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  • Hospital Impact
    has highlighted the challenges hospitals and health systems face daily high costs infection control and patient satisfaction to name just a few And though organizations have made strides to transition to value based care and better manage population health overall the United States spends more on healthcare but ranks last in quality compared to 10 other industrialized Western nations It s hard to imagine or dream that a perfect health system could exist one that would meet all patients needs at reasonable costs So it was with interest that I recently started to read Mark Britnell s new book In Search of the Perfect Health System Britnell the former chief executive candidate for the National Health Service NHS in England now serves as the chairman and partner of the Global Health Practice at auditing firm KPMG He s spent the last five years working in 60 countries to help governments and public and private sector organizations with operations strategy and policy His travels have allowed him to witness first hand examples of great health and healthcare Although he hasn t found a perfect health system he writes that if he found one it would feature 12 components that take from the best practices from around the world Read the full commentary at FierceHealthcare Leave a comment The Supreme Court and the ACA contraception mandate Déjà vu all over again November 12th 2015 by Jonathan H Burroughs Associate Justice Ruth Bader Ginsburg s minority opinion in the 2014 Burwell v Hobby Lobby Supreme Court case was prescient She predicted that the majority opinion favoring the right of closely held corporations a corporation in which five or fewer shareholders own more than 50 percent equity of the organization to opt out of the Patient Protection and Affordable Care Act s mandate to provide birth control coverage to employees on the basis of religious objection would be a slippery slope She stated that there are thousands of closely held corporations in the United States e g In N Out Burger and Forever 21 that could conceivably opt out of any federal law for religious reasons without any guidance from the Supreme Court as to the limitations of their objections Flash forward a little more than a year The Supreme Court has agreed to take up seven cases from throughout the country that have come before appeals courts contesting the current policy that permits religious employers to opt out of their obligation to provide birth control by relegating this responsibility to either the government or private insurance companies simply by notifying their insurers third party administrators or the government Several religious organizations such as Little Sisters of the Poor and the Roman Catholic Archdiocese of Washington D C argue that this makes them complicit in violation of their religious beliefs Read more Leave a comment Medication reconciliation between care settings A proven way to lower readmissions save money November 5th 2015 by Riya Pulicharam et al When a patient is discharged home from a

    Original URL path: http://www.hospitalimpact.org/?blog=1&page=1&disp=posts&paged=8 (2016-02-10)
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  • Hospital Impact - Challenge your employees, community to better health
    cardio performance Strength and conditioning All of the above The baseline assessment includes metrics such as Blood Pressure Blood Test for Cholesterol Glucoses Check HDL LDL Ratio Triglyeride Level Aerobic Capacity Max vo2 Strength Measurement Body Fat Computation Body Mass Index BMI Flexibility Measurement Height Weight Teams entering the challenge have four to six members and should include at least one executive level member or someone from upper management The key is to get the challenge started and don t over think it It is about awareness of your health and risk factors encouragement and support of your fellow community participants and the push for continued improvement Two success factors getting leadership members to participate and utilizing wellness coaches or similar types of personal training coaches to continue to check in and encourage participants This can be included in the fees And certainly have a kick off and celebration In Cape Coral we brought some key leaders together and started marketing under this premise CONCEPT The Cape Coral Chamber will host and participate in a community engagement for a healthier Cape Coral Lee County and the United States face a major challenge with health issues associated with obesity and decreased physical activity VISION Improve fitness levels for our community Improve awareness of our health risk factors Build camaraderie among individuals and businesses in our community Educate community on available health and wellness resources Every organization knows the benefits of energized and productive employees This challenge will serve several functions The benefits are measureable Show the true scorecard mirror of our communities health Serve as a pilot program that shows Lee County and the state of Florida how to move the needle on our communities top health risk factors Serve as a starting point to eventually engage this challenge to our children and future leaders Bring businesses and community members together fostering relationships through a friendly competition Re energize your community through this Cape Coral Chamber of Commerce and community wide initiative Earn bragging Rights Good health at your company The good health of your employees and the rising costs of healthcare are reason alone to GET FIT It s all about getting started Please do not hesitate to contact me with additional questions at scott kashman leememorial org Ok everyone Game on 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

    Original URL path: http://www.hospitalimpact.org/index.php/2012/09/06/challenge_your_employees_community_to_be (2016-02-10)
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  • Hospital Impact - Community wellness as a financial strategy
    their costs can drop in partnership with providers and frankly the participants Yes something similar to the accountable care organizations we ve been discussing nationally We only have to keep it straight forward so we all can really point to the true outcomes Otherwise it is philosophical rhetoric which will not gain steam In 1992 a graduate student shared her revelation which we later found out had been a theory for the past 40 plus years from early adopters of wellness She claimed our population s health will improve if we start encouraging wellness and insurance companies start covering prevention as opposed to waiting until people get sicker Of course with a decent economy stable workforce rising home values bigger homes a stable government healthcare coverage plan life advancing or extending technology more medication and biggie size portions that crazy theory would have to weight Finally I m pleased to say we are getting closer to a more perfect storm and may actually have to address this issue We know the government reimbursement is not growing We know the economy has taken a bit of a toll on us to say the least We inherently know that we need to take care of ourselves to reduce out of pocket insurance expenses Employers can no longer afford to subsidize insurance And Veggie smoothies are actually becoming more mainstream I continue to hear that a focus on population health is a bad strategy In some ways I d agree I agree because we make it too large of an undertaking That needs to change Take a look in your own organization your department your household and yourself Find out some of the top health issues going on and the true cost associated with it Sure reducing sick days improving morale and increasing productivity will have a favorable impact on your organization However right now people want to see an improvement in the financial gains That will take place by truly improving our own health As we know if we focus on improving quality our health and wellness the money will follow I look forward to hearing ways you are encouraging community health and wellness in your city 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

    Original URL path: http://www.hospitalimpact.org/index.php/2012/08/08/title_59 (2016-02-10)
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  • Hospital Impact - In healthcare, you're always 'on stage' for patients
    and help Those curtains are no longer soundproof a patient told me years ago She shared the story of waiting for surgery and then repeated the statements she heard said by staff nothing overly concerning But it was more to let me know how easy it could be to let your guard down and have personal conversations that will not instill confidence in your patients or their family members We all know conversations can occur outside of our work areas on the elevators in the hallways all places where the public interacts The majority of hours we are on stage The reality is we may occasionally let our guard down and share things not meant in a malicious manner There is no doubt people are under more pressure in their lives In many ways they are working harder than ever Encourage your team to find the few minutes each shift to catch their breath Also have the dialogue with your patients letting them know how you and your team are there to help them achieve their goals If for any reason patients have a concern they should bring it to you or one of your team members right away While that seems easy and obvious it is challenging to stay on stage for literally half a day What do you and your team do to point out and redirect times you go off stage when you are still on 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

    Original URL path: http://www.hospitalimpact.org/index.php/2012/07/11/in_healthcare_you_re_always_on_stage_for (2016-02-10)
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  • Hospital Impact - Communication: What are the rules of engagement?
    your manager to understand this expectation and share your preferred methods for receiving communication Several years back I met with a professional who was concerned the benefits changed and she was not able to make adjustments until the next enrollment We sat for while so I could understand where the breakdown occurred with her manager Keep in mind this person was and still is very good in her role as a clinician She does her job shows up on time treats her colleagues well and is well liked by her patients We went through the forums where communication was provided During this benefit change there were several months of notices received along with announcements at staff meetings postings on communications boards email reminders letters sent directly to each employee and on site representatives from this new company explaining the benefit change The employee shared the following with me I was not able to make one of the two on site rep meetings as I was out of town The other time I was too busy I rarely get to my emails and can t remember the last time I attended a staff meeting I did not know we had a communications board and believe I did receive the letters at home One of the letters I threw away because I thought I had enough time to change The last of the letters came to my house In the middle of reading the letter my doorbell rang Someone was there to fix my refrigerator I forgot to go back to the letter I realize that there were some communications I missed but still feel I should have been given more notice and a chance to receive the benefits without waiting for the next enrollment When I asked her preferred method of communication she did not have anything different than what we provided I finally had to ask the question that I don t think we ask enough what is your role in making sure you receive the communications you need to do your job and maximize the benefits offered to you through the organization How would you have handled this situation and how do you share communication expectations and preferred communications 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

    Original URL path: http://www.hospitalimpact.org/index.php/2012/06/12/communication_what_are_the_rules_of_enga (2016-02-10)
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  • Hospital Impact - Got subsidies? You better re-think funding options
    satisfaction and financial performance It provided our team the opportunity to note what was of true value to those we serve Today I see many similar challenges across the country Areas that were subsidized for years because systems had money could no longer stay open I discussed this recently with Wendy Piascik our vice president of patient care services We agreed that if someone handled your money and you didn t have to worry about a balance of financial stability quality patient satisfaction and employee engagement then guess what you may never push to see how you could make it without that subsidy So here s your challenge If you had a 1 million department how could you manage it with only 900 000 in three years and still have strong quality patient satisfaction and employee engagement What if you had only one year Our businesses are going to change rapidly so a 10 percent financial hit should not be a surprise to you What are you doing to stay ahead of this Who will help you I want to hear from you What areas are struggling in your organization and what are these areas doing to proactively get ahead Start with your employees physicians and volunteers collectively they have the answers 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

    Original URL path: http://www.hospitalimpact.org/index.php/2012/05/16/got_subsidy_better_explore_funding_optio (2016-02-10)
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  • Hospital Impact
    comment How our hospital is making employee wishes come true January 18th 2012 by Scott Kashman Recently I asked for our employees volunteers and physicians to share their wishes That is share their wishes for their department our hospital and health system Of course they listed items related to more staff money capital and space Those we all expect and know they are ongoing balances we need to address What struck me was the number of wishes without a cost including recognition acknowledgment and accountability Read more Leave a comment Daily check in meetings helped us adopt a new information system December 14th 2011 by Scott Kashman A few weeks ago Cape Coral Hospital in southwest Florida implemented a new information system Actually it was midnight on Dec 1 when we started the transition The first night a few of us stayed in the hospital for more than 30 hours no we did not provide any patient care It was not only a good way to learn about the real time benefits of the new system but it also allowed us to better understand our own organization There is no doubt we had an amazing information system But moving into the new system was still a major undertaking If you were not already aware you will quickly find out where you have inefficiencies or gaps in your current processes Implementing a new information system also gives you a strong sense of community with your colleagues You are all starting it fresh Within my own organization I referenced it as feeling like your first 90 days even if you have been with the organization for years Read more Leave a comment Clarify goals across the system for true alignment November 10th 2011 by Scott Kashman Since starting my new role there has been a constant focus on deploying goals to all front line employees volunteers and physicians Of course everyone can tell you their job and what they do in your organization The real challenge is seeing how they tie it back to the overall system strategies and goals It s easy to say our job is to provide great care to our patients The statement is correct however it s not strong enough in today s environment If your organization s focus is to deliver safe quality care an exceptional patient experience and all within Medicare reimbursement rates how do you perform How long can your organization stay afloat on government reimbursement alone Would you have to monitor days of cash on hand and start counting down the days until zero How far off are we from that expectation Probably not far at all 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 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?blog=1&s=scott%20kashman&page=1&disp=posts&paged=8 (2016-02-10)
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  • Hospital Impact - Patient and person-centered care: Why it isn't working
    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 The other reason these programs fail is that there are just too many darned rules Culture change 101 here is the six step process blah bla blah What you need to do is use tools not rules Create a context so that the healthcare worker understands the feeling that needs to be achieved with any experience For example when a pain management specialist looks to achieve comfort as opposed to pain management they see the patient s world in a new lens Yes it s about clinical care but it also is about the environment what are people looking at when receiving pain medication what colors and smells surround them etc You don t have to make a list for the pain management person to do this Once they understand they will be empowered with great ideas to achieve the desired state And finally culture change has always been the program of the day What is disturbing is how some organizations think that marketing can own the experience To do so is fundamentally flawed thinking Then you truly have a program of the day that will be ignored by most The bottom line is that trusted leadership recognizes the fragile life and death nature of healthcare and allows staff to celebrate and grieve and become empowered to change it to make it better Anthony Cirillo FACHE ABC is president of Fast Forward Consulting whose team consults globally with healthcare facilities in experience management and strategic marketing Anthony s background includes work with a Wall Street healthcare startup Fortune 500 companies broadcasting organizations and hospitals He obtained his graduate degree from the University of Pennsylvania His article entitled The Chief Experience Officer became the basis upon which the Cleveland Clinic started an office of patient experience and hired the first ever hospital chief experience officer in the country Contact Anthony at Cirillo 4wardfast com 704 992 6005 www 4wardfast com a 108 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 to limit stressors for autistic patients Nurses hospital groups clash on Massachusetts

    Original URL path: http://www.hospitalimpact.org/index.php/2009/08/05/p963 (2016-02-10)
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