By the time the general public hears about an impaired clinician, whether it’s a nurse, technician, or physician, it’s usually after something bad has already happened. The infamous case of a New Hampshire technician who stole painkiller syringes and exposed thousands of patients to hepatitis C is just one example. The following is an edited Q&A with Judy Kees, a regional coach leader at Studer Group with human resource executive experience at several health systems. PSMJ spoke with Kees on how to deal with an impaired employee, how to identify the problem before harm is done, and what your obligations are afterwards.
The data-analytics application works in conjunction with the smart pump system to create a continuous quality loop to strengthen patient safety, opportunities for improvement, and data-driven insights.
There are numerous reasons patients stop taking medication against their physician’s advice. They might feel better (or, thanks to side effects, feel worse). They might not be able to reach the pharmacy. The cost might be too steep. Then, of course, there is the potential for medications to be prescribed from a number of points of care, which is leading to more challenges regarding medication reconciliation. Whatever the cause, poor medication adherence has significant costs for both the individual and the health system.
Treating less sick patients at a tertiary hospital is usually not cost-effective compared to a community hospital setting, and treatment of complex cases at the community hospital often produces less favorable outcomes that are not in the best interests of the patient.
Five years ago, PSQH spoke with Jeanette Ives Erickson, RN, DNP, FAAN, about a new and exciting innovation in her hospital, Massachusetts General Hospital (MGH) – an initiative that designated 12 Innovation Units, where a philosophy of relationship-based care and 13 evidence-based interventions could be safely tested. This March, we checked in to see how the initiative has fared.
To say readmissions are a big deal in medicine is a massive understatement. The Hospital Readmissions Reduction Program (HRRP) was enacted in 2010 specifically to take on this problem and has imposed nearly $1 billion in penalties. An estimated $17 billion in Medicare spending is spent annually on avoidable hospital readmissions.
They say your home isn’t safe without a strong foundation. Likewise, your car isn’t safe without good tires.
The same cliché can apply to your healthcare workplace. Without strong, healthy, happy, and well-rested healthcare professionals working for you, your clinic just isn’t as safe a place as it could be.
Some strains of Candida auris (C. auris) fungusre resistant to all three classes of antifungal drugs. Its spores are extremely durable and can survive on skin and surfaces (such as doorknobs and bedrails) for weeks. Fungal infection can cause a gamut of effects, from mild (runny nose) to severe (death).
“The more things change, the more they remain the same.” Technology and pharmacology are advancing rapidly. Reimbursement systems for healthcare services are in flux, and the sites for delivering healthcare are expanding to pharmacies and grocery stores. What remains the same is that people need healthcare and healthcare professionals provide it.
We are in the midst of tremendous change in healthcare, and physician advisors are needed to be the lighthouse guiding our physician colleagues in the turbulent waters. The notion that a physician advisor only needs to know how to determine a proper level of care is well past us at this point, because organizations have realized that physician advisors can, and are, impacting healthcare organizations in many other equally important ways.