Hospital Management
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‘Ethical Obligation to Go Further’ if Patients Are Nonadherent for Financial Reasons
Some patients cannot afford recommended care because of higher out-of-pocket costs due in part to a surge in high-deductible plans.
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Ethics of Unilateral DNR Orders: Physicians Are Evenly Divided
Physicians are evenly divided as to whether unilateral do not resuscitate orders — decisions about resuscitation made by doctors without patient or surrogate consent — are appropriate, found a recent study.
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Barcode Medication Errors Reported for Analysis
Pennsylvania healthcare facilities increasingly have reported patient safety events associated with a technology used to prevent medication-administration errors.
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CMS Describes Measures Considered for 2018
CMS has issued a list of 32 measures it is considering for 2018 that could drive quality improvement in various healthcare settings.
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Hospital Satisfaction Data Affected by Noise
Hoag Orthopedic Institute in Irvine, CA, publishes its outcomes data every year, reporting improvements in quality along with illustrations of how the hospital addresses deficiencies.
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Hospital Plays to Surgeons’ Competitive Nature to Raise Quality
Outcomes at Hoag Orthopedic Institute in Irvine, CA, already were good when quality leaders thought they might improve even more if they posed blinded and coded data on patient-reported outcomes for the surgeons to see how they fared in comparison with their peers.
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PAs Provide More Patient Contact, Reduce LOS, and Maintain Quality
Northwest Hospital, part of LifeBridge Health in Randallstown, MD, can employ nearly two PAs for the cost of a physician, so patients can be seen more frequently. They make up one of several strategies the hospital uses to make the observation unit as efficient as possible.
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Data Analytics and AI Help Improve Patient Care
A network of hospitals, clinics, and home care services in Iowa, Illinois, and Wisconsin has improved clinical effectiveness, care quality, and patient experience by looking at risk analytics and applying the findings to patient care.
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Hospitals Reduce Harm While Focusing on Fewer Metrics
Metrics can pile up until they become overwhelming to clinicians and administrators alike, with their usefulness lost in the process. The solution may be to strategically reduce the number of routinely reportable metrics to only those most appropriate and valuable.
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Patients Present as Self-Pay, but Leave With Coverage
Patient access departments are helping self-pay patients in multiple ways.