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The Joint Commissions (TJCs) sixth measure set (or fifth and sixth measure sets, for hospitals with fewer than 1,100 births per year) will be chosen by all general medical/surgical hospitals from the approved complement of core measure sets, according to TJC.
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This is the perinatal care measure set from The Joint Commission: Set Measure ID: PC-02 Rationale: The removal of any pressure to not perform a cesarean birth has led to a skyrocketing of hospital, state, and national cesarean section rates.
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In a motion for leave to file an amicus brief, the Association of American Physicians and Surgeons (AAPS) has told a court that the criminalization of language used in medical reports will have a profoundly chilling effect on the practice of medicine.
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News: In 2004, a 15-year-old boy underwent brain surgery to eliminate epileptic seizures initiating from the right side of his brain.
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There has to be engagement by the medical staff and leadership to achieve the cultural changes and initiatives necessary to reduce cesarean sections, says Robin Kish, MBA, BSN, RN, CPHQ, vice president of Marsh Clinical Healthcare Consulting in Nashville, TN.
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Janice Anderson, JD, shareholder with the law firm of Polsinelli Shughar in Chicago, provides this explanation of the situation prompting a recent Office of Inspector General (OIG) opinion regarding co-management:
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A family from Hampton Township, a Pittsburgh suburb, announced recently that they intend to file a claim against the United States Department of Veterans Affairs as a result of a death from Legionnaires disease.
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Do you have time to sort through the interpretive guidelines from the Centers for Medicare and Medicaid Services (CMS) for the Conditions of Participation (CoPs) regarding anesthesia and sedation? The manual is hundreds of pages.
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The Joint Commission (TJC) will hold hospitals accountable for their cesarean section rates beginning Jan. 1, 2014, and many providers will have to effect an entire culture change within the obstetrical unit by then. Documentation of any cesareans will become especially important.
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Firm policies and procedures might be necessary to reduce cesarean rates, but resist the temptation to dictate every decision in the birthing process, says Samuel O. Southern, JD, an attorney with the law firm of Smith Moore Leatherwood in Raleigh, NC.
