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For one hospital’s integration effort, the third time is the charm

January 28th, 2016

by Scott Kashman

Sometimes your best successes will come from learning from the times you do not succeed.

Several years back, I was fortunate to lead a team toward a fully subscribed joint venture. It was a very well-received and successful joint venture including a surgery center, pain management center and endoscopy center.

When asked how we were able to pull together such a strong venture, I replied, "it was easy after we failed the first two times."

The first time we tried, there were not too many joint ventures, yet our health system knew it was a better long-term care model to collaborate with our local physicians. When we approached the physicians, they were reluctant and decided not to participate because there was little known about joint ventures. Even after sharing what was starting to take place around the nation, they declined. We agreed to consider reviewing the possibility in the future.

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'Imagine' the possibilities when healthcare, community leaders pursue a common goal

November 19th, 2015

by Scott Kashman

Last week we had our ribbon-cutting for our Pathway to Discovery. It represents a tangible display of our optimal healing environment. I had a chance to reflect back--and I'm sure many thought it was a crazy idea to create this pathway across our campus, even though it reflects the values of healthcare today:

  • Focus on clinical care and coordination
  • Focus on health, wellness and well-being
  • Focus on community engagement

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It takes a village to tackle hospital ER overcrowding

October 8th, 2015

by Scott Kashman

Around the country there is often discussion about emergency room (ER) overcrowding. Realistically, not all ERs really get overcrowded. Down in Southwest Florida, however, they do.

Last season (known as late fall/winter), the area experienced a surge in population--and we experienced an even larger surge of patients coming into our ERs and hospitals.

This coming season, we are trying a different approach that we can build on through the season and throughout the year. This requires our health system and key community partners to provide a more coordinated approach to delivering healthcare in our community.

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Reframing healthcare drama: Life is good!

July 30th, 2015

by Scott Kashman

Healthcare delivery changes at a rapid pace. Is this positive or doom and gloom? For more than 20 years, I've attended conferences where speakers have said, "these are unprecedented times in healthcare." Really? Doesn't it really come down to our view and attitude toward continuously improving our organizations?

A few years back, I recall having discussions with colleagues about situations that at first seemed unfortunate.

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Healthcare execs: Lead, follow and help whenever necessary

July 2nd, 2015

by Scott Kashman

Do you recall why you went into a leadership role? In my last job, I worked with Don Clement, M.D., former president of the medical staff at St. Joseph Medical Center in Kansas City, Missouri, who shared this on leadership:

"Summertime and the Fourth of July, outdoor BBQs, walking through the neighborhood, soaking up the sunshine. As we look forward to celebrating the anniversary of the founding of this great country on the Fourth, perhaps we should spend some time looking back and consider the one ingredient necessary for this monumental historical accomplishment. Recognizing the importance of fundamental leadership and its principles will help us appreciate how we can employ those same principles every day.

The decision to establish the independence of those 13 disparate colonies and embark on the creation of this nascent country rested on the leadership of many different individuals. Throughout the countryside and in the many small communities, the ability to impart the sense of vision and implement this move toward independence required a concerted effort with leadership at all levels. While that trait was integral to our nation's foundation, it is directly translatable to all of us throughout the workplace, particularly in our medical center.

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