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  • Hospital Impact - Feedback: Key to strong healthcare leadership
    from those reporting to us The leadership attributes include Has an optimistic and forward looking orientation Has a high emotional intelligence demonstrates good communication and people skills Has an open minded perspective is willing to change and seen as a change agent Is respected by others leaders peers physicians and staff Is focused on results and outcomes is achievement oriented and sets goals Has a high capacity to perform in a fast paced environment Is humble maintains composure and behavior the ability to handle high levels of stress well Overall my rating was strong With that in mind I still have areas to work on and improve But feedback is really a gift It will make us stronger leaders and in turn better healthcare organizations for our patients and the communities we serve Scott Kashman serves as the Chief Administrative Officer of Cape Coral Hospital part of the Lee Memorial Health System in southwest Florida 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

    Original URL path: http://www.hospitalimpact.org/index.php/2013/02/19/feedback_key_to_strong_healthcare_leader (2016-02-10)
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  • Hospital Impact - Investing in your healthcare workers' health
    a designated fitness coach who will provide four exercise programs quarterly and check in coaching each quarter four hours Absorbs total cost of 700 participant Eligible participants Meets determined criteria set by health system and nutrition education group Pays 50 per pay period or 1 300 for one year which goes into pilot study Gets 600 paid back upon successful completion of 18 week educational program Financial Model Eligible and selected pilot participants 30 Total contribution of partners Education partner 600 per participant and up to 18 000 total Health system 700 per participant up to 21 000 total Participant 1 300 per participant and 39 000 total paid into health system pilot Rewards Recognition Education group estimates average improvements of 3 000 per participant based on improving health e g diabetes obesity congestive heart failure 30 x 3 000 90 000 10 percent back to participants up to 130 per participant above their 1 300 investment total up to 3 900 Remaining savings after participant s distribution is split 50 50 between the health system and education group up to 43 050 each The model does not account for improvement in productivity and engagement with improved health Notes 600 paid back to participant after completion of 18 week education program Remaining 700 paid to participant after financial gains above 700 are met 700 per participant paid to local wellness fitness centers to provide services from health system Are you ready to diversify your health portfolio Scott Kashman serves as the Chief Administrative Officer of Cape Coral Hospital part of the Lee Memorial Health System in southwest Florida 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

    Original URL path: http://www.hospitalimpact.org/index.php/2013/01/01/title_83 (2016-02-10)
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  • Hospital Impact - Keeping up with changes in healthcare
    industry Reforming healthcare and how we pay for it would be a constant throughout my career As a nation and more specifically as a community we have the opportunity to embrace the changes and better influence our community s destiny It is important to understand the real challenges we face in healthcare how they impact us and most importantly what we will do to meet those challenges Guess what we face the same ones today as we have for many years Safety and quality care Coordination of care Patient and family experience Employee medical staff and community engagement Financial viability and ongoing reimbursement changes Community health So here are four areas to focus on as you help influence and shape the ongoing reform changes Develop your team and community partnerships e g physician groups local businesses Constantly communicate your organization s or department s strategic and operational plan Find the common ground to move towards a shared vision The other day our system president and CEO spoke to the importance of strong relationships Specifically he was referencing his relationship with the leader of a physician group He expressed the long term need to have the relationships go beyond the two leaders To make lasting change those connections need to go deeper into your leadership team and the physician group or partnering organization Challenge respectfully and hold your team accountable to one another Are we doing what we intended to do in our organizations and our community Are we still finding purpose and deeper meaning in our work Encourage and role model healthier living We need our community members and organizations engaged in improving the health of our own communities Many of us have heard that 75 percent of our costs are spent on five chronic care conditions Have you heard about the evidence gaining traction that suggests Alzheimer s is a primarily metabolic disease much like diabetes At its root a poor diet can be the instigator of this It s expected we will see Alzheimer s patients grow from 35 million people today to 100 million by 2050 Does your community have a plan for this impact Look to the future constantly to understand how changes will impact your organization and community It could be daunting to try to keep up with all the changes in healthcare Focus on what changes you can influence You will find greater purpose in your work and broader influence in your community Scott Kashman serves as the Chief Administrative Officer of Cape Coral Hospital part of the Lee Memorial Health System in southwest Florida 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

    Original URL path: http://www.hospitalimpact.org/index.php/2012/10/03/keeping_up_with_changes_in_healthcare (2016-02-10)
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  • Hospital Impact
    index in the obesity range a reduction in those overweight and an increase in those with a normal range BMI Read more Leave a comment In healthcare you re always on stage for patients July 11th 2012 by Scott Kashman How many people do you know who can stay on stage for eight 10 or even 12 hours without letting down their guard from time to time It s not easy When I observe the work of our nurses physicians and other staff members I am amazed to see the endurance mentally and physically The energy and bright smiles late in the day are not as easy yet they show that spirit throughout the day There are of course times when that guard is down and personal comments may be shared Certainly I rarely run into a person who shared thoughts in a truly malicious manner Actually I can only recall once or twice when that happened And frankly the person was just not a good fit for our organization possibly not any organization now that I think back on the situation But every now and then I hear some of the statements we probably did not expect others to hear Read more Leave a comment Communication What are the rules of engagement June 12th 2012 by Scott Kashman This past week we had a student working with our hospital She is completing a graduate project on communications and looking for perspectives on the preferred ways people like to receive communication She also is speaking with our managers to understand what communication they provide From there we will better understand the gaps in communication at our organization Throughout the years I have heard many people discuss communication as though that is the major disconnect In many ways it is however I would like to challenge the thinking Read more Leave a comment Got subsidies You better re think funding options May 16th 2012 by Scott Kashman Prior to going into healthcare management I served as a psychiatric counselor No doubt I ve heard some of the offhand remarks about my role and how it helps me in the world of management But it was a great experience learning how to do things differently when reimbursement or our subsidy changed You see we saw patients in need of more than 30 days of care quickly get cut to a seven day stay If our organization didn t act rapidly the negative implications would have most likely closed the hospital It was the first in house managed care office that would serve case management and admitting today We had one person manage this operation out of a former supply janitorial closet All staff chipped in to make our new model a success Read more Leave a comment Previous Page Next Page 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

    Original URL path: http://www.hospitalimpact.org/index.php?blog=1&s=scott%20kashman&page=1&disp=posts&paged=7 (2016-02-10)
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  • Hospital Impact - Trading patient-centered care for person-centered living
    this continuum and acknowledge it but few seem to want to embrace it The care organization game is more about organizing the existing care they provide than extending that care Yet it would seem the ideas of wellness population health chronic disease management and bundled payments eventually will move the care and the incentives outside the walls But hospitals continue to build their hotel like structures Will they be left behind Some like Highmark Blue Cross get it While many have sneered at its purchase of a hospital the insurer realized that owning more of the continuum makes sense Just as United Healthcare realized when it purchased physician organizations And while I don t suggest ownership is virtuous it acknowledges that owning the continuum is not only good for business but also assures continuity of care a consistent culture and with data at their disposal a clear focus on improved outcomes quality and a true understanding of what a person needs to enjoy a quality of life Note I said person not patient Treating the whole person throughout the continuum of care and the entirety of their life is what we should be charged with doing Yet we say adios to most after they exit the doors This idea of person centered living is one I have come to embrace And I have done so through the Consumer Consortium for Advancing Person Centered Living CCAL of which I am on the board CCAL coined the term person centered living PCL as a reminder that as people grow older or have disabilities they should not experience a loss of humanity PCL means living as one chooses to live If support is needed support is centered on personal preferences and values that stress dignity choice self determination respect privacy and individuality PCL means being kind respectful and sensitive to those being served and honoring their right to make their own choices regardless of the setting Emphasis regardless of the setting And while some may say this is a shameless plug well maybe it is I believe in it Because as someone who moves across the continuum of care in my work I see the disconnect PCL can be a connector Hospitals have a great opportunity to be the connectors of care though many seem to be cocooning into their safe and comfortable environments And right now nothing is safe or comfortable in healthcare Anthony Cirillo FACHE ABC is president of Fast Forward Consulting which specializes in experience management and strategic marketing for healthcare facilities He also is the expert guide in Assisted Living for About com and Healthcare Channel Partner for CEO 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

    Original URL path: http://www.hospitalimpact.org/index.php/2012/03/29/trading_patient_centered_care_for_person (2016-02-10)
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  • Hospital Impact - Patient experience: Chasing scores or considering context?
    not enough unless you also do something I am concerned that value based purchasing particularly around Hospital Consumer Assessment Healthcare Providers and Systems HCAHPS will divide providers into two camps First there will be those that follow the letter of the law They will report scores and doggedly work toward improving the top box at all costs so they do not get financially dinged For example the quiet issue is huge in hospitals right now because it receives some of the lowest satisfaction scores So hospitals start implementing solutions to make the place quieter so as to score better In the race for results they may not always consider the actual patient For example closing room doors is a strategy employed by some Having spent a month with my mother when she was hospitalized it freaked her out every time the door was closed Sure if she is answering truthfully it was quieter But was her experience better Absolutely not Then there will be providers who see the systemic problems that underlie the issues They know that a hospital will never be totally quiet and they also know that some patients could care less because there is more at stake than their eardrums Don t get me wrong Quiet soothing environments do lend to better healing But there is a balance among things While some will drop everything to address the hot issue of the moment others will put things in context And the patient will be better off because of it I started taking yoga classes and what struck me is the clarity of purpose that comes with clearing the mind Hospitals need yoga They need to take those deep cleansing breaths that allow one to clear the mind and focus In the thousand miles an hour race to get things done we need to call a time out and really put in context what we do why we do it and who we do it for When more providers do this they will move from satisfying the letter of the law to really understanding the reasons they are doing so Anthony Cirillo FACHE ABC is president of Fast Forward Consulting which specializes in experience management and strategic marketing for healthcare facilities He is also the expert guide in Assisted Living for About com 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

    Original URL path: http://www.hospitalimpact.org/index.php/2012/02/29/title_42 (2016-02-10)
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  • Hospital Impact - Depression in nurses is depressing me
    More One thing we might first observe is that with health reform things will get much worse before they get better At some point the estimated 35 million newly insured Americans will seek healthcare potentially burdening the system And of course this all impacts recruitment and retention and even further impacts whether folks choose to enter into the profession So try this on Here in part is something I offered in a Hospital Impact post last August Healthcare workers are like firefighters They do dirty jobs look death in the eye every day and celebrate the joys of life too rescuing a kitten or delivering a baby So why does the firefighter culture thrive Low attrition People clamoring to get in Firefighters face their mortality every day and they have created a culture where they can talk about it release it joke about it and move on The fire house is their community their home Healthcare workers do their job and take it home with them When they are burned out they leave Firefighters are treated like heroes healthcare workers not so much So part of it in my opinion is building cultures that recognize this and help people release the fear and anxiety That is not part of any rewards and recognition system It goes fundamentally deeper If you want one example where this addressed look at the Cleveland Clinic They have something called Code Lavender see p 14 which as the organization explains is like Code Blue but it s for the human spirit instead Essentially any staff member who is undergoing a mental health issue and that is probably too severe a descriptor perhaps a long term patient just passed on for example and the staff member is affected by the loss can avail themselves of a team that will descend upon the unit and help This can include mental health social work and pastoral care staff This kind of behavior helps alleviate some stress so that the worker doesn t take it home Systemically all of this goes back to the need to address the employee experience well before you look at patient experience Instead what most do is add some kind of program that deals with customer service and further burdens the staff with one more thing to do Anthony Cirillo FACHE ABC is president of Fast Forward Consulting which specializes in patient and person centered care and strategic marketing for healthcare facilities 2 comments 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

    Original URL path: http://www.hospitalimpact.org/index.php/2010/06/03/depression_in_nurses_is_depressing_me_2 (2016-02-10)
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  • Hospital Impact - Delivering 'in-the-moment' healthcare
    be conscious It is quite related to being in the moment Here is a bit more about the principle Life is more joyous when lived consciously This lack of awareness causes some to live in a walking sleep in which actions are done but feelings are absent You may call it going through the motions When you live consciously you are aware of your feelings as you experience life With that in mind my colleagues suggest this exercise Stop two or three times a day and jot down what you are doing and feeling Rate each from one to five low to high I come the closest to really practicing this and living it when I go into a nursing home and entertain residents By no means do I ever phone it in but with this principle in mind when I visited a nursing home in Greensboro recently I truly paid attention I really saw the eyes of the gentleman next to me light up when I sang certain songs I could tell he was with me in the moment but also in his youth I made sure to acknowledge him and appreciate where he was coming from I saw the laughter between a son visiting his mother both going out of their way to tell me they waited weeks for me to come and perform Knowing how much it meant and seeing how much they were enjoying themselves made my performance better Because I was watching and paying attention I started interpreting and feeling the lyrics of songs even deeper I saw the melancholy expression and closed eyes of another resident who was totally aware of the music but living it in her past And it was sublime And it was joyous Just as I started writing this I took a break and was watching Michael Feinstein s American Songbook on PBS He was speaking with Liza Minnelli and they were watching a clip of her at 13 dancing and singing with Gene Kelly She was a natural even then Feinstein remarked that she was really present in the performance So maybe being in the moment and being conscious when caring for patients is a subtle nuanced dance where empathy becomes effortless when you pay attention understanding movement and gestures understanding the spoken word as the eyes convey something else It can t be taught It has to be felt But as Feinstein noted you have to be present to make it happen Anthony Cirillo FACHE ABC is president of Fast Forward Consulting which specializes in experience management and strategic marketing for healthcare facilities He also is the expert guide in Assisted Living for About com 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

    Original URL path: http://www.hospitalimpact.org/index.php/2013/05/14/delivering_in_the_moment_healthcare (2016-02-10)
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