Using sample administrative and clinical protocols that any hospital can use, this book gives a detailed account of how to set up and run an observation unit and reviews all medical conditions in which observation medicine may be beneficial. In addition to clinical topics such as improving patient outcomes and avoiding readmissions, it also includes practical topics such as design, staffing, and daily operations; fiscal aspects, such as coding, billing, and reimbursement; regulatory concerns, such as aligning case management and utilization review with observation; nursing considerations; and more. The future of observation medicine, and how it can help solve the healthcare crisis from costs to access, is also discussed. Although based on US practices, this book is also applicable to an international audience, and contains instructions for implementing observation in any setting or locale and in any type of hospital or other appropriate facility.
Sharon E. Mace is Professor of Medicine at the Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Ohio; Director of the Observation Unit, Director of Research, and Director of Pediatric Education/Quality Improvement at the Emergency Services Institute, Cleveland Clinic; and a member of the Faculty of MetroHealth Medical Center/Cleveland Clinic Emergency Medicine Residency, Cleveland, Ohio.
Part I. Administration; Part II. Observation Medicine; Part III. New Developments in Observation Medicine; Part IV. Clinical; Section 1. Cardiac; Part V. Financial; Section 1. Financial - Coding and Reimbursement; Part VI. International; Section 1. Africa; Part VII. Evidence Basis for Observation Medicine; Part VIII. Protocols; Part IX. Order Sets; Section 1. Adults.