We have a patient on our service who had a stroke and needed a PEG (percutaneous endoscopic gastrostomy), a feeding tube placed directly into the stomach. This was the only thing she needed before she could go to a rehabilitation nursing facility. We put in the order to interventional radiology on Monday, but they said that they were too busy and would not get around to it until the following week. They wouldn't budge.
We decided to expedite the process by calling utilization review, the group that analyzes costs and expenditures in the hospital, telling them that this PEG procedure was keeping this otherwise medically cleared patient in the hospital. The PEG was done on Wednesday. It's scary how the bottom line can make immovable things happen.
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