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The economic and human costs of diabetes in the U.S. population place an enormous burden on its healthcare system as well as on employers, diabetics, and their respective families. Many Medicare Advantage plans have responded to this burden by implementing diabetes case management programs (DCMPs) aimed at reducing inappropriate health services utilization, improving health outcomes, and containing costs. While the use of DCMPs is common to many health plans, the research regarding their effectiveness has been sparse or inconclusive. The purpose of this study was to help fill a critical gap in the research literature by evaluating the effect of a diabetes case management program known as CareContact on a Medicare population in Texas. The study population consisted of 2,972 confirmed diabetic members who were continuously enrolled in SelectCare of Texas, a Medicare Advantage plan, for the two-year period between January 1, 2005 and December 31, 2006. To be eligible for this study, diabetic members had to have a minimum of 6 months without exposure to CareContact and 6 months of exposure to CareContact after the initial exposure. Twelve separate cohorts, defined by date of initial program exposure, were evaluated using a one group interrupted time series design. Cross sectional time series analysis, which combines ordinary least square regression techniques and time series analyses, was used to evaluate program effectiveness. After controlling for confounders and the effects of time, the data indicated that membership in the DCMP was associated with increased costs and increased utilization over the two-year study period. The study points to the need for further research into the effectiveness of diabetes case management programs, especially for participants of Medicare Advantage health plans.
This text presents basic concepts of economics and tools for financial management in the health care arena, including budgeting, breakeven analysis, financial reporting, business plan preparation, and grant writing. The text includes practical case examples drawn from actual health care settings to relate theory to real-world practice. A sample grant proposal and unique grant writing chapter will prepare students for this critical aspect of management. A free, back-of-book CD-ROM provides sample worksheets for analyzing budgets and determining breakeven points, cost-benefit, and cost-effectiveness, as well as sample budgets. Students can use the worksheets to apply their own data and complete their own analyses.
Prepare for your Certified Case Manager (CCM®) or Nursing Case Management Certification (CMGT-BC™) exam with Case Management Certification Practice Q&A. With 360 high-quality questions and comprehensive rationales based on the most recent Commission for Case Manager Certification (CCMC) exam blueprint, this essential resource is designed to help you sharpen your specialty knowledge with practice Q&A organized by exam topic and strengthen your test-taking skills with a 180-question practice test. Combined, it gives you everything you need to pass the first time, guaranteed! Key Features Includes 360 questions with in-depth rationales that address both correct and incorrect answers Offers two study options—by exam topic area and full 180-question practice test Provides key information about the PNCB and American Nurses Credentialing Center (ANCC) case management certification exams Boosts your confidence with a 100% pass guarantee (details inside) CCM® is a registered trademark of the Commission for Case Manager Certification (CCMC). CCMC is the sole owner of its certification programs. CCMC does not endorse this exam preparation resource, nor does it have a proprietary relationship with Springer Publishing Company. CMGT-BC™ is a registered trademark of the American Nurses Credentialing Center (ANCC). ANCC is the sole owner of its certification programs. ANCC does not endorse this exam preparation resource, nor does it have a proprietary relationship with Springer Publishing Company.
Physical movement has a positive effect on physical fitness, morbidity, and mortality in individuals with diabetes. Although exercise has long been considered a cornerstone of diabetes management, many health care providers fail to prescribe it. In addition, many fitness professionals may be unaware of the complexities of including physical activity in the management of diabetes. Giving patients or clients a full exercise prescription that take other chronic conditions commonly accompanying diabetes into account may be too time-consuming for or beyond the expertise of many health care and fitness professionals. The purpose of this book is to cover the recommended types and quantities of physical activities that can and should be undertaken by all individuals with any type of diabetes, along with precautions related to medication use and diabetes-related health complications. Medications used to control diabetes should augment lifestyle improvements like increased daily physical activity rather than replace them. Up until now, professional books with exercise information and prescriptions were not timely or interactive enough to easily provide busy professionals with access to the latest recommendations for each unique patient. However, simply instructing patients to “exercise more” is frequently not motivating or informative enough to get them regularly or safely active. This book is changing all that with its up-to-date and easy-to-prescribe exercise and physical activity recommendations and relevant case studies. Read and learn to quickly prescribe effective and appropriate exercise to everyone.
Holds a proven track record of success in teaching healthcare business basics to nurses This acclaimed text helps to build the fundamental economic and financial management skills nurses and nurse leaders need to be successful in daily practice and career advancement. The updated fourth edition includes new and revised case studies reflecting current trends and increased coverage of budget strategies, forecasting, and the financial impact of COVID-19. It is rewritten to provide greater clarity for readers unfamiliar with budgets and features a new two-color design to enhance readability. Additionally, the text reflects current AACN Essentials: Core Competencies for Professional Nursing Education and updated sample business plans, grant proposals, and other essential reports along with providing augmented Instructor Resources. The book--written by nurses for nurses--is designed to help readers understand the impact of healthcare economics and finance in their day-to-day clinical and leadership work. While it covers advanced practice topics and responsibilities, the text’s readability and foundational content make it useful for nurses at all levels. It also delivers content essential for nurse entrepreneurs and other nurse leaders with its explanations of how national and global economics affect the health care industry, and how health insurance strategies affect consumer access and outcomes. The text provides multiple opportunities for experiential learning, such a writing business plans and grant proposals and engaging in discussions. It delivers cost-benefit and cost-effectiveness analyses, discusses budget preparation, offers strategies for controlling budget costs, and updates relevant health policies and statistics. Abundant Instructor Resources feature chapter-based Excel workbooks and PowerPoints, a test bank, and crossword puzzles with answers. Purchase includes digital access for use on most mobile devices or computers. New to the Fourth Edition: New and revised cases reflect current trends Increased coverage of budget strategies, forecasting, and the financial impact of COVID-19 and legislative changes Streamlined approach simplifies content for readers new to budgets New and updated definitions New and revised/updated chapters Two-color design enhances readability Reflect current AACN Essentials Enhances popular Instructor Resources Updates sample business plans, grant proposals, and other essential reports Key Features: Equally useful for RN-BSN, MSN, and DNP, programs Aligned with AACN and AONL guidelines and certification and competency standards Facilitates experiential learning with end-of-chapter exercises, tips for synthesizing knowledge, worksheets, and case examples Effective in traditional, hybrid, and online learning environments
As the number of patients with diabetes increases annually, it is not surprising that the number of patients with diabetes who are admitted to the hospital also increases. Once in the hospital, patients with diabetes or hyperglycemia may be admitted to the Intensive Care Unit, require urgent or elective surgery, enteral or parenteral nutrition, intravenous insulin infusion, or therapies that significantly impact glycemic control (e.g., steroids). Because many clinical outcomes are influenced by the degree of glycemic control, knowledge of the best practices in inpatient diabetes management is extremely important. The field of inpatient management of diabetes and hyperglycemia has grown substantially in the last several years. This body of knowledge is summarized in this book, so it can reach the audience of hospitalists, endocrinologists, nurses and other team members who take care of hospitalized patients with diabetes and hyperglycemia.
Cardiovascular, respiratory, and related conditions cause more than 40 percent of all deaths globally, and their substantial burden is rising, particularly in low- and middle-income countries (LMICs). Their burden extends well beyond health effects to include significant economic and societal consequences. Most of these conditions are related, share risk factors, and have common control measures at the clinical, population, and policy levels. Lives can be extended and improved when these diseases are prevented, detected, and managed. This volume summarizes current knowledge and presents evidence-based interventions that are effective, cost-effective, and scalable in LMICs.