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Elite Accreditation
Jan 24, 2024
In Questions & Answers
The NPDB is making it very difficult for single specialty centers to get an account set up that allows us to pull the NPDB files on the surgeons. Can we use the self-query feature with NPDB with single specialty surgery centers? The Joint Commission response: Yes, A self-query is acceptable for organizations that are not eligible to query NPDB. See HR.02.01.03 EP 11Here are some resources with additional details:FAQ: https://www.jointcommission.org/standards/standard-faqs/behavioral-health/human-resources-management-hrm/000001369/https://www.npdb.hrsa.gov/hcorg/register.jsp(https://www.jointcommission.org/standards/standard-faqs/behavioral-health/human-resources-management-hrm/000001369/https://www.npdb.hrsa.gov/hcorg/register.jsp)
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Elite Accreditation
Jan 08, 2024
In Questions & Answers
Medicare is a federal health insurance program in the United States that primarily covers individuals who are 65 years old or older, as well as certain younger individuals with disabilities. Medicare provides coverage for a wide range of medical services, including physician visits, hospital stays, prescription drugs, and more. Regarding physician qualifications, Medicare generally requires physicians to be board-certified to receive reimbursement for their services. Board certification is a voluntary process that physicians can undertake to demonstrate their expertise and competence in a specific medical specialty. It involves completing the necessary training, meeting specific educational requirements, and passing a rigorous examination administered by a recognized board of experts in the respective specialty. Board eligibility, on the other hand, refers to physicians who have completed the required training in their specialty but have not yet passed the board certification examination. These physicians are considered eligible to practice medicine in their chosen specialty, but they have not yet achieved the official board certification status. While Medicare may recognize board-eligible physicians as qualified to provide medical services, reimbursement policies can vary depending on the specific circumstances and the services provided. In some cases, Medicare may reimburse for services provided by board-eligible physicians as if they were board-certified. However, it's important to note that this can depend on factors such as the type of service being provided, the medical specialty involved, and any applicable local or regional Medicare policies. It's crucial to keep in mind that Medicare policies and guidelines can change over time. Therefore, it's always advisable to consult the latest information from official sources, such as the Centers for Medicare & Medicaid Services (CMS) website, or contact Medicare directly for the most accurate and up-to-date information regarding reimbursement for services provided by board-eligible physicians. Furthermore, it's important to note that private insurance companies may have their own reimbursement policies and guidelines regarding board-eligible physicians. These policies can vary among insurance providers, so it's essential to check with the specific insurance company to understand their reimbursement policies for board-eligible physicians. In summary, while Medicare generally requires physicians to be board-certified to receive reimbursement for their services, recognition and reimbursement of services provided by board-eligible physicians may be possible in certain circumstances. It's crucial to review the latest Medicare guidelines and consult with Medicare or the relevant insurance provider to obtain the most accurate and current information regarding reimbursement for services provided by board-eligible physicians.
Board Eligible v. Board Certification content media
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Elite Accreditation
Oct 12, 2023
In Questions & Answers
It's recommended to have a UPS/Generator support for at least 90 minutes to ensure uninterrupted power supply during short power outages. However, for more extended power outages, it's best to have 2-4 hours support. Based on our facility's needs, I would recommend having a UPS/Generator support for at least {2-4 hours}. This will ensure we have enough time to manage any emergency procedures that may arise during extended power outages.
What is the minimum requirement for an emergency power source for a surgical patient? content media
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Elite Accreditation
Oct 01, 2023
In Questions & Answers
According to both the Federal and State of California, the answer is yes. A Surgery Center treats and stores hazardous waste. If you have a sharps container, then you are storing hazardous waste, right? Read more about it by visiting our page on DOT Certification, with helpful encouraging words as well as links to State pages to help you learn how to best comply. Go to our page here.(https://www.eliteaccreditation.org/dot-training-certification)
Do you need someone DOT-certified/trained? content media
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Elite Accreditation
Sep 12, 2023
In General Discussion
We are getting a lot of questions from Staff and Management, The burning question is, "How do I know for sure what I am tossing goes in regular trash versus the biohazardous red bag for incineration?" The short and easy answer has to do with blood, patient body fluids, and whether the item to be tossed is soiled or contaminated with the blood or body fluid. Because hazardous waste companies charge facilities based on the weight of their waste, many facilities find it easy to toss those questionable items in normal dumpster trash containers. When in fact, most if not all, should have been red bagged. If you can see blood or secretions, mucus, abscess discharge, drainage, etc., then by all means you are flat-out dealing with hazardous waste. Sharps containers are hazardous, IV tubing is not when it is connected to the bag of fluids for administration. However, the tools used in starting the IV would be biohazardous waste. If you look at it from the standpoint of visually seeing or knowing blood or fluids have touched the item, then it should be red-bagged and incinerated. If no blood nor any body fluid or residual blood, then normal trash is fine. Keeping out sharps items of course. Take this quiz below to determine how strong you are at deciding when to red bag it - 1. What is the primary purpose of the biohazardous waste red bag system? a) Convenience b) Recycling c) Safe disposal of infectious waste d) Aesthetic appeal 2. Which of the following should be placed in a red biohazard bag? a) Empty pill bottles b) Used gloves c) Paper towels d) Empty food containers 3. True or False: Biohazardous waste must be segregated from regular trash. 4. Which type of waste can typically go into regular trash bins? a) Blood-soaked gauze b) Used syringes c) Empty medication vials d) Sharps containers 5. What should be done with needles and other sharp objects after use? a) Dispose of them in regular trash b) Place them in a sharps container c) Recycle them d) Flush them down the toilet 6. Which of the following is considered biohazardous waste? a) Used bandages b) Empty plastic bottles c) Old magazines d) Aluminum cans 7. What color are biohazard waste bags typically? a) Green b) Blue c) Red d) Yellow 8. Which of the following is NOT considered biohazardous waste? a) Contaminated gloves b) Used tissues c) Empty medicine bottles d) Soiled bed linens 9. True or False: It is acceptable to dispose of human tissues or organs in regular trash bins. 10. What type of waste should be placed in a biohazard sharps container? a) Discarded medical gloves b) Used syringes and needles c) Empty medication containers d) Paper towels 11. Which of the following is a biohazard symbol commonly used on biohazard waste containers? a) ☀️ b) ♻️ c) ☣️ d) ✉️ 12. What should be done with biohazardous waste before placing it in a red bag? a) Rinse it with water b) Label it with a biohazard symbol c) Store it in a cardboard box d) Spray it with disinfectant 13. True or False: Biohazardous waste should be stored in a cool, dry place. 14. Which of the following is NOT a biohazardous waste category? a) Pathological waste b) Radioactive waste c) Chemical waste d) Infectious waste 15. What is the recommended method for disposing of expired medications? a) Flush them down the toilet b) Place them in the regular trash c) Return them to a pharmacy or follow local guidelines d) Give them to friends or family 16. Which type of waste is typically placed in an orange container for disposal? a) Radioactive waste b) Biohazard waste c) General trash d) Hazardous chemicals 17. True or False: Contaminated personal protective equipment (PPE) should be placed in a red biohazard bag. 18. What should be used to securely close a biohazard waste bag? a) Tape b) Zip ties or twist ties c) Nothing, it can be left open d) A paperclip 19. Which of the following is NOT considered medical waste? a) Used wound dressings b) Empty IV bags c) Paper patient records d) Used needles 20. True or False: Biohazard waste disposal regulations are the same worldwide. Answers: 1. c) Safe disposal of infectious waste 2. b) Used gloves 3. True 4. c) Empty medication vials 5. b) Place them in a sharps container 6. a) Used bandages 7. c) Red 8. c) Empty medicine bottles 9. False 10. b) Used syringes and needles 11. c) ☣️ 12. b) Label it with a biohazard symbol 13. True 14. b) Radioactive waste 15. c) Return them to a pharmacy or follow local guidelines 16. a) Radioactive waste 17. True 18. b) Zip ties or twist ties 19. c) Paper patient records 20. False
This $49M settlement with Kaiser and the State of California has the burning questions directed to us. content media
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Elite Accreditation
Sep 04, 2023
In Questions & Answers
1. Infection Control and Allergies One of the primary concerns with having live plants in a surgery center is the risk of compromising infection control measures. Plants, being natural hosts for various microorganisms, can introduce bacteria, molds, and other pathogens into the environment. This could potentially increase the risk of healthcare-associated infections, particularly in an environment where sterile conditions are paramount. Additionally, individuals with allergies may experience adverse reactions to pollen, spores, or other allergens released by plants, leading to discomfort and potential complications during surgical procedures. 2. Maintenance and Pest Control Your affinity for animals, especially dogs, birds, and fish, reflects your appreciation for the well-being of living creatures. Similarly, the care and maintenance of live plants require attention and vigilance. In a surgery center, maintaining plants necessitates proper watering, pruning, and soil management. Failure to uphold these maintenance practices could lead to overgrowth, which might compromise cleanliness and aesthetics. Additionally, live plants could attract pests, creating an unwelcome environment that contradicts the sterile conditions required in healthcare settings. 3. Air Quality and Respiratory Concerns While plants are known to improve air quality by absorbing carbon dioxide and releasing oxygen, their presence may inadvertently impact indoor air quality in a surgery center. The release of volatile organic compounds (VOCs) by certain plant species could lead to potential respiratory irritations or exacerbate existing conditions. For individuals undergoing surgery or recovering in a controlled environment, maintaining optimal air quality is crucial to prevent complications and ensure a comfortable healing process. 4. Interference with Equipment and Workflow As a healthcare professional with a passion for automobiles and a collection of cars, you recognize the importance of streamlined workflows and organized spaces. Introducing live plants into a surgery center could disrupt the layout and functionality of the space. Plants might interfere with the placement of medical equipment, obstruct access to critical areas, or hinder the efficient movement of healthcare providers. Maintaining a clutter-free environment is essential for facilitating smooth surgical procedures and ensuring patient safety. Surgical Logs- Mandatory Logs PrePrinted Dividers https://www.wix.app/stores/e2903394-63c3-4611-b3fb-5064597a2b9d/catalog/4b7d7bf0-01c2-89f9-7175-3514f50d6554?d=https://www.eliteaccreditation.org/product-page/surgical-logs-mandatory-logs-preprinted-dividers Conclusion While the inclusion of live plants in a surgery center may have positive aesthetic and psychological benefits, it's essential to weigh these potential advantages against the associated risks. Infection control, allergens, maintenance challenges, air quality, and interference with workflow are all factors that require careful consideration. Your commitment to providing the highest standard of care aligns with the need to prioritize patient safety and maintain the sterile conditions necessary for surgical procedures. By evaluating the potential dangers and benefits, you can make informed decisions that uphold your dedication to excellence in healthcare.
What's the take on having live plants in a surgery center? content media
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Elite Accreditation
Sep 02, 2023
In Questions & Answers
Greetings, Dear Reader. Dealing with a surgeon who consistently requests the latest surgical equipment in a surgery center requires a balanced and strategic approach. As someone well-versed in the field of healthcare, your experience and expertise will serve you well in managing this situation effectively. Firstly, it's important to acknowledge the surgeon's desire for advanced technology and their commitment to delivering the best possible patient care. Engage in open communication with the surgeon to understand their specific reasons for seeking new equipment. This could include discussing the potential benefits to patient outcomes, safety enhancements, and efficiency gains. Simultaneously, it's essential to consider the financial implications of acquiring new technology. As a seasoned professional with a keen eye for financial matters, you understand the importance of maintaining a sustainable budget for the surgery center. Engage in a candid conversation about the costs associated with acquiring and implementing new equipment, as well as the potential return on investment. Furthermore, consider involving a multidisciplinary team, including other surgeons, administrators, and technical experts, to evaluate the necessity and feasibility of incorporating new technology. This collaborative approach will enable you to make well-informed decisions that align with the center's goals and resources. As a respected member of the healthcare community and a church-going musician, your ability to navigate sensitive conversations with diplomacy and respect will be instrumental in finding a solution. Express your willingness to explore options that balance the surgeon's aspirations with the practical considerations of the surgery center. Ultimately, by fostering open dialogue, considering financial implications, and involving relevant stakeholders, you can work towards a resolution that satisfies the surgeon's aspirations while ensuring the sustainability and success of the surgery center. Your dedication to professionalism and your extensive experience in healthcare management will undoubtedly guide you in handling this situation with finesse. Best of Luck to you! Troy Lair
A reader asks, How do you best deal with a surgeon who constantly seeks your ASC to purchase the newest and best in surgical equipment? content media
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Elite Accreditation
Aug 30, 2023
In General Discussion
This friend contacted us to see if we could assist her and her friend with blatant discrimination while being treated in an urgent care center. Our direct response to her complaint was as follows: Unfortunately, prejudice or biased treatment can occur in any healthcare setting, including urgent care facilities. However, it's important to note that the prevalence of such behavior can vary widely depending on the specific facility, location, staff members, and their training and attitudes. It's not unique to urgent care centers; it can be found in various healthcare environments. Several factors might contribute to instances of prejudice or biased treatment in healthcare settings: 1. Lack of Training: Some healthcare professionals may not have received adequate training on handling patients with substance use disorders, mental health conditions, or those experiencing withdrawal symptoms. This can lead to misunderstandings and negative attitudes. 2. Stigma and Stereotypes: There can be societal stigma associated with substance use disorders, mental health conditions, and other health issues. Healthcare providers may unconsciously hold biases or stereotypes that affect patient interactions. 3. Time Constraints: Urgent care facilities often deal with a high volume of patients in a short period of time. This can lead to rushed interactions and potentially affect the quality of care and communication. 4. Personal Attitudes: Healthcare providers are individuals with their own attitudes and beliefs. Some may hold prejudiced views, which can influence their interactions with patients. 5. Inadequate Resources: Some urgent care facilities might lack the resources and specialized personnel to properly handle cases involving substance use disorders or mental health issues. 6. Communication Gaps: Miscommunication or lack of clear communication between the patient and healthcare providers can lead to misunderstandings and negative experiences. Recognizing that negative experiences with healthcare providers do not represent all providers or facilities is essential. Many healthcare professionals are dedicated to providing compassionate and nonjudgmental care to all patients. If you or someone you know has had a negative experience, it's important to address it. You can consider speaking to the facility's management, complaining, or seeking care from a different facility if necessary. Healthcare providers should strive to provide care that is free from discrimination and prejudice, and many organizations are actively working to improve training and awareness in this area.
A concerned friend reached out to us for help with her friend who is detoxing from Heroin. content media
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