Nurse Staffing and Healthcare Costs: Does a Decrease in Staffing Increase or Decrease the Bottom Line?

In an article posted on HealthLeaders Media website, Rebecca Hendren, an editor with HCPro, Inc., writes that the reflexive slicing of nursing staff in the face of declining revenue may exacerbate the problem when increases in soft costs, non-reimbursable never events and other measures of quality are taken into account.  There is good research out…

Illinois Revokes Licenses of Nurses, Doctors with Felony Convictions. This is Not News to Those of Us who Defend Nurses (and Doctors) in Texas!

There is a certain economics professor I occasionally follow (Brad DeLong) who starts many a post with “Oh, why can’t we have a better press corps?” I think that might be the operative word here . . . What follows is reporting from FoxNews.com regarding six doctors and five nurses who were revoked for being…

Live Blogging the Texas Board of Nursing Meeting: Perils of Live Blogging Edition

Well, the big peril is that you somehow lose you entire afternoon post. . . The long and short of the post was that the Board started with the public comment period, which was consumed by issues related to the proposal for an LVN scope of practice statement by the Board and the pace of…

Katherine Thomas Reads My Blog!

Or at least someone that feeds the Executive Director of the Texas Board of Nursing information reads my blog . . . Ms. Thomas chided me this afternoon just as I was leaving about my comment about “sneaking” in a Board Development Session.  I said “sneaked” because *****I**** missed the notice of the session, not…

Live Blogging the Texas Board of Nursing Meeting

I was a little late this morning – but Kathy Thomas was still giving her report. 0900 – Mark Majek is giving a report on the self-directed semi-independent statute that failed.  I have mixed feelings about this, but I believe there is a sense that the board will push for this next session in 2013. …

Texas Board of Nursing Meeting July 2011

The Texas Board of Nursing is meeting this week in Austin.  Link here for the proposed agenda. I will be in Austin this week for the Board meeting.  If you are in the Austin area and would like to meet to discuss an issue with the Texas Board of Nursing, email me from the contact…

Texas Board of Nursing to Consider Revised Rule for Remedial Education Providers at Meeting This Week

I have to say that I am proud of the American Association of Nurse Attorney’s – Texas Chapter for coming together and having a positive impact on Board policy.  Link here for the text of the proposal the Board is considering.  Link here for the minutes of my testimony before the Board at the public…

Other Victims of Medical Errors

As a nurse and an attorney who represents nurses before the Texas Board of Nursing, this story really hits home.  It is the story of a nurse who made a critical error, although whether the death of the child she was treating was directly related to the error is open to question.  But the aftermath…

Medicaid Changes Don’t Bode Well for Healthcare System

The New York Times has been reporting extensively on the crisis in Medicaid.  On Wednesday, Robert Pear reported on the growing storm.  Money quote: To hold down costs, states are cutting Medicaid payments to doctors and hospitals, limiting benefits for Medicaid recipients, reducing the scope of covered services, requiring beneficiaries to pay larger co-payments and…

New Serious Reportable Events from the NQF

The National Quality Forum (NQF) has added four new reportable events to the list of adverse events the NQF considers “preventable errors”  The honorees this year include: Death or serious injury of a neonate associated with labor or delivery in a low-risk pregnancy; Patient death or serious injury resulting from the irretrievable loss of an…