Operations

  • 11/15/16
    As a certified data junkie, I have spent a considerable amount of time studying the composition of the CMS Overall Hospital Quality Star Rating program. While I understand and appreciate what CMS is trying to provide patients and the public at large, I am not a fan of the current methodology, which I feel doesn’t result in an accurate reflection of the quality of care hospitals are delivering across our country.more...
  • 11/10/16
    On January 20, 2017, Donald J. Trump will be sworn in as the 45th President of the United States of America. He comes into this role after what many consider to be the greatest political upset in modern day history. The uncertainty ahead that many speak of is not meant necessarily in a positive or negative way, but rather speaks primarily to what happens when a self-proclaimed political outsider joins what is largely considered a “club” of lifetime politicians.more...
  • 11/08/16
    In health care, clinicians have been trained that using safety checklists, watching for changes in vital signs and reviewing fluctuations in labs can catch a problem early or, even better, avoid it completely by taking a proactive approach. Success at these tasks is often rewarded with promotion to front-line leadership roles. However, many aren’t prepared to take on responsibility for planning, forecasting, coordinating and leading as many as 100 employees and maintaining high levels of...more...
  • 10/27/16
    The U.S. is in the midst of a national crisis. In the past two decades we have seen increasing use, abuse and deaths associated with opioid medications. Here are a few disconcerting trends*: Prescribing opioids is on the increase. Approximately 20 percent of patients receive an opioid prescription for non-cancer-related symptoms or pain-related diagnosis in America. This 20 percent translates to approximately 259 million prescriptions or an equivalent of one bottle of opioids for every adult...more...
  • 10/26/16
    An alphabet soup of regulations, guidelines and standards, all competing for resources, some financial and almost all involving human capital to implement and execute, are coming at clinicians and hospital administrators faster than the F-18s that fly over my neighborhood in Virginia Beach. The speed and pace of change in our industry have managers’ and staffs’ heads spinning. The first challenge is staying on top of the information that is coming fast and furious while also...more...
  • Sg2, a Vizient company
    10/21/16
    In the early spring, we smelled smoke in the public health insurance exchange markets. There were accounts of consumers stopping payments on their premiums and a few notable insurers were reporting financial losses. Those early signs of smoke have given way to a raging, 5-alarm fire that threatens to bring the roof down on the 11 million Americans who buy their health coverage on the exchanges—along with the doctors and hospitals who care for them.more...
  • 10/12/16
    The news of Dartmouth’s withdrawal from the accountable care organization (ACO) program, as reported in a recent article in The New York Times, caught many by surprise since the ACO model can be traced back to concepts initially proposed by Dartmouth researchers. Citing unsustainable financial results, Dartmouth discontinued its participation in the federal ACO program.more...
  • Guest blog
    09/21/16
    Health care spending in the U.S. exceeds $3 trillion per year and 10 percent of the population – the chronically ill – accounts for approximately 60 percent of that cost. Those patients are distinguished by their complex medical conditions that often require costly interventions. As noted in a previous Vizient blog, more than two-thirds of Medicare beneficiaries have multiple chronic diseases and a staggering 93 percent of total Medicare spending goes toward beneficiaries with...more...
  • Sg2, a Vizient company
    09/21/16
    Since 2013, microhospitals have continued to pop up across the country. Leading organizations, such as Baylor Scott & White Health in Texas, SCL Health in Colorado and Dignity Health based in California, have built microhospitals to expand their footprint. Just this month, St. Vincent Health in Indiana announced its plans to open four microhospitals in the Indianapolis area. Likewise, Saint Joseph Mercy Health System in Ann Arbor, MI, is planning to open a microhospital concept that will...more...
  • 09/14/16
    Consider this your public service announcement for the day:  VOTE!  Given the current political climate, I would not presume to enter the debate over which of our presidential candidates should be in the White House come 2017; we could certainly discuss that for hours ... or days ... or for the next four years. However, regardless of anyone’s opinion on our candidates, the fact remains that we will have a new president in less than 60 days and thus, changes are on the way.more...