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At least 397 records · Page 22Linked to original sources

Team approach to charting: medical staff join in.

At British Columbia's Prince George Regional Hospital, collaboration between the hospital's chief of medical staff and its manager of health records has resulted in more meaningful, accurate, timely and complete patient records. The hospital departed from the traditional process of deficiency flagging to physician ownership and ultimate accountability for medical charting.

British Columbia↗

A team approach to adverse drug reaction surveillance: success at a tertiary care hospital.

A retrospective adverse drug reaction (ADR) reporting system has been in place at Cedars-Sinai Medical Center for 7 years. Initially, the system identified 300 to 400 ADRs per year. After adding a checklist, that number increased to 750 to 850 per year, an ADR rate of about 2% of total patient admissions. To increase the ADR reporting rate, we initiated a concurrent surveillance program in conjunction with the retrospective system. In the first year of the program, the combined systems identified 1,174 ADRs. In addition, the ADR rate per 100 patient days increased to between 0.5 and 0.7, and the ADR per admission rate increased to 4%. As a result of the more effective ADR surveillance program, the P & T Committee has additional data from which to develop guidelines and educational programs to increase ADR awareness and prevention, and thus, to improve patient outcomes.

Adverse Drug Reaction Reporting Systems↗

At risk: a look at managing Medicare losses.

On top of declining Medicare payment rates, hospitals face the prospects of increasing numbers of Medicare patients and costs associated with caring for them. Geriatric care management programs can help prevent financial losses by focusing on high-risk patients and costly diagnosis related groups. Under one approach, a geriatric care manager works to improve the efficiency of care, reduce lengths of stay, smooth transitions to alternate care settings, and involve patients and their families in decision making.

Aged↗

An integrated approach to managed care contracting.

Managed care plans make up an increasing share of today's hospital payer mix. As a result, it is important for hospitals to negotiate the best possible managed care contract terms in order to minimize risk and maximize opportunity. This article presents a six-step "closed loop" approach to managed care contracting, showing how hospitals can integrate--through their information systems--the strategic, financial, and patient care processes that are part of the managed care cycle.

Accounts Payable and Receivable↗

Instituting a concurrent process for monitoring the clinical risk of physicians' practice.

By implementing a more concurrent program for identifying and responding to situations that put patients at risk, such as the approach described in this article, hospital quality assurance and risk management professionals, as well as the medical staff and administration, may finally achieve the complementary goals of increasing the quality of clinical care while simultaneously reducing claims and suits against the hospital and its physicians.

Concurrent Review↗