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As the University of California, Davis, Health System goes forward with the successful implementation of its preadmission discharge planning and utilization review program, Karen A. Warne, RN, manager for patient services and transfer center, keeps in mind a next step toward seamless patient access.
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Hospitals wishing to protect themselves from EMTALA-related complaints and the scrutiny follows are well advised to embrace the growing trend toward bedside registration, suggests Peggy Nakamura, RN, MBA, JD, assistant vice president, chief risk officer and associate counsel for Sacramento, CA-based Adventist Health.
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The California Healthcare Association (CHA) has adopted a new set of voluntary guidelines on financial aid, charity care, and discount payments for its member hospitals, including a recommendation that hospitals provide financial assistance for patients at or below 300% of the poverty level.
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Recent guidance from the Department of Health and Human Services recognizes that a good-faith determination of financial need may vary depending on the individual patients circumstances and that hospitals should have flexibility to take into account relevant variables.
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Boosting morale. It sounds easy enough, but good solutions for this problem that plagues many EDs are tough to find.
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Have you been wondering when your ED will switch to a five-level triage scale? Theres no time like the present, urges Paula Tanabe, PhD, RN, co-chair of the Des Plaines, IL-based Emergency Nurses Association task force on five-level triage formed jointly in 2003 with the Dallas-based American College of Emergency Physicians.
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The emergency severity index (version 3) five-level triage system scores predict ED resource consumption; Outcome of patients with a final diagnosis of chest pain of undetermined origin admitted under the suspicion of acute coronary syndrome: A report from the Rochester epidemiology project; Utilization of the emergency department after self-inflicted injury.
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Its a year-round problem in every ED: How to limit exposure of coughing, sneezing, or sniffling patients.
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