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The emergency department at Middle Tennessee Medical Center (MTMC) in Murfreesboro certainly qualifies as busy: It sees nearly 63,000 patients a year and averages more than 170 patients a day. Yet the average time it takes a patient to get to triage from entry into the ED is 14-17 minutes, and its door-to-doc time averages 35-40 minutes.
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In announcing its final rule for the Hospital Outpatient Prospective Payment System (OPPS) for calendar year 2009, the Centers for Medicare & Medicaid Services (CMS) reiterated its intention to strengthen the tie between quality of care furnished to people in hospital outpatient departments and the payments hospitals receive for those services.
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Discharge planning for orthopedic surgery patients at one major hospital begins well in advance of patients being admitted for surgery.
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Case management salaries are on the rise, but the vast majority of case managers are working far more than the typical 40-hour week, according to the 2008 Hospital Case Management salary survey.
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Sometimes the best response to regulatory and payer changes in health care is to improve the discharge planning process.
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When hospitals rely on a patient's family members to interpret medical news, they might be placing the patient at risk, an expert says.
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Hereditary ovarian cancer syndromes are uncommon, but are most often represented by mutation in BRCA1/2.
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Davis and colleagues report the results of a one-year, randomized, controlled clinical trial of 814 women not on estrogen therapy from 65 centers in the United States, Canada, Australia, the United Kingdom, and Sweden with hypoactive sexual desire disorder treated with transdermal testosterone, 150 or 300 µg per day, or placebo.
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The authors present a series of gynecological conditions that are effectively diagnosed by hysteroscopy, including adenomyosis, chronic endometritis, Mullerian anomalies, retained fetal bones, endocervical ossification, and intrauterine abnormalities. In addition, they note that hysteroscopy can be a major part of the treatment for these conditions.
