The same system reminds doctors to prescribe appropriate care for patients when they leave the hospital, such as beta blockers for heart attack victims, or eye exams for diabetics.
But the broader reason, as we shall see, is that most individual doctors and managed care providers in the private sector often lack a financial incentive to invest for investing in electronic medical records and other improvements to the quality of the care they offer.
Casalino writes from his own experience as a solo practitioner, and on the basis of over 800 interviews he has since conducted with health-care leaders and corporate health care purchasers.
He might have eased his burden by hiring a nurse to help with all the routine patient education and follow-up care that was keeping him at the office too late.
Suppose a private managed-care plan follows the VHA example and invests in a computer program to identify diabetics and keep track of whether they are getting appropriate follow-up care.
A popular dependent care option for both employers and employees are resource and referral services designed to help employees identify child care resources in their area.
I went through difficult times finding and keeping child care.
Human resource and child care experts caution that when contracts are made with large referral agencies, managers should find out whether the agency has a smaller satellite office or subcontracts with smaller agencies.
Our company referral agency was helpful in finding organized child care, but not in finding individuals for in-home care," says Cassandra Philippeaux, director of employment and employee relations for corporate headquarters at Sterling Winthrop in New York City.
Because she had difficulty finding quality care, Philippeaux went back to work without a sitter.
Long-term care is ever so slowly being acknowledged as the industry of the future.
PeterSteenblock, VicePresident and Director of Operations, Western Region: "Today's long-term care financing picture is being affected by our country's recession.
The short-term economic crunch will lead to many long-range benefits to SNF providers because we are the lowest-cost provider of inpatient health care service.
Greater patient decision making, more competitive shopping and government/private incentives to reduce cost will be the forces that decide future health care spending.
Increased difficulty in becoming eligible for state-supported aid for long-term care when assets were consciously divested during the period immediately prior to application for that aid;