• Save
Fact & Fiction for AMA Patients
Upcoming SlideShare
Loading in...5
×
 

Fact & Fiction for AMA Patients

on

  • 3,021 views

Short power point on what to do when hospitalized patients leave AMA (Against Medical Advice)

Short power point on what to do when hospitalized patients leave AMA (Against Medical Advice)

Statistics

Views

Total Views
3,021
Views on SlideShare
2,573
Embed Views
448

Actions

Likes
0
Downloads
1
Comments
0

4 Embeds 448

http://www.squidoo.com 445
http://www.g 1
http://web.archive.org 1
https://www.linkedin.com 1

Accessibility

Categories

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

Fact & Fiction for AMA Patients Fact & Fiction for AMA Patients Presentation Transcript

  • Financial Responsibility of  Hospitalized Patients Who Left Against Medical Advice:   Medical Urban Legend? Gabrielle Schaefer, MS2, Heidi Matus, MD, Dr. John Schumann, Dr. Vineet Arora
  • Patients Leaving AMA
    • 1-2% of all discharges
      • 500,000 annually
      • Young (relatively), Male, Medicaid, uninsured, urban hospitals
    • At risk for worse outcome
    Southern W, 2010 Ibrahim, SA., Kwoh, CK., & Krishnan, E. (2007). Factors associated with patients who leave acute-care hospitals against medical advice.. American Jounral of Public Health , 97 (12), 2204-8. Southern, W., Nahvi, S., & Arnsten, J. (2010). Increased mortality and readmission among patients discharged against medical advice. Society of Hospital Medicine Annual Meeting , 1 , 72-3.
  • Financial Responsibility when Patients Leave AMA 4
    • Commonly held notion that insurance will not pay when patients leave AMA
      • Recent study in Northshore ED
        • 100% (n=104) AMA patients fully reimbursed (Widger HN, 2010)
    Widger, HN., Propp, DA., Leslie, K., & Mathew, A. (2010). Insurance companies refusing payment for. Annals of Emergency Medicine , 55 (4), 393.
    • Educate physicians and other health care workers
    • Give doctors other strategies or a protocol for handling patients that want to leave AMA
    • Remove misleading statements from forms
    What Hospitals Can Do
  • What Doctors Can Do
    • Meet with patient and hear their concerns
    • Try to compromise on a treatment plan or address their concerns
    • Asses decision-making capacity and document assessment
    Hertz, BT. (2010, March). Act quickly and listen a lot what to do when a patient wants to leave ama. American College of Physicians, Hospitalist , March 2010 , Retrieved from http://www.acphospitalist.org/archives/2010/03/against.htm Hwang, SW. (2005, May). Discharge Against Medical Advice, Commentary. AHRQ, Morbidity and Mortality Rounds on the Web, http://www.webmm.ahrq.gov/case.aspx?caseID=96
  • When Patients Insist On Leaving
    • Communication
      • Written summary of diagnoses, treatments, meds
      • Contact primary care provider if possible
    Hwang, SW. (2005, May). Discharge Against Medical Advice, Commentary. AHRQ, Morbidity and Mortality Rounds on the Web, http://www.webmm.ahrq.gov/case.aspx?caseID=96
    • Arrange follow up
      • circumstances under which they should return immediately
      • medications
      • out-patient appointment