Battle to stem the shortage tide.
Almost a quarter of the NHS budget is spent on nursing, but recruitment and morale have reached crisis point. In two new reports Virginia Beardshaw and Celia Davies propose some long term solutions.
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Almost a quarter of the NHS budget is spent on nursing, but recruitment and morale have reached crisis point. In two new reports Virginia Beardshaw and Celia Davies propose some long term solutions.
While the nation looks to universal access laws as a solution to hospitals' rising costs of caring for the uninsured, laws covering all workers are standard operating procedure in Hawaii. The state's mandatory insurance law was meant to reduce hospitals' indigent-care losses, but losses have continued to mount at some facilities. Despite the overall benefits of the law, Hawaiian hospitals struggle just like their mainland counterparts to survive.
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When Saline Community Hospital, an 82-bed hospital in Saline Mich., saw its losses due to lower Medicare reimbursements mount, despite a review system already in place, administrators installed two intervention tools. The author discusses how an interactive software program and a plan to target "losing" DRGs can turn losses for any hospital.
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More hospitals are turning to strategies like fast-tracking, which redirects patients with minor illnesses to less intensive sources of care. Still, there's an art to applying triage techniques effectively and relieving the pressure on overburdened emergency departments, which are seeing patient loads steadily rise.
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The government should not increase funding to the NHS until it can be demonstrated that this will improve population health and that the money cannot be made available from reducing current inefficiencies. The absence of an information base in the NHS is one of the greatest challenges. The new administration needs to acquire a deeper understanding of how resources are being used. New untested organisational structures and policy stunts should be avoided. Waiting lists should be prioritised according to urgency and ability to benefit.
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