Hospital Management
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Ethical Considerations for Complex Discharges
What will you do if a patient refuses prescribed treatment? If the patient does not follow doctor’s orders, how will you advise them? If adult children will not let you tell the patient his diagnosis, what will you do? These are common situations in healthcare. Each raises an ethical dilemma for hospital case managers.
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Case Management Leaders Should Identify Sustainable Solutions
Hospital case management leaders have found their departments evolving in recent years, often to include practices and models that focus on population health goals. As care coordinators and case managers move toward transitions that incorporate these goals, one challenge is sustainability. New research provides a model for sustaining a collaborative practice model that advances population health.
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Mandates for Discharging Homeless Patients Take Effect in California
California recently enacted a law that addresses this issue by requiring hospitals to follow a prescribed plan for identifying and safely discharging homeless patients. SB 1152 outlines specific discharge planning measures for homeless patients in acute care hospitals.
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Plan of Care Rounds Improve Communication
Collaborative care teams can use interdisciplinary plan of care rounds to improve communication and facilitate smooth transitions. The plan of care round team can give patients a brief overview and answer patients’ questions or concerns.
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Analysis Reveals Extent of COVID-19 Damage to U.S. Healthcare Finances
The CARES Act was a critical lifeboat, but more assistance is necessary to prevent the system from drowning in red ink.
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FDA Releases Q&A for COVID-19 and Clinical Trials
The Food and Drug Administration recently released updated guidance on conducting clinical trials of medical products during the COVID-19 pandemic. The new version of the guidelines includes a question-and-answer section that clarifies some emergency changes affecting human research protection policies and procedures.
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SBER Programs Face Challenges with Revised Common Rule
Social-behavioral-educational research programs have always faced challenges fitting their work into the parameters of human research protection rules and regulations devised with biomedical research in mind. But the revised Common Rule has produced new issues with informed consent.
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IRB Members Can Build Good Relationships in Virtual Space
One long-time virtual IRB has learned how to develop camaraderie and rapport among IRB members without ever meeting in person — or seeing each other’s faces.
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Keeping Open Dialogue Part of Virtual IRB Meeting Plan
A full-time virtual IRB gives advice on bringing IRB meetings online during the COVID-19 pandemic.