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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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As part of its transition to becoming an accountable care organization, Cheyenne (WY) Regional Medical Center has redesigned its case management model and implemented a transfer center, a single point of entry for all patients whether they are transfers from smaller hospitals, direct admits from provider offices, or patients admitted by emergency department physicians.
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How's this for a turnaround? A few years ago, patient satisfaction levels in the three EDs of the Cambridge (MA) Health Alliance were in the lowest decile in Massachusetts, and now they are consistently in the top quartile.
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The dramatic improvements achieved in patient flow at Cambridge (MA) Health Alliance could not have been possible without culture change, says Assad Sayah, MD, FACEP, chief of emergency medicine for the system.
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Outpatient surgery managers going through accreditation by The Joint Commission and Accreditation Association for Ambulatory Health Care (AAAHC) say the surveyors are targeting two primary areas.
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John H. Eichhorn, MD, anesthesiologist at UK Chandler Medical Center and professor at the University of Kentucky, both in Lexington, has been named a recipient in the annual John M. Eisenberg Patient Safety and Quality Awards from the National Quality Forum (NQF) and The Joint Commission.
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A medical student is participating in a complicated abdominal surgery by holding a retractor. He was up all night the previous night. He falls asleep and slides down to the floor. A nurse drags the student out of the way, and a resident takes over the retractor.
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By taking a proactive approach to patient status and instituting a series of checks and balances, Good Samaritan Hospital in Dayton, OH, keeps denials at a minimum.
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Being a person of a self-assessed "up" mentality, I notice trends that give me pause. Consider the following:
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The Joint Commission has launched its Leading Practice Library, a complimentary tool available only to Joint Commission-accredited organizations.
