Just teaching patients not to call their doctor at 4:30 on a Friday afternoon can reduce unnecessary emergency department (ED) utilization, a trend that is sapping the resources of EDs around the nation. According to the National Center for Health Statistics, 55 percent of the 90 million visits to EDs in the United States in 1996 were unnecessary. In healthcare dollars, that means that 40.5 million people paid up to three times as much for routine care at the ED as they would have paid at a physician?s office. Teaching timely access to outpatient care is just one tactic covered in this special report, which is based on an October 2006 audio conference sponsored by the Healthcare Intelligence Network (HIN). For Emergency Use Only: Curbing Unnecessary Emergency Room Use Through Education, Accountability and Physician Engagement provides a blueprint for health plans, hospitals and providers desiring to address and reduce unnecessary ED utilization in their populations. In this 35-page special report, Roberta Burgess, clinical case manager, Community Care Plan of Eastern Carolina, and Gerald Kiplinger, vice president and executive director of the Georgia Enhanced Care program for APS Healthcare, detail how to target and reduce unnecessary and inappropriate ED use. You'll get details on initiatives and interventions for decreasing non-urgent ED use, mining data to target high-utilization, high-cost individuals, implementing an ED case management program, communicating proper ED use to targeted populations and enlisting physicians' support in care redirection and appropriate ED use. Table of Contents Redirecting Care to Appropriate Settings -Types of Care and the Costs of Chronic Illness -Opportunities to Redirect Care to Appropriate Settings -The Role of Referral Agencies and Support Services -Increasing PCP Access To Reduce Emergency Care Visits -Call Centers Serve Multiple Purposes -ED Reductions a Side Effect of Healthy Together! DM Program Goodbye Emergency Room, Hello Primary Medical Care -Defining an Emergency -Profiles of Serial Users and Frequent Fliers -Benefits of Partnerships with Community Organizations, Providers -Communication Via Toolkits, Outreach and Self-Management -Mining Reports to Target High-Utilization, High-Cost Individuals -Case Management That Meets the Client in Their Environment -Motivating Physicians to Help -Removing the Stigma of Case Management -Making All Players Accountable Q&A: Ask the Experts -Determining When Screenings are Billable -ED vs. Urgent Care Facilities -The Advent of ?Minute Clinics? in Retail Space -Case Manager Work Schedules and Case Loads -Models for ED ?At-the-Door? Screening -Making the Case for Urgent Care Centers -Redirecting Patients to Lower Levels of Care -Costs for Running the ?Healthy Together? Program -Dissecting Diabetes Results in ?Healthy Together? Effort -Enlisting Providers? Support for ED Redirection Efforts -Referral Turnaround Times -Responsibilities of the ED Case Manager -Monitoring ED Visits Related to Drug Interactions -Statewide DM and CM Efforts -Future ED Redirection Initiatives -Benchmarks for ED Utilization by Population -Analyzing ED Visits by Type of Coverage -Investigating FQHC-Hospital ED Partnerships Glossary For More Information About the Author
In Never Bet the Farm two leading entrepreneurs, Anthony Iaquinto and Stephen Spinelli, turn much of the so-called expert advice for entrepreneurs on its head. They show that by preparing for setbacks and using a framework that can help reduce risks and simplify decision making, entrepreneurs can increase their probability for success. They refute the idea that there is an ideal entrepreneurial “type,” and show that luck can be as important as a business plan in many enterprises. Above all, the authors emphasize that entrepreneurship is a career, not a one-time event, and winners are those who can keep themselves in the game. Never Bet the Farm is an easy-to-understand and attractive tool for anyone who has a business idea, but who might be wary of the risks implied in starting their own business.
Metal-based drugs are a commercially important sector of the pharmaceutical business, yet most bioinorganic textbooks lack the space to cover comprehensively the subject of metals in medicine. Uses of Inorganic Chemistry in Medicine approaches an understanding of the topic in a didactic and systematic manner. The field of inorganic chemistry in medicine may usefully be divided into two main categories - drugs which target metal ions in some form, whether free or protein-bound, and secondly, metal-based drugs where the central metal ion is usually the key feature of the mechanism of action. This latter category can further be subdivided into pharmacodynamic and chemotherapeutic applications, as well as those of imaging. The book summarises the chemical and biological studies on clinically used agents of lithium, gold and platinum, as well as highlighting the research on prospective new drugs, including those based on vanadium and manganese. The coverage allows a clear distinction between pharmacodynamic and therapeutic properties of metal-based drugs and focuses not only on those clinical agents in current use, but also on new drugs and uses. This book serves to fill an important niche, bridging bioinorganic and medicinal chemistry and will undoubtedly be of use to senior undergraduates and postgraduates, as well as being an invaluable asset for teachers and researchers in the discipline.
Thirteenth in HIN's Disease Management Dimensions series! The greatest roadblock to effective disease management programs is often the patients themselves. In the spirit of consumer-driven healthcare, health plans and providers are asking patients and members to accept responsibility for behaviors that impact their health. Disease management efforts and health coaches target individuals with unhealthy habits, but frequently encounter resistance. In "Narrowing the Health Perception Gap: Coaching to Change Behavior and Raise Self-Efficacy," a 35-page special report based on a July 2005 audio conference sponsored by the Healthcare Intelligence Network (HIN), HIN's contributing authors delve into the field of behavior modification and suggest techniques health coaches and disease management specialists can employ to motivate clients and patients to adopt healthy lifestyles. In this special report, Dr. Rick Botelho, professor of family medicine, URMC Family Medicine Center, Dr. Richard Citrin, vice president, integrated care management, Corphealth Inc. and Michael Thompson, principal with PricewaterhouseCoopers, shed light on theoretical models, industry trends and personalized approaches as keys to sustain lasting behavioral change. Note: Receive additional savings on this resource when you order it as part of the three-volume "Health Coach Collection," a related item shown below. Table of Contents Moving Toward Holistic Health -Population Health Management -Organizational Learning and Lifestyle Change An All-Encompassing Field -Theories of Behavior Modification -A Multi-Dimensional Approach -Strategies That Work Vision for the Future -Expanding the Possibilities -The Old-New Paradigm -The Uncertainty Principle -A Lifelong Learning Process -Motivational Practice and the Six Steps -Putting Principles into Practice -Sustaining Health Behavior Change Q&A: Ask the Experts -Getting Members to Call Back -Empowering the Patient -Stepping it Up -Addictive Case Management -Trends in Weight Management -Participants Take the Floor Glossary For More Information About the Authors
The European Union, we are told, is facing extinction. Most of those who believe that, however, have no understanding of how, and why, it became possible to imagine that the diverse peoples of Europe might be united in a single political community. The Pursuit of Europe tells the story of the evolution of the 'European project', from the end of the Napoleonic Wars, which saw the earliest creation of a 'Concert ofEurope', right through to Brexit. The question was how, after centuries of internecine conflict, to create a united Europe while still preserving the political legal and cultural integrity of each individual nation. The need tofind an answer to this question became more acute after two world wars had shown that if the nations of Europe were to continue to play a role in the world they could now only do so together. To achieve that, however, they had to be prepared to merge their zealously-guarded sovereign powers into a new form of trans-national constitutionalism. This, the European Union has tried to do. Here, Anthony Pagden argues that it has created not as its enemies have claimed, a'super-state' but a new post-national order united in a political life based, not upon the old shibboleths of nationalism and patriotism, but upon a common body of values and aspirations.It is this, argues Pagden, that will allow the Union to defeat its political enemies from within, and to overcome the difficulties, from mass migration to the pandemic, which it faces from without. But it will only succeed in doing so if it also continues to evolve as it has over the past two centuries.
Thank you for visiting our website. Would you like to provide feedback on how we could improve your experience?
This site does not use any third party cookies with one exception — it uses cookies from Google to deliver its services and to analyze traffic.Learn More.