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Two out of the three pandemics in the 20th century made a first pass and then returned in a more virulent "second wave."
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The Centers for Medicare & Medicaid Services' (CMS) proposed payment policies and payment rate updates for services furnished to beneficiaries during calendar year 2010 in hospital outpatient departments under the outpatient prospective payment system (OPPS) should have no major impact on ED managers, according to Barbara K. Tomar, federal affairs director of the American College of Emergency Physicians, Washington, DC.
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While ED managers have awaited the results of The Joint Commission's Strategic Improvement Initiative (SII) with some trepidation, their fears by and large might have been unfounded based on some early comments.
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The ED at Twin County Regional Hospital in Galax, VA, succeeded in cutting its door-to-doc time from 121 minutes to 19 minutes in just seven weeks â while annual volume was climbing from 19,000 to about 30,000 â by combining a process improvement plan designed by a health care consulting firm, the leadership of the hospital CEO, and the ED's medical director.
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After months of anticipation, The Joint Commission has released its "proposed requirements to advance effective communication, cultural competence, and patient-centered care" for field review. If approved, they will represent some significant new challenges for ED managers.
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The number of claims denials was always an important metric for patient access, but now it's front and center, in more ways than one.
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"With layoffs now hitting hospitals and legislation and government bodies reducing payments, health care facilities cannot afford not to automate," says Katherine Murphy, CHAM, director of access services for Nebo Systems, a subsidiary of Passport Health Communications in Oakbrook Terrace, IL. Murphy also is a delegate to the National Associate of Healthcare Access Management and the president of the Illinois Access Association.
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To really motivate your staff, you'll need to do more than simply check a "meets expectation" box on their annual reviews.
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Training and education costs often are the first items on the chopping block when it's time for budget cuts. By offering education online, costs can be cut while quality is maintained.
