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  • Hospital Impact - Disruptive innovation: Does the theory work in healthcare?
    which fledgling companies use new technology to offer cheaper and inferior alternatives to products sold by established players Today a pack of news startups are hoping to disrupt our industry by attacking the strongest incumbent The New York Times But what if Christensen s theory is just plain wrong Harvard historian Jill Lepore in an upcoming New Yorker article titled The Disruption Machine What the Gospel of Innovation Gets Wrong provides a devastating critique of Christensen s theory If The Innovator s Prescription or one of his other books was handed in as a term paper in one of Professor Lepore s Harvard classes he would receive a failing grade Disruptive innovation as a theory of change is meant to serve both as a chronicle of the past this has happened and as a model for the future it will keep happening The strength of a prediction made from a model depends on the quality of the historical evidence and the reliability of the methods used to gather and interpret it Historical analysis proceeds from certain conditions regarding proof None of these conditions have been met Lepore wrote All hospital leaders and physician executives should read Lepore s article The following are just some of her main objections to the disruptive innovation theory of change Christensen s disruptive innovation analysis of the disk drive industry is faulty The companies he identified as disruptive went out of business and the firm he thought was challenged Seagate Technology thrived Christensen s example of how cable operated excavators were disrupted by hydraulic excavators is flawed Christensen s theory which he states is predictive flopped when he launched the Disruptive Growth Mutual Fund that failed to pick stocks that went up Christensen s method of research cherry picks case studies and is a notoriously weak foundation on which to build a theory Lepore s conclusion should make all of us in healthcare pause before we decide to map the future of our hospital systems with Christensen as our only guide Disruptive innovation is a theory about why businesses fail It s not more than that It doesn t explain change It s not a law of nature It s an artifact of history an idea forged in time it s the manufacture of a moment of upsetting and edgy uncertainty Transfixed by change it s blind to continuity It makes a very poor prophet she wrote Kent Bottles M D is a lecturer at the Thomas Jefferson University School of Population Health and chief medical officer of PYA Analytics 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

    Original URL path: http://www.hospitalimpact.org/index.php/2014/06/25/disruptive_innovation_does_the_theory_wo (2016-02-10)
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  • Hospital Impact - Will new health IT developments really revolutionize healthcare?
    I didn t attend this year s Health Datapalooza According to Nancy Shute what I missed was the health data revolution s awkward adolescence Although there were lots of examples of how data might make care safer more efficient and less expensive Shute concludes that these projects are still works in progress The conference did unveil the Open FDA Database with its more than 3 million reports on adverse drug reactions and I found it fascinating to wander around this raw data However I really don t think your average consumer will take advantage of this hard to navigate database Shute sums up the whole affair with this sentence Questions about who wants the data what they want to do with it and who will pay for it remain largely unanswered The least noticed event that caught my eye was the reorganization of the ONC that resulted in reducing 17 different offices to 10 I agree with John Halamka that ONC needs to streamline its standards and interoperability framework initiatives and simplify Meaningful Use The healthcare data ecosystem is simply not mature enough to support these initiatives as currently defined My skepticism about these three developments in no way undermines my conviction that eventually data will improve and transform the American healthcare clinical delivery system I keep thinking about the Gartner Hype Curve with its peak of inflated expectations and trough of disillusionment because we have been at this game changing moment before When Dave deBronkart tried to use Google Health to manage his metastatic renal cell carcinoma in 2009 with information from his famous academic Boston hospital the transfer of insurance billing code information created a clinical history full of errors Mayo Clinic in the past hoped that their partnership with Microsoft Health Vault would be a game changer How do we know that the Mayo Apple relationship will succeed when past attempts have failed I m also not sure how these three developments address the problem of interoperability According to the HHS JASON report increasing device interoperability could save the health care system 30 billion a year I think it s great that Epic is finally agreeing to partnerships but I doubt this Apple announcement solves the interoperability problem For these developments to revolutionize healthcare both patients and clinicians must find devices acceptable Even if the industry solves the data collection challenges physicians do not know how to interpret the resulting avalanche of information to improve the care of their patients Molly Maloof M D is spot on when she states It will be really important for companies to justify their interpretations of the information they provide to achieve physician buy in Otherwise these consumer focused devices will be written off as health toys rather than health tools Kent Bottles M D is a lecturer at the Thomas Jefferson University School of Population Health and chief medical officer of PYA Analytics Leave a comment Please enable JavaScript to view the comments powered by Disqus Enter your search terms

    Original URL path: http://www.hospitalimpact.org/index.php/2014/06/11/will_new_health_it_developments_really_r (2016-02-10)
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  • Hospital Impact - ACA: Tune in to all sides of the debate
    Electronic health records waste physician time Board recertification is time consuming and expensive Medicare and Medicaid reimbursements have declined Physicians should as a group not accept any health insurance Aaron Carroll M D professor of pediatrics at the Indiana University School of Medicine writing in The Incidental Economist blog offered the following advice to unhappy doctors like Craviotto Complaining about not having a voice in the debate in the most read op ed pages in the country is like crying wolf Most people have to choose between doing God s work and being in the 1 percent Only doctors get to do both Board recertification is mandated by physicians who run specialty boards not the government It s tone deaf in today s economic climate for the people at the top end of the socioeconomic spectrum to complain so publicly about how little they are paid Medicine is not the only profession with mandates and outside interference Less than 1 percent of physicians opt out of Medicare Your colleagues aren t joining you Dan Munro in a Forbes blog post made the following points in An ePatient s Reply to A Doctor s Declaration of Independence I don t think his criticisms are remotely patient centered or patient engaging We re all trying to deal with statistics like health care expenditures of 18 percent of gross domestic product when we need to deal with the federal budget deficit Of the 25 medical specialties tracked by Medscape orthopedics had the highest average annual compensation at 413 000 Eighty four million nonelderly Americans were uninsured or underinsured during 2012 Nearly 100 million Americans are either in poverty or in the fretful zone just above it In the Medscape survey half of all doctors thought they were fairly compensated C Otto Scharmer s Theory U Leading from the Future as It Emerges taught me that society can only create robust solutions to complex problems like healthcare delivery by understanding issues from the perspective of all involved This blog post highlights the process by listening to an unhappy physician a happy physician and an ei patient We must listen to other voices besides these three to come up with an improved American healthcare delivery system I try to read The New York Times and the Wall Street Journal every day I try to watch both Fox News and MSNBC I try to be open minded because I need all the help I can get in understanding our rapidly changing turbulent healthcare world Kent Bottles M D is a lecturer at the Thomas Jefferson University School of Population Health and chief medical officer of PYA Analytics 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

    Original URL path: http://www.hospitalimpact.org/index.php/2014/05/22/affordable_care_act_listen_sides_debate (2016-02-10)
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  • Hospital Impact
    organizations in an industry that has rarely encountered so much complexity and change in such a short period of time In my experience planning for such an important and complicated project such as the launch of the Affordable Care Act s exchange website requires clarity and agreement on the vision skills incentives resources action plan and leadership long before the actual work begins Ignoring any one of these requirements usually results in confusion anxiety gradual change frustration or false starts Read more Leave a comment Healthcare reform calls for new skills attitude toward patient care January 29th 2014 by Kent Bottles American physicians need to be free to do what they have been trained to do excel at practicing medicine American patients need to be free to choose the health insurance plans and medical treatments that suit their needs not something coerced by a central authority This simply cannot occur under the suffocating burden of the Affordable Care Act Richard A Armstrong M D Under the Affordable Care Act physicians who effectively collaborate with other providers to improve patient outcomes the value of medical services and patient experiences will thrive and be the leaders of the healthcare system Robert Kocher M D Ezekiel J Emanuel M D Nancy Ann DeParle Physicians have been caught in the middle of the transformation of the American healthcare delivery system brought on by the Affordable Care Act Doctors who oppose the legislation and those who support it are trying to adjust to a rapidly changing healthcare environment Read more Leave a comment React to healthcare change like an NFL quarterback January 7th 2014 by Kent Bottles Why did a post season press conference with Philadelphia Eagles quarterback Nick Foles get me thinking about how physicians respond to the transformation of the American healthcare delivery system For those of you who don t follow the Eagles or NFL football Foles emerged this year as the quarterback with the highest passer rating of 119 2 for the entire season But it is the Foles who answers tough questions from the Philadelphia sports press after a loss who made me think about physicians and change in healthcare After a loss every Foles press conference reveals the following Read more Leave a comment 5 healthcare trends to look out for in 2014 December 18th 2013 by Kent Bottles While my list of top five trends for hospital leaders to watch in 2014 cannot compete with the Pantone Color Institute s prediction that Radiant Orchid will be next year s color of the year these healthcare trends could spell the difference between success and failure for your healthcare organization 1 It s the Prices Stupid The above heading is the title of a 10 year old article that points out higher healthcare spending and lower use of services results in much higher American prices than in other Organization for Economic Cooperation and Development countries Read more Leave a comment Previous Page Next Page Enter your search terms Submit search

    Original URL path: http://www.hospitalimpact.org/index.php?blog=1&s=kent%20bottles&page=1&disp=posts&paged=4 (2016-02-10)
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  • Hospital Impact - Personalized medicine: Examining the implications of a healthcare game-changer
    breakdowns related to aging The financial impact of this shift is yet to be determined More Social and societal impact While advances in care will extend lives the impact of this shift on society may be dramatic There are many questions that will need to be considered What will the cost be for living longer Who will have access to the advances What other problems does extending life create If people live longer will they work longer What s the impact on retirement and social security systems The answers to the above questions vary depending on whom you ask or whom you talk to Some of the questions are yet to be answered In the end solving one problem may create another Looking forward Personalized medicine and advances in medicine are certainly going to have a positive impact on the next generation and they will produce the outcome that all care providers strive for extending life The healthcare system and society need to prepare and think about the impacts these advances will have so that the benefits can be shared by all and not just those with means to afford the advances Joe Randolph serves as the president and CEO of The Innovation Institute which is structured to cultivate innovative solutions to transform healthcare delivery He previously served as EVP and COO for the St Joseph Health system 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

    Original URL path: http://www.hospitalimpact.org/index.php/2015/08/20/personalized_medicine_examining_the_impl (2016-02-10)
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  • Hospital Impact - How innovation can help health systems tackle big-picture delivery issues
    detection technologies Many vendors have developed self monitoring devices to help patients track their own health Integrating this information with health system EHRs is an important step It s also important to develop inexpensive consumer and clinician diagnostic and screening tests Prevention of patient error and infection through fail proof processes In the automotive industry the brake override was developed to detect when something abnormal occurs This smart stop technology corrects the problem by overriding the accelerate command to bring the vehicle to a safe stop Some of the new technologies we are reviewing at our Innovation Lab created by our health system innovators include a device that reduces the margin for error during surgery Another is a visually intuitive workflow documentation tool to help streamline patient care The Innovation Institute continues to work with health system leaders and their teams to facilitate innovation for the prevention of overspending disease and patient error Joe Randolph serves as the president and CEO of The Innovation Institute which is structured to cultivate innovative solutions to transform healthcare delivery He previously served as EVP and COO for the St Joseph Health system 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

    Original URL path: http://www.hospitalimpact.org/index.php/2015/07/02/how_innovation_can_help_health_systems_t (2016-02-10)
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  • Hospital Impact - The importance of inspiring daily innovation within hospitals
    integral strategy for cost savings care delivery transformation and new revenue sources Hopefully it will gain exposure similar to patient safety initiatives Our Innovation Lab team has presented Bob Eberle s creative brainstorming tool to some of our hospital leaders to help them understand the innovation process This exercise called SCAMPER prompts them to ask if a product process or service could be Substituted Combined Adapted Modified Put to another use Eliminated Reversed Once these creative ideas are written down innovation begins Educator W Arthur Porter once said The innovation point is the pivotal moment when talented and motivated people seek the opportunity to act on their ideas and dreams Joe Randolph is the president and CEO of the The Innovation Institute a stand alone for profit owned by hospital systems whose leaders are driven to create disruptive breakthroughs in healthcare through the cultivation and management of the innovation process The institute currently works with the St Joseph Health system Bon Secours Health System and Children s Hospital of Orange County and is in negotiation with several other health systems to provide similar opportunities 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

    Original URL path: http://www.hospitalimpact.org/index.php/2015/06/11/the_importance_of_inspiring_daily_innova (2016-02-10)
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  • Hospital Impact - How healthcare leaders can drive change during an acquisition
    example More 2 Understand the culture Never assume anything No two cultures are exactly the same Let me repeat that no two cultures are exactly the same Be sensitive open minded and creative when you are invited to be part of a discussion What may have worked well in the past may not be the best approach in your new environment Given the multigenerational workforce and varied ethnicities in the healthcare arena today you must be aware of these challenges and approach your initiatives with a keen sense of culture and environment 3 Gain trust It must come from all levels in the organization Take time every day to participate in clinical rounds Introduce yourself to frontline team members with a firm handshake and a smile This includes environmental services facilities patient care technicians as well as nurses and physicians Listen attentively to what they have to say and more importantly follow up Nothing breeds distrust more than concerns that fall on deaf ears 4 Create partnerships This fourth strategy communicates the value of interdisciplinary strength Engage mentor and lead your team as one Influencing others while changing behaviors and aligning work to be productive and rewarding takes skill They must feel the commitment is genuine especially when change is all around them So how do you get the horse to drink Darlene A Cunha M M H C B S N R N is a regional vice president of hospital operations for Prospect Medical Holdings 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

    Original URL path: http://www.hospitalimpact.org/index.php/2015/09/24/how_healthcare_leaders_can_drive_change (2016-02-10)
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