Hospital Management Topics
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Patients with Limited English Proficiency Pose Risks
It is critical for administrators to provide professional interpreter services for all languages commonly spoken among patient populations that present to emergency departments most often.
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Patients’ Race, Insurance Status Affect Likelihood of Ethics Consult
More frequent ethics consults in a given patient population could be a signal of more ethical dilemmas, or more conflict, communication issues, or bias. Regardless of the reason, the fact that a group of patients is going through more ethics consults is not necessarily harmful.
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Some Hospice Medical Aid in Dying Policies Require Staff to Leave Room
Ethicists recommend hospices consider revising policies so nurses can support their patients clinically and emotionally at a critical moment.
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The Complicated Ethics of Medical Aid in Dying
Some patients and staff alike do not know what the process is, which can lead to misconceptions. Others might not want to ask about it, while some might object on moral grounds. Researchers are working on better education.
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CMS to Test Innovative Primary Care Model
The focus is on better management of chronic health conditions by streamlining access to integrated services.
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Violence Continues to Threaten Hospital Workers and Patients
Violence in healthcare settings is an ongoing problem. Hospitals must create programs to prevent and track workplace violence. Staff should be trained in de-escalation and other tactics. A multidisciplinary threat assessment team should investigate concerns about potential violence. Data related to threats and violence should be carefully tracked.
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Establish Relationships with Law Enforcement to Improve Safety, Compliance
Hospital personnel often interact with law enforcement, sometimes resulting in stressful disputes. Establishing a cooperative relationship with police can prevent problems.
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With Law Enforcement, Be Courteous but Follow HIPAA Rules
When patrol officers or detectives request access to protected health information, healthcare providers should be reminded they are required to follow confidentiality protections governing these details and should be aware of the applicable limitations as well as ramifications if the rules are violated.
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Hospital at Home Rules Changing, Need Attention
Hospitals with hospital at home programs should consider legal and compliance risks since public health emergency has ended. Multiple regulatory issues are involved.
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Proposed HIPAA Change on Reproductive Care Could Be Significant
If finalized, the rule would modify HIPAA to create stricter privacy standards for reproductive healthcare records. Covered entities would need to evaluate their practices surrounding, and interactions with, reproductive healthcare information. That includes creating a process by which they can determine the lawfulness of any reproductive healthcare for which they possess protected health information.