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Which Chest Pain Patients Require Further Testing, Intervention, or Discharge?
Hospitals in Kaiser Permanente’s Southern California region have implemented a new approach to help identify which patients who present with chest pain require further testing or intervention and which can be discharged safely. The core of this approach is use of the HEART score, a tool developed in the Netherlands to help physicians risk-stratify such patients quickly.
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Offering Patients Hospital Care at Home
There is growing interest in an approach that delivers hospital-level care to appropriate patients in their homes. Generally, such programs identify potential candidates for the approach upon their presentation to the ED. Depending on the program, emergency physicians and/or hospitalists determine whether patients should be offered the option of receiving care for their acute condition at home. Investigators have found the approach can deliver equal or superior outcomes to similar hospitalized patients at considerably lower cost, although reimbursement remains a major obstacle.
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Regulators Want ASCs to Build Infrastructure to Ensure Safety
ASCs need to build an infection prevention program that is managed by someone with knowledge and training in infection control.
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Joint Commission Infection Prevention Director Provides Tips to Meet Standards
Infection control in surgery centers over the past decade has focused on ensuring all medical devices and equipment are safe to use. When accreditation surveyors visit sites, they often identify issues related to basic infection prevention practices, dilution of disinfectants, sterilization, and following manufacturing instructions.
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Nurses Share Top Concerns
Our columnist also shares new information on the return of celebrating people, site-neutral payment policies, and the rise of freestanding emergency rooms.
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Reference Pricing Can Send More Surgical Cases to ASCs
A payment model gaining traction in California could drive more surgical cases to ASCs.
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Shift of Surgical Care to ASCs Requires Some Cost Preparation
Shift of surgical care to ASCs moved steadily over the decades and now encompasses orthopedic, neurological, and other high-acuity cases that once were unimaginable for this setting.
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Human Trafficking Myths Every Healthcare Worker Should Know
Healthcare professionals and others often are mistaken about what human trafficking is and what its victims are like. Professionals could identify and help trafficking victims by learning the truth about the crime.
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Signs a Patient Could Be a Trafficking Victim
The following signs of trafficking victimization are culled from several sources and encompass both labor trafficking victims as well as sexual and underage trafficking victims.
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Human Traffickers Increasingly Take Victims to Outpatient Health Providers
Human trafficking is a worldwide problem. Often, victims are invisible to the public, including healthcare providers, who could help rescue victims if the public knew more about the issue.