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With their hectic schedules and demanding work responsibilities, emergency physicians are particularly vulnerable to symptoms of burnout. One study showed that more than half of emergency providers reported at least one symptom of burnout when they were asked to fill out a survey tool used to measure burnout more than any other type of provider.
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Medical record cloning is rapidly becoming a target of Medicare audits as more hospitals and medical practices move to electronic medical records (EMRs). As the health care industry has realized significant advantages from use of EMRs, documentation has drawn increasing governmental attention due to the increase in charges.
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Nothing changes, nobody cares. That bleak title of a recent journal article tells the story of workplace violence through the eyes of emergency room nurses.
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The Centers for Medicare & Medicaid Services is increasing its emphasis on discharge planning and has developed a worksheet for surveyors to use to determine if hospitals are in compliance with the Conditions of Participation.
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The discharge planning worksheet that surveyors will use to assess hospitals compliance with Medicare Conditions of Participation highlights the need for case managers to be more proactive in discharge planning and identifying the right post-acute setting in a timely fashion, says Laura Jacquin, RN, MBA, managing director for Huron Healthcare, a Chicago-based consulting firm.
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Nurses are at high risk of stress caused by work-family conflict (WFC) partly because of the physical and emotional demands of their long shifts. One solution could be to permit some worker self-scheduling, an expert says.
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Using a Centers for Medicare & Medicaid Services Innovation grant, Beth Israel Deaconess Medical Center in Boston launched a program to prevent readmissions.
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By analyzing heart failure readmissions and collaborating with post-acute providers and community organizations, Essentia Health-St. Josephs Medical Center in Brainerd, MN, cut its readmission rate from 18% to a low of 6%.
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When the Centers for Medicare & Medicaid Services (CMS) changed the way in which it would reimburse hospitals based on the number of Medicare 30-day readmissions they had, hospitals began a long journey of discovery.
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Its no longer enough for case managers to create a discharge plan and forget about the patient as soon as he or she is out the door, advises Jackie Birmingham, RN, BSN, MS, CMAC, vice president emerita of clinical leadership for Curaspan Health Group, a Newton, MA-based transition management software company.
