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As an ED manager, you may be accustomed to handling the brunt of responsibility for accreditation surveys. But under the new Shared Visions New Pathways process from the Joint Commission on Accreditation of Healthcare Organizations, surveyors will be talking with your staff and your patients. How on earth can you prepare for that?
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Question: Should we have a plan for responding to patients on the hospital property, but not in the ED area, when they need or request emergency care? The final rule seems to make clear that we are not obligated to rush out of the ED to provide care for anyone who does not come to a dedicated emergency department, but were not clear on what should happen when that person is elsewhere on the campus.
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Fast-track systems and 23-hour observation units are helping EDs across the country reduce ambulance diversions, but more effort is needed, one analyst says. A hospitalwide focus on more efficient use of beds also is helping ease the problem, she adds.
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These are some of the patterns and unusual illnesses detected by the bioterrorism surveillance system being used in some Florida hospitals.
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Even if you dont want to offer a service guarantee like those EDs that promise to treat patients in 30 minutes or less, you probably wouldnt mind streamlining your ED and improving patient flow through. So how do those hospitals promising fast service improve their EDs enough to make that promise possible?
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Hospitalists are becoming much more common in American health care and soon could change the way EDs work with physicians, says Ron Greeno, MD, chief medical officer and senior vice president of physician services at Cogent Healthcare in Laguna Hills, CA, one of several companies that provide hospitalist services across the country.
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The final version of the Emergency Medical Treatment and Labor Act says an ED is any department or facility of the hospital, whether situated on or off the main hospital campus, that:
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Question: Ive heard the Centers for Medicare & Medicaid Services (CMS) recently issued instructions that require us to provide emergency physicians more detail on what procedures are billed under their names. How is this going to affect billing for my ED?
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These were some other key findings from the diversion study released recently by the Center for Studying Health System Change (HSC) in Washington, DC.
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A project that started out as a response to post-9/11 bioterrorism fears is turning out to have much more practical everyday applications, say two ED managers who have pioneered the use of a system that monitors for unusual patterns or patient surges. While still valuable for detecting terrorist attacks, the system can reveal more mundane but useful information in any ED, they say.
