October 2009

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Federal Stimulus Package Fuels Demand for Health IT Professionals
Information Week
As hospitals and physician practices gear up to comply with federal requirements to qualify for stimulus incentives of more than $20 billion, the need to hire new people for their IT departments is paramount. Among the specific jobs that health care CIOs plan to hire during the last quarter are technical and help-desk support, information security and networking, according to a survey by IT staffing company Robert Half Technology.
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The Absence of Market Capitalism Broke Healthcare
Jim Rosenblum, Dialogues in Healthcare Transformation
Name something you purchase without knowing the cost, the quality or the best use of the product you are buying. A root cause for what is popularly thought of as "America's Healthcare Problem" is that market capitalism has been taken out of the mix. Consumers of healthcare are not the purchasers of healthcare. The purchasers of healthcare (payors) are large employers and insurance companies that negotiate with providers to determine reimbursement rates for procedures.
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True Cost of Stimulus Won't Be Known For Years
Neil Versel, FierceEMR
There seem to be a lot of questions about just how much money the federal government is allocating for EMRs as part of the American Recovery and Reinvestment Act. For hospitals, the formula is highly complicated. Institutions that achieve meaningful use of EMRs starting in 2011 can earn a baseline annual incentive of $2 million, plus an extra $200 paid per discharge for the 1,150th through 23,000th discharge per year. And the total payout will be adjusted according to each hospital's level of charity care and Medicare population. Good luck pinpointing how much Uncle Sam will owe in that category.
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Social Networking Fuels Online Health Sites
The Washington Post
The number of health Web sites has increased from about 35 in 2005 to almost 500 due in part to the popularity of social networking and the desire of patients to make informed decisions about their health. One health-focused social networking Web site is Inspire, which allows its 130,000 members to share their health issues and experiences with treatment options.
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101 Ways to Use Twitter in Your Hospital
LPN to RN blog
Nurses are an essential part of hospitals and can function as a communication lifeline to patients, doctors, and others in the facility. These days, there are lots of different tools you can use to communicate, but Twitter is an exciting one to consider, just because it holds so much potential. Read on, and you'll learn about 101 different ways you can use Twitter in your hospital.
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The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety
Robert M. Wachter, MD, AHRQ webM&M
December 1 marks the tenth anniversary of the Institute of Medicine (IOM) report To Err Is Human, the blockbuster that launched the modern patient safety movement. The anniversary provides an opportunity to reflect on the forces that have promoted safety efforts over the past decade. They include a more robust accreditation environment, increased reporting of adverse events to state and other regulatory bodies, growing implementation of information technology, skill-building support by organizations such as Institute for Healthcare Improvement, and a maturing research field supported by AHRQ and others.
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Five Lessons on How to Get Physicians to Adopt CPOE
Carrie Vaughan, HealthLeaders Media
I often read or hear about "physician buy-in" - as I'm sure most of you do too - as the key component to successfully implementing many IT projects, including computerized physician order entry. While I agree that physicians need to join the effort for CPOE to be successful, I also think there is a lot more behind the successful implementations - like dogged persistence.
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The Future of Nursing is Up for Debate
Rebecca Hendren, HealthLeaders Media
It's not very often that one gets a chance to contribute to a nationwide public debate that just might result in changes to your profession. But that's what the Robert Wood Johnson Foundation, in collaboration with the Institute of Medicine, is calling for as part of a major study on the future of nursing. As well as securing the opinion of nursing experts from around the country, the study will also be examining testimony submitted from individuals and organizations in the field.
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Top 10 Challenges for Meaningful Use in Hospitals
CSC Healthcare Group
This report by CSC Healthcare Group highlights 10 barriers that hospitals must overcome to achieve meaningful use of EHRs, such as integrating decision support into CPOE, managing new types of electronic information, and sharing data with patients and other clinicians electronically. The report also advises hospitals to place clinical and operational executives in leadership roles and make the implementation a highly coordinated effort rather than as a series of separate projects.
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Systems Management in Healthcare Top 12 Best Practices
KACE
This white paper outlines best practices for systems administration and IT professionals in healthcare environments. Based on real-life experiences of IT professionals in the medical field, it outlines best practices for IT professionals fighting to keep IT systems healthy -- just as they want their patients to be. (Registration)
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Outsourcing Discharge Follow-up Calls Keeps Nurses at the Bedside
Mark Williard, HealthLeaders Media
Study after study has shown that patients who have more interaction with nurses express higher satisfaction rates and increasing nursing time at the bedside has been shown to improve overall quality scores. The challenge is to reduce the administrative burden nurses carry so they can spend more time at the bedside. Given the positive effect nurses have on patient satisfaction and quality, reducing the administrative burdens of frontline nurses should be one of the top priorities for nursing managers.
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Side-by-Side Comparison of Major Health Care Reform Proposals
Kaiser Family Foundation
Achieving comprehensive health reform has emerged as a leading priority of the President and Congress. President Obama has outlined eight principles for health reform, seeking to address not only the 45 million people who lack health insurance, but also rising health care costs and lack of quality. In Congress, a number of comprehensive reform proposals have been announced as the debate proceeds over how to overhaul the health care system. This interactive side-by-side compares the leading comprehensive reform proposals across a number of key characteristics and plan components.
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Using Health Information Technology to Improve Patient Care in a Community Health Center in Washington
Healthreform.gov
Nearly 50 million Americans living in rural areas face challenges accessing health care. Developing a health information technology (IT) infrastructure can improve the quality and continuity of care for millions of patients. This new report examines how the Columbia Basin Health Association in Othello, Wash., uses health information technology to improve health care quality and patient safety as well as promote care coordination and continuity.
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Karl Straub Named President of Statcom
Jackson Healthcare
Jackson Healthcare is pleased to announce the appointment of Karl Straub as president of StatCom, developer of the industry's first Hospital Operating System, a comprehensive patient throughput solution that enables hospitals to achieve maximum operational performance and substantial reductions in average length of stay. StatCom prioritizes patient throughput actions across hospital departments, allowing patients to flow at their best possible rate with respect to service, quality, safety and resource consumption, greatly enhancing the patient and staff experience.
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From the C-Side

Paul Levy on Why CEOs Should Blog: Your Job As CEO Is To Represent What's Going On
FierceHealthcare
As many of you know, Paul Levy, CEO of Boston's Beth Israel Deaconess Medical Center, is an avid blogger who advocates for more transparency in healthcare (he even disclosed his own compensation package and asked folks to comment on whether they think he's overpaid). Anne Zieger, FierceHealthcare's senior editor who named Levy as one of nine people to watch in healthcare, recently talked with Levy about how his views on blogging have evolved over the years.
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Tough Times Demand Tough Leaders
Thought Leaders
It's time for business leaders to snap out of their collective funk and start building for the future, writes Mike Figliuolo. "Your organization is looking at the market as a big dark scary room," he writes. "Your job is to flip on the lights." That means eliminating fear and doubt, taking a few calculated risks and investing for the long term.
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The Six Greatest Failures of Hospital Strategic Plans, Part 2
Scott Regan
Part I discussed "The Six Greatest Failures of Hospital Strategic Plans." Reasons Nos. 1, 2, and 3 were mission and vision are AWOL, form-filling in place of analysis, and failure of leadership. We continue our discussion with reasons 4, 5, and 6. Reason #4: Lack of Focus. In a July survey of hospital executives, 51% of respondents admitted to having 21 or more strategic plan objectives. An additional 19% had 11 to 20 objectives - meaning that seven out of 10 hospitals are currently chasing more than 10 strategic plan objectives this year.
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4 Tips for Collaborating With Another Company
Industry Week
To innovate outside your company's traditional areas of expertise, try forming a strategic partnership with a company in a noncompeting industry, writes George Young. Executives from companies such as Coca-Cola and Unilever explain how they spurred growth by creating partnerships with other companies, creating common goals and establishing trust to increase collaboration.
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Why are More Hospital Executives Pursuing M-degrees?
Karen M. Cheung, Health Leaders Media
More physician executives are currently pursing post-graduate business degrees, according to a new report, 2009 Physician Executive Compensation Survey, from Cejka Search. Why do physicians spend the extra time and money for advanced business and management degrees? For many, it's a pathway to advancing their career.
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