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  • Hospital Impact
    every day Is it even logistically possible that those 28 caregivers communicate with each other Read more Leave a comment Is the American healthcare system duping patients September 10th 2014 by Lynn McVey I had a stress fracture in my middle toe Against the advice of medical personnel I taped my broken toe to its healthy neighbor next door and stopped wearing stilettos for 10 days My colleagues suggested I get an x ray see an orthopedist or go to the emergency room ER Unless I did one of those how would I know for sure it was broken Many years ago I worked with several young ER physicians who ordered a skull x ray or CT of the head on every head injury patient I worked with an older ER physician who never ordered either When I asked the older doctor why he said I don t need to know He clinically examined the skull for depressions and if he found none he assumed the patient had a hairline fracture with a concussion and treated him as such I don t need to over treat and over spend to verify something that needs no further action Just like my toe Read more Leave a comment Data analytics crucial to improving healthcare August 21st 2014 by Lynn McVey Current healthcare literature says that without robust analytics technology healthcare organizations can t fully achieve the goal of affordable high quality care good intentions notwithstanding The data is there but the healthcare industry does not have an evenly distributed knowledge of how to use it effectively We all know in any crowd of two or more we are reluctant to raise our hand to ask a question Crowd mentality diminishes our ability to learn because we hesitate to publicly disclose we need more knowledge That is what s happening in healthcare today We know that metrics and data are the answer yet the emperor still has no clothes on Clinical managers aren t skilled in how to analyze data Hell they just started data collecting only recently With potential savings of up to 300 billion a year according to the consulting firm McKinsey Company the upside of industry wide analytics is considerable And increasingly providers have the raw data they need right now They just don t know how to turn a data collection into a useful data illustration Even though it is not quick it can be quite simple Read more Leave a comment Get on board managing with metrics or give somebody else a chance July 10th 2014 by Lynn McVey Six months ago when my dad needed an emergency pacemaker I wrote about the lack of care coordination I witnessed as an insider Because I am an insider I was able to navigate him through three hospitals for three life saving interventions in three days As the acting CEO of a hospital I intercepted two preventable medical errors on my father s behalf Nearly 30 caregivers walked into his

    Original URL path: http://www.hospitalimpact.org/index.php?blog=1&s=Lynn%20McVey&page=1&disp=posts&paged=3 (2016-02-10)
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  • Hospital Impact - Reducing hospital readmissions through telemedicine partnerships with skilled nursing facilities
    improve patient care quality and reimbursement by reducing readmission rates We have found that skilled nursing facilities SNFs which may not have had access to the same level of telemedicine technology are willing to partner with hospitals to bring advanced technology and access to specialists to SNF beds We are able to provide access to the SNF in the specialties of pulmonology neurology psychiatry dermatology and intensivist care by using telemedicine applications The results have been similar to those experienced in hospitals The introduction of telemedicine will most likely result in both improved patient care and improved reimbursement Reimbursement gains are realized by keeping nursing home residents at home in the skilled facility and not transferring them to hospital facilities Hospitals on the other hand gain by not experiencing readmissions within 30 days of discharge There is no doubt that with a shortage of physicians especially in our rural communities telemedicine will continue to grow in scope and applications It s also sure to result in dramatic improvements in the quality of patient care that we deliver as well as cost savings to the entire healthcare delivery system and reimbursement gains under the ACA The future is now in telemedicine 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 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

    Original URL path: http://www.hospitalimpact.org/index.php/2015/07/23/reducing_hospital_readmissions_through_t (2016-02-10)
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  • Hospital Impact - Engage trustees in the redefinition of hospitals
    communities in which we exist This report echos my own thoughts on the importance of keeping the community informed and an active participant in our growth I have long been a proponent of community engagement and have written numerous posts in the past on the value of community town hall meetings community advisory boards transparency in communications and most importantly including the entire community in the strategic planning process I would like to focus my thoughts this month on advice to hospital executives and board members for board engagement and development As we all know major changes in our hospitals and our health care system are only possible if our executive leadership hospital boards and medical staff are working together as one The AHA report introduces us to three emerging types of governing boards professional governance model clinical enterprise governance model and community based local boards The three types are not mutually exclusive and in my opinion it s possible to create a hospital governing board that can fit into all three categories In fact that is exactly what we are doing in my own local community hospital board of directors Our professional expert governance comes from board members who were selected because they are recognized leaders in our community in the business community They provide business acumen to our organization and critical financial oversight We also have representatives of our medical staff who are committed to the model of physician leadership and patient centric care Finally we also include community representatives who keep us in touch with our geographic constituents and serve as patient advocates In my mind this board of directors provides us with the best of all worlds All are strong leaders and committed to becoming educated on the complexity of the healthcare environment and are not afraid to use their best independent judgments to guide our hospital into the future Of course having the right board is just the beginning It is vitally important for hospital leadership that our governing boards recognize the importance of continuing trustee education and knowledge building because a well informed highly knowledgeable board is a CEO s most critical asset according to the AHA report It is also the responsibility of the CEO to develop and replenish that asset In the end it will be those hospitals and health systems that create strong bonds between executives boards and the communities that they serve that will be best prepared to successfully navigate the difficult road from the traditional volume based hospitals of the past and present into a new world of reward and survival based upon the Triple Aim 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

    Original URL path: http://www.hospitalimpact.org/index.php/2015/04/01/engaging_trustees_in_the_redefinition_of (2016-02-10)
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  • Hospital Impact - Emphasize innovation in healthcare, starting today
    and highly regarded healthcare industry leader Molly Coye M D Coye informed us that at UCLA innovation is part of the senior executive team And it makes sense that UCLA and other large healthcare organizations have recognized the importance of innovation How else will we transform our hospitals and healthcare organizations from our historical base of fee for service medicine to payment for quality How else will we create new programs which emphasize wellness over sickness and for which we are able to realize a reasonable return on investment I also learned that we as healthcare organizations can and should begin to emphasize innovation starting today An easy first step is to look for innovation that already is happening in your organization What are you doing to create new products services processes or a new business model I found one in my organization Last year our hospital created a music video that won sixth place nationally in the 2013 Medline Pink Glove Dance video competition This was no small feat for a small hospital located in a small community which was competing with Goliath healthcare organizations from all over the country We had no prior experience in doing anything like this before But the professionalism and the joy in our video became infectious and it was a sensation that rallied our entire community in support of our hospital It also ignited social media attention on us and did more to promote the brand name of our hospital than anything else we had done for years That is innovation Here are some more tips on innovation Lower the cost of failure in your organization Place more value on new discoveries and less value on reaching for safe and expected outcomes Perhaps you have heard of the story of Col Harland Sanders who suffered numerous failures and rejections in his life until he hit it big with his Kentucky Fried Chicken franchise chain at the age of 65 His innovation was that he created one of the first restaurant franchise chains Imagine what would have happened if Sanders accepted early failures and did not prevail We need to cultivate the Col Sanders wannabes in our organizations if we are going to prevail as well Raymond Hino MPA FACHE serves as CEO of California s Bear Valley Community Healthcare District 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

    Original URL path: http://www.hospitalimpact.org/index.php/2014/02/05/emphasize_innovation_in_healthcare_start (2016-02-10)
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  • Hospital Impact
    to the community that we serve because they helped to create it By including the community in our strategic planning retreat we have found that they also own our plan It is never difficult for me to discuss our strategic planning goals and objectives and why they are important because in our organization the strategic plan is a living breathing and critical part of how we do business I routinely monitor our progress on our goals and then report it to our planning committee and board of directors Read more Leave a comment Mentoring the next generation of hospital leaders July 31st 2013 by Raymond Hino I was recently contacted by a young man with a very impressive background He has his bachelor s degree in political science and two master s degrees The first is an MBA and the second is a master s degree in public health from UCLA He also is a former White House intern and congressional intern He s working as a quality improvement consultant for a large hospital within one of the largest proprietary healthcare systems in the country I was extremely flattered when he reached out to me and asked for an hour of my time to learn about my journey to become an experienced CEO in a community hospital in a rural setting He felt pulled towards the challenges and rewards of rural healthcare Read more Leave a comment Hospital leadership Keeping an open door June 26th 2013 by Raymond Hino My office in our hospital has two doors One door leads to the inner office including our receptionist area and our conference room The second door leads to the entrance hallway of our hospital and has a sign posted on it The sign reads Please Use Other Door That is not very welcoming The first door remains open most of the time since I am proud of the fact that I have an open door policy However it never occurred to me until recently that if I wanted to have a real open door policy I needed to keep the other door open Read more Leave a comment Give patients an honest view of health reform May 15th 2013 by Raymond Hino I focus a lot of my blog posts on community engagement and maintaining open lines of communication between our community hospitals and the people that we serve This is an ever evolving process Recently we tried something new to communicate with and educate the public We held our first ever Summit on Hospital Finances We wanted to put on a program that would be worthy of the three hour weeknight time commitment that we were asking our constituents to make Here is how it went The program started with an outside speaker bringing into context where the plight of our local hospital is in the greater scheme of the healthcare environment It was important for our community to know that what is happening in our area is not only

    Original URL path: http://www.hospitalimpact.org/index.php?blog=1&s=raymond%20hino&page=1&disp=posts&paged=2 (2016-02-10)
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  • Hospital Impact - Health data interoperability: An urgent matter in need of a more active government
    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 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

    Original URL path: http://www.hospitalimpact.org/index.php/2015/10/22/health_data_interoperability_an_urgent_m (2016-02-10)
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  • Hospital Impact
    based care Will the industry ever be ready to ditch fee for service October 8th 2015 by Ilene MacDonald The Triple Aim Bundled Payments Accountable care organizations FierceHealthcare has written countless articles about these initiatives to move the healthcare industry away from fee to service to payments for value based care Despite all that attention and the federal government s push to quicken the pace of the transition healthcare providers haven t made much progress In fact this week on the same day we ran a special report on the evolution of accountable care organizations PwC Health Research Institute HRI released a new report that says while healthcare executives publicly praise the move to value based care they privately drag their feet while they wait for a successful model to emerge before they take on the risk It was striking to us when we did report on the national landscape of progression on alternative payments just how low and difficult the transition has been for the healthcare industry Ceci Connolly director of HRI told me during an exclusive interview Read the full commentary at FierceHealthcare Leave a comment Not using the Medicare wellness visit is making people sick October 8th 2015 by Anthony Cirillo Ask most healthcare CEOs the utilization rate for the Medicare Annual Wellness Visit AWV and they will probably not know it While it is reimbursable the cost benefit ratio favors practices sticking to what makes them money They need to see the bigger picture The AWV reimburses on average 117 per visit and to capture all of the documentation necessary to financially benefit the practice it requires approximately 45 minutes And if you don t code properly well that s another story Most find the AWV time consuming tedious and a financial burden There is a marketing term called loss leader It s the idea that you provide a product or service that is an enticement to help grow the number of customers you have You may break even or lose money But that is the cost to introduce new people to you For healthcare organizations the gamble is that once they have experienced the care you offer they will come back and tell others Read more Leave a comment When hospital CEOs issue clinical directives healthcare suffers October 1st 2015 by Thomas Dahlborg If there is a surgical intervention option as well as another treatment option available make sure you go the surgical route Are you serious Jim I responded The CEO of your hospital said this to your new podiatric surgeon Yes We had recently brought on this podiatric surgeon and the hospital CEO made it very clear to him early on that the expectation is increased numbers of surgeries and if in fact there are multiple treatment options the surgical option overrides all others So a hospital administrator is now making specific healthcare decisions for the patients families and clinicians at your hospital That s exactly right It is shameful it is harmful

    Original URL path: http://www.hospitalimpact.org/?blog=1&page=1&disp=posts&paged=11 (2016-02-10)
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  • Hospital Impact - Healthcare relationships foster quality care
    a heart attack and was quickly taken to the Cath Lab where we encountered four fabulous nurses Kim Bruno Kim Graham Christine and Catherine the PILLOW fluffer From the minute we arrived they helped to put us at ease with their compassion professionalism and friendliness My husband the typical Macho Man had never been so scared in his life and they were all able to calm him with understandable explanations about everything that was going on and about what would be happening They did this with continual cheerfulness and thoughtfulness We are sure that they do many procedures each day yet they made my husband feel as if his was the most important one they had ever done or will ever do There was nothing routine They were caring cheerful and simply perfect in every way Last month we held our April Associate of the Month reception honoring Pam Hazen RN on our Cardiac Care Unit One way I would describe Pam would be her welcoming approach to everyone As I round the hospital it is easy to see when areas are very busy What I do look for is the welcome we provide others no matter how busy we are throughout our day Isn t that the acknowledgment we all enjoy from each other That welcoming attitude can inspire other co workers to help the hospital achieve its potential as a healthcare organization The ability to reach your aspirations as an organization starts with individuals knowing they can and will make a difference The positive welcome strengthens relationships and engages others to help the team and the organization prosper Just a few days ago Joseph Jones from Environmental Services greeted me with a simple Good Morning He was truly present when greeting me I see him pretty regularly and each time he shows such sincere enthusiasm it immediately brightens my day As basic as it is sometimes we lose sight of that simple Good Morning or Good Afternoon Those statements are actually a blessing and not just an evaluation of the day e g the person who says is it really a good morning The welcome we provide each other becomes part of our culture and represents the mission we serve Hospitals can be scary places when you are the one feeling vulnerable Many times our patients and families have a lot of questions and that calls for us to welcome them even more often As healthcare providers know it is appreciated when we make consistent efforts to welcome each other our patients and our families Who will you inspire today Scott Kashman MHA FACHE is the Chief Executive Officer of St Joseph Medical Center in Kansas City Mo as well as a National Academy of Sports Medicine NASM Certified Personal Trainer 8 comments Please enable JavaScript to view the comments powered by Disqus Enter your search terms Submit search form Web www hospitalimpact org Get Hospital Impact in your inbox Healthcare Industry news Final Obama budget takes aim

    Original URL path: http://www.hospitalimpact.org/index.php/2011/05/11/healthcare_relationships_foster_quality (2016-02-10)
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