Hospital Management
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Balancing Incentive and Risk in Paying Subjects
The current dearth of data on incentives for research participation raises ethical issues in such areas as informed consent and potential exploitation of vulnerable populations.
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As Clock Ticks Toward Common Rule Implementation, New Guidance Offers Help
The new Common Rule changes are complex, not always easy to interpret, and sometimes seem to add more burdens on IRBs — even as the overarching purpose is to reduce time spent on reviews.
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Only 49% Follow CMS Sepsis Protocols
Fewer than half of U.S. hospitals follow CMS’s sepsis treatment requirements, according to a recent government report. -
Improve Hospital Ratings With Patient Input
Hospital ratings on publicly available resources could be improved by allowing patients to prioritize their needs and preferences, according to a recent analysis by the RAND Corporation, a public-private think tank based in California. -
Judge Dismisses Hospital’s Lawsuit Against Leapfrog
A Chicago hospital has failed in its attempt to sue the Leapfrog Group for defamation related to its low score, and the experience may hold a lesson for other hospitals about ensuring the accuracy of data submitted to Leapfrog Group and other ratings organizations. -
BPCI Advanced Program Begins in October
Participation agreements for the Bundled Payments for Care Improvement (BPCI) Advanced program from CMS were due recently, and providers are going live with the program on Oct. 1. In a new twist from old versions of BPCI, CMS has issued an option for providers to retrospectively drop out of the program in March 2019. -
Texas-sized Mumps Outbreak Includes Nine HCWs
A large outbreak of mumps last year in Texas included nine healthcare workers, many of whom were apparently infected in the community.
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CMS Developing More Uniform Ligature Risk Guidance
Hospitals may soon have a more uniform set of guidance on protecting patients from ligature risk, with CMS announcing recently in a memo to state survey agency directors that it will incorporate findings from The Joint Commission Suicide Panel’s November 2017 special report on suicide prevention into its revised interpretive guidance. -
Better Management of Patients With Psychiatric Needs
With limited care options, patients with psychiatric emergencies often present to the nearest ED where they may wait for hours, if not days, for some sort of disposition.
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Disruptive Physicians, Staff Must Be Held Accountable
Accountability is key, even though there has been a movement away from holding individuals accountable in favor of redesigning systems to encourage the desired behavior.