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As health insurance costs escalate and employers reduce coverage for employees, raise deductibles, or stop providing health insurance altogether, hospitals are providing care for an increasing number of patients who have no means to pay.
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Due to the increased demand for more in-depth information, there is a new resource for all your discharge planning needs.
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Amajor software upgrade has dramatically increased the ability of a New Jersey health system's behavioral health call center to serve as a "one-stop connection" for local emergency departments, psychiatric emergency screening services, and a stand-alone psychiatric hospital, says Dawn Fenske, director of Saint Barnabas Management Services in Toms River, NJ.
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When chronically ill patients who have no insurance coverage and no medical home come into the emergency department at Harbor-view Medical Center in Seattle, they are referred for follow-up to a nurse case manager who links the patients to a primary care provider and helps them learn to manage their disease.
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Federally qualified community health centers: These centers are funded through federal grants to provide primary and preventive health care in medically underserved areas and must provide the uninsured if they meet guidelines.
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Behavioral health patients are put at risk if the players coming to the table are not coordinating efforts to make the most efficient use of available resources, notes Mark Catalano, LCSW, manager of admissions at Seton Shoal Creek Hospital in Austin, TX.
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Oakwood Hospital and Medical Center reduced the number of patients waiting more than four hours in the emergency department by 35% and cut salaries by $60,000 after installing an electronic bed management system that provides information on bed availability and patient status and location in real-time.
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If an emergency physician is arrested for assaulting a patient or for inappropriate sexual conduct, there is potential liability exposure for both the emergency medicine group and the hospital where the ED is located, says Thomas H. Taylor, a health care attorney at LaCrosse, WI-based Johns, Flaherty & Collins.
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The "standard of care" often has a significant impact on the outcome of ED malpractice lawsuits, but the way this is defined can vary according to state law and other factors.