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Now that the Centers for Medicare and Medicaid Services (CMS) has launched a program that adjusts Medicaid payments for provider-preventable conditions, including healthcare-acquired conditions, it's essential for case managers to work with physicians to make sure all conditions that are present on admission are clearly documented on a patient's chart.
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The ethical decision-making process is similar to the case management process and the nursing process. The steps include:
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While walking through a work area, an employee steps into a hole that was left unguarded, and twists his ankle. He doesn't tell his supervisor because he doesn't want to negatively affect Occupational Safety and Health Administration recordable injury rates.
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Occupational health nurses noticed that employees were reporting skin irritation from wearing safety goggles, and reported this to safety. After safety reviewed the situation, a new process was implemented for cleaning the goggles.
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The U.S. Occupational Safety and Health Administration (OSHA) briefly reopened the comment period on the proposed rule to record work-related musculoskeletal disorders (MSDs). The comments came from May 17 to June 16, about a month after two teleconferences focused on concerns of small businesses.
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The question "What can kill a worker?" will give you a different kind of answer than asking "What can hurt a worker?" says Gregg Clark, director of global occupational safety and hygiene for Dallas-based Kimberly-Clark Corporation, where a strategy of focusing on fatality elimination is currently being implemented.
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Direct costs of workplace injuries are fairly straightforward, but indirect costs are often ten times that amount. If occupational health doesn't consider indirect costs, which may be difficult to compute, prevention programs may appear not worth the expense.
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Keeping employees from gaining weight is a major challenge in any workplace, but a new study shows that in fact, very simple workplace design changes can help stave off weight gain.1 However, these interventions by themselves aren't likely to lead to weight loss.
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If your workplace is downsizing, don't be surprised if this causes some tension between occupational health and safety.
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It's time for hospitals to stand up for the health and wellness of their own.
