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Lean management is a big trend in the business world these days, including the health care arena, but risk managers may assume that the "lean" is all about budget cutting and belt tightening. Not at all, say the experts in this strategy and the health care providers who are using it.
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The string of wrong-site errors at Rhode Island hospital may be attention-getting, but the hospital is not the only one experiencing this never event. An identification error led to a pregnant woman undergoing a CT scan intended for another patient at Banner Thunderbird Medical Center in Glendale, AZ, which is now prompting litigation.
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"We're all glad it's pretty much over," Margaret VanAmringe, MHS, The Joint Commission's vice president for public policy and government relations, says with a laugh.
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With the ever-growing focus on transparency, hospitals are demanding more from quality improvement professionals. When Paul L. Green, RN, MS, CPHQ, started his career in health care, QI professionals ran data and filed them away.
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Replacing the core measure set for pregnancy and related conditions, which comprised three measures, The Joint Commission has introduced a core measure set on perinatal care, with data collection beginning with April 1 discharges.
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While the RAC audits could mean significant financial losses for your hospital, a fraud or abuse lawsuit could cost you more. A lot more, says Cheryl Wagonhurst, partner with Folley & Lardner LLP. Some of the "hottest" issues right now that you should be looking at are:
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In 2007, Premier Inc. began its Quest program, enlisting hospitals to collaborate and evaluate quality, efficiency, safety, and transparency with oversight from the Institute for Healthcare Improvement.
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The director of quality and risk management at Mendocino Coast Hospital in Fort Bragg, CA, Susan Bivins, RN, wasn't sure The Joint Commission was going to show up for the hospital's survey.
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It was a marriage of sorts, between two departments credentialing and quality improvement. Two departments that hadn't known each other well before. Two departments that came together for a common goal.
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News: A woman presented at a hospital emergency department with complaints of headaches, blurry vision, and shortness of breath. Her work-up included a CT scan of her head, chest X-rays, and routine blood tests.