Athena Forum Monday Memo
Monday Memo
    Log-in to Athena Forum  
Clinical Accuracy Spoken Here
Behavioral Health: MDD

Most depressed patients can be treated as outpatients, either in a physician's office or in an outpatient clinic. Inpatient care and careful medical monitoring may be necessary when an episode of depression is:

  • Particularly severe and accompanied by serious weight loss or marked agitation

  • Accompanied by intent to harm self or others

  • So incapacitating that a patient cannot perform self-care, follow the physician's instructions, or describe feelings to the physician

Behavioral Health: Module A, Depression www.athenaforum.com

HF: Life-Saving Transplants

Heart transplants are done as a life-saving measure for end-stage HF when medical treatment and less drastic surgery have failed. Transplantation is the last option for improved survival and quality of life. Transplantation is indicated for otherwise healthy patients who have end-stage HF with severely impaired functional capacity. Following transplantation, patients must remain on lifelong immunosuppression to avert rejection. This raises susceptibility to opportunistic infections and malignancies. Survival after cardiac transplantation is about 85% at 1 year then declining 4% annually.

Heart Failure Care: Module C, Treatments and Interventions
Excellence in Case Mgmnt
Discharge Planning: Unrealistic Patients:

A patient-centered discharge plan must be safe and realistic, even though the patient may want to choose an inappropriate service or unrealistic goal. The discharge planner’s professional judgment, experience, and negotiating skills come into play in this kind of situation, to evaluate the choices and explain why the goal may not be realistic, and then guide them into making better choices. If the patient persists, a team meeting might produce suggestions for resolution. Unrealistic goals that are not thoroughly evaluated and documented may place the patient, the discharge planner, and the hospital at risk.

[Reference: Discharge Planning: Module A, Philosophy and Standards.]
In the Headlines . . .
HHS Applauds SMP

A senior received a series of calls and a home visit from Perpetual Home Health (PHH). A representative from PHH then persuaded her to disclose her social security number on a medication form. Immediately she realized she shouldn’t have done that. Through a senior services facility she was connected to the Senior Medicare Patrol (SMP). The man behind PHH, John Gabriel Jr. had no medical training or license and is alleged to have swindled $20 million from Medicare, submitting false claims for medical services. This summer, thanks to SMP, he was indicted. Remarks by Secretary of HHS, Kathleen Sebelius at the Senior Medicare Patrol National Conference August 9, 2011.

Monday Memo Archive Did you miss an issue? Need to look up a reference in a past Monday Memo? All past issues are archived for your use.

jefferson logo
JSPH & Athena Forum – Partners in Chronic Care

Master's Degree in
Chronic Care Management

Managing chronic illness is the key to true healthcare reform.

No matter what its appearance – diabetes, hypertension, arthritis, cardiovascular disease, asthma, cancer or COPD – chronic disease is the greatest contributor to the cost of healthcare in the United States.

The Jefferson School of Population Health's online Master of Science in Chronic Care Management (MS-CCM) stresses chronic illness prevention and wellness, integrates evidence-based guidelines, includes behavioral health concerns, and appreciates cultural and individual variation.

The program prepares leaders to critically analyze, design, implement and evaluate systems to improve chronic illness prevention and care management across various health care settings and populations.

For more information about Jefferson's MS-CCM program, click here. 215-503-5305

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


You have received this e-mail because you are a subscriber to Athena Forum. If you wish to be excluded from any future Monday Memos, please send email to the registrar. Please put the word unsubscribe in the subject line.

© 2011 Athena Forum LLC
All rights reserved.
1199 S. Federal Highway STE382 Boca Raton, FL 33432