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Passport Health Plan's Mommy Steps program helps at-risk pregnant Medicaid recipients get the care and psychosocial help they need to overcome the obstacles to a healthy pregnancy.
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Many pediatricians feel some distress over parents who refuse to vaccinate their children, says Douglas S. Diekema, MD, MPH, attending physician and director of education at the Treuman Katz Center for Pediatric Bioethics at Seattle (WA) Children's Hospital and professor in the Department of Pediatrics at the University of Washington School of Medicine, also in Seattle.
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If a patient comes to a provider asking for a specific name-brand medication, how much weight should the request be given?
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One emergency physician might feel comfortable giving a medication by injection to a man distraught from hallucinating and in danger of attempting homicide, while another might prefer a psychiatric consultation for almost all of the psychiatric patients seen in the emergency department.
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Is it ethical for a physician to pray with a patient? The question that should be asked instead is, "On what grounds would praying with a patient be ethically problematic?"
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"We are not completely sure what happened at this time. We are investigating, and will let you know what we learn as soon as possible."
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The amount of reimbursement hospitals receive will be tied to physicians' ability to communicate with patients, manage their pain, and explain medications, as a result of the Centers for Medicare & Medicaid (CMS)'s Hospital Value-based Purchasing Program, which will affect Medicare reimbursements as of October 2012, notes Marshall H. Chin, MD, MPH, Richard Parrillo Family Professor of Medicine at the University of Chicago.
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As demand for emergency care continues its upward climb, The Joint Commission is taking steps to strengthen its accreditation standards pertaining to patient throughput, and it is putting hospital leaders on notice that they will be held accountable for patient flow challenges that occur in the ED.
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Every now and then at Sunnybrook Health Sciences in Toronto, Canada, there was talk about getting ventilated patients up and about even if they were still intubated. Some people thought that the patients should be weaned off the ventilator first, some thought after, says Linda Nusdorfer, RN, MSN, an advanced practice nurse for critical care and cardiovascular care at the facility. Still others wanted to work on weaning and mobility at the same time.
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To prevent readmissions when patients are transitioning from the acute care hospital to an inpatient rehabilitation center, case managers should make sure the patients are appropriate for acute rehab, that their medical conditions are stable, and that they can tolerate three hours of therapy every day.
