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  • Hospital Impact - Daily check-in meetings helped us adopt a new information system
    concerns from representatives across every department The Super Users are there to support their designated areas Daily Safety huddles and newly added 9 00 a m and 9 00 p m Leadership Workflow Group meetings where we review process breakdowns or gaps with key people around the table to help resolve issues We have received a lot of strong feedback on the additional support and communication efforts during this process While the support is moving back to our prior levels the key will be keeping the additional communications in place Someone once shared the feeling that hospitals typically act like Monday through Friday 9 to 5 operations During our transition it felt like there was round the clock communication and support To keep our efforts going strong and prove Cape Coral Hospital is not just another 9 5 hospital we will Continue our safety huddles every day Hold a follow up discussion with every department to address any patient and work flow issues Include support from key ancillary areas already working in the evening and weekend nursing and bed management meetings This should help strengthen the support across departments to ensure smooth 24 7 hospital stays and exceptional patient experience Certainly our new information system is just one more form of communication to enhance our efforts to coordinate patient care improve the safety of our organizations and build on the patient experience I look forward to ways you are improving the coordination of care in your organization 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

    Original URL path: http://www.hospitalimpact.org/index.php/2011/12/14/how_support_communication_helped_out_hos (2016-02-10)
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  • Hospital Impact - Clarify goals across the system for true alignment
    the long haul Start by reviewing your system vision goals and strategies If you do not have any certainly begin by clarifying them If you have ones to work from start by aligning your hospital department and even staff goals and tactics with the system strategies and goals Even set up a crosswalk showing the system strategies and the system goals scorecard List what goals align with the system strategies Then match your hospital department and staff operational priorities and goals with those of the system Specifically list which priorities align with the system strategies and show your goals in line with system goals Eventually every employee should clearly speak to their job priorities goals and how they align with the system goals and vision Here is an example of some operational priorities and specific goals for your department Priorities Improve HCAHPS one quartile per year until achieving and sustaining 90th percentile performance Close the gap in Core Measure performance by 25 percent per year Improve employee engagement one quartile per year until achieving and sustaining 90th percentile performance Improve process efficiency and growth to perform at a total Medicare reimbursement model by 2013 Strive to achieve zero serious safety events over next 12 months Goals HCAHPS Target 75th percentile in 2011 90th percentile in 2012 Core Measures 60th percentile in 2011 85th percentile in 2012 95th percentile in 2013 Zero preventable harm to patients by 2012 Employee engagement 40th percentile in 2011 65th percentile in 2012 90th percentile in 2013 Medicare Lose 10 percent in 2011 lose 5 percent in 2012 break even in 2013 Total operating margin 3 percent in 2011 4 percent in 2012 5 percent in 2013 One suggestion Make sure to challenge your colleagues and allow them to provide feedback regarding the tactics used and confirm if these will drive the expected outcomes Too often tactics are generic including will educate team or will discuss at staff meeting Tactics need to be very specific and include the expected outcome Keep in mind your audience may be a few hundred or a few thousand employees physicians and volunteers How will you drive the deployment of goals to every level in your organization Keep your focus discipline and compassion for those you serve I look forward to hearing your suggestions and success stories 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

    Original URL path: http://www.hospitalimpact.org/index.php/2011/11/10/alignment_is_key_to_reaching_hospital_em (2016-02-10)
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  • Hospital Impact
    I started a new job There are many similarities across different health systems so there is an immediate comfort level There are however some key differences that need to be explored Sure this can be called the organization s culture or how we do things here Here is my approach to starting this new role at a new health system Read more 10 comments Our hospital cut costs by revamping our discharge process July 19th 2011 by Scott Kashman A few weeks ago FierceHealthcare s Alicia Caramenico referenced just 5 percent of patients were responsible for 50 percent of healthcare expenses According to the Agency for Healthcare Research and Quality AHRQ heart disease cancer mental disorders and pulmonary conditions make up 31 percent of healthcare expenses Cancer and heart disease are the first and second most expensive treatments on a per person basis This is probably not a complete surprise to a lot of people however it is a significant concern and burden on our nation s healthcare system So what are hospitals doing to help impact the costs associated with caring for patients One focus has been the reduction of readmissions Read more 1 comment How will your hospital improve our healthcare system June 8th 2011 by Scott Kashman Healthcare delivery changes at a rapid pace Is this positive or doom and gloom What are you and your organization doing to help contribute to the solution On a regular basis I get to hear the reasons our healthcare system is not working 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

    Original URL path: http://www.hospitalimpact.org/index.php?blog=1&s=scott%20kashman&page=1&disp=posts&paged=9 (2016-02-10)
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  • Hospital Impact - The power of trust
    establishment of trust in our organizations He stated that the ability to establish grow extend and restore trust with all stakeholders patients families colleagues providers and communities is the No 1 leadership competency in healthcare today He also suggested that this level of trust and reestablishing it across the industry will be a key piece of changing healthcare going forward He provided a direct correlation of trust with both speed i e getting things done and cost Specifically when there is low trust there is decreased speed efficiency and increased cost because you end up compensating for things Conversely when there is a high degree of trust you realize increased speed in getting things accomplished with reduce costs This is a key lesson to everyone in these times of economic unpleasantness I thank Mr Covey for the wonderful opportunity to spend time with him this week and convey a positive message from which we can ensure our healthcare organizations are the best they can be I believe we all agree that when there is trust we are able to be better leaders and make changes happen more effectively Many organizations include trust in their values or they include other characteristics that are associated with or lead to trust integrity credibility judgment character etc Maybe this is the first and most important aspect of healthcare reform one that we can all accomplish within our respective organizations 7 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

    Original URL path: http://www.hospitalimpact.org/index.php/2009/08/03/the_power_of_trust (2016-02-10)
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  • Hospital Impact - Lean Six Sigma and the patient experience
    for test results Misdiagnosis Overtreating They impact the patient to be sure But more typical patient facing problems are long wait times and being kept informed So you can introduce processes that lower wait times and implement communication standards to keep people informed But is the care any more compassionate and empathetic when it s delivered No more so than before because it is delivered one person to another and the process might have changed but the people haven t Healthcare is quick to build hotel like structures to make the experience better And introduce processes to make the care more efficient But the experience happens face to face And people can tell when someone is scripted a customer service quick win Lean solution as opposed to when someone is genuinely concerned about them Which brings us to this Fifty percent or more of healthcare Lean Six Sigma initiatives fail I heard one presenter this year say that we are Lean ing compassion out of healthcare And writing on July 5 Steven Garfinkel managing director of the American Institutes for Research in Chapel Hill N C wrote in a Hospital Health Network Daily column We cannot be sure that Lean is more effective than other process improvement techniques These efforts fail because organizations can t align their people around them And when combined with the complex and political nature of healthcare it is easy to see why it is difficult to attain traction But let s get back to a Lean principle Focus on the customer I would argue that customers of hospital leaders are the employees They need to give employees the tools to become aligned and in so doing provide the foundation upon which all other change initiatives can both be sustained and thrive As I argued last month an organization can t change someone s behavior An individual can change their behavior when that behavior is in line with their beliefs and values A person can change their behavior when these are not aligned only when they start questioning their beliefs They can only start questioning their beliefs if they have a better understanding of themselves With one in five nurses reporting being depressed that is a shaky foundation upon which to build change We need to first help healthcare heal itself and that starts one person at a time Yes it is my same lament but here it goes Igniting individual passion and purpose results in more authentic compassionate and empathetic caregivers It s time to light the fire that has been tamped down Anthony Cirillo FACHE ABC is president of Fast Forward Consulting which specializes in experience management and strategic marketing for healthcare facilities He also is the expert guide in Assisted Living for About com and Healthcare Channel Partner for CEO Leave a comment Please enable JavaScript to view the comments powered by Disqus Enter your search terms Submit search form Web www hospitalimpact org Get Hospital Impact in your inbox Healthcare Industry news

    Original URL path: http://www.hospitalimpact.org/index.php/2012/10/10/lean_six_sigma_and_the_patient_experienc (2016-02-10)
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  • Hospital Impact - The promise of the medical home
    safe housing When was the last time your physician asked you those questions Probably never Rebecca Onie s TED video hit home for me as I was preparing my seven minutes It contains a similar message Essentially there are societal issues that transcend the physician office visit that few if any physicians address because there s simply not enough bandwidth or resources to do so Will the promise of the medical home change this Maybe with Onie s help it can She asks audacious questions What if waiting rooms were a place to improve daily health care What if doctors could prescribe food housing and heat in the winter At TEDMED she describes Health Leads an organization that does just that and does it by building a volunteer base as elite and dedicated as a college sports team Hunger housing and heat are not the only issues A sedentary lifestyle is a common cause of obesity and excessive body weight and fat are considered catalysts for diabetes high blood pressure joint damage and other serious health problems But should lack of exercise itself be treated as a medical condition Mayo Clinic physiologist Michael Joyner M D argues it should be Physical inactivity affects the health not only of many obese patients but also people of normal weight such as workers with desk jobs patients immobilized for long periods after injuries or surgery and women on extended bed rest during pregnancies among others according to Joyner I would argue that physical inactivity is the root cause of many of the common problems that we have Joyner said in a recent commentary If we were to medicalize it we could then develop a way just like weâ ve done for addiction cigarettes and other things to give people treatments and lifelong treatments that focus on behavioral modifications and physical activity If physical inactivity were treated as a medical condition itself rather than simply a cause or byproduct of other medical conditions physicians may become more aware of the value of prescribing supported exercise and more formal rehabilitation programs that include cognitive and behavioral therapy would develop notes Joyner This is the promise of the medical home Whether acting this way is reimbursed or not is another issue But since I typically write about patient experience if you really want to give your patient a great experience help them achieve a life that is worth living Now that would be an experience worth having Anthony Cirillo FACHE ABC is president of Fast Forward Consulting which specializes in experience management and strategic marketing for healthcare facilities He also is the expert guide in Assisted Living for About com and Healthcare Channel Partner for CEO Leave a comment Please enable JavaScript to view the comments powered by Disqus Enter your search terms Submit search form Web www hospitalimpact org Get Hospital Impact in your inbox Healthcare Industry news Final Obama budget takes aim at opioid addiction superbugs Zika outbreak White House seeks 1 8B to

    Original URL path: http://www.hospitalimpact.org/index.php/2012/09/19/the_promise_of_the_medical_home (2016-02-10)
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  • Hospital Impact - People, not hospitals, change physician behavior
    on to explain to the conference organizer that if each champion were to look at their individual passion and purpose in depth they would discover things that would transform them They might discover that their champion role is not aligned with who they are and perhaps they need to shift their talents elsewhere Or they might find that they are even more passionate about patient experiences than they had been It is all a journey but one of self discovery that few providers allow the luxury of to their employees Here is an example of person who might need some discovery They could be working in your hospital In a recent Hospital Impact blog post I touched on hospital collection practices and how they impact the total experience of care A physician made this comment verbatim with typos fixed My hospital made a great impact on me where I am a resident I earn 45K a year working 60 110 hour weeks My medical school loans are in excess of 350K at almost 9 percent interest and people earn 200K a year before taxes in my job when they finish training in their thirties or forties There are three types of patients the wealthy the working poor and the impoverished None of them want to pay and I WISH I could file bankruptcy but the only thing that protects you from grad school loans is death In the end you reap what you sow and it is not doctors responsibility to heal society There are a lot of other people with jobs to do and I do not see they or you coming to my house to work for free to pay off their meager 100K hospital bill to save their life 1K of which I get almost all of which goes to the bank When people smoke cigarettes THEY have bankrupted themselves My response to you and my patients is what I am told from banks and other doctors as patient and peer Life is unfair Would you want that person working at your organization I suggested to the commenter that his or her anger could be more positively directed in helping to change the system of care If indeed he she holds that low regard for patients who perhaps do not take self responsibility I would question whether that affects the care he she provides to them I hope it does not While most people have entered healthcare with a calling not all do and some have lost it along the way An organization can t change the person But a person can change him or her self Uncovering purpose and passion provides both clarity and alignment for every individual And when the entire organization moves through the purpose and passion process people experience firsthand how trust feels how to create trust across and within departments how to build and nurture strong relationships at all levels and how to sustain a culture of trust going forward That is

    Original URL path: http://www.hospitalimpact.org/index.php/2012/09/04/people_not_hospitals_change_behaviors (2016-02-10)
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  • Hospital Impact
    home That was some 19 years ago As a professional entertainer by night and hospital executive by day finding a new outlet for my performance talents back then was welcome and I was sure happy to leave smoky nightclubs and casinos To this day I still sing in nursing homes I have become quite good at entertaining and relating to seniors So much so that residents know and anticipate when I am coming to perform In my own way I am enhancing patient resident experiences but my fulfillment is even greater For example I entertain at a little nursing home in Forest City Pa near our family mountain house where I have met many wonderful residents On April 1 I made my way to Forest City It was a long trip that started by leaving Charlotte several days before driving to Philadelphia for a funeral driving to Pittsburgh for another occasion and driving clear cross state back to northeastern Pennsylvania for the performance It was my only reason for being there as no other family member was at our mountain house Why was I there For Mary Read more Leave a comment CEOs It s time to own up to problems at your hospital May 3rd 2012 by Anthony Cirillo Did you know Febreze the stuff that knocks out odors was a flop when it was introduced Why The company first marketed to the people it thought needed Febreze the most pet owners particularly cat owners But guess what The owners had adapted to the smell of their pets and what might smell bad to a visitor smelled just fine to them That got me to thinking that healthcare CEOs must be cat people because they can t smell the problems in their own organizations but are quick to notice it in others My argument to that the HealthLeaders Media 2012 Industry Survey in which 56 percent of CEOs assessed the state of the healthcare industry as on the wrong track while 74 percent said their organization was on the right track Something fishy there Oh different odor Read more Leave a comment Trading patient centered care for person centered living March 29th 2012 by Anthony Cirillo There is a high likelihood that hospital utilization will decline precipitously over the next five to 10 years And because of that as a recent presentation at The Governance Institute noted it is now a cost game and a care organization game for hospitals From what I see that is partially right Hospitals are trying to become as efficient as possible and ring out every conceivable cost And at the same time they are trying to improve quality at every turn Both are laudable But It seems hospitals want to become masters of their domain That is they want to be absolutely great at hospital care And we will need hospitals Yet this silo approach ignores the growing reality that care will extend much more beyond the hospital walls Read more Leave a

    Original URL path: http://www.hospitalimpact.org/index.php?blog=1&s=anthony%20cirillo&page=1&disp=posts&paged=9 (2016-02-10)
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