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Health care quality managers often oversee patient safety activities in a variety of health care settings. One area of considerable media attention right now is the quality of nursing home care. Because many integrated health care delivery systems include some level of long-term care, quality managers need to understand high-priority resident safety concerns so that effective monitoring and improvement initiatives can be developed.
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When you do a root-cause analysis or educate staff about improving patient safety, do you sometimes feel your message is all doom and gloom? If so, take note of a growing trend, which spotlights events that went well, as opposed to what went wrong.
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During a July 2003 Joint Commission survey at Childrens Hospital Los Angeles, two areas took center stage: patient safety and performance improvement. Everywhere surveyors went, they would ask staff what they have done to improve patient safety in the area, and what the area has done for performance improvement, reports Sharon A. Chinn, RN, the facilitys patient care services manager of regulations and outcomes.
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When a patient in a wheelchair needs to get from an upper floor to street level after dialysis, the elevators are inoperable.
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Case managers sometimes are confused as to what constitutes a business associate as referred to in the Health Insurance Portability
and Accountability Act (HIPAA), notes Cathy Kauffman-Nearhoof, RN, BSN, CCM, NMCC, CLNC, owner of Integrist Healthcare Consulting in Duncansville, PA.
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Whether as employees of a covered health care entity or independent business associates, case managers must ensure that they are in compliance with the privacy requirements of the Health Insurance Portability and Accountability Act (HIPAA).
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In addition to preparing staff for unannounced surveys and ensuring continuous preparedness, you also may have looming concerns about legal disclosure related to the Joint Commission on Accreditation of Healthcare Organizations new accreditation process.
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Are you ready to add another set of core measures to your to-do list? There is no doubt that the Joint Commission on Accreditation of Healthcare Organizations new requirement for gathering data on an additional set of performance measures, effective January 2004, will increase your workload significantly.
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