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  • Hospital Impact
    many thought it was a crazy idea to create this pathway across our campus even though it reflects the values of healthcare today Focus on clinical care and coordination Focus on health wellness and well being Focus on community engagement Read more Leave a comment It takes a village to tackle hospital ER overcrowding October 8th 2015 by Scott Kashman Around the country there is often discussion about emergency room ER overcrowding Realistically not all ERs really get overcrowded Down in Southwest Florida however they do Last season known as late fall winter the area experienced a surge in population and we experienced an even larger surge of patients coming into our ERs and hospitals This coming season we are trying a different approach that we can build on through the season and throughout the year This requires our health system and key community partners to provide a more coordinated approach to delivering healthcare in our community Read more Leave a comment Reframing healthcare drama Life is good July 30th 2015 by Scott Kashman Healthcare delivery changes at a rapid pace Is this positive or doom and gloom For more than 20 years I ve attended conferences where speakers have said these are unprecedented times in healthcare Really Doesn t it really come down to our view and attitude toward continuously improving our organizations A few years back I recall having discussions with colleagues about situations that at first seemed unfortunate Read more Leave a comment Healthcare execs Lead follow and help whenever necessary July 2nd 2015 by Scott Kashman Do you recall why you went into a leadership role In my last job I worked with Don Clement M D former president of the medical staff at St Joseph Medical Center in Kansas City Missouri who shared this on leadership Summertime and the Fourth of July outdoor BBQs walking through the neighborhood soaking up the sunshine As we look forward to celebrating the anniversary of the founding of this great country on the Fourth perhaps we should spend some time looking back and consider the one ingredient necessary for this monumental historical accomplishment Recognizing the importance of fundamental leadership and its principles will help us appreciate how we can employ those same principles every day The decision to establish the independence of those 13 disparate colonies and embark on the creation of this nascent country rested on the leadership of many different individuals Throughout the countryside and in the many small communities the ability to impart the sense of vision and implement this move toward independence required a concerted effort with leadership at all levels While that trait was integral to our nation s foundation it is directly translatable to all of us throughout the workplace particularly in our medical center Read more Leave a comment 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

    Original URL path: http://www.hospitalimpact.org/index.php?blog=1&s=scott%20kashman&page=1&disp=posts&paged=1 (2016-02-10)
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  • Hospital Impact
    fire me She agreed and went on to ask Don t you think you would have some warning if this was going to happen or if I had concern with your performance Yes that certainly made sense Read more Leave a comment Small hospital changes can make big healthcare impact August 21st 2014 by Scott Kashman In April 2011 President Obama discussed his plan to curb the growth of healthcare costs The framework called for 340 billion in cuts over 10 years and 480 billion by 2023 including the proposals already included in the president s budget Over the subsequent decade the president s proposal will save more than 1 trillion by further bending the cost curve doubling the savings from the Affordable Care Act That plan called for increasing the amount of uninsured by 50 million people Throughout my career one thing remained constant Our evolving and transforming healthcare industry We could get ourselves really frustrated if we chase every headline So the question is what can you do to influence your organization s destiny Read more Leave a comment Healthcare lessons from Captain Carmine Marceno July 10th 2014 by Scott Kashman In a prior blog I asked what our obligation to role model healthier living is in our respective health systems Not a right or wrong answer just a philosophical approach This week an 89 year old women and the sister of a 10 year old who is currently going through cancer treatment approached me They were surprised we do not focus more on nutrition across our nation s healthcare system We think it is wide known food is medicine however when it comes down to it they felt hospitals and care providers focused more on pills and diagnostic testing than food s impact on their health I have an upcoming meeting with some of our key managers and physicians to focus on you guessed it nutrition As a management team we want to know how we could help practice with nutrition education Some challenges include their time constraints our payment system and the provider and patients interest in learning more One physician shared with me that he would love to focus more on nutrition and has many patients who simply just want the quick fix a pill After all that s what we have essentially taught society There is a pill for everything And while the pendulum seems to be slowly swinging back we have a long ways to go towards a balanced nutrition discussion and integration Read more Leave a comment Healthy eating at hospitals What s our obligation June 5th 2014 by Scott Kashman and Larry Altier Here s our simple question Forget for a moment your own personal beliefs on whether you think we should eat healthier as a society As healthcare leaders do you think it s our obligation to offer healthier options in our healthcare organizations In September 2013 a bombshell report from Credit Suisse s Research Institute brought into sharp focus

    Original URL path: http://www.hospitalimpact.org/index.php?blog=1&s=scott%20kashman&page=1&disp=posts&paged=3 (2016-02-10)
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  • Hospital Impact - Healthcare lessons from a bucket-list experience
    if I had been with them a long time They applauded sincerely when I finished my first rehearsal song White Christmas And they genuinely appreciated my talent As we finished the last concert many of the members thanked me individually and hoped I would be able to come back and sing with them in the future We have heard of nurses eating their young in healthcare In a new year as new team members come on board and new accountable care organization partners come together welcome and embrace the collaboration Let s vow to become better colleagues and support each other through tumultuous times A Team is Synchronized The vocalists in the band sang 12 songs altogether less than half the repertoire for the concerts so I personally had a lot of time to observe a team in action I never quite understood what conductors did until now Conductors are leaders A song lives and dies on their enthusiasm and passion launches to greatness or not from how they start it and emotionally impacts you from their nuanced interpretation The band members in turn follows a passionate leader becomes enthused from his or her enthusiasm and strives to want to do their best I saw it through four weeks of rehearsal and two concerts And these folks practice every single Monday throughout the year in a volunteer not for profit band We need enthusiastic and passionate healthcare leaders who can empower staff to greatness A Support System is Integral Once the word got out that I was singing with the band friends wanted to come and support me As these concerts sell out almost every month we were lucky to grab a table for 10 Then I learned a senior group I had keynoted for was there as well There is nothing like a great support system to make you perform better and make you feel welcomed and special Our patients need a support system Many times that support comes from family caregivers who in turn need support from a healthcare system that really does not focus on them Caregiving is the elephant in the room that few want to talk about Yet caregivers are integral for patient healing The healthcare community needs to step up and become centrally involved in the care of the caregiver starting in 2015 Realize That We Are Privileged to Do What We Do The second concert I sang with the band was in the church where the members rehearse The setting was inspiring The acoustics were incredible The church was packed I was in my tux It was an abbreviated concert and each vocalist sang two songs I spent the time in between cherishing the moment I kept looking into the audience and remembering so many times when I was in the audience hearing a sensational band backing Frank Sinatra or Harry Connick Jr and envisioning myself on stage I savored the moment I was wearing my father s watch he passed away in

    Original URL path: http://www.hospitalimpact.org/index.php/2015/01/08/healthcare_lessons_from_a_bucket_list_ex (2016-02-10)
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  • Hospital Impact - Healthcare lessons from a bucket-list experience
    if I had been with them a long time They applauded sincerely when I finished my first rehearsal song White Christmas And they genuinely appreciated my talent As we finished the last concert many of the members thanked me individually and hoped I would be able to come back and sing with them in the future We have heard of nurses eating their young in healthcare In a new year as new team members come on board and new accountable care organization partners come together welcome and embrace the collaboration Let s vow to become better colleagues and support each other through tumultuous times A Team is Synchronized The vocalists in the band sang 12 songs altogether less than half the repertoire for the concerts so I personally had a lot of time to observe a team in action I never quite understood what conductors did until now Conductors are leaders A song lives and dies on their enthusiasm and passion launches to greatness or not from how they start it and emotionally impacts you from their nuanced interpretation The band members in turn follows a passionate leader becomes enthused from his or her enthusiasm and strives to want to do their best I saw it through four weeks of rehearsal and two concerts And these folks practice every single Monday throughout the year in a volunteer not for profit band We need enthusiastic and passionate healthcare leaders who can empower staff to greatness A Support System is Integral Once the word got out that I was singing with the band friends wanted to come and support me As these concerts sell out almost every month we were lucky to grab a table for 10 Then I learned a senior group I had keynoted for was there as well There is nothing like a great support system to make you perform better and make you feel welcomed and special Our patients need a support system Many times that support comes from family caregivers who in turn need support from a healthcare system that really does not focus on them Caregiving is the elephant in the room that few want to talk about Yet caregivers are integral for patient healing The healthcare community needs to step up and become centrally involved in the care of the caregiver starting in 2015 Realize That We Are Privileged to Do What We Do The second concert I sang with the band was in the church where the members rehearse The setting was inspiring The acoustics were incredible The church was packed I was in my tux It was an abbreviated concert and each vocalist sang two songs I spent the time in between cherishing the moment I kept looking into the audience and remembering so many times when I was in the audience hearing a sensational band backing Frank Sinatra or Harry Connick Jr and envisioning myself on stage I savored the moment I was wearing my father s watch he passed away in

    Original URL path: http://www.hospitalimpact.org/index.php/2015/01/08/p5126 (2016-02-10)
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  • Hospital Impact - Much like airlines, hospitals nickel and dime patients
    Costs Providers Hit Patients With More Separate Fees clearly moved the conversation to providers When a husband and wife went to a hospital for a scheduled induction of labor for their second child they were instructed to report to a room next to labor and delivery where they filled out some forms and answered a few questions That translated into a 1 400 emergency room fee which the insurer paid Another example involved a woman who drove her stepdaughter to an emergency room after a bicycle crash and was billed 2 457 fee for noncritical activation of the trauma team in addition to the hospital s 240 facility fee I know what s a provider to do with declining reimbursement some will bemoan However this leaves a bad taste in my mouth And even if you argue this is not representative of all providers it reflects on all providers and the industry Sure there s a lot of finger pointing and blame to go around for the state of the healthcare mess we re engulfed in Providers should be above this behavior When I speak to organizations I continually stress that the experience of care is the entire experience including the billing process There is a correlation between patient loyalty and the billing process When we take the airline approach to healthcare delivery we diminish the experience And let s face it price packaging and transparency is nothing but lip service and it is failing patients When a person walks in to a hospital and has to think about having their lawyer on one side and their patient advocate on the other well that should tell you a lot about the state of affairs Again assign blame on all sides Here s the thing I have little to no choice in Charlotte but to fly one airline if I want to get out of town Sometimes I will choose to drive instead I can spend less than 100 on gas to go to Philadelphia and serve my clients rather than spending 1 800 an actual recent estimate for a round trip And I can t in good conscious charge for those expenses However driving is often not an option People do have options and choice when it comes to their healthcare They can choose between local competitors go cross county cross state out of state and out of country Medical tourism continues to grow and with the increasing number of Joint Commission International accredited hospitals employers are actively choosing to send people overseas As high deductible plans become the norm these fees impact consumers directly and then cause health premiums to rise in tandem Sure there are legitimate fees typically not reimbursed Then there are the wink and the nod fees that have become so commonplace they fade into the background and people are numb to them just like the airline charges Perhaps it s time to distinguish between the legitimate and non legitimate and simply do the right thing

    Original URL path: http://www.hospitalimpact.org/index.php/2014/11/06/much_like_airlines_hospitals_nickle_and (2016-02-10)
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  • Hospital Impact - Much like airlines, hospitals nickel and dime patients
    Costs Providers Hit Patients With More Separate Fees clearly moved the conversation to providers When a husband and wife went to a hospital for a scheduled induction of labor for their second child they were instructed to report to a room next to labor and delivery where they filled out some forms and answered a few questions That translated into a 1 400 emergency room fee which the insurer paid Another example involved a woman who drove her stepdaughter to an emergency room after a bicycle crash and was billed 2 457 fee for noncritical activation of the trauma team in addition to the hospital s 240 facility fee I know what s a provider to do with declining reimbursement some will bemoan However this leaves a bad taste in my mouth And even if you argue this is not representative of all providers it reflects on all providers and the industry Sure there s a lot of finger pointing and blame to go around for the state of the healthcare mess we re engulfed in Providers should be above this behavior When I speak to organizations I continually stress that the experience of care is the entire experience including the billing process There is a correlation between patient loyalty and the billing process When we take the airline approach to healthcare delivery we diminish the experience And let s face it price packaging and transparency is nothing but lip service and it is failing patients When a person walks in to a hospital and has to think about having their lawyer on one side and their patient advocate on the other well that should tell you a lot about the state of affairs Again assign blame on all sides Here s the thing I have little to no choice in Charlotte but to fly one airline if I want to get out of town Sometimes I will choose to drive instead I can spend less than 100 on gas to go to Philadelphia and serve my clients rather than spending 1 800 an actual recent estimate for a round trip And I can t in good conscious charge for those expenses However driving is often not an option People do have options and choice when it comes to their healthcare They can choose between local competitors go cross county cross state out of state and out of country Medical tourism continues to grow and with the increasing number of Joint Commission International accredited hospitals employers are actively choosing to send people overseas As high deductible plans become the norm these fees impact consumers directly and then cause health premiums to rise in tandem Sure there are legitimate fees typically not reimbursed Then there are the wink and the nod fees that have become so commonplace they fade into the background and people are numb to them just like the airline charges Perhaps it s time to distinguish between the legitimate and non legitimate and simply do the right thing

    Original URL path: http://www.hospitalimpact.org/index.php/2014/11/06/p4966 (2016-02-10)
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  • Hospital Impact - Responsiveness key to improving healthcare delivery
    on not a method on our smart phone to immediately voice concerns with an expectation that they would be immediately answered Would it have mattered in my case Maybe not not if the organization already had an unresponsive culture To embrace technology that can help in improving HCAHPS reduce admissions and readmissions through patient education and meet meaningful use goals for patient initiated communication takes more than dollars It takes a commitment I found this quote about unresponsiveness on the site vocabulary com When your boyfriend just sits and stares rather than talking about what s bothering him he s being unresponsive Medically speaking when a person is called unresponsive it means they re at least unconscious and possibly dead or dying You get the gravity when a healthcare organization is not responsive I also came across a blog by a gentleman named Ron Edmondson called The 3 Problems with Unresponsiveness Paraphrasing a bit here is what he concluded Keep in mind that this guy is a pastor and church leader His specialty is organizational leadership so he consults with church and ministry leaders Unresponsiveness Makes a person feel unappreciated When someone doesn t get a response back the person feels they aren t important enough They wonder what they ve done wrong or why they aren t good enough Makes a person feel unloved Like it or not unresponsiveness is translated especially in the church setting as an indicator of love If you don t respond you must not love them very much Makes a person mistrust you or the organization People will only tolerate unresponsiveness a few times Want to wreck an organization s credibility Become known as unresponsiveness He suggest that organizations in his case churches Make responsiveness an extremely high value in the organization Encourage people in positions of power to lead by example Answer all emails and return calls promptly even if you don t have an answer yet Have a system is in place to respond to all queries Never ignore a request Is your organization a responsive one or not And if not are you brave enough to embrace the responsibility of responsiveness It comes with a price either way Anthony Cirillo is president of Fast Forward Consulting which specializes in experience management and strategic marketing for healthcare facilities He also is the expert guide in Assisted Living for About com 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

    Original URL path: http://www.hospitalimpact.org/index.php/2014/10/09/responsiveness_key_to_improving_healthca (2016-02-10)
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  • Hospital Impact - Responsiveness key to improving healthcare delivery
    on not a method on our smart phone to immediately voice concerns with an expectation that they would be immediately answered Would it have mattered in my case Maybe not not if the organization already had an unresponsive culture To embrace technology that can help in improving HCAHPS reduce admissions and readmissions through patient education and meet meaningful use goals for patient initiated communication takes more than dollars It takes a commitment I found this quote about unresponsiveness on the site vocabulary com When your boyfriend just sits and stares rather than talking about what s bothering him he s being unresponsive Medically speaking when a person is called unresponsive it means they re at least unconscious and possibly dead or dying You get the gravity when a healthcare organization is not responsive I also came across a blog by a gentleman named Ron Edmondson called The 3 Problems with Unresponsiveness Paraphrasing a bit here is what he concluded Keep in mind that this guy is a pastor and church leader His specialty is organizational leadership so he consults with church and ministry leaders Unresponsiveness Makes a person feel unappreciated When someone doesn t get a response back the person feels they aren t important enough They wonder what they ve done wrong or why they aren t good enough Makes a person feel unloved Like it or not unresponsiveness is translated especially in the church setting as an indicator of love If you don t respond you must not love them very much Makes a person mistrust you or the organization People will only tolerate unresponsiveness a few times Want to wreck an organization s credibility Become known as unresponsiveness He suggest that organizations in his case churches Make responsiveness an extremely high value in the organization Encourage people in positions of power to lead by example Answer all emails and return calls promptly even if you don t have an answer yet Have a system is in place to respond to all queries Never ignore a request Is your organization a responsive one or not And if not are you brave enough to embrace the responsibility of responsiveness It comes with a price either way Anthony Cirillo is president of Fast Forward Consulting which specializes in experience management and strategic marketing for healthcare facilities He also is the expert guide in Assisted Living for About com 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

    Original URL path: http://www.hospitalimpact.org/index.php/2014/10/09/p4896 (2016-02-10)
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