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Preparation for Joint Commission surveys and measuring performance improvement at St. Vincent's HealthCare in Jacksonville, FL, involves all staff. And it seems to be a method that works. The hospital was just recognized for the fifth consecutive year as a Distinguished Hospital for Clinical Excellence by HealthGrades.
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Five years after implementing the Adverse Health Care Events Law, which requires hospitals and ambulatory surgery centers to report on 28 quality measures, the Minnesota Department of Health published a retrospective report: "Adverse Health Care Events Reporting System: What have we learned?"
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In February 2008, 12% of the patients who presented to the emergency department at Gaston Memorial Hospital in Gastonia, NC, left without being treated. By the end of January 2009, that figure had dropped to 1.3%.
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While the Kaizen methodology, developed by Toyota, involves examining processes in minute detail, it ironically can lead to rapid improvement in ED processes, says Sonya Carver, RN, clinical manager/days for the ED at Gaston Memorial Hospital in Gastonia, NC.
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No emergency department cuts its average door-to-doc time from 93 minutes to 20 minutes by accident. The success story at Memorial Hermann Memorial City Medical Center in Houston was the result of discovering a patient flow model at another facility that was superior to theirs, and then continuing to search out additional models to come up with their own system that best addressed their specific needs.
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Winning a malpractice case takes more than success in the courtroom: It also requires ongoing best practices on the part of the ED manager to educate and prepare the staff for possible lawsuits.
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A recent federal appeals court decision clarifies how far an investigation into "disruptive behavior" goes under the Health Care Quality Improvement Act.
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Sen. Chuck Grassley (R-Iowa) and Sen. Herb Kohl (D-WI) have introduced legislation that would require not only pharmaceutical companies, but also makers of medical devices and biologics, to publicly report any money over $100 that they give to physicians within a year.
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President Obama may have signed the $787 billion stimulus package with the expectation that it will create jobs and jumpstart the economy, but businesses including those in the business of health care are still feeling financial pain.
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Planned Parenthood Federation of America (PPFA) and Planned Parenthood of Connecticut were among those filing lawsuits asking the U.S. District Court for the District of Connecticut to invalidate the administrative regulation finalized in December by the U.S. Department of Health aÿ