Clinical

  • 09/27/17
    Sepsis is the most common, costly and deadly diagnosis in U.S. hospitals, with one sepsis patient being diagnosed every 20 seconds. More people die from sepsis than from prostate cancer, breast cancer, and AIDS combined. Yet only a little more than half of American adults have even heard of sepsis. So what is it exactly? Sepsis is a body’s overwhelming and life-threatening response to infection. Severe sepsis is diagnosed when a patient has an infection plus additional signs of organ...more...
  • 09/07/17
    It’s no secret that doctors love data. We love it because it informs which devices we use, our treatment methodologies and how we can improve patient outcomes. And, while the move to value-based care has been a challenge for physicians, I believe the data that is being generated as a result offers an incredible opportunity to advance the quality of care as well as lower costs. A great example of this is the information captured in episodes of care.more...
  • 08/29/17
    Consider this statistic: In 2015, the amount of opioids prescribed was enough for every American to be medicated around the clock for three weeks. Say it aloud and your brain will have a hard time accepting what your mouth is telling it. The amount of opioids prescribed was enough for every single American to be medicated around the clock for three weeks.more...
  • 07/13/17
    “Game over.” It’s the angst clinicians feel as they realize it’s only a matter of time before they see the accreditation surveyors coming through the door. Adding to the angst is the fact that The Centers for Medicare & Medicaid (CMS), as the consumer advocate, is pushing for a more straightforward review by the accreditation organizations, such as CMS’ “see it-cite it” methodology. Instead of accepting 90% as an acceptable opportunity for...more...
  • Guest blog
    06/29/17
    Last December, nursing was ranked as the most trusted profession for the 15th consecutive year. This isn’t surprising because nurses provide consistent support and comfort in a patient’s most vulnerable moments. They also go beyond providing physical healing to promote social, emotional, intellectual, occupational and spiritual wellness for the people in their care. It seems natural to assume that nurses would provide this same support to one another. Unfortunately, this is not...more...
  • 06/16/17
    We are now at the halfway point of 2017, which is the first performance measurement year for MACRA. Have you selected what performance metrics you will report and what method of reporting you will use? If you haven’t done anything up to this point related to MACRA compliance, do you know what to do in the second half of 2017 to avoid a payment penalty in 2019? more...
  • Guest blog
    05/24/17
    As someone on the front line of patient care, I know one thing to be absolutely true: left unchecked, the stress nurses face on a daily basis in providing care for others can severely impair their mental and physical well-being.more...
  • 05/10/17
    It’s that time of year again when nurses and health care organizations take time out to celebrate the profession of nursing. This year’s celebration of National Nurses Week is a special one for me as I mark my 25th year as a nurse. While I am amazed at how far nursing has come over my career, I also see there is much more that we need to accomplish. One area that I have given a lot of thought to recently is how we can empower bedside nurses as clinical leaders and change agents to...more...
  • Guest blog
    05/05/17
    If you have ever traveled in an airplane, then you’ve heard the safety instructions provided by the flight crew before takeoff, reminding you to put on your own oxygen mask first before assisting other passengers. This is an essential part of the survival chain because if you run out of oxygen, you won’t be able to assist anyone else. more...
  • Part two in a two-part blog series
    04/20/17
    The increased pressure on nursing leadership to manage budget and productivity continues to add to the sometimes overwhelming mountain of responsibilities of this group of former caregivers. I think it’s often forgotten that nurse leaders are just that: nurses. Nowhere in our education on pharmacology, pathophysiology and anatomy did they sneak in studying the ins and outs of productivity. And yet it has arguably become one of the most critical aspects of a nursing leadership position...more...