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  • Hospital Impact - 4 leadership strategies for young hospital CEOs
    t necessarily have healthcare experience Nicholas R Tejeda CEO of Doctors Hospital of Manteca Calif a 73 bed facility affiliated with the Tenet Healthcare Corporation pictured right knows this first hand In an exclusive interview with FierceHealthcare prior to his presentation Tuesday at the American College of Healthcare Executives Congress in Chicago Tejeda said he s battled perceptions about his age and experience in every hospital management job he s had beginning with his first stint as a supervisor when a lab director said he d quit before reporting to Tejeda Read the full interview at FierceHealthcare 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 in Florida Missouri Hospitals continue to be

    Original URL path: http://www.hospitalimpact.org/index.php/2014/03/25/4_leadership_strategies_for_young_hospit (2016-02-10)
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  • Hospital Impact - 3 ways to hire--and keep--exceptional employees
    for HIT expertise are also on the rise in the midst of initiatives such as ICD 10 and Meaningful Use In the next five years staffing needs will grow exponentially Michael Lynch president of Tiva Healthcare a physician outsourcing and recruitment company in Sunrise Fla told FierceHealthcar e for its newest ebook Human Management in Healthcare Hiring Right to Meet the Demands of Healthcare Reform And though offering job candidates and employees higher compensation may initially be welcome it s not the solution to the problem say experts interviewed for this in depth report Instead consider three strategies To learn more read the full article at FierceHealthcare 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

    Original URL path: http://www.hospitalimpact.org/index.php/2013/08/02/3_ways_to_hire_and_keep_exceptional_empl (2016-02-10)
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  • Hospital Impact - Pulse check: Are you on track for ICD-10?
    8 percent of more than 1 200 responding practices indicated that they had made significant progress in their ICD 10 implementation efforts according to a Medical Group Management Association study released in June A June analysis on ICD 10 readiness found that 33 percent of the 500 physician practices surveyed have yet to even start the transition from ICD 9 to ICD 10 according to Navicure a medical claims clearinghouse for physician practices Many of those surveyed complained they don t have enough time staff or training resources to transition to the new code set To learn more about ICD 10 readiness read the full article at FierceHealthcare 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

    Original URL path: http://www.hospitalimpact.org/index.php/2013/07/20/pulse_check_are_you_on_track_for_icd_10 (2016-02-10)
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  • Hospital Impact - Calling all finance leaders: Price transparency needed now
    create a pricing structure and rationale so that patients understand upfront how much they will need to pay for out of pocket expenses is so simple and necessary but one that requires buy in from all stakeholders And for those who say that prices don t mean anything Fifer countered that response will no longer fly in an environment where more and more employers are turning to value based plans and accountable care organizations care for 10 percent of Americans Have you tried to navigate your way through the financial maze of healthcare Fifer asked Have you asked your patients or customers what it s like This common sense approach to tackling the center of the healthcare debate finances The reason the debate is so raucous is because of money Should not the people who deal with money have a voice Fifer asked I hope the financial leaders across the country will take Fifer up on his challenge and start finding ways to improve financial interactions and making pricing more understandable to the average consumer HFMA is taking the first steps by developing best practices that will provide consistency clarity and transparency in patient financial interactions But finance leaders can also turn to organizations that have taken the lead in this initiative For example Beth Israel Deaconess Medical Center presented a session at HFMA describing the project they launched this year to reduce patient dissatisfaction by eliminating the sticker shock reaction that so often occurs when patients receive the hospital bill for services in the mail In May the hospital piloted a program in the obstetrics department to provide accurate estimates of the cost of services prior to the patient receiving services The estimates offered in English and Spanish include a detailed explanation of the service how much the payer is expected to cover and the patient s financial obligation The program will soon roll out to Beth Israel s radiology department followed by orthopedics surgery and clinics While Beth Israel patients may still not like the amount that they have to fork over knowing how much they will owe ahead of the time does take the sting out of it And that s what Fifer hopes for other institutions Great steps have been taken Fifer told the financial leaders in the audience However we re not done Everyone in this room has contributed to how we got to this point Now everyone has a role to play in the solution 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

    Original URL path: http://www.hospitalimpact.org/index.php/2013/06/26/calling_all_finance_leaders_price_transp (2016-02-10)
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  • Hospital Impact - Making sense of the healthcare debate
    S medical programs for fall 2012 was only 8 3 percent according to data reported by 114 ranked medical schools in an annual U S News survey Medical school applications are at an all time high Supporters of healthcare reform can be as dogmatic and unfair as conservative commentators like Dr Allen Viewers of Dr Oz and readers of the New York Times are likely to conclude half of all cardiac stents placed for chronic heart disease are unnecessary The reality is somewhat more complicated I am happy to report that there are two excellent examples of balanced and fair discussions of some of the tough issues facing all of us in the health care industry The first is a New Yorker article by cardiologist Lisa Rosenbaum who acknowledges stents can be overused Of course we should not tolerate inappropriate use subjecting patients to harm for the sake of a profit is unconscionable Moreover given that seventy five75 to eighty percent of patients with chronic disease believe that stents will prevent future heart attacks and prolong their lives it is our responsibility as physicians to do a better job of explaining when this is not the case However she also discusses how difficult it is to provide evidence based care If it s hard to apply the findings from any one trial to the treatment of a particular patient it s harder still to use data from many trials to create guidelines that can be applied to any patient When a group of expert cardiologists were asked to do just that they recognized that there are many factors to be considered in addition to medicationâ including the acuity of the disease the patient s degree of chest pain the results of stress tests and which of four main arteries are blocked When you account for all of these factors you come up with over four thousand clinical scenarios for which stenting may or may not be appropriate many of which canâ t be mapped precisely to a clinical trial Her discussion of the complexity of treatment decisions for patients with chronic heart disease has much to teach both the skeptic and the advocate of the ACA The other example of respectful debate where both participants can learn from each other occurred in surprising place The Daily Show The YouTube ACA debate between the conservative Charles Krauthammer and the liberal Jon Stewart makes me hopeful that rational discourse is still possible in 2013 when America seems to be divided between those who believe healthcare is a right and those who believe it must be earned Kent Bottles M D is a lecturer at the Thomas Jefferson University School of Population Health and chief medical officer of PYA Analytics Leave a comment Please enable JavaScript to view the comments powered by Disqus Enter your search terms Submit search form Web www hospitalimpact org Get Hospital Impact in your inbox Healthcare Industry news Final Obama budget takes aim at opioid addiction superbugs Zika

    Original URL path: http://www.hospitalimpact.org/index.php/2013/10/30/making_sense_of_the_healthcare_debate (2016-02-10)
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  • Hospital Impact - Healthcare can still divide the United States
    even though seniors have never paid enough in payroll taxes to cover their insurance costs and Medicaid as an unearned benefit that lacks a moral claim on the community This history has created a protected public who believe they have earned their medical coverage and they are largely unwilling to subsidize coverage for the less fortunate By creating separate health insurance financing for the elderly the United States created a political problem that has caused partisan bickering It is noteworthy that the Supreme Court decision upholding most of the Affordable Care Act created a way for governors to elect not to participate in the expansion of the unearned benefit of Medicaid About half the nationâ s governors have declined to support Medicaid expansion The Alabama Hospital Association recently released a report explaining why it disagreed with the stateâ s decision Between 234 000 and 500 000 Alabamians would sign up for the expanded Medicaid program Expanding Medicaid would create 30 700 new jobs over the next six years Expanding Medicaid would add 2 1 billion to the stateâ s annual Gross Domestic Product Studies in Missouri and Kansas two other states that have refused to participate in the expansion found similar positive results Lawrence P Casalino M D PhD proposed physicians should voluntarily commit to accepting a minimum of 5 percent of Medicaid patients into their practices Casalino admitted low payment rates administrative complexity and problems getting specialists to accept referrals make it difficult to include Medicaid patients in a primary care practice However refusing to care for vulnerable socioeconomically disadvantaged Medicaid patients seems incompatible with physicians accepting the World Health Organization s Declaration of Geneva a modified version of the Hippocratic Oath he wrote in the New England Journal of Medicine The Declaration contains the following pledge I will not permit considerations of age disease or disability creed ethnic origin gender nationality political affiliation race sexual orientation social standing or any other factor to intervene between my duty and my patient Yestarday Ivan Oransky M D twitted about how the physician recruitment postcard he recently received in the mail boosted we have NO inpatient responsibilities Call is by phone only and will be 1 in 6 or less Payer mix is all PPO HMO and Medicare We have virtually NO Medicaid less than 3 if that Every other industrialized country has deemed healthcare a basic human right Until we Americans decide if healthcare is a right or a good that needs to be earned our healthcare delivery system will continue to divide the nation threaten to shut the government down and potentially harm the global economy Kent Bottles M D is a lecturer at the Thomas Jefferson University School of Population Health and chief medical officer of PYA Analytics Leave a comment Please enable JavaScript to view the comments powered by Disqus Enter your search terms Submit search form Web www hospitalimpact org Get Hospital Impact in your inbox Healthcare Industry news Final Obama budget takes aim at opioid

    Original URL path: http://www.hospitalimpact.org/index.php/2013/10/16/healthcare_can_still_divide_us_risk_gove (2016-02-10)
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  • Hospital Impact - Why hospital leaders need business intelligence
    leadership in successfully adopting a comprehensive business intelligence program As someone who has at times had difficulty convincing hospital system C suites to invest in such a program I now have a better tool box I am most anxious to use Madsen s readiness to change assessment tool that is discussed in chapter seven The assessment is available at results in a maturity stage score She gives an insightful explanation of how to proceed depending on whether your organization is at stage 1 2 or 3 of maturity The appendices A through E offer practical advice on data governance policies and procedures business intelligence reporting tools business intelligence road maps business intelligence marketing plans and business intelligence status reports Every page of this book reflects the fact that the author for more than a decade has been on the frontlines actually working with healthcare organizations to design implement and maintain business intelligence programs and data warehousing systems This is not a book written by an academic or a theoretician it is a book written by a practitioner who has gotten her hands dirty with the messy real world challenges of day to day hospital operations The practicality of Madsen s approach is reflected in her list of four things you absolutely should not under any circumstances do which includes Never make a consultant the leader of your business intelligence program Don t ignore or forget about you own staff Don t believe the vendors who promise you can install and plug in your data and be up and running in a few days If it sounds too good to be true it is Never de emphasize the importance of a good data model I cannot agree more with Madsen s hallmarks of a good business intelligence program Have good leaders who are employees Have solid executive sponsorship Invest in the right tools and people to get the job done Make a commitment to data governance Focus on all aspects of delivering business intelligence Maintain excellent communication out to the business community during any build cycle I ve already marked up my new copy of Healthcare Business Intelligence with underlining and comments written in the margins I am sure it will become dog eared as I consult it often during my work teaching graduate classes at The Thomas Jefferson School of Population Health developing hospital programs with PYA Analytics and consulting with hospital systems with Pershing Yoakley Associates on how to respond to healthcare and payment reform Kent Bottles M D is a lecturer at the Thomas Jefferson University School of Population Health and chief medical officer of PYA Analytics Leave a comment Please enable JavaScript to view the comments powered by Disqus Enter your search terms Submit search form Web www hospitalimpact org Get Hospital Impact in your inbox Healthcare Industry news Final Obama budget takes aim at opioid addiction superbugs Zika outbreak White House seeks 1 8B to respond to virus More hospitals replace nurseries with rooming in with

    Original URL path: http://www.hospitalimpact.org/index.php/2013/09/25/why_hospital_leaders_need_business_intel (2016-02-10)
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  • Hospital Impact - The promise of population health
    of individuals Genetics came in at 30 percent and environmental conditions 5 percent The study that years ago really caught my attention investigated the relationship between emotional support and heart attack mortality Patients who reported no emotional support from friends or religious community had almost three times the risk of death compared to those people who had a rich emotional support network of family neighbors and religious community members When one really starts thinking about what makes a community healthy or unhealthy healthcare leaders expand their thinking far beyond the hospital the doctor s office and the emergency room For example a 2011 Health Affairs issue was devoted to Linking Community Development Health The articles in this special issue looked at topics such as community health impact assessments programs to create new jobs housing transportation and hospital partnership models and community development financial institutions Two facts from the special Health Affairs issue have stuck with me about how important population health has becomeâ 1 Life expectancy can vary by 14 years based on one s county of residence and 2 Life expectancy increases by nine years when one travels on the Blue Line of Washington D C s Metro system from downtown D C to Fairfax County Va These far ranging discussions about population health open up new avenues for communities to become healthier A 2005 British Medical Journal study found higher levels of greenery and lower levels of graffiti and litter correlated with higher levels of physical activity and lower levels of obesity Another study documented cities with sidewalks have fitter individuals than suburbs without walking paths Social contagion theories of disease have demonstrated that obesity smoking depression and suicide can spread from friend to friend to friend in a community like a virus All of this new information can be used to affect change in one s community by using population health methods Activating a community to become healthier still faces challenges and difficulties notwithstanding the new concept of population health Health is poorly defined Communities are in disarray The biomedical model does not provide the language necessary to address the problems Health promotion is complex and it is difficult to encourage populations to embrace agendas such as the Healthy People campaign In many communities leadership is fragmented and nonprofit politics can be disruptive However population health holds the promise of improving the health of more people even more so than improving the access and quality of care we healthcare professionals provide to our patients I consider it a tragedy the public health and medicine fields seem to have gone their separate ways sometime in the early 20th century The new emphasis on population health could link the important discoveries in medicine to the important insights from public health and create better communities where we could live longer happier lives Kent Bottles M D is a lecturer at the Thomas Jefferson University School of Population Health and chief medical officer of PYA Analytics Leave a comment Please enable

    Original URL path: http://www.hospitalimpact.org/index.php/2013/08/19/promise_population_health (2016-02-10)
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