Coding News

Looming physician, APN, PA shortages call for more training PDF Print E-mail
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Thursday, 07 July 2011 10:35

Even under scenarios of aggressive training programs, the healthcare industry will experience a serious shortage of physicians, advanced practice nurses, and physician assistants during the next two decades, according to a new study published in the Journal of the American College of Surgeons.

The physician shortage isn't new news. More than two-thirds of advanced clinicians are physicians, and the U.S. is training fewer physicians per capita each year. The national physician shortage increases 7 to 8 percent each annually, according to senior study author Richard Cooper, MD, professor at the Perleman School of Medicine at the University of Pennsylvania, in a press release.

The study points out, however, that even if the APN and PA workforce grows at its current projections but physician residency programs are not expanded, the supply of advanced clinicians will not meet demand in 2025, especially in light of greater healthcare access due to healthcare reform, according to the study...

Last Updated on Saturday, 21 February 2015 08:41
EDs fail to recognize elder cognitive impairment PDF Print E-mail
Thursday, 07 July 2011 10:03

Older patients with cognitive impairment, such as dementia and delirium, pay a large number of visits to emergency departments (ED), but EDs may be ill equipped to identify their impairment, according to a study in the Journal of Advanced Nursing (JAN).

Researchers at the University of Alberta reviewed literature from 1994 to 2009 of patients over the age of 65 in the U.S., Canada, Australia, Italy, New Zealand, and Israel. They found that older adults are more likely than other age groups to request an ambulance and receive acute interventions on arrival.

"Older patients with cognitive impairment are unable to make decisions for themselves or function independently when they visit an emergency department" said lead author Dr. Belinda Parke, assistant professor in the University's Faculty of Nursing, in a press release. "They tend to be more helpless, demand special attention and fail to co-operate, posing many challenges for healthcare staff during admission, assessment and treatm...

Hospital fall prevention doesn't work, study says PDF Print E-mail
Thursday, 07 July 2011 09:37

Despite nationwide efforts to prevent inpatient falls, new research disputes the assumption that hospital falls are really preventable, according to an article published in the Journal of the American Academy of Orthopaedic Surgeons (JAAOS).

As the leading cause of injuries (fatal and nonfatal) of older Americans, one in three senior citizens have a fall, totaling more than 11 million people over the age of 65, according to a JAAOS press release. In hospitals, about 3 to 20 percent of inpatients have a preventable fall. However, the literature review indicates that hospitals may not be able to prevent most falls.

Long-standing fall prevention strategies, such as patient education, vision assessment, and walking aids are not as effective in the hospital setting as they are in long-term care or home care settings, according to researchers.

"Of course, hospitals should educate patients and the families, use bed rails, keep beds low, keep floors dry and clear of clutter--all the common...

Heed IPAs' experience before implementing your EMR system PDF Print E-mail
Thursday, 07 July 2011 09:21

Don't rely on vendor training alone when implementing an electronic medical record system. Instead, develop internal training teams that include physician leaders, finds a new study by the Center for Studying Health System Change.

The study examined the activities of five independent practice associations (IPAs) and found that small, independent practices can benefit from the expertise of IPAs when it comes to adopting EMR systems. 

For example, many IPA respondents noted that the training offered by vendors was "inadequate" to get new EMR systems up and running and ultimately developed their own in-house training. Their advice: Allow plenty of room for back-and-forth discussions between technical experts, physicians and practice staff.

The study also revealed that identifying physician leaders was an important factor in bridging the gap between technology and clinical care among small practices. The leaders--physicians who believed in HIT adoption and understood how...

CAHs fall short on care, but telemedicine could help PDF Print E-mail
Thursday, 07 July 2011 09:16

Critical access hospitals (CAHs) in rural areas of the U.S. are behind on quality of care, patient outcomes and technology adoption when compared to other hospitals, according to a recent study.

In the first national study to examine care at CAHs in rural areas of the U.S., Harvard School of Public Health (HSPH) researchers found that, despite more than a decade of policy efforts to improve rural health care, substantial challenges remain.

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9 benefits of ICD-10

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6. Monitoring resource utilization
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