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The Center for Medicare and Medicaid Services (CMS) has announced that it will provide up to $75 million to 11 states and the District of Columbia to test whether Medicaid can support higher quality care at a lower total cost by reimbursing private psychiatric hospitals for some services for which reimbursement has historically not been available.
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Who says change takes a long time to implement? Certainly not Susan Peach, MBA, BSN, a division chief nursing officer at LifePoint Hospitals, based in Brentwood, TN.
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A new study suggests that there are serious problems with the Centers for Medicare and Medicaid Services' (CMS) new imaging efficiency measure for ED use of computed tomography (CT) for headaches.
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Already burdened with increased demand for medical services, EDs across the country are also seeing a spike in the number of patients who present with behavioral health issues.
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When patients present to the ED with dizziness, oftentimes the provider will order a computed tomography (CT) scan to rule out serious medical problems, such as intracranial bleeding or stroke. However, a new study suggests that such scans may not be worth the expense in the vast majority of cases.
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Under-triage, or assessing patients as being less ill than they actually are, can lead to treatment delays and adverse outcomes, including serious injury and even death.
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"Everyone knows that a patient with a heart rate higher than 90 should be admitted to the hospital."
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A 12-year-old boy with an unremarkable familial and medical history presents with global aphasia and right hemiplegia 14 days after a streptococcal pharyngeal infection. A neurological examination performed three hours after symptom onset reveals a conjugate gaze deviation to the left, right hemiplegia, hemihypesthesia, and extensor plantar sign. The NIHSS score is 22. Laboratory examinations are normal. A cerebral CT shows a hyperdense left MCA and early signs of infarction in that area.
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Delays for treatment for heart attack patients will continue to be a high-risk area for EDs legally, predicts Robert L. Norton, MD, a professor in the Department of Emergency Medicine at Oregon Health & Science University in Portland.
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In the emergency department (ED), a central component of a physician's daily care and job performance is to administer or prescribe drugs.