Clinical

  • 06/22/16
    A little more than two years ago, separated by three months, my wife and I were blessed with the arrival of two grandsons. They have enriched our lives immeasurably, and as I watched one of them playing recently, I found myself thinking about the second law of thermodynamics and the concept of entropy. Simply defined, entropy is nature’s inexorable march toward chaos.more...
  • Sg2, a Vizient company
    06/22/16
    It is no surprise that virtual health continues to be a hot topic among our clientele and across the health care industry. The majority of hospitals and health systems have implemented some sort of virtual health program or expect to do so soon. But the path to a unified, system-level virtual health initiative, the return on investment (ROI) and the best way to track success remain anything but clear, varying considerably across markets.more...
  • 06/07/16
    Winston Churchill once said, “If you have an important point to make, don’t try to be subtle or clever. Use a pile driver. Hit the point once. Then come back and hit it again. Then hit it a third time – a tremendous whack.”more...
  • 06/03/16
    Each year, the arrival of spring coincides with announcements from the Centers for Medicare & Medicaid Services (CMS) about proposed changes to hospital inpatient reimbursement policy and rates for the coming year. So while the calendar and weather signal a coming of better things, reading over the Inpatient Prospective Payment System (IPPS) plan for 2017 signals continued turbulence for hospitals.more...
  • 05/25/16
    Ambulatory health care operations and the airlines have one important feature in common: high fixed costs.more...
  • 04/29/16
    A recent blog by Vizient’s Jodi Eisenberg shared insights about maintaining perspective on accreditation surveys in order to keep staff focused on delivering care to patients. The post included several recommendations, two of which I would like to dig into more deeply: using sources of truth and conducting mock surveys.more...
  • 04/25/16
    Sixty-seven metropolitan areas in the United States became subject to bundled payment rules for Comprehensive Care for Joint Replacement (CJR) on April 1, 2016. Although the concept seems simple and straightforward – all hospitals involved are held financially accountable for quality of care, utilization and outcomes over a 90-day episode for major joint replacements – how it impacts clinical and operational processes is something with which many providers wrestle.more...
  • 04/13/16
    After years of development, the ABSORB Vascular Bioresorbable Scaffold finally had its day before the U.S. Food and Drug Administration (FDA) Circulatory System Devices Panel on March 15. The news didn’t disappoint. The panel overwhelmingly recommended that the FDA approve the new device. Now we wait for the FDA to complete its work, which generally takes a few months, and then hopefully the device will become available in the U.S.more...
  • 03/31/16
    Hospitals experienced the first financial impact of the Centers for Medicare & Medicaid Services (CMS) Value-based Purchasing (VBP) Program in Fiscal Year 2013. Since then, it has evolved in complexity and financial risk and continues to be a key strategy in the U.S. Department of Health & Human Services’ goal of tying 90 percent of Medicare traditional payments to quality or value by 2018.more...
  • 03/16/16
    Jugglers always amaze and impress me. Someone who can juggle mismatched items is even more impressive—balls, fruit, bowling pins, for example. In order to keep everything in the air, their focus must be keen. As a hospital accreditation professional, I see jugglers every day. They are the clinicians who attend to the needs of patients while simultaneously adhering to clinical protocols and remaining mindful of hospital policy. They are amazing, but if they lose focus and something drops...more...