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Encouraging patients not to come to your ED? Building a new ED with no waiting room? These are among the creative, and perhaps controversial, strategies adopted by two ED managers determined to address surge capacity in new and more effective ways.
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The ED patient, lying in bed in her own private room, picks up the all-in-one telephone handset and remote control beside her and calls her husband to tell him shes been in a car accident. She clicks on the 12-inch TV monitor, watches for a while, and then decides to switch over to the radio for some calming music.
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A recent study by a University of Michigan cardiologist on behalf of a Michigan-wide angioplasty research group produced a sobering statistic: Of 1,551 heart attack patients who had emergency angioplasty at hospitals in Michigan, women waited on average more than 118 minutes before treatment began, compared with 105 minutes for men.
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In response to concerns by health care attorneys and risk managers that information contained in a health care organizations periodic performance review (PPR) may be discoverable in a legal action, the Joint Commission developed these options to the PPR.
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The danger of the next influenza pandemic has become so crystal clear and ever present that the recently released federal pandemic influenza plan is considered something of a page turner among the normally dry reading requirements for health care providers.
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Many home health managers initially were apprehensive about periodic performance reviews (PPR), the self-evaluation required by the Joint Commission at the midpoint of an accreditation cycle. However, the response to the process following the implementation has been so positive that the Joint Commission will make the PPR an annual requirement beginning in 2006.
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Changes to the Fair Labor Standards Act that passed in 2004 still may be under fire from opponents, but experts interviewed by Hospital Home Health say home health managers should not wait for any rollback of the rules.
