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Clinical Accuracy Spoken Here
Variations in Complications of DM

The complications that occur in both types of diabetes contribute to the high levels of morbidity and mortality associated with this disease. Complications may not be reversible with improved glucose control. Microvascular complications of diabetes result from abnormalities of small blood vessels (retinopathy, nephropathy); macrovascular complications are due to narrowing of large blood vessels by atherosclerosis. Additional long-term complications involve the nerves (neuropathy), heart muscle, and feet. How soon these complications develop along with how severe they become, vary from patient to patient.

Athena Forum: Diabetes, Module B, Complications www.athenaforum.com

Obesity Management Strategies and Barriers

Patient involvement is critical to successful weight loss. HCMs must teach concepts including shopping for and eating healthier foods (fruits and vegetables), reading labels, understanding calories (fats and carbohydrates), portion control (see new portion guidelines at http://www.choosemyplate.gov , this content coming soon to Obesity Management course ), eating out strategies and getting 30 to 90 minutes of  physical activity most days of the week. These concepts can contribute to sustained weight loss. The challenge for the care manager will be to assist the patient in identifying an issue as a barrier.

Athena Forum: Obesity Management, Module D, Chapter 2, Barriers to Success
Excellence in Case Mgmnt

UM Software Can Help HCMs

Case management software applications can help HCMs streamline UM tasks and better manage the patients in their case load. Some key elements to keep in mind when embarking on CM software selection are:
  • These initiatives take time to design and implement

  • Interoperability with other hospital systems is essential

Software is expensive and may be considered a capital investment. It is important to gain support for the purchase of CM software and to ensure that it meets the needs of a broad spectrum of users.

[Reference: Athena Forum: UM, Module A, Chapter 5, Streamlining UM with Software

In the Headlines . . .
ER Diversion Dire Consequences

Researchers found that 29% of patients with acute myocardial infarction who were brought by an ambulance to the nearest emergency department died within one year of admission compared with 35% of patients whose ambulance was diverted for 12 or more hours. According to the study in the Journal of the American Medical Association, cardiac catheterization and percutaneous coronary intervention were less likely to be given to patients diverted for more than 12 hours compared with those who were not diverted. MedPage Today (6/12)

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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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