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Patient flow and boarding have been recognized for some time as problems that hospitals need to address. But whatever is being done isnt enough, and The Joint Commission (TJC) released a report in December outlining new standards in the Leadership section, some of which came into effect on January 1, and some of which will take effect in another year.
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To eliminate gaps in care after their members have been hospitalized, Cigna Medical Group has assigned RN care coordinators to local hospitals to act as a bridge between the primary care practice and the hospital and has a dedicated team of physicians, pharmacists, and nurses who see the majority of patients for their first follow-up visit.
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Every healthcare professional needs to develop a basic set of skills to help them cope with difficult patients so they can get through the encounter and not come out emotionally bruised, says John Banja, PhD, professor of rehabilitation medicine, medical ethicist at Emory Universitys Center for Ethics and director of the Section on Ethics in Research at Emorys Atlanta Clinical and Translational Science Institute.
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While new requirements are not always welcomed in the ED, to be sure, managers and front-line providers do have reason to feel optimistic about new standards, unveiled by The Joint Commission (TJC), regarding how hospitals manage patient flow.
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The emergency medicine community has pushed hard against complaints that too many patients with non-urgent needs are being seen in the ED, but there is little doubt that so-called super-utilizers patients who come to the ED regularly for one reason or another are not receiving the kind of care they need in the most appropriate setting.
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The University of California at Berkeleys Consent Builder application relies on the simplified language and template structure previously developed by the institutions IRB office.
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Sometimes an IRB director will notice that board members lack interest in evaluation processes. Any attempt to assess how each member is doing might be shuffled to the back burner of the schedules of very busy people.
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A new research ethics program seeks to repair problems when investigators misbehave or are in noncompliance.
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The American Association of University Professors (AAUP) released a report taking IRBs to task over what they call inappropriate, indeed absurd, alterations in research protocols and overly stringent guidelines for study submission and approval.
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Years of improvements to the informed consent process and many hours of developing tools and templates to assist IRBs and investigators in fine tuning informed consent documents have helped pave the way for Consent Builder.
