I am surprised it took this long for management wonks to understand that the core of any business is its customer(s)! I have actually implemented the theories they teach in biz schools to good effect in my own practice...

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Yeah, Dr. Murali, This management wonk has only been doing this since 1997 . . .

I have the pleasure of visiting hundreds of hospitals in the course of my work and find that healing gardens and a connection to nature is so vital to healing. I have seen some of the most elaborate healing gardens and some of the most simple, but they all seem to be well used by patients and families alike. A little fresh air and sunshine can do your heart good!

Thanks, Nick, for writing to Lauer's article in Modern Helathcare. I'm the CEO of a rural community hospital in Iowa and we've been practicing integrated medicine for almost ten years. We appeared in USA Today on 09/15/08, about our program. The link above will take you to a Health Leaders Media interview I did with John Commins recently. Our patients have experienced great benefits from this integrated approach. Keep up the great work, Nick, and congratulations on your new endeavor.

Not graduating from a MBA program too long ago and now working in the industry, I find it interesting all the noise around patient or physician-based care. I do understand and agree that care needs to be patient-based, but it needs to be addressed as any biz-theory (targets and drivers of the target). Care should be looked at how to give the BEST patient care by providing physicians with BETTER opportunities/skills/tools. You can't have one without the other. Not only do these healing gardens promote patient healing, but they also provide an area for staff and the general public to relax or take some time to refresh after/during a busy and sometimes highly stressful day. Kudos to those that have implemented.

Recent decades have seen the global emergence of meticillin-resistant Staphylococcus aureus (MRSA), causing substantial health and economic burdens on patients and health-care systems. This epidemic has occurred at the same time that policies promoting higher patient throughput in hospitals hold led to many services operating at, or near, full capacity. A result has been limited ability to balance services according to fluctuations in patient admissions and available staff, and hospital overcrowding and understaffing. Overcrowding and understaffing lead to failure of MRSA control programmes via decreased health-care worker hand-hygiene compliance, increased movement of patients and members between hospital wards, decreased levels of cohorting, and overburdening of screening and isolation facilities. In turn, a high MRSA incidence leads to increased inpatient length of stay and bed blocking, exacerbating overcrowding and most massive to a vicious duration characterised by further infection control failure. Future decision making should use epidemiological and economic evidence to review the impact of systems changes on the incidence of MRSA infection and other adverse events.

Medical informatics is really suddenly be given a prime importance. Gathering all the medical information at one place would really help the country to monitor the health care services that has been blamed to be notoriously wasteful. Creating an Electronic media record (EMR) is really a great concept. Similar, but not the exact think I have used in my history. I am enrolled in one of the healthcare services from Elite health medical service provider that provide me a facility to access my medical reports electronically. This facility proves to be beneficial, as it makes you a hassle free ride to hospital without forgetting any medical report, or prescription to the doctor, and later regretting for it. You can find some interesting information regarding the e-Reports from www.elitehealth.com/eliteonline.php. The options like eConsultation www.elitehealth.com/medical_econsultation.php can allow you to access the doctors with almost every possible communication media including phone, email, majorly. The access of every medical record like elite health provides to me www.elitehealth.com/online_medical_record_access.php helps both the patient as well as the doctors to track down the previous historical medical information of the patient. This ameliorates the process of operation, especially in the time of emergency. Such facilities make the life simpler for humans, and especially to those who roams over the world.

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In the past, we've talked about a "GlucoPhone" that can read and transmit blood sugar results. We've also talked about the wisdom of incorporating healthcare into everyday life (versus compartmentalizing healthcare as a separate destination). Well, here's one idea that aligns with that concept: a (prototype) wellness phone that assesses your stress level, measures your body fat %, takes your pulse, analyzes your breath, and gives you pep talks. Education degree AND Law Degree AND Online Psychology School
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