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Are you collecting data elements concurrently, while patients still are receiving care, or retrospectively after discharge? Each approach has distinct advantages and disadvantages, and which is best depends on the individual situation, says Patrice L. Spath, a health care quality specialist with Forest Grove, OR-based Brown-Spath & Associates.
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There are several key changes for the Joint Commission on Accreditation of Healthcare Organizations revised medical staff standards, which became effective as of January 2004. I see these as nothing less than revolutionary, says Martin D. Merry, MD, adjunct associate clinical professor of health management and policy at the University of New Hampshire in Durham.
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Its without question one of the most tragic things that can occur at any hospital: An infants death during delivery.
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As often occurs when new Joint Commission on Accreditation of Healthcare Organizations standards are introduced, hospitals are rushing to complete failure mode and effect analysis (FMEA) projects to comply with patient safety requirements.
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Communication between hospitals and the primary care providers in the community is essential in managing the care of the uninsured, asserts Diana Resnik, vice president of community care for Seton Healthcare Network in Austin, TX.
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In September 1999, INTEGRIS Health asked 10 employees from their two Oklahoma City hospitals, INTEGRIS Southwest Medical Center (ISMC) and INTEGRIS Baptist Medical Center (IBMC), to redesign certain elements of admitting, case management, medical records, and billing practices.
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Higher patient copays and increasing numbers of people who are working but not insured have made the management of self-pay accounts a more crucial issue than ever for most of the nations hospitals.
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Faced with a growing number of uninsured patients and rapidly escalating costs for treating them, Brackenridge Hospital in Austin, TX, created a case management program for the uninsured that has resulted in shorter lengths of stays (LOS), fewer readmissions, and less utilization of the emergency department (ED) by patients being managed.
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Providing medical care for the uninsured should be a community initiative and not just the responsibility of hospitals that provide indigent care, asserts Donna Zazworsky, MS, RN, CCM, FAAN, director of community and outreach for St. Elizabeth of Hungary Clinic in Tucson, AZ.
