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Clinical Accuracy Spoken Here
Initial Onset of Chest Pain Occurred During a Softball Game

A heartbeat is a complicated series of precise and coordinated events that take place inside and around the heart. Each heartbeat has two parts: diastole (or relaxation) and atrial and ventricular systole (or contraction). During diastole, the atria and ventricles relax and begin to fill with blood. At the end of diastole, the atria contract (an event called atrial systole) and pump blood into the ventricles. The atria then begin to relax. Next, the ventricles contract (an event called ventricular systole) and pump blood out of the heart.

CV Risk: Stroke and MI, Module A, Pathophysiology www.athenaforum.com

Pain Management: LBP

In the United States, low back pain (LBP) is one of the most common pain-related causes for seeing PCPs. Direct health care costs exceed $26 billion. Indirect costs from missed productivity and worker’s compensation significantly increase total LBP costs. The American College of Physicians (ACP) and the American Pain Society (APS) have jointly developed a clinical practice guideline on LBP. One key finding was that there is little consensus on appropriate clinical evaluation, management, use of diagnostic tests and treatments. These differences resulted in substantial variations in costs of care.

Pain Management, Module D, Types of Chronic Pain
Excellence in Case Mgmnt

Accountable Care Organizations (ACO) are aimed at reducing spending and improving the quality of care. ACOs replace Medicare’s current fee-for-service and can be a combination of one or more hospitals, primary care physicians, or specialists who are accountable for total Medicare spending and quality of care for the Medicare patients served. They are responsible for the quality and cost of health care for a population of Medicare beneficiaries with bonuses for exceeding quality of care measures and/or delivering lower than expected cost per patient and penalties for lower quality and/or higher cost per patient.

[Reference: Discharge Planning, Module B, Patient Centered DP]
In the Headlines . . .
Antibiotic De-escalation Can Shorten Hospital Stay

Narrowing the spectrum of antibiotics received by patients with nosocomial pneumonia was associated with shorter stays in the ICU than continuing broad-spectrum treatment, according to a study that analyzed 99 cases at the Creighton University Medical Center ICU. The findings were presented at the annual Interscience Conference on Antimicrobial Agents and Chemotherapy. [Internal Medicine News (10/27)].

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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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