Biomedical subjects
Publications and source records attributed to R M Oskvig.
With aging, the heart, kidneys, liver, lungs, and brain lose mass. While not inherently impaired, the reserve capacity of the older individual to compensate for stress, metabolic derangement, and drug metabolism is increasingly limited. Functional disability occurs faster and takes longer to remediate, necessitating early preventive interventions.
A health care organization's thoughtful and rigorous credentialing and privileging process is not only required by state and federal regulations but is essential for building a quality professional staff. The addition of nonphysician providers has challenged organizations to articulate the appropriate credentialing process for these providers. Further, the credentialing process has been burdened by the redundancy created when providers require credentialing and privileging by multiple health care settings and managed care organizations. This paper describes a multidisciplinary credentialing and privileging system of the highest standard that minimizes effort and expense for both the provider and the organization.
Utilizing micro computer technology and a relational data base manager we have successfully computerized the Peer Review functions of the Medical Quality Improvement program at Monroe Community Hospital, a Chronic Care Hospital. The developed computer programs enhance patient care by focusing on potential practitioner errors. The programs allow for trend analysis and identify the disciplines to whom problems have been referred. This effort has pointed to the need of a standardized lexicon to describe and catalogue potential practitioner errors.
An elderly man with long-standing pulmonary emphysema was seen with recent onset of steatorrhea and ascites. He had very low levels of serum alpha1-antitrypsin, hepatic cirrhosis, and intestinal mucosal atrophy. We believe this this combination of findings did not occur by chance.
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