Is the integration of urgent, emergent, inpatient and
care of patients with
acute medical conditions.
By Katherine Ahern, MIMS
When the Literary Digest conducted a poll to predict the winner of the 1936 presidential election, the results were clear: Alfred Landon would overwhelmingly defeat Franklin Delano Roosevelt. The Literary Digest was confident about its results: after all, they had surveyed 10 million people and received 2.4 million responses. But they could not have been more wrong. Why? Those 10 million people were drawn from a pool of Literary Digest subscribers, automobile owners, and telephone owners. In 1936, automobiles, phones, and subscriptions to the Literary Digest were available only to the rich. These selection factors skewed the results toward Landon, the choice of the wealthy.
The systemic failure of their sampling technique is cited in most introductory statistics textbooks, since it shows so clearly how bad sampling can lead to wrong conclusions. Roosevelt won in the most lopsided victory in American history.
By Chris Renner
This is the second installment in a series explaining how Healthcare Reform will affect individuals, companies, Medicare eligible individuals, and others…(Read part I here).
Childress placed both hands on his temple and proceeded to roll his fingers through his graying hair. Looking up again at his agent, he said, “Tell me how companies are going to be affected?”
Agent Ajemian rolled his eyes, and replied, “How are they not going to be affected? Costs go up. Reporting goes up. Confusion ramps up big time!” The agent sat up, leaned forward so that his right elbow was on his thigh and his left hand scratched his cheek so you could hear the stubble on his face.
“The hardest part will be interpreting the rules. Every quarter, companies that do not provide insurance will need to tally up their employees and determine what penalties they owe to the IRS or to Health and Human Services [HHS] in lieu of providing coverage.”
By Chris Renner
This is the first installment in a series explaining how healthcare reform will affect individuals, companies, Medicare eligible individuals, and others…
The room was mostly dark, with just an overhead light and a recliner that showed more stuffing than fabric. A slightly wet khaki trench coat was draped over the back of the chair. Drops from a roof leak beat a very slow rhythm in one corner. A half rusted folding chair lay on the concrete floor. The operative, wearing his own standard issue unbuttoned trench coat, lit a cigarette and leaned against the only brick wall in the room. A few feet away, Childress stood with a rolled newspaper under one arm and the other hand unconsciously gripping the closed doorknob. “Alright,” he said forcefully, “Tell me what you know, what you don’t know, and what you think.”
Agent Ajemian lifted his hand and took the cigarette from his mouth, exhaled a cave of smoke, watched it rise for a second, and then flicked the stub across the room. It landed perfectly into the accumulating puddle. He shook his head slightly, and in a voice of resignation he responded, “I’ll tell you what I know… but it’ll be costly. I’ll tell you what I don’t know, but I’m not sure I’m going to tell you what I think!“
Our bi-weekly news updates are designed to keep you up to date with current developments relating to the Acute Care Continuum. Feel free to share your perspective on these stories or link to articles that you have found relevant to today’s healthcare environment.
Today we focus on budget estimates and healthcare spending, including new figures from the Congressional Budget Office, the ongoing battle over a Medicaid pay increase, and disturbing findings on the actual cost of emergency medical care.
By Jim Strafford
If you have practiced healthcare pretty much anywhere in the United States during the last five years, you have probably been involved in at least one Electronic Health Record (EHR) conversion or implementation. In some cases, you may have converted from a user friendly template to a less user friendly EMR. In other cases, your hospital may have converted from one EHR brand to another. Regardless of the specifics of your transition, it is likely that some degree of frustration happened at the point when you adjusted to the first EHR. And it is also likely that after months of frustration you contacted one of those Scribe companies.
EHRs are still in their relative infancy and continuously improving. Penalties for not automating will be implemented in 2015, so they are here to stay. Learning from implementation issues is critical to improving implementation and effective use of EMRs.
By Imamu Tomlinson, MD, MBA
In an era of healthcare when there is a call for emergency physicians and hospitalists to increase collaboration, and many working hard to facilitate this, I have seen this pairing blend together effectively just by putting together highly motivated and empowered physicians.
In 1996, my physician group signed an emergency department (ED) contract in Selma, CA. Since that time, we have been invited to staff three EDs, three inpatient departments, an urgent care center (UCC) and a skilled nursing facility (SNF)—all within the forty mile area that includes Selma. How did this come about?
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By Ted Kloth, MD, FACEP
The time is coming when consolidation and transparency will reign supreme, and the effects are already being felt throughout...
By Chris Renner
This is the first installment in a series explaining how healthcare reform will affect individuals, companies, Medicare eligible individuals...
By Dan Culhane, MD, FACEP
The cost of losing someone from your company is quite significant. The actual financial loss, including factors such as lost...
By Michael L. Harrington, MBA, MA
Over the years of working in healthcare and having direct encounters with large and small emergency departments (...
By Al'ai Alvarez, MD
The emergency department (ED) of the future will likely be, as Wesley Curry, MD, points out, a very busy place with an incredibly...
Re: The Cadillac Tax: Will It Help or Backfire?
Great article. Thanks Janet. The Cadillac tax is one of many things our country is doing to try to...
Re: Today's County Hospital Could Be A View into the Future (and That's a Good Thing)
Well now days country hospitals are specialized in different health care sectors therefore we are getting...
Re: The Inpatient Sneezes and the ED Gets Pneumonia
I love the metaphor! It's apt on so many levels.
Excellent article written from the perspective of a Hospital Administrator. I think in the past Administrators...
Re: Healthcare Reform Upheld – What’s Next for Providers?
Health care is a wide term that deliver several beneficial results to the people therefore in most of...