The purpose of this lesson is to interpret the significance of 2012 discharge status data for any state versus the national data for the same year. The state that I selected to compare with the national data is California. When comparing the data between the two, I noticed that the average length of stay was the same in California as it was on the national level, which didn’t raise any red flags. The other data that I reviewed, for instance charges and cost, seemed pretty standard as well. What stood out to me as alarming on both levels was the fact that there were incidences of missing discharge data on both fronts. As you can see from the two tables below, there were a small percentage of incidences of missing discharge data, but no matter how small the percentage, it is unacceptable to have missing data period.
The discharge summary is looked upon as the overall summary of all events during the patient's stay. It is important that the discharge summary is what it is defined as, which is a summary of events previously journaled in the patient's record. At least, clinical evidence of every condition documented in the discharge summary should be found somewhere in the patient's history and physical, progress notes, orders
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Every medical professional and medical practice needs to keep accurate medical records. This is not only essential to provide the patient with proper care, but necessary for the protection of the professional as well. If it isn’t documented, it’s as if it didn’t happen. The clinical documentation in a patient's record forms the basis for current and future care of that patient by the healthcare provider. The documentation in the record will be relied upon by clinicians in the healthcare provider setting to make decisions regarding the patient's care. In summary, all of this and the above will help the medical professional avoid mistakes like the ones shown in the discharge
Dr.Bain ordered a CT scan of Cynthia’s chest to rule out a possibility of an aneurism. Dr. Bain also did another CT scan of Cynthia’s abdomen to evaluate her liver. Additional lab work and thyroid testing was done. Around 5:00pm she was discharged with instructions to follow up with her primary care physician Leah Avera, M.D within one week. In Cynthia’s discharge summary that was signed by Dr. Pesante, states, in part, "it just seems like Cynthia’s problem may have more so been either some kind of infectious process or possibly a thyroid
In the case of Michael T. Vandall, M.D., Plaintiff and Appellant v. Trinity Hospitals, a corporation, and Margaret C. Nordell, M.D., the issue is about retaliatory discharge. It deals with problems with Trinity Hospital in North Dakota, Dr. Margaret Nordell and Dr. Michael Vandall, both physicians working in the OB-GYN department.
...health of a patient and a follow up check at the GP’s may be required.
I have to pull two alleles (two straws) from the bag to represent one fish because fishes like humans get two alleles one from their father and one from their mother.
The first issue is two nurses failed to show up for work without calling. This issue will take about a week to resolve. The first step is to immediately ensure that their shifts for the day are covered. Then, I would review the attendance policy that is currently in place. I would verify that there is an attendance policy and ensure that it is being enforced. Following the policy review I would document the occurrence in the respective employee files. Lastly, I would set time to meet with the employees individually and go over the policy and the expectations.
date with the latest software and security patches. Reputable antivirus programs such as Norton Security, McAfee Antivirus, and Bitdefender Antivirus and firewall programs should be installed and kept up to date for maximum protection.
Music from Mexico began making its way to America in the late 1800s when border culture and commerce was beginning to develop. Corrido and Ranchera developed and reached popularity in Texas when nortenos music came to Texas. Texas singer Lydia Mendoza’s song “Bad Man” became a hit and played on the radio in the southwestern US which clued listeners in to the border music scene. She and her family continued to record tangos, corridos, rancheras, and boleros that increased the presence of border music in American culture. The accordion came to Mexico in the 1860s and when it was brought over the border into Texas, the conjunto style was popularized in America. The most famous of these are polkas.
... bedside, and reminders to take antibiotics. It is critical in plan of discharge that the patient finishes out the antibiotic regimen if prescribed, also encourage and explain the necessity of the antibiotics in treating the condition. Lastly the patient must avoid overexertion to prevent relapse or exacerbation of the infection.
nurses who frequently enhance the communication problems in discharge planning, and who strive to improve the working relationship, collaboration and who use the teamwork approach to patient and family centered discharge planning will greatly reduce patient readmission (Lo, Stuenkel, and Rodriguez, 2009, p. 160). Lo, Stuenkel and Rodriguez (2009) emphasize that an organized and well prepared discharge planning, education of patients with multilingual services and use of different methods of teaching greatly improves the patients’ outcome (p.157). These include an experienced and well-taught phone call follow-up sessions after discharge along with ensuring the extension of adequate postoperative care. Another way nurses can deliver a planned discharge is by providing a direct checklist for patients and families to follow. One must understand that these approaches will help the staff, nurses and other health care providers to develop the safe patient transition to home.
At the time of discharge there was not a reason given. However, there had been several months of turmoil prior to this imminent discharge. After having read through the appeal paperwork it seems the discharge reasons were: alcohol consumption on the job, refusal to do what was asked (insubordination), and tardiness. All of which, and then some, are addressed below.
When a patient is unable to make care decisions for themselves, it is necessary to involve those closest to them, most often family members. Providing a supporting environment to family members is another way that the best interest of the patient can be maintained. Families and friends can make a huge difference in the life of the patient after discharge. Instructing families in a way that is easy to understand helps eliminate potential barriers to communication. Families should be aware of what things to look for, what would constitute an emergency, and how to safely handle
It should be written in either black or blue ink. Each provider should always document the evaluation and results of every visit during the visit. It is prohibited to pre-date or backdate an entry. If there is to be a mistake written in a wrong patients file it should be dated and signed by the person that is revising the file; this shows proof that it was corrected.. The purpose of a medical record is for the health care provider to provide care to the individual patient.
When evaluating medical malpractice, this can be performed by any healthcare professional. It is easy to classify this to be misdiagnosis, delayed diagnosis, delayed treatment, even not taking the time to evaluate a patient properly. When practicing medicine it is important that all measures be taken when a patient is showing signs of infection or having any adverse reaction to medication. In the case study below this is a prime example of the importance of checking patient progression.
Quality patient care is an ongoing endeavor that involves many different areas of healthcare. One area of healthcare that is often employed is Utilization Management. We read in John’s that UM “is composed of a set of processes used to determine the appropriateness of medical services provided during specific episodes of care” (John,2011). Things that are used to determine the appropriateness of care include the patient’s diagnosis, site of care, length of stay, and other clinical factors. This system consists of three main functions aimed at improving patient care and controlling healthcare costs. These functions include utilization review, case management, and discharge planning. One source states that it also includes the claim denials and appeals process (Interviewee C. Jarvis, e-mail communication, May 3, 2014). When used correctly, these UM processes can expedite the patient’s care and reimbursement. It also demonstrates to third party payers that the organization is taking measures to help control costs. This monitoring and management of patient healthcare needs ensur...
My colleague and I received an emergency call to reports of a female on the ground. Once on scene an intoxicated male stated that his wife is under investigation for “passing out episodes”. She was lying supine on the kitchen floor and did not respond to A.V.P.U. I measured and inserted a nasopharyngeal airway which was initially accepted by my patient. She then regained consciousness and stated, “Oh it’s happened again has it?” I removed the airway and asked my colleague to complete base line observations and ECG which were all within the normal range. During history taking my patient stated that she did not wish to travel to hospital. However each time my patient stood up she collapsed and we would have to intervene to protect her safety and dignity, whilst also trying to ascertain what was going on. During the unresponsive episodes we returned the patient to the stretcher where she spontaneously recovered and refused hospital treatment. I completed my patient report form to reflect the patient's decision and highlighted my concerns. The patient’s intoxicated husband then carried his wife back into the house.