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The key to avoiding emergency department boarding is to move patients through the continuum as quickly and safely as possible.
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If your hospital moves discharged patients out of their room before they have transportation home or admits patients to the nursing station while they wait for a room, its time to rethink the idea, some experts say.
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Last month, we reviewed the fundamentals to patient flow concepts and theories.
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Keeping admitted patients on stretchers in hallways because there are no inpatient beds available is an increasing problem as emergency departments experience an increase in patients and hospitals downsize their bed capacity.
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When patients who are over age 65 come into the emergency department at St. Mary Mercy Livonia Hospital in Livonia, MI, they are triaged to a 14-bed dedicated senior emergency department unit designed to meet the special needs of the senior population.
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The first time Winthrop University Hospital in Mineola, NY, experienced a mobile review from National Government Services, New Yorks Medicare Administrative Contractor (MAC), the panel of three nurses reviewed 20 cases on site and denied claims for all 20 cases.
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Leveraging knowledge gained from previous initiatives, including an Institute for Healthcare Improvement (IHI)/Ascension Health/Premier collaboration, hospitals in the Premier Perinatal Safety Initiative (PPSI) use two methods to create high-reliability healthcare teams: increased adherence to evidence-based care bundles, and enhanced communication and teamwork.
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Healthcare giant HCA, based in Nashville, TN, must pay a Kansas City, MO, charitable foundation $162 million and undergo extensive auditing after a judge found that the for-profit hospital operator broke key agreements regarding charity care and capital expenditures in its billion-dollar purchase of hospitals from Health Midwest in 2002.
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The maximum penalty for a data breach under the Health Insurance Portability and Accountability Act (HIPAA) is now $1.5 million, six times higher than the original fine under the law. That change is just one of the significant changes in the final HIPAA rule released recently by the Department of Health and Human Services (HHS).
