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  • Hospital Impact - The gilded age of healthcare
    power conquest legacy building and achievement and yet are not always in line with what is best for the populace The mansions and their gilded surfaces served the same purpose As I continued to think about the wealth disparity when these mansions were built my mind drifted to the poor who currently line up outside of the local new and or expanded hospital hoping for someone to show compassion to care to empathize to help I further contemplated Twain s quote the gilded surface hides the cheapness of the metal underneath and reflected back on the hospital leaders who built these shiny new palaces of which 69 percent do not deem quality and patient safety as top priorities An example of Twain s underneath I thought about the physicians who are working in these gorgeous new medical office buildings and yet are subjected to intense productivity quotas like factory workers and do not have time to know their patients develop trust with their patients share empathy with their patients and co create patient specific care plans that address the root cause of their health challenges I considered the financing of healthcare within these dazzling facilities and how overtreatment is rewarded and yet is also placing patients in harm s way My thoughts turned to the gilded patient centered concept being lauded and I wondered how can care be patient centered if the physician does not have the time to know the patient the bottom line is more important than the patient the system does not care enough to have accurate medical information available to the physician and patient at time of service Perhaps all of this patient centered languaging is the gild and the reality of patient centered care is the cheapness of the metal underneath Despite wealth disparity we continue to see these gilded hospital systems and health care practices but witness less and less focus on effectively addressing the needs physical mental emotional cultural environmental financial etc of our most vulnerable populations Is it really too quixotic to want the underneath in healthcare to match the gild in healthcare I don t believe so We are talking about the health of our friends our families and our communities Beautiful mansions like the stunning new hospitals spectacular hospital wings and mighty medical complexes are only as gilded as the hope the provision the safety the outcomes the care and the service they provide to patients Looking beyond the gild we have much work to do Thomas H Dahlborg M S M is executive director of the physician practice True North Health Center where he focuses on improving growth while ensuring access for the uninsured and the elderly He has 21 years of experience creating competitive advantages analyzing customer expectations and developing and implementing focused and aligned strategic deployment plans 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

    Original URL path: http://www.hospitalimpact.org/index.php/2011/09/07/the_gilded_age_of_healthcare (2016-02-10)
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  • Hospital Impact
    highlighted that according to an ACHE survey and a Beryl Institute study 69 percent of hospital executives rank things other than quality and patient safety as top priorities Doing the math that means that only 31 percent of hospital executives do rank quality and patient safety as top priorities Scary Read more 10 comments Does clinical guideline adherence mean quality care July 13th 2011 by Thomas Dahlborg I hear often from healthcare leaders that they want to deliver the right care at the right time at the right cost They also share their desire for consistency and predictability and often point to the development of clinical guidelines as key to achieving all of those goals As a healthcare leader and with the above goals in mind I ask you to consider the following scenario Imagine managing a significant but not debilitating health challenge and needing professional help Take a moment to visualize not knowing where to turn or what to do next Read more 8 comments Connecting relationships to optimal outcomes June 15th 2011 by Thomas Dahlborg I have written a number of blog posts recently about bringing time relationship caring continuity trust and empathy back into the healing model While many readers agreed that these are important aspects of healing others bucketed these items as fluff impractical and unimportant to scientifically valid medicine So I ll make the connection between this fluff and optimal healing outcomes Newtonian scientific principles view the universe and its subsystems as machines Under this view linear cause and effect models can predict future outcomes and or behaviors Or in other words by identifying the straight line cause of a defect and addressing that cause at the root improvement can be made with a predicted effect Read more 11 comments Relationship centered care can fix a broken system June 2nd 2011 by Thomas Dahlborg Since writing the blog post Continuity leads to relationship trust and better care an extraordinary number of people have shared similar stories with me In fact a good friend of mine who is a healthcare quality leader in Maine said a recent healthcare experience really showed her how poor continuity and a lack of relationship can compromise care She had recently booked her routine office exam but in doing so was informed she could not see her regular physician but rather she would see another physician who is part of the same care team She decided to take the appointment and soon was in for her visit Read more 10 comments 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 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

    Original URL path: http://www.hospitalimpact.org/index.php?blog=1&s=true%20north&page=1&disp=posts&paged=6 (2016-02-10)
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  • Hospital Impact
    with another before making her way back to me to correct me as well Of course clearly I had been doing my rehabilitation incorrectly as had my patient peers I was not engaged but rather scared that I was doing more harm My therapist was kind but the system is broken and she was not helpful I ended up having shoulder surgery which at first felt beneficial but now that pain is back my work is in jeopardy and my doctor wants me to begin therapy again Local small business owner and patient Payer X is reducing reimbursements for my patient visits significantly I currently see each of my patients one on one for a full hour My patients are engaged and activated I focus on the whole person We talk We discuss what is working for them and what is not We co create their treatments And my focus is 100 percent on their care and on supporting their recovery This reduction in payment level is a barrier to optimal care provision and would lead to harm for my patients Patient safety would be compromised due to lack of attention from having to see multiple patients at same time patients will be placed in harm s way and could end up being over treated having unnecessary surgery due to lack of progress in rehab and patients will be disengaged I will not practice this way Local Physical Therapist Plan Do Study Act otherwise known as PDSA in quality improvement speak is critical to continuous improvement Read more Leave a comment Lessons learned from a dizzying doctor search February 3rd 2015 By Sid Anand One day during my medical internship I received a call that sent our family on a rollercoaster ride of emotion My aunt Mary had just received the results of a mammogram The results pointed to breast cancer with a high suspicion of malignancy Mary s primary physician told her to schedule a follow up with a breast surgeon immediately so Mary got an appointment but not until two weeks later Trying to be helpful I accompanied Mary to her first appointment The surgeon seemed competent enough and confidently recommended an excisional biopsy with needle localization Mary followed his advice and scheduled the recommended procedure set for another two weeks later Despite the surgeon s gray hair and confidence I was not convinced Something about his advice seemed wrong I began researching other providers and after multiple calls and emails I found Dr C an actual breast surgeon and the head of breast surgery for a major academic medical center In contrast Mary s initial surgeon was a general surgeon who treated breast malignancies as only one part of a busy practice that also involved appendectomies cholecystectomies and trauma patients Dr C had a completely different approach in mind and recommended a total breast MRI to characterize all areas of breast tissue in preparation for a likely mastectomy I called Mary s original surgeon to discuss Dr

    Original URL path: http://www.hospitalimpact.org/index.php?s=nancy&sentence=AND (2016-02-10)
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  • Hospital Impact - Best practices: Hospital social media wish list
    I really want to be doing but simply don t have time to do or don t do often enough In my mind they are the best practices the golden tickets of social media for hospitals I d recommend adding these to your bag of tricks if you haven t already Develop and maintain a blog with two to three posts a week Interview doctors and clinicians and write posts on hot and timely topics Mix up the content and provide a variety of fun interesting and helpful articles Share them on other social networks too Some hospitals with great blogs include Mayo Clinic Cleveland Clinic Cincinnati Children s and Boston Children s Thrive Walk around the hospitals and take photos of patients with consent of course families staff clinics cool things in the facilities to post Think about what makes your hospital unique and showcase it Photos generate the most engagement on social networks Provide live coverage of some key marketing and development events like ribbon cuttings openings fundraising events and press conferences Use pictures and videos You can tweet it live on Twitter as it s happening then post on Facebook Pinterest or Flickr pages and include them in your e newletters Share them with your intranet and internet teams Create great videos to share through your networks It could be a patient a fun event a health tip from a clinician and try to make it fun Think Pink Glove dance They don t have to be professionally done your iPhone will be just fine when it s not an official marketing advertising branding video Rule of thumb The shorter the better because attention spans are short Look for great patient stories These are priceless when it comes to marketing and advertising your hospital What better way to showcase your expertise than through a success story told through a picture or video This picture of one of our patients who got all dressed up for her last day of chemo was posted on one of our Facebook pages and was the most popular post since we started the page I guarantee that if you include this type of activity in your social media plan you will see an increase in your engagement What have you found to be the best for social media engagement Nancy Cawley Jean is a senior media relations officer for the Lifespan health system in Rhode Island managing social media for five hospitals and a women s medicine practice 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

    Original URL path: http://www.hospitalimpact.org/index.php/2013/06/12/best_practices_hospital_social_media_wis (2016-02-10)
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  • Hospital Impact - Boston bombings reveal evolution of hospital crisis communication
    efforts by these three hospitals and it warrants sharing as do the kudos that these hospitals deserve It was this same article that brought me back 10 years to the horrible nightclub fire in West Warwick R I at The Station I was 10 years younger and I have to admit a lot greener about crisis communications I had only been working for the hospital for a year and a half when the fire happened And while I am very lucky to be among the few in Rhode Island who was not personally impacted by it or knew someone who was it is an experience I will never forget Of course those times were very different Back then we relied on phones faxes and emails to share information What a difference social media would have made that night and for the many weeks afterward when we had patients at our major trauma center in Rhode Island We received 63 patients that night And many of them were critically injured and required care for long periods of time We were flooded with national and international media outlets all following one of the worst fires in history and one of the biggest stories to ever come out of Rhode Island There were so many things about that night that could have been done differently if social media existed Families would have known immediately if their loved ones were safe or among the missing As a hospital we could have posted information immediately as it happened with updated numbers of patients and conditions We could have posted information for families on where to go when arriving at the hospital and resources for them to help in the aftermath and even connect families who were experiencing the same things The media could have turned to our social feeds for regular updates The speed and immediacy of our communications response would have been drastically increased with todayâ s technology None of us ever want to experience a crisis especially of the magnitude of the Boston bombings and The Station fire But personally I m glad we have social media now to help us better communicate when we do experience them I don t think we can appreciate enough the increased power reach and flexibility it provides us with especially in a crisis situation Has your hospital used social media during a crisis or do you plan to in the future How Nancy Cawley Jean is a senior media relations officer for the Lifespan health system in Rhode Island managing social media for five hospitals and a women s medicine practice 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

    Original URL path: http://www.hospitalimpact.org/index.php/2013/05/06/boston_bombings_reveal_evolution_of_hosp (2016-02-10)
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  • Hospital Impact - Hospital marketers beware of Pinterest changes
    people who had similar interests It was Pinterest s way of helping you to expand your social media community On the old version that little follow made it easy to connect with others they may be people you may never have found if it weren t for that clever little pop up I don t know if Pinterest plans to bring this back with the new version I sure hope so At the same time though you CAN see who repinned it from the homepage But it s just not as convenient as a quick follow from your repin confirmation No friends I also noticed the homepage no longer shows suggestions for friends to connect with as it once did on the left rail The old version of Pinterest included a list of new names to check out they may be others from your Twitter or Facebook friends or they may be someone who you ve repinned in the past Whoever they are it was a way to make more friends expand your horizons and grow your community And you could see your friends activity but apparently this is going away too I ll call this a Pinfail But wait there s more and it s not good In terms of ease of use the new Pinterest doesn t have the easy â œaddâ button conveniently located at the top to create a pin quickly I hope this is coming back too And one more thing When you were pinning something to a board on the old Pinterest you had the option to simultaneously post to Twitter That option seems to have disappeared and simply put that s just a shame Right now you have the opportunity to go back and forth between the new and old versions but all good things come to an end at some point I hope these are the tweaks that Pinterest refers to in the message you get when you choose to revert to the old version If it was up to me I d be sticking with the old Pinterest Then again I m not one who likes change So healthcare marketers what s on your Pinning wish list Maybe Pinterest will listen to us You can see other users suggestions at the link to the article above What other changes have you found in the new Pinterest Nancy Cawley Jean is a senior media relations officer for the Lifespan health system in Rhode Island managing social media for five hospitals and a women s medicine practice 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

    Original URL path: http://www.hospitalimpact.org/index.php/2013/04/10/hospital_marketers_beware_of_pinterest_c (2016-02-10)
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  • Hospital Impact - Pinning for success--why hospitals need Pinterest
    our programs specialties which of course tie to the marketing priorities and for health news recipes exercise tips inspiration and motivation children s safety tips holiday tips seasonal health info and more Each day we share things that are timely topical and helpful for our audiences or just plain fun We also repin a lot from the folks who we are following We ve been getting lots of repins and likes so that s a good thing And there s always the question of how to measure success Google Analytics can be used to measure how many click throughs you get to your site and you also can use some of these online tools or use PinPuff for a quick overview of your account and an overall score Personally I really like PinReach It gives you great information on followers pins repins and more along with an overall score so you can see how you compare to other users You can quickly and easily see your activity and how you re doing and most importantly what resonates most with your community Then you can focus your time more on those boards My bet would be healthy recipes inspirational and motivational quotes and cute things The more repins and followers you get the higher your score goes Also of note on Tuesday Pinterest announced on their blog that it would be offering its own analytics for Pinterest accounts that have a verified website If you don t know how to do that just follow these directions This should be pintastic because not only can you get info on likes and repins but it will also easily give you the stats to how much traffic your own website got as a result of your Pinterest activity all in one easy dashboard If your website is verified you ll be able to get analytics dating back to Nov 1 2012 If your website is NOT verified then the analytics will begin once you get that set up A word of caution Pinterest can be a HUGE resource on your time because of its addictive powers But if you re using social media to promote your hospital remember that Pinterest is a powerful competitor in social networks Last July Forbes said it could be the next social media giant It s the third largest network right now behind Facebook and Twitter in terms of active users and it s probably something you should consider Right now it has 12 million users and that number is growing daily It s largest demographic is women clearly a target audience for hospital marketers You also can check out some great Pinterest pages from other hospitals like Baylor Nationwide Children s and Akron Children s They re doing some really great stuff on their Pinterest boards Just like Twitter and Facebook if you re not using this virtual pinboard to connect with your audience you re being left behind So are you using Pinterest in your social media

    Original URL path: http://www.hospitalimpact.org/index.php/2013/03/14/pinning_for_success_why_hospitals_need_p (2016-02-10)
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  • Hospital Impact - Turn bad weather into healthcare social media success
    and using generators and snowblowers It also included key information that was coming from the Governor s office and the Mayor s office including the declaration of a state of emergency parking bans road closures reminders to shovel sidewalks and check on the elderly and so on Beginning Thursday the day before the storm we provided the latest information on the weather predictions and how to prepare for a blizzard We shared the information via our six Twitter six Facebook and two Pinterest accounts This continued into Friday the day the storm was starting and then wrapped up on Saturday with more posts on both Twitter and Facebook So how did I keep up with what to tweet and post on Facebook Simple I created a Twitter list that I called Emergency Agencies My list of Twitter accounts included local and federal FEMA offices our local media outlets CNN Breaking News the Weather Channel Breaking News the state of Rhode Island Governor s Office and our local health department among other key accounts I was pleasantly surprised to discover some of our media outlets had twitter feeds you could subscribe to that would include the feeds from all of their reporters This proved to be incredibly helpful when trying to keep up with the latest news and impact from the storm and on power outages Creating that list resulted in a continuously changing and up to date stream of what was happening in the area and it became a source of what to post out for our own community It worked perfectly for us and is something we will continue to rely on in the future Our on call media relations officer also was checking in regularly with each of our emergency departments so we could provide the latest information on accidents and injuries that we were treating She also was scheduling regular phone interviews with ED physicians to speak with the local media This helped to position our emergency medicine physicians as experts by giving safety tips throughout the storm Also when the doctors were doing live interviews I was tuned into the news to tweet out the key information they were sharing Those techniques helped keep our streams up to date as well as keep our local public informed If you used social media during a weather emergency what did you do Share your tips Nancy Cawley Jean is a senior media relations officer for the Lifespan health system in Rhode Island managing social media for five hospitals and a women s medicine practice 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

    Original URL path: http://www.hospitalimpact.org/index.php/2013/02/13/title_88 (2016-02-10)
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