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A multidisciplinary program staffed by nurse practitioner case managers and social workers has resulted in dramatic decreases in admissions, lengths of stay, and emergency department visits among indigent patients cared for at the University of Iowa Hospitals and Clinics in Iowa City.
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The approximately 4,000 indigent patients in the University of Iowa Hospital and Clinics Care Management program (CMPUI) in Iowa City make up 3% of patients but utilize 6.5% of hospital resources and represent 6.4% of acute admissions.
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At Griffin Hospital in Derby, CT, the patients care is managed by their primary care nurse, their case manager, and by the patients themselves. As a result, the nonprofit hospitals lengths of stay are at or below the averages reported by the Centers for Medicare & Medicaid Services.
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Griffin Hospital in Derby, CT, routinely gets a 97% to 100% patient satisfaction rating on a monthly telephone survey of about 15% of discharged patients. More than 80% of patients say they are willing to return to Griffin Hospital and would recommend the services to their family and friends.
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A multimodal education program to teach nursing and respiratory therapy staffs about improved techniques has led to a significant reduction in the incidence of ventilator-associated pneumonia (VAP).
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The controversial vaccination of health care workers for smallpox is here, with emergency department (ED) staff among the first to be inoculated. For the ED manager, your nightmares may include staff who are unable or unwilling to have the vaccine, staff who become ill after having the vaccine, and a situation worse than an unannounced accreditation survey: a smallpox outbreak.
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As an emergency department (ED) leader, you should do the following to improve your staffs ability to avoid conflicts with each other and patients and to manage those effectively if they occur, says Tracy Sanson, MD, FACEP, assistant medical director for the department of emergency medicine at Brandon (FL) Regional Medical Center.
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Most patients who visit emergency departments (EDs) arent there for emergencies, according to a new report by the Evanston, IL-based health care information company Solucient.
