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Health professionals' lack of communication contributes to poor patient care planning. At one hospital a social worker, a clinical specialist, a nursing supervisor, a pharmacist, a nutritionist, and a physical and an occupational therapist developed criteria to identify and to handle patient problems at admission.
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Medicare's prospective payment system and the elimination of periodic interim payments have caused dramatic changes in the day-to-day operations of most medical record departments. This article discusses one method to help hospitals expedite record completion and bill in a more timely fashion.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
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BACKGROUND: Eighty percent of patients treated medically for gastroesophageal reflux disease relapse after treatment. Many of these patients require indefinite treatment with omeprazole to prevent recurrence. Nissen fundoplication has been shown to be effective, safe and cost effective in the management of gastroesophageal reflux disease. We suggest a treatment algorithm, which encourages early surgical intervention in cases of recurrent esophagitis after a previously successful two-month course of omeprazole. METHODS: We have offered laparoscopic Nissen fundoplication since 1993. Patients who received Nissen fundoplication since 1990 were asked to report return to baseline activity, medications, and lifestyle changes. Concurrent chart review of patients treated with omeprazole was conducted to analyze cost. RESULTS: Patients receiving laparoscopic Nissen fundoplication were discharged significantly sooner and spent significantly less time convalescing when compared to those who underwent open Nissen fundoplication. Laparoscopic Nissen fundoplication became cost effective at 1.5 to 2 years when compared to omeprazole. CONCLUSION: Based on cost analysis, patient satisfaction, acceptable complication rate, and efficient use of time and resources, we recommend laparoscopic Nissen fundoplication as the appropriate treatment in patients who develop recurrent esophagitis after a two-month treatment with omeprazole.
The administrators at this Ohio hospital are trying to keep people out of their facility, and they are not ashamed to say so. In fact, in a communitywide effort acclaimed by the American Hospital Association, the facility found a way to decrease its soaring readmission rates, and the community could not be happier.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.