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  • Hospital Impact - More reasons to celebrate: Engage staff, support culture
    them there Celebrating historical milestones like a centennial can provide a powerful reminder of those key factors and help ensure that your organization doesn t lose its way during the period of transformational change now underway St Mary s held many fun and meaningful celebrations to commemorate our centennial beginning with a countywide apple giveaway Oct 11 2011 to commemorate the 100th anniversary of the laying of our cornerstone We had an employee picnic a Foundation gala attended by almost 900 people from throughout our community and a 100th birthday party attended by 3 000 members of our community That was a great day Especially meaningful was how many of our employees brought their families with them to share pride in their work To top it all off our public relations and marketing department which coordinated most of our centennial activities received a number of awards from professional societies for their work The awards were for a historical display a commemorative history book the cornerstone event 100 stories in 100 days social media campaign and a unique partnership with Culver s restaurants that created a brand new frozen custard flavor named St Mary s Centennialicious While not every organization has a centennial to celebrate they have other milestones that serve as opportunities to recognize accomplishment acknowledge heritage and foster camaraderie among staff colleagues There is much to celebrate and a great deal of good work to be recognized Take the time There s so much to be gained Frank D Byrne M D is the president of St Mary s Hospital in Madison Wis 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

    Original URL path: http://www.hospitalimpact.org/index.php/2012/11/13/title_74 (2016-02-10)
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  • Hospital Impact - Health execs need to have mentors, be mentors
    of the University of Minnesota s MHA program Those in healthcare leadership are well aware of what s often referred to as Minnesota Mafia University of Minnesota graduates who have had a great positive influence on healthcare in this country After serving at Parkview Stan returned to Minnesota serving at the Minneapolis based Abbott Northwestern Hospital now part of Allina Health He later led Henry Ford Health System in Detroit As a result of this wonderful career Stan was deservedly inducted into the Health Care Hall of Fame in 1999 This story of Stan Nelson illustrates the many ways a mentor can be a positive influence on one s life First and foremost he and Rif were role models to us Rif gave great counsel to my wife Cindy regarding some of the obligations challenges and teamwork necessary to achieve both personal and professional fulfillment When I was invited to be a candidate for my current position in 2004 I of course called Stan He told me You absolutely must look at the job at St Mary s Hospital in Madison The best position is to be in an integrated system where you are working closely in partnership with physicians That s exactly the reason why I left Minneapolis to go to Henry Ford to work in an integrated environment with physicians Eight years later I remain grateful for that advice Shortly after I arrived at St Mary s I was dealing with a particularly difficult challenge Stan graciously gave up a day of his time over the holidays for me to spend time with him in Minneapolis helping me sort through how I could approach this serious issue I took his advice and the problem ultimately was resolved successfully I ll never forget our most recent visit with Stan and Rif at the Health Care Hall of Fame dinner in Chicago this past March Once we caught up most of our visit consisted of Cindy and I describing current challenges we faced with Stan and Rif counseling us on how to address them Who has been a great mentor in your life If you look back you ll no doubt find you have had several Remember them fondly and honor them by being a mentor to others The rewards for both of you are remarkable Frank D Byrne M D is the president of St Mary s Hospital in Madison Wis 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

    Original URL path: http://www.hospitalimpact.org/index.php/2012/08/13/title_63 (2016-02-10)
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  • Hospital Impact - Physician engagement: It's about relationships and structure
    meaningful platform for physician participation engagement and multidisciplinary teamwork In collaboration with our physician colleagues three years ago we restructured our medical staff This included the creation of seven part time medical staff director positions which we filled a year ago Each medical staff director works approximately ten hours per week under the direction of our vice president of medical affairs and has responsibility for a select group of clinical departments Each also engages with other hospital disciplines and our nursing structure in a systemic and predictable way The results have been quite encouraging While we continue to have an elected chief of staff and vice chief of staff the new model is a vast improvement over the previous short tenure it s your turn to be department chair model In addition to the structural changes we also focus on strengthening personal relationships with our physician colleagues As our busy personal and professional lives compete for our time we ve developed a few tools to assure strengthening of relationships One previous shortcoming was a lack of a usable accessible physician lounge Thanks to an expansion project freeing up some central space we created a Physician Resource Center PRC that includes our hospitalists office medical staff office continuing medical education office and a lounge that includes simple meals respite space library access and meeting rooms Made possible through generous gifts to our foundation from physician and administrative donors the PRC has proven to be a great forum not only for administrative and physician interaction but also for physicians to interact among themselves Most of our medical staff is from one physician group Dean Clinic The PRC has been an effective venue to foster closer relationships among our Dean physicians and those in other groups such as our pathologists radiologists neonatologists emergency physicians an independent family medicine group and other key physician partners Relationship building also involves a number of social events These include our annual physician appreciation dinner an Oktoberfest event and welcome reception for our new family medicine residents We all face great challenges Our best opportunity to address these challenges and to deliver exceptional care is to build strong relationships and collaborations with our physician partners These efforts have paid off for us according to a March 2012 Press Ganey Physician Partnership Survey Our overall satisfaction and engagement ranks St Maryâ s in the 98th percentile among our peer group We recognize medical staff relations require our constant vigilance While we have much work to do to continue to develop and improve our system we re pleased that through our structural integration and interpersonal interactions our organization is moving in the right direction Frank D Byrne M D is the president of St Mary s Hospital in Madison Wisc 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

    Original URL path: http://www.hospitalimpact.org/index.php/2012/05/23/physician_engagement_it_s_about_relation (2016-02-10)
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  • Hospital Impact - Provider feedback reinforces relationship-centered care
    and family It directed me to the article Healing relationships and the existential philosophy of Martin Buber published in the Philosophy Ethics and Humanities in Medicine journal Our study used exemplar clinicians who had special interest and expertise in developing healing relationships with patients We found that these clinicians in contrast to literature describing the pervasive atmosphere of physician burnout and demoralization in primary care enjoyed their work and derived positive energy from their relationships with patients even though they had been in practice for many years some in very challenging practice environments Readers also shared the TED Talk by Abraham Verghese A doctor s touch with me The focus on data is overruling the focus on the patient The patient in the bed has almost become an icon for the real patient the I patient in the computer Data analysis and review is becoming more important than the relationship between the clinician and the patient The loss of attentiveness and truly being present to the patient the average American physician interrupts their patient within 14 seconds and thus never hears the patient s whole story is not only the loss of relationship between the physician and patient but also is the loss of a classic healing ritual between the physician and patient And without this ritual without this connection the critically important message the physician needs to communicate with their patient that is cathartic to the clinician necessary for the patient and has meaning and a singular message to be conveyed to the patient is never fully shared All truly a blessing But what does it mean This means there are healthcare practitioners currently working within the broken healthcare system who against major obstacles are bringing relationship between a clinician and patient back into the healing encounter and in so doing having a positive impact on their patients It means an organization that currently exists within the broken healthcare system has found a way to not only bring relationship and patient centered care back into healing but also family centered care making a difference for both patient and family This means a focus on relationship in healing is not only shown to be possible but it also is shown to improve patient outcomes while improving physician satisfaction retention and health This also means courageous healthcare leaders are finding more and more forums to share the importance of relationship empathy connection and trust in healing More and more healthcare leaders will be hearing the message and more and more patients will know the following to be true I your clinician care I will always always always be there I will see you through this I will never abandon you I will be with you til the end 1 1 Abraham Verghese A doctor s touch TEDGlobal 2011 Filmed July 2011 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

    Original URL path: http://www.hospitalimpact.org/index.php/2012/02/14/title_40 (2016-02-10)
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  • Hospital Impact - How relationship fits into 'patient-centered' care
    I will see Mrs Jones next and Nice to see you Mr Smith I understand you hurt your knee Please tell me about it Real patient centered care without relationship I don t believe it is actually possible Diagnosis centered care without relationship Absolutely and unfortunately it happens every day My mind began processing a dilemma is it possible to reach those healthcare leaders who do not value relationship in the context of the healing process By nature I tend to go back to the basics when I am befuddled so I turned to the Hippocratic Oath to reassess Is relationship a component of the Oath and should it be valued in the context of healing by those who have sworn to this very oath From the Hippocratic Oath modern version I will remember that there is art to medicine as well as science and that warmth sympathy and understanding may outweigh the surgeon s knife or the chemist s drug I will remember that I do not treat a fever chart a cancerous growth but a sick human being whose illness may affect the person s family and economic stability My responsibility includes these related problems if I am to care adequately for the sick Can a physician or other healthcare provider have warmth sympathy AND true understanding of a patient without having developed an authentic relationship with the patient Can a physician understand all related problems without developing relationship trust and hearing the patient s whole story Of course this raises another question about whether the Hippocratic Oath which originated in antiquity is still held sacred by doctors to this day According to PBS s NOVA in March 2001 Some physicians claim what they call the Hypocritic Oath should be radically modified or abandoned altogether Abandoned all together The American Medical Association reportedly has no version of the Hippocratic Oath that it espouses and not all medical schools require graduating doctors to take the Hippocratic Oath In fact a study conducted by Drs Robert Orr and Norman Pang found the following Only 43 percent of schools used versions of the original Hippocratic Oath Similarly only 43 percent of the Oaths taken include the vow for doctors to be accountable for their actions On the bright side 100 percent of current oaths pledge a commitment to patients Based on these data the AMA not espousing the Hippocratic Oath some physicians claiming the oath should be abandoned some medical schools not requiring doctors to take the oath pointing to the Hippocratic Oath alone is not enough to convince healthcare leaders how important relationship is to healing Clearly I need to find a different path 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 by improving the systems responsible for the delivery of children s healthcare He has 23 years of experience leading collaboratively creating optimal

    Original URL path: http://www.hospitalimpact.org/index.php/2011/12/06/title_36 (2016-02-10)
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  • Hospital Impact - Overcome healthcare fears with courageous leadership
    being present and perseverance Friendship Establishing an authentic connection and relationship for our discussion with staff that leads to a shared trust a safe space for open and honest communication and a shared empathy Being present Being in the now and I would add truly listening with an open mind and open heart with no preconceived judgments that are based on history or expected future events Perseverance As defined by dictionary com Steadfastness in doing something despite difficulty or delay in achieving success or in my opinion even better Continuance in a state of grace leading finally to a state of glory As a healthcare leader have you developed an authentic relationship with your staff are you present for each and every staff member do you remain in a state of grace even while facing huge obstacles Now let me add my own experience Prior to joining the National Initiative for Children s Healthcare Quality I was the executive director for the Hygeia Foundation d b a True North Health Center where we used the leadership process known as Circle Some key principles of Circle Process include Rotating leadership and shared responsibility shared engagement and accountability transparency trust Speaking from the heart listening from the heart All voices being heard creating a trusting and safe space for optimal sharing Practicing compassionate self monitoring respecting and trusting one another and oneself When fears arose we brought them into the light within the safe space of the circle a grouping of trusted and connected peers with whom relationship was honored and openly and honestly addressed them together Easy Absolutely not Courageous To be that open honest vulnerable yes I would say it takes courage especially the first time and yet over time this approach became the culture Old management and leadership styles can bury fear but it will only remain that way for so long before it arises and causes harm So we must change how we lead connect engage and honor our staff We must be open honest and vulnerable We must create authentic relationships with our staff we must be present and truly listen we must create safe space we must speak from the heart and we must persevere If we truly want to position our staff and ourselves to honor our commitments and create optimal healing environments we MUST do these things Without fear there can be no courage And through appropriate leadership we can overcome this fear courageously and together with our staff for the betterment of all As healthcare leaders How are you addressing your own fears How are you creating a safe space to discuss fears with your staff Are you opening your minds and hearts to your staff Are you being courageous Will you persevere 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 He has 23 years of experience

    Original URL path: http://www.hospitalimpact.org/index.php/2012/01/04/title_39 (2016-02-10)
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  • Hospital Impact - NPR interview highlights health center's 'bartering' program
    needed in the community like raking leaves mowing lawns organizing or providing caregiver support to people caring for an older parent among other odd jobs to earn the currency In exchange these patients receive access to integrative healthcare services at True North and can spend up to an hour or more with their doctors By giving people a way to pay for their care the focus is on giving receiving and maintaining one s self esteem and dignity Dahlborg said about the alternative monetary system in a previous Hospital Impact blog post Congratulations to Tom for a great interview that reached millions of listeners 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

    Original URL path: http://www.hospitalimpact.org/index.php/2011/10/11/npr_interview_highlights_health_center_s (2016-02-10)
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  • Hospital Impact - A collaborative way for low-income patients to maintain health and self-esteem
    thus maintaining their self esteem and dignity In each of these cases there s no need for government interventions providers receive reimbursement for their time and effort in the form of time credits which they can spend on other services provided by Hour Exchange members and patients self esteem is not harmed In fact many patients are better positioned to get well because they have Maintained their self esteem In the case of True North there are pilot studies that show people who access health care through this collaboration not only have access to care but also significantly improve their overall health status as measured by such tools as the DYNHA SF36 and Multiple Symptoms Questionnaire These are only two creative options that position individuals and communities for cost effective and efficient healing by impacting one root cause to social challenges low self esteem There are plenty more opportunities to focus on the root causes and barriers to healing and we all need to continue to be open creative innovative and engaged in order to reach the goal of providing access and positioning people for true healing Thomas H Dahlborg M S M has 21 years of experience creating competitive advantages analyzing customer expectations and developing and implementing focused and aligned strategic deployment plans He s executive director of True North where he focuses on improving growth while ensuring access for the uninsured and the elderly Formerly he served as the chief business strategy officer at Network Health a comprehensive Medicaid health plan based in Cambridge Mass and was COO for the U S Family Health Plan at Martin s Point Health Care in Portland Maine 24 comments Please enable JavaScript to view the comments powered by Disqus Enter your search terms Submit search form Web www hospitalimpact org Get

    Original URL path: http://www.hospitalimpact.org/index.php/2010/03/04/a_collaborative_way_for_low_income_patie (2016-02-10)
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