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  • Hospital Impact
    the writings of Gawande Shannon Brownlee Martin Makary Andrew Grove etc I was embarrassed by my naivete Once on a 5 hour flight I was seated next to a highly paid health insurance CEO I began with an apology and acknowledgment of his apparent lack of luck You can t tell me we don t have the best healthcare in the world he opened with I showed him where the U S ranked in healthcare outcomes 64 of 198 countries and where we ranked in expense 1 of 198 Five long hours later I believe he left that flight a bit smarter When I first read this recent quote of Gawande s Technology is not the main force driving healthcare improvements I had a tiny little heart attack Thankfully I continued to read We have one opportunity to leverage technology to improve care That opportunity is data Read more Leave a comment Hospital leaders must overcome resistance and disrupt their own organizations February 19th 2015 by Lynn McVey The traditional theory of disruption calls for outsiders to shake up an industry A recent survey of 150 healthcare executives revealed more than 50 percent felt healthcare is ready for disruption according to Harvard Business Review However nearly two thirds of respondents said resistance was the biggest hurdle to innovation according to the report Inefficient or outdated analytics and processes were also cited The overwhelming sentiment was that the impediments to change are mostly internal Paul Merrild wrote in HBR Overcoming such challenges requires intrepid leadership Respondents to the survey said they scan widely for models of executives who have successfully disrupted their own organizations When we asked which companies healthcare executives most admire the top choice wasn t Mayo Cleveland Clinic or any other blue chip healthcare institution wrote Merrild Top choice was Apple the tech giant who cannibalizes its own products and promotes disruption before being overtaken by it We say hindsight is 20 20 If we had the chance to do it over again wouldn t we have chosen an electronic medical record for all facilities We could have been years ahead of where we are now in terms of Meaningful Use standardizing and sharing information Yes this country is proud of its free market but I question whether healthcare should remain a part of that market especially given what we now know about the fraud abuse unnecessary testing and corruption in the industry Read more Leave a comment Does decision support actually work January 27th 2015 by Lynn McVey The medical imaging website Aunt Minnie com asked the question Does decision support work I got tricked at first because I thought it was a question about decisions Aunt Minnie s question was about the appropriateness of imaging ordering which happens to be experiencing growing pains For years I ve always questioned the accuracy of decision support When we play the game Telephone even the simplest phrase The moon is made from green cheese ends up as The cream

    Original URL path: http://www.hospitalimpact.org/index.php?blog=1&s=Lynn%20McVey&page=1&disp=posts&paged=2 (2016-02-10)
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  • Hospital Impact - Health insurers, providers don't have to settle for 'frenemy' status
    believe that payers interfere with their efforts to provide high quality care Still the two sometimes warring sides also collaborate by forming official alliances to promote higher quality care at lower costs and there seems to be an accountable care organization announcement every few days Basically payers and providers are healthcare s version of fremenies But for Kaiser Permanente one of the few examples of a fully integrated healthcare system a payer provider hybrid business model has served it well since the Great Depression Bernadette Loftus M D associate executive director of the Permanente Medical Group told me in a recent interview Read the full commentary at FierceHealthPayer 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/2015/11/04/health_insurers_providers_don_t_have_to_ (2016-02-10)
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  • Hospital Impact - One community fights back against the impact of a rural hospital closure
    and more A study at Oklahoma State University in 2003 determined that for every rural hospital job lost there was an additional 38 jobs lost in the community Or in other words when 200 hospital jobs disappear there will be an additional 76 additional jobs lost in the community In a small community of 10 000 people the loss of 276 jobs is a catastrophe Most people however don t think about the economic impact of hospitals when they close their doors We all know that hospitals save lives Throughout my career I have always been impressed by the number of people who step forward on a regular basis and say if it weren t for that hospital I wouldn t be alive today Every hospital has hundreds if not thousands of stories like this Hospital workers especially those working in emergency departments are here to provide immediate care in the event of stroke heart attack traumatic injury or event There is no doubt that the loss of a sole community provider hospital will cost lives According to the American Hospital Association there are 1 971 rural community hospitals in the United States They represent 35 percent of all hospitals in our country In the past five years there have been 55 rural hospital closures or an average of more than 10 closures per year What can be done to save our rural hospitals In the case of Palm Drive Hospital the community is fighting back With no major healthcare systems or neighboring hospitals willing to step in and revitalize the hospital the local community is opening the hospital on its own Millions of dollars of local donations have been raised to reopen the hospital The medical community has responded as well Local family physicians and specialists with large referral practices are supporting the hospital A state of the art electronic medical record system has been donated And donations have been used to renovate this 40 year old hospital and to build a staff that is on a mission to prove that a local community hospital that emphasizes high quality medical care and superior patient satisfaction can be successful Time will tell if our rejuvenated hospital will be able to reverse the trend and bring back high quality local care All eyes will be on us to see if this is a model that can be used successfully in other small communities in the U S If the enthusiasm of our community and our staff is any indicator and if we deliver on our promises then I expect our small hospital to be a huge success Raymond Hino MPA FACHE is the president and CEO of the Sonoma West Medical Center in California 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

    Original URL path: http://www.hospitalimpact.org/index.php/2015/10/29/one_community_fights_back_against_the_im (2016-02-10)
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  • Hospital Impact
    of telemedicine and remote presence physician coverage of the units In short telemedicine has proven itself as a revenue producing service for our hospitals Read more Leave a comment Engage trustees in the redefinition of hospitals April 1st 2015 by Raymond Hino In January the American Hospital Association AHA came out with its most recent report for the healthcare field Leadership Toolkit for Redefining the H Engaging Trustees and Communities I like to call this report the third in a series of major landmark reports by the AHA that deal with the road that our nation s hospitals are embarking on to reinvent themselves for a new future payment system based upon the Triple Aim of patient experience patient care at an affordable cost and population health All three reports are valuable to our field The first was Hospitals and Care Systems of the Future released in late 2011 The second report was Your Hospital s Path to the Second Curve Integration and Transformation which arrived in January 2014 All hospital executives and hospital board members would be well served if you have not already done so to read all three reports They are all easy to read and available on the web Be sure to choose the version of each report with all appendices They are the most important parts of each report Read more Leave a comment CEOs weigh in on emerging healthcare trends for 2015 January 14th 2015 By Ilene Macdonald Hospitals and healthcare systems faced an Ebola crisis a rise in competition from retail clinics and urgent care centers and millions of newly insured patients as a result of the Affordable Care Act in 2014 Organizations will continue to deal with those challenges in 2015 but other trends are emerging as well FierceHealthcare asked hospital chief executive officers their predictions for challenges and focus areas they ll experience this year Here s a snapshot of what they say their colleagues should watch out for in 2015 Greater hospital physician integration Raymond Hino CEO of the California based Palm Drive Health Care Foundation and a member of Fierce s editoral advisory board expects to see a re emergence of physician provider involvement with a new generation of physician leaders in hospitals and health systems helping to drive healthcare in the United States Hospitals and providers will continue to develop models of integrated organizational design in which both will participate in shared savings shared risk and shared gain says Hino pictured left Read more Leave a comment Emphasize innovation in healthcare starting today February 5th 2014 by Raymond Hino I recently attended a focus group session on best practices for innovation in large organizations The session sponsored by the Institute for Innovation in Large Organizations focused on predicting and developing new markets new products and new ways of doing business I realized immediately that we in healthcare must promote innovation if we are to successfully navigate major industry changes We are being rocked as an industry by the

    Original URL path: http://www.hospitalimpact.org/index.php?s=raymond+hino&sentence=AND&submit=Search (2016-02-10)
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  • Hospital Impact - 3 strategies for changing the health insurance business model
    among payers can be properly interpreted as one side of an arms race with providers to improve negotiating leverage through scale Payers have also tried to improve margins with repeated rounds of internal cost cutting moves These typically have had limited long term financial impact and yet often contribute to workforce problems down the road which then reflects on customer service In our conversations with executives at these companies we emphasize that the shift away from the fee for service model is an opportunity to elevate their dialogue with providers from transactional to strategic It is also an opportunity to better understand their true customer the patient consumer tailor products to meet their needs and capture a high share of distinct customer subsets who will pay for and be loyal to their brand Read the full commentary at FierceHealthPayer 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

    Original URL path: http://www.hospitalimpact.org/index.php/2015/10/29/3_strategies_for_changing_the_health_ins (2016-02-10)
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  • Hospital Impact
    they are going to have to make their organizations customer experience different from other healthcare institutions and relevant to consumers How to do this Big data combined with crucial insights into consumer behavior Read more Leave a comment Health data interoperability An urgent matter in need of a more active government October 22nd 2015 by Mitzi G Cardenas A level one trauma center in Kansas City Missouri Truman Medical Centers TMC treats nearly 113 000 individual patients each year More than 30 percent of our patients have a behavioral health issue and more than 70 percent have one or more chronic conditions We are the largest WIC Women Infants and Children provider in Missouri ensuring health care access to vulnerable families and children To provide the best care to our complex patients we need to be able to receive and share health information about their medications and history Many of the patients TMC manages suffer from chronic illness Treating those patients requires medical management with pharmacies and doctors offices as well as disease education It also requires connecting with our local healthcare institutions to make sure everyone is on the same page When transmitting medical information is difficult due to systems not talking to one another patient care isn t as efficient as it should be Today s technology makes it hard to share medical data At TMC we have more than 55 connections outside the institution where we need to transmit health data information In order to align our technology with these outside connections we hire highly skilled employees Making sure this important information is received consumes significant time but is necessary to meet regulatory reporting requirements and allow data sharing with labs and insurance companies among others Read the full commentary at FierceHealthIT Leave a comment Value based care requires trading competition for collaboration October 15th 2015 by Barry Ronan Last week I read the results of a survey on value based care delivery that got my attention The survey stated that approximately 80 percent of U S hospitals are at best evolving toward value based care delivery with only 3 percent fully engaged in such care delivery In 2010 Maryland began a value based care delivery demonstration project that then encompassed 10 hospitals in the state including the Western Maryland Health System By January 2014 all Maryland hospitals were included in the new care delivery model For the last five years WMHS has been caring for patients in the most appropriate setting whether it s acute pre acute or post acute care Under this care delivery model we had to reach out to our competitors and begin collaborating with each of them For example when we contacted an urgent care provider in our community its response was we don t partner with hospitals we compete with them But after explaining that our care delivery model was now based on value not volume and that they could help keep our patients out of our emergency department they got

    Original URL path: http://www.hospitalimpact.org/?blog=1&page=1&disp=posts&paged=10 (2016-02-10)
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  • Hospital Impact - The nonemployment ways to engage physicians
    on engagement Of course it drives our culture and ultimately the patient experience safety efforts and overall outcomes in our organization Physician engagement does not have to be as challenging as we make it Encourage a truly safe environment to discuss real concerns and guess what you ll find The same concerns our employees share Do I trust the hospital leadership and their ability to lead our future efforts How will the future changes impact my income Will my skills be used in the best possible way Will I have a voice in the way care is provided Make sure you have agreed upon communication forums in place Personally I utilize formal and informal methods to engage staff including Participating in a hospital retreat referred to as Advance by one of our physicians indicating it was time to make progress and advance the organization Providing updates at the medical executive committee share key data clinical and financial Inviting physicians to key hospital meetings that may be relevant to their practice Sending weekly email updates on relevant organizational changes Joining the medical staff for coffee tea or lunch gathering in the physician lounge Rounding with physicians Walking the hospitals at different time of day and evenings One of the two nonemployment statements highlighted at the beginning of this post involved one group that wanted to work with the hospital and participate on key initiatives impacting patient care and patient experience The members just did not want to be employed and wanted assurance we would not involve them with the only motive of employing them Nevertheless they helped and supported our efforts to improve one of our key physician service lines The second was from a group feeling anxious about the changes in reimbursement and potential impact on their practice and income levels We agreed to employ them at fair market rates if they really wanted employment We knew the group had greater potential on its own for at least a foreseeable future After much discussion the group agreed to stay on its own and worked with us on expanding surgical services within the hospital Of course there will always be members of the medical staff who have positive and negative things to say so be willing to listen A physician once shared with me a concern he had with one of our decisions He let me know most physicians would not have had the courage to share their concerns directly and that I should treat it like a gift I smiled and said it was like a birthday in our office everyday filled with gifts The key again is creating the safe environment for hospital employees to share their concerns openly along with our ability to listen with genuine interest And remember to show appreciation for the feedback It really is a gift and in return you will see a more engaged and aligned medical staff Scott Kashman serves as the Chief Administrative Officer of Cape Coral Hospital part of the

    Original URL path: http://www.hospitalimpact.org/index.php/2011/10/20/physician_engagement_create_a_safe_envir (2016-02-10)
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  • Hospital Impact - 4 ways to achieving a balanced budget
    organization must support unfortunately it cannot be everything Multi year planning Understand what changes can be made and last over the next 2 3 years For example laying off 50 people only to bring them back six months later does not work Likewise providing pay increases only to lay off people or cut pay six months down the road is another ineffective model Transparency These days this word may be overused however the practice of it is not used nearly enough Share the vision of enhanced transparency with your organization the mission strategies priorities why they are important success measures and how everyone contributes The Mission A former colleague let me know during budget process that in his organization each person was allowed to use the mission statement only one time to support the program or service of their choice Certainly makes you pause to focus on your key priorities Getting balance is not easy and it requires the team be up front with each other and work through priorities with the resources provided And as Zac says in his song So if you agree have a drink with me raise your glasses for a toast to a little bit of chicken fried I look forward to hearing your perspectives 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

    Original URL path: http://www.hospitalimpact.org/index.php/2011/09/13/achieving_a_balanced_budget (2016-02-10)
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