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TJC, medical societies warn of EHR safety issues
In a recent Sentinel Event Alert, The Joint Commission warned of how incorrect or miscommunicated information entered into health IT systems might result in adverse events.
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The Top 10 Mistakes You May Be Making In Your Case Management Department! Part 3
This month, we will be discussing three more of the top 10 mistakes that your department may be making and how to potentially improve or eliminate them.
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CMS proposes to OK one-midnight inpatient stays
CMS has proposed that stays shorter than two midnights be reimbursed as inpatient stays if the documentation in the medical record supports it.
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Bundled payment initiative means eliminating silos, standardizing care
The bundled payment arrangement at Abington-Jefferson Health in Pennsylvania has improved communication between all members of the treatment team and eliminated silos between the inpatient and outpatient sides of the hospital.
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Adequate CM staff is vital as reimbursement models change
Case managers can’t do what is necessary to help their hospital succeed under the new global payment models if they are busy juggling care coordination for 25 or 30 patients.
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New payment models require a shift in thinking
Under the DRG payment system, case managers have been pressured to get patients out of the hospital as quickly and safely as possible, but that’s not the case in bundled payment arrangements.
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Get ready: Bundled payments are in your future
The Centers for Medicare & Medicaid Services’ mandatory bundled payment pilot project makes clear that the agency intends to reform Medicare reimbursement.
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Decision not to operate on 2-year-old results in death and $6.25 million jury award
A 2-year-old girl died after her stomach ruptured from a recurring and treatable symptom. The girl had stomach issues in July 2009. After being sent to a second hospital, an examination of the gastrointestinal tract revealed the girl suffered from gastric volvulus, which can cause the stomach to twist on its axis.
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Failure to update a patient’s EHRs leads to $35.4 million verdict against hospital
In 2004, a female Boston Marathon runner became dizzy after completing the race. The dizziness became so severe that the woman went to the hospital seeking treatment.
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Hospitals sued over claims they limited marketing
The DOJ sued four hospital systems that it says for years unlawfully agreed to allocate territories for marketing, which it says denied consumers and physicians important information about competing providers and other benefits of unfettered competition.