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Its a frequent tactic of physicians: claiming that quality data are imperfect, invalid, or otherwise misleading.
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Winning physician buy-in, one of the toughest challenges in any process improvement (PI) endeavor, was the key to success in a PI project undertaken by Peninsula Regional Medical Center in Salisbury, MD.
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The Havasupai Indian tribe of northwestern Arizona, and some of its individual members, have filed two federal lawsuits seeking a total of $75 million in damages against Arizona State University (ASU), the Arizona Board of Regents, and three university researchers, claiming that blood samples taken from tribe members as part of a diabetes study were destroyed, lost, or used in studies of schizophrenia, inbreeding, and population migration without the donors consent.
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A report in the March 25 Philadelphia Inquirer regarding the use of experimental treatment on an infant in connection with a heart repair highlights a series of issues related to both the use of devices not approved by the FDA and, in turn, their use on minors, including infants.
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As the University of California, Davis, Health System goes forward with the successful implementation of its preadmission discharge planning and utilization review program, Karen A. Warne, RN, manager for patient services and transfer center, keeps in mind a next step toward seamless patient access.
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Hospitals wishing to protect themselves from EMTALA-related complaints and the scrutiny follows are well advised to embrace the growing trend toward bedside registration, suggests Peggy Nakamura, RN, MBA, JD, assistant vice president, chief risk officer and associate counsel for Sacramento, CA-based Adventist Health.
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The California Healthcare Association (CHA) has adopted a new set of voluntary guidelines on financial aid, charity care, and discount payments for its member hospitals, including a recommendation that hospitals provide financial assistance for patients at or below 300% of the poverty level.
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Recent guidance from the Department of Health and Human Services recognizes that a good-faith determination of financial need may vary depending on the individual patients circumstances and that hospitals should have flexibility to take into account relevant variables.
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When it came to streamlining the way patients, referring physicians, and other interested parties contact Geisinger Health System in Danville, PA, for various access-related services, it seems that one good idea led to another.
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If the front end would just get it right when the patient first comes in . . . goes the refrain from billers, or the CFO, or some other party focused on putting the blame for unreimbursed care at the feet of the access department. But when a substantial number of patients walk in without insurance coverage at the time of care or are emergency patients who dont have their insurance information with them, its not quite that simple.
