Clinical

  • 05/16/18
    Clinical-supply integration (CSI) centers on ensuring that supply and device decisions reside with physicians and provides a vehicle to drive out unwarranted clinical variation. To do this, physicians must be informed by verified, accurate data. And, though data alone cannot integrate your supply chain, you cannot clinically integrate your supply chain without it. That’s because it’s the foundation of CSI and also the driver that sustains it.more...
  • Guest blog
    05/11/18
    It’s fitting that National Nurses Week ends this year on May 12—the birthday of Florence Nightingale. It brings to mind the powerful words she spoke in 1854 in response to what she saw in the hospital barracks housing the Crimean War’s sick and wounded: “We can do better than this.” As she made her solitary rounds with her little lamp, she saw doctors and caregivers not wash their hands, patients who weren’t helped to eat or get a drink of water, and others...more...
  • Guest blog
    05/09/18
    I recently found myself feeling incredibly energized and inspired. I had hung up the phone after having a consultative conversation with two nursing leaders about a charge nurse leadership program I developed and implemented. Rather than them thanking me for the advice and direction I had provided, I found myself thanking them. They helped me remember my overarching vision for how I hope the work I do, day in and day out, will someday impact the broader vision of developing emotionally healthy...more...
  • 05/02/18
    Nurses have always been role models, and we have the numbers to prove it. A recent Gallup poll showed that the American public views nursing as the most ethical profession for the 16th year in a row. That’s because nurses are viewed not only as caregivers, but also as teachers, companions and cheerleaders.more...
  • 04/30/18
    Many clinicians, myself included, recall CMS’ Sustainable Growth Rate (SGR) formula and Congress’ two decades of intervention to stop reimbursement decreases. In 2015, the Medicare Access and CHIP Reauthorization Act (MACRA) replaced the SGR formula with two tracks to choose from in CMS’ Quality Payment Program: the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs).more...
  • Guest blog
    04/25/18
    It's 6:45 p.m., near the end of your third 12-hour shift in a row. The night shift will be arriving any second, and then you are off for four days. You decide to round on your patients one final time before report. more...
  • Guest blog
    04/20/18
    In 1974, a groundbreaking article by Dr. Charles E. Butterworth, Jr. described malnutrition as “the skeleton in the hospital closet” because it so often went undetected and untreated. Sadly, more than 40 years later, contemporary authors similarly describe malnutrition as a silent epidemic. Reports today show that 20 to 50 percent of hospitalized patients are malnourished upon admission.more...
  • 04/17/18
    You may remember the classic American film, “Field of Dreams,” starring Kevin Costner and James Earl Jones. In the movie, Ray Kinsella (Costner), an Iowa farmer, hears a voice whispering, “If you build it, he will come.” As the story develops, the whispering voice morphs into visions of a need for Ray to turn a portion of his cornfield into a baseball field so star players from yesteryear can return and relive their dreams. After the first player arrives, he asks Ray if...more...
  • 03/19/18
    Patients expect hospitals to be safe places; places of healing, not harm. But those of us in health care know that’s not always the case. Patients experience harm in the course of their care from hospital-acquired conditions (HACs), such as central-line blood stream infections or ventilator-associated pneumonia. The rate of patient harm has been quantified by the Agency for Healthcare Research and Quality as 115 HACs per 1,000 discharges, according to the 2015 Annual Hospital-...more...
  • 03/15/18
    As the U.S. moves toward a pay-for-performance quality and safety model, addressing care for vulnerable populations is vital. Hospitals must now find an effective way to manage both medical and non-medical factors for their patients. However, these non-medical factors are also some of our most pressing social issues: poverty, race, geographic location, and ethnicity and language barriers.more...