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  • Hospital Impact - Does population health management really account for dementia patients?
    to the level of today so all cancers were considered death sentences And while Alzheimer s currently has no cure it and other forms of dementia can be slowed and quality of life improved when there is earlier diagnosis and a care plan in place The patient centered medical home PCMH even when all six of its standards are in place is not prepared for the crisis The PCMH does not account for the facts that often primary care physicians are not equipped to diagnose and treat dementia that there are far too few geriatric specialists and interdisciplinary teams to assist that it is a family disease and that this is more than a clinical issue but a societal one Caregiver crisis More than 15 millions Americans provide unpaid care for people with dementia including Alzheimer s Thirty four percent are older than 65 Seventy five percent are employed Compared to caregivers for people without dementia twice as many caregivers of people with dementia report substantial financial emotional and physical difficulties These caregivers are more likely to report worsened health increased cardiovascular disease and depression Yet caregivers are often looked at as a means to an end to get patients to follow care plans How do we start accounting for the fact that the person for whom they are caring directly impacts their own health How do we factor the financial burden and the workplace implications of caregiving into a total family care plan Societal issue Because there is no cure for Alzheimer s providers often end up treating the conditions that manifest because of the disease Consider that the largest reasons for hospitalization of Alzheimer s patients are fainting falls and trauma I would venture to say that these are often caused more by environmental factors that are not in any care plan such as homes safe for aging in place dementia friendly businesses and communities An Advisory Board article on population health suggested that if you are going to partner with patients in managing their health you must integrate into their daily lives Providers can directly impact care by attracting and recruiting more people to specialize in geriatric medicine and adopting person centered practices in their care They can contribute by leading organizing and coalescing the community around the issues Here are some things we need to understand and do Realize there is not only age bias but also proscriptive prejudice in how we view older adults Change our demonizing language around the disease which alienates people and prevents them from self identifying Realize it starts in your own marketing departments and with your advertising agencies Educate the public create a groundswell Understand that other non intuitive partners such as bank tellers are on the front lines of identifying the behaviors that could suggest the disease Document the family caregiver in the medical record Start dementia registries Lead dementia friendly community initiatives Promote intergenerational interaction Talk about death and dying openly Cumulatively these actions will help providers achieve

    Original URL path: http://www.hospitalimpact.org/index.php/2015/04/08/p5381 (2016-02-10)
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  • Hospital Impact - 3 ways to cultivate a value-based mindset
    And initial bundled experiments have involved hospitals and skilled nursing facilities But consider that CCRCs are emerging with their own programs that could compete or complement what you are doing One CCRC is offering pre hab services six weeks prior to patients having knee or hip surgery Results show that it reduces the need for inpatient rehabilitation substantially And guess who gets the post operative rehab Reconsider the scope of the chief experience officer In an ACO bundled payment world choosing healthcare partners is as much about cultural fit than anything else The chief experience officer right now a hospital based role could be expanded to assure that the experience of care is consistent across the continuum of care Who better to connect the dots and break out of silo thinking But then you also have to buy into the notion that the experience of care is not just about patient satisfaction It is first and foremost about safety and quality Organizations are introducing programs through their patient experience office that impact quality and safety When initiating a physician communication program the Cleveland Clinic found it not only impacted the experience of care but the practice of care And it made quality of life for physicians better while reducing malpractice Move thinking from population health to societal issues When you look at quality of life you move into another discussion The industry focus on population health is narrow casting It s a clinical focus that may consider but often does not societal issues at large like the growing dementia and Alzheimer s crisis I am a member of the Dementia Action Alliance which is looking at how to help people with the disease and their family caregivers live fully with it An eclectic group of organizations associations and even people with early onset Alzheimer s we have no hospital members Not a one Yet to effectively address this epidemic we need to look at this from a societal lens We need to change our language around the disease identify people sooner who need care educate and activate the public around the issues and oh yes develop person centered practices of care that involve welcome and heed the feedback of family caregivers Talk about strange bedfellows and partners Financial professionals are often on the front lines of identifying people with dementia because having trouble with their money balancing the checkbook and other signs are often the first clues Would we often think to partner with that industry And when we put together community needs assessments do we often consider establishing dementia friendly communities No If hospitals want to succeed in a value based world then leaders must change their mindset and broaden their thinking around how hospitals contribute value to society as a whole Anthony Cirillo F A C H E is president of Fast Forward Consulting which specializes in healthcare experience management and strategic marketing across the continuum of care He is a member of The Dementia Action Alliance and

    Original URL path: http://www.hospitalimpact.org/index.php/2015/03/05/how_hospitals_can_transition_to_a_value (2016-02-10)
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  • Hospital Impact - 3 ways to cultivate a value-based mindset
    And initial bundled experiments have involved hospitals and skilled nursing facilities But consider that CCRCs are emerging with their own programs that could compete or complement what you are doing One CCRC is offering pre hab services six weeks prior to patients having knee or hip surgery Results show that it reduces the need for inpatient rehabilitation substantially And guess who gets the post operative rehab Reconsider the scope of the chief experience officer In an ACO bundled payment world choosing healthcare partners is as much about cultural fit than anything else The chief experience officer right now a hospital based role could be expanded to assure that the experience of care is consistent across the continuum of care Who better to connect the dots and break out of silo thinking But then you also have to buy into the notion that the experience of care is not just about patient satisfaction It is first and foremost about safety and quality Organizations are introducing programs through their patient experience office that impact quality and safety When initiating a physician communication program the Cleveland Clinic found it not only impacted the experience of care but the practice of care And it made quality of life for physicians better while reducing malpractice Move thinking from population health to societal issues When you look at quality of life you move into another discussion The industry focus on population health is narrow casting It s a clinical focus that may consider but often does not societal issues at large like the growing dementia and Alzheimer s crisis I am a member of the Dementia Action Alliance which is looking at how to help people with the disease and their family caregivers live fully with it An eclectic group of organizations associations and even people with early onset Alzheimer s we have no hospital members Not a one Yet to effectively address this epidemic we need to look at this from a societal lens We need to change our language around the disease identify people sooner who need care educate and activate the public around the issues and oh yes develop person centered practices of care that involve welcome and heed the feedback of family caregivers Talk about strange bedfellows and partners Financial professionals are often on the front lines of identifying people with dementia because having trouble with their money balancing the checkbook and other signs are often the first clues Would we often think to partner with that industry And when we put together community needs assessments do we often consider establishing dementia friendly communities No If hospitals want to succeed in a value based world then leaders must change their mindset and broaden their thinking around how hospitals contribute value to society as a whole Anthony Cirillo F A C H E is president of Fast Forward Consulting which specializes in healthcare experience management and strategic marketing across the continuum of care He is a member of The Dementia Action Alliance and

    Original URL path: http://www.hospitalimpact.org/index.php/2015/03/05/p5266 (2016-02-10)
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  • Hospital Impact - The safety impact of caregiver-patient feedback
    statement and with her permission am reprinting what I think is the most salient paragraph that gets directly to the relationship between patient safety and patient caregiver feedback In my experience one unfortunate unintended consequence of the current culture in healthcare is a type of medical error which I call a failure to heed or engage caregiver error It s a subset of the larger failure to heed or engage the patient error However the standardized formats for identifying errors and harm in healthcare do not capture failure to engage or heed patients or caregivers Is caregiver engagement a question on patient satisfaction surveys Until we start looking for errors harm and dissatisfaction caused by the failure to engage or heed caregivers we lack evidence that might spur change My own mom 93 with full cognition has been in the hospital and now rehab since Jan 21 There have been instances in her rehab where there were real safety issues I happened to walk in during one and mom told me about the second over the phone When the call bell fails to be answered 45 minutes and counting mom took it upon her to get up go to the door of her room and yell for help I played my trump card and contacted the highest levels of the health system providing the rehab Oh yeah good for me So they are actually more watchful of mom now The point is that it should not have come to that And most people don t have that kind of access I did not need retrospective information I needed mom or I to have an alternate way to call for help because her getting up was not an answer and in fact she was a fall risk And you know we don t like falls on the record Meaningful Use 3 and other mandates are requiring that health providers start instituting real time communication and feedback systems initiated by patients and caregivers The problem is not the cost or technical ability to implement these solutions Heck they pay for themselves It is cultural Staff must understand that these tools are neither one more thing to do nor big brother watching Better patient caregiver communication when heeded can lead to better safety and quality That is something we can all agree upon Want a taste of real time feedback Tell me what you think of this blog by participating in a quick poll Anthony Cirillo 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 More hospitals replace nurseries with

    Original URL path: http://www.hospitalimpact.org/index.php/2015/02/11/the_safety_impact_of_caregiver_patient_f (2016-02-10)
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  • Hospital Impact - The safety impact of caregiver-patient feedback
    statement and with her permission am reprinting what I think is the most salient paragraph that gets directly to the relationship between patient safety and patient caregiver feedback In my experience one unfortunate unintended consequence of the current culture in healthcare is a type of medical error which I call a failure to heed or engage caregiver error It s a subset of the larger failure to heed or engage the patient error However the standardized formats for identifying errors and harm in healthcare do not capture failure to engage or heed patients or caregivers Is caregiver engagement a question on patient satisfaction surveys Until we start looking for errors harm and dissatisfaction caused by the failure to engage or heed caregivers we lack evidence that might spur change My own mom 93 with full cognition has been in the hospital and now rehab since Jan 21 There have been instances in her rehab where there were real safety issues I happened to walk in during one and mom told me about the second over the phone When the call bell fails to be answered 45 minutes and counting mom took it upon her to get up go to the door of her room and yell for help I played my trump card and contacted the highest levels of the health system providing the rehab Oh yeah good for me So they are actually more watchful of mom now The point is that it should not have come to that And most people don t have that kind of access I did not need retrospective information I needed mom or I to have an alternate way to call for help because her getting up was not an answer and in fact she was a fall risk And you know we don t like falls on the record Meaningful Use 3 and other mandates are requiring that health providers start instituting real time communication and feedback systems initiated by patients and caregivers The problem is not the cost or technical ability to implement these solutions Heck they pay for themselves It is cultural Staff must understand that these tools are neither one more thing to do nor big brother watching Better patient caregiver communication when heeded can lead to better safety and quality That is something we can all agree upon Want a taste of real time feedback Tell me what you think of this blog by participating in a quick poll Anthony Cirillo 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 More hospitals replace nurseries with

    Original URL path: http://www.hospitalimpact.org/index.php/2015/02/11/p5216 (2016-02-10)
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  • Hospital Impact
    Much like airlines hospitals nickel and dime patients November 6th 2014 by Anthony Cirillo By now we re used to and numb to airlines adding fee after fee to drive as much revenue as possible Booking fees change fees premium seat fees bag fees Flying used to be a great experience Now it s a cattle herd Oh and don t dare recline that seat It seems the hospital industry is following the trend Witness two articles in The New York Times in the space of a month that essentially amount to cataloging the price gauging taking place in the industry While the industry talks about cost cutting and the need for it hospitals not so subtly try to make up reimbursement cuts by creatively finding ways to charge extra and often hidden fees Read more Leave a comment Responsiveness key to improving healthcare delivery October 9th 2014 by Anthony Cirillo I met with a colleague last month with whom I m partnering to create a system that can help organizations monitor and respond to patient and family concerns questions and compliments in real time using their own devices Who wouldn t want that in their organization Get on top of situations Promote positive word of mouth Set up the organization for better HCAHPS responses Turns out some organizations want to run the other way The platform allows organizations to get data in real time And with that comes responsibility The organization must act on it and align their processes and workflows to become a responsive organization Not every organization is ready to or willing to do this Read more Leave a comment Dying with dignity Lessons hospitals can learn from hospice September 10th 2014 by Anthony Cirillo For those readers following the black cloud over our family s head this year you know that my wife s brother and then my sister passed away less than a month apart earlier this year On Aug 23 so did my father in law Lou He was hospitalized July 3 and never made it home While 51 days of his hospital experience were miserable the last day of his life was peaceful and dignified His last day was spent in hospice administered in the hospital through a separate company not affiliated with the hospital The culture difference was glaring And hospice workers were truly caring First they respected the family s wishes I married into a large Irish family and there were probably 20 of us around his bed as they withdrew support Even a cousin from Northern Ireland a priest came over and administered last rites Crowd control was not an issue The hospice nurse simply let us have our space while she explained necessary information in a respectful manner Read more Leave a comment Hospitals must address underlying societal issues August 10th 2014 by Anthony Cirillo Earlier this year I attended a World Health Care Congress session on employee health The head of Comcast s human resources spoke He offered

    Original URL path: http://www.hospitalimpact.org/index.php?blog=1&s=anthony%20cirillo&page=1&disp=posts&paged=2 (2016-02-10)
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  • Hospital Impact - Questions about HHS transparency impede health reform progress
    delaying some less popular parts of the law including the small group market expansion and the Cadillac tax But from that shift to small ball has also come a more aggressive breed of ACA related activity in Washington Congress members are increasingly investigating how taxpayer money was spent on the law especially for programs such as the state exchanges that went belly up To Council for Affordable Health Coverage President Joel White however this is less of a new development than an ongoing saga that the public is just now starting to notice Actually this has been more of a slow boil more than a sudden outbreak of activity White told me in a recent interview Read the full commentary at FierceHealthPayer 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

    Original URL path: http://www.hospitalimpact.org/index.php/2016/01/28/questions_about_hhs_transparency_impede (2016-02-10)
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  • Hospital Impact - Guiding principles for patient experience excellence
    to make a fundamental shift in both acknowledging and working to address the very vulnerabilities this conversation raises then we may never ultimately realize our true intent I do believe that there is an opportunity readily available to us all One grounded in the guiding principles that have emerged from the experiences of so many tackling this work These guiding principles for patient experience excellence first shared by The Beryl Institute last year represent eight areas for strong and focused action unwavering commitment and personal and organizational self awareness They are offered as aspirational and affirmative statements about where we as individuals organizations and collectively as the patient experience movement should focus our efforts Rather than the answer we believe these provide the foundational ideas on which we can build our work I invite and encourage healthcare organizations globally to consider and commit to putting these ideas into practice in the ways best suited for their organization With a focus on these principles we believe organizations and systems committed to providing the best in experience will Identify and support accountable leadership with committed time and focused intent to shape and guide experience strategy Establish and reinforce a strong vibrant and positive organizational culture and all it comprises Develop a formal definition for what experience is to their organization Implement a defined process for continuous patient and family input and engagement Engage all voices in driving comprehensive systemic and lasting solutions Look beyond clinical experience of care to all interactions and touch points Focus on alignment across all segments of the continuum and the spaces in between Encompass both a focus on healing and a commitment to well being In choosing to engage in these principles organizations create a strongly woven foundation on which to apply their tactics of choice and establish a framework for intentional focus commitment and therefore the sustainability we all strive for in this work Perhaps it is that fear of what has come before and our inability to maintain a focus on what we believed to be so important that left us feeling that same vulnerability that brave individual shared with me As The Beryl Institute has noted we have a unique opportunity in healthcare today to shift how we think about patient experience and focus on what we can do about it fundamentally for all engaged in our healthcare organizations at all touch points and segments of the care continuum across care environments at points of transition and in the critical spaces in between As guiding principles the work is ultimately up to you By seizing the opportunity for action and the potential for the outcomes to which it can lead you take a bold stand in acknowledging that as human beings we are all vulnerable and this work may never truly be easy But it is without question the most significant rewarding and profound opportunity we may ever have as one human being to another We must continue to move forward Jason A Wolf

    Original URL path: http://www.hospitalimpact.org/index.php/2016/01/21/8_guiding_principles_for_patient_experie (2016-02-10)
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