Hospital Management
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Reader Questions From the Summer
This summer has been busier than most, perhaps because of the new political climate and the buzz of anticipated changes in the nation’s healthcare, and many readers have submitted questions.
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ASC Successfully Improves Timeliness of Surgical Clearance Documentation
To prevent last-minute surgery schedule changes and cancellations, it’s important for ASCs to receive surgical clearance documentation at least three days before the scheduled procedure. For one ASC, this was not happening often enough.
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ASC Initiates Several Changes; Cuts Turnover Time
As often happens with efficiency initiatives and quality improvement projects, the first big effort to make process changes can result in swift and significant improvement. The second round of changes often is more challenging as an organization attempts additional improvements.
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ASC’s ‘Pit Crew’ Brings NASCAR Speed to Turnovers
An ASC won a national award for its quality improvement and efficiency project to reduce average operating room turnover time, which was 22.8 minutes.
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Considering Adding Bundled Payments? Here’s What You Need to Know
The key thing for ASC directors to know about bundled payments is that these are developed to reduce healthcare costs, improve outcome accountability, and create situations in which payers and providers share risk, savings, and costs.
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Bundled Payment Models Growing Slowly in ASCs’ World
Bundled payments are a small part of the business for most ambulatory surgery centers, but the model is catching on and could be a major future trend in surgery reimbursement strategies.
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Admission and Discharge Timeouts in Case Management Practice
With the advent of healthcare reform, it has become clear that case management often is the driver of transitions in care. This month will discuss two important tools that case managers can use to improve their patients’ transitions in care — the admission and discharge time-out processes.
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Patient Navigators Help Patients Connect to Primary Care, Avoid ED Visits
Frequent ED visitors decreased their visits by 50% at New York-Presbyterian health system hospitals after community health workers, called patient navigators, began connecting at-risk patients to primary care providers and educating them on how to seek treatment at an appropriate level of care.
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Dual Approach Helps At-risk Patients Overcome Obstacles to Receiving Care
To bridge the gap between at-risk patients and the providers treating them, New York-Presbyterian Hospital has developed two different models in which trained lay members of the community work with at-risk patients to help them navigate the healthcare system and manage their health.
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CHWs Embedded in the Hospital and Clinic Support Patients in the Community
After a randomized trial showed that patients receiving interventions from a community health worker had improved outcomes, Penn Medicine expanded the program and now 30 community health workers are embedded on teams in hospitals and primary care clinics.