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Demand for beds expected to increase; Final OPPS rule increases spending; Emergency care crisis indicated by AZ survey; HHS issues final report on regulatory reform; CMS proposes tracking hospital referrals to HHAs.
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How to establish and maintain a high standard of care, promote consistency across 18 diverse health care facilities, and develop a culture of quality throughout the system was the challenge that confronted the North Shore Long Island Jewish Health System (NS-LIJHS) in Great Neck, NY.
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Notifying patients of their privacy rights under the Health Insurance Portability and Accountability Act (HIPAA) is one of the tasks that fall most squarely onto the shoulders of access management.
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Another initiative at St. Louis-based SSM Health Care (SSMHC) that helps improve outcomes and engender physician buy-in is the Clinical Collaborative process.
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St. Louis-based SSM Health Care (SSMHC), a not-for-profit health system, has instituted a series of case management CARE PATHWAYS that have improved outcomes in several initiatives over the past five years. Results of the programs are shared systemwide to encourage benchmarking and modeling.
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Hospitals are running the gamut of possible solutions as they struggle to interpret the provisions of the HIPAA privacy rule, says Tony Mogavero, director of physician services for St. Petersburg, FL-based John Putnam International, a company that provides web-based and teacher-led education for access personnel.
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Oakwood Hospital and Medical Center in Dearborn, MI, is using the slogan were an emergency room, not a waiting room, and is backing up its claim with an offer of free theater tickets to patients who wait more than 30 minutes.
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A number of hospitals have been cited in the past few months for lack of signs notifying patients of their rights under the Emergency Medical Treatment and Labor Act (EMTALA), according to Stephen Frew, JD, a longtime specialist in EMTALA compliance.
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Many case management departments are taking a new approach in terms of how they utilize case managers for outcome evaluation and process metrics. According to Vicky Mahn-DiNicola, RN, MS, vice president of ACS MIDAS+ in Tucson, AZ, many case managers now are merging various roles into what are called outcome managers or outcome specialists.