Hospital Management
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Peer Review Privilege Useful When ASCs Follow State Laws
ASCs must follow state laws about peer review privilege to ensure they enjoy legally protected confidentiality when confronted with lawsuits. But beware: There is no federal peer review privilege, and each state’s rules are different. Further, not every quality review is protected under peer review privilege. An attorney offers some tips to help understand and navigate this tricky process.
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Breaking Down ASC Market Trends and Changes
An insider provides insight about the predictions and findings from a recently published market report.
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ASC Market Growth on Track for 2019 and Beyond
Surgery centers can expect steady growth in 2019 and beyond, according to the authors of a recent ambulatory surgery center market report who predict 16% growth in outpatient procedure volumes through 2026. This growth largely is due to an expanding population of older patients who need surgery now or will soon, but it is supplemented by surgical procedures shifting from inpatient to outpatient settings, according to the 2018 Ambulatory Surgery Center Market Report by the Health Industry Distributors Association.
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Plan Ahead to Integrate Technology for Efficient Workflow
Healthcare organizations and case managers have room for improvement in how they integrate technology into their workflows.
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Dedicated Case Managers Can Improve ED Efficiency
Hospitals can help eliminate ED inefficiency with targeted case management programs that have the goal of getting people into the right level of care at the right location.
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Case Managers Should Beware of Medicare Fraud, Waste, and Abuse Issues
All hospital employees, including case managers, should receive frequent compliance training that includes information about how to prevent compliance problems.
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Separating Utilization Review, Case Management Creates Transitional Care Coordinator Role
Hospitals that still assign case managers to utilization review and care coordination at discharge might consider separating the duties to improve care quality.
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Nursing Shortage or Not? It Depends on Location
Although reports often emerge with predictions of a pending nursing shortage, some evidence also points to the opposite: plenty of new nursing graduates to meet the demand.
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American Hospital Association Sues CMS Over Final Rule Changes to OPPS Payments
The American Hospital Association has sued the U.S. Department of Health and Human Services to prevent changes to how Medicare reimburses care in hospital outpatient departments.
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Nonoperating Physician Found Exempt From Liability
This matter provides several insights as to the duty of care in medical malpractice suits, the legal relationships among physicians working within the same practice or at the same facility, the respective burdens of proof, and the roles of expert opinion testimony.