Operations

  • 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...
  • 06/02/16
    Late last year, Congress unexpectedly passed a law that significantly reduced payment rates for off-campus hospital outpatient departments (HOPDs) that were not billing Medicare by the date of enactment, Nov. 2, 2015. The provision – Section 603 of the Bipartisan Budget Act – applied to HOPDs based more than 250 yards from the main hospital campus and lowered reimbursement rates to that of a physician’s office or ambulatory surgery center.more...
  • 05/25/16
    Ambulatory health care operations and the airlines have one important feature in common: high fixed costs.more...
  • 05/18/16
    With the April 1 launch of the Centers for Medicare & Medicaid Services’ (CMS) Comprehensive Care for Joint Replacement (CJR) model, participating hospitals are financially accountable for the quality of care delivered to Medicare beneficiaries undergoing hip and knee replacements, from surgery through recovery. With CJR, hospitals are now more incentivized than ever to work collaboratively with physicians and post-acute providers to improve care patient care.more...
  • Sg2, a Vizient company
    05/04/16
    What consumer doesn’t love a good price war? Savvy shoppers have been the beneficiaries of ferocious pricing wars among airlines, wireless carriers and big box retailers just to name a few examples: consider one-way fares to Maui for $199 or holiday-time iPhones for $45. How about blue jeans for 9 cents? While customers rejoiced, most of the companies engaged likely were licking their wounds. These are typically wars of attrition that make the battles we’re now witnessing in the...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...
  • 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...