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Health care providers are understandably concerned about the legal climate in which they live, observes Marshall B. Kapp, JD, MPH, professor in the department of community health at Wright State University School of Medicine in Dayton, OH.
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A state-by-state report card on hospice services shows most states are doing a poor job of caring for the dying. According to the report, patients are spending less time in hospice care than they did in the early 1980s when the movement first started in the United States.
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Even states that ranked high in hospice use earned low grades overall on a national report card prepared by the Last Acts organization in Washington, DC.
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Most hospices that provide pediatric palliative care must do so without reimbursement. But there are trends that suggest the days of care wholly subsidized by community support may be on its way out.
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t happens to the best of us. You need to call a potential donor, but you just cant seem to pick up the phone. You stare at it. You find another task to complete. You procrastinate. Something, anything seems better that having to make your calls. The mental anguish is almost unbearable.
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Although frequently cited deficiencies vary from state to state, there are a few that experts interviewed by Hospital Home Health point to as commonly recurring problems for home health agencies throughout all states...
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Your employees face different challenges than hospital-based personnel face, so they cant be expected to follow every guideline and process used in a hospital, right? Wrong, say infection control experts interviewed by Hospital Home Health.
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The biggest change in the Centers for Disease Control and Preventions (CDC) recently approved hand-washing guidelines is the approval of alcohol-based hand rubs as an accepted method of cleaning hands between patients.
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Because intravenous therapy is handled by home care personnel, Healthcare Infection Control Practices Advisory Committee (HICPAC) guidelines on prevention of intravenous catheter infections especially is applicable to home care, suggests Michele L. Pearson, MD, medical epidemiologist for the CDCs Division of Healthcare Quality Promotion in Atlanta.
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Home care providers still are struggling to obtain authorizations from managed care organizations (MCOs) for medically necessary and appropriate care.
