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Sometime in the next few years, your hospital could receive some of its Medicare reimbursement based on how well it performs, if the Centers for Medicare & Medicaid Services (CMS) follows its typical course of action.
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One of the issues constantly plaguing emergency departments (EDs) is the hidden bed a precious commodity when a crunch is on. But there are a number of methods that can help identify those beds sooner, says Marty Karpiel, FACHE, FHFMA, president of Karpiel Consulting Group in Long Beach, CA.
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She may be an ideal candidate for thrombolytic therapy: A woman tells triage nurses that she first noticed symptoms exactly two hours ago. But by the time the patient is appropriately assessed, the window of time for eligibility to be treated with thrombolytics has passed.
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What has been called the first large-scale study to examine patient safety issues for isolated coronary artery bypass graft (CABG) showed that hospitals with the highest compliance with three recommended protocols had notably lower risk-adjusted mortality rates than those hospitals whose compliance ranked in the bottom 20%.
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A post-discharge follow-up program for congestive heart failure (CHF) patients has decreased the readmission rate by more than half at Harper University Hospital in Detroit. Nurse case managers specially trained to do triage assessment by telephone follow up with the CHF patients after discharge, making sure patients monitor their weight and blood pressure on a daily basis and reinforcing the patient education instructions patients received during their hospital stay.
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Acute myocardial infarction; Coronary artery bypass graft (CABG); Heart failure; Community-acquired pneumonia; Hip and knee replacement.
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An enhanced care management program is the keystone of Bon Secours Health Systems systemwide performance improvement initiatives in connection with the Centers for Medicare & Medicaid Services pay-for-performance demonstration project.
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In addition to increased numbers of mentally ill patients, emergency departments (EDs) are seeing more uninsured patients than in the past, and the numbers could grow, warns Brian Hancock, MD, president of the American College of Emergency Physicians (ACEP) in Irving, TX. Your budget planning should factor in more uninsured patients, not just the same level you have coped with for years.
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Are admitted patients being held for a long time in the emergency department while they wait for an inpatient bed to become available? Do patients in specialty care units stay longer than necessary because there is no general unit bed for them to be transferred to?
