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More, but possibly less | Medicaid expansion will add revenue, but state budget woes could force cuts

By Melanie Evans | September 06, 2010 | Print Magazine Print Magazine Subscription Details
If early projections hold true, the nation's safety net will expand to include one in three uninsured in the coming decade, bringing new revenue to hospitals that previously relied on write-offs and subsidies to manage patients' unpaid bills. But state budget woes are adding uncertainty.
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End-of-life care | Advance directives have value, but some in industry cite drawbacks, too

By Jennifer Lubell | August 30, 2010 | Print Magazine Print Magazine Subscription Details
Richard Raskin, vice president of medical affairs at Genesis HealthCare Corp. in Andover, Mass., is all in favor of advance directives.
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Coaching with care | Patient advocates help guide post-hospital care in an effort to improve outcomes and reduce readmissions

By Maureen McKinney | August 16, 2010 | Print Magazine Print Magazine Subscription Details
During the course of an average workday, Becky Cline sifts through plastic shopping bags full of medication bottles, reviews lengthy post-discharge plans, coordinates follow-up appointments, and acts out various role-playing scenarios with patients in order to educate them on the red flags of their...
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Halfway home | Just a few bumps on the road to new data standards

By Joseph Conn | August 09, 2010 | Print Magazine Print Magazine Subscription Details
In January 2009, HHS published a final rule outlining the steps the healthcare industry must take to update the electronic data transmissions standards used by the financial systems of hospitals, physician offices, claims clearinghouses and payers. The 34-page final rule called for a 36-month...
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Accounting for nursing care | Researchers urge use of ‘nursing intensity' data in hospital billing

By Joe Carlson | August 02, 2010 | Print Magazine Print Magazine Subscription Details
Although nursing care has always been one of the larger single expenses in acute-care hospitals, some experts have never been satisfied with how nurses' services have been lumped into the same overall “room and board” charges as routine hospital costs.
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Not such a pastoral setting | Rural-specific issues contribute to high suicide rates

By Jessica Zigmond | July 26, 2010 | Print Magazine Print Magazine Subscription Details
Earlier this month, HHS' Substance Abuse & Mental Health Services Administration released a startling statistic: in 2007, suicides in the U.S. accounted for more than 34,500 deaths, nearly double the amount of homicides. That figure represents about a 4.5% increase in suicides from the previous...
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A new round of reform in the U.K. | Primary-care docs gain more control under revamp

By Gregg Blesch | July 26, 2010 | Print Magazine Print Magazine Subscription Details
A new government steps into power and immediately mounts an overhaul of the nation's healthcare system of historic proportions. The changes are promised to improve the efficiency and quality of care while eliminating waste in the system. This is Britain now, not the U.S. circa 2009.
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Just add nine zeroes | Billion-dollar hospital construction projects becoming commonplace

By Andis Robeznieks | July 19, 2010 | Print Magazine Print Magazine Subscription Details
They may never become the rule, but billion-dollar hospitals are no longer that exceptional—especially in California and Texas.
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Putting IT to work | AMDIS recognizes nine for their achievements

By Joseph Conn | July 12, 2010 | Print Magazine Print Magazine Subscription Details
The nine winners of this year's annual awards for outstanding achievement in applied medical informatics from the Association of Medical Directors of Information Systems share a common theme, according to AMDIS President William Bria—they know how to employ information technology to get the...
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Getting connected

By Joseph Conn | July 12, 2010 | Print Magazine Print Magazine Subscription Details
Ted Kremer is the executive director of the Greater Rochester (N.Y.) Regional Health Information Organization, which is providing health information exchange services to a 10-county area in western New York.
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