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Years ago, when patients came in with Medicare coverage, registration staff were "ecstatic," recalls Robin Teneyck, director of patient access for Sound Shore Health System in New Rochelle, NY.
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When a claim denial occurs, the underlying cause is not necessarily the payer's requirements, says Silva Gramlich, director of registration services in the finance department at Nationwide Children's Hospital in Columbus, OH.
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Patient access staff are encountering patients under financial stress, and the same is true for employers, notes Brett Taylor, director of payer relations for Nationwide Children's in Columbus, OH.
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A landmark study conducted by the Poneman Institute Reference shows that 70% of hospitals say that protecting patient data is not a top priority and 67% have less than two staff members dedicated to protection management.
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In October 2010, The Joint Commission told Hospital Peer Review it was going to change the way core, or ORYX, measure data was used to accredit hospitals.
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Despite his modesty about his work and life, James L. Reinertsen, MD, received a 2010 John M. Eisenberg Patient Safety and Quality award for individual achievement from The Joint Commission and the National Quality Forum.
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From new and revised standards to new levels of accreditation, this year will bring some changes in Joint Commission expectations.
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When Intermountain Healthcare's LDS Hospital joined with the Joint Commission Center for Transforming Healthcare and nine other hospitals to work on hand-offs, the health system's associate chief medical officer says the first step was identifying which hand-offs the hospital wanted to work on.
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[In the first two articles of this series, Vicki Searcy, president, consulting services at Morrisey Associates Inc. in Chicago, introduced the four basic components of clinical privileging as well as creating criteria for privileges:
