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The ED at Catawba Valley Medical Center in Hickory, NC, has realized annual savings in excess of $1 million with the implementation of staffing strategies that involved the virtual elimination of contract staff and overtime for nurses.
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The hiring of physician scribes, known as "clinical information managers," has helped Saddleback Memorial Medical Center, a five-hospital system based in Laguna Hills, CA, to save a significant amount of money by avoiding the hiring of physician assistants (PAs) for its two EDs.
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The ED managers and administrators at Cuyahoga Falls (OH) General Hospital and the Greater Baltimore Medical Center agree that careful attention to design considerations in their new departments significantly improved patient flow and communications among staff members.
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A new initiative at Boston University Medical Center called the Re-Engineered Hospital Discharge Program (RED) has significantly reduced additional ED visits and readmissions.
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Why has The Joint Commission backed away from medication reconciliation for 2009? "Basically because they realized it's very, very, very hard to do.
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Hays, KS-based Hays Medical Center was accredited by The Joint Commission for more than 30 years, but in November 2008 decided to go with Houston, TX-based DNV Healthcare.
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"This has been the single most difficult process I have ever worked on to try to implement," says John Benson, PharmD, quality manager, department of pharmacy services at Intermountain Medical Center in Murray, UT.
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Barnes-Jewish Hospital submitted its medication reconciliation initiative as a poster for the Institute for Healthcare Improvement.
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Wayne Memorial Hospital in Goldsboro, NC, was surveyed Jan. 26-30, 2009. But the 316-bed hospital, prepares for its survey just about every other day of the year.
