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Clinical Accuracy Spoken Here
Prevent Non-Compliance with a Detailed Med Assessment

After a CVA, patients with chronic disease undoubtedly will need various medications, usually at multiple dosing times throughout the day. Medication education includes medication schedules, indications, potential interactions and any potential adverse reactions. Additional assessment of the medication plan includes:

  • Is there a financial issue with obtaining the medications?

  • Is there an administration or swallowing concern?

  • Can the patient open containers?

  • Are any new medications ordered?

If the patient is going home, he may need a medication reminder device. These range from a simple medication organizer to a more complex electronic reminder device.

Athena Forum, CV Risk: Module B www.athenaforum.com

CVA Rates Higher in Aged with Co-Morbid Diabetes

Diabetes is an important health condition for the aging population. At least 20% of the patients over the age of 65 years have diabetes and this number can be expected to grow rapidly in the coming decades. Older person(s) with diabetes have higher rates of premature death, functional disability, and co-existing illnesses such as hypertension, coronary heart disease, and stroke than those without diabetes. Older adults with diabetes are also at greater risk for several common geriatric syndromes, such as polypharmacy, depression, cognitive impairment, urinary incontinence, injurious falls, and persistent pain.

Athena Forum, Diabetes Course: Module A.
Excellence in Case Mgmnt
Accurate Coding Critical to Hospital Revenue
HCM's can create added value by understanding how key elements of UM support the revenue cycle for hospitals. Facing fixed payment rates, providers have financial incentives to reduce their inpatient costs by moving some services to another setting. Medicare has adopted policies to counter these incentives. Thus, related outpatient department services delivered in the 3 days prior to admission are included in the inpatient stay and may not be separately billed. Similarly, payment is reduced when patients have a short LOS, are transferred to another acute care hospital or discharged to post-acute care settings. Reimbursement is derived by multiplying a hospital specific rate times the assigned weight of the DRG. The actual ICD-9-CM codes selected are contingent on the skill of the coder, but must be based on accurate and detailed documentation to support these choices. [Athena Forum, UM: Mod B]
In the Headlines . . .

IT Can Cut HC Costs

Patients often skip doses, take the wrong number of pills, take medicines at the wrong time or otherwise don't take drugs as directed, costing the health care system up to $290 billion annually, according to health research at NEHI. A new technology, Ingestible Event Marker chips that are embedded in pills, can be used to track medication adherence. Also researchers are developing standards for clearer labels and different co-pay models in an effort to lower overall costs and increase compliance. IT has shown it can cut health care costs by reducing patient readmission rates through improved chronic disease management via telemonitoring. Technologies such as "smart band aids" that track heart rate, solar-powered blood pressure monitoring devices, and electronic reminder systems are emerging technologies that support in-home health care plans.

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The look of confidence
  CM Excellence® Series: 
  » Principles of Case
  » Patient Advocacy
  » Utilization Management
  » Discharge Planning
  » Hospital Revenue Cycle

  Clinical Series: 
  » Asthma
  » Behavioral Health
  » Colorectal Cancer
  » COPD
  » CV Risk: Stroke & MI
  » Diabetes
  » EOL & Palliative
  » GI Disorders
  » Heart Failure
  » Multiple Sclerosis
  » Obesity Management
  » Pain Management
  » Rheumatoid Arthritis
  » Women’s Health



Cathy Wright Cathy Wright, BSN, RN
Clinical Editor
Athena Forum


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