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As useful as peer review protection is in keeping potentially harmful information out of malpractice litigation, risk managers should keep in mind the limits and not become overly dependent on peer review privilege, attorneys say.
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As promised by the Department of Health and Human Services' Office for Civil Rights (OCR) and mandated by the HITECH Act, HIPAA compliance audits have begun, and 20 organizations were visited during the pilot phase of the program.
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The case of Earl B. Bradley, MD, is so sickening that no one wants even the most remote association with it. After Bradley was arrested and convicted of abusing children, the property housing his pediatric clinic, which was the scene of the crimes, couldn't be sold even for a pittance. The city demolished it and hoped to wipe away a terrible reminder.
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Medical liability reforms that include specific protections for physicians who provide services to fulfill the requirements of the Emergency Treatment and Labor Act (EMTALA) has passed the U.S. House of Representatives.
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Increasing payer scrutiny over diagnostic interpretations and continued belt-tightening at the private payer level has resulted in a resurfacing of the EKG interpretation payment issue for emergency physicians. There is no doubt that the interpretation of diagnostic tests for ED patients is an invaluable service.
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As demand for emergency care continues its upward climb, The Joint Commission is taking steps to strengthen its accreditation standards pertaining to patient throughput, and it is putting hospital leaders on notice that they will be held accountable for patient flow challenges that occur in the ED.
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On any given day, the ED at Mercy Hospital in Springfield, MO, has two zone captains acting as mini-charge nurses, for the east and west sides of the department. There is also an up-front triage nurse who is the first person most patients see when they walk in the door, and a lobby nurse who regularly rounds through the waiting room, taking vital signs and monitoring patients who have yet to see a provider.
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In the intense focus of late on use of the ED by patients with non-emergent needs, it is perhaps easy to overlook another group of patients that is strongly linked with the ED: patients who are nearing the end of life.