been significant advancement in our understanding of the pathophysiology, diagnosis and management of several maternal and obstetric conditions collectively wrapped up and leading to the term “high-risk...

12.17.2010		The Positive Uses of Negative Pressure Wound Therapy Fifteen years ago there were few decisions to be made when choosing negative pressure wound therapy (NPWT) for your patients. There was one company, one wound filler and one device type on the market. Today there are numerous NPWT manufacturers, multiple...

12.17.2010		Supercharged Cost Drivers Medical costs as a percentage of total claims are on the rise. Such costs rose from 46 percent in 1987 to 59 percent in 2007, according to the National Council on Compensation Insurance. Two of the top cost drivers are obesity (and associated co-morbidities)...

12.17.2010		An Asthma Management Plan in Action Asthma is the most common pediatric chronic illness, affecting more than 4 million children per year. Yet with a proper education and medication regimen, asthma can be controlled to improve the quality of life for those children affected. While the mortality...

12.16.2010		New Drug Approvals: A Case Manager’s Guide Kombiglyze (saxagliptin; metformin) Company: Bristol Myers Squibb and AstraZeneca Date of Approval: November 5, 2010 Indication: Diabetes Mellitus Type 2 The FDA approved Kombiglyze™ XR for the treatment of type 2 diabetes in adults. Kombiglyze XR is...

12.16.2010		Patching Up the Healthcare System Through Medication Safety Thirty-seven-year-old Mr. Smith was referred to the case management program due to a recent hospitalization for major depression and anxiety with comorbid conditions of hyperlipidemia and hypertension. As a case manager, you meet with Mr. Smith. During the...

10.14.2010		Crafting a Successful Work-Injury Plan A Firsthand Look at the Importance of Disability Management in the Workplace The mission is clear: get medically restricted people back to work. As a vocational rehabilitation counselor, I believe in this purpose because, without it, the American people and...

10.14.2010		Multiple Medication Dilemmas Strategies for lowering the risks of polypharmacy Polypharmacy is a common problem encountered by clinicians caring for the elderly. It is encountered in all care settings, ranging from outpatient to long-term care, where it is particularly linked with falls...

10.14.2010		Demonstrating the Value of Case Management in the Medical Home Rising healthcare costs, increasing numbers of uninsured and uncertain quality are triggering renewed debate about the organization and delivery of healthcare in the U.S. Many have noted that Americans are not getting sufficient value for the $2 trillion...

10.14.2010		Intensive Case Management Soothes Mental Health The U. S. Department of Veterans Affairs Mental Health Intensive Case Management (MHICM) programs are evidence-based, intensive clinical case management programs that provide community-based support services to Veterans who have serious mental illnesses...

09.01.2010		Preventing Disability: The Science of Stay-at-Work Specialists In today’s economy, many employers are doing more with less and struggling to stay competitive. That includes more actively managing their rising medical costs and focusing on the health and productivity of their workforce. At the same time, employees...

09.01.2010		The Overlooked Brain Disease The term hydrocephalus comes from the Greek words “hydro” meaning water and “cephalus” meaning head, leading the condition to be referred to by laypersons as “water on the brain.” However, the primary characteristic of...

09.01.2010		Managing Multiple Sclerosis Since the mid-1990s, Clay Walker has achieved an incredible amount of success as a country music artist. His songs have run to the top of the Billboard charts on six separate occasions. In all, he’s sung and songcrafted his way onto the Billboard...

09.01.2010		Heart Failure Core Measures, Readmissions and Transition of Care Planning Does this sound familiar? Mr. Garza has been admitted four times in the last six months for heart failure (HF) exacerbation. He struggles with medication adherence, meal choices and transportation for outpatient (OP) care. As a case manager, I see many...

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