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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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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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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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Many ED managers are unsure of how to prepare for unannounced surveys from the Joint Commission of Accreditation of Healthcare Organizations, which began for all facilities on Jan. 1. Here are insights from those who have had firsthand experience with the process.
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Having managers or directors perform tours of your ED can help you and your staff prepare for unannounced surveys, say sources interviewed by ED Accreditation Update.
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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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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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While youre waiting for three physicians to return your calls about their patients in your ED, you anxiously watch the clock and realize that if they dont call before leaving the office, they arent likely to call until tomorrow. Dont you have enough to worry about without trying to track down dozens of physicians all the time?
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The EDs at St. Charles Mercy in Oregon, OH, and St. Anne Mercy in Toledo have adopted a streamlined triage system to shorten waiting times, and managers report that it has been very effective without compromising patient safety.