Operations

  • 01/31/19
    The statistics are scary. Nearly 5 million Americans are currently living with congestive heart failure (CHF) and approximately 550,000 new cases are diagnosed in the U.S. each year. But, that’s only part of the story. Along with diabetes mellitus, chronic obstructive pulmonary disease and acute myocardial infarction, CHF patients fall into the all too familiar group of diseases significantly contributing to preventable hospital readmissions. Scary, too is the financial and reputational...more...
  • 01/22/19
    One weekend last summer, the temperature hit 99 degrees. As I walked down the sidewalk, I could see heat waves rising from the pavement. Two kids stood behind a folding table, on which sat a jug of ice-cold lemonade, the droplets of condensation running down its side. A hand-painted sign said, “Lemonade 25¢.” Handing one of the kids a dollar bill, I drank the lemonade; there are few things better than a very cold drink on a very hot day. The little girl counted out three...more...
  • 01/04/19
    The release of the Pathways to Success proposed rule to overhaul the Medicare Shared Savings Program (MSSP) in August 2018 provided further indication that the Centers for Medicare & Medicaid Services (CMS) intends to continue its push toward value-based care by increasing the financial risk transfer to providers. After much speculation regarding the final rule, it was released on Dec. 21, 2018, largely intact from the CMS proposal, with a few notable changes. What’s changed? Here...more...
  • 12/04/18
    The sight of a frustrated motorist, struggling at the side of a dusty road to remove a tire whose inner tube had been patched once too often, was anything but unusual in the summer of 1943. Military occupation of Malaya and the East Indies in early 1942 had eliminated more than 90 percent of America’s rubber supply. Scrap drives for everything from raincoats to tin cans became increasingly common as the country dealt with the challenges of scarcity.more...
  • 12/03/18
    It’s December. All around us are reminders that this is the season for joy: colorful lights, familiar carols and cherished family and friends. But if you read health care news, or speak with your staff, you know that joyful isn’t always the way our workplaces are described. Almost weekly, we see new and startling studies stating how burnout has taken root in our hospitals, stealing the joy from one of the most noble career pursuits - being a caregiver. A few fast stats reveal:more...
  • 11/12/18
    If last Tuesday’s election results are any indication, then the answer to that is a solid “maybe.” While the 2018 midterms produced some confusing results, they did offer some clarity with respect to health care policy. First, a recapmore...
  • 11/06/18
    My new automobile insurance card arrived in the mail recently. My old card was made of sturdy plastic. The new card was made of paper. As I turned the card over in my hands, hoping that the lightweight construction was not a harbinger of thinner coverage, something caught my eye that made me stop and think. On the back of the card was a code referring to “uninsured motorist” protection. A portion of my auto insurance premium covers me in the event that I am involved in an accident...more...
  • Guest blog
    11/01/18
    Going Lean can be a challenge. After all, it’s a leadership and performance improvement style that may not easily fit within every organization’s management philosophy. Across the country, 75 percent of all health care providers have tried the Lean method and struggled with it. But there are success stories, most recently by leadership at New Hanover Regional Medical Center (NHRMC) in Wilmington, N.C.more...
  • 10/29/18
    Health care organizations collect patient demographic data including race, ethnicity and language (REAL) to fulfill meaningful use attestation, meet federal accreditation requirements and adhere to CLAS standards (Culturally and Linguistically Appropriate Services). How organizations use this data, however, varies greatly. Many organizations are beginning to use the information with their clinical quality and safety improvement efforts.more...
  • 10/22/18
    In December 1913 Henry Ford introduced the assembly line, revolutionizing the production of automobiles. For the first time, cars moved while the workers and their tools did not. Productivity increased dramatically, as the time required to produce an automobile dropped from 12 hours to two hours. Manufacturing would never be the same. A few weeks later, in February 1914, the Detroit Symphony Orchestra reemerged, having ceased operations in 1910. It’s a good bet that Mr. Ford was...more...