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Whether a patient sues after learning an initially normal finding was re-read as abnormal has something to do with how the emergency physician (EP) approaches the situation.
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If a psychiatric patient is being sent home, the EP must determine if there is proper follow-up available for that patient, which means connecting the patient with appropriate resources, says Leslie Zun, MD, MBA, professor and chair in the Department of Emergency Medicine at Mount Sinai Hospital and Chicago (IL) Medical School.
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he courts dont always agree with or follow the Centers for Medicare & Medicaid Services interpretation that EMTALA ends once an emergency department patient with an emergency condition is admitted to the hospital in good faith for stabilizing treatment.
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The initial notice of audit from the Department of Health and Human Services' Office for Civil Rights (OCR) asks for a significant amount of documentation and information to be submitted within 10 days of the notice date, but that will not be the end of information for which you'll be asked, says Mac McMillan, chief executive officer of CynergisTek, an information technology security consulting company, who advised a Texas hospital included in the initial audits.
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A study by Regenstrief Institute in Indianapolis and U.S. Department of Veterans Affairs investigators provides the first in-depth look at how healthcare providers react to medication alerts generated by electronic medical record systems. They found that clinicians often ignore alarms because they are uncertain what they mean.
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The risk of a medication error rises sharply when a hospital's pharmacy is closed, according to a report by Michael J. Gaunt, PharmD, senior patient safety analyst with the Pennsylvania Patient Safety Authority in Harrisburg. His recent study found that the incorrect drug was retrieved from an automated dispensing cabinet or night cabinet in 82.3% of wrong-drug events.
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Following the arrest of pediatrician Earl Bradley, MD, for child sexual abuse, and allegations that Beebe Medical Center in Lewes, DE, did not adequately respond to concerns about Bradley, the hospital established a Special Investigative Commission to look at how Beebe might strengthen its internal procedures and practices.
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Although there is no way to know exactly what documents you will be asked to provide in the initial HIPAA compliance audit notice from the Department of Health and Human Services' Office for Civil Rights (OCR) there are some items you can expect to see on the list, according to experts interviewed by HIPAA Regulatory Alert:
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A Texas law that caps pain and suffering awards in healthcare lawsuits was ruled constitutional by a federal judge recently. U.S. District Judge Rodney Gilstrap issued a brief one-page ruling stating "all claims by plaintiffs in this matter are denied," which left the state's 2003 cap on non-economic damages standing.
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The Office of the National Coordinator for Health Information Technology (ONC) and the Centers for Medicare and Medicaid Services (CMS) have issue Notices of Proposed Rulemaking that are open for comment until May 7, 2012.
