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As health insurance costs escalate and employers reduce coverage for employees, raise deductibles, or stop providing health insurance altogether, hospitals are providing care for an increasing number of patients who have no means to pay.
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When patients are medically ready to leave the acute care hospital and have no coverage for post-acute care, it's a "no-brainer" for the hospital to pay to move the patient to a lower level of care, says Jay Cayner, director of social patient and family services at the University of Iowa Hospitals and Clinics.
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A middle-aged male patient let's call him "Tom" showed up in the emergency department at Massachusetts General Hospital in Boston about a year ago complaining of pains in his chest and legs.
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Oakwood Hospital and Medical Center reduced the number of patients waiting more than four hours in the emergency department by 35% and cut salaries by $60,000 after installing an electronic bed management system that provides information on bed availability and patient status and location in real-time.
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Behavioral health patients are put at risk if the players coming to the table are not coordinating efforts to make the most efficient use of available resources, notes Mark Catalano, LCSW, manager of admissions at Seton Shoal Creek Hospital in Austin, TX.
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Emergency physician groups have dealt with the realities of claims-made liability coverage for years now, yet many continue to be unpleasantly "surprised" when it comes to their "tail coverage." Tail coverage: allows the insured an extended period of time for the claim to mature or be reported to the insurance company.
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You may hear phrases such as "gross negligence" and "willful and wanton misconduct" stated by the media, but these terms also are important for many health providers in that they can limit liability for providing medical care.
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There is now considerable data indicating that the use of high-dose steroids for spinal cord injuries is not effective and can even be harmful to patients. Despite this, are ED physicians still "obligated" in a legal sense, to administer high-dose steroids to patients with spinal cord injuries?
