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A recent Institute of Medicine (IOM) report recommends that Medicare gradually replace its current fee-for-service payment system with a new pay-for-performance system for its 42 million beneficiaries.
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When Joint Commission surveyors walked into Sacred Heart Hospital in Allentown, PA, the hospital's "backup" system went into effect. For everyone not present, a backup person went into action who knew where all the relevant documents were.
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Case management is a collaborative process at Edward Hospital in Naperville, IL, with advanced practice nurses leading a team that includes utilization managers, social workers, and staff nurses.
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As of 2005, only between 5% to 10% of hospitals are currently using electronic health records (EHR), according to a new study. The researchers urge greater attention to EHR adoption by safety-net providers and others who care for underserved populations.
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Social work services provide an important link between ambulatory and inpatient providers and health care clients. Social workers assist patients in finding available and appropriate resources, help with financial issues, arrange transportation for patients, and conduct many more enabling tasks.
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Under expanded safe harbors to anti-kickback statutes, physicians are now allowed to accept donations of electronic prescribing software, electronic health records software, and training services from hospitals and health plans, says the Department of Health and Human Services (HHS).
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When Lyn Clark, RN, BSN, became case management director at Lake Granbury Medical Center in Granbury, TX, she found herself with a staff working with no direction and who had very little knowledge about the role of case management in the hospital setting.
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Data from Premier Inc.'s pay-for-performance demonstration project with the Centers for Medicare & Medicaid Services (CMS) indicate that improving the care of pneumonia and heart bypass patients alone can save as much as $1 billion a year, as well as thousands of lives.
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The Department of Health and Human Services' Office of Civil Rights has issued a decision tool for disclosures for emergency preparedness under HIPAA.
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For the first time in several years, the Joint Commission on Accreditation of Health Care Organizations has revised the look-alike/sound-alike drug list.