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He believes it's the right thing to do for the patient and the right thing to do for the hospital. And with staff happier, patients happier, and length of stay and readmission rates decreasing, it seems as if it's working.
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Managing contracted services is required by both The Joint Commission and the Centers for Medicare & Medicaid Services (CMS) and if not managed well can be a huge risk to your organization.
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Cardiac surgery carries greater risk in older patients. Nonagenarians are a growing part of cardiology practice as our population ages. While age > 90 years has previously been considered a contraindication to cardiac surgery, more recently, surgeons have been operating on selected nonagenarians who have high functional status.
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Stress-induced apical cardiomyopathy (tako-Tsubo) is a recently recognized reversible form of acute cardiomyopathy that may mimic acute myocardial infarction initially.
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Each year, about 795,000 strokes occur in the United States; 85% of these are acute ischemic strokes.
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What a wonderful winter it has been in America! Snow and ice and everything nice. Stalled cars, streets shut down, schools closed, general chaos tempered with gleeful, giddy, schoolchildren and frustrated parents. Ahh, global warming at its best!
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In 2008, Heartland Regional Medical Center in St. Joseph, MO, was struggling with late start times, long turnovers, and elective cases that sometimes stretched to 4 a.m.
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Sometimes in the rush to adopt new surgical approaches that allows less scarring and quicker discharge, an important fact becomes lost: Minimally invasive procedures are serious surgery with inherent risks and potentially deadly postoperative complications.