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Collaboratives have sprung up all over the country, and many boast impressive results. However, few can lay claim to as many accomplishments in a relatively short period of time as the Iowa Healthcare Collaborative (IHC).
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DMC Sinai-Grace Hospital in Detroit has been recognized by the Institute for Healthcare Improvement (IHI) for reducing its heart failure readmission rate by 30% this past year.
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There are any number of reasons why an ED and its hospital would have difficulty complying with The Joint Commission standard regarding egress, says Diana S. Contino, RN, MBA, FAEN, senior manager of health care with Deloitte Consulting in Los Angeles.
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As The Grateful Dead might say if asked to describe the various iterations of the National Patient Safety Goal (NPSG) for medication reconciliation, "what a long, strange trip it's been."
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What should ED managers be doing while they wait for The Joint Commission to publish a new standard for medication reconciliation?
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Sheri Lasater, manager of patient access for Penrose-St. Francis Health Services in Colorado Springs, says that wait times have been minimized for scheduled patients through a comprehensive pre-registration program.
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The patient access department at Methodist Charlton Medical Center in Dallas recently switched to an automated quality assurance (QA) system. "I had recently come from a very automated facility and was well aware of the benefits a good automated system can provide," says Jeanette Foulk, director of patient access.
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Time to upgrade some of your copiers? Are you planning to sell the old machines to recoup some money to use for new ones? Think twice before placing your "for sale" sign on the copier because you might be selling more than just the machine.
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The role of your patient access staff has undoubtedly changed dramatically and will continue to become more complex. It's likely, though, that the way you evaluate competencies doesn't reflect this evolution.