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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.
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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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Question: Under what conditions can a tertiary care center that usually receives patients refuse transfer?
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Many ED managers complain that their department is the Rodney Dangerfield of the hospital because they cant get any respect from upper management. But respect is earned, not given, says Gregory Henry, MD, FACEP, risk management consultant at Emergency Physicians Medical Group in Ann Arbor MI.
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The Centers for Medicare & Medicaid Services (CMS) has unveiled a new program to provide $1 billion over four years to help hospitals and other providers recoup the costs of providing needed medical care to uninsured patients who cannot pay their hospital bills regardless of the patients citizenship status.
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Qualifications & Major Responsibilities/Functions
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Three or four years ago, St. Johns Health Center in Santa Monica, CA, would typically receive one letter every week or two complaining about some aspect of care in the ED; perhaps once a month, it might get a letter complimenting that service. Today, We get one letter a week complimenting the staff, and I mean a great letter, says Russ Kino, MD, FACEP, FACEM, medical director of emergency services.
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Many of the new skills ED managers can use to oversee their departments more effectively and engender more fruitful relationships with upper management are offered in a new continuing medical education course from the Dallas-based American College of Emergency Physicians (ACEP) the Emergency Department Directors Academy (EDDA).
