Operations

  • 04/01/19
    As the advanced practice provider (APP) workforce continues to expand its footprint across the health care landscape, significant focus has been placed on maximizing clinical team capabilities by executing to full scope of practice to provide high-quality, cost-effective care. To achieve these very important goals, organizations must ensure they have the structure to adequately support the needs of the entire provider team and especially for this expanding group of APPs.more...
  • 03/12/19
    Take a deep breath, roll your eyes, say a cheer or shed a little tear – depending on your views – but no matter what your thoughts are, the president’s budget request you are hearing so much about right now is NOT LAW.more...
  • 03/11/19
    Did you ever dip your toes into a swimming pool and recoil because the water felt like it was 47 degrees? So you settled into a lounge chair beneath an umbrella, determined not to go into the pool in spite of your pleading children or some wise guy urging you to “come on in, the water’s fine.” You held out as long as you could but eventually you couldn’t avoid it any longer so you considered the merits of easing your way in versus jumping in and getting the breath...more...
  • 03/05/19
    Health care organizations are sometimes resistant to change and yet in search of change all at the same time. Across the country, large health systems, academic medical centers and community hospitals continue to seek out ways to maximize operations, improve financial performance and deliver high quality patient care.more...
  • 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...