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Peer Review

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  • Call police, do not refer abuse cases to peer review

    Risk managers should remind employees that calling the police can be the right thing to do, says Grena Porto, RN, MS, ARM, CPHRM, principal with QRS Healthcare Consulting in Hockessin, DE, and former president of the American Society for Healthcare Risk Management (ASHRM) in Chicago.
  • Do now: Set up in-house audit team

    A well-prepared team that understands roles and responsibilities when a notice of a HIPAA compliance audit is received is essential for every organization and should be established long before a notice is received, suggests Chris Apgar, CISSP, president of Apgar & Associates, a Portland, OR-based consulting firm. Educate them about the purpose of the audit, and give each person specific responsibilities, he says.
  • AHC Media launches Hospital Report blog

    For further analysis and discussion of topics important to hospital professionals, check out Hospital Report, AHC Media's new free blog at http://hospitalreport.blogs.reliasmedia.com.
  • Secret recording raises question of peer review shield

    As useful as peer review protection is in keeping potentially harmful information out of malpractice litigation, risk managers should keep in mind the limits and not become overly dependent on peer review privilege, attorneys say.
  • HIPAA compliance audits begin with a pilot program

    As promised by the Department of Health and Human Services' Office for Civil Rights (OCR) and mandated by the HITECH Act, HIPAA compliance audits have begun, and 20 organizations were visited during the pilot phase of the program.
  • Bradley case considered the worst ever in healthcare

    The case of Earl B. Bradley, MD, is so sickening that no one wants even the most remote association with it. After Bradley was arrested and convicted of abusing children, the property housing his pediatric clinic, which was the scene of the crimes, couldn't be sold even for a pittance. The city demolished it and hoped to wipe away a terrible reminder.
  • EMTALA physician protections pass U.S. House

    Medical liability reforms that include specific protections for physicians who provide services to fulfill the requirements of the Emergency Treatment and Labor Act (EMTALA) has passed the U.S. House of Representatives.
  • Does patient need interpreter services?

    If patients are financially cleared and pre-registered before they present for services, this situation give you the opportunity to obtain demographic information, but do you also consider the patients need for an interpreter at that point?
  • Access has role to prevent penalties

    Hospitals are getting penalized for preventable readmissions, due to the Patient Protection and Affordable Care Acts linking of Medicare payments to the quality of care that hospitals provide.
  • Say thank you after a crisis

    Here are some ways that patient access managers showed registrars their appreciation after Hurricane Sandy