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As many as 170 hospitals could be subject to wall-to-wall inspections this year under the U.S. Occupational Safety and Health Administrations targeted inspection program.
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Infection control professionals attempting to comply with accreditors and do a root-cause analysis of fatal nosocomial infections must set narrow patient definitions and work closely with their quality improvement colleagues if any meaningful prevention data are to come out of the controversial initiative, an ICP warned.
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National patient safety legislation that would encourage the confidential reporting of medical errors is critically needed in todays health care system, urged Dennis OLeary, MD, president of the Joint Commission on Accreditation of Healthcare Organizations in Oakbrook Terrace, IL.
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When the administration at Davis Memorial Hospital in Elkins, WV, redesigned its case management department, improving reimbursement for emergency department (ED) patients and same-day-surgery patients was a major goal.
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Before the case management staff at Davis Memorial Hospital in Elkins, WV, went live with its newly designed case management plan, staff worked hard to sell the new arrangement to hospital staff and attending physicians.
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Case managers are in an excellent position to help their hospitals balance both the clinical and the financial sides of patient care, asserts Teresa C. Fugate, RN, BBA, CPHQ, CCM.
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In these times of dwindling health care reimbursement, there's no phrase more significant to managers - and their bosses - than "denial management."
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Today's case managers need to understand outcomes and track them in order to prove that their interventions have value, says Mary Jane McKendry, RN, CCM, MBA, director of education, training, and consulting for McKesson and president-elect of the Case Management Society of New England in Hampstead, NH.
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With payers sharpening their pencils and refusing to pay for what they deem to be unnecessary hospital stays, case managers need more than ever to help their hospital balance the clinical and financial aspects of health care.
