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To solve the problems that contributed to ED staff actions being considered as potentially criminal in recent cases of patient deaths in Los Angeles and Illinois, the answer doesn't lie in reducing risks of adverse events in patients kept waiting for hours.
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When a group of physicians starting emergency medicine residencies in California were surveyed, researchers found that malpractice fear markedly decreased the interns' enjoyment of medicine.
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Putting in place technology and processes to determine the financial resources of self-pay patients at the point of service (POS) has helped increase collections, reduce bad debt, and ensure accuracy of patient identification at Southern Regional Medical Center (SRMC) in Riverdale, GA, says Tracey Frederick, senior systems analyst.
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Patient access specialists at Texas Health Resources (THR) hospitals are learning their job "as it was meant to be learned," one of the many positive outcomes related to implementation of a centralized intake center at the Arlington-based health system, says the center's director, Jeff Ferrell.
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While the classic patient access mantra has become "garbage in, garbage out," managers themselves often fail to heed it, says Michael Friedberg, FACHE, CHAM, director, patient access services at Armanti Financial Services in Bloomfield, NJ.
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The average time spent in emergency departments rose in 2006, but so did patient satisfaction, according to a recent report by Press Ganey Associates. Based on the firm's patient surveys in 1,500 hospitals, patients spent an average of four hours in the ED, 18 minutes more than in 2005.
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The great majority of U.S. health care dollars are spent supporting the chronically ill, yet the traditional focus of hospital care is on the "episode of illness," notes Bob Whipple, RNC, CCM, CCS, MHA, a Boston-based senior management consultant with ACS Healthcare Solutions.
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Except as specified for emergency situations, all inpatient and outpatient medical records must contain a properly executed informed consent form prior to a patient receiving any type of treatment that requires informed consent.
