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As hospital discharge planners and case managers struggle to place patients with complex care needs in skilled nursing facility (SNF) beds amidst the challenges of the prospective payment system (PPS), many are keeping their heads above water with a mix of timely planning, community collaboration, and creative thinking.
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Discharge planners at some facilities apparently are either unaware of -or are ignoring - a federal requirement that hospitals offer patients a choice of home care providers and that they tell patients when there is a financial interest between the hospital and an agency to which the patient is being referred.
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Its a frequent tactic of physicians: claiming that quality data are imperfect, invalid, or otherwise misleading. When physicians are not acting on proven data, the quality manager has to stand up to the physicians and protect the integrity of the data, says Frederick P. Meyerhoefer, MD, principal of the Canton, OH-based Meyerhoefer Organization, a consulting firm that specializes in compliance with Joint Commission on Accreditation of Healthcare Organizations standards.
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Some of the key aspects of the Joint Commission on Accreditation of Healthcare Organizations 2005 infection control standards are summarized here:
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Perhaps the hardest thing to get used to about the Joint Commission on Accreditation of Healthcare Organizations new survey process is the lack of any set agenda, says Helena Feather, vice president of compliance and health information at Trident Health System in Charleston, SC.
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Expect a lot of interaction with unit staff but no control over where surveyors go or who they talk to. Thats what quality managers who participated in the pilot surveys for the Joint Commission
on Accreditation of Healthcare Organizations Shared Visions New Pathways process are saying.
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Here are some of the organizations that offer grants to fund home health telemedicine projects.
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This is the second installment of a two-part series that looks at telemedicine in home health. This month, tips on funding telemedicine programs are presented.
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There is no magic formula for attracting the best applicants to your agency, but using a combination of marketing tools to reach nurses with news of job openings will help you find the people you want, according to Don Richardson, vice president of administration for the Visiting Nurse Association of Texas in Dallas.