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Frank Zibrat, associate director, ORYX implementation at The Joint Commission, says one of the areas hospitals are still struggling with regarding the core measures is the surgical care improvement project (SCIP) measures. Specifically, "the issue of the discontinuation of antibiotics and the selection of antibiotics."
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A new emergency department (ED) triage system at Baptist Hospital in Pensacola, FL, decreased the time that elapses between when patients arrive and when they are treated by 33%, slashed the number of patients who left without treatment by 50%, and cut 20 minutes off the total turnaround time from when patients arrive at the ED and when they are discharged or admitted.
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Some health care facilities provide medical treatment to people throughout the United States, while others serve those who live in the surrounding neighborhood.
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Dr. Eric Toner is a senior associate with the Center for Biosecurity of the University of Pittsburgh Medical Center (UPMC). He is a physician board certified in internal medicine and emergency medicine.
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Knowing your readmission rate is critical and will become even more important as the health care industry waits for the Centers for Medicare & Medicaid Services' decision on how to alter reimbursement based on rehospitalization rates.
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While measure sets on venous thromboembolism (VTE) and stroke were expected to be part of the Centers for Medicare & Medicaid Services' (CMS) recently released proposed 2010 rule for the inpatient prospective payment system (IPPS), the draft did not include those as required measure sets for reporting in 2010.
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Much like it did with the accreditation standards, The Joint Commission is considering "recategorizing" the core measures into groups, says Jerod M. Loeb, PhD, executive vice president for quality measurement and research.
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One patient who was attending a preoperative class for joint replacement patients at Geisinger Health System joked that he was being discharged before he ever got to the hospital, recalls Trisha Whispell, BSN, MSW, ACS, social work care manager, who, with her RN care manager partner, presents a pre-admission class on joint replacement and manages care for patients after surgery.
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The senior emergency center at Holy Cross Hospital in Silver Spring, MD, may be a rarity, but based on the responses of patients and staff not to mention our increasingly aging population perhaps more EDs should consider creating a separate unit for older patients.
