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How would you like to be told that the hospital that houses your ED the large, "mother" facility that receives your patients for admission and provides a host of ancillary services that makes the running of your department go more smoothly was going to shut down, and that you were going to have to transform into a satellite ED (SED)?
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What are the leading ED best practices in large health systems? According to one national survey, they include taking a business-like approach to the management of the department.
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A growing number of EDs are using physician scribes to help with histories and physical exams, but Joe Danna, MD, FACEP, has been using scribes for much, much more, and he says it's made a world of difference when it comes to staff morale.
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An intervention that provided housing and case management to homeless adults with chronic medical illnesses reduced hospitalizations and ED visits in two Chicago-area hospitals, according to a study recently published in The Journal of the American Medical Association.
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The leaders at San Francisco General Hospital were more than happy to participate in a nationwide Centers for Disease Control and Prevention (CDC) program that offers routine rapid HIV testing to all ED patients, but they believed strongly that universal testing was not practical.
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In a recently released advisory opinion, the Health and Human Services' Office of Inspector General (OIG) has told the facility that requested the opinion, which they didn't disclose, that its plan to compensate physicians for taking call represented "a low risk of fraud and abuse."
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[Editor's note: A new study finds a large care gap that imperils the public health response to HIV prevention and treatment. When prisoners are released into the community, they often do not seek care or access their HIV medications. In this issue of AIDS Alert, we examine the implications of this problem and how the study reached its conclusions. Also, in the August, 2009, issue of AIDS Alert, we'll have a story about a New York prison re-entry program that serves as a vehicle for HIV prevention, as well as a way to reduce prison recidivism.]
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HIV care in industrialized nations might best be served by a coordinated system of care that includes a general practitioner working with an HIV clinic, research suggests.
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hese guidelines were last updated for adults in 2002 and for adolescents in 2004. The document (available in pdf format through the link above) is a 209-page file containing 1,391 references which update current recommendations for the prophylaxis and treatment of HIV-related OIs. As with most guidelines published in recent years by professional societies, a well-qualified expert panel has thoroughly reviewed both new and old data and has developed a relatively comprehensive document which will be of use to physicians who treat complicated HIV patients.
