Promoting Health with a Common Denominator

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Accountable Care Organizations (ACO), Shared Savings Programs (SSP), Patient Centered Medical Homes (PCMH), Medical Neighborhoods, Bundled Payments for Care, Gainsharing.  What do all of these federal programs have in common?  What is the common denominator?  The answer is physicians.  But it may  Read More

Engagement and Alignment: The Key to Improved HCAHPS is with Both Physician and Patient Education

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A few years ago, a friend was describing her visit to an outpatient oncology site.  The facility was located in a run-down urban area, the office needed a coat of paint, the furniture needed to be refreshed and the other patients were a bit dowdy.  Her impression was less than stellar and led her to choose a different facility for Read More

Motivating Physicians: Dollars and Sense

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Jo and I had a great conversation last week with Dr. Joe Bujak, MD, FACP,  the author of several books including Inside the Physician Mind: Finding Common Ground with Doctors (2008).  Bujak’s premise is that physicians are driven by their personal visions and goals, and that organizations need to align their interests Read More

AHRQ Health Care Innovations Exchange Profiles NJHA/AMS Medicare Gainsharing Pilot Demonstration

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The July 16, 2014 issue of the Agency for Healthcare Research and Quality (AHRQ) Health Care Innovation Exchange (http://innovations.ahrq.gov/profiles/hospital-gain-sharing-program-offers-incentives-physicians-based-their-efficiency-producing) reviews the results of the 3-year NJHA/AMS Medicare  Gainsharing Pilot Read More

Modern Healthcare report on the squeeze in hospital operating margins (June 23, 2014)

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Operating margin is the easiest way to determine a company’s pricing strategy and operating efficiency.   It is the simplest way to understand how much a company makes on each dollar of sales.  For non-profit hospitals, a positive operating margin means that there is money available to fund additional services; with
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