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Critical Access

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  • From typewriters to high technology

    The "technology" utilized by registrars 30 years ago at Tufts Medical Center in Boston consisted of a typewriter, multi-part forms, a copy machine, and a manual embossing machine to print patient identification cards.
  • Clinical conflicts due to new access role

    Can you do this for us?" It's a common question fielded by patient access managers from clinical areas.
  • Access must have financial know-how

    In many organizations, financial counseling processes have moved upfront and are now the responsibility of patient access.
  • Telecommuting: A new option in access?

    Traditionally, a registrar had to be physically present to enter data as patients arrived, but expanded roles have opened up the possibility of telecommuting for some departments.
  • Cross-train staff for 'good turnover'

    Well-trained registrars moving to a different area of the hospital might be something you'd never wish for, but this process is encouraged by Colette Lasack, MBA, executive director of revenue cycle at Gundersen Lutheran Health System in La Crosse, WI.
  • Access staff members tap skills of the future

    Decades ago, a registrar needed a thorough understanding of medical terminology to do his or her job
  • Doctor claims firing for poor EMR use

    A case from Illinois has risk managers wondering just where to draw the line when an employee can't keep up with new technology. The answer might be different in each case, experts say, but there has to be a point where dismissal is an option.
  • Patient, nurse injuries linked, approach similarly

    A safe working environment for nurses is also a safe environment for the patients in their care, according to a new study led by public health researchers at Drexel University in Philadelphia.
  • Federal, state laws protect whistleblowers

    Many states offer protection to whistleblowers, and a federal statute protect whistleblowers reporting false claims, explains Amy S. Leopard, JD, partner with the law firm of Walter & Haverfield in Cleveland, OH. If the court finds that the employer terminated the employee because of the whistleblowing, the employer will be required to reinstate the employee and provide double back pay for the period in question.
  • EMR requires patience, relaxed workload at first

    Even though electronic medical records (EMRs) are here to stay, there always will be a percentage of physicians who are resistant to using a system and don't want to change, says Stephen Martinez, PhD, CEO of MTS Healthcare, a company in Pasadena, CA, that implements EMRs for hospitals, medical groups, and other healthcare organizations.