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Question: How do we avoid patient hoarding, in which nurses or physicians intentionally delay moving a patient out to delay the next patient and give themselves a breather?
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Want to cut your diversion hours down to zero? Thats exactly what Hoag Memorial Hospital Presbyterian in Newport Beach, CA, has done by instituting its emergency saturation triage, or Code EST. When Code EST was implemented in July 2000, diversion hours were about 130 monthly.
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The National Consensus Project for Quality Palliative Care, a consortium of five palliative care organizations, has released a set of clinical practice guidelines to promote quality palliative care in the United States.
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Case managers will be invaluable to their hospitals if the Centers for Medicare & Medicaid Services (CMS) institutes pay-for-performance measures for all hospitals, Teresa Fugate, RN, BBA, CPHQ, CCM, asserts.
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Sometime in the next few years, your hospital could receive some of its Medicare reimbursement based on how well it performs, if the Centers for Medicare & Medicaid Services (CMS) follows its typical course of action.
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One of the issues constantly plaguing emergency departments (EDs) is the hidden bed a precious commodity when a crunch is on. But there are a number of methods that can help identify those beds sooner, says Marty Karpiel, FACHE, FHFMA, president of Karpiel Consulting Group in Long Beach, CA.
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She may be an ideal candidate for thrombolytic therapy: A woman tells triage nurses that she first noticed symptoms exactly two hours ago. But by the time the patient is appropriately assessed, the window of time for eligibility to be treated with thrombolytics has passed.
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What has been called the first large-scale study to examine patient safety issues for isolated coronary artery bypass graft (CABG) showed that hospitals with the highest compliance with three recommended protocols had notably lower risk-adjusted mortality rates than those hospitals whose compliance ranked in the bottom 20%.
