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Something had to give. After several years of stagnation or even decline in compensation for ED managers, salaries have begun to improve, according to the 2010 ED Management Salary Survey.
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The debate has been simmering for a while, but it came to a boil recently when the American Academy of Family Physicians (AAFP) threw down the gauntlet with its recent position paper,
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When the situation warrants it, The Joint Commission will re-visit a topic that it previously has covered in a Sentinel Event Alert to look at it from a different point of view.
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A study conducted in the ED at St. John Hospital and Medical Center in Grosse Pointe, MI, has found that ED staff placed unnecessary urinary catheters (UCs) in nearly half of women 80 or older. The study was published in the November 2010 issue of the American Journal of Infection Control.
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If there are any doubts that improving patient flow also enhances patient safety, the recent experience of the ED at Enumclaw (WA) Regional Hospital should dispel them.
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There's little doubt that as health care reform rolls out and all payers tighten their reimbursement, hospitals are going to depend more and more on case managers to help them ensure that patients receive the appropriate services in an efficient manner and safely move to the next level of care.
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If you're not already doing it, you need to start reviewing the cases of your patients receiving Medicaid benefits as vigorously as you do those of Medicare patients.
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In 2004, as talk of health care reform escalated, North Oaks Health System appointed a multidisciplinary process improvement team to determine what changes the hospital needed to make to prepare for where health care was going in the future.
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In three months following participation in a program that provides care management and outpatient services to the frail elderly in their homes after discharge, patients in Dartmouth Hitchcock Regional Medical Center's Bridge Program experienced a 41% decrease in emergency department visits and a 27% decrease in inpatient admissions compared to the three months before the program began.
