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August 2
2023 The 50% Proposition
2022 The Executive Team & The Digital Future
2021 The Opportunity Of “In Lieu Of”
2020 New Oregon Law Bars Hospitals From Requiring Advance Directives For...
2019 Making EBP Adoption Happen
2018 Will A Focus On ‘Value’ Improve U.S. Health System Performance?
2017 Moving To The Flip Side – Telehealth, Urgent Care & Medical Homes
2016 Can Data Fix It?
2015 New CMS Rules For Long-Term Facilities Affect Staffing, Clinical Ma...
2014 Another Reason Why States Terminate Medicaid Benefits When Enrollee...
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Replies to This Discussion
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Permalink Reply by Paul Terlemezian on
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2014 Another Reason Why States Terminate Medicaid Benefits When Enrollee...
What benefits are impacted when an employee is put on "warning" or a "performance improvement plan?"
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2015 New CMS Rules For Long-Term Facilities Affect Staffing, Clinical Ma...
"... an annual facility assessment to determine staffing requirements, establish quality assurance and performance improvement programs, and conduct emergency preparedness planning."
Would our industry benefit from an independent audit of our organizations and "blind" benchmark data from these independent sources?
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2016 Can Data Fix It?
"...a guide to the common problems facing all health and human service organizations."
- Not Understanding the Issues of Integration
- Not Realizing the Limits of Unstructured Data
- Making Bad Assumptions Without Understanding Data
- Underestimating The Professional Skills Needed
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2017 Moving To The Flip Side – Telehealth, Urgent Care & Medical Homes
"The typical charge for a telemedicine visit is $40 (see 59% Of Large-Employer Health Plans Covered Telemedicine In 2016; Su...), while the mean cost for all consumer visits was $66 for retail clinics, $106 for a doctor’s office visit, $103 for an urgent care center visit, and $358 for an emergency room visit (see Retail Clinics Provide Low-Cost, Quality Care)."
I wonder about the number of visits and the results of the visits. Measuring costs of the service delivery seems like the easy part of the equation. Cost avoidance is much harder to measure (trend data might help) and the costs related to outcomes seems even more elusive - and yet it is the most important.
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2018 Will A Focus On ‘Value’ Improve U.S. Health System Performance?
Data can be difficult to "normalize." What methods have you seen to assure that our bias does not impact the data we choose to measure and interpret?
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2019 Making EBP Adoption Happen
An important matter to deal with is that multiple simultaneous studies are being conducted? Here is the model proposed by healthcare:
- Know your options
- Create acceptance criteria
- Invest in implementation
- Invest in (and keep) staff
- Prove it to payers
Item 4 is easy to say and hard to do. An employee may make leave for reasons beyond our control. Is this a reason to consider "shared services" or ""outsourcing?" Will the depth of the "outsourcer" assure availability? Will competition amongst outsourcers assure competitive pricing?
Are we prepared to manage outsourcers?
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2020 New Oregon Law Bars Hospitals From Requiring Advance Directives For...
What contingencies are we planning for? What are the components of a contingency plan? Under what circumstances would you require a contingency plan to be created and validated?
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2021 The Opportunity Of “In Lieu Of”
Under what conditions might we offer "In Lieu of?" What does it mean? What do our clients want it to mean?
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2022 The Executive Team & The Digital Future
In my career (which began with a company named Digital Equipment Corporation) I have seen Executive response to technology evolve from interesting to essential to overwhelming? Where will it go next?
What is our role in preparing executives for where we are headed?
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2023 The 50% Proposition
What are the most common areas in need of performance improvement?
What progress have we made?
What obstacles prevent us from make more progress faster?
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What doors are never closed? Why?
Why do doors ever close?
Why do we disagree on which doors to keep open and which to close?
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