Hospital Peer Review – April 1, 2014
April 1, 2014
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CMS announces delay in two-midnight rule enforcement
On January 30, the Centers for Medicare & Medicaid Services (CMS) announced a delay until Oct. 1, 2014, in post-payment Recovery Audit Contractor (RAC) audits of hospital admissions to determine compliance with the contentious "two midnight" rule. -
Checklists come to nursing
Sometimes the best lessons come when things do not work out as planned. Nathan Rozeboom, RN, MPH, CCRN, a nurse manager at Harborview Medical Center in Seattle, learned that in the aftermath of a project for his master's degree three years ago. At the time, he was assistant manager in a neuro intensive care unit. -
Recent research on the benefits of bedside report
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Common reasons against in-room report
It is not always easy to get people to change behaviors. Nathan Rozeboom, RN, MPH, CCRN, a nurse manager at Harborview Medical Center in Seattle, experienced that when he tried to get nurses on a neuro intensive care unit to start giving report in the room with patients and their families. There was always a reason why some nurses just couldn't do it. -
Pushing the envelope in lines of service
If you had to guess what department Sara Bohling, MSN, RN, APRN-CCNS, Certified Neonatal Clinical Nurse Specialist, worked in at Saint Elizabeth Regional Medical Center in Lincoln, NE, it would probably be pretty easy. She has a soothing voice meant for calming infants, singing songs, and telling stories. -
Aha moment leads to new burn protocol
Temp management cuts mortality in burned kids. -
Did the HEN lay an egg?
The Hospital Engagement Network (HEN) a joint effort of the American Hospital Association and the Health Research and Educational Trust released its annual report last month, showing some slow progress on key quality metrics, but a lack of progress on many of the goals touted by the organization. -
HCUP outlines costliest surgical procedures
Go to the hospital for an operation, and you're less likely to die, but your cost of care is, on average, two times as expensive as a non-surgical stay. The length of stay, though, wasn't much different: Five days for a surgical patient compared to 4.4 for a non-surgical patient. -
Pained patients = unhappy patients
A poster presentation at the annual meeting of the American Academy of Pain Medicine in March showed a correlation between patients who had high post-surgical pain and low patient satisfaction scores. -
Patient engagement spurs better health
It will be no surprise to quality professionals that research shows that patients who lack the skills and confidence to manage their own healthcare often require more of it and incur higher healthcare costs.