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The Joint Commission (TJC)

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  • Hospital at Home helps improve patient flow

    Presbyterian Healthcare Services' Hospital at Home program, which provides acute care services in the homes of patients who might otherwise be hospitalized, has improved patient satisfaction and cut the cost of hospital care by about 30% for the Albuquerque, NM-based integrated healthcare delivery system.
  • Consider palliative care, hospice as options

    Case managers have the opportunity to provide valuable assistance to their patients who are frequently readmitted to the hospital with advanced chronic illnesses or who are approaching end of life, says Jennie Roberts, RN, CCM, MBA, chief nursing officer for Evercare Hospice and Palliative Care, based in Minneapolis, which provides hospice and palliative care services throughout the country.
  • Make the hospitalist team your new best friends

    In today's healthcare environment, as payers tighten reimbursement and auditors from Centers for Medicare & Medicaid Services and commercial payers increase their scrutiny of hospital records, hospitals need to ensure that all patients are admitted in the right level of care and that they move through the continuum as quickly and safely as possible.
  • Ambulatory Care Quarterly: ED-based hospitalist team helps cut boarding

    One of the problems associated with the boarding of admitted patients in the ED is that the practice inevitably leads to increased diversion when the ED's capacity to care for new patients is diminished.
  • Patient questions are getting tougher

    Will my insurance cover this visit?" is something patients often ask registrars in the emergency department at Sutter Delta Medical Center in Antioch, CA. However, the answer isn't as simple as it seems.
  • Patients are price shopping: They'll want more than just `guesstimates'

    A patient wasn't happy with the answer she received after asking registrars at Botsford Hospital in Farmington Hills, MI, the cost of a high-dollar procedure, and she insisted that she could get it performed for half of the price quoted.
  • Is insurance valid? Process is high-tech

    Not long ago, a registrar would assume a patient was providing accurate information, only to find out the claim was denied due to incorrect insurance, reports Michelle M. Mohrbach, CHAM, manager of patient access and central scheduling at Blanchard Valley Health System in Findlay, OH.
  • Denials cut from $200K to $50K

    Because the findings were unclear on an abdominal and pelvic sonogram performed for a patient at Cook Children's Medical Center in Fort Worth, TX, the radiologist performed a CT scan of the abdomen and pelvis with contrast, but this additional test hadn't been authorized by the payer.
  • Can you text patient about appointments?

    Many patients are accustomed to receiving text messages from friends, retailers, and workplaces, and they probably expect to be able to receive texts from you.
  • Access descriptions are likely outdated

    Until recently, members of the patient access staff at St. Joseph's Hospital Health Center in Syracuse, NY, were assigned a generic "customer service representative" title that didn't reflect what they actually did.