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A 35-year-old nurse practitioner was convicted for the murder of her husband. She became a murder suspect after investigators discovered she had lied about an extramarital affair and had surreptitiously left the hospital and driven to her house shortly before the house was discovered on fire with her husband inside.
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(Editor's note: This issue includes the first part of a two-part series on how a hospital addressed a wrong-site surgery. This month, we look at the details of the event and how the facility responded. Next month we look at what specific changes were made and how the top leader started networking with other CEOs on safety issues.)
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One-third of providers say their organization has had at least one known case of medical identity theft, and some of those cases might not have been reported, according to the most recent annual survey results from the Healthcare Information and Management Systems Society (HIMSS).
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Suppose you're a hospital case manager under pressure to move patients to another level of care and free up beds for patients boarding in the emergency department. What do you do if you think a patient really needs to stay in acute care?
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An innovative care coordination pilot project jointly developed by AmeriHealth Mercy Family of Companies' Keystone Mercy Health Plan based in Philadelphia, PA, and providers affiliated with the Mercy Health System, also based in Philadelphia, PA, resulted in decreased costs, reduced hospital admissions, and a decrease in inpatient days for members in the health plan's Medicaid managed care plan.
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AmeriHealth Mercy's care coordinator, Lynne Major MSW, CCM, touches base with every member who comes into the physician office where she works, encourages them to call her if they have questions and spending extra time with those who have complex needs.
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The Department of Health and Human Services'(HHS) recently published proposed rule (42 CFR 425) for Accountable Care Organizations (ACOs) could result in some positive changes for the health care industry, but there are a few problems that should be corrected, an expert says.
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Proposed rules for the creation of Accountable Care Organizations (ACOs) will require participating organizations to provide primary care to 5,000 or more patients and to meet 65 quality standards.
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Hospitals are working more proactively in forging relationships with the next-level-of-care providers, the experts say.
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When you're troubled by an ethical dilemma, don't go it alone. Reach out to your peers and your professional organizations for help, the experts say.
