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Hospital Administration

Utilization Review vs. Utilization Management

October 24, 2014 by Abby Norman

Although the two terms are often used in the same way and to mean more or less the same thing in healthcare, the two concepts of Utilization Review and Utilization Management are subtly different. Understanding how they differ can help to improve communication around the subject.[read more]

Ebola: Chronicle of a Debacle Foretold

October 24, 2014 by Christine Kapsa, NP, DNP

Ebola

Ebola is a harrowing disaster in West Africa, killing thousands and leaving devastated families in its wake. Ebola is a surreal debacle in America. No one should be surprised. Ebola followed the same path in each place—the path of indifference and hubris. No one, except Doctors Without Borders, cared enough. In Africa, Atlanta or Dallas.[read more]

Are ACOs Just the Managed Care of the 90's?

October 23, 2014 by Abby Norman

ACO

A major theory driving the criticism of Accountable Care is that ACOs are, in fact, just a glamorized version of the Managed Care Organizations of the 1980s and 1990s which, historically, didn’t work as intended and therefore would be a mistake to bring back into circulation.[read more]

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How to Secure Data in Healthcare

October 23, 2014 by Rick Deglado

securing health data

Recent headlines of data security breaches at large corporations and system bugs like Heartbleed and Shellshock have reminded us of the importance of proper network security. While we often equate these problems with banks or large retailers, we forget one of the most important, yet vulnerable, industries to these types of attacks - healthcare.[read more]

3 Pathology Synoptic Reporting Examples

October 21, 2014 by Tim Edlund

Structured practices for pathology reporting, and particularly use of template (synoptic) formats, have been demonstrated to improve reporting quality. Pathologists are fortunate in that a comprehensive library of peer reviewed templates is provided by the College of American Pathologists in the form of the CAP Cancer Checklists.[read more]

Why Are My Receipts Down?

October 21, 2014 by Andy Salmen

Image: patpitchaya

While it's easy to blame low receipts on patients with unpaid balances or on insurance companies simply not paying, often the issue lies somewhere within the practice itself and whether or not it follows best practices in all areas of revenue cycle management. Here are three common areas to keep in mind when investigating low receipts.[read more]

Combating the Nursing Shortage with Mobile Patient Engagement

October 21, 2014 by Tanya Dainoski

Combating the nursing shortage

By implementing various mobile patient engagement technologies, such as text (SMS) messaging and mobile apps, existing nurses and case managers can manage more patients simultaneously, improving patient satisfaction and decreasing nurse burnout.[read more]

Stopping the Revolving Door of Avoidable Readmissions [VIDEO]

October 20, 2014 by Linda Ringquist

avoidable readmissions

This video gives examples of what some hospitals are doing throughout the country to successfully reduce avoidable readmissions. What are you doing to reduce avoidable readmissions? Have you discovered additional best practices? Have you tried different measures that didn’t work?[read more]

Clinical Documentation Improvement: Why Care About Synoptic Reporting?

October 19, 2014 by Tim Edlund

clinical documentation

Synoptic reports provide a more complete view of a patient’s condition than is generally achieved with longer narrative formats. They are computer-based worksheets that medical professionals use to enter and obtain information in a manner that is quicker and more accurate than free-text reports.[read more]

Patient and Family Advisory Council: Lessons Learned

October 18, 2014 by Christina Thielst

family / shutterstock

I recently set up a patient and family advisory council to address safety and quality concerns from the patient/family perspective. Here's what it's like to sit in a room with patients and family members who want to share their experience to make it better for those who follow.[read more]

Can You Afford Readmission Penalties in 2015?

October 18, 2014 by Linda Ringquist

readmission penalties

According to CMS, one in five Medicare patients discharged from a hospital are readmitted within 30 days. Just so you don’t have to do the math, that equates to 20%. CMS recently released the final regulations for 2015 in regard to readmission penalties. The major changes include new conditions as well as higher readmission penalties.[read more]

Price Transparency: The Devil is in the Detail for Hospitals

October 17, 2014 by Lonnie Hirsch

Healthcare price transparency

Hospitals, physicians and healthcare communicators are grappling with the devilish details of healthcare price transparency. With healthcare transition propelling change, the overarching goals and objectives are praiseworthy. But the high road to meaningful implementation is bumpy at best.[read more]