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As part of Memorial Health System's adoption of the Toyota Lean Processes, the case management department at Saddleback Memorial Hospital in Laguna Hills, CA, has standardized work flow for discharging patients and is piloting the process on one unit.
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Arm yourself with data before approaching the administration about establishing an emergency department case management department, increasing staff, or changing hours.
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The case management department at Lee Memorial Health System in Fort Myers, FL, has been able to demonstrate a savings of $4.5 million as a result of having case managers in the emergency department.
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If you have the emergency department volume and the staffing, covering the emergency department 24 hours a day, seven days a week is optimal, according to Joanna Malcolm, RN, CCM, BSN, consulting manager, clinical advisory services for Pershing, Yoakley & Associates in Atlanta.
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When patients are admitted to the hospital inappropriately, the paperwork involved to correct the error brings to mind the saying "an ounce of prevention is worth a pound of cure."
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Today's hospitals are facing a shrinking pool of healthcare dollars along with increased scrutiny from Medicare, Medicaid, and commercial payers and strong penalties for fraud and abuse.
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This has been a grand month so far. I had the pleasure of speaking at the Ambulatory Surgery Center Association (ASCA) meeting in Orlando in May and The Gulf States ASC Conference in Biloxi in June. I reacquainted with old friends and made new ones, and I gathered many months of ideas for my column.
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Patients gradually are becoming accustomed to being asked for payment upfront, according to Marcy Quattrochi, manager of financial counseling at NorthShore University HealthSystem in Evanston, IL.
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After tornados were reported in the area of Joplin, MO, in May, Jenny Morris, administrator of Stateline Surgery Center in Galena, KS, turned to the local television station.