Hospital Management
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ED Patients Worry About the Bill, Registrars Can Intervene
People come to the ED sick, injured, or in severe pain. This is not an opportune time to ask someone for a $100 copay — or, worse, inform them they are responsible for the entire bill.
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The COVID-19 Vaccine Quarantine: A New Staffing Headache
Patient access department employees have been receiving the COVID-19 vaccine. To avoid staffing shortfalls, leaders have been staggering shifts in case anyone who has received the vaccine experiences side effects that would keep them out of work.
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U.K. Physicians with Long COVID Call for Action
In an unusual appeal from healthcare workers stricken with the malingering symptoms of long COVID, a letter signed by more than 40 physicians calls for more surveillance and research into the poorly understood condition.
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Long-Term Care Workers Refusing COVID-19 Vaccines
In what would appear to go beyond vaccine hesitancy to outright refusal, 62.5% of staff at thousands of skilled nursing facilities have turned down COVID-19 vaccines. Along with other healthcare workers in hospitals and other settings, long-term care staff were considered a top vaccine priority because they care for frail residents, the Centers for Disease Control and Prevention reports.
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A Third Arrow in the Quiver: FDA Grants Emergency Use of New Vaccine
The Food and Drug Administration has issued an emergency use authorization for a third vaccine COVID-19 in the United States, approving Janssen Biotech’s vaccine for administration to those 18 years and older.
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The Long Tail of COVID-19
There now is an open question about whether some people — healthcare workers and the public alike — could experience recurrent COVID-19 symptoms for years. This is the nightmarish world of the so-called “long-haulers,” who have developed a seemingly chronic condition the Centers for Disease and Control and Prevention is calling “long COVID.”
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Staggering COVID-19 Mortality Rates During Pregnancy
Pregnant women, some of them healthcare workers, are dying at high rates after contracting COVID-19. The COVID-19 vaccine risk is unknown because pregnant women were not included in early clinical trials. However, the emerging data on the threat of COVID-19 infection during pregnancy is tilting the risk-benefit equation.
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No One Really Knows How Many HCWs Have Died of COVID-19
While healthcare workers literally bear witness to death, who tolls the bell for them? There is no official count for healthcare workers who have died of COVID-19. Ask how many of these heroes have put their lives on the line and lost them in the process, and one enters a maze of incomplete reports collected from limited jurisdictions, mixed with extrapolations and models confounded with variables.
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The Basic Elements of Healthcare Reimbursement, Part 3
In this month’s issue, the conversation on healthcare reimbursement turns to the additional prospective payment systems found across the continuum of care. Prospective payment remains a way in which the Centers for Medicare & Medicaid Services can determine the rates for care based on predetermined amounts rather than on billing. The processes are similar to the use of the diagnosis-related groups in the acute care setting, with some differences.
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Leaders Plot How They Will Leverage the Lessons of COVID-19
While healthcare leaders continue to battle a global pandemic, many also are plotting how they will use the lessons of this emergency to make their health systems better. Several shared their ideas during the Institute for Healthcare Improvement’s annual forum.