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Healthcare Risk Management

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  • Review AMA forms, follow-up procedures

    Most hospitals already have against-medical-advice (AMA) forms they use when the patient gives the staff a chance, but Helenemarie Blake, JD, a shareholder with the law firm of Fowler White Burnett in Miami, says risk managers should remember that merely having an AMA form and procedure does not guarantee they will be used correctly.
  • UMDNJ settles suit for $2 million, and no CIA

    The recent settlement by the University of Medicine and Dentistry of New Jersey (UMDNJ) in Newark has some legal experts concluding that the hospital ended up with a relatively light punishment considering the extent of the alleged billing fraud and the long, contentious litigation that was prompted by a whistle-blower lawsuit.
  • Legal Review & Commentary: Delay in evaluation alleged: $20.5M verdict

    A pregnant woman contacted her doctor with complaints of decreased fetal movement. He advised her to go to the triage outpatient obstetrical department, where she was placed on a fetal heart monitor and underwent a biophysical profile. The monitor showed a nonreactive fetal heart rate pattern, and the profile confirmed that the fetus was in distress.
  • HIPAA Regulatory Alert: H1N1 deaths: What you can and can't say

    As U.S. deaths from the H1N1 virus have mounted in recent months, media reports began to include the inevitable comments from hospital spokespeople that the patients who died had "pre-existing conditions," with no specifics given.
  • Most home care providers ready for flu pandemic

    Be sure to include home care services in any pandemic response plans. Fortunately, more than half (53%) of the nation's home medical equipment and service providers have formal plans to respond to a pandemic flu, and another 23% have stockpiled N95 masks or other supplies related to a flu pandemic, according to a survey of 1,500 providers conducted at the beginning of the most recent flu scare.
  • Flu scare shows strengths and weaknesses from providers

    The nation's most recent scare with the H1N1 flu virus showed both the good and the bad of health care providers' preparations for a serious pandemic, and the assessments are largely positive.
  • Reporting test results requires vigilance

    The reporting of critical test results and lab values is the kind of process that makes a risk manager nervous if you think about it too much. How do you really know if your organization is reporting test results promptly, efficiently, and effectively, every single time?
  • Wrong-site surgery prompts hospital review

    After an instance of wrong-site surgery that still defies explanation, officials at Rhode Island Hospital in Providence agreed to conduct an extensive examination of safety procedures in the surgery department.
  • New HHS secretary calls for action on HAIs

    Health care-associated infections (HAIs) are clearly on the radar of Kathleen Sebelius, the new Secretary of the Department of Health and Human Services (HHS). She recently called for action to prevent HAIs in praising two new HHS reports on the quality of health care in America.
  • Legal Review & Commentary: Malfunctioning defibrillator results in $5.3M award

    News: A woman suffered cardiac arrest while at home. Hospital paramedics arrived, but attempts to resuscitate her with a Lifepak 11 monitor and defibrillator failed. Forty minutes later, the woman was pronounced dead. The decedent's estate sued the hospital and was awarded $5.3 million in damages.