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Healthcare Risk Management

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  • Stark exceptions make it safer to provide docs with EHRs

    The Centers for Medicare & Medicaid Services (CMS) recently proposed a rule that revises the exception, known as the Stark Exception, to the federal physician self-referral prohibition (the Stark Law) for certain arrangements involving the donation of electronic health record (EHR) items and services to physicians or other allied health providers.
  • Care bundles, communication, teamwork get results

    Leveraging knowledge gained from previous initiatives, including an Institute for Healthcare Improvement (IHI)/Ascension Health/Premier collaboration, hospitals in the Premier Perinatal Safety Initiative (PPSI) use two methods to create high-reliability healthcare teams: increased adherence to evidence-based care bundles, and enhanced communication and teamwork.
  • HCA must pay $162 million for charity care problems

    Healthcare giant HCA, based in Nashville, TN, must pay a Kansas City, MO, charitable foundation $162 million and undergo extensive auditing after a judge found that the for-profit hospital operator broke key agreements regarding charity care and capital expenditures in its billion-dollar purchase of hospitals from Health Midwest in 2002.
  • Final HIPAA rule increases penalties, liability for associates

    The maximum penalty for a data breach under the Health Insurance Portability and Accountability Act (HIPAA) is now $1.5 million, six times higher than the original fine under the law. That change is just one of the significant changes in the final HIPAA rule released recently by the Department of Health and Human Services (HHS).
  • Patients have more rights to records under final HIPAA rule

    These are some of the key changes in the Health Insurance Portability and Accountability Act (HIPAA) final rule released recently by the Department of Health and Human Services (HHS):
  • Alert finance leaders to impending risks from ACA

    Revenue and finance will be affected significantly by healthcare reform, and key aspects of reform already are impacting revenue streams, says Erin M. OConnor, Esq., practice leader with Cammack LaRhette Consulting in New York City.
  • Perinatal program lowers annual claims 39%

    Initial results from one of the nations largest and most sophisticated perinatal improvement initiatives suggest hospitals can reduce harm to babies and mothers, and lower associated liability claims and pay-outs, through the use of high-reliability perinatal teams.
  • ACOs will require operational, cultural changes

    The growing prominence of the accountable care organization (ACO) model offers many potential benefits, but it also comes with many potential hazards, according to a recent report from Marsh Risk Consulting, based in New York City.
  • 11% of physician career has open med mal claims

    The average physician spends 50.7 months, or roughly 11% of a 40-year career with an unresolved and open malpractice claim, according to a new study from Health Affairs.
  • Study finds ways to improve EHR quality measures

    A federally funded study by Weill Cornell Medical College in New York City demonstrates ways in which quality measurement from electronic health records (EHRs) can be improved.