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The next big success story for 2000 was with the non-sedating antihistamine drug class. The Allegiance Formulary Committee worked with Care Choices to lock out ClaritinTM beginning January 2000. This formulary change reduced our overall cost per non-sedating antihistamine prescription by $2.94 per prescription despite all products having price increases. Our overall PMPM for this category also decreased by $0.13 PMPM which equates to an annual savings of $162, 500.00 and clonidine.
HMO offers a Case Management Program for our members who are at high risk for chronic diseases, have illnesses that could lead to high-risk conditions or have a need for increased use of health care services. Care Choices HMO case managers work together with members, primary care physicians and other health care resources to: Assess your health care needs. Coordinate your health care services. Develop a customized plan that includes health promotion and disease prevention. Help you to monitor your customized plan. Evaluate treatment plans on an ongoing basis and make appropriate adjustments to improve your health and well-being. You may reach a Care Choices Case Management Program Coordinator toll-free at 1-877-442-1181.
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Medicine Course in Stirling last year included nursing staff and again involved the Scottish Clinical Simulation Centre. As Dr Sally Crofts retires from council and passes the chair of the Education Group to Dr Steve Stott, we acknowledge her efforts and those of Dr Graham Nimmo and all the tutors in developing these courses. Other SICS associated activity has involved: - facilitation of a national forum of Critical Care Delivery Group chairs by Dr Mike Fried; development of an Evidence Based Medicine Group and a very promising web site by Dr Chris Cairns and Dr Brian Cuthbertson; and the production of guidelines for the use of activated protein C by a group coordinated by Dr Louie Plenderleith. The use of activated protein C is being audited through SICSAG and all are reminded that we are obligated to this exercise as it was a condition imposed by the Scottish Medicines Consortium when the drug was released last year. Section 47 certificates are now a statutory requirement for most intensive care patients since the relevant part of the Adults With Incapacity Scotland ; Act 2000 came into effect on 1st July last year. The Clinical Standards Board for Scotland, which is due to be reorganised, is well into the process of producing standards for anaesthesia. Intensive care is on the agenda soon. The process will be helped by the fact that the Welsh will soon have completed their standards for intensive care, which will certainly provide a very useful reference. In September, the National Institute for Clinical Excellence NICE ; issued guidance on the use of ultrasound locating devices for placing central venous catheters that could have medicolegal implications for intensive care. As the President, I represent the Society at meetings of the Royal College of Anaesthetists Board in Scotland and the council of the Intensive Care Society UK ; . Since the AGM of the latter last May, there has been no elected member on the council from north of the border and I therefore the only representative. With regard to either of these bodies, I happy to be contacted about any relevant matter. A.J. Shearer, for instance, claritin recall.
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