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    Misc

    2007: A Year in Review for Hospitals and Healthcare

    December 21st, 2007

    by Tony Chen

    Well, it's that time of year again when we take a moment to reflect on Healthcare in '07. Go here to check out FierceHealthcare's Annual Review where they highlight these trends and get this conversation started:

    1. The push for price and quality data transparency
    2. Growing acceptance of retail clinics
    3. Broader use of pay-for-performance programs
    4. A shift away from payment for medical errors
    5. Proliferation of physician ratings by consumers and health insurers
    6. Tremendous pressure to adopt electronic medical records
    7. Controversy over the future of regional health information organizations
    (Source: FierceHealthcare.com)

    I'm not convinced that P4P is really "business as usual." And I'd put 4 & 5 more as early trends, not very widespread quite yet. But nonetheless, I think this is a great list.

    A few things I would add:

    - 2007 was a banner year for the biggest hospital transactions ever - think back to all the M&As and all the public-to-private transactions (i.e. HCA!). Outsiders see potential even as we are missing it.

    - Speaking of outsiders, 2007 will also be remembered as a year when many outsiders are starting to get in. RevolutionHealth, Virgin, Google, and Microsoft all made big announcements and/or launches into the healthcare arena. Time will tell.

    - 2007 was also the first year in a long while that we've heard the words "universal healthcare" beyond just the typical wonkish journals. For better or worse, the idea caught some attention, no doubt with the help of Sicko

    - 2007 was the year health 2.0 was born. I've done numerous posts on web 2.0 sites, facebook, and social media. The Health Care Blog held its first Health 2.0 conference as a smashing success (400+ attendees). Not much relevant to hospitals at this point. But lots more patients will be using these technologies, so ignore them at your own peril.

    What did we miss? What else?

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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.