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  • Hospital Impact - Care coordination movement picks up speed in Maryland hospitals
    reducing emergency room use hospital admissions and readmissions and cost Successful care coordination requires a mix of intense data analysis patient outcome modeling and personal intimate knowledge of each patientâ s needs More Here in Maryland under a five year demonstration agreement with the Centers for Medicare Medicaid Services hospitals agreed to operate under fixed global budgets Overnight this shift transformed the incentive model from volume to value and driven hospital leaders to move quickly to implement population health management tools like care coordination Here are a few examples from Maryland One hospital solicited formal requests for qualifications from skilled nursing facilities to determine whether they can help reduce readmissions and ensure alignment of care from the hospital to the nursing home Another embedded community health workers in a low income senior housing complex to triage patients needs on site Several have bedside delivery medication programs to make sure patients have their prescriptions in hand before they leave the hospital How will all this work in the long term Well by focusing on the most costly complex cases hospitals and their partners can customize treatment and care plans to ensure better outcomes We know that patients with multiple chronic illnesses make up a disproportionate share of cost chronic conditions account for more than 75 percent of total healthcare spending But the complex cases are just a starting point To be truly successful hospitals in Maryland will have to take a portfolio approach by improving the standard of care for everyone while providing targeted interventions for high risk patients It s still early to tell how these efforts will play out They ve never been tested on a statewide scale like they are now in Maryland There are some encouraging signs however that this will yield very positive outcomes Here s one that s worth noting Already healthcare providers whose only previous contact came through the sharing of standard forms and patient information now regularly talk with one another via email on the phone and yes in person And they recognize and internalize the concept that the best care for patients cannot occur in silos warm handovers are not just a feel good measure and healthcare at its best will never ever be a solo venture 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 for autistic patients Nurses hospital groups clash on Massachusetts bill to improve

    Original URL path: http://www.hospitalimpact.org/index.php/2014/07/31/care_coordination_movement_picks_up_spee (2016-02-10)
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  • Hospital Impact - Healthcare responsibilities shift to providers and patients
    in public restaurants Maryland s adult smoking rate is now 19 1 percent 11th lowest in the nation What does this have to do with hospitals With the recent national push toward reducing avoidable volume hospitals work harder than ever to keep people out of emergency rooms and hospital beds In some cases that will mean efforts that take doctors and nurses beyond the four walls of the hospital and into the community to encourage people to take greater ownership of the 50 percent of factors they can control in their health the things they put into their bodies and how they treat their bodies There are financial incentives for this to be sure but there s a greater benefit as well healthier communities that need less acute medical care This is a big shift from the traditional hospital model where more volume meant better bottom lines But if you look closely at the missions and values of just about every hospital in the country you will see messages of healing and health not comfortable operating margins Pair this change with the implementation of the Affordable Care Act and the American healthcare system is undergoing perhaps its most dramatic change since the introduction of Medicare in the 1950s There are a lot of moving parts to this transformation but there s no question that individuals will be asked to take greater responsibility for the care of their bodies and that hospitals and healthcare systems will do everything they can to help them 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

    Original URL path: http://www.hospitalimpact.org/index.php/2014/06/18/the_shifting_healthcare_responsibility_d (2016-02-10)
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  • Hospital Impact - Better, cheaper care within hospitals' grasp
    better care is complicated And the hospital community is only now beginning to understand how to get there More Here in Maryland the way hospitals get paid is unique Maryland is the only state where a statewide commission regulates hospital prices It s a system in which all payers Medicare insurance companies and individuals pay the same amount for the same service at the same hospital It helped control costs and ensure parity for those in need of care since the 1970s In January Maryland and federal leaders agreed to extend Medicare s commitment to pay the same as others in the state for five more years This was done with an eye toward developing an innovative cost efficient healthcare delivery system Hospitals traditional business plans will be turned upside down No longer will Medicare reward hospitals for treating more people instead they will actually receive incentives for keeping people healthy and out of the hospital The national shift from volume to value is here and Maryland is at the leading edge of demonstrating its viability It seems a bit counter intuitive at first but it makes a lot of sense when you get into the details Under the new system most of Maryland s hospitals will operate on fixed annual budgets with small periodic increases for inflation By reducing superfluous diagnostic tests via shared data and electronic health records among other means and trimming unnecessary readmissions by better coordinating with post hospital caregivers for example hospitals can better control costs and improve care One of the pillars of this system is the concept of population health management where the goal is to provide comprehensive care for people and communities rather than treating individual illnesses at a given point in time Maryland s hospitals choose to accept ownership of their community s health by strategically investing in staff and programs to reserve acute care services for those who truly need them and that other needs are addressed in an appropriate setting the right care in the right place at the right time It s a bold experiment that if successful will provide a road map to reinvent hospitals for the next century Carmela Coyle has served as president CEO of the Maryland Hospital Association MHA since July 2008 sharpening the association s focus 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 for autistic patients Nurses hospital groups clash on Massachusetts bill to improve response to violence Superbug

    Original URL path: http://www.hospitalimpact.org/index.php/2014/04/16/better_cheaper_care_within_hospitals_gra (2016-02-10)
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  • Hospital Impact
    percent of traditional Medicare payments will be tied to quality or value through models like accountable care organizations or bundled payments by the end of 2016 50 percent of payments will be tied to these models by the end of 2018 The U S Department of Health and Human Services has a goal of tying 90 percent of all traditional Medicare payments to quality or value by the end of 2018 through programs like Hospital Value Based Purchasing and the Hospital Readmissions Reduction programs Read more Leave a comment Health Enterprise Zones give population health a boost April 8th 2015 by Carmela Coyle As the national movement away from fee for service healthcare the seismic transformation from volume to value gains steam hospitals are beginning to understand on a deeper level that keeping entire communities healthy is an effort that almost literally takes a village While many hospitals are forming organic relationships with community partners like primary care physicians skilled nursing facilities health departments social service agencies and others here in Maryland hospitals have found a another dedicated partner in the state government A little more than a year ago Maryland s health secretary designated five Health Enterprise Zones HEZs areas throughout the state with traditionally poor health outcomes that needed a boost Read more Leave a comment How hospitals can walk the walk in promoting healthier lifestyles January 7th 2015 by Carmela Coyle Recently and independently of one another a handful of hospitals in Maryland have instituted human resources policies that ban the hiring of tobacco users To some critics policies like these represent a slippery slope that could lead hospitals and other employers to become more aggressive in policing their employees behaviors such as whether they like to indulge in double cheeseburgers skydiving or a few glasses of wine in the evening But to hospitals particularly here in Maryland the bans are not nearly as Orwellian as some might claim Rather they are a natural extension of the powerful tool that is helping all of us in the healthcare field reach the Triple Aim population health management The trend of hospitals not hiring tobacco users is nothing new The New York Times wrote about it nearly four years ago and major providers throughout the country including Cleveland Clinic Baylor Health System and WellSpan have similar practices Read more Leave a comment The new rules of patient engagement October 9th 2014 by Carmela Coyle In boardrooms at universities and in executive offices throughout the U S top healthcare leaders have worked feverishly for years to combat escalating healthcare costs and middling if not downright poor health outcomes when compared to other nations The efforts resulted in a number of innovative experiments in different states The outcomes remain to be seen but one of the early findings suggests that healthcare providers have failed to engage patients and in effect make them full partners in their own healthcare Patient engagement at its heart is a simple concept empowering the people in

    Original URL path: http://www.hospitalimpact.org/index.php?blog=1&s=carmella%20coyle&page=1&disp=posts&paged=1 (2016-02-10)
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  • Hospital Impact - Healthcare workers: The 'great helpers' in times of disaster, violence and trauma
    gunfire per day on average And the horrific shooting in San Bernardino California was the second mass shooting on Wednesday The other took place in Savannah Georgia but didn t get as much media attention due to the events and number of people injured and killed in California So much violence and trauma and every time we thankfully have emergency responders on scene as well as clinicians and staff at local hospitals preparing for victims to arrive and treat those with the most serious injuries And the grim reality of 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 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/2015/12/10/healthcare_workers_the_great_helpers_in_ (2016-02-10)
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  • Hospital Impact - 12 steps to the perfect health system
    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 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 Healthcare

    Original URL path: http://www.hospitalimpact.org/index.php/2015/11/12/12_steps_to_the_perfect_health_system (2016-02-10)
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  • Hospital Impact - Value-based care: Will the industry ever be ready to ditch fee-for-service?
    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 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 Healthcare Finance news The shifting role of the healthcare CFO From sites to systems Medical malpractice Former HCA chief proposes alternative to

    Original URL path: http://www.hospitalimpact.org/index.php/2015/10/08/value_based_care_will_the_industry_ever (2016-02-10)
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  • Hospital Impact - Misdiagnosis: National movement afoot to address diagnostic errors
    Last year a study in BMJ Quality Safety revealed that doctors make 12 million outpatient diagnostic errors each year roughly one in every 20 diagnosis But the rate may be even higher according to the head of a new coalition formed to address dignostic errors He places the rate at roughly 10 percent of all diagnostic encounters I recently spoke to Paul Epner chairman of the newly formed Coalition to Improve Diagnosis and the executive vice president of the physician led non profit that established it The Society to Improve Diagnosis in Medicine to learn more about the group s plans to reduce the rate of diagnostic errors 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 Healthcare Finance news The shifting role of the healthcare CFO From sites to systems Medical malpractice Former

    Original URL path: http://www.hospitalimpact.org/index.php/2015/09/10/misdiagnosis_national_movement_afoot_to_ (2016-02-10)
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