May 2009

Going with the Patient Flow Newsletter

HONC Issues Operating Plan for HITEC
Health Data Management

The Office of the National Coordinator for Health Information Technology has released to Congress an operating plan for implementing provisions of the HITECH Act within the American Recovery and Reinvestment Act. The plan describes 19 upcoming regulations, guidance, reports and studies regarding the enhanced HIPAA privacy and security rules, and their due dates under the law. It also lists six tasks, and due dates, for heightened enforcement of the rules. The operating plan is available at hhs.gov.
http://www.healthdatamanagement.com/news/HITECH-28217-1.html?ET=healthdatamanagement:e873:117429a:&st=email&channel=policies_regulation

http://www.hhs.gov/recovery/reorts/plans/onc_hit.pdf

How the Cost Center Mindset is Costing Hospitals Millions
Jackson Healthcare white paper
What if today's hospitals were managed as a collection of profit centers, instead of cost centers? Healthcare thought leader, Rick Jackson, believes costs and revenues are misleading metrics in measuring the success of a service line. This white paper challenges executives to transform their hospital's financial model in order to remain healthy staples of their communities.
http://www.healthleadersmedia.com/forms/Jackson-05182009/

Health Providers Should Move Forward With EHR Adoption
Jack Beaudoin, Healthcare IT News

Health care IT experts are urging health care providers not to delay electronic health record adoption until the federal government has defined "meaningful use" of EHRs. The economic stimulus package includes about $20 billion for direct funding and incentives for health care providers who implement EHRs and demonstrate meaningful use beginning in 2010. The definition of meaningful use is left up to the HHS secretary. Mark Leavitt, president and CEO of the Certification Commission for Healthcare IT, said, "Just buying a certified EHR is not meaningful use." However, he said that there is no mystery about what meaningful use will entail in the near future.
http://www.healthcareitnews.com/news/meaningful-use-no-mystery-experts-contend

Precious Commodity -- Beds at a Premium
Lindsey Getz
, For The Record
Some combination of technology, daily assessments, and better communication across departments can help healthcare organizations gain efficiencies and improve care. The concern is that poorly managed patient flow isn't only a hassle for hospitals but can also have more serious consequences. This is particularly true in vulnerable areas such as the emergency department, where a lack of beds could put patients' health and safety in jeopardy. "The inability to move patients from the emergency department into the inpatient setting is one of the areas where patient flow problems are most visible-and can also be the most critical," says Diane Jacobsen, MPH, CPHQ, director of the Institute for Healthcare Improvement.
http://www.fortherecordmag.com/archives/041309p20.shtml

Health Outcomes Driving New Hospital Design
Carol Ann Campbell, The New York Times

In many new hospitals and pavilions, single-patient rooms are now viewed as an important element of high-quality healthcare. The benefits of the single room emerged through evidence-based hospital design. More than 1,500 studies have examined ways that design can reduce medical errors, infections and falls-and relieve patient stress. Besides privacy, research shows that single rooms reduce infections and patient stress, and improve sleep. In 2006, the American Institute of Architects called for single rooms in all new hospital construction.
http://www.nytimes.com/2009/05/19/health/19hosp.html?_r=2&scp=14&sq=health%20care&st=cse

Virginia Eyes Health IT Funding From Stimulus to Drive Growth
The Roanoke Times
Government and health-industry leaders in Virginia have set their sights on getting a share of the budget found in the stimulus package for health IT tools. The state is creating an advisory panel to help providers secure federal funding as well as deploy EMRs. Sen. Mark Warner, D-Va., has organized a summit set to take place today in Richmond that will be attended by Dr. David Blumenthal, who heads the Office of the National Coordinator for Health Information Technology.
http://www.roanoke.com/business/wb/205025

The Machinery behind Health-Care Reform
Robert O'Harrow Jr.,
Washington Post
A Washington Post review found that the trade group, the Healthcare Information and Management Systems Society, had worked closely with technology vendors, researchers and other allies in a sophisticated, decade-long campaign to shape public opinion and win over Washington's political machinery. With financial backing from the industry, they started advocacy groups, generated research to show the potential for massive savings and met routinely with lawmakers and other government officials. Their proposals made little headway in Congress, in part because of the complexity of the issues and questions about whether the technology and federal subsidies would work as billed.
http://www.washingtonpost.com/wp-dyn/content/article/2009/05/15/AR2009051503667.html?hpid=topnews

Is It Possible To Provide Adequate Health Care For All? If Not, What Gives?
McKinsey What Matters

Healthcare reform is front and center these days as the US struggles to extend affordable coverage to the uninsured while reining in budget deficits. Can the Obama Adminstration meet both goals? Yes, but it won't be easy, according to both Harvard's Regina Herzlinger and Berkeley's Jacob Hacker in new essays.
http://whatmatters.mckinseydigital.com/

VC Firm: Med-Tech, Health IT Ripe For Investment
Molly Merrill, Healthcare IT News
Medical technology and health IT rank as the top areas for investment in the U.S. this year, as the country prepares to make major changes to the care-delivery system, according to a report from Psilos Group, a venture capital company. "Innovation gaps" need to be filled in order to transform health care, and this requires the broad adoption of IT solutions across ambulatory, diagnostic and other clinical settings, the report said.
http://www.healthcareitnews.com/news/report-hit-and-medical-technology-are-prime-investments-2009

O-Games Confirms Hysteria Hospital: Emergency Ward for Wii and DS
Ign.com

Video game Hysteria Hospital is coming to Wii. "Hysteria Hospital challenges players to race up anb down hospital floors, treating testy patients with crazy ailments while saving your emergency room from turning into mass hysteria."
http://ds.ign.com/articles/982/982875p1.html

From the C-Side

Shrinking Margins, Shrinking Options?
Tom Day, HealthLeaders Media

Margins at U.S. hospitals are declining as the recession and growing unemployment impacts insurance coverage, hospital investments, volumes, and even the health levels of the patients showing up at emergency rooms. Hospital executives are being pressured by their communities to save jobs and provide more community benefit; while at the same time healthcare reform hangs overhead and the media relentlessly pounds out story after story about the high cost of healthcare. So what's a hospital CXO, or C-level, executive to do?
http://www.healthleadersmedia.com/content/233227/topic/WS_HLM2_FIN/Shrinking-Margins-Shrinking-Options.html

A Cookie for Cost-Cutting
Philip Betbeze, for HealthLeaders Media

Hospitals are cutting costs in a variety of ways. Some are engaging their employees to help rein in costs, while some are taking a top-down approach and cutting employees themselves. It's painful, but it has to be done. Still, cost-cutting is not a long-term strategy with much staying power.
http://www.healthleadersmedia.com/content/232723/topic/WS_HLM2_LED/A-Cookie-for-CostCutting.html

New Leadership Needed to Tackle Healthcare's Adaptive Challenges
Kristin von Donop, for HealthLeaders Media

Healthcare executives are under enormous stress. Trying to improve quality and safety, increase access, and reduce costs is exhausting. There is great pressure to satisfy many conflicting and competing interests. We all agree that deep systemic change is needed, and the gap between the current reality and where we want to be continues to widen. Yet many of the key parties behave as though they want their part in the current system to continue.
http://www.healthleadersmedia.com/content/232375/topic/WS_HLM2_LED/New-Leadership-Needed-to-Tackle-Healthcares-Adaptive-Challenges.html

How Not To Manage Like Dick Fuld or Genghis Khan
Stefan Stern, Financial Times
A go-getter CEO sometimes has to push people beyond their comfort zone to get things done. But a boss who pushes hard all the time is a bully, and management by bullying ends badly, says columnist Stefan Stern. New research by Buck Consultants shows that managers who impose change on staff are only moderately successful and that true two-way communication yields better results.
http://www.ft.com/cms/s/0/4aecb04a-38c4-11de-8cfe-00144feabdc0.html?nclick_check=1