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Since case management's entry into the acute care setting in the mid-1980s, most of the significant changes in health care delivery have been associated with changes in health care's reimbursement structure.
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Faced with an influx of patients following Hurricane Katrina, North Oaks Health System in Hammond, LA, placed case managers in the emergency department, an initiative that ultimately led to 24-7 coverage by emergency department case managers.
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A new regulation from the Centers for Medicare & Medicaid Services (CMS) will have a far-reaching impact on Medicare patients and their providers, including hospital-based case managers, says Jackie Birmingham, RN, BSN, MS, vice president of regulatory monitoring and clinical leadership at Curaspan Health Group.
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Beginning with discharges on Oct. 1, 2012, your hospital's reimbursement could be affected by its performance on quality measures as the Centers for Medicare & Medicaid Services (CMS) implements the value-based purchasing program mandated by the Patient Protection and Affordable Care Act.
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Employee safety boosts patient safety. And that overall commitment to safety is something that The Joint Commission wants to promote.
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The ambulance was 20 minutes into a 60-minute drive, taking a patient with complications of influenza from a clinic to an urban hospital. No lights or sirens. This was a transport, not an emergency run. Suddenly, the driver of a Chevrolet Lumina crossed the center lane. The ambulance driver veered to the right, trying to avoid impact, but the Chevrolet hit the front left portion of the ambulance.
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Ear plugs aren't protection enough from high levels of noise at work.
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Beware of recordkeeping violations. That's a word to the wise based on recent enforcement activity by the U.S. Occupational Safety and Health Administration.
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Every patient access department has registrars who can be counted on to rise to every occasion, but better pay may lure these valuable employees to other hospital departments or industries. Instead, why not give these employees "an offer they can't refuse" that is, a clear path to career advancement.
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It's hard to imagine a tougher point-of-service collection challenge than collecting from emergency department patients. Patients may expect to pay a small copay, and when they change to inpatient status, may suddenly owe thousands of dollars toward their deductible.