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The electrocardiogram (EKG) and x-ray of a chest pain patient in his mid-50s were both normal when examined by the treating ED physician. However, the physician's shift ended before the patient's lab results were back. Based on the test results that were back, the oncoming ED physician discharged the patient as "chest pain, non-cardiac." Several hours later, the lab results came back with critical values.
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The federal government, through the Emergency Medical Treatment and Active Labor Act (EMTALA), as well as some states such as California and Florida, mandates hospitals and physicians to provide medical services to anyone presenting to the hospital's emergency department (ED). Why shouldn't governmental liability protections, such as immunity and/or damage limitations, apply to providers of emergency services?
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Rationing. Responsibility for immigrant health care. Socialism. Death panels. Individual responsibility. Single-payer option. Malpractice reform.
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The American Recovery and Reinvestment Act of 2009 (ARRA), signed into law earlier this year by President Obama, contained within it about a $20 billion allocation to increase provider utilization and networking of electronic medical records (EMR).
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Calling it "a significant turning point in American society's evolution to empower terminally ill patients with information and choices about how they will die," an article by the director of legal affairs for Compassion & Choices points to four medical professional and health policy organizations that have adopted policy to support physician-assisted suicide.
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In an increasingly diverse society, case managers must be aware of the cultural beliefs and practices of the people they serve in order to effectively coordinate their care and help patients or clients adhere to their treatment plan, says Catherine M. Mullahy, RN, BS, CRRN, CCM, president and founder of Mullahy & Associates, a case management training and consulting company.
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Increasingly, health plans and provider organizations are taking steps to understand the beliefs and values in the populations they serve and help gear their treatment plan to accommodate them.
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Eldery Mexican-Americans have higher rates of chronic illness than their non-Latino counterparts, but many don't receive the care they need because they and their caregivers resist home care services, says Janice Crist, RN, PhD, associate professor at the University of Arizona College of Nursing.
