Observation Care
Observation Medicine: The Good, The Bad, and The Ugly
by: Dr. Robbin Dick
Observation medicine in 2017 has proved no less a hot topic than it has been recent years. Institutions continue to develop observation units and processes to determine the correct level of care for when a patient requires hospitalization. This has not been a smooth transition from the days when a patient requiring admission as an inpatient […]
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Integrated Acute Care: The Impact of a Patient Centered Admission Team
by: Dr. Robbin Dick
When patient care is a priority, there is a natural integration of more and more elements of the patient’s hospital experience, from their entry process through their stay and finally their discharge. Not only is integrating care delivery service more efficient at delivering care – it’s more effective. An integrated care delivery model starts with […]
read articlePosted in Hospitalist Medicine, Observation Care, Quality Efficiency Utilization
Wall Street Journal Should Dig Deeper on Observation Care
December 17th, 2015by: Dr. Robbin Dick
The Wall Street Journal’s Dec. 1 story on observation care is relatively even-handed and does a good job at bringing to light the highly complex web of regulation, which has gotten a little slice of the U.S. health care system to where it is today. The gist of the story is rather straightforward: 30-day readmissions […]
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Four Rules for Bed Assignment In An Efficient Hospital
September 28th, 2015by: Dr. Robbin Dick
Editor’s Note: the following is an excerpt from Dr. Robbin Dick’s forthcoming book on Hospital Capacity Management. Dr. Dick is MEP’s Director of Observation Services. He will be speaking on hospital capacity management and other subjects at MEP’s third annual observation medicine conference, Observation Care ’15. Bed assignment often sets the pulse for the entire hospital, affecting every patient and every […]
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Medicare Rule Requiring 3-Day Inpatient Stay as Condition for Skilled Nursing Care Dates to 1965
March 27th, 2014by: Dr. Robbin Dick
Medicare recipients who are being denied coverage for skilled nursing care because they were under “Observation Status” during a recent hospital stay should blame a nearly 50-year-old Medicare rule – not their doctors or the hospital. The rule in question requires Medicare recipients to have had at least a 3-day inpatient hospital stay in order […]
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What the NY Times Missed In Its Praise of Maryland Healthcare
August 29th, 2013by: Dr. Angelo Falcone
The NY Times on Wednesday published a much needed and fairly adulatory story about the Maryland healthcare system, focusing much of its praise on Western Maryland Health System – a long time MEP partner. The story rightly pointed out two key differences between Maryland’s healthcare system and all the other states. One is the “Total […]
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What is observation care? Clearing up common misperceptions
February 7th, 2013by: Dr. Robbin Dick
To treat observation care as simply a loophole that allows hospitals to avoid the Medicare penalties from readmissions — as Brad Wright, an assistant professor of health management and policy at the University of Iowa did earlier this month on KevinMD.com — is to take a short-sighted approach to a complex health issue. Observation care in […]
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Observation Medicine Belongs to Emergency Medicine
November 14th, 2012by: Dr. Robbin Dick
I started my first observation unit over 15 years ago, and even now, as then, it is not exactly settled opinion that observation should be a part of emergency medicine. But it should be. That is one of this company’s central insights about observation medicine, and a big part of what interested me in joining as […]
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