Wedding Kurat

By permission from Shane A Avery, MD    August 29, 2018 12:47 PM as posted in AAFP News I am a rural, solo, self-employed family physician who is practicing with his wife, an NP; in one of the poorest counties in Indiana. I was one of the physicians who reported the first cases of HIV during the historic outbreak in 2015. I lobbied at the state level for a needle exchange program when our governor and state health department said it should not be done. It is quite sobering to have the heads of the HIV division of the CDC sitting in your hospital boardroom. I had fought the opioid epidemic before it was recognized, when JCAHO was telling us to monitor pain as the 6th vital sign. I watched a rural community flounder under an epidemic of death, disease, and disability brought on by opioids with the blessing of the healthcare and pharmaceutic industry. But I am a family physician. I kept seeing patients in the office, providing complex care coordination. I did home visits. I did obstetrics

There are more indications of the punishment of health care costs upon our nation. A recent article in Forbes indicates that GoFundMe accounts are increasingly used to help with overwhelming costs.  There are numerous indicators of worsening facing most Americans - the ones that health care designers fail to understand most. Generally the article is a good review of the increasing costs as out of pocket expenses go up, employers and health insurers move to lesser coverage, and high deductible plans hit hard. Those who have lower income are often forced to go to lower cost high deductible plans - but of course the $10,000 that they have to pay is overwhelming. The answer to this issue is we need to fix the healthcare system. There is enough spending at over 3 trillion. How the dollars are spent actually makes the situation worse.  There are many solutions that can lower healthcare costs. The author lists some We spend 10% to 20% more in overhead than other countries. This equates to at

Registration is a process by which a patient’s name and identity are enrolled into the records of the hospital. This is required in order to provide services of the hospital to the patient and to keep a track of various services that are availed by each patient. This is also the first step to generate a medical record of the patient in which all medical details of the patient are documented. Registration is done with the following objectives 1. To collect basic details of patient related to identity, contacts and demography 2. To create a unique identification number for each and every patient 3. To enter patient’s name in the hospital’s system 4. To generate a record of the patient for documenting further processes related to him/her To ensure that registration process is carried out smoothly and its objectives are met, a hospital must have a well-defined and documented policy and procedure for carrying out registration of patients. The guidelines given below can help in formulating a

Download                                           (Also check - Policy and Procedure of Patient's registration) PATIENT REGISTRATION FORM Patient’s name Date of registration Gender    Male / female Date of Birth Guardian (In case of minor patient) Relationship Address Mobile No: Landline No: Email ID Occupation Health Insurance available Yes / No Name of insurer Referring doctor FOR EMERGENCY SITUATION Name of person to be contacted Relationship Contact No -1 Contact No. - 2 I state that all information provided above is correct. I understand the information is being collected to register me and enable me to access the services of this hospital. Signature of patient / guardian Date / Time

Quality Indicators are the backbone on which quality assurance programme of a hospital relies. NABH accreditation expects hospitals to calculate several quality indicators and use it for monitoring the quality of care. These are the list of quality indicators, which a hospital preparing for accreditation must necessarily monitor. (Also check - Performance measures for hospital business ) S. N. Indicator Formula Remark 1.          Average time taken for initial assessment of patients admitted in IPD Sum of time taken for initial assessment of all admitted patients in a period / total number of patients admitted in that period The time taken can be taken from time when patient was registered for admission till the time at which initial assessment was completed and documented 2.          Percentage of IPD patients for whom the initial assessment was completed within defined timeframe (Number of patients for whom the initial assessment was completed within a define