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Ask passersby in a hospital hallway what they think the biggest problem is in the emergency department, and one of the most common answers will likely be something about the influx of uninsured patients who use the ED as their primary care physician.
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Within days after The Joint Commission announced that it would begin certifying applicants for comprehensive stroke centers, there were dozens of hospitals either waiting for site visits or preparing their applications in the hope of getting certified this year.
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Ronald Wyatt, MD, MHA, has spent 20 years working in just about every kind of healthcare setting imaginable primary care, emergency medicine in a VA hospital, nursing homes, as a sole practitioner and in a multispecialty setting.
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Some scenarios that cause nightmares for nurses and physicians are blessedly rare.
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If a health system wins a major national quality award, it must be doing something right, but also something different from other organizations, right? Ask one and likely at some point, a spokesperson will says something about focusing on the patient and striving to improve. But not everyone.
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More than 200 people gathered in late September to discuss the problem of doing too much for patients. Physicians from the American Medical Association's Physician Consortium for Performance Improvement (PCPI) and The Joint Commission (TJC) held the symposium on overuse of five treatments or procedures:
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In the few years since DNV Healthcare became the first new company in 40 years to win deeming status from the Centers for Medicare & Medicaid Services (CMS), some 320 of the 5,800 registered facilities have opted to use the OH-based company rather than The Joint Commission (TJC).
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The 5th annual Joint Commission (TJC) report on patient safety, "Improving America's Hospitals: The Joint Commission Annual Report on Quality and Safety 2012," presents proof positive that hospitals are getting the quality message that TJC wants them to learn.
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At the 100-bed Morehead Memorial Hospital in Eden, NC, the journey from TJC to DNV took two years, says Susan Netherland, RN, MBA, director of quality management and compliance officer at the facility.