Dr. Cary Gutbezahl, CEO of Compass Clinical Consulting, was the featured guest on Health Professional Radio Network, the #1 global online radio station for health professionals. Health Professional Radio host, Neal Howard, interviewed Dr. Gutbezahl on the complex and multitude issues of caring for mental health patients in the Emergency Room. This segment is about the desire of Mental Health patients to able to talk with providers about their problems without stigma, and without being “written off as a psych patient.” Mental Health patients want their right to give input on their care, to be acknowledged, especially when they are competent to make decisions.
What is the Healthcare Facilities Accreditation Progam (HFAP)?
The HFAP is the accreditation process that has grown out of the former hospital approval process of the American Osteopathic Association. Founded in 1945, this accreditation program has experienced growth well beyond its traditional base of osteopathic hospitals to encompass over 200 acute-care hospitals, plus 200 other accredited entities. HFAP also provides accreditation services for critical access hospitals, ambulatory surgical centers, ambulatory care/office-based surgery, behavioral/mental health facilities and clinical laboratories. HFAP provides certification in the disease management program/centers of excellence for comprehensive, primary and Stroke Ready Center certification. And…
A huge risk point for hospitals is management of behavioral health in the emergency department (ED). Behavioral health patient management in the ED, though not a currently measured indicator, is a source of frequent complaints and potential Immediate Jeopardy findings, as many hospitals have experienced over the last year or two.
Behavioral health patients present to the emergency room with two types of problems. One is they have a medical problem such as injury as you’ve described on top of their existing mental health problems. But the other times, they have acute psychiatric issues. They may have tried attempted suicide. They maybe acutely psychotic and threatening to harm themselves or others and the emergency department’s got to be prepared to deal with both of those situations.
With the advent of value-based purchasing (VBP), healthcare organizations are already finding themselves excluded from certain Medicare and Medicaid reimbursements and bonus funds based on existing Immediate Jeopardy findings which, for some organizations, can be dollar amounts in the multi-million dollar range.
Items like 30-day readmissions and hospital-acquired infections eat away at the bottom line, and Immediate Jeopardy incidents can cause problems in terms of public relations. But with Value-Based Purchasing, there are now bonus dollars available for organizations who do well, and fines for hospitals who do poorly in these areas, which makes quality and compliance even more important for hospitals trying to maintain their bottom line
Dr. Cary Gutbezahl, CEO of Compass Clinical Consulting, was the featured guest on Health Professional Radio Network, the #1 global online radio station for health professionals ED & ER Mock Surveys Neal Howard: Dr. Gutbezahl, You have also served as a mock surveyor in preparing hospitals for regulatory surveys. Have you ever done anything similar to prepare ED or […]
Hospital ER’s have to deal with behavioral health and substance abuse issues even though they tend not to be particularly well prepared to deal with the acutely ill behavioral health patient. The entire ER staff needs to have a better preparation and education and skills development to care for and address the needs of behavioral health patients.
Interim leadership is one way to avoid the negative impact of vacancies in critical positions. The benefits of interim hospital leadership depend heavily on the goals that hospitals state and the projects that interims undertake. However, some generalizations can be made as to the benefits that interim management can bring, even in a difficult economy. […]
Interim leadership can make the crucial difference in rescuing a floundering service or launching a new initiative. Activities requiring significant change are best not left to inexperienced leaders. Similarly, challenges in employee relations and development, physician engagement, or need for operational improvement all can be more expeditiously and effectively addressed by a seasoned hand who has “been there, done that.”
By Kate Fenner, PhD, RN The resignation or beneficial turnover of a vice president, department director, or even unit manager usually merits consideration of appointing an interim to fill the vacancy. Determining where an interim is critical, when an interim is critical, why an appointment is imperative, and who should serve as an interim are […]
The deployment of a talented, well-supported interim executive or clinical director can positively affect staff morale, recruitment, patient safety, preparation for survey by The Joint Commission or CMS, and transition to the new permanent replacement. The decision to hire an interim hospital leader can and should be evaluated from a financial point of view, but qualitative benefits are also very important.
Choosing the right interim is a very important, but often difficult, task. Face-to-face interviews are arguably the best way to vet candidates for interim hospital executive and clinical director positions. The following tips offer a strategy for making the most of an interview with an interim candidate.
Interim managers, directors, and even C-suite positions are best filled only after careful consideration. Effective interims, people who work as interims as a career as opposed to those just seeking to fill time and wallet between permanent positions, are not inexpensive. Not all vacancies merit the investment of resources required.
Dr. Cary Gutbezahl, CEO of Compass Clinical Consulting, was the featured guest on Health Professional Radio Network, the #1 global online radio station for health professionals. Health Professional Radio host, Neal Howard, interviewed Dr. Gutbezahl on the complex and multitude issues of caring for mental health patients in the Emergency Room.