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When Providence Health Care system, a network providing health care at several sites in Vancouver, BC, was formed in 1997, the ethicist for the system saw an opportunity to build on that peer-adviser idea as a way to handle day-to-day ethical dilemmas. They created ethics mentors in every unit of every hospital in the system.
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From the time of the ancient Greeks, learning about the human body and how to manipulate and treat it has involved the use of cadavers. Western medicine still relies on the use of cadavers for teaching purposes, but one aspect of the use of dead bodies has emerged in recent years as a point of debate: Should medical personnel obtain consent from family members before practicing medical procedures on a newly deceased person?
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A nurse checks in on a 72-year-old patient recovering from pneumonia and, after checking her vital signs, asks if theres anything the patient needs. Instead of asking for water or a snack, the patient replies, Will you pray with me? What is the appropriate answer?
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Question: How do we avoid patient hoarding, in which nurses or physicians intentionally delay moving a patient out to delay the next patient and give themselves a breather?
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Want to cut your diversion hours down to zero? Thats exactly what Hoag Memorial Hospital Presbyterian in Newport Beach, CA, has done by instituting its emergency saturation triage, or Code EST. When Code EST was implemented in July 2000, diversion hours were about 130 monthly.
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The National Consensus Project for Quality Palliative Care, a consortium of five palliative care organizations, has released a set of clinical practice guidelines to promote quality palliative care in the United States.
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Case managers will be invaluable to their hospitals if the Centers for Medicare & Medicaid Services (CMS) institutes pay-for-performance measures for all hospitals, Teresa Fugate, RN, BBA, CPHQ, CCM, asserts.
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Sometime in the next few years, your hospital could receive some of its Medicare reimbursement based on how well it performs, if the Centers for Medicare & Medicaid Services (CMS) follows its typical course of action.
