archive-org.com » ORG » H » HOSPITALIMPACT.ORG

Total: 785

Choose link from "Titles, links and description words view":

Or switch to "Titles and links view".
  • Hospital Impact - Compassion vital for better outcomes, care delivery
    which also is very resource intensive the collective brilliance arrives at a different conclusion Their conclusion The rigorous empirical data supports the view that compassion is good and will significantly improve the individual s immune system decrease his her vulnerability to inflammatory processes which have been shown to have negative effects on health and will lead to faster recovery from disease higher levels of happiness and well being and a greater sense of purpose and meaning Again just imagine these cross sector leaders arriving at a conclusion that requires minimal financial investment and yet much investment of all of our hearts and humanness It s a conclusion that does not lead to adverse interactions invasive and perhaps dangerous procedures medical surgical pharmaceutical complications or errors but is scientifically proven to improve the health and the lives of those for whom we care In fact according to James R Doty M D One large scale study showed that lack of social connectedness predicts vulnerability to disease and death above and beyond traditional risk factors such as smoking blood pressure obesity and lack of physical activity So woo woo or worth opening our hearts and minds to a new and innovative approach to healthcare compassion and empathy As Gandhi put it If we could change ourselves the tendencies in the world would also change As a man changes his own nature so does the attitude of the world change towards him We need not wait to see what others do As the healthcare system becomes bigger and less personal time between patients and practitioners continues to erode care models revolve more and more around pharmaceutical and other interventions to address symptoms limited financial resources are being used to repackage old ideas that have not yielded significant improvements in health or healthcare in the past it is time to move beyond imagining a new model revolving around compassion and empathy It is time for us healthcare leaders to manifest these images into a new healthcare reality To focus our energy and resources on creating a new model of care where time relationship trust continuity empathy and compassion are maximized and CARE and caring is the emphasis of healthCARE Not only will we improve care provision we also will save limited resources improve patient safety and honor ourselves and our patients It is truly time for us healthcare leaders to focus on our own compassion as we serve others compassionately Thomas H Dahlborg M S M is Vice President for Strategy and Project Director for the National Initiative for Children s Healthcare Quality NICHQ where he focuses on improving child health and well being 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/2012/07/03/p4076 (2016-02-10)
    Open archived version from archive


  • Hospital Impact - Doctors promise holistic care under Hippocratic Oath
    impacting patients families and communities Apparently holistic care which according to the Hippocratic Oath focuses on the person not the disease is still woo woo in the eyes of our staid medical system Again based on current and proposed reimbursement models where only small portions of revenue are tied to outcomes via Pay for Performance P4P models short office visits a lack of true integration of even mental health with primary care never mind social and economic factors and rotating practitioners and extenders it appears that in fact holism is not part of the current healthcare system nor future innovations And yet it is very clearly part of the Hippocratic Oath physicians pledge to honor Here s a third example May I always act so as to preserve the finest traditions of my calling and may I long experience the joy of healing those who seek my help The joy of healing Have you talked with a physician recently As shared previously in Tough to focus on patient care and productivity at the same time a physician friend in a local healthcare system recently told me that he s so tired and burnt out that he s thinking of leaving medicine As a primary care physician he feels his role has moved away from being a healer and toward becoming a production worker Rather than focus his energy on ensuring that his patients are best positioned for optimal healing he feels pressure to ensure that he s triple booked every 15 minutes so he generates the required 30 relative value units RVUs per day and thus earns his salary He also had to maintain 5 000 active patients in his panel and told me that he actually truly knew very few of his patients Whatever happened to joy in healing Neither the current system nor the new innovations are set up to truly focus on the health and satisfaction the joy of the physician the healer The design is still based on maximizing financial return on investment and productivity not maximizing health status improvement and physician satisfaction And just try to discuss the joy of healing in most healthcare organizations and watch out Be prepared for laughter being called woo woo and slacker and marginalization as a healer Hippocrates and the subsequent evolution of the Hippocratic Oath truly understood healing Call it woo woo call it squishy call it warm and fuzzy call it what you will But as the Oath illustrates warmth sympathy understanding holism and joy in healing are critical factors required for any optimal healing model Physicians have sworn to this Oath and they along with us healthcare leaders are obligated to create systems that best position healers to honor these obligations Thomas H Dahlborg M S M is executive director of the physician practice True North Health Center where he focuses on improving growth while ensuring access for the uninsured and the elderly He has 21 years of experience creating competitive advantages analyzing customer expectations and

    Original URL path: http://www.hospitalimpact.org/index.php/2011/02/28/p2061 (2016-02-10)
    Open archived version from archive

  • Hospital Impact - 5 front-line staff opportunities with bottom-line impact
    experience is increasingly being tied to financial incentives according to a study in the journal Quality Management in Healthcare Moreover the financial implications associated with the measured perceptions of how well physicians and nurses attend to and provide information to patients and their families are substantial Good patient experience correlates with lower medical malpractice risk In fact for each drop in patient experience score along a five step scale of very good to very poor the likelihood of being named in a malpractice suit increased by 21 7 percent noted a brief form the Robert Wood Johnson Foundation s Aligning Forces for Quality What are other opportunities to engage front line staff and improve the financial health of your institution Read the full article 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

    Original URL path: http://www.hospitalimpact.org/index.php/2012/09/19/the_bottom_line_impact_of_front_line_sta (2016-02-10)
    Open archived version from archive

  • Hospital Impact - Saving lives, lowering costs and improving access the old-fashioned way
    assistant PA from Northern Maine had been selected to speak and shared the following paraphrased I know how to address the issue of overutilization of emergency rooms I do it every day I know the people who would utilize the ER I talk to these people and I listen to these people I have developed relationships with these people They know me and I know them We trust one another When they have a concern they call me and we talk And when they should come to the ER they do And when there are better options I help them to understand those options It is all about relationship and trust My gosh this PA said in a few sentences what would have taken me much longer to say This PA on a daily basis lives what theorists administrators politicians experts and others can only surmise This amazing individual is in a system where she can positively impact the lives of patients save the system money and is doing so by leveraging relationship Relationship Empathy Trust And the ability to truly listen How amazing and wonderful and inexpensive and effective and a no brainer Right Perhaps not I went up to this PA who I had met a few months prior and hugged her and said how much I appreciated what she said She told me that she did not think they would pick her to speak as she is considered a troublemaker A troublemaker Well Here s to the crazy ones The misfits The rebels The troublemakers The round pegs in the square hole The ones who see things differently They re not fond of rules And they have no respect for the status quo You can quote them disagree with them glorify or vilify them About the only thing you can t do is ignore them Because they change things They push the human race forward And while some may see them as the crazy ones we see genius Because the people who are crazy enough to think they can change the world are the ones who do Apple Computer Inc I left that Q A session having been reminded of two important lessons First listen and heed the input from the so called troublemakers who in many cases are people on the front lines of healthcare They are the ones in the know And as Apple knows They will push us all forward They will change the world Second ensure that relationship empathy trust and the ability to truly listen become as important to any new healthcare model as to any new revenue generation strategy any new alternative payment model any new technological advancement or any other innovation reliant on the broken parts of the existing system Thank you my Physician Assistant friend for saying so succinctly what we all needed to hear Thomas H Dahlborg M S M is executive director of the physician practice True North Health Center where he focuses on improving growth while

    Original URL path: http://www.hospitalimpact.org/index.php/2011/03/22/saving_lives_lowering_care_costs_and_imp (2016-02-10)
    Open archived version from archive

  • Hospital Impact - Bricks and mortar will not heal all that's wrong with healthcare
    truly explore a more adaptive solution by investigating the reasons for the increase in ER visits No one engaged people both inside and outside of the hospital in the tougher discussions to better understand the root cause of this increased reliance on the ER and to work toward an adaptive solution that focused on decreasing the reliance on the ER itself by improving the health of individuals and the community The emergency department was expanded it was deemed a success the achievement celebrated Yet the reliance on the ER has not changed and in fact with the expanded ER the hospital now has a perverse financial incentive to continue to fill the ER rather than to work to decrease the reliance on it Now consider the Institute of Medicine s declaration that half of all medicine lacks scientific validity and Dr John Ioannidis claim that many clinical studies conclusions are misleading exaggerated or flat out wrong Against that backdrop don t tell me that access to a new building should be our highest priority As with the expanded emergency department scenario shouldn t we be investing more of our energy and resources on improving the actual healing model than on more bricks and mortar Does brick and mortar address the lack of reliable trusted and understood clinical research and the lack of evidence based treatment protocols Does brick and mortar address the perverse financial incentives in the system or on the contrary actually contribute greatly to the perversity What are our priorities Absolutely new medical office buildings can be impressive works of architecture and construction that are sometimes necessary But tell me Is the system just as willing to invest in truly fixing the healing model itself by ensuring physicians and patients alike have easy access to valid understood trusted evidence based clinical research best suited to the individual patient Instead of an offering of brick and mortar or earth and water how about an offering of accessible valid understood and trusted evidence based clinical research best suited to position the patient for optimal healing Let s lose the ego and stop building monuments and legacies at the expense of the health of individuals and the communities Let s reprioritize and focus our resources on truly fixing the healing model itself and then let s have a real celebration Thomas H Dahlborg M S M is executive director of the physician practice True North Health Center where he focuses on improving growth while ensuring access for the uninsured and the elderly He has 21 years of experience creating competitive advantages analyzing customer expectations and developing and implementing focused and aligned strategic deployment plans Formerly he served as the chief business strategy officer at Network Health a comprehensive Medicaid health plan based in Cambridge Mass and was COO of the U S Family Health Plan at Martin s Point Health Care in Portland Maine 4 comments Please enable JavaScript to view the comments powered by Disqus Enter your search terms Submit

    Original URL path: http://www.hospitalimpact.org/index.php/2011/01/24/p1841 (2016-02-10)
    Open archived version from archive

  • Hospital Impact - Why healthcare leaders can't ignore front-line employees
    to listen to those working on the front lines of healthcare Despite the dangers of not supporting front line staff many healthcare leaders continue to make decisions without their input For example one community hospital in Portland Maine left front line staff out of the equation as administration financially squeezed the hospital s obstetrics and gynecology department to the point where nurse staffing levels on the maternity ward fell below national standards What are the dangers of not listening to frontline staff Read the full article 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 current system Price transparency push in Florida Missouri Hospitals continue to be job creating machines Nearly 700 rural hospitals are financially

    Original URL path: http://www.hospitalimpact.org/index.php/2012/09/05/title_64 (2016-02-10)
    Open archived version from archive

  • Hospital Impact
    were shared we were distressed as these numbers were significantly out of line with our other patient safety indicators So we utilized our SSM Health Care culture of continuous improvement to get better Read more Leave a comment What is the danger of not listening to frontline staff May 30th 2012 by Thomas Dahlborg I am struggling so much with how healthcare is changing I can t say or post publicly what I know and what I see without getting fired But it is not all about the care of patients anymore Family Practice Medical Receptionist I am a nurse and have been for 30 years I recently went back to school to study art I am burnt out Not from my patients but from the administration They make decisions that adversely impact staff and patient alike and I am simply burnt out Registered Nurse I didn t think they would pick me to speak I am considered a troublemaker in my hospital Physician Assistant These are three quotes from many recent conversations sharing the same theme People with power to make decisions that affect staff patients and the healthcare delivery system are not listening to those who are working on the frontlines of healthcare Read more Leave a comment A hospital mission is more than a slogan on the wall May 3rd 2012 by Thomas Dahlborg As a healthcare leader most assuredly you can recite you organization s mission and vision In fact these statements probably are posted on the wall of your office and throughout your hospital Missions and visions are critical components of creating clarity throughout a hospital And yet having mission and vision statements on walls and not in the hearts and minds of all organizational leaders nor in the hearts and minds of all members of your organizational community creates an unhealthy organization with an unclear purpose wasted resources dysfunctional workforce and adversely impacted patients and families Read more Leave a comment Defining true measures of healthcare success April 4th 2012 by Thomas Dahlborg I have the privilege of coaching amazing young men in a high school recreation basketball league I remember one particular game last season where we were getting beat soundly and our players were feeling pretty down As I turned to the scoreboard and saw we were trailing 43 to 12 late in the first half I called our players attention to it I called their attention to the fact that the outside world was judging us based on those electric red numbers glaring and yet the outside world had no idea the measure of a young man s heart the real measure of our team s success We turned our attention toward each of our own measures of success each step we were making individually and together to improve as basketball players and coaches and as men We talked about the outside world and the glare of the red and set that aside to focus on the REAL wins the TRUE

    Original URL path: http://www.hospitalimpact.org/index.php?blog=1&s=true%20north&page=1&disp=posts&paged=4 (2016-02-10)
    Open archived version from archive

  • Hospital Impact - Instagram it: Tell the story of your hospital through pictures
    a picture and post it to your Instagram page with a nice little caption and it s always good to use at least one hashtag so it can be found in a search It s similar to Pinterest but without the links so your picture really can tell your story captured a special moment or highlight some of your hospital s best features If a hospital uses multiple networks like Facebook and Twitter set up the organization s Instagram to share to those networks as well and your hashtags will carry over too I have not yet launched an Instagram account for my organization but it s in the works as a priority for next year Why Because the important part of any social media plan is to be where your audience is I first noticed that it was something we needed to consider a while back when an Instagram photo by a patient appeared on one of the hospital Facebook pages I manage Then there were more pictures all over our Twitter accounts Clearly the people who interact with us on our networks also Instagram It s quick easy and fun Many hospitals have already realized the power of a picture and have created their own Instagram accounts If you Google search hospitals on Instagram you ll find several including some very prominent names like New York Presbyterian Henry Ford and Shriners They post pictures of their patients events recipes and more In July of this year the digital media team at the Arnold Palmer Hospital for Children posted pictures to Instagram every 10 minutes as they captured all the steps in a toddler s heart surgery Of course risk management and legal would need to be on board with this What else could hospitals possibly do with a photo network A lot Think about that amazing new technology you just acquired A press release is one thing a tweet is something else but a photo of it in use That s a winner What about the mom who just gave birth to triplets and they all leave the hospital together Does that evoke emotion and an aww You bet How about the Halloween party where staff dressed up in costume to entertain the kids the smiles will say a lot With Instagram you can let the pictures do the talking for you There are also some great ideas in this post With a mobile phone and some neat tools that allow you to transform the image into a memory Instagram may be one of the tools that hospitals should seriously consider I know we are Does your hospital use Instagram What do you do with it If you don t use Instagram do you plan to I d love to hear what you do Nancy Cawley Jean is a senior media relations officer for the Lifespan health system in Rhode Island managing social media for five hospitals and a women s medicine practice Leave a comment Please enable

    Original URL path: http://www.hospitalimpact.org/index.php/2014/12/18/instagram_it_tell_the_story_of_your_hosp (2016-02-10)
    Open archived version from archive



  •