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  • Hospital Impact - Maryland results prove healthcare partnerships can improve care quality
    end of 2018 through programs like Hospital Value Based Purchasing and the Hospital Readmissions Reduction programs More Of course these initiatives serve the Triple Aim of healthcare lower per capita costs improved patient experience and healthier communities And they re in line with the core mission of every healthcare organization in the nation which is to care for those in need Somewhere along the line too many healthcare providers lost sight of that mission and of their patients But there s no debate that how well we treat our patients will be the dominant factor in future success What does this mean for hospitals Three main things First the paradigm has shifted and the change from volume to value is irrevocable Second the people who benefit most from these changes are our patients collectively And third that working together is not only necessary to succeed in this new environment but is the right thing to do to make sure people receive the right care at the right time in the right setting In today s world of healthcare hospital discharges are obsolete In their place are warm handoffs in which hospitals take extraordinary care to communicate patients needs to whomever is responsible for their next steps And these relationships are reciprocal Long term care facilities home health providers and others are willing and eager to cooperate with hospitals like never before They share hospitals belief that the best care requires the expertise of all settings to work in concert Here in Maryland operating under a unique agreement with the Centers for Medicare Medicaid Services hospitals have made great strides in the quality of care by fostering new and innovative partnerships In the first year under this agreement hospitals have Reduced the readmissions rate by 0 80 percent faster than the nation as a whole Reduced the cost of potentially avoidable utilization by nearly 7 percent Reduced admissions from the emergency department by nearly 4 percent This success was only possible because of collaboration among primary care physicians long term care facilities home health operators and others There is much experimentation around healthcare partnerships but amid the uncertainty that comes with any new venture is a very inspiring idea that different organizations no matter where they sit along the care continuum are committed to caring for the whole spectrum of their patients needs Carmela Coyle is president and CEO of the Maryland Hospital Association 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

    Original URL path: http://www.hospitalimpact.org/index.php/2015/06/04/maryland_results_prove_healthcare_partne (2016-02-10)
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  • Hospital Impact - Health Enterprise Zones give population health a boost
    HEZs it confirms that innovators in the field are independently moving toward the same goals The Centers for Medicare Medicaid Services recently announced similar aggressive goals to shift the focus from volume to value When the state is on board and directs funds toward a movement with so much momentum it s a clear sign that hospitals are headed in the right direction While all hospitals are working individually population health is at its heart intensely local and intensely personal to develop community health models to advance in this new era of healthcare HEZs are proving to be efficient cost effective and rapid catalysts in their communities A brief overview of the five here in Maryland Annapolis Morris Blum suburban 200 000 first year budget This project led by Anne Arundel Health System and the City of Annapolis established a primary care health center in the Morris Blum public housing building to reduce diabetes related and smoking illnesses obesity and cardiovascular disease Caroline Dorchester counties rural 755 000 first year budget The zone targets primary care and behavioral health issues by supporting healthcare services teams Prince George s County Health Department Capitol Heights suburban 1 1 million first year budget This zone expands primary care access by establishing five patient centered medical homes to combat asthma diabetes and hypertension St Mary s County Greater Lexington Park rural 750 000 first year budget The project spearheaded by MedStar St Mary s Hospital expands access to primary and behavioral health services to reduce emergency department and hospital admissions West Baltimore Primary Care Collaborative urban 1 05 million first year budget Led by Bon Secours Baltimore Health System Maryland General Hospital Saint Agnes Hospital Sinai Hospital of Baltimore and University of Maryland Medical Center this project aims to reduce cardiovascular disease through primary care providers community health workers and access to resources such as gyms and healthy food retailers Each of these five programs is reporting progress in meeting the goals of its zone But more important is that through the process of taking on these initiatives these organizations are learning more every day about the trials and tribulations of population health management As hospitals continue to form new relationships and implement new procedures to keep communities healthy this is a good early model to watch and learn from In this new environment experimentation abounds and there s no shortage of lessons to be drawn from pioneers like HEZs Carmela Coyle is president and CEO of the Maryland Hospital Association focusing on advocacy and public policy 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

    Original URL path: http://www.hospitalimpact.org/index.php/2015/04/08/health_enterprise_zones_give_population (2016-02-10)
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  • Hospital Impact - How hospitals can walk the walk in promoting healthier lifestyles
    is new however is hospitals renewed energy for caring for entire communities in a proactive holistic way Much of this recent push comes from far reaching healthcare policies that are forcing hospitals out of traditional comfort zones and in a very real way back to their early roots as not only healers of the sick but community focused institutions of trust and support From a policy perspective nationally the Centers for Medicare and Medicaid Services CMS is incentivizing an aggressive push to reduce readmissions here in Maryland under a modernized agreement with CMS 95 percent of hospital revenue is now under fixed annual budgets so hospitals are working hard to get people the right care in the right place at the right time And as hospitals are often among the largest employers in their geographic areas it makes perfect sense to start these efforts as close to home as possible From a public relations perspective it s tough to preach smoking cessation to patients and the community when hospital employees who in this new world of community partnerships serve in many ways as hospital representatives are smokers themselves More importantly however is that the mindset of hospital executives and trustees is changing as hospitals shift from fee for service payment models to those built on a foundation of population health management This new zeitgeist is one of abiding responsibility for every single life in a hospital s care Its employees are no exception As with any policy these hiring practices have benefits as well as drawbacks One potential problem is that the hiring pool will be smaller and hospitals may miss out on some very talented people who happen to smoke But as more and more hospitals take leadership roles in their communities as guardians of health rather than after the illness strikes healers the episteme and culture of communities will change as will the meaning of precisely what it is to be a hospital For now that definition is still very much in flux But when the dust shakes off from this era of grand experimentation in caring for the health of our families friends and neighbors there s little doubt that two things will happen hospitals will look and act differently and communities will think of their hospitals as much more than just emergency rooms Carmela Coyle is president and CEO of the Maryland Hospital Association focusing on advocacy and public policy 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

    Original URL path: http://www.hospitalimpact.org/index.php/2015/01/07/how_hospitals_can_walk_the_walk_in_promo (2016-02-10)
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  • Hospital Impact - The new rules of patient engagement
    Affairs We ve found along with many others that patient engagement the actions that people take to better control their health and benefit from care is crucial to achieving better health outcomes and a more efficient health system But we ve also found that while there s great promise in patient engagement a serious gap exists between that promise and current reality It s time for broad based national action to focus on health including designing effective incentives to activate consumers and stimulate healthy behavior If a better more efficient health system is the door we hope to open payer supported consumer engagement just might hold the key Hear hear but with one added point Effective patient engagement must take place all along the healthcare continuum from acute care hospitals to long term rehabilitation facilities to the patient s own home Here in Maryland an early step in our current five year experiment aggressive goals to improve quality and reduce cost in exchange for an egalitarian payment system where all payers Medicare included pay the same rate for the same service at the same hospital is to shift nearly 100 percent of all hospital revenue to fixed annual budgets As such hospitals are incentivized to keep people healthy and out of the hospital and to reduce unnecessary readmissions To be blunt there is no way to accomplish this without help from the patients themselves In working to reduce unnecessary utilization that is providing the right care at the right time in the right setting Maryland s hospitals make a strong push to improve communication and outreach with patients We won t successfully reduce costs and improve health outcomes unless we truly partner with patients and families in our communities One well established problem that this will address is that patients often feel confused or intimidated by their healthcare As Maryland s hospitals ramp up outreach and patient engagement efforts it s incredibly helpful to partner with trusted community organizations and not only those involved in healthcare efforts Social service faith based and other groups are invaluable in developing a trusting strong relationship with skeptical patients In our national culture the caregiver patient relationship was long viewed as a sacred one one built on mutual trust and respect Somewhere along the way that became lost Rebuilding those relationships as it should be is a top priority Carmela Coyle is president and CEO of the Maryland Hospital Association focusing on advocacy and public policy 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

    Original URL path: http://www.hospitalimpact.org/index.php/2014/10/09/the_new_rules_of_patient_engagement (2016-02-10)
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  • Hospital Impact
    from a recent report by the Robert Wood Johnson Foundation and the Trust for America s Health Only 10 percent is determined by hospitals and doctors who care for us when we get sick Twenty percent of our health is derived from genetic makeup our predisposal toward certain diseases as determined by our parents genes Twenty percent is influenced by our environment such as a lack of clean water and clean air Half of our health is influenced by our behavior whether we smoke drink exercise and other choices that only we make Read more Leave a comment Better cheaper care within hospitals grasp April 16th 2014 by Carmela Coyle For decades hospitals nationwide operated on a fairly straightforward business model treat patients and charge them for those services subtract expenses and you have a solid operating margin If the margin is too narrow or in the red treat more people or charge them more for your services While this was a long time successful business plan it s now headed the way of the dodo bird Hospital care in the 21st century is not that simple Medical bill payers including Medicare and some of the country s largest insurance companies push for providers to reduce costs But there s a danger in doing that Does reducing costs mean the quality of care also will go down Put another way Can hospitals care for patients more cheaply without sacrificing their commitment to top notch care The short answer is yes But the path to cheaper better care is complicated And the hospital community is only now beginning to understand how to get there Read more Leave a comment Previous Page Enter your search terms Submit search form Web www hospitalimpact org Get Hospital Impact in your inbox Healthcare Industry news

    Original URL path: http://www.hospitalimpact.org/index.php?blog=1&s=carmella%20coyle&page=1&disp=posts&paged=2 (2016-02-10)
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  • Hospital Impact - With social media, it’s OK for hospitals to have multiple personalities
    look at how many people you reach with each post as well as your engagement statistics i e post clicks and likes Experiment with posting articles about how to be healthier and include photos of smiling employees at hospital events or working in the community and see how this impacts your engagement LinkedIn is ideal for reaching industry colleagues as well as current and prospective employees It provides a great forum for sharing articles about clinical breakthroughs and new service line offerings However consider varying your posts with health stories from mainstream media and photos that showcase your organization s culture and why people love working there Keep in mind that posting images results in a 98 percent higher comment rate and photos help make your content look more engaging Company page updates see an average engagement rate of 054 percent Try modifying your content and see if you can get your engagement rate between 75 percent and 1 percent which is really killing it according to Dan McGraw s article on LinkedIn advertising Twitter is ideal for thought leadership and sharing headlines and interesting facts However it s important to keep your tweets concise informative and if possible playful Keep in mind that Twitter has changed a lot since I started using it in December 2008 There are a lot more people using Twitter ranging from reporters and bloggers organizations and my 17 year old daughter who follow everything from breaking news to celebrities as well as watch animals balance objects on their heads In addition photos can now be attached to tweets helping break up the endless stream of information Try to keep your tweets short and sweet and attach photos to make them stand out And rather than scheduling all of your posts use TweetDeck or another engagement platform so you can read and retweet others and not look like a bot Instagram is a visual storytelling platform that is popular with millennials In fact 73 percent of Instagramers are between the ages of 15 and 35 As a result it s a great way promote services geared to younger people such as maternity pediatrics and sports medicine It s also a great way to reach current employees and prospective employees who may already be on Instagram While photos and images are important for all social channels they are the message for Instagram Post photos that show what makes your organization unique including photos of employees in the community events at your hospital thought leaders glamour shots of food special visitors etc The key is that photos should be high resolution and represent your organization and its brand In addition carefully select a hashtag to make it easier for people to find your photos Make it a New Year s resolution to breathe new life into your social media channels and humanize your brand Don t be afraid to take risks and try to have fun Jenn Riggle is the senior director of public relations for Compass

    Original URL path: http://www.hospitalimpact.org/index.php/2015/12/24/with_social_media_it_s_ok_for_hospitals (2016-02-10)
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  • Hospital Impact - 3 more ways to improve the hospital experience from the patient and family perspective
    stay and after his discharge This week my family experienced a health emergency that involved another relative and a different hospital over a three day period It began on Sunday when he experienced what turned out to be a grand mal seizure due to a rare complication to an antibiotic that he was on for a minor skin infection After several hours in the emergency room he was admitted overnight as an inpatient and later transferred to the cardiac unit Once again my family is grateful for the care our loved one received those three days But the experience illustrated what works well within hospitals and where there is still room for improvement Fierce has written about these issues before and they are worth repeating Read the full commentary at 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 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 act on earlier outbreak 8 developing healthcare trends Hottest Products Compare Top Solutions in Hospital Management Electronic Medical Billing Software Healthcare Revenue Cycle Management Practice Management Software Clinical Information Systems CIS Clinical Data Repository Software CDR Medical Billing And Coding Medical Transcription Services Healthcare EDI Systems Evaluate more than 4 000 products

    Original URL path: http://www.hospitalimpact.org/index.php/2015/12/24/3_more_ways_to_improve_the_hospital_expe (2016-02-10)
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  • Hospital Impact
    the rate of mass shootings taking place in this country is that healthcare workers must be ready at any time to treat multiple victims with traumatic injuries that are typically seen in times of war Read the full commentary at FierceHealthcare Leave a comment 12 steps to the perfect health system November 12th 2015 by Ilene MacDonald Recent FierceHealthcare coverage has highlighted the challenges hospitals and health systems face daily high costs infection control and patient satisfaction to name just a few And though organizations have made strides to transition to value based care and better manage population health overall the United States spends more on healthcare but ranks last in quality compared to 10 other industrialized Western nations It s hard to imagine or dream that a perfect health system could exist one that would meet all patients needs at reasonable costs So it was with interest that I recently started to read Mark Britnell s new book In Search of the Perfect Health System Britnell the former chief executive candidate for the National Health Service NHS in England now serves as the chairman and partner of the Global Health Practice at auditing firm KPMG He s spent the last five years working in 60 countries to help governments and public and private sector organizations with operations strategy and policy His travels have allowed him to witness first hand examples of great health and healthcare Although he hasn t found a perfect health system he writes that if he found one it would feature 12 components that take from the best practices from around the world Read the full commentary at FierceHealthcare Leave a comment Value based care Will the industry ever be ready to ditch fee for service October 8th 2015 by Ilene MacDonald The Triple Aim Bundled Payments Accountable care organizations FierceHealthcare has written countless articles about these initiatives to move the healthcare industry away from fee to service to payments for value based care Despite all that attention and the federal government s push to quicken the pace of the transition healthcare providers haven t made much progress In fact this week on the same day we ran a special report on the evolution of accountable care organizations PwC Health Research Institute HRI released a new report that says while healthcare executives publicly praise the move to value based care they privately drag their feet while they wait for a successful model to emerge before they take on the risk It was striking to us when we did report on the national landscape of progression on alternative payments just how low and difficult the transition has been for the healthcare industry Ceci Connolly director of HRI told me during an exclusive interview Read the full commentary at FierceHealthcare Leave a comment Misdiagnosis National movement afoot to address diagnostic errors September 10th 2015 by Ilene MacDonald A misdiagnosis can be devastating In the case of Thomas Eric Duncan the first Ebola patient in the United States it

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