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The Appellate Division of New Jersey has delivered a resounding victory to the provider community, protecting them from endless and harassing requests for confidential business information while "investigating" whether providers should receive payment for services.
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The ruling in Selective Insurance Company v Hudson East Pain Management, Docket No. A-0433-09T1, makes clear that health care providers can sometimes say no when insurers demand records.
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The Rhode Island Department of Health is fining Rhode Island Hospital in Providence $300,000 for what the state says is a pattern of significant surgical errors.
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An 88-year-old woman was taken to a local hospital after being found sitting outside her son's home, apparently confused. She was then transferred to a nursing facility, where she was diagnosed with altered levels of consciousness and inability to perform activities of daily living. The woman was again admitted to the hospital and fitted with a vest-restraint system.
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A woman was admitted to the hospital after suffering a heart attack. The woman was a high fall risk and eventually fell and fractured her nose and cut her forehead. The woman was fitted with an oxygen mask. Shortly thereafter, the electrocautery combined with oxygen from the mask, sparking a fire and leaving the woman with first and second degree burns. A jury returned a verdict of $1,215,000 in Michigan.
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Some topics are obvious when it comes to using metrics, but using metrics to study the behavior of employees and physicians doesn't get as much attention, notes David G. Danielson, JD, CPA, senior vice president for clinical risk management with Sanford Health, a health care network based in Sioux Falls, SD
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Retaliatory firing of a risk manager for reporting regulatory infractions is outrageous but not unheard of, says Dan Groszkruger, JD, MPH, CPHRM, DFASHRM, risk manager at Stanford (CA) University Medical Center and a board member of the American Society for Healthcare Risk Management (ASHRM) in Chicago.
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Every week, in the United States, between 8% and 13% of emergency department nurses are victims of physical violence, according to a new study released by the Emergency Nurses Association (ENA) in Des Plaines, IL.
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A resident at an assisted living facility had significant issues with constipation and bowel issues for which she was prescribed certain medications. The resident claimed that the nursing facility did not administer the medication as required by her physician and that she began showing signs of an obstruction after one week of failing to have a bowel movement. Enemas and other treatments were administered by nurses at the facility, but ultimately she was taken to the emergency room with a ruptured colon.
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