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Centers for Medicare and Medicaid Services (CMS)

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  • Simulating your way to success

    If lucky, the typical obstetrician sees a postpartum hemorrhage just a handful of times in his or her career. The problem is that the rarity makes it hard to prepare for the emergency. And even if the doctor is ready, will the team around the doctor know what to do without experience?
  • A high-tech approach to medication reconciliation

    There is no question that hospitals face innumerable challenges in meeting the "meaningful use" of health information technology (HIT) criteria established by the Health Information Technology for Economic and Clinical Health (HITECH) Act in 2009.
  • TJC issues alert on diagnostic imaging

    Over the last 20 years, the typical American has seen exposure to ionizing radiation double. Most of the time, patients are sent for imaging without the prescribing physician having any idea of how much other radiation the patient has been exposed to.
  • Protecting non-physician peer review

    Florida has joined a rarified group of states that provide no protection for any documents produced as part of peer review for non-physician providers.
  • Case Management Insider: Handling the transition from staff nurse to case manager

    In October's edition of Case Management Insider, we discussed the importance of using good recruitment and retention strategies in the case management department. Because recruitment is an essential component of retention, this month we will focus on the next generation in case managers: the staff nurses!
  • Case Management Insider: The 9 phases of CM transition

    As case management leaders, you will be looking for the next generation of case managers to come from the bedside. The following information will review the process you might consider using to facilitate recruitment of staff to your department.
  • Will you be ready for ICD-10 conversion?

    As the clock ticks down toward the implementation of ICD-10, case managers should start learning about the new coding requirements and how they are going to affect what they do on a daily basis.
  • Access Management Quarterly: Access technology will need revamping

    Systems will need to be remediated if they will be used to check medical necessity for ICD-10 standards when they are implemented in October 2013, says Jeffrey Smith, RN, MBA, CPC, a New York City-based manager at Accenture Insight Driven Health, a management and technology consulting company.
  • Literacy screen of parents helps cut costs

    A pilot program in which parents or caregivers of patients were screened for health literacy reduced healthcare costs and emergency department use for patients at Cook Children's Medical Center in Fort Worth, TX.
  • Successful initiative cuts readmissions

    After Bassett Medical Center in Cooperstown, NY, began a multidisciplinary program to reduce readmissions, the 30-day readmission rate for high-risk patient diagnoses dropped 70% from 13.4% in 2009 to 0.7% 2010. The initiative earned the medical center a Pinnacle Award for Quality and Patient Safety from the Hospital Association of New York State.