Tag Archives: policy

Financial Surge, Capacity Surge?

A variation on Field of Dreams: if funded, it will happen; hospital surge capacity seems relatively immune to $4B surge in federal spending. Our national health system is a crisis waiting to happen. When you consider that most notions of universal healthcare in the US have a component of market competition, it is hard to [...]

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Readmission, a Never Event in Waiting

Boston Globe:

According to a Medicare Payment Advisory Commission study, 75 percent of all 30-day hospital readmissions in Medicare in 2005 were potentially preventable…or 13 percent of total admissions. This represents a potential savings to Medicare of $12 billion in one year (PDF).

Higher rates of hospital readmissions are associated with infections[,] other complications acquired by patients [...]

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Surviving in the Safety Net

Congressional Quarterly:

The free clinics, hospitals and community health centers that provide care to people without insurance or other financial means are having to respond to a tougher health care marketplace by adopting the strategies of its more well-heeled competitors, in some cases curtailing free care as a result, according to a new study.

WSJ:

Hospitals meant to [...]

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Joint Seeks to Disrupt Disruption

AMN:
The Joint Commission is calling on hospitals to crack down on “disruptive” health care professionals, over concerns that such behavior impacts patient care. A new commission standard taking effect in January 2009 will require hospital administrators to adopt codes defining disruptive behavior and develop procedures to discipline medical staff and other health professionals who behave [...]

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What’s in your Augean Stable?

Waiting doom, good business move, or “agitprop” are begging the question whose stable is fuller? Reality checks:

EDs are overcrowded used to board inpatients.
Hospitals must be fiscally responsible, run like businesses.
Hospital either have no physical inpatient beds or have no staffed inpatient beds.
Where inpatient beds are not staffed, boarding in the ER is a more [...]

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Illegal, Uninsured and Under Scrutiny

Cost of caring for immigrants staggers hospitals, draws Congress’ attention
Laurie Cunningham | Miami Daily Business Review | 5.28.04
“Last week, the U.S. House of Representatives rejected a bill that would have required hospitals to ask patients coming to their ERs for proof that they are U.S. citizens or legal residents. For those without proof, hospitals would [...]

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Nursing Ratios on EMED-L

EMED–L #15782
EMED–L #15783

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