Most recent posts

  • 05/23/18
    In 1960, the Harvard Business Review published a landmark article by Theodore Levitt entitled, “Marketing Myopia,” in which Dr. Levitt posed a defining question to American executives: What business are you really in? The article cited the failure by the railroads to recognize themselves as being in the transportation business, thereby enabling competitors from outside of the railroad industry to meet consumer needs with automobiles and airplanes.more...
  • 05/18/18
    The world has become connected. Social media platforms such as Facebook, Twitter and LinkedIn connect us to friends, family and associates. We now share information and experiences in real-time. Smart phone apps and exercise trackers log our health habits and congratulate us just for walking through the grocery store.more...
  • 05/16/18
    Clinical-supply integration (CSI) centers on ensuring that supply and device decisions reside with physicians and provides a vehicle to drive out unwarranted clinical variation. To do this, physicians must be informed by verified, accurate data. And, though data alone cannot integrate your supply chain, you cannot clinically integrate your supply chain without it. That’s because it’s the foundation of CSI and also the driver that sustains it.more...
  • Guest blog
    05/11/18
    It’s fitting that National Nurses Week ends this year on May 12—the birthday of Florence Nightingale. It brings to mind the powerful words she spoke in 1854 in response to what she saw in the hospital barracks housing the Crimean War’s sick and wounded: “We can do better than this.” As she made her solitary rounds with her little lamp, she saw doctors and caregivers not wash their hands, patients who weren’t helped to eat or get a drink of water, and others...more...
  • 05/09/18
    I was walking on a bluff overlooking Lake Michigan just before sunset when the peaceful lapping of the waves was interrupted by what sounded like a swarm of angry bees. The hum alternately grew louder then faded. Glancing up, I saw not a swarm of bees but a hovering camera, held aloft by four vertical propellers, with blinking red and green lights. A drone. It was my first close encounter with one of the tiny airships and it prompted me to do a little reading about the phenomenon of private...more...
  • Guest blog
    05/09/18
    I recently found myself feeling incredibly energized and inspired. I had hung up the phone after having a consultative conversation with two nursing leaders about a charge nurse leadership program I developed and implemented. Rather than them thanking me for the advice and direction I had provided, I found myself thanking them. They helped me remember my overarching vision for how I hope the work I do, day in and day out, will someday impact the broader vision of developing emotionally healthy...more...
  • 05/02/18
    Nurses have always been role models, and we have the numbers to prove it. A recent Gallup poll showed that the American public views nursing as the most ethical profession for the 16th year in a row. That’s because nurses are viewed not only as caregivers, but also as teachers, companions and cheerleaders.more...
  • 04/30/18
    Many clinicians, myself included, recall CMS’ Sustainable Growth Rate (SGR) formula and Congress’ two decades of intervention to stop reimbursement decreases. In 2015, the Medicare Access and CHIP Reauthorization Act (MACRA) replaced the SGR formula with two tracks to choose from in CMS’ Quality Payment Program: the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs).more...
  • Guest blog
    04/25/18
    It's 6:45 p.m., near the end of your third 12-hour shift in a row. The night shift will be arriving any second, and then you are off for four days. You decide to round on your patients one final time before report. more...
  • Guest blog
    04/20/18
    In 1974, a groundbreaking article by Dr. Charles E. Butterworth, Jr. described malnutrition as “the skeleton in the hospital closet” because it so often went undetected and untreated. Sadly, more than 40 years later, contemporary authors similarly describe malnutrition as a silent epidemic. Reports today show that 20 to 50 percent of hospitalized patients are malnourished upon admission.more...