This document discusses various legal issues related to wound care documentation. It emphasizes the importance of thorough and consistent documentation to avoid malpractice lawsuits. Key points include:
1) Proper documentation is essential to demonstrate that facilities are meeting standards of care. Consistency between providers is important so documentation tells a clear story of the patient's care.
2) While perfect documentation is unrealistic, documentation should communicate comprehensive details of assessments, treatments, notifications, and other essential care elements.
3) A lack of documentation does not necessarily mean a lack of care took place, but attorneys will assume this in court. Facilities must prioritize documentation to accurately reflect care provided.
4) Turning and positioning is a common
For more Info visit www.healthlibrary.com "What is Medical Negligence" by Dr. Ghazala Shaikh held on 23rd Mar 2016.
Public awareness of medical negligence in India has increased but the 'term' is till misunderstood by the common man. Its medical negligence is needs to be explained and understood in legal perspective and merits of the case has to be find out by the medico legal consultants.
For more Info visit www.healthlibrary.com "What is Medical Negligence" by Dr. Ghazala Shaikh held on 23rd Mar 2016.
Public awareness of medical negligence in India has increased but the 'term' is till misunderstood by the common man. Its medical negligence is needs to be explained and understood in legal perspective and merits of the case has to be find out by the medico legal consultants.
[HOW TO] Create High Performance Emergency DepartmentsEmCare
EmCare’s latest White Paper on implementing a system-wide approach to providing emergency care. At Baylor Health Care System, the initiative has fostered the development of numerous approaches to managing the challenges faced by its emergency departments, including an innovative protocol to manage overcrowding at the system’s flagship facility.
Complete and accurate clinical documentation in the medical record has a direct impact on the assignment of codes, more accurate levels of reimbursement, and is critical to the higher quality of patient care. This paper describes the development of a system which can automatically flag the cases if there is an opportunity of improvement in patient clinical doc- uments. Automated Clinical Documentation Improvement (CDI) leverages the natural language processing (NLP) and contextual understanding of health record structure with additional business rules logic, helping CDI specialists identify critical documentation information that may be missing from the medical record. This results in more specific coding opportunity and better under- standing of the clinical complexity for accurate reimbursement. This system helped increase CDI specialists’ productivity by efficiently filtering cases which need more attention from them.
White Paper: How Can we Improve the Prior Authorization Process Today?TransUnion
Prior authorization processes can zap time and resources, wreck your revenue cycle and delay patients’ access to urgent—sometimes life-saving—care.
Download this special report to learn what you can do now to cut costs, elevate the customer experience and reduce revenue leakages.
This presentation goes over the basic steps on how to get a standing frame/stander covered by public or private insurance. Topics include the process to obtaining a standing frame, team players (PT, OT, DME Supplier, consumer/family) and their roles, how to write a successful letter of medical necessity/justification, research studies on the benefits of standing, and how to appeal a denial for a stander and use resources such as PAAT and AT projects.
Informed refusal: You are doing it wrongRobert Cole
Refusals are commonly regarded as one of the more risk and liability-laden parts of the
emergency medical services (EMS) job. A refusal, in the context of this discussion, is an
implied, implicit, or explicit decision by the patient to forgo all or part of medical care provided
by a healthcare provider, in this context, EMS providers. For the purposes of this discussion,
transport to a medical facility via EMS is also considered part of the medical care provided.
Learn how Methodist Richardson Achieved Fastest Total Patient Treatment Time ...EmCare
Methodist Richardson Medical Center (MRMC) and the Richardson Fire Department (RFD) were recognized by the American Heart Association for having the fastest total combined patient treatment time for cardiac events for the first quarter of 2011 for the state of Texas.
This issue features the following pieces:
The Dark Side of Quality
Quality and Other Components of the Value Proposition
What Do Hospitals Want From Anesthesia Groups?
The Physician-Owned Management Services Organization
Should You Apologize for a Poor Outcome?
Thinking of Investing In, or Renting Space In, an ASC?
ICD-10 is the Latest Y2K: The Potential Impact on Provider Revenue
The Communiqué is a publication dedicated to bringing articles and advice, specific to the anesthesia and pain management community, that are practical and tangible. ABC is happy to provide The Communiqué electronically as well as hard-copy versions. The Communiqué features articles focusing on the latest hot topics for anesthesiologists, nurse anesthetists, pain management specialists and anesthesia practice administrators.
Tony Mira, President & CEO, explains, “The Fall 2014 issue features several experts in anesthesia practice management providing helpful advice, starting with Danielle Reicher, MD, an Anesthesiologist from San Diego, CA. Dr. Reicher describes a specific and very important application of EHR technology in Making Meaningful Use More Meaningful: communicating with patients." Dr. Reicher states, “While we may not be a daily fixture in the medical lives of our patients, our role is critical and the information we gather can be extremely vital to the electronic medical record. Let’s make Meaningful Use even more meaningful!”
Another author we are proud to feature is Steven Dale Boggs, MD, MBA, Director of the OR and Chief of the Anesthesia Service at the James J. Peters VA Medical Center in Bronx, NY as well as Associate Professor of Anesthesiology at The Icahn School of Medicine at Mount Sinai in Manhattan, NY. One of Dr. Boggs’s areas of particular interest is GI sedation. For the past several years, Dr. Boggs has been working closely with endoscopists at Mount Sinai in New York and elsewhere, evaluating turnover time and safety metrics. He will be presenting at The ANESTHESIOLOGY™ 2014 annual meeting in New Orleans with a Point-Counterpoint session on Monday, October 13th and on a panel Tuesday, October 14th, and he gives us a detailed preview of his arguments in Computer-Assisted Personalized Sedation (CAPS): Will It Change the Way Moderate Sedation is Administered? ABC was pleased to have the opportunity to provide Dr. Boggs with claims data showing that the cost of anesthesia and anesthesia providers may be quite competitive with cost of CAPS.
For these and past Communiqué articles, please log on to ABC’s web site at www.anesthesiallc.com and click the link to view the electronic version of The Communiqué online. To be put on the automated email notification list, please send your email address to info@anesthesiallc.com. We look forward to providing you with compliance, coding and practice management news through The Communiqué.
[HOW TO] Create High Performance Emergency DepartmentsEmCare
EmCare’s latest White Paper on implementing a system-wide approach to providing emergency care. At Baylor Health Care System, the initiative has fostered the development of numerous approaches to managing the challenges faced by its emergency departments, including an innovative protocol to manage overcrowding at the system’s flagship facility.
Complete and accurate clinical documentation in the medical record has a direct impact on the assignment of codes, more accurate levels of reimbursement, and is critical to the higher quality of patient care. This paper describes the development of a system which can automatically flag the cases if there is an opportunity of improvement in patient clinical doc- uments. Automated Clinical Documentation Improvement (CDI) leverages the natural language processing (NLP) and contextual understanding of health record structure with additional business rules logic, helping CDI specialists identify critical documentation information that may be missing from the medical record. This results in more specific coding opportunity and better under- standing of the clinical complexity for accurate reimbursement. This system helped increase CDI specialists’ productivity by efficiently filtering cases which need more attention from them.
White Paper: How Can we Improve the Prior Authorization Process Today?TransUnion
Prior authorization processes can zap time and resources, wreck your revenue cycle and delay patients’ access to urgent—sometimes life-saving—care.
Download this special report to learn what you can do now to cut costs, elevate the customer experience and reduce revenue leakages.
This presentation goes over the basic steps on how to get a standing frame/stander covered by public or private insurance. Topics include the process to obtaining a standing frame, team players (PT, OT, DME Supplier, consumer/family) and their roles, how to write a successful letter of medical necessity/justification, research studies on the benefits of standing, and how to appeal a denial for a stander and use resources such as PAAT and AT projects.
Informed refusal: You are doing it wrongRobert Cole
Refusals are commonly regarded as one of the more risk and liability-laden parts of the
emergency medical services (EMS) job. A refusal, in the context of this discussion, is an
implied, implicit, or explicit decision by the patient to forgo all or part of medical care provided
by a healthcare provider, in this context, EMS providers. For the purposes of this discussion,
transport to a medical facility via EMS is also considered part of the medical care provided.
Learn how Methodist Richardson Achieved Fastest Total Patient Treatment Time ...EmCare
Methodist Richardson Medical Center (MRMC) and the Richardson Fire Department (RFD) were recognized by the American Heart Association for having the fastest total combined patient treatment time for cardiac events for the first quarter of 2011 for the state of Texas.
This issue features the following pieces:
The Dark Side of Quality
Quality and Other Components of the Value Proposition
What Do Hospitals Want From Anesthesia Groups?
The Physician-Owned Management Services Organization
Should You Apologize for a Poor Outcome?
Thinking of Investing In, or Renting Space In, an ASC?
ICD-10 is the Latest Y2K: The Potential Impact on Provider Revenue
The Communiqué is a publication dedicated to bringing articles and advice, specific to the anesthesia and pain management community, that are practical and tangible. ABC is happy to provide The Communiqué electronically as well as hard-copy versions. The Communiqué features articles focusing on the latest hot topics for anesthesiologists, nurse anesthetists, pain management specialists and anesthesia practice administrators.
Tony Mira, President & CEO, explains, “The Fall 2014 issue features several experts in anesthesia practice management providing helpful advice, starting with Danielle Reicher, MD, an Anesthesiologist from San Diego, CA. Dr. Reicher describes a specific and very important application of EHR technology in Making Meaningful Use More Meaningful: communicating with patients." Dr. Reicher states, “While we may not be a daily fixture in the medical lives of our patients, our role is critical and the information we gather can be extremely vital to the electronic medical record. Let’s make Meaningful Use even more meaningful!”
Another author we are proud to feature is Steven Dale Boggs, MD, MBA, Director of the OR and Chief of the Anesthesia Service at the James J. Peters VA Medical Center in Bronx, NY as well as Associate Professor of Anesthesiology at The Icahn School of Medicine at Mount Sinai in Manhattan, NY. One of Dr. Boggs’s areas of particular interest is GI sedation. For the past several years, Dr. Boggs has been working closely with endoscopists at Mount Sinai in New York and elsewhere, evaluating turnover time and safety metrics. He will be presenting at The ANESTHESIOLOGY™ 2014 annual meeting in New Orleans with a Point-Counterpoint session on Monday, October 13th and on a panel Tuesday, October 14th, and he gives us a detailed preview of his arguments in Computer-Assisted Personalized Sedation (CAPS): Will It Change the Way Moderate Sedation is Administered? ABC was pleased to have the opportunity to provide Dr. Boggs with claims data showing that the cost of anesthesia and anesthesia providers may be quite competitive with cost of CAPS.
For these and past Communiqué articles, please log on to ABC’s web site at www.anesthesiallc.com and click the link to view the electronic version of The Communiqué online. To be put on the automated email notification list, please send your email address to info@anesthesiallc.com. We look forward to providing you with compliance, coding and practice management news through The Communiqué.
Assessing Employees’ Understanding of Liability Protections for .docxfestockton
Assessing Employees’ Understanding of Liability Protections for Physicians and Facility
A case of Three Mountains Regional Hospital
Keri King
Deliverable 2
Physician Liability Protection Question 1
In case no fee is charged, does the responsibility of the malpractice carrier change?
In the event a fee is not charged, the responsibility of the malpractice carrier does not change. The reason is that the practitioner would be deemed to have executed the procedure in question. In the context, the expectation would be that the physician endeavors to meet the highest standards of care. If the responsibility was to change, however, the notion would be that the practitioner is motivated by pay to adhere to practice guidelines, which should not be the case.
2
Physician Liability Protection Question 2
Do Good Samaritan laws present an effect of a physician’s protection from legal action?
Good Samaritan laws have an effect of protection of healthcare professionals from legal actions in certain specific circumstances. One such circumstance is during provision of care in emergency circumstances. In legal context, emergency situations may involve the element of confusion and the physician may, therefore, engage in a malpractice against their wish (Bertoli & Grembi, 2018). The laws mentioned previously, however, do not offer protection to physicians in all other circumstances of offering care and physicians should, therefore, exercise caution.
3
Physician Liability Protection Question 3
What is the nature of liability incurred by a physician as a result of diagnosing a patient and recommending treatment without usual diagnostic tests?
Diagnosing a patient without a usual test amounts to neglect of the duty of care to decide the treatment to give to a sufferer. The reason is that a range of ailments can feature similar symptoms and would, therefore, be inappropriate for a medic to settle on treatment without confirmed laboratory results. In like manner, the physician in question would also be liable for breaching the duty of care in administration of treatment. The breach of duties would grant a patient the right of action for negligence.
4
Physician Liability Protection Question 4
In case treatment will be unavailable owing to the patient being uninsured, what would be the use of diagnostic testing?
Usually, treatment is not available to patients that are not insured. In the context, however, diagnostic tests may still be available to the patients despite the absence of insurance, the rationale being that test results may be applied for treatment of the patient in the facility if payment is availed (Schneider, 2017). In a similar manner, the results may be used in another medical facility where a client could be having a cover. In both cases, prior testing saves a client from potential danger of escalation of their problem without knowledge of the disorder they are suffering from.
5
Physician Liability Pr ...
Real-world patients have an average of 6 serious co-morbid conditions & take 10 medications
*Complicated patients are invariably excluded from clinical research studies, making it impossible to know what treatments work best
Launching or expanding a telehealth & remote patient monitoring (RPM) program can be an intimidating task
*HRS health system, home health & hospice
*HRS’ Client Success, Implementation,Reimbursement & Clinical teams
The information reflects information available as of June 2, 2020.
We encourage monitoring subsequent regulation updates pertaining to telehealth in wound care
Chronic illness: 75% of health system costs in North America
* Reimbursement models & care pathways focused
on disease management will continue to escalate
National Survey of Canadian Nurses
* Use & impact of digital health technologies on nursing practice
*Top barriers to EMR/EHR:
* Hybrid record systems (38%), multiple log-ins (25%),
system integration (25%)
Coronavirus Nursing Homes Preparedness ChecklistTrustRobin
DOH is conducting Covid-19 focus surveys in long term care facilities .
Suggestions:
* Prepare a separate entrance binder for this focus survey
* Use the CE pathway to identify deficient practices
PwC’s Health Research Institute (HRI)
"People are accessing health information in new ways"
Telehealth users had employer-sponsored health plans, were middle-aged, and had chronic conditions
"Home healthcare needs tools & protocols to support a higher degree of post-acute care in the home
* Clinical supervisors complete the assessment in their EHR while video conferencing with the client/patient"
* Patient-level & wound-level parameters influencing wound
healing were identified from prior research and clinician input
* Probability of wound healing can be predicted with reasonable
accuracy in real-world data from EMRs
in order to meet cost reduction targets, CMOs
* Share patient data across ecosystems
* Embed shared organizational intelligence
* Establish guidance for quality & cost within physician workflows
* Prepare physician leaders to create a culture of continual improvement
Medicare-certified home health providers' landscape changed with PDGM
* How they get paid
* How they run their businesses
* Staff their cases
* How they use technology.
Comprehensive Primary Care Functions:
1) Access and Continuity;
2) Care Management;
3) Comprehensiveness and Coordination;
4) Patient and Caregiver Engagement; and
5) Planned Care and Population Health.
CPC+ includes three payment elements:
1) Care Management Fee (CMF);
2) Performance-Based Incentive Payment; and
3) Payment under the Medicare Physician Fee Schedule.
* What channels to share video?
* How long should a segment be?
* Production value related to business use?
* Things to consider when making video content
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
2. Table of Contents
About the Author.........................................................................................................................................................2
Introduction...................................................................................................................................................................3
How to Keep Yourself Out of Court.......................................................................................................................4
Not Documented, Not Done.....................................................................................................................................6
Turning and Positioning.............................................................................................................................................7
Risk Assessments.........................................................................................................................................................9
Is That Ulcer Unavoidable or Not?.......................................................................................................................11
Intrinsic Risk Factors for Unavoidable Pressure Ulcers................................................................................13
Extrinsic Risk Factors for Unavoidable Pressure Ulcers...............................................................................15
Avoiding a Pain and Suffering Allegation.........................................................................................................17
Conclusion....................................................................................................................................................................19