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Since copayments first were collected in Cambridge (MA) Health Alliance’s three emergency departments (EDs) in October 2008, collections have increased 140%, totaling $173,000 in fiscal year 2009 to an expected $416,000 in fiscal year 2012.
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A patient recently registered at Denver-based Porter Adventist Hospital had just lost his job and employer-sponsored insurance, and he was under the mistaken impression that COBRA coverage was automatic.
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Ask passersby in a hospital hallway what they think the biggest problem is in the emergency department, and one of the most common answers will likely be something about the influx of uninsured patients who use the ED as their primary care physician.
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Within days after The Joint Commission announced that it would begin certifying applicants for comprehensive stroke centers, there were dozens of hospitals either waiting for site visits or preparing their applications in the hope of getting certified this year.
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Ronald Wyatt, MD, MHA, has spent 20 years working in just about every kind of healthcare setting imaginable primary care, emergency medicine in a VA hospital, nursing homes, as a sole practitioner and in a multispecialty setting.
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Some scenarios that cause nightmares for nurses and physicians are blessedly rare.
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If a health system wins a major national quality award, it must be doing something right, but also something different from other organizations, right? Ask one and likely at some point, a spokesperson will says something about focusing on the patient and striving to improve. But not everyone.
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The evolution of "transplant tourism" drives home the point that people are willing to go to extreme lengths to procure an organ, according to Leslie M. Whetstine, PhD, an assistant professor of philosophy at Walsh University in North Canton, OH. "Despite the fact that the public overwhelmingly supports organ donation in this country, our actions unfortunately do not reflect that sentiment," she says.
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The history of cardiac arrest as an indication for resuscitation is "loaded with implications for current standards of care," says Daniel Brauner, MD, associate professor of medicine at the University of Chicago. At one point in time, resuscitation was used only in very limited instances, he explains.
