I haven't posted an infographic in a while and I like this one because it combines two of my favorite interest areas ... health IT and preparing for disasters (or in this case avoiding one).
I haven't posted an infographic in a while and I like this one because it combines two of my favorite interest areas ... health IT and preparing for disasters (or in this case avoiding one).
Reviewing the works of medical authors has been an enjoyable change of pace for me. While it did take me while to finish this latest book, it wasn’t for a lack of interest. Instead, it was needing to fit reading text into my schedule, rather than road-ready audio.
Dr. Alan Wyler, a neurosurgeon, was dead right on his newest medical thriller – Dead Wrong. It was full of mystery, suspense and a battle between good and evil, as well as, smart and not-so-smart, or perhaps, ego vs. a-bit-much-ego.
The setting is mostly in (or should I say “within”) a large academic medical center and there are plenty of peaks into the environment that some of us take for granted -- until we read about it in a fictional story. It also provides a bit of medical and technical education (I liked the stuff on X-ray/CT/MRI) and a bit of fantasy or futuristic science.
This book is certainly not a “chick” book, so men will like it along with women who don’t mind a bit of “man talk”. Anyone involved in medical ethics may find Dead Wrong stirring a bit of “what if” thinking and those with hospital security responsibilities will find some new ideas for their next facility risk assessment. There is also a great deal in this book for those who like to think about strategy and actions and/or counter actions.
But, perhaps most importantly (and costly) is that this story is a Risk Manager’s nightmare. It highlights the importance of really engaged patients, sound consent processes and enterprise-wide research oversight.
Share your thoughts about this or other books by Dr. Wyler by leaving a comment. Are there others of his I should read?
The holidays will soon be here and there may be the need for a little something for a family member, hostess or perhaps a gift for your boss or co-workers. Finding just the right thing can be challenging. However, if the recipient is a healthcare professional, embraces technology, is innovative and forward thinking, a book on social media and technologies might be just the thing you are looking for this holiday season. If so, consider one of the following two books by yours truly. The newest one, published by HIMSS is a collection of case studies and best practices. The second, is a high level overview of social tools published by ACHE.
If you have read either or both already, feel free to leave a comment with your feedback!
I recently set up a patient and family advisory council to address safety and quality concerns from the patient/family perspective. Creating an organizational structure that would fit within the culture of the organization has certainly been the easy part. We started with a six-month pilot and then evolved based-upon what we learned as we progressed through the process. However, this blog post isn't about that stuff. It is about what it like to sit in a room with patients and family members who want to share their experience to make it better for those who follow.
The first lesson is to prepare yourself to listen that very first meeting. Emotions that have been simmering under a lid will finally come out and there may be a bit of splattering all over the walls. However, don't get defensive, don't try to explain why..... just listen. Before any really work to improve processes and quality can begin patients and their family caregivers need to have an opportunity to share their frustrations and know that someone who cares is listening. You may also see a little of this bleed into the second meeting, so don't panic. Gradually, the patients and family members will be ready to work toward shared goals.
The second lesson is to not be so surprised by the first lesson. Prepare leaders for the fact that it isn't just a "bitch" session, nor an example of how an advisory council was a big mistake in the first place. When there is no or ineffective communication with patients, the pressure will build and then it shoots out when there is finally an opportunity for release. Think of it as a hose with its nozzle finally opened.
The third lesson is to be prepared for some strong facilitation. All of that emotion needs to be managed and directed in a productive manner. It needs to be controlled so that everyone has a chance to be heard and weaknesses or gaps in processes identified. Re-direction and probing questions are two very important tools for gathering usable information.
The fourth lesson is to ensure there is follow-up and communication back to the advisors. Actually looking into making changes and implementing their suggestions will build trust and help keep the advisors engaged. Even if something can't be changed, because it violates a law, regulation or corporate policy, the fact that the idea was explored or the "reason why" explained will help keep advisors coming back.
The last lesson is to make sure you have real work for the advisors. The sharing of stories and talking will get old after a few meetings for both the advisors and staff. This is when the group is ready to transition to the real work of improving the quality, safety and experience of the healthcare. This work will come from the key strategies that affect patients and from the stories the advisors share about their experiences. By listening, you will soon identify the work to be done by your patient and family advisory council.
What are you waiting for.. start listening today!
Have you ever wondered which hospitals were the most social media friendly or how your organization compares with others? Or, have you wanted to benchmark your hosptial against peers, but didn't know where to find the data. Well, the list of Top 100 Hospitals for 2014 was recently released and it is a great starting point.
In this listing, only Facebook and Twitter stats were pulled to determine which hospitals are doing the best job of connecting with their patients through social media. Scores for each type of activity, with a total of 100 possible—50 for Facebook and 50 for Twitter were assigned.
While other social media platforms are important to note, their focus was on the two most common and widely used in medical communication. To see who made the list and their rank, go to http://nursejournal.org/articles/top-100-most-social-media-friendly-hospitals-for-2014/#sthash.xcRAhbt6.dpuf
Another good source of data (a bit broader than just social media) is the Patient Engagement Index.
Lately I've seen a few people questioning what patient engagement really is and asking if the term is over used. It makes me think about how shallow they must be. Then on LinkedIn I came across a simple quote that is a perfect answer to this question and it comes from Mr. Ben Franklin.
Now, for those of you who don't work with patients, it also applies to physician, employee, co-worker, volunteer, supervisor/leadership, and public engagement.
Over the years I've contributed articles to several publications, and often repeatedly, because we have built up a mutually beneficial relationship. As a writer, I think any of them will tell you I produce on time and the continuing invites seem to indicated my writing skills are good and there is something to what I have to say.
The latest of these partnerships is Multibriefs and my contributions to newsletters for several healthcare administration associations. (Perhaps you are a member of one of the associations and have already seen one of these articles.) One result of writing for someone else is that it cuts into the time I have for my own blog... thus you may have noticed recent infrequent posts.
By sharing links to my first four articles for Multibriefs, I hope that I will continue to maintain your interest until I re-balance and can acclimate to my new obligations. I also believe each has the possibility to stimulate some new ideas.
A new version of FICO's credit score formula will be launched this fall that could improve the chances…Monday, September 15, 2014
It is amazing how much you can learn about how processes really work by talking to staff, physicians,…Tuesday, September 02, 2014
Healthcare leaders more often think about their preparedness for disaster response than they do to…Tuesday, August 26, 2014
The Federal Communications Commission has taken another step toward a 911 system that fits with how Americans…Wednesday, August 13, 2014
Once again iHealthBeat graciously reached out and interviewed me for a podcast exploring social media and some recent research on Facbook by my friends at Partners Healthcare Center for Connected Health. Once you listen to the podcast, leave a comment and let me know what you think.
They should soon release another bit of research on Facebook that was highlighted in the chapter they wrote for my latest book, so stay tuned!
Lately I've been thinking about the fact that I'm not blogging as much. But really, I don't believe I'm blogging less.... just differently and on new channels. In the old days (2005 to 2011ish) my blog was my primary social media outlet and my other social media channels were supplementary and supportive. However, the times and technologies have changed and my toolbox has evolved.
I'm busy... so a tweet here or posting an image on Pinterest there is so much easier and faster than setting up a weblog post. As a result, my "collection" of digital content is now diversified across multiple platforms and better organized and this has helped me to actually expand my collections. The best example of this is my healthcare infographic collection on Pinterest. Another is my Twitter stream of all of those interesting bits of news and articles that really aren't worthy of a full blog post. An then there is my engagement with the people with whom I have actual professional relationships on Linked In. I'm also on Foursquare, but that is really only for me -- finding places when I travel or to see what people think about my clients.
As I reflect on my blog and other social media channels, I realize I need to do a better job of integrating all of my tools on my blogging platform to make it much more robust and a more accurate reflection of my social activities. Widgets will help with this and perhaps there are some better ones since I last looked.
What does this all mean? I think it means that we can expect our strategies to change overtime as the technologies evolve and help us increase our efficiency and effectiveness. I think we also need to recognize as we consider our metrics that less might actually be more --- because it is only different. This all points to the importance of annual reflection and its contribution to improvement - in our focus, strategies, tactics, measurement and performance.
So, when was the last time you reflected on your social activities? What are you waiting for?
For months I've been listening to books for leisure, but with this latest I'm back on to my professional interests. However, this one is also personal.
If you are involved in hospital, sub acute or SNF leadership or active with ethics, disaster planning or emergency preparedness in your healthcare organization, you need to read this book. You also need to read this book if you are a physician... or nurse.
During and after these five days at the hospital I know as Baptist (my dad worked in Central Supply and Purchasing many, many moons ago) there was great pain, suffering and difficult decisions. From hearing all of the "evidence" I must say it was all due to poor planning and unengaged leadership at the top. The lack of strong leadership lead to delays in response and recovery and scenarios that placed hospital employees in difficult positions.
I know, I wasn't there! However, several places along the way I know I would have made different decisions. For one, if I were CEO/COO/CFO I would have been present, continually assessing the situation and adjusting plans accordingly. I would NOT have just sat around and waited for the "government" to come and bail me out.
This book comes down to the ethical decisions that take place during emergencies and disasters including intentionally ending a life. It goes beyond the hospital staff to also include the community and political response and highlights the importance of having the most difficult conversations before disaster strikes
If you have read the book, do you believe each of key patients mentioned in this book were treated in a manner that would be deemed acceptable? Would you have been proud of these results had you been the hospital CEO? I think we can, and have, done better! Lets learn from the mistakes and not repeat them!
By the way, on the discussion at the end I believe a team should make the needed decisions on a case by case basis weighing the resources available and the risks. I also believe patients and families deserve an opportunity to contribute.
A few days ago, I tweeted yet another example of the ugly in healthcare social media. Once again, hospital employees accessed protected patient information and actually provided it to an ex-boyfriend. Result: the patient is now suing her ex-boyfriend and staff (including one nurse) at the hospital where she was being treated for a sexually transmitted disease after details in her records were placed on a Facebook page - Team No Hoes.
Then my husband sends me the story of an anesthesiologist who was, among other things, sexting and texting during surgical procedures. He has been suspended by his state medical commission because his preoccupations compromised patient safety.
I've posted on this a few times 2012 , 2013 to highlight the risks so that countermeasures may be implemented. This doesn't even include my list of examples I use in my presentations. My goal is to one day run out of this news to report.
The idea of a gun violence restraining order is being proposed in wake of the recent killings just off the UCSB campus and the warning signs that were fully recognized too late. The idea is that family and friends could seek a restraining order from a judge in an effort to potentially prevent violent individuals from buying or keeping guns. The judge, upon examination of all evidence and consideration of factors indicating risk of self harm or harm to others, would then sign an order temporarily stopping an individual from buying or possessing a firearm - and periodically reassess. This decision would create a clear path of action for police and judicial authorities to search for and confiscate weapons if they believe individuals could be a threat to themselves or others.
I have worked in healthcare for 35 years and some portion of this has been in acute psychiatric hospitals and consulting to community mental health providers. During this time, I've had to navigate the fine line between HIPAA/patient rights/laws and interventions in situations where there was only a perceived risk for escalation. After this most recent event I wondered if it was time to revisit the 5150 criteria of danger to self, danger to others or gravely disabled.
I do recognize that individuals who are truly intent on doing harm to others or themselves will likely be successful - ultimately. Thus, in some cases we must accept, learn from and move forward from unfortunate events. However, there are times when we could have done more - but public policy stood in the way. Each time these recent events and the investigations unfolded, we identifed missed opportunities to intervene and change the course that lead to death and destruction of lives.
HHS has released a new security risk assessment tool to help providers, and perhaps business partners, uncover potential weaknesses in their security policies, processes and systems. Using the tool, providers will be guided as they address risk and security practices and failures such as:
In addition to helping providers manage their risks and comply with the HIPAA Security Rule, I believe the tool is also helpful with business continuity planning efforts. Think about it - will the organization be able to survive if there is a breach or if security weaknesses become widely known? How does security change during a disaster?
The May issue of Health Management Technology includes a great infograpic represending data from a new IBM study finding the vast majority of CFOs (82%) see the value of integrating enterprise-wide data, but only 24% think their team is up to the task. This is a 205% increase in the gap between the importance of data and the ability to exploit its value since the question was first asked in 2005, showcasing a critical divide in the skills and capabilities for today’s finance teams.
The study, entitled “Pushing the Frontiers,” is based on findings from face-to-face conversations with 576 CFOs from around the world.
Way back in 2005 when I was still getting started as a blogger and was active in the world of EHR adoption, I wondered about their impact on malpractice rates. I asked a malpractice carrier friend of mine what he thought and the answer was it would be years before anyone could really tell.
So here we are in 2014 and the information is starting to flow; first with an October 2013 post and now with an article in PSQH about an analysis of malpractice claims that confirms the risk of EHRs. The top issues are identified in the table below.
This list of risks points to the ongoing need for staff awareness and education, user centric design and aggressive identification and correction of technology issues. It also highlights a fear I've had for some time around what I've seen to be weaknesses in ambulatory care settings. Ambulatory settings (and even some small hospitals) may not have the resources -- technical expertise or safeguards needed -- to minimize these risks. Unfortunately, this is resulting in them having 56% of the malpractices claims in this study.
I've posted on data security and breaches for the last few years and know that many healthcare providers have struggled to make sense of the warnings. The latest warnings come from a report that hightlights new security threats to patient health information:
The report, Fourth Annual Benchmark Study on Patient Privacy and Data Security, also provides insight into how healthcare organizations and handling data breaches and dealing with compliance.
Cyber Thieves are Following the Money
Patient records are vulnerable to both insider and outsider threats because of the value of the information to criminals. These records contain personally identifiable information (PII) and protected health information (PHI). When combined, this information represents highly sensitive “regulated data,” which is tightly controlled by federal laws, including HIPAA and GLBA, as well as numerous state breach notification laws.
Employee negligence, such as a lost laptop, continues to be at the root of most data breaches in this study. However, there is also an uptick in criminal attacks on hospitals, which have increased a staggering 100% since the first study four years ago. The combination of insider-outsider threats presents a multi-level challenge, and healthcare organizations are lacking the resources to address this reality.
Key Findings of the Research
Data breaches now cost healthcare organizations $5.6 billion annually, slightly lower than past years. Ninety percent of respondents had at least one data breach over the past two years, while 38 percent have had more than five data breaches in the same time period. While the total number of data breaches in healthcare has declined slightly—indicating that healthcare organizations are making some progress—the threats to patient data remain high. Many organizations remain overwhelmed and struggle with incident management and compliance with the myriad of regulations.
Nearly 70 percent of respondents believe the Affordable Care Act has increased or significantly increased the risk to millions of patients, because of inadequate security. The concerns include insecure exchanges between healthcare providers and government (75 percent), insecure databases (65 percent), and insecure websites for patient registration (63 percent). One-third of organizations surveyed say they do not plan to become a member of a Health Information Exchange (HIE); 72 percent are not confident or only somewhat confident in the security and privacy of patient data shared on HIEs.
Seventy-five percent of organizations cite employee negligence as their biggest security worry, as they increase exposure to sensitive data by the growing use of their personal unsecured devices (smartphones, laptops and tablets). Bring Your Own Device (BYOD) is not a new phenomenon but is a new risk, as personal devices have become harder to manage, control, and secure. In fact, 88 percent of organizations permit employees and medical staff to use their own mobile devices to connect to their organization’s networks or enterprise systems such as email, with access to patient information. Similar to last year’s study, more than half of organizations are not confident that the personally owned mobile devices are secure. Yet, 38 percent of organizations don’t take steps to ensure these devices are secure or prevent them from accessing sensitive information.
“Business Associates” are third-party companies that work with healthcare organizations. They have access to patient information and are still struggling to comply with the HIPAA Final Rule, a federal law intended to safeguard sensitive information. Seventy-three percent of organizations are not confident or only slightly confident that their third parties are able to detect a security incident, perform an incident risk assessment and notify them in the event of a data breach. Only 30 percent of organizations are confident that their business associates are appropriately safeguarding patient information as required by the federal HIPAA Final Rule. According to those surveyed, the Business Associates that present the greatest risks to patient information are IT service providers, claims processors, and benefits management.
Patching Holes is Overwhelming for Organizations
While there has been progress towards complying with federal privacy and security guidelines and better safeguarding patient information, the threats and risks are shifting and this requires healthcare organizations to be in a constant state of catch up. Think of it as a bucket filled with water, with holes in it. The water keeps spurting out, and every time you patch one hole, a new hole forms. The process of patching old and new holes is overwhelming, and this new data validates that issue.
Still have questions?
If you are interested in more information, consider participating in a free webinar, ACA Impacts on Patient Data Security—with Dr. Larry Ponemon, Ponemon Institute, and Rick Kam, CIPP/US, ID Experts— on Tuesday, April 8, 2014, at 11:00 a.m./2:00 p.m. ET. To register, visit http://bit.ly/1ih2fqi.
I received many press releases, but don't post on the vast majority. But, the one below, from Congresswoman Rosa DeLauro on her comments at the first Labor-HHS-Education Appropriations Subcommittee Hearing Of 2014, is different. It is different because I've been attending to emergency preparedness most of my career and most recently have been involved in the HPP program in three counties along the central coast of California. So, I share the Congresswoman's comments here in their entirety.
WASHINGTON, DC--Congresswoman Rosa DeLauro (D-CT), senior Democrat on the Labor, Health and Human Services, and Education Appropriations Subcommittee, made the following opening statement at the subcommittee’s hearing today. The hearing focused on the future of public health emergency preparedness.
“Today, this subcommittee is evaluating our efforts to become better prepared to deal with outbreaks of deadly diseases, particularly through development of new and better drugs and vaccines. Many of the efforts we will hear about today are aimed at limiting the harm from deliberate biological or chemical attacks, such as the spread of anthrax here in Washington twelve years ago. These programs were begun or greatly expanded in the last 10 or 12 years, in response to growing recognition of serious gaps in our public health preparedness.
“There have been some successes. Take flu for example. There was a time in the last decade when we were down to just one manufacturer of flu vaccine in the United States, with only limited capacity to scale up production to respond to an epidemic. Today, we now have a much-improved production capacity for the flu vaccine.
“That being said, I think there are serious questions as to whether the vast resources that are dedicated to these programs are being spent in the most efficient manner to protect the public health. For example, we find ourselves 10 years into the BioShield program, having spent a whopping $3.1 billion, and we have to look at what have to show for that.
“Certainly an improved stockpile to deal with anthrax and smallpox. Yet there is clearly a much wider spectrum of threats that confront us. We also need to be much better prepared to deal with emerging threats that occur naturally. Threats like the spread of novel diseases like SARS, the emergence of microbes that have become resistant to the drugs used against them, and both pandemic flu and ever-changing seasonal flu viruses.
“I realize that BARDA has produced a broader range of products that are still in the development pipeline, but when these efforts were launched a decade ago, we expected to be further along by now. So I think our track record in developing medical countermeasures is decidedly mixed. Just as important, we need to recognize that public health preparedness involves much more than simply developing and stockpiling drugs and vaccines.
“We also need enough well-trained epidemiologists and other health professionals to identify, investigate and track disease outbreaks. We need enough laboratory capacity to analyze large volumes of samples and determine what pathogens are involved. We need effective plans and enough supplies and personnel to efficiently distribute and dispense vaccines and treatments. We need the surge capacity in our hospitals and other facilities to take care of large numbers of seriously ill patients.
“All of this work needs to be done through partnerships between federal agencies like CDC, state and local health departments, and the medical and first responder communities. Unfortunately we have spent the past 5 to 10 years cutting federal support for these critical state and local preparedness activities. Adjusted for inflation, CDC funding to state and local health agencies has declined by nearly 50 percent in the past 10 years.
“Similarly, the Hospital Preparedness Program, which provides grants to states to improve the preparedness and resiliency of their healthcare systems, has declined by about 60 percent These cuts are causing state and local health departments to eliminate staff, they cut training exercises, and forego critical medical equipment and technology.
“Addressing all these needs has become a real challenge for our subcommittee, in light of the tight budget limits that are being imposed. Much of the PHEMCE enterprise is really a new cost to this subcommittee that has to be fit within our constrained allocations. Until this year, all of Project BioShield and most of BARDA had been supported from a ten-year advance appropriation made back in 2004 in the Homeland Security Bill. Much of the pandemic flu preparedness activity has been supported through balances of emergency supplemental appropriations made in 2006 and 2009.
“However, now, those funds are either expired or almost depleted, and this subcommittee had to start covering the costs—$800 million in FY 2014—through annual appropriations. Without a different scale of allocation for this subcommittee we had to take on the $800 million and that had to come from someplace. And it came from other areas.
“These needs are all important and these investments provide tangible returns for the public. The subcommittee will do the best it can to take care of them. But as long as this subcommittee’s totals continue to be so tightly constrained, it will be extraordinarily difficult to provide adequate support to these countermeasure programs and adequately take care of our many other public health priorities.
“I’ll just give you one: the NIH, which only saw roughly 58% of its sequestration cuts restored in its 2014 budget, that provide so much of the basic scientific support for these efforts, as well as the other pieces at CDC and elsewhere necessary for public health preparedness will suffer.
“In short, there are real and potentially grave consequences to the budget decisions we are making. Weaker defenses against infectious diseases and slower progress in advancing medical science generally may well be one of those consequences. So today, I look forward to a discussion of both the current status of the PHEMCE programs and the challenges that we face ahead. Thank you again for joining us today and I look forward to your testimony.
Health Finance News has a great list of reasons for the decline in hospital inpatient volumes and most of these are indicative of what we will also see in the future. Hospital administration has entered a whole new world and its leaders will need to be truly innovative and creative in order to survive.
The decrease in "face time" with our patients also reinforces the need to engage and support them outside of the hospital walls. Yet another reason we will see Health IT, telehealth and emerging technologies like portals, mobile, social and more taking on a more significant role in care processes.
1. Elective admissions dropped during recession and have been slow to recover.
2. Health reform brought pressure on hospital readmissions and also avoidable admissions.
3. The growth of observation status.
4. The long-term continuing movement towards outpatient models of care with less use of beds overall.
5. Hospital shifts towards fee-for-value away from fee-for-service - building clinically integrated networks and care models.
6. The growth of technology, particularly when it comes to imaging, surgery and anesthesia.
7. An ongoing birth rate decline.
My latest book addresses social media and the underlying technologies and the ebook is now available - just in time for HIMSS14. Several chapter authors contributed to this HIMSS book just like the one released in 2007 on RHIOs (HIEs). While there is a bit of what I have to say on the subject, mostly setting the stage, the real work was the contribution of stories and advice from a variety of exceptional healthcare professionals representing hospitals, health systems, government, clinics, private practices and most importantly, the patient. The chapters and contributing authors are:
Foreword - The Future of Social Media in Healthcare by Stephen C. Schimpff, MD, FACP
Chapter 1 . Introduction by yours truly
Chapter 2. The Value of Social Media: A Patient’s Perspective by Clarissa Schilstra
Chapter 3. Social Intelligence About The Patient Experience by Andrew Rainey;, Jitendra Vyas;, A. Jay Khanna, MD; Kashif Firozvi, MD; Rajesh Rajpal, MD; Amita Vyas, PhD; Bryan Ross
Chapter 4. Social Media for Healthcare Marketing and Branding by Susan Solomon
Chapter 5. Social Media at a Community Hospital: Rapid Change Requires Rapid Response
Chapter 6. Intermountain Healthcare’s Intermountain Moms Campaign by Craig Kartcher
Chapter 7. Children’s Online Social Network: Building on Patient Ideas by Amanda Biegler Wall
Chapter 8. Midwives and Marijuana: How the Arizona Department of Health Services Uses Social Media to Build Online Community by Jennifer Tweedy
Chapter 9. Why Do Blog? by David Gelber, MD, FACS
Chapter 10. Social Media Hubs: Strategy and Implementation by John Sharp, FHIMSS
Chapter 11. Using Social Media for Research: Addressing Regulatory Challenges by Timothy M. Hale, PhD; Melissa Abraham, PhD; Shiyi Zan; Kamal Jethwani, MD
Chapter 12. Legal Aspects of Healthcare Social Media: Staying Out of Trouble by David Harlow, JD
Chapter 13. Public Engagement: Health Information Technology, Social Media, and Government Policy by Brian Ahier with a little help from me
Glossary by Brad Tritle
The author bios included in this book sample along with Dr. Schimpff's Forward. If you read it, please leave a comment and let us know what you think about the book!
The latest issue of the Journal of Healthcare Management arrived in the mail the other day and I immediately noticed that a new mobile publication format is now available. I'm so proud of ACHE for not only keeping up with advances in technology, but in some respects also leading the way. I'd like to think that in some small way all of my pushing and prodding over these last several years has helped this along, but really the heavy lifting is all ACHE.
While this was exciting, I also noticed an article that speaks to me. It speaks to me because I am one of the 20% of patients who include handwritten notes on my survey forms. (You should have seen the ones I left regarding my patient experience #1 ) I applaud the study authors for their interest in understanding the value of anecdotal information which is typically not recorded by vendors.
Some key findings from their review of HCAHPS survey responses from 589 inpatients at two different hospitals include:
The reason why this is important comes down to one example. In this case, the patient's response of blacking out two circles would have resulted in the system recognizing it as a "no response". However, you can clearly see there is some very useful information for anyone looking to improve the score for this particular question.
Question: How often did nurses listen carefully to you?
Patient's Answer: Day - Never; Night - Always
So, the lesson learned here is the importance of both qualitative and quantative data to truly understanding the entire patient experience and recognizing the opportunities for improvement. Hospitals and clinicians can't afford to leave feedback on survey tools or to leave value-based purchasing (VBP) money on the table.
March 2nd - 8th is Patient Safety Awareness Week and the theme , Navigate Your Health…Safely, urges health care providers to help patients and consumers become more engaged in the health care process, whether visiting the doctor for a routine exam or entering the hospital for surgery.
Navigate Your Health...Safely...Starting with Diagnostic Errors: The campaign will also focus on the issue of diagnostic errors, an area that has not been widely studied in the medical literature. Diagnostic errors can be defined as a wrong, delayed, or missed diagnosis, and while not all result in patient harm, some studies have estimated that they occur in 10 to 20 percent of cases.
Plan to get involved in activities and learn how you can help consumers and patients become more engaged in their care. A few resources include:
According to AHRQ, the 39 million inpatient hospital stays in 2011 cost an aggregate $387 billion.
The quality of care a patient receives during a hospital stay can contribute to the cost of care and the adverse events or complications that occur during a patient’s stay. In addition, some of the conditions highlighted in the infographic are potentially disproportionately more expensive if a patient receives care in a poor quality setting relative to a high quality setting.
Two of the top 5 conditions – osteoarthritis and AMI (heart attack) – are the result of chronic conditions that develop over time. Preventing unnecessary hospitalizations associated with these two conditions are important in containing rising health care costs. Early detection and proactive care (often with lifestyle modification and targeted medical treatment) can significantly reduce these costs. Engaging patients and their family caregivers with tools to help them better manage their condition can also help reduce overall costs.
Given my last post about a physician and social media, I'm so pleased to be able to share this video from the American College of OB/GYN (ACOG). Thank you @acognews! I just wish the Fellow had seen this and understood his obligation as a clinician comes before his friendship.
Here we go again! As I've stated many times before, no pictures in the hospital and no posting them on social networking sites.
In this case a patient is suing a physician and the hospital after pictures were taken while she was in the emergency room and posted on Facebook and Instagram. The physician, a Fellow at the hospital and also acquaintance of the patient, included uncompassionate captions along with the photos of the young lady who had consumed too much alcohol. While still in the emergency room the security guard asked him to delete the pictures and the physician stated that he would. so he also had a warning.
As healthcare leaders, we must effect the imagination of our young professionals and employees and teach them the boundaries between their personal and professional lives. They must know that their professional life out ranks their personal life, because our patients expect so much more from us.
This infographic from Google uncovers the how, when and where of the hospital selection process while highlighing what factors lead to a decision. 94% say it comes down to reputation!