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  • Hospital Impact
    by protocol and process and revealed that in striving for perfect outcomes the healthcare system still built on human beings caring for human beings This also means as hard as we might work to avoid it oversight or errors in healthcare happen In many efforts at the heart of patient experience the integration of quality safety and service and the connection of engagement activation and partnership we drive to reduce errors and or avoid never events or conversely to drive the best in outcomes and ensure always events Yet at the same time many of us who advocate for experience and I must own I have been guilty of it too expect the ability for near flawless perfection at all times Yes we can strive for this yes it would be ideal if we could achieve it but we must realize that our humanity makes us vulnerable variable and at times prone to mistakes No one wants that to occur in his or her own case and unfortunately we probably still see more unavoidable errors outside of truly human mistakes than we should but it does cause us to look at the root of issue I consistently advocate that patient experience is grounded in an organization s culture and in that frame it s through interactions between individuals where experience occurs be it an interpersonal or a clinical encounter As much as we need to focus on patient resident and family needs we must also be cognizant of those on the front lines and in the support roles who deliver that care or overall experience Read more Leave a comment Hospitals must define patient experience September 25th 2014 by Jason A Wolf In my most recent Hospital Impact blog I reinforced the simple but significant need to focus on 3 Ps of Patient Experience offering that at the core of this idea is the central purpose on which an organization builds its experience effort I closed with I see one consistent action in those organizations achieving success They are clear on who they are what they want achieve and where they are going This is the idea of definition I often speak to and reinforce Yet with this fundamental importance defining patient experience remains an elusive idea for many In fact it s a question people ask me frequently How do we define patient experience for our organization I m not surprised as recent benchmarking research discovered only 45 percent of U S hospitals had a formal definition of patient experience for their organization While people may have clear personal purpose in healthcare the foundation on which organizations build their patient experience efforts in many cases is shaky at best Read more Leave a comment The 3 Ps of patient experience August 21st 2014 by Jason A Wolf I shared in previous posts that we must consider patient experience from the eyes of our consumers the patients and families we serve This reinforces the point that experience is not just

    Original URL path: http://www.hospitalimpact.org/index.php?blog=1&s=Jason%20A.%20Wolfe&page=1&disp=posts&paged=3 (2016-02-10)
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  • Hospital Impact - CEOs weigh in on emerging healthcare trends for 2015
    physician providers themselves will have a seat at the table and a say in the design of new programs and services he says These new organizations will be patient centric and physician led Continued shift to value based care delivery Nicholas Tejeda pictured right CEO of Doctors Hospital of Manteca Calif a 73 bed facility affiliated with the Tenet Healthcare Corporation expects to see an ongoing shift of reimbursement from fee for service to fee for value pushing more risk to providers To stay on top of the trend he suggests leaders consider questions such as What clinical services organizational structure operational competencies and external relationships are necessary to thrive in this environment Barry Ronan president and CEO of Western Maryland Health System agrees that value based care delivery will continue to gain momentum throughout the rest of the country His organization was one of 10 hospitals in Maryland to take part in a demonstration project that focused total patient revenue on value based care The state is rolling out a similar program focused on global budget revenue to the remaining Maryland hospitals In the meantime the 10 original hospitals involved in the pilot have formed a collaborative Although the shift wasn t easy Ronan says he couldn t imagine the system returning to the old fee for service environment In a post on his blog The Ronan Report he notes that the system has exceeded its net revenue over expense for two consecutive years which has enabled the organization to re invest savings into programs and services that support the new care delivery model Consolidation with former competitors Mergers and acquisitions aren t necessarily the only way to survive Ronan pictured left says his organization has had great success consolidating some of its high cost services through its Trivergent Health Alliance with Frederick Memorial Hospital and Meritus Health all while remaining independent entities Consolidation with former competitors Mergers and acquisitions aren t necessarily the only way to survive Ronan pictured left says his organization has had great success consolidating some of its high cost services through its Trivergent Health Alliance with Frederick Memorial Hospital and Meritus Health all while remaining independent entities The organization has consolidated pharmacy information technology and laboratory services The alliance estimates by its third year it will save 20 million a figure that West Maryland Health System could not achieve as a stand alone health system according to Ronan It s very challenging for small to medium sized independent health systems and hospitals to continue to go it alone he says I m hearing more and more interest in strategic regional organizations and alliances and I expect a greater momentum during 2015 Ilene MacDonald is a senior editor for FierceHealthcare Leave a comment Please enable JavaScript to view the comments powered by Disqus Enter your search terms Submit search form Web www hospitalimpact org Get Hospital Impact in your inbox Healthcare Industry news Final Obama budget takes aim at opioid addiction superbugs Zika outbreak White

    Original URL path: http://www.hospitalimpact.org/index.php/2015/01/14/title_131 (2016-02-10)
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  • Hospital Impact - Hospital takes on buy-local challenge
    each day during Buy Local Week More Our staff understands the importance of providing the freshest produce whenever possible to our patients and employees while supporting our local farmers Such support expands our regional food system as well as our local economy And it doesn t stop there At WMHS we support our local farmers though a weekly on site Farmers Market throughout the summer and our dietitians work cooperatively with our staff and visitors with menu ideas and recipes while promoting the farmers market They also have an exhibition cooking day around the items that are available at the farmers market for that day I am so very much encouraged by the active participation of our staff in every aspect of the Buy Local Challenge They engage participants in the various activities as well as regular purchasers of the produce We recognize that by providing healthier food choices for our patients visitors and staff that we are fulfilling our mission of superior care for all we serve Barry Ronan is the president and CEO of Western Maryland Health System in Cumberland Maryland Leave a comment Please enable JavaScript to view the comments powered by Disqus Enter your search terms Submit search form Web www hospitalimpact org Get Hospital Impact in your inbox Healthcare Industry news Final Obama budget takes aim at opioid addiction superbugs Zika outbreak White House seeks 1 8B to respond to virus More hospitals replace nurseries with rooming in with moms Hospitals must train millennial nurse leaders in empathy frontline engagement St Louis hospital creates unit to improve outcomes through innovation 4 ways hospitals can foster family centered care Pediatric ER seeks to limit stressors for autistic patients Nurses hospital groups clash on Massachusetts bill to improve response to violence Superbug linked scopes Feds failed to

    Original URL path: http://www.hospitalimpact.org/index.php/2014/07/24/hospital_takes_on_buy_local_challenge (2016-02-10)
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  • Hospital Impact - Putting the 'H' in hospital
    operating rooms that are still fully staffed and equipped in our heart program that remains one of the best in the state and the patient is now at the center of everything that we do through the Perfect Circle of Care But we also transitioned ahead of the rest of most hospitals across the United States by delivering care in the most appropriate location whether it s in the home in a skilled nursing facility in an outpatient clinic or a physician s office I spoke about many of the initiatives that we put in place such as putting registered nurse transitionists in skilled nursing facilities engaging our early adopter physicians through the President s Clinical Quality Council adding primary care offices where our most vulnerable patients reside creating the Center for Clinical Resources to address the needs of our patients with multiple comorbidities COPD CHF Diabetes hypertension etc and the addition of a team of community health workers going into patient homes These are just a few of the many initiatives we have added over the last three years at WMHS We have demonstrated that the big H is more about the delivery of care under a value based approach rather than a physical building even though ours is a nice new hospital building that has become only one component of our new coordinated system of care Barry Ronan became the executive vice president and CEO of the Western Maryland Health System when it was created in April 1996 and served as its president and CEO since January 2000 Leave a comment Please enable JavaScript to view the comments powered by Disqus Enter your search terms Submit search form Web www hospitalimpact org Get Hospital Impact in your inbox Healthcare Industry news Final Obama budget takes aim at opioid

    Original URL path: http://www.hospitalimpact.org/index.php/2014/04/09/putting_the_h_in_hospital (2016-02-10)
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  • Hospital Impact
    a comment Value based care requires trading competition for collaboration October 15th 2015 by Barry Ronan Last week I read the results of a survey on value based care delivery that got my attention The survey stated that approximately 80 percent of U S hospitals are at best evolving toward value based care delivery with only 3 percent fully engaged in such care delivery In 2010 Maryland began a value based care delivery demonstration project that then encompassed 10 hospitals in the state including the Western Maryland Health System By January 2014 all Maryland hospitals were included in the new care delivery model For the last five years WMHS has been caring for patients in the most appropriate setting whether it s acute pre acute or post acute care Under this care delivery model we had to reach out to our competitors and begin collaborating with each of them For example when we contacted an urgent care provider in our community its response was we don t partner with hospitals we compete with them But after explaining that our care delivery model was now based on value not volume and that they could help keep our patients out of our emergency department they got it Read more Leave a comment Adding credence to the ideal traits of a healthcare CEO June 25th 2015 by Barry Ronan Last week I read the FierceHealthcare article 5 traits of the ideal healthcare CEO I am here to tell you that the article which was based on a recent Hospitals and Health Networks article was right on the money As CEO of the Western Maryland Health System in Cumberland Maryland I am beginning my fifth year under value based care delivery and I have certainly had to adjust my approach to managing under a new care delivery model Taking the five traits one by one I offer the following insights based on my experience Embrace Change The change has been amazing in that I along with my management team our staff and our physicians have had to virtually re learn every aspect of care delivery under a global budget We are partnering with everyone even those who were previously our competitors and we try to keep the patient at the center of everything that we do Read more Leave a comment The tangible benefits of physician engagement March 25th 2015 by Barry Ronan I am often asked how I engaged physicians as we were transitioning to value based care delivery After conferring with my executive team I created the President s Clinical Quality Council which proved to be an excellent way to engage our providers I asked six physicians who were the early adopters on the medical staff if they would join the council I then asked them to identify six of their colleagues whom they thought would be strong additions to the group They provided me with a great list from which to choose and the council was assembled These 12 physicians from

    Original URL path: http://www.hospitalimpact.org/index.php?blog=1&s=Barry%20Ronan&page=1&disp=posts&paged=1 (2016-02-10)
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  • Hospital Impact - Medicare's potential reimbursement for end-of-life discussion: A big step forward
    line between humane end of life care and euthanasia or self directed suicide Thus there was a need for a second generation of measures that this time derived from existing business law that permits a person to assign another individual to act on his her behalf for legally binding decisions Thus arose the durable power of attorney and healthcare proxy which enables trusted individuals relatives to make binding healthcare decisions on behalf of a loved one when that individual is unable to do so The challenge with these directives is that many family members do not have a medical background and thus may or may not understand the complex medical issues at hand There may or may not have been meaningful prior dialogue with loved ones to confirm how they wish to handle complex medical dilemmas leaving healthcare proxies with little guidance as to how to make difficult decisions that truly represent the loved one s wishes Thus there was a need for further evolution of advanced directives through the creation of scenario based decision support developed by such organizations as the Robert Wood Johnson Harvard Medical School Georgetown University and others These are called Lifecare Advanced Directives and enable individuals to note their preferences through commonly occurring dilemmas that are apt to occur at end of life Most of these initiatives are supported by state statutes however on a national level there still remains controversy In 2009 President Barack Obama was the first chief executive to announce that he and the first lady had a living will and encouraged all Americans to have one Later that year during the contentious debate over the Affordable Care Act the Centers for Medicare Medicaid Services CMS introduced the concept of permitting voluntary advanced planning in annual wellness visits However with the storm of protests e g death panels the Obama administration withdrew that portion of the legislature prior to passage Six years later in July 2015 CMS finally announced plans to reimburse physicians advanced practice nurses and physician assistants to have end of life conversations with patients A final decision will be made Nov 1 2015 following a 60 day comment period Major medical organizations support the measure and third party payers are already beginning to offer coverage for these conversations with many more planning on adding this coverage once the final CMS measure is approved There still is opposition though According to the National Right to Life Committee there is concern that patients will be encouraged to avoid potentially life saving treatments in order to cut healthcare costs And others would like the proposal expanded to include social workers and palliative care experts Regardless of the final version it is clear that most Americans would like greater say and control over end of life planning and the opportunity to provide reimbursement for this service emphasizes its importance in patient and family centered care The growth and advancement of palliative care and the important acknowledgment by CMS of the importance of advance

    Original URL path: http://www.hospitalimpact.org/index.php/2015/07/23/medicarea_s_potential_reimbursement_for (2016-02-10)
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  • Hospital Impact - Ken Cohn: In tribute to a colleague and a friend
    lectured in Europe and Asia helping physicians and healthcare organizations provide better quality care at lower cost through new models of collaboration and change management He wrote prolifically and published more than 50 articles including a 2009 article that won him and his co authors the Dean Conley Award for outstanding healthcare article of the year by the American College of Healthcare Executives ACHE He wrote four books for Health Administration Press exploring ways that physicians and management can work together and his final book was a murder mystery Dead at His Desk which was published in May He loved teaching and as a faculty member of ACHE taught frequent seminars and was always in demand as a speaker writer and mentor He continued to practice general surgery and when he tired of academic politics and devoted time to serve rural hospitals in Maine New Hampshire and Vermont that either lacked a surgeon or needed the extra coverage He loved being a physician and surgeon as was his father and regardless of his many attributes and talents always wished to remain true to his fundamental identity as a healer He touched many people s lives and in a quiet unassuming way worked through his service his care and his compassion toward an imperfect world that he strived to leave just a little bit better Jonathan H Burroughs M D is president and CEO of The Burroughs Healthcare Consulting Network He s also a certified physician executive and a fellow of the American College of Physician Executives and the American College of Healthcare Executives Leave a comment Please enable JavaScript to view the comments powered by Disqus Enter your search terms Submit search form Web www hospitalimpact org Get Hospital Impact in your inbox Healthcare Industry news Final Obama budget takes

    Original URL path: http://www.hospitalimpact.org/index.php/2015/07/16/ken_cohn_in_tribute_to_a_colleague_and_a (2016-02-10)
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  • Hospital Impact
    facility Building on the first goal I wrote an article recently that described a collaboration between a hospital CFO and a physician that taught the physician how to write a business plan for a new wound care center which enabled patients to stay within the community and brought in a new source of revenue to the hospital The physician became so interested in finance that he effectively functions as the chief medical finance officer conducing strategic consultations on finance with both administrators and fellow physicians Read more Leave a comment Consider advisory panel for strategic planning physician engagement October 13th 2014 by Kenneth H Cohn At the Healthcare Roundtable last week I spoke about work I facilitated at a West Coast community hospital The work arose from the hospital s need for a new facility to remain in seismic compliance with California Senate Bill 1953 Marked uncertainty arose about what services to offer when physicians took business offsite with an ambulatory surgical center gastrointestinal service and pain management unit Admitting uncertainty the hospital invested in a medical advisory panel that remains in existence today to assist with strategic planning for an uncertain future The returns included Read more Leave a comment Back to school Healthcare leaders learn adapt to changing industry September 18th 2014 by Kenneth H Cohn When we had children in school my wife used to sing along with the Staples commercial every August It s the most wonderful time of the year For her it represented getting our kids out of the house For me it represented new teachers and new learning Ongoing education isn t just for kids For those who feel that surgical humility is an oxymoron I decided to go back to school this fall to take a course from Tom Atchison my cherished mentor entitled Physician Alignment Dos and Taboos My underlying pre course assumption is that alignment doesn t occur without authentic physician engagement Read more Leave a comment Physician leadership development hinges on communication July 16th 2014 by Kenneth H Cohn I quip that I have amphibian DNA because despite having worked in 43 states I learned the hard way that each hospital has different people culture and expectations I was told that physicians clammed up when in a room with administrators Yet when I taught leadership development to physicians at a hospital in the South discussing the role of relationships communication and team building a COO attended and participated in my sessions We had a session on ways to avoid amygdala hijack having the mid brain take over at a time of stress leading to deteriorating relationships I mentioned that sometimes 20 to 30 seconds is all that we need to give the frontal cortex the opportunity to overcome the stress response and promote communication and team building to improve patient care outcomes For example we can pause take a breath sip water ask a question and or leave the room for a moment Read more Leave a comment Next

    Original URL path: http://www.hospitalimpact.org/index.php?s=cohn&sentence=AND (2016-02-10)
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