Imagine being told to send home almost one-third of your ED staff with absolutely no advance notice and those technicians, nurses, and physicians being off the schedule for several days. Thats exactly what happened to an ED manager at Presbyterian Hospital in Albuquerque, NM.
Hospital clinicians in the United States are watching with grave concern as severe acute respiratory syndrome (SARS) a rapidly emerging infection with unclear treatment options strikes the health care system of their Canadian colleagues.
This is the second of a two-part series on improving ED reimbursement under ambulatory payment classifications (APCs). This month, we cover staff physicians, supplies and medications, local medical review policies, and proper use of modifiers.
Ever since ED managers learned that their staff could be among those to receive the smallpox vaccine, there have been concerns about risks to both staff and patients, and staffing problems of epic proportions.
At the start of the smallpox vaccination program, there were concerns about compensation for individuals harmed by the vaccine, but Congress now has passed the Smallpox Emergency Personnel Protection Act of 2003.
If your emergency department is in the process of preparing for your hospitals triennial accreditation survey this year, or will have one in 2004 or 2005, it will be the last time you have to deal with the stressful ramp-up.
Emergency departments (EDs) received some welcome news in January when the Centers for Medicare & Medicaid Services (CMS) adopted the same edition of the Life Safety Code referenced in the Joint Commission standards. The change affects EDs accredited by the Joint Commission that receive Medicare reimbursement from CMS.
It sounds simple enough: When surveyors look at key accreditation areas, the performance of an emergency department (ED) boils down to whether the ED gives patients quality care in a timely manner. But when patient load and staffing dont mesh, or when concentration on the disease means the individual is ignored, the simple expectation of quality care in a timely manner may be a challenge.
Whether a bite or sting results in an anaphylactic reaction, impressive
local effects, or a life-threatening systemic reaction, the emergency
physician must be able to institute appropriate and effective
treatment. Emergency physicians also must be able to recognize clinical
envenomation patterns, since some critically ill patients may not be
able to convey the details of the attack. Since all areas of the
country are represented in the envenomation statistics, all emergency
physicians should be familiar with identification and stabilization of
envenomated patients and know what resources are available locally for
further management of these often complicated patients.