Wedding Kurat

It is a time of great change and challenge in health care. The challenges are best seen in those who deliver the health care. Marginalization of nursing has been present for decades. Financial designs have long resulted in pressures for fewer nurses doing more as patient care gets more complex. Now this is seen in physicians and across those in health care.  The chronic provocations of the broken-down  healthcare "delivery system"  relegates physicians into a chronic  and unsustainable fight-or-flight mode. (Hood) It is indeed a cruel irony that we are all alone – together. (RCB) Innovation and disruption discussions have been converted into policies, regulation, and the push for digitalization. This rapid change focus is fixed on fixing health care. Instead the relentless bandwagon of disruptive innovation has rolled over those who deliver health care.  Rapid regressive changes are taking the humanity out of health care. They are taking the health out of those who deliver he

The primary responsibility of providing appropriate clinical care to a patient rests with the doctor under whose care the patient is receiving treatment. Thus, the outcome of care in a patient, to a very large extent, depends upon the expertise of the treating doctor. A doctor who is inadequately qualified or competent to handle a patient’s case can in-fact do more harm than good. Hence, it is extremely important that the patients are being treated by the right doctor. When doctors are employed or contracted by hospitals, it is the responsibility of the hospital to ensure that their patients are being treated by the right doctor. Hence it is a must for a hospital committed to provide high quality clinical care to have a robust policy on credentialing and privileging of clinicians.  CREDENTIALING Credentialing refers to the process of collection and verification of the evidences of credentials of a doctor who is to be given the responsibility of treating patients in the hospital. The pr

With additional decades, with time away from academic influences, with time away from conferences, and with more interactions with practice and practicing physicians - it is possible to see with a different perspective. The leaders and staff shaped by the above may be quite limited in their critical abilities. The newest and most innovative approaches are given free reign. Meanwhile back in the real world of practice, there are consequences. Conferences to address burnout - this is the nominee for the first Focus on Fixing the Financial post. Conferences on burnout appear to be a good thing For associations to appear that they are addressing member needs, especially those failing to address the financial design or the innovations, regulations, and digitalizations that make practice worse For association leaders to raise up their flags to also appear to focus on important areas For association finances For advertisers associated with association conferences For advertisers hoping to mar

One of the common risk to safety of patients in hospital is the risk of fall. Several epidemiological studies has found that on an average 3 to 5 patient fall incidence occur in every 1000 bed-days. It is also estimated that a third of fall results into injuries which could be severe such as fracture. Due to the widespread prevalence and resulting harm, prevention of patient fall is included as one of the International Patient Safety Goals (IPSG) of JCI standards for hospitals. The first step to prevention of fall is identifying patient who is at a risk of fall. Most accreditation bodies, including NABH and JCI expects hospital to undertake a fall risk assessment of all admitted patient and take preventive measures for those who are at a higher risk of fall. The table below describes the points that should be used for assessing risk of fall, and classifies features into very high, high, moderate and low risk categories. FEATURES RISK LEVELS Very High Risk High Risk Moder