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Written by Carol Howard, VP of Clinical Strategy As Medicare Advantage (MA) continues to grow, hospitals have faced growing challenges in navigating complex policies, payer friction, and financial pressures. These changes will impact how hospitals approach their contracts and denial strategies.
Written by Carol Howard, VP of Clinical Strategy After a tough few years marked by the pandemic, staffing shortages, and rising costs, hospitals are finally starting to catch their breath. New data reveals a rebound in hospital margins, offering hope for health systems. and operating margins to 5.2%.
We previously posted about release of a new "Discharge Transfer Gateway" for inpatient charts opened by prescribers. SmartLinks have been enhanced to support inclusion of non-medication orders in personalized discharge documentation templates.
As part of the Alberta Medical Association's "Transitions in Care Talk" webinar series that explores evidence-informed practices to support patients transitioning from home to hospital and back home, a session on Improving the Quality of Discharge Summaries will be taking place on June 25, 2025, from 12:00 to 13:00.
Interview by Dr. Brian Fengler, Co-Founder and Chief Medical Officer Hospital length of stay (LOS) is a critical operational and clinical metric that directly impacts cost, patient flow, and care access. Many staff believed longer stays were justified due to the hospitals complex patient population.
The research showed […] The article Streamlining HospitalDischarge with Technology: A Strategic Imperative for Reducing Readmissions appeared first on electronichealthreporter.com.
When clinical teams embed learning into daily routines, reducing clinical variation becomes achievable and practice improvement in hospitals shifts from an initiative to a habit. Healthcare’s ability to continuously learn and refine practice is the backbone of safer care, stronger margins , and long-term organizational relevance.
We wait to be discharged. ” If you’re waiting to be discharged from the hospital, what time you’ll be able to leave is anyone’s guess since one hand often doesn’t know what the other hand is doing. In an article titled, “ Can Hospitality Cure the Woes of Healthcare?”
It can lead to unnecessary tests, treatments, admissions, and extended hospital stays , all of which inflate costs and introduce potential harm to patients. This includes things like the frequency of ordering specific tests, timing of discharge orders, or how often consults are requested.
Health Unit Coordinators perform crucial administrative functions in hospitals, clinics, and healthcare facilities, freeing up medical staff to spend more time with patients. Managing admissions, transfers and discharges. Common tasks include: Managing patient records. Arranging appointments for tests and procedures. Is the Job Hard?
Instead, he sees an opportunity to integrate multiple services to support both hospital and overall wellness goals. Dr. Wilcoxs journey into digital health started with a simple observation: patients in the post-anesthesia care unit were experiencing unnecessary delays in discharge, leading to longer hospital stays.
Warning about handing primary care to acute trusts The Government should be cautious about handing neighbourhood health management to hospital trusts, a senior adviser has warned. This includes discharge summaries failing to reach all the providers, and often not reaching the patients themselves.
A Profession That Needs Healing I started my nursing career in the ICU, told (as many of us are) that hospital experience was a must. I never got to know their stories, their families, or whether they ever found healing beyond discharge. And while the work was meaningful, it wasn’t fulfilling. My patients were often unconscious.
as more patients get discharged to hospital-for-home and more acute-care workflows that fall on burdened caregivers (that is, family members and friends). Here is ECRI’s list of patient safety concerns a decade ago in 2015. Many more of these have to do with “technology” and devices (e.g.,
Advancing these efforts, the BPCI Advanced model introduces a consolidated retrospective payment system that addresses services within a 90-day period following discharge or outpatient procedures. Collaborating with community-based resources allows hospitals participating in the BPCI to more adeptly aid those who are most at risk.
By predicting admissions and discharge patterns, AI helps prevent overcrowding and reduces wait times. Optimizing the Supply Chain Like patient flow management, hospitals and clinics rely on a steady flow of medical supplies and medications to provide effective care. Yet supply chain disruptions remain a common challenge.
Here’s how it works in practice: When a physician asks, “ What are the latest treatment protocols for diabetic patients with kidney complications based on our hospital’s outcomes data? It’s like having a senior attending physician available 24/7 who knows everything about our hospital’s operations.
Improving Access and Outcomes Using Success, Effort, Emotion, and Trust Metrics A nurse enters a hospital room for a routine blood draw. Hospitals with higher patient experience scores report a 161% better net margin than competitors with low scores. [1] She greets the patient, explains why she is there, and begins the task.
I handed them the same box of single ply tissues I was now sobbing into, as I handed them a pen to sign their discharge paperwork. Two weeks after my emergency room discharge, I continued to live life as if nothing happened, returning to work without any healthcare follow-up to address my emotional burden.
Practices warned about discharge safety Practices should ensure they assess the safety risks of the processes used to care for elderly patients after discharge from hospital. On average, practices receive 1,092 discharge summaries annually, Dr Spencer reports.
The patient safety team moves quickly to investigate, and they discover that the patient was a young woman who had given birth to her first child just two weeks ago at one of your hospitals. Anxiety was noted several times throughout her hospital stay. ” Her discharge notes state Difficulty coping with anxiety for past 1-2 weeks.
Hospitals are eligible if 10 percent of patients in the acute care facilities have Medicaid, and children’s hospitals. How many patients were discharged? EHs (Eligible hospitals) and CAHs (Critical Access Hospitals) must provide online data under 36 hours post discharge. These Criteria Includes 1.
The pavement was scorching, but the air-conditioned halls of the hospital were nearly refrigerated. Outside of the hospital, his life was a mess. Of course, I knew nothing about lupus, and wasn’t clear why he was even in the hospital or when he could go, but I knew his voice, the way he would pace the halls.
Dictate any pre-launch admission or transfer notes Launch 9 inpatient facilities are supported for dictation of admission histories, transfer notes, consultation reports and discharge summaries. The same applies for Consults performed in the coming week for patients expected to still be in-hospital post-launch.
Expanded Access to Improved Transition Planning Tools Connect Care provides a set of integrated supports that can help clinicians anticipate and plan for a patient's discharge from hospital. Designed to facilitate multidisciplinary collaboration, the Transition Planning Package improves communications within and across encounters.
For healthcare providers, IT professionals, and hospital executives, the discharge process is a critical juncture in a patient’s care journey. By Judit Sharon, CEO and founder, OnPage Corporation.
EMTALA, often referred to as the patient dumping statute, was enacted in 1986 to prevent hospitals from transferring uninsured or Medicaid patients to public hospitals without first conducting a medical screening examination to ensure they are stable for transfer.
KJ’s recovery—celebrated with a hospital “clap-out” and police escort—signals new hope for children with life-threatening genetic conditions. The therapy, developed by scientists at CHOP and Penn Medicine, corrected a specific mutation in KJ’s genetic code and marks a major milestone in customized treatment for rare pediatric diseases.
Faster Turnaround Processing Times Automation accelerates processes like discharge planning and procurement of medical supplies. For example, of the $372 billion spent on administrative complexity in the U.S. healthcare system, an additional $16.3 billion can be saved through workflow automation, according to Healthcare Finance News.
They describe a patient who found themselves discharged from a service for failing to attend an appointment, in spite of their efforts to reschedule. Call for action on patients awaiting discharge The Government is under pressure to take action over thousands of patients stuck in hospital and waiting for discharge.
The ones that don’t make it into social media posts or discharge summaries. As nurses, we often see these moments in the hospital. These are the moments we celebrate, the ones that make headlines or get highlighted in patient stories. But what about the moments that come after? But we don’t always talk about it.
But a $30 pizza dinner and healthy meal delivery avoided an unnecessary $20,000 emergency department visit and hospitalization, she said. MA plans are refusing payment for longer patient stays or readmissions, even when a hospital readmission is unrelated to an initial episode for a patient. “In
I did most of my inpatient general medicine on the 12 th floor of the Reisman building at Beth Israel Hospital. I remembered the details of all of their hospitalizations. He had been brought to the hospital after his neighbor heard him fall and called 911. He adamantly refused discharge to anywhere other than home.
The healthcare industry is at a pivotal juncture, with $320 million in Medicare readmission penalties impacting 2,273 hospitals this year alone. These penalties go beyond financial strain, […] The article How AI-Driven Care is Bridging the Gaps in Post-Discharge Healthcare appeared first on electronichealthreporter.com.
Lots of hospital patients do not have anything to wear when they finally get the all-clear to go home. That’s what happened to a man experiencing homelessness when he went to a hospital in Milwaukee, Wisconsin with a gunshot wound. All these hospitals have graciously taken students into their hospitals for training.
He was discharged from Auckland City Hospital without conviction after accidentally making one of his coworkers uncomfortable. He was then discharged on the spot. He worked in the construction industry for years before training to become a nurse at Auckland City Hospital in 2015. The incident occurred in February 2021.
Former President Bill Clinton was discharged from the hospital after being treated for the flu. Meanwhile, here's the latest from the CDC about influenza cases increasing
The Madera Community Hospital in California closed its doors in January after struggling to pay its bills. But a member of the board recently confirmed that the hospital still owes some $2 million to former employees in the form of unused vacation time, sick time, and other compensation time based on the facility’s records.
Image: Thinkstock | Dorling Kindersley RF Some hospital patients are unforgettable, whether because of their terrible visitors or their wild antics. Here are the top 10 craziest things patients have insisted on keeping in their hospital rooms, as told by you ! Took longer to discharge the patient than it did to treat him.
Patients may develop a disease that requires admission to the hospital, mostly because of lung problems, such as the need for oxygen. Indirect organ damage is common in medical conditions that are severe enough to warrant admission to the hospital. The disease might affect other organs—either directly or indirectly.
The hospital terminated her for violating its policies by failing to restrain the patient. The man in question arrived at the hospital wielding a hammer just before 4 AM local time. The man was then discharged from the hospital and put in the county jail.
Trinity Health announced it will introduce virtual nursing at its hospitals in Michigan and Ardent Health Services plans to do the same in New Mexico. It can also reduce the workload at the bedside by having remote nurses do admissions, discharges, and answer questions virtually. But not everyone agrees on the merits of this approach.
In our efforts to empower hospital clinicians to provide better care by having real-time transparency to cost and benchmark utilization data, we’ve learned that one of the core code systems that defines modern hospital resource management – Diagnosis-Related Groups (DRG) – is misunderstood or even unknown. What is a DRG?
When Small’s babies were discharged from the hospital several months after she gave birth, Mullen asked if they could exchange numbers, and the two have been a part of each other’s lives ever since. That’s one of the things we clicked on while I was in the hospital.” But their relationship didn’t end there.
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