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Community Discussion
Monday November 2, 2009
Posted by: Nicole Huff at 2:08PM EST on November 2, 2009
As a healthcare leader, what advice would you give healthcare executives who are facing, not unlike their colleagues in other sectors, very turbulent times, new challenges, medical staff relationship issues, community expectations, etc.?
Thursday October 29, 2009
Posted by: Sharon Leenhouts at 3:55PM EST on October 29, 2009
I am interested in learning from others with respect to strategic planning. My perspective is from large hospital systems and managed care systems. I am on a board of directors for a small, not-for-profit, community service organization. This organization has quadrupled in size during the past three years. I believe it is time to introduce some, more formal, strategic planning exercises. How much communication should I ask from the management of the organization with respect to strategic plans. I am used to making, minimally, a five year plan for an organization. Is this unrealistic for the smaller orgainzation? Thanks for lending your perspective!
Posted by: Nicole Huff at 11:41AM EST on October 29, 2009
Scenario A physician is paid $30,000 a year to perform Medical Director duties related to the hospital's oncology department. The executed agreement indicates the physician will submit time logs documenting her specific duties performed on a monthly basis. The physician has been paid monthly without evidence of the time logs. In addition, the physician has been paid for the last two years under an expired agreement. A whistleblower contacts the OIG to report the breach in this contract and others. You are the CEO. You are anticipating paying civil and administrative penalties related to this specific breach. What is your corrective action plan to prevent this from occuring in the future? Thursday October 15, 2009
Posted by: Felicia Bolden Mobley at 12:10AM EST on October 15, 2009
I recently assisted a practice with auditing select records of patients with diabetes. The provider was certain that he was ordering all the appropriate test for his patients. However, the audit yeilded different results. In fact, there were a number of patients that did not have "documented" the recommended tests for patients with diabetes as prescribed in clinical guidelines. My question is this, what provisions do you think are necessary to ensure that the providers who do invest dollars into EHRs are maximizing its use to help improve clinical outcomes of patients.
Monday September 28, 2009
Posted by: Amy Sper at 1:12PM EST on September 28, 2009
I am interested in hearing from those who have successfully implemented an EMR and how moving from 'paper to electronic' has impacted your organizations ability to enhance and/or improve your compliance with the both your states department of health documentation requirements and to JC requirements. Did it lead to improved compliance? Did anyone structure 'required field' components into their EMR to ensure compliance?
Monday September 21, 2009
Posted by: Isis Hanna at 3:21PM EST on September 21, 2009
Some interculturalists may argue the notion of "Do unto others..." the Golden Rule, which comes from Deontology philosophy. Milton Bennett, an acclaimed cross-cultural researcher, created the Platinum Rule, which states: “Treat others the way they want to be treated”. Any thoughts?
Thursday September 10, 2009
Posted by: Isis Hanna at 12:45PM EST on September 10, 2009
I would be very interested in learning about healthcare organizational structure in other countries outside United States. Considering globalization, I wonder if ACHE would be wiling to add a section on other ways healthcare organization is structured in other countries.
Tuesday September 8, 2009
Posted by: Diane Bergman at 9:30AM EST on September 8, 2009
Knowing that there are many ways to structure a contract with a managed care organization, what has worked best for your organizations and why?
Posted by: Diane Bergman at 9:27AM EST on September 8, 2009
Knowing that the IRS is growing more and more concerned about NFP entering into for profit activities, aside from a potential for-profit activity approaching the magical 20%-25% of revenue barrier, what other items have you considered when deciding to create a for-profit subsidiary?
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