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    Archives for: September 2009

    Having a point of view? Good. Acting on it? Priceless.

    September 28th, 2009

    by Anthony Cirillo

    I recently had an engaging conversation with Kellyann Curnayn, author of A Good Day in Hell: The Flatlining of Nurses Across America.

    Yeah, that title gets your attention. So does Kellyann, a dedicated, practicing nurse. She shared with me her view that nurses do not get paid to take care of patients--they get paid to fill out paperwork. She shared with me some insights on the level of lateral, nurse-on-nurse violence that occurs in healthcare across settings every day. Much of it is based on the need to cover your you-know-what.

    => Read more!

    Here's one way EHR might work. Discuss.

    September 28th, 2009

    by Paul Roemer

    I've never been mistaken as one who is subtle. Gray is not in my patois. I am guilty of seeing things as right and left and right and wrong. Sometimes I stand alone, sometimes with others, but rarely am I undecided, indecisive, or caught straddling the fence. When I think about the expression, 'lead, follow, or get out of the way,' I see three choices, two of which aren't worth getting me out of bed.

    I do it, not of arrogance, but to stimulate me, to make a point, to force a dialog, or to cause action. Some prefer dialectic reasoning to try to resolve contradictions; that's a subtlety I don't have--like the time I left the vacuum in the middle of the living room for two weeks hoping my roommates would get the hint. That was subtle and a failure. I hired a housekeeper and billed them for it.

    Take healthcare information technology, HIT. One way or another, I have become the polemic poster child of dissent, HIT's eristical heretic.

    => Read more!

    Special Report: Meet the 9 People Who are Shaping the Future of Healthcare

    September 22nd, 2009

    by Anne Zieger and Dan Bowman

    Now, more than ever, healthcare is a topic that is being talked about at every water cooler and dinner table in the U.S. Between hospitals struggling to stay afloat and a reform effort that seemingly has the nation divided, what happens over the next few months and years will have a lasting impact on healthcare in this country.

    FierceHealthcare decided to take a look at a few of the movers and shakers in healthcare today, to get a better understanding of where healthcare is now, and where it is going. Whether we're talking about bloggers, doctors, business professionals or politicians, the following people represent the present and future of healthcare.

    => Read more!

    Tip of the Iceberg? New perspectives on disgruntled doctors

    September 22nd, 2009

    by Dr. Kenneth H. Cohn

    Last weekend, I was a speaker and mentor at the SEAK Non-Clinical Careers for Physicians Conference, which was attended by approximately 250 physicians. My topic was "Practical Strategies for Transitioning to Non-Clinical Careers," in which I described part-time hospital administrative work, locum tenens coverage, and creating and sustaining a personal brand using Internet technology.

    The experience that I will never forget was serving as a mentor to more than 50 physicians who signed up to see me in 15-minute blocks throughout the weekend. I met people from a variety of specialties (ED, cardiology, primary care, radiology, surgery) and many states, from Florida to California.

    => Read more!

    What it takes to be the best hospital on the planet

    September 17th, 2009

    by Wendy Johnson
    Publisher, FierceHealthcare

    When Tony Chen, a former director of new business development for Illinois-based North Shore University Health System, launched this blog in 2005, he wanted to provide a space where current and emerging hospital leaders could share their views on how to best answer this "simple" question: What will it take for hospitals to be the best run organizations on the face of the planet?

    We've heard lots of interesting ideas since then. Some were a bit Mickey Mouse, others focused on nothing short of a complete turnaround. The common thread throughout: Hospital Impact has been your water cooler--your place to sound off, share ideas learn from each other. That's still true today.

    => Read more!

    Bill Frist: 'There will likely be a public plan as a backup'

    September 17th, 2009

    by Dan Bowman
    Associate Editor, FierceHealthcare

    Bill Frist has been keeping busy these days. Between chatting up former colleagues on both sides of the aisle about healthcare reform and heading up the acquisitions, divestitures and portfolios for his Nashville-based investment firm, Cressey & Company, the cardiac surgeon and former Republican Senator from Tennessee is also promoting awareness of atrial fibrillation. He has also been an advocate for children's health around the world, pushing for investments in such resources as clean water and vaccines.

    FierceHealthcare caught up with the ex-Senate Majority Leader yesterday and asked him to elaborate on some of his efforts, as well as his views on healthcare reform.

    => Read more!

    The top 15 acute-care hospitals by gross-patient revenue

    September 14th, 2009

    Of the 15 acute-care hospitals in the nation with the highest gross-patient revenue, only seven are located outside of the states of California and Pennsylvania. Only three of the 15 recorded a financial net loss last year. But which facility tops FierceHealthcare's list, based on 2008 statistics compiled from the American Hospital Directory? Is it Cedars-Sinai Medical Center? Massachusetts General? The famous Cleveland Clinic? Read on to find out. Click here for the slideshow

    New leadership methods could propel patient-/person-centered care

    September 14th, 2009

    by Anthony Cirillo

    I love to stir the pot and my last post on why patient and person-centered care is not working did just that. I should first qualify my contention from that blog. True, person- and patient-centered care is working in some instances, but honestly, it is taking hold in just a fraction of the health care universe. I may have implied that it is not working at all, and that was not the intent.

    => Read more!

    CONTEST: If I were Obama, or explaining health reform to a child

    September 10th, 2009

    by Anne Zieger, FierceHealthcare Editor

    Readers, as most of you probably know, tonight President Obama went on live national television to make a pitch for his health reform vision. Unfortunately, given the Administration's track record of intellectualizing, inside baseball and changes in direction, it's not likely that most Americans walked away saying "Wow! I understand health reform perfectly. Give me some of that!"

    The thing is, most of us, both in and outside the industry, agree that there are many reforms that need to be made, some of which President Obama has been working hard to communicate.

    => Read more!

    I’m moving on, but Hospital Impact is here to stay

    September 10th, 2009

    by Tony Chen

    Well, the day has come for my last post here at Hospital Impact. After transitioning this blog over to FierceHealthcare, and after I was laid off from my hospital job, I'm now focused full-time on a few new start-ups in the healthcare and Web 2.0 arenas. You can still follow me on twitter @hospitaltony and read posts from me at the sg2.com community website.

    => Read more!

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    Safety Tip

    Hospital facilities built today do not include asbestos, but many older buildings still have asbestos components in them. Steam pipes, boilers and furnace ducts were often insulated with an asbestos blanket or asbestos paper tape because of their fireproof and insulating properties. Resilient floor tiles were made from vinyl asbestos. Asbestos cement was employed in roofing, shingles and siding materials. The hazard of this carcinogen increases when the fibers become airborne, and untrained contractors can inadvertently increase risks by cutting, tearing, sawing, scraping, or sanding asbestos materials. Elevated asbestos levels can occur in hospitals where old materials are damaged or disturbed. It is best to leave undamaged asbestos material alone if it is not likely to be disturbed. Inhaling asbestos fibers is known to cause mesothelioma and other diseases. Be sure to use an experienced asbestos removal contractor when you need to get rid of old materials that might contain asbestos.