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An enterprise-wide master patient index is used at Methodist Le Bonheur Healthcare, a system of six hospitals, several off-campus diagnostic and treatment centers, free-standing surgical centers, and urgent care centers.
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New associates starting right out of school or from some other service industry bring limited or no knowledge of the health care industry to the table. They may or may not have well-developed computer skills. As for medical terminology, it's likely to be a foreign language to them.
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For many years, patient access was "the red-headed stepchild of the revenue cycle, straddling the fence between patient care and financials," says James Hicks, CHAA, CHAM, CAM, patient access manager at Southeastern Regional Medical Center in Lumberton, NC.
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Automobile and accidental injury regulations, the Medicare as Secondary Payer questionnaire, and workers' compensation guidelines are just a few of the many issues with which the patient access professional and case manager must be educated and competent.
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Happier employees that's what Holly Hiryak, MNSc, RN, CHAM, director of hospital admissions/access services at University of Arkansas for Medical Sciences in Little Rock, AR, would like to see.
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It can be a vicious cycle: Turnover causes undue stress to personnel due to staffing shortages, plus the added burden of bringing new personnel up to speed. This leads to more turnover.
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As the effective response of the ED at Mercy Medical Center in Cedar Rapids, IA, to the recent floods demonstrates, the extra dollars required to invest in top-notch communications systems are well worth it, according to Rich Head, director of information services.
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The ED at Mercy Medical Center in Cedar Rapids, IA, had to be moved to another floor on July 13, as flood waters filled the hospital's lower levels. Despite having to uproot patients and equipment, the ED remained in constant contact with internal and external resources due to the presence of redundant communications options.