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Hospital discharge planners often have to use their ingenuity in finding placements for patients with no insurance who need post-acute services or are homeless and need a place to stay. The problem is that patients must be discharged safely, whether or not they have money to pay for the services they need.
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A team approach and intensive case management of patients has helped San Francisco General Hospital cut the number of hospitalizations and costs for patients who were frequently hospitalized.
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One of the great challenges in the whole world of quality and patient safety is learning to take advantage of the richness of clinical cases, says Robert M. Wachter, MD, professor and associate chairman in the department of medicine at the University of California, San Francisco (UCSF) and chief of the medical service at UCSF Medical Center.
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The sign over your emergency departments (ED) door may say emergency, but the people who walk in may not necessarily be having one.
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The uninsured; The underinsured; Indigent patients; Undocumented workers.
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As health insurance costs escalate and employers provide a lower level of coverage for employees or cut out insurance benefits altogether, the number of workers with no health insurance is on the rise. Meanwhile, states are struggling with dwindling funds for Medicaid and are slashing benefits, and an unprecedented number of undocumented workers are seeking care in hospital emergency departments.
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Its a common observation when the discussion is about return-to-work plans: Every return to work plan is different because every employee/patient is different. But what about cases that are really different when the employee has been off work for five years or is returning after a traumatic injury that not only affected the employee, but also the co-workers who witnessed it?
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The first head-to-head comparison study of an ACE inhibitor and an angiotensin receptor blocker, to assess renoprotective effects in type 2 diabetes, has shown that the drugs are comparable in their benefit.
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