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	<title>Comments on: Discharge instructions</title>
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		<title>By: Patricia Donovan</title>
		<link>http://www.kevinmd.com/blog/2008/09/discharge-instructions.html/comment-page-1#comment-87334</link>
		<dc:creator>Patricia Donovan</dc:creator>
		<pubDate>Wed, 17 Sep 2008 18:09:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/09/discharge-instructions.html#comment-87334</guid>
		<description>Yeah, difficult to squeeze more patient time out of these encounters.  Some health plans have had success with placing case managers in the ER to review discharge instructions or at least follow up the next day to make sure the care plan is understood/followed.  Readmissions due to misunderstandings are common, dangerous and expensive.</description>
		<content:encoded><![CDATA[<p>Yeah, difficult to squeeze more patient time out of these encounters.  Some health plans have had success with placing case managers in the ER to review discharge instructions or at least follow up the next day to make sure the care plan is understood/followed.  Readmissions due to misunderstandings are common, dangerous and expensive.</p>
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		<title>By: WhiteCoat</title>
		<link>http://www.kevinmd.com/blog/2008/09/discharge-instructions.html/comment-page-1#comment-87322</link>
		<dc:creator>WhiteCoat</dc:creator>
		<pubDate>Tue, 16 Sep 2008 14:17:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/09/discharge-instructions.html#comment-87322</guid>
		<description>Kevin, you are right on point with your comments. &lt;br/&gt;This article is another example of poor reporting. &lt;br/&gt;They interview a bunch of non-emergency physicians who make statements about what the emergency department should be doing differently. &lt;br/&gt;Dr. Eric Coleman is a geriatrician without a lick of ED patient management experience. Yet he feels qualified to recommend that EDs make follow up calls to all patients after they leave and to state that hospitals need to &quot;have some accountability for the no-care zone, the period between when you leave the emergency department or hospital and when you get into your primary care setting.”&lt;br/&gt;News flash, CheeseBall ... get them into &lt;i&gt;your&lt;/i&gt; practice on the next day and there wouldn&#039;t be that problem, would there? You can spend all the time you want going over their medications while the ED staff tries to worry about keeping patients from dying.</description>
		<content:encoded><![CDATA[<p>Kevin, you are right on point with your comments. <br />This article is another example of poor reporting. <br />They interview a bunch of non-emergency physicians who make statements about what the emergency department should be doing differently. <br />Dr. Eric Coleman is a geriatrician without a lick of ED patient management experience. Yet he feels qualified to recommend that EDs make follow up calls to all patients after they leave and to state that hospitals need to &#8220;have some accountability for the no-care zone, the period between when you leave the emergency department or hospital and when you get into your primary care setting.”<br />News flash, CheeseBall &#8230; get them into <i>your</i> practice on the next day and there wouldn&#8217;t be that problem, would there? You can spend all the time you want going over their medications while the ED staff tries to worry about keeping patients from dying.</p>
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