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Youre busy with a dozen other issues when you get a phone call notifying you that a visitor has fallen in the lobby and broken her arm. Do you chalk it up to just another fall and get back to work, or do you spring into action? The answer may depend on how well youve prepared for the moment and how seriously you take slips and falls in your institution.
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Rehab advocates have seen the future of inpatient rehab in a new proposed rule from the Centers for Medicare & Medicaid Services (CMS), and they say it doesnt look bright. Comments on CMS proposed changes in the criteria for classifying hospitals as inpatient rehabilitation facilities range from disappointing to disastrous.
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Senate and House conferees on the Medicare prescription drug bill agreed Sept. 9 to include a one-year moratorium on the $1,590 outpatient therapy cap for 2004. But dont give a sigh of relief yet. The moratorium was among the less controversial items discussed in conference to clear the way for issues still in dispute, which means that if the entire bill doesnt go forward, neither does the moratorium.
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The rehab community by and large considers the Centers for Medicare & Medicaid Services proposal to change the 75% rule a big disappointment. But providers and advocates are even more worried about the draft Local Medicare Review Policy for inpatient rehabilitation admission that three fiscal intermediaries recently proposed.
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The ED physician and trauma surgeon must have evidence-based
information on indications for emergency department thoracotomy that
can be determined rapidly, easily accessible equipment, and the ability
to recognize situations in which EDT clearly is not in the patients
best interest.
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Children often present to the emergency department complaining of headaches. While most headaches in children are not signs of serious, underlying disorders, some headaches may be the first presentation of a migraine headache. Migraine is the most common cause of recurrent, intermittent headaches in children. However, migraine headaches often are underdiagnosed and undertreated in children.
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The Joint Commission has created two options designed to address legal disclosure concerns related to its Periodic Performance Review (PPR). The PPR is an integral component of the Joint Commissions new accreditation process that debuts in 2004.
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News: Unable to care for herself, a Parkinsons disease patient contracted for services provided in her home, including meal preparation. One day, the home health company was short-staffed and subcontracted with a temporary personnel agency to care for the patient.
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The Society for Healthcare Consumer Advocacy, part of the American Health Association, has developed a document outlining when a patient issue should be categorized as a grievance under Center for Medicare & Medicaid Services (CMS) regulations.