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If there are any doubts that improving patient flow also enhances patient safety, the recent experience of the ED at Enumclaw (WA) Regional Hospital should dispel them.
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By redefining the roles of case managers and social workers and working with physicians on patient throughput and length of stay, Fauquier Hospital in Warrenton, VA, significantly reduced its Medicare length of stay by almost a day and decreased the revenue lost because of denials by medical necessity by 70%.
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By taking a proactive approach to patient status and instituting a series of checks and balances, Good Samaritan Hospital in Dayton, OH, keeps denials at a minimum.
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If hospitals don't get it by now, then they're not reading the writing on the wall. Quality will increasingly affect hospitals' financial welfare.
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The perspective of Laura Avakian's book "Helping physicians become great managers and leaders: Strategies that work" is from a human resources professional. And that is because Avakian worked as vice president of human resources in health care for about 25 years at Beth Israel Deaconess and MIT.
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You probably remember the days when nurse-to-nurse shift reports involved a nurse and a voice recorder. "There would be a lot of people coming in and people going and a lot of chaos.
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About 80% of serious medical errors involve problems in hand-off communication, says Klaus Nether, project leader with The Joint Commission Center for Transforming Health Care, who has a black belt in Six Sigma.
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The recent report from the Office of the Inspector "Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries" recommends that the Centers for Medicare & Medicaid Services (CMS) focus on the Quality Assurance and Performance Improvement (QAPI) Condition of Participations in its survey and certification processes.
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Just as it standardized clinician-to-clinician hand-offs, Kaiser Permanente recognized the importance of the hand-off for the patient from hospital to home.
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The Centers for Medicare & Medicaid Services (CMS), on the march to value-based purchasing and tying quality care to reimbursement levels, certainly will be requiring more and more from hospitals.