Hospital Management
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Top 10 Potentially Inappropriate Stays
The following is a list of potentially inappropriate stays from the Office of Inspector General.
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Be Proactive: Review Your Short Stays Before They Are Billed
Case management directors should take a proactive approach to managing denials and monitor their short inpatient stays, watch for trends, and prevent inappropriate short-stay admissions.
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Hospitals Are Still Confused About Inpatient vs. Observation
It’s been nearly four years since the Centers for Medicare & Medicaid Services announced its Two-Midnight Rule, but hospital staff still are grappling with the gray areas in the rule.
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$1.2 Million Awarded in Fatal Injection Case
A patient experienced cardiac arrest following a nerve block injection, resulting in death and a lawsuit from the patient's estate.
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Failure to Diagnose Case Settles for $8 Million
Two facilities failed to diagnose a patient's condition, leading to quadriplegia and an $8 million settlement.
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$5.5 Million Settlement Related to Audit Controls
In a case that highlights the need for proper audit controls, Florida’s Memorial Healthcare System (MHS) has paid the U.S. Department of Health and Human Services (HHS) $5.5 million to settle potential HIPAA violations.
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Cloud Encryption Not Used Enough in Healthcare
A quarter of healthcare organizations do not use encryption to protect data in the cloud, leaving the electronic protected health information (ePHI) of patients at risk of exposure, according to a recent survey by HyTrust.
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Patient Complaints Tied to Worse Outcomes
Patient complaints can have a direct correlation with the quality of a surgeon’s performance, according to a recent study.
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The Joint Commission Requires Some Information
Courts have imposed a duty of care that hospitals must exercise in granting privileges, and The Joint Commission likewise requires hospitals to obtain references and information from other facilities with which the physician has practiced.
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Commenting on Past Employee Behavior Is Thorny Issue
Inquiries about a previous employee or physician’s performance at your hospital can put administrators in a difficult position.