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Case Management Advisor – February 1, 2006

February 1, 2006

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  • Partnerships help plan reach at-risk Medicaid members

    By partnering with community-based providers throughout the state, Optima Health of Virginia Beach, VA, provides one-on-one intensive case management to high-risk members in its Medicaid disease management programs. Optima Health is a service of Sentara Healthcare.
  • Stroke program wins first Codman award for DM

    The Joint Commission on Accreditation of Healthcare Organizations has named Swedish Medical Center in Seattle the winner of the inaugural Ernest Amory Codman Award in the disease-specific care category, for establishing a comprehensive program that deploys a coordinated team to assure comprehensive, timely, and efficient acute stroke care.
  • Michigan P4P program given high grades

    Since its one of the oldest incentive programs in the country, it might not come as a big surprise that Blue Cross Blue Shield of Michigan was among seven Robert Wood Johnson Foundation Rewarding Results grantees selected to highlight its successes in pay-for-performance programs during a National Press Club briefing in Washington, DC, last November, but the results it has achieved to date are nonetheless impressive.
  • P4P can improve quality, proponents say

    Pay-for-Performance (P4P) programs can improve both medical care and quality of life by giving health care providers a financial incentive to seek measurable improvements in the health of their patients, according to a National Press Club briefing in Washington, DC, in November.
  • Preceptors can improve retention of new nurses

    Anew job can be overwhelming no matter what industry you may choose, but when the new job is in home care, saying that the job is overwhelming may be an understatement.
  • Depression: RTW positive, but flexibility necessary

    Helping an employee return to work after a diagnosis of depression is similar in some ways to planning return to work after a physical injury, but depression demands a different consideration of limitations, timing, and clinical monitoring than most physical injuries or illnesses.
  • Case management tool saves time, money

    Premera Blue Cross new Case Management Collaboration Tool allows case managers to spend more time working with members, helping the company save an estimated $9.6 million a year.