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The proposed notice will also make it extremely difficult for hospitals to arrange cover.
Unplanned hospital visits – hospital patients only go to the hospital when they are sick; therefore, it is difficult for hospitals to forecast or control their demand.
But, he said, the current payment system makes it difficult for hospitals to perform better because improvements can wind up costing them money.
Under the new regulations, "the shortened time frame will make it much more difficult for hospitals to win union elections," said Mr. Velghe of Management Science Associates.
"Part of the reason for that is that it's difficult for hospitals to discharge people into the community because the social care packages are not there.
These laws are an impediment and, in some cases, "a total barrier" to creation of accountable care organizations, Mr. Kahn said, making it difficult for hospitals to reward doctors for cutting costs or following best practices.
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Research excellence appears to be the most difficult area for hospitals to achieve.
It turns out that the most difficult area for hospitals to earn inpatients' satisfaction is "Staff told you about any medication side effects to watch when going home".
The most difficult aspect for hospitals to earn inpatients' satisfaction were item 29 (staff told you about any medication side effects to watch when going home).
The new surveillance laws and reporting system now make it difficult for hospitals not to report these cases.
Meanwhile, hospitals could face a different problem in 2014 when federal health care legislation, if it becomes fully effective, covers 30 million more Americans and therefore would make it difficult for some hospitals to provide higher levels of charity care.
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