Most recent posts

  • 02/15/19
    Coming to the table to resolve conflict is never easy. After all, the word itself has a negative connotation that evokes images of friction and war. In the world of supply chains, conflict can easily emerge when you mix external partners together with your team of purchasing supervisors, operations leaders and contract managers. Each party comes with its own perspective on how goods and services should flow through the chain.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...
  • 01/28/19
    We’ve all heard the saying, “walk a mile in someone else’s shoes” as a way of understanding another’s experiences, challenges, thought processes and perspectives. Seeing someone actually do it is a unique experience. Cathy Gray, director, clinical support supply chain at Sentara Healthcare, started her career with Sentara as a registered nurse and over the course of the next several years she served in different nursing roles in both inpatient and outpatient...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...
  • 12/19/18
    We can learn a lot when we pause and listen. So the Vizient Center for Advancing Provider Practices (CAP2™) thought leader group did just that. The group has advanced practice provider (APP) leadership representation from each member organization within the CAP2 program and they come together multiple times a year to identify key topics affecting APP practice. During a recent meeting, we wanted to know what some of the greatest challenges the APPs within their organizations face. more...
  • 12/14/18
    Picture this scene: a nurse in her 50s attends to an ED patient who is suffering a seizure. The nurse successfully uses a time-tested approach to treat the patient. Her 20-something colleague observes her actions and compliments the older nurse’s quick thinking and judgment call. The millennial nurse then proceeds to suggest an alternative method she recently learned in nursing school. This remark slightly annoys the nurse who has worked 30-plus years in health care.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...
  • 11/15/18
    In the United States, suicides rank 10th in the nation as the leading cause of death. Of the nearly 45,000 suicides that occur each year, approximately 50 to 65 occur in hospitals. Although this is a low number, facilities must be diligent in their efforts to provide a safe environment for at-risk patients.more...