Observation Medicine

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.

    Contains clinical protocols for diseases/conditions that may be managed by observation medicine, which is an up-and-coming solution to the crisis of costs and access to emergency healthcare
    Contains administrative protocols and covers the financial and business aspects of running an observation unit
    Offers an international perspective, with practical methods for implementing observation medicine in any location and with any type of resources, staffing, and education

Table of Contents

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.

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.
Contributors

Sharon E. Mace, Louis G. Graff, David Robinson, Chris Baugh, J. Stephen Bohan, Karen Games, Gregory Henry, Elaine Thallner, Ryan Prudoff, Stephen Sayles, Robert Bennett, Jonathan Glauser, David G. Paje, Peter Y. Watson, Pawan Suri, Margarita Pena, L. Christine Gilmore, Brent Nicks, Cathy Puetz, Kayur V. Patel, Igor Kozunov, Louella Vaughan, Tertius T. Tuy, W. Frank Peacock, Jieun Kim, T. Andrew Windsor, Amal Mattu, Kami M. Hu, Eric Anderson, Chew Yian Chai, Michelle A. Wiener, Matthew Tabbut, Saurin Bhatt, Mark Moseley, Miles P. Hawley, Pawan Suri, Taruna K. Aurora, Kimberly Ressler, Matthew Lyon, Leah Taylor, Robert W. Gibson, Rokhsanna Sadeghi, Robert Bennett, Abhinav Chandra, Elizabeth A. Rees, Claire Pearson, Robert Welch, Brian Kern, Veronica Sikka, Renee Reid, Harinder Dhindsa, Aderonke Ojo, Frederic Hustey, Nathaniel L. Scott, James Miner, Steven Walsh, Marsha Ford, Connie Doyle, Michael Granovsky, David McKenzie, Candace E. Shaeffer, B. K. Kizziar, Nancy E. Skinner, Robert H. Levitan, Sandra Sieck, Heather C. Tuffin, Lee A. Wallis, Malcolm Mahadevan, John A. Burke, Michael Ardaugh, Said Lairibi, Patrick Plaisance, Martin Mockel, Julia Searle, Salvatore DiSomma, Ianni Borgiovanni, Dylan Jenkins, Carlon Hernan Carmargo-Mila, Margarita Pena, Madeline Joseph, Sean Bush