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Several months ago, the two EDs of Sacred Heart Medical Center in Eugene, OR, began posting their waiting times on their home page (www.peacehealth.org/shmc).
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Ambulatory surgery centers (ASCs) undergoing Medicare accreditation surveys under the new Conditions for Coverage (CfCs) that took effect in May 2009, are reporting that the surveys are longer than in the past, have more surveyors, and put a much stronger emphasis on infection control.
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The ICD-10-CM code set is scheduled to replace ICD-9-CM, the current U.S. diagnostic code set, on Oct. 1, 2013. While that date is in the far future, you should prepare now, coding experts warn.
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Rhode Island Hospital, the teaching hospital for Brown University's Alpert Medical School in Providence, is facing unprecedented sanctions from the state health department after its fifth wrong-site surgery since 2007.
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When Mendocino Coast Hospital in Fort Bragg, CA, recently underwent its accreditation survey by The Joint Commission, the biggest surprise was the scrutiny on and large amount of time spent in the operating room in the surgery area vs. the nurses' floor, says Susan Bivins, RN, the director of quality and risk management.
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The clear conclusion of a recently published study is preoperative cleansing of the patient's skin with chlorhexidine-alcohol is hands-down better to cleansing with povidone-iodine for preventing surgical-site infection after clean-contaminated surgery.1 Now it gets interesting.
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Inpatient surgery is on the fifth floor. L&D is on the third floor. The GI center is near the ED in the first floor. The outpatient surgery center is on two. The lithotripsy is in a trailer in the parking lot.
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Often, problems that are a continual thorn in the side for patient access simply cannot be solved without the help of other departments. Likewise, you can spread no small amount of goodwill by helping others with their own troublesome "pain points." Here are some ways to improve cross-departmental relationships:
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Rushing by a registration area on your way to a meeting with a hospital administrator, you think you hear an edgy tone in an access employee's voice while she's answering a patient's question. Do you stop to investigate further, or do you continue on your way?
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What's the most common complaint that Amy M. Kirkland, CHAA, patient access team leader for the emergency department at Palmetto Health Richland in Columbia, SC, hears from patients? Hands down, it involves frustration over long wait times.
