Most recent posts

  • 05/03/19
    While watching a recent episode of a medical television series, I was particularly fascinated by the way they showed how droplets from a sneeze spread from the emergency room throughout the hospital. The droplets could be seen as glowing and moving dots! The droplets traveled easily and quickly without anyone noticing them. Just like in real life, we don’t “see” the germs, making it easier than we realize for infection to spread.more...
  • 05/01/19
    As health care continues to evolve with new technologies and continued pressure to lower costs, health systems must also evolve to decrease variation in care and eliminate waste – all of this without affecting patient outcomes. It’s a seemingly tall order, but one within reach of fulfilling.more...
  • 04/23/19
    In a recent Vizient webcast about successful practice transformation in ambulatory care delivery, I was asked, “How does the patient know when they’ve experienced true team-based care?” It was a great question and, quite frankly, I had to think about it. I could provide a textbook definition, but could I accurately describe what it looks like to the patient?more...
  • Sg2, a Vizient company
    04/18/19
    Recent communications from CMS included the addition of hospital outpatient total knee arthroplasty to the second cohort for Bundled Payment for Care Improvement-Advanced (BPCI-A). For those providers still undecided on BPCI-A, or even those 16% who took the opt-out and withdrew from the program, the second cohort is an opportunity not to be overlooked.more...
  • 04/16/19
    The use of a value analysis process in the health care setting isn’t new. In fact, it’s become a strategic imperative for health care organizations as they work to provide the highest-quality, most cost-effective care for their patients. However, in my experience the one complaint I hear most often is, “Why does it take so long to put through an initiative? Where is the speed to value?”more...
  • 04/11/19
    You arrive at 6 a.m., lunch in hand and the hospital is humming quietly. You open the door to your windowless basement office, turn on the lights and power up your computer. As the monitor’s glow transitions to your inbox, you’re reminded of the stack of cost savings and process improvement ideas that you have on the burner. more...
  • 04/09/19
    On the northern end of Vancouver Island in British Columbia is a small harbor called Telegraph Cove. With its roots in a tiny logging outpost early in the last century, it’s situated along a remarkable marine ecosystem known as the Johnstone Strait. Home to approximately 150 resident orcas, Telegraph Cove has an international reputation for whale watching done right – with respect for the whales and an expressed acknowledgement that they, not we, are at the center of things.more...
  • 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...