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A recent jury verdict in Florida may provide support for hospitals considering sending long-term, high-cost patients back to their home countries.
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According to a recent survey of neurologists, "clinicians vary greatly in the education and support they provide or recommend for people with MCI [mild cognitive impairment], suggesting that there is a need for practice guidelines in this area."
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In an unusual pairing, Beth Israel Medical Center in New York City has teamed with the New York Zen Center for Contemplative Care to apply the approaches of its Zen Buddhist chaplains to the anxieties and pains spiritual or physical of hospital patients.
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The Joint Commission (TJC) is launching a national campaign to help parents make a difference in their children's lives by being actively engaged when their children receive health care.
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The American Medical Association's policy in Opinion 2.035 on Futile Care clearly states: "Physicians are not ethically obligated to deliver care that, in their best professional judgment, will not have a reasonable chance of benefiting their patients. Patients should not be given treatments simply because they demand them. . . ."
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In an effort to improve the physician-patient dialogue for patients diagnosed with Alzheimer's disease, the Alzheimer's Association suggests that physicians keep in mind its Principles for a Dignified Diagnosis.
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Top executives of Detroit's five major hospital systems, in an effort to offset what some see as "inappropriate" ED care, i.e., primary care services for uninsured or underinsured patients, are considering a plan that would put federally qualified health centers (FQHCs) inside their hospitals' EDs.
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If you're in a brand-new ED and patient flow remains an issue, expansion is clearly out of the question, but that doesn't mean you can't successfully address the problem.
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[Editor's note: This is the second column in a two-part series on the relationship between medical decision making and documentation. In the May issue, we covered the key components of medical decision making. This month we address risk as an element of decision-making. This quarterly column on ED coding is written by Caral Edelberg, CPC, CCS-P, CHC, president of Edelberg Compliance Associates in Baton Rouge, LA.]
