Clinical

  • 02/07/18
    It’s not often that a blog broaches the difficult topic of human trafficking. But in my view, the subject is too important not to address since the first step to any change is awareness. The facts are that approximately two million adults and children in the United States are victims of human trafficking. And hospital staff are among the most likely people to encounter this hidden population. Knowing what to ask and what to look for at the point of care can save lives.more...
  • 01/26/18
    Do you know what drug diversion looks like? How would you know if it was happening in your facility? The U.S. Drug Enforcement Administration refers to drug diversion as employee pilferage. The term “pilferage,” according to Webster’s Dictionary, is “the act of stealing small amounts or small articles.” But don’t be fooled. An individual employee pilfering small amounts of medication can have significant implications for patients, providers and public trust...more...
  • 01/16/18
    “No outcome, no income” was how a colleague of mine recently described the value-based bundled payment model becoming more common in health care. That simple statement sums up the mindset we must adopt across all aspects of care delivery to successfully manage costs within an episode of care.more...
  • 11/15/17
    For more than a decade at Vizient, we have been studying top performers in cost, quality and outcomes. My colleagues and I spend a lot of time talking with hospital executives and ambulatory care professionals across the country about the strategies, tactics and behaviors that help them truly accomplish the goals they want to achieve. And perhaps more importantly, the factors that differentiate top performers. Surprisingly, factors such as the number of staff, if state-of-the-art technologies...more...
  • 11/13/17
    Unwanted variability in clinical processes is a pervasive, intractable problem in virtually every hospital and is adversely affecting outcomes, patient satisfaction, operational efficiency, performance measures and costs. Consider these studies that have shown:more...
  • 11/07/17
    In 2015, 90 people died each day from an opioid overdose. If you subtract deaths attributed to heroin and synthetic opioids, such as illicitly manufactured fentanyl, the number drops to 42 deaths per day. That is still 42 deaths daily from drugs that were prescribed by a licensed health care professional. How did we get here?more...
  • 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...more...
  • Sg2, a Vizient company
    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...