$330 Million Risk: What Boards Should Know

In his article that advises American Hospital Association member trustees, Rodney Hockman, MD warns that hundreds of hospitals are likely to be penalized by Medicare for patient injuries under the Hospital-Acquired Condition (HAC) Reduction Program starting in October 2014. He points out that each penalized hospital stands to lose nearly $434,000 in Medicare reimbursements on average, with large hospital systems and those with a high volume of Medicare payments potentially facing much greater losses should they provide unsafe care.

Dr. Hochman points to institutions using a bundle of best practices to address this,  including 353-bed White Memorial Hospital, part of the Adventist Health System in Los Angeles, to eliminate two of the serious complications used to determine penalties under Medicare’s HAC Reduction Program: pneumothorax and central line-associated bloodstream infections (CLABSIs).  Both conditions are now included on AHRQ’s list of patient safety indicators. 

Glimpse Episode 8: Dr. John Christian Fox and Joel Schlang Discuss Medical Education

Joelle Schlang, Dr Christian Fox

Join Dr. John Christian Fox and Joelle Schlang as they discuss the role of ultrasound in medical education.  Students at UCI receive more than 50 hours of hands-on ultrasound training, starting the first week of their first year at medical school.  This education is continued for two years allowing students to experience the benefits of ultrasound both as a diagnostic tool and a learning tool.

Glimpse Episode 7: Dr. Alan Chiem

Dr. Alan Chiem

Watch and listen to Dr. Alan Chiem as he discusses the benefits of early ultrasound training for medical students and how he uses ultrasound in the emergency room setting to both diagnose and guide therapies for patients with heart failure.

Glimpse Episode 6: Dr. Tarina Kang

Dr. Tarina Kang

Dr. Tarina Kang is the Director of Emergency Medicine Ultrasound at LAC+USC and a Professor of Emergency Medicine.  In this interview she discusses the types of post graduate training for practical ultrasound guided procedures as well as basic and advanced ultrasound applications.

Sonosite interviews Dr. David Williams for the Code Black Movie release

Meet Dr. David Williams from Code Black Movie Dr. David Williams is an assistant professor of clinical emergency medicine at LA County USC Medical Center. He works within the Division of International and Wilderness Emergency Medicine and has been practicing at LA County USC since 2003. "LA County on its own represents one of our nation's big county hospitals... taking care of the poorest of the poor patients in our country, and the majority of them being the working poor." Dr.

What if you could place central lines in the first try?

In his own words: Hear one physician share his AxoTrack experience.  

I feel confidence in knowing where the tip of that needle is and I think that is a big deal. AxoTrack clearly contributes to the accuracy of the procedure; I think that’s what it brings to the game. --Mark P. Mercier, MD, Attending Physician, Emergency Medicine, Beaufort Memorial Hospital

What if we could decrease the need for CVC placements in the ER?

"This data is pivotal for emergency medicine and the overall impact it can have on patient safety and cost reductions in the hospital." — Bon Ku, MD, MPP, Philadelphia, Pennsylvania Study finds that ultrasound-guided peripheral IV’s are a viable alternative to high-risk CVCs in 85% of Patients More than five million central venous catheter (CVC) lines are placed in U.S.

Ultrasound First -- Renal Colic Detection

Renal colic affects nearly 1.2 million people each year and accounts for approximately 1 percent of hospital admissions.1 Diagnosing kidney stones in patients who present with renal colic is often performed with computed tomography (CT) and, less commonly, with intravenous urography (IVU).2 While CT and IVU are accurate diagnostic tests and define clearly the size, shape, and position of uric acid stones, they also present a number of factors that would discourage use,3 including the p