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Clinical Accuracy Spoken Here
CRC: Screening Strategies

Studies indicate that colorectal cancer screening is likely to be cost-effective (less than $30,000 per additional year of life gained) regardless of the strategy chosen. Colonoscopy is the most sensitive and specific test for detecting cancer and large polyps, but it is associated with higher risks than other screening tests for colorectal cancer. Several scientific organizations recommend regular screening for all adults aged 50 years or older. Screening studies have generally been restricted to patients younger than 80 years of age, with colorectal cancer mortality rates beginning to decrease within 5 years of initiating screening.

CRC: Module A, Pathophysiology www.athenaforum.com

MS: Quality of Life Issues

Case Managers working with the MS patient need to offer the opportunity for issues to be discussed clearly and openly. When patients feel that there is someone who can listen and answer questions, it presents a comfort level to promote discussion. Therefore as part of the on-going assessment, the CM should provide the invitation for patients to talk about any physical changes associated with MS such as bowel and bladder dysfunction and sexual dysfunction, difficult topics for most, so that the appropriate treatments or guidance can be achieved.

MS: Module D, CM Role
Excellence in Case Mgmnt
Hospital Revenue Cycle: CMS 10 yr. plan:

As the largest payer for healthcare quality CMS has taken steps to improve healthcare. The CMS 10 year plan is moving away from paying providers solely for volume to paying incentives for higher quality care which lowers costs. The main reason for this plan is financial viability of the Medicare program. Other reasons include sharing financial accountability with providers, improved care based on evidence and outcomes, safer, more transparent care, smooth transitions and promotion of electronic health records.

[Reference: Hospital Revenue Cycle: Module A, Industry Cash Flow]

In the Headlines . . .
Tailored Treatment Based on Genetics:

Researchers in the Electronic Medical Records and Genomics (eMERGE) network are demonstrating that patients’ genomic information linked to disease symptoms in their electronic medical records (EMR) can be used to improve their care. So far, the network has identified genetic variants associated with dementia, cataracts, high-density lipoprotein (HDL) cholesterol, peripheral arterial disease, white blood cell count, type 2 diabetes and cardiac conduction defects. Genome-wide association studies represent a powerful approach researchers can use to study hundreds of thousands of genetic variants in people with and without certain health conditions to identify genes that cause diseases. [NIH News, August 17, 2011]

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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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