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ED wait times have been the traditional headline grabbers. But more and more, people are looking at throughput and seeing a different monster altogether the OR.
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One path that leads to better care transitions and reductions in hospital readmissions is to break down the silos where care traditionally is delivered.
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Accountability. It's an oft-heard word these days in health care. But just what is accountability? The Joint Commission is setting out to turn the buzzword into something more meaningful, more definable with distinct criteria.
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In May, the Centers for Medicare & Medicaid Services (CMS) issued transmittal 59, clarifying the interpretative guidelines for the anesthesia services Conditions of Participation, the latest in a round of changes in the arena of anesthesiology.
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A lot of hospitals are doing it these days posting their emergency department wait times on bulletin boards, on their websites, or even through text messages.
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The American College of Emergency Physicians (ACEP) has three "low-cost, high-impact" solutions to boarding, says Sandra M. Schneider, MD, FACEP, president-elect of ACEP; professor of emergency medicine at University of Rochester (NY) Medical Center; and a physician at Strong Memorial Hospital, also in Rochester.
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It's not all about liability when it comes to admitting medical mistakes, and it's not all about the increase or decrease of lawsuits and, thus, costs.
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Currently, core measure data are used "in the context of a variety of processes here at The Joint Commission" including in public reporting and the priority focus process, says Jerob Loeb, PhD, The Joint Commission's vice president, division of quality measurement and research.
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In talking about understanding the reasons for errors in the effort to support higher reliability, Marty B. Scott, MD, MBA, VP, quality and patient safety at Memorial Health University Medical Center in Savannah, GA, points to James Reason's swiss cheese model, proposed in 1990.
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According to many stakeholders of the hospital-based inpatient psychiatric services (HBIPS) core measure set, it's been a long time coming.
