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Exam Discussion
Friday February 26, 2010
Paperless/Electronic Records
Posted by: Statwell Sinclair at 2:17PM EST on February 26, 2010
Going paperless or establishing electronic records has been a popular conversation piece, however, it seems a lot easier said than done.  Does anyone have a successful story of going paperless?  Is there such a thing as 100% paperless?
Tuesday February 23, 2010
Discrimination based on national origin
Posted by: Laurie Latham at 10:37PM EST on February 23, 2010
I recently listened to an audio-conference that discussed the need to develop language options and programs for non-english speaking patients.  The speaker indicated that providers need to develop and implement such programs in order to comply with the Civil Rights Act - to not discriminate based on national origin.  We have contracted with a phone company to provide language line services.  Is this sufficient?  What are other hospitals doing to comply?  We have considered developing housewide education...but was not sure if this was necessary.  
Tuesday February 9, 2010
Quality data reporting.....
Posted by: Joe Ness at 10:51PM EST on February 9, 2010
We have a quality department of about 7 FTEs for a 442 bed hospital in a combination of nursing staff and support staff that manage quality data/dashboards, external benchmarks, and patient safety concern/error reporting/trending.  We are well underway with a full roll out of an electronic medical record that will bring with it an increasing amount of automated quality data reporting capability.  However, in the meantime, we continue to struggle with manual data collection and the rapidly increasing demand for more staffing to accomplish it.  How are others doing with this?  What is the staffing level you have? How automated is your quality data reporting? 
Thursday January 28, 2010
Healthcare Technology and Information Management
Posted by: Sunita Kaul at 5:17PM EST on January 28, 2010
This question is for IT people working in HC.
Can somebody elaborate, as of today,  what percentage of 
IT function is contracted and what percentage is built as a In-House service. Is a hospital ever self-sufficient when having a in-house system.
In my opinion contracting is always going to be a part of Healthcare IT, 
the question is only to what extent. 
When they talk about building Enterprise-wide systems, does that include data warehousing?

Sunday December 27, 2009
Culture of Service Excellence
Posted by: Robert Turner at 11:33PM EST on December 27, 2009
Our health system utilizes a net promoter score to measure patient loyalty.  The net promoter metric is based on the inpatient adult experience.  Two questions frequently arise.  One, can a relationship between satisfaction and loyalty be assumed?  Two, how do other service lines support loyalty as determined by the adult inpatient experience?  CMS faces the same questions concerning their patient survey.  Perhaps these metrics are not perfect but a good beginning for healthcare providers to be more attuned to their customers.
Tuesday December 15, 2009
Governance, Week 1, Charter Question
Posted by: Jeanmarie at 6:02PM EST on December 15, 2009
Committee was a standing committee of the medical staff, but re-organization changes committee to function under a charter. Is the committee required to follow "Robert's Rules," with minutes reflecting who made a motion and seconded the motion? Is a committee with authority via charter required to follow a specific format, and is a quorum required to convene said committee if there is no institutional requirement for a quorum?
Saturday December 12, 2009
Governance and Organizational Structure
Posted by: Jodi at 2:49PM EST on December 12, 2009

On page 105 of the material from Southwick's The Law of Healthcare Administration, it states that "separate entities can provide special services or perform functions not realted to healthcare without being hampered by certificate of need regulations..."  I am a little confused by this statement.  I am experienced with CON in Missouri.  The statue and rules state a CON must be obtained for new hospitals, and for any single piece of medical equipment costing $1 million or more.  In Missouri, the type of organization formed does not impact whether or not a CON is necessary.  Are there others on this discussion site that have experience with CON in other states and could elaborate?

Furthermore, CON only applies to healthcare, so it wouldn't matter what the type of organization is, only if the activity or financial expenditure is related to healthcare, hospitals, etc.  Is it implying that the type of organization impacts whether or not certificate of need applies in some states?