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A registrar's position is very detail-oriented, and his or her ability to obtain accurate information is crucial for good patient care, says Roxana Newton, CHAA, patient access supervisor at Porter Adventist Hospital in Denver.
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When Keisha Byam, MPH, training manager and safety coach at Children's National Medical Center in Silver Spring, MD, interviews applicants, she asks these questions:
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Until recently, an urgent care clinic continually sent patients to St. Nicholas Hospital in Sheboygan, WI, for radiology tests that weren't authorized, reports patient access manager Robyn Rogers.
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Until recently, patient access managers at University of Iowa Health Care in Iowa City performed all quality assessments manually, says Susan Newton, who is the revenue cycle manager for patient access management and patient financial services.
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When Roxana Newton, CHAA, patient access supervisor at Porter Adventist Hospital in Denver, was interviewing a potential central scheduler, the applicant seemed taken aback by how many questions she was being asked.
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Before a patient even approaches your registration area, he or she might "expect the worst," according to Keith Weatherman, CAM, MHA, associate director of service excellence for the corporate revenue cycle at Wake Forest Baptist Health in Winston-Salem, NC.
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News: A 32-year-old pregnant woman presented to the hospital on Aug. 14, 2005, due to onset of labor. At 9:30 a.m., the fetal heart rate monitor showed a dangerous drop in the babys heart rate from 140 beats per minute to 60 beats per minute.
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The American Health Lawyers Association (AHLA) guidelines on disclosure of serious adverse clinical events (SACEs) are an excellent compendium of all the issues that should be raised, says Ellen L. Janos, JD, an attorney with the law firm of Mintz Levin in Boston who often has helped hospitals make decisions regarding disclosure of adverse events.
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Butler County Health Care Center (BCHCC) in David City, NE, is small 25 beds serving a rural community of 2,500 but the administrators think big. Using a program that enhances teamwork, the hospital has reduced medication errors that reach the patient by 30% and patient falls by 88%.