EM Ottawa

NOVEMBER 30, 2023

Sunita Puir, a palliative care doctor, talks about how it is an “open secret in medicine that CPR is brutal and rarely effective,” yet how the public seems […] The post Decoding Code Status: A Goals of Care Framework appeared first on EMOttawa Blog.

Documentation/Coding 76

Documentation/Coding CPR Resuscitation 76

University of Maryland Department of Emergency Med

SEPTEMBER 22, 2023

Since the switch from fee for service to value based care in the US, there has been a marked push to improve our documentation to expand ou. Click to view the rest

Documentation/Coding 58

Documentation/Coding Emergency Department 58

American Medical Compliance

JUNE 21, 2024

Here are key areas where they can make a significant impact. Accurate Documentation and Coding Accurate documentation and coding are fundamental in preventing fraud, waste, and abuse. This includes segregation of duties, regular audits, and having checks and balances in billing and coding processes.

Documentation/Coding 99

Documentation/Coding Leadership Best Practices Outcomes 99

Emergency Medicine Journal

NOVEMBER 28, 2023

Accordingly, this pilot study aimed to test whether clinician-assigned ED discharge diagnosis coding could be implemented in an Irish ED, and whether coded data would be of sufficient quality to support operational needs and the proposed model of activity-based funding (ABF). 67% of available codes were used.

Documentation/Coding 40

Documentation/Coding Emergency Department Administration Operations 40

Emergency Medicine Cases

JUNE 7, 2022

In this part 2 of our 2-part podcast series on Cardiac Arrest - The When, Why & How, we discuss some of the finer art of cardiac arrest care and answer questions such as: how should we best communicate to EMS, the ED team and the family of the patient to keep the team focused, garner the most important info and keep the flow of the code going?

Documentation/Coding 52

Documentation/Coding CPR Resuscitation EMS 52

The Trauma Pro

NOVEMBER 10, 2023

You can download the full document using the link at the bottom of this post. Document your consultation results in writing (paper or EMR) promptly. Bottom line: A uniform “code of behavior” is essential! Click here to download a sample Trauma Services consultant guidelines document.

Documentation/Coding 147

Documentation/Coding Best Practices 147

EMergucate

AUGUST 13, 2023

Simulation report 3/8/23 In situ sim ED JHC Hi everyone, Thank you so much for participating and helping … Continue reading →

Documentation/Coding 52

Documentation/Coding 52

The Trauma Pro

JUNE 28, 2024

Work not documented is work not done” This is my quote and it’s one of my favorites. Accurate, complete, timely, and legible documentation is a must! Documentation, or lack thereof, will not get you sued. Documentation, or lack thereof, will not get you sued. And providing a date and time is absolutely critical.

Documentation/Coding 186

Documentation/Coding 186

ACEP Now

JANUARY 13, 2024

The 2,414-page final rule is the document that informs what Medicare payments will be for the following year. Physician Fee Schedule Conversion Factor As expected, the conversion factor, a dollar amount which, when multiplied by the relative value units assigned to a code, determines the payment amount, is expected to drop by 3.39

Documentation/Coding 52

Documentation/Coding Hospitals 52

Mount Sinai EM

AUGUST 7, 2024

Evidence of right heart strain is important but the evidence of fibrinolysis during arrest is mixed with many studies showing no 30-day mortality benefit to lysing during a code. Rapidly intervened-upon cardiac tamponade in PEA during cardiac arrest has significantly higher hospital discharge rates. survival to hospital discharge rate.

Ultrasounds 235

Ultrasounds CPR Documentation/Coding COPD 235

Emergency Medicine Cases

JULY 31, 2018

In anticipation of EM Cases Episode 113 Diagnosis an Workup of Pulmonary Embolism with Dr. Kerstin DeWit and Dr. Eddy Lang, we have Dr. Peter Reardon telling us his Best Case Ever (Coding in the Scanner) of a young woman who presents with a seizure followed by hemodynamic instability, who codes while in the CT scanner.

Documentation/Coding 52

Documentation/Coding Seizures EMS Resuscitation 52

The Trauma Pro

JUNE 23, 2023

And finally, one of the most common issues complicating malpractice cases of any kind is documentation. Collection and review of documentation, identification of experts, and collection of depositions takes time. Collection and review of documentation, identification of experts, and collection of depositions takes time.

Documentation/Coding 245

Documentation/Coding Administration 245

University of Maryland Department of Emergency Med

NOVEMBER 2, 2023

BACKGROUND: Prehospital (EMS) clinicians are positioned on the front lines of health care. With respect to stroke identification and treatment, ea. Click to view the rest

Stroke 64

Stroke Documentation/Coding EMS 64

Emergency Live

DECEMBER 21, 2023

The Importance of Color Codes in Hospital Emergency Situations and on Rescue Vehicles Color Codes in Hospital Emergencies In hospital settings, color codes are used to communicate specific emergency situations quickly and effectively.

Documentation/Coding 105

Documentation/Coding Hospitals 105

Emergency Medicine Cases

MARCH 26, 2020

We touch on PPE conservation strategies as we struggle with supplies, give you the bottom line on donning/doffing sequencing, and discuss the core principles of the protected code blue. The post Ep 139 COVID-19 Part 3 – PPE: What We Know, Conservation Strategies and Protected Code Blue appeared first on Emergency Medicine Cases.

PPE 52

PPE Documentation/Coding Resuscitation Wellness 52

Sensible Medicine

OCTOBER 19, 2023

We wrote this letter and submitted it to the journal, documenting that the trial violated ethical codes. Kids are a vulnerable population— subject to teasing and bullying— and frankly the dogs were not that good at sniffing COVID19. Lots of false positives and negatives. Yet the journal refuses to print it.

Documentation/Coding 126

Documentation/Coding Pediatrics Research Outcomes 126

American Medical Compliance

NOVEMBER 8, 2024

Proper injury reporting protects patients, supports a safe workplace, and shields healthcare providers from potential legal issues that may arise due to negligence or lack of documentation. Scenario-based training adds real-world relevance.

Documentation/Coding 92

Documentation/Coding Legal Issues Operations Incident Reporting 92

EMDocs

JUNE 13, 2024

We just don’t document it. If we don’t use printed instructions, document our verbal instructions regarding the most common side effects of the drug(s) being prescribed. Documenting our warnings should be standard care. State regulations and codes may place that responsibility on our shoulders.

Documentation/Coding 77

Documentation/Coding Patient Safety Emergency Department Hospitals 77

Dr. Smith's ECG Blog

NOVEMBER 27, 2023

Written by Jesse McLaren A 45 year old presented with two weeks of recurring non-exertional chest pain, now constant for an hour. Below is old and then new ECG (old on top; new below). What do you think? Both ECGs have normal sinus rhythm, normal conduction and normal voltages.

EKG/ECG 88

EKG/ECG Documentation/Coding Wellness 88

The Trauma Pro

JULY 5, 2024

The emergency physician should be sure to convey their concerns very clearly, tell the specialist that the conversation will be documented carefully, and then do so. Be sure to fill out a consent as soon as practical, and document any attempts that were made to obtain it. Make sure all is documented well on the consent or in the EHR.

Documentation/Coding 113

Documentation/Coding Fractures Emergency Department Wellness 113

Emergency Medicine Cases

AUGUST 28, 2017

The post Best Case Ever 61 Biohazard Preparedness: The Protected Code Blue appeared first on Emergency Medicine Cases. If you were faced with a patient with suspected Ebola or drug resistant TB or any other biohazard patient who required intubation, would you know how to handle the situation so that you and your colleagues were safe.

Documentation/Coding 52

Documentation/Coding EMS 52

American Medical Compliance

APRIL 1, 2024

What you will learn Principles, code of professional conduct, and advisory opinions Patient Autonomy Nonmalfience Benefience Indiana Statuses and Administrative Rules Licensure of Dentists Licensure of Dental Hygienists Details Course length: 2 hours. These are the ADA Principles of Ethics and Code of Professional Conduct (ADA Code).

Documentation/Coding 59

Documentation/Coding Administration Wellness 59

Resus Review

FEBRUARY 12, 2015

Part of performing a bedside percutaneous tracheostomy is the procedural documentation. Given that this is a surgical procedure, the documentation should be more thorough than you may be accustomed to doing for an arterial line or central line. I have included a sample procedure note below.

Documentation/Coding 40

Documentation/Coding 40

Ken Grauer, MD

FEBRUARY 28, 2023

Figure-2: I've color-coded P waves from Figure-1 according to P wave morphology ( See text ). NOTE: For clarity — I've color-coded P waves in the long lead II rhythm strip according to morphology. Microvascular dysfunction — cardiac vasculitis — intravascular thrombosis.

EKG/ECG 195

EKG/ECG Documentation/Coding Sepsis COPD 195

Mind The Bleep

OCTOBER 22, 2024

Behind the scenes, this entry is assigned a clinical code (such as a SNOMED CT code) so it can be recognised as a blood pressure value by any health record software worldwide if the record should ever be exported there. Some clinicians might have an interest in coding and software development (also known as clinicians who code ).

Documentation/Coding 59

Documentation/Coding Telemedicine Urgent Care Operations 59

Emergency Live

APRIL 26, 2024

It’s a special nitrogen-containing compound that pairs with adenine, cytosine, and thymine (or uracil in RNA) to form the genetic code. One of the four main building blocks of DNA and RNA is guanine. What makes guanine unique is its […] The post The Essential Role of Guanine in DNA and RNA appeared first on Emergency Live.

Documentation/Coding 98

Documentation/Coding 98

American Medical Compliance

OCTOBER 25, 2024

It could target several key areas, such as patient privacy and security to ensure compliance with HIPAA guidelines, or billing and coding accuracy to prevent fraud and abuse under CMS regulations. What are you aiming to achieve with the audit? You might also focus on employee training and education.

Documentation/Coding 86

Documentation/Coding Operations Best Practices Shock 86

Emergency Medicine News

MARCH 31, 2024

An abstract is unavailable.

Documentation/Coding 40

Documentation/Coding 40

EB Medicine

SEPTEMBER 13, 2024

Eckler, MD discuss the September 2024 Emergency Medicine Practice article, Elder Abuse and Neglect: Making the Diagnosis and Devising a Treatment Plan in the Emergency Department Introduction and Announcements Elder Abuse and Neglect: An Overview Risk Factors and Reporting Pre-Hospital and Emergency Department Considerations Screening Tools and (..)

Elder Abuse 85

Elder Abuse Emergency Department Documentation/Coding Hospitals 85

EMDocs

APRIL 2, 2024

Check the pulse RSI= Resuscitation Sequence Intubation Hypoxia, Hypotension, and Acidosis are the reason patients code during/post intubation These patients are super high risk for all 4 Optimize first pass success – Induction agent + paralytic Unconscious patients will still have muscle tone Induction Ketamine or Etomidate at half doses (i.e.,

Documentation/Coding 92

Documentation/Coding CPR EKG/ECG Sepsis 92

The Trauma Pro

JUNE 21, 2024

This situation was first documented in a paper published in the 1960s, which noted that VIP patients have worse outcomes. The VIP syndrome occurs in healthcare when a celebrity or other well-connected “important” person receives a level of care that the average person does not. Who is a VIP? It may be a celebrity. A family member.

Documentation/Coding 288

Documentation/Coding Outcomes Hospitals Wellness 288

Sensible Medicine

OCTOBER 19, 2023

We wrote this letter and submitted it to the journal, documenting that the trial violated ethical codes. Kids are a vulnerable population— subject to teasing and bullying— and frankly the dogs were not that good at sniffing COVID19. Lots of false positives and negatives. Yet the journal refuses to print it.

Documentation/Coding 73

Documentation/Coding Pediatrics Research Outcomes 73

The Trauma Pro

AUGUST 15, 2023

MTP logistics include details such as who will be delivering the blood, what actually goes in each cooler, what ratios should be used, limitations imposed by the use of frozen plasma, and documentation. Documentation is critically important, both in the trauma bay and the blood bank. And there are plenty around all the time!

Documentation/Coding 130

Documentation/Coding Best Practices Resuscitation Administration 130

American Medical Compliance

MARCH 11, 2024

These are recordkeeping and documentation. In a survey , dental providers agree that careful and precise recordkeeping is indispensable, emphasizing the importance of documenting elements such as patient histories, examination results, diagnoses, radiographs, treatment plans, consent forms, and clinic notes.

Documentation/Coding 95

Documentation/Coding Best Practices Operations Outcomes 95

Total Medical ComplianceHIPAA

AUGUST 15, 2024

Document what worked well and what did not. Documentation and Compliance Comprehensive Documentation : Maintain detailed documentation of the DRP, including all tests, training sessions, and updates. This documentation is essential for demonstrating compliance with HIPAA requirements.

Documentation/Coding 59

Documentation/Coding Best Practices Risk Management Wellness 59

EMDocs

MAY 4, 2024

. #1: Emergent Cath Lab Activations with “Normal” Computer ECG Interpretations Spoon Feed A significant minority of code STEMI patients have an initial normal computer ECG interpretation. Consequently, emergency physicians must remain vigilant to identify signs of OMI regardless of the initial computer ECG interpretation.

Documentation/Coding 78

Documentation/Coding Stroke Emergency Department Pediatrics 78

PulmCCM

SEPTEMBER 17, 2023

Fully implemented, CDC’s toolkit would promote sepsis into the major leagues of “code strokes” and “code STEMIs” — highly prioritized system-wide operational programs enjoying executive sponsorship and significant financial and human resources.

CDC 98

CDC Sepsis Hospitals Documentation/Coding 98