Tag Archives: care redesign

Quality Metrics: 7 Guidelines For Deciding What to Measure

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So your organization is implementing a gainsharing strategy and you have been selected to oversee the program.    Gainsharing can be a stand-alone program or be an integral part of other initiatives, such as ACOs and Bundled Payments.  Identifying the common elements to all these initiatives is critical – especially if you Read More

Breaking Down Internal Silos

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As hospitals initiate new strategies to transition from fee-for- service to population health, many times the programs are established in a vacuum.  Managers in one are unaware of what the managers of another are working on – sound familiar.  That age old problem of “silo mentality”.  This may be due to a number of 
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Care Redesign – Its Time Has Come

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My dog has kidney disease.  She’s had it for some time and it really hasn’t changed her life.  Once a couch potato, always a couch potato.  She is on the maximum doses of drugs for the disorder, which she takes begrudgingly.  On her last visit to the nephrologist (yes, she has a nephrologist), an ultrasound was
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Using Recipes: Sugar In The Jelly

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I like to cook.  When I first started, I would diligently follow the recipes exactly as printed.  My kitchen cupboards hold a variety of measuring cups and spoons that attest to this.  Over time, as I became more familiar with the chemistry of cooking and became surer of myself, the need to follow the instructions so closely waned.  Accurate measuring became an “eyeball” event. Ingredient substitution became
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Choosing Wisely

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When I graduated from nursing school, inpatient care was much different.  We hadn’t heard of things like length of stay.  Patients stayed as long as the physician deemed necessary – a week or a month – it didn’t matter.  Frequently patients underwent testing that had nothing to do with their admitting diagnosis
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