Case management involves a range of functions: Screening involves identifying whether someone might have a substance use problem and should have a comprehensive assessment. It may make use of a standardized instrument. Assessment identifies and defines a client’s major strengths and needs, characteristics and problems. Its goal is to generate the information necessary to refer […]
Uber is changing my experience with taxis. I have used Co-op taxis for about 20 years. The wait was usually 10 to 30 minutes. The service was spotty. The dispatcher sometimes got it wrong. The cabs would show up and wait. Not the greatest experience. However, things have changed. Uber is a major threat to […]
WHAT TO DO IF YOU ARE STUCK WITH A BIG U.S. HOSPITAL BILL: Raymond Rupert MD. MBA. Rupert Case Management Inc.
THE PROBLEM: A number of Canadians end up in hospitals in the U.S. Many of them are either uninsured or under-insured. The result is that they end up stuck with a big hospital bill. The bills are a lesson in humility. One night in the ER results in a bill of $32,000. A fractured femur […]
Veronica was a very complex young lady. She was 32 and had type 1 diabetes. She had a serious motility (motor) disorder of her colon. Her gut did not move food contents along from top to bottom, in the way that it should. This lead to a number of serious complications including persistent vomiting and […]
Controlling costs is essential for all healthcare systems. How costs are controlled is key. Here is a case study of a healthcare system gone awry in its efforts to control costs. Case Study: Bill is a 69 year old Israeli citizen. Originally from Ohio, he came to work in Israel about 35 years ago. He […]
EMPLOYERS WORRY ABOUT HEALTHCARE COSTS & MENTAL HEALTH- Morneau Shepell’s insightful workplace study.
Employers worry about healthcare costs, mental health Controlling healthcare costs is the top benefits priority of Canadian employers for 2014—along with addressing mental health issues, a survey reveals. This year, as many as 68% of companies worry about healthcare costs for 2014, up from 45% last year, according to Morneau Shepell’s annual survey on compensation […]
End of life management can become very complex because of the deep emotions involved, the uncertainty of the outcome, and the conflicting ideas about how to best manage the patient Case Study: The client was an 91 year old grandmother who had been in the ICU for 10 weeks. She had irreversible multi-system failure. There was […]
Chronic Disease in the Workplace Nelofar Kureshi MD, MHI Case Manager and Clinical Researcher Rupert Case Management Inc. More than 40% of Canadians say they live with at least one chronic disease including heart disease, chronic obstructive pulmonary disease, high blood pressure, arthritis, cancer, diabetes, and mood disorders. The incidence of chronic illness in youth aged […]