Perspectives on the Acute Care Continuum

The Acute Care Continuum is the integration of urgent, emergent, inpatient and post-discharge care of patients with acute medical conditions.

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​Some say consumers have lost trust in our healthcare system. However, a recent antitrust ruling in Idaho may hold the key to regaining some of that confidence — and curbing the unintended consequences of reform.

Challenging Conventional Wisdom

In preparation for healthcare reform and the shift toward value-based reimbursement, hospitals have been scrambling to buy physician groups.
 
Their oft-stated rationale: employing physicians equates to physician integration, which will promote better quality, greater efficiency and less error and waste. Ultimately, this arrangement means better care and lower costs for consumers. It will also allow hospitals to benefit from new value-based reimbursement schemes.
 
Sounds logical, right? Well, Idaho's Federal District Court isn't quite buying it.
10/16/2014 5:56:48 PM | 0 comments
The Affordable Care Act created an influx of newly insured patients against the backdrop of an existing physician shortage. To meet demand and contain costs, many providers are expanding their PA/NP programs — as well as the scope of practice for those professionals.
 
An example from my own practice: At the Rancho Springs Medical Center Emergency Department (ED) in Murrieta, CA, we recently replaced a physician shift with a PA/NP shift. CEP America felt that increasing the number of PA/NPs on the team would allow it to deliver the same high-quality care while achieving cost savings for our group, hospital and patients. It's exciting that our physicians have placed such trust in us, and we hope that trust will continue to grow as we work together in this challenging setting.
 
10/14/2014 3:54:12 PM | 1 comments

As health professionals, we treasure our stethoscope as an integral and personal device that enables us to access clinical information about our patients. In fact, many of us spend multiple hours selecting the one that is just right for ourselves and our patients' assessment needs.

However, a new study has shed light on a discomfiting reality regarding this treasured device — and may have big implications for the fight against hospital-acquired infections (HAIs).

10/9/2014 5:32:37 AM | 0 comments

By Christina Ballejos-Campos, PhD, RN; Andres Smith, MD; Pablo Velez, PhD, RN; Christine Basiliere, MSN, RN; and Sherri Navedo, MSN, RN

Sharp HealthCare of San Diego has been working toward an important goal: to provide all emergency department (ED) patients presenting with long bone fractures appropriate pain medication within 30 minutes. When they surveyed EDs across the system, they found one that was already taking an innovative approach to the problem.

10/7/2014 10:22:10 AM | 2 comments

Leadership guru and bestselling author and speaker Tom Peters wrote that the most important and essential virtue or attribute in any business today — including the healthcare industry — is not technology, training, cutting-edge conferences or communication skills. It’s trust.

Trust is a necessity for success. This is especially true in medicine, where much trust has been compromised or lost between healthcare institutions, doctors, nurses and patients over the years.

Unfortunately, there is an epidemic taking place when it comes to lost trust. Critical organizational systems on which our society depends — our healthcare, financial, educational and legal systems — are frequently failing the people they serve, regardless of their technological know-how.

10/2/2014 1:17:25 PM | 0 comments
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