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More than 900 hospitals have been certified as Primary Stroke Centers since The Joint Commission (TJC) and the American Heart Association (AHA)/American Stroke Association (ASA) introduced the Primary Stroke Center certification program back in 2003.
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One of the problems associated with the boarding of admitted patients in the ED is that the practice inevitably leads to increased diversion when the ED's capacity to care for new patients is diminished.
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Emergency department administrators are well aware that crowding in the ED is associated with poorer patient outcomes, longer hospital stays, and decreased patient satisfaction.
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In an effort to reduce readmissions, University Hospital in Newark, NJ, partnered with the Visiting Nurses Association Health Group and developed a program that uses intensive case management to reduce readmissions for patients with multiple chronic conditions.
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Every now and then at Sunnybrook Health Sciences in Toronto, Canada, there was talk about getting ventilated patients up and about even if they were still intubated.
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When UConn Health Center/John Dempsey Hospital in Farmington, CT, first proposed meetings with post-acute providers to improve transitions, only two skilled nursing facilities and a few home health agencies agreed to participate.
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As a hospital case manager, you may think your job is done when you ensure that your patients have a discharge plan and have left the hospital.