Hospital Management
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Tuberculosis Proving Difficult to Reduce in U.S.
With the recent commemoration of World TB Day, the CDC reported that tuberculosis continues to decline in the United States, but not on a pace to reach the goal of tuberculosis eradication.
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The Ethical Quandary of Moral Distress
Clinicians need to cultivate “moral efficacy” — the ability to recognize, deliberate, and act in ways that are aligned with their personal and professional ethical standards.
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Expect Zika Return, Reinforce HCW Safety
Employee health professionals should prepare for the return of Zika virus, as the CDC expects the mosquito-borne infection threat to return to the U.S. as the warmer months arrive.
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Canada Faces a Surge in Healthcare Violence
While OSHA continues to promulgate a violence prevention regulation, our neighbors to the north are dealing with a similar problem of threatened healthcare workers.
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Training for Toxic Work Culture Should Start in Nursing School
While often seen as separate and disturbingly distinct, incivility, bullying, and violence in healthcare are actually connected across a common culture of toxicity.
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Behavioral Healthcare in ED Improved With Telepsychiatry
Quality of care for behavioral health patients in the ED has been dramatically improved at Rideout Regional Medical Center in Marysville, CA, with a program that aims to get professional help to people in need as soon as possible.
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CMS Delays Start of Cardiac Bundled Payment Initiative
CMS has delayed the effective date of two bundled payments initiatives from July 1 to Oct. 1.
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Observation Unit Cuts Length of Stay, Lowers Costs
Patients who were transferred to the Outpatient Observation Unit at Rockford (IL) Memorial Hospital experienced lower lengths of stay and lower costs than patients who were candidates for observation services but were treated on an inpatient unit.
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Why the Two-Midnight Rule Is ‘Clear as Mud’
There are patients whose condition and circumstances put them in the shadowy area between meeting criteria for an inpatient stay and being an outpatient with observation services.
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OIG: Hospitals Are Still Getting Patient Status Wrong
A report by the U.S. Department of Health and Human Services Office of Inspector General, released in December 2016, concluded that hospitals are billing for short inpatient stays that are inappropriate under the Two-Midnight Rule and for long outpatient stays.