Going Beyond CMS & TJC Minimum Safety Standards: The Patient Safety Assessment

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Terri Marshall, RN, MS, CCM,  Compass Clinical Consulting  Op-Ed “Hospital Readmission: How to Stop the Pain” was featured in the Hospital Readmissions News “Report From the Field in the August 2013 issue. The article discusses the CMS Hospital Readmissions Reduction Program andcovers how to determine hospital penalties and reduce preventable readmissions. From the article…(Read More)

“Hospitals are absorbing new penalties from the Centers for Medicare & Medicaid Services for “excessive readmissions” as part of the Hospital Readmissions Reduction Program created by the Affordable Care Act. In Part 1 of this article, posted on April 25, 2013, we described the long-term implications of the readmissions reduction program and recommended that…(Read More)

Emergency Room (ER) diversions continue to be an issue in the news. Diversions are when ambulances are sent to another ER because the nearest ER is too busy and does not believe they can safely provide care. What’s the cure for ER diversions? It’s not what you think…(Read More)

Understanding the difference between discharge arrangements and discharge planning is critical to a proactive Case Management model that begins upon initial contact with the patient and ends with the implementation of an informed, timely, and cost-efficient transition to the next level of care. Discharge arrangements occur on the same day that the physicians’ discharge…(Read More)

In a recent article entitled, “Nurse-Staffing and Inpatient Hospital Mortality,” the New England Journal of Medicine discussed the relationship between inpatient mortality rates and insufficient nurse staffing, measured by the number of shifts that a nursing unit fell below its target staffing levels. These findings underscore the importance of maintaining adequate staffing, even as…(Read More)