Cedars-Sinai Medical Center

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A BI-WEEKLY PUBLICATION FROM THE CEDARS-SINAI CHIEF OF STAFF Oct. 15, 2010 Issue | Archived Issues

Free Flu Shots Now Available

Free influenza vaccinations are now available to medical staff, including private physicians, in Employee Health Service (EHS) located in SSB-200. Appointments and walk-ins are welcome from 7 a.m. to 4 p.m. Monday through Friday.

Flu shot clinics are planned this month for ...

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Medication Shortage Update

Pharmacy Focus

Ascorbic Acid 500mg/ml 50ml injection vials ...

Furosemide, Bumetanide, Torsemide ...

Epinephrine 0.1mg/ml 10ml syringes ... 

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Printing Patient Results

Web/VS Tip of the Week

When you need to print patient results, use the "Print" icon at the right end of the silver banner across the top of the page.

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Meetings and Events

Arthur I. Johnson, M.D., Memorial Medical Student Reception
Oct. 19

"Divination and DNA: The Hazard, but Inevitability, of 'Divination' in Our New Genomics"
Oct. 20

Comprehensive Approach to the Treatment of Obesity
Oct. 22

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Share Your News

Won any awards or had an article accepted for publication? Share your news about professional achievements and other items of interest.

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Patient Classification and Surgery (Procedure) Scheduling

In August 2010, Cedars Sinai instituted new processes and procedures with new clinical resources aimed at improving patient classification of surgery and procedure patients.

Patient classification is a significant compliance issue for Medicare as well as MediCal and other insurance carriers. Over the past year, various governmental audit agencies have focused on the hospital community and this topic of patient classification.

Hospitals are at great risk if found to be non-compliant with their regulations.
In response to this ongoing oversight, Cedars Sinai has taken steps to further improve the proper identification of patient class.

Ultimately, patients are classified as Inpatients or Outpatients for the purposes of billing and reporting. Within that overriding structure, procedure patients are scheduled as either "AM Admits," which is considered inpatient; "In-house," which is considered inpatient; or "outpatient procedure," which is outpatient in SIS and CS-Link™. As of the beginning of August, the option of "23 hour" was removed as it was not a true patient classification and confusing to users. Moreover, patients cannot be scheduled as "observation," but may become so after a procedure if they need to be evaluated for potential inpatient admission and with an appropriate physician order.

Case management has instituted a pre-review and post-review of all scheduled procedures for the appropriate assignment of patient class. Additionally, specific "patient classification department guides" were developed for non-OR procedural areas like the cath lab, interventional radiology and GI labs. Case managers are always available to assist with the proper determination of patient class.

Please note, the distinction of patient class is very important to hospital compliance, but does not change the care you need and desire to provide your patients. We appreciate your ongoing support of our endeavors in this area and welcome feedback on how we can further improve our process making it smoother for you and your patients.

For more information, please contact Gretchen Case, director of Compliance and Revenue Integrity, at gretchen.case@cshs.org or (323) 866-8940.