Our hospital is located in a rural location where it is difficult to find specialty physicians to provide services to its hospital outpatients. We are trying to determine which of our facilities that furnish services on or near the hospital campus would be excluded from provider-based requirements.
Mr. Coin, a chronically ill patient, is being discharged to home. Although the discharge is complex, the transition to home is uneventful—until the case manager, Robin, receives a call from Mr. Coin's son, who tells Robin that her patient has been sent home with his heparin lock still in place.
Electronic health records may not be able to accurately determine case mix, according to a study published January 18 in the American Journal of Managed Care.