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As part of the financial aid program at the New Orleans-based Touro Infirmary, there is a clinic for uninsured or underinsured patients, says Beth Keith, CHAM, director of patient business services.
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In response to suggestions that two laws enforced by the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS) may prevent hospitals from offering discounted prices to uninsured patients. The OIG discusses each law on its web site, www.oig.hhs.gov, as follows.
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Encouragement from the Bush administration for hospitals to give discounts to uninsured patients and financially needy Medicare beneficiaries will have little impact, say some access professionals surveyed by Hospital Access Management, mostly because hospitals already give such discounts under the name of charity care and uncollectible bad debt.
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A third option to the Periodic Performance Review (PPR) has been approved by the Joint Commission on Accreditation of Healthcare Organizations. Earlier this year, Joint Commission created two options to the self-conducted midcycle review for organizations that may be concerned about the discoverability of PPR information shared with the Joint Commission.
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Reports of adverse events, including the death of a cosmetic surgery patient, after administration of propofol by RNs have resulted in a change in anesthesia standards for some organizations accredited by the Gurnee, IL-based American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF).
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Old habits are hard to break, and the Joint Commission on Accreditation of Healthcare Organizations is asking same-day surgery staff members to break some habits theyve had since nursing and medical school. National Patient Safety Goal No. 2 requires health care organizations to standardize abbreviations, acronyms, and symbols and to develop a list of do-not-use abbreviations.
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Human subjects training is typically a part of human subjects protections programs. Such training has taken the form of in-house seminars given at regular intervals and web-based activities. Regardless of the form, the objectives are simple: Give those involved in human subject research ethics and regulatory information that will promote beneficence and compliance with regulations.
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Small colleges and undergraduate departments at universities are finding it increasingly important to formalize their human subject protection programs while making certain IRBs are reviewing what they should and not filling agendas with a lot of unnecessary reviews, several experts say.
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IRB members who are confused about whether research containing an oral history is subject to IRB review are not alone. The Office for Human Research Protections (OHRP) has written two letters on the matter, leaving some room for contradictory interpretation until guidelines are issued, possibly this year.
