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Community Discussion
May 2008
Friday May 30, 2008
Posted by: Reinhard Zapfe at 3:44PM EST on May 30, 2008
Our health system has a large number of IT initiatives many of which are delivered with numbing conservative cost estimates which have the affect of delaying or evening killing the project in the budget cycle. It would be helpful to discover guideline or approaches that would make the submissions more accurate.
Monday May 26, 2008
Posted by: Dawn Schaller at 10:16PM EST on May 26, 2008
I must be missing something. Where is this case study (P4P) for Professionalism and Ethics??? And what is the "online packet"? Is that where the case study is suppose to be? I am not finding this "online packet". I'm wondering how much I am missing.
Wednesday May 21, 2008
Posted by: Mitchell Frogge at 3:19PM EST on May 21, 2008
Can a course of action or a decision be ethical yet not fair to all parties? How is such a case handled? Thursday May 15, 2008
Posted by: Sydney Rountree at 4:23PM EST on May 15, 2008
Not yet but in anticipation we are working on all we can (without the help of consultants) to be ready when it does. And it will....
Posted by: Sydney Rountree at 4:22PM EST on May 15, 2008
I agree that MD's need to be on the board. They feel already that the hospital isn't "theirs" and we error on inclusion to help with that (doesn't work). The Medical Staff President and 3 others are on a 18 member board. We try to hold compensation and other sensitive discussions to the Executive Committee and really stress conflict of interest and "what happens in the room stays in the room." We make them sign statements every year.
Posted by: Sydney Rountree at 4:13PM EST on May 15, 2008
I worked in California in the 1980's and early 1990's where capitatation was the hottest thing going - for the insurance companies. I was the CFO of one of the highest rated hospitals in San Francisco that almost went bankrupt because we capitated 500,000 lives for almost 4 years. Only when we refused to contract with the insurance companies - big ones - did we get back on tract to be able to treat patients safely. I am curious why Dr. Nowicki thinks that this is coming back as a reimbursement method. The doctors hate it, the hospitals hate it and the only ones that win are the insurance or managed care companies. So - why are we letting this happen? The government with Medicare and Medicaid is already killing us. Sydney Rountree
Tuesday May 6, 2008
Posted by: William Barrow at 5:42PM EST on May 6, 2008
I am curious a/b hosp-wide incentive comp. We have a "5 pillar" model that pays hosp wide incentive comp based on quality, satisfaction and financial targets. Who else does it? How does it work? Is it a recruitment/retention tool? What are the incentive amounts?
Posted by: William Barrow at 5:37PM EST on May 6, 2008
Anyone had success with shift bid software? Our team likes the concept but has yet to see a vendor solution that meets our standards. The concept of nurses and other personnel using pda's, home pc's etc to bid for shifts makes lots of sense, but is it only an intuitive advantage and not a real advantage?
Monday May 5, 2008
Posted by: John Chessare at 9:19AM EST on May 5, 2008
It is interesting that the discussant for the HR segment used a Pediatrics Unit as the example for calculating nurse staffing. Pediatrics units see large swings in census due to the natural variability of infectious diseases. The example for calculating staffing used annual averages. Staffing to the average will create problems at both peak and valley census. What tools are people using to take natural variability into account when calculating nurse staffing?
Friday May 2, 2008
Posted by: Steven Tenhouse at 12:22AM EST on May 2, 2008
I was most curious to see how the materials dealt with the issue of medical staff sitting on the governing board of a hospital. We are a small rural hospital. Our bylaws allow the medical staff president as a full voting member of the governing board. However, 2/3 of my medical staff are employed by a large clinic group that are now competing for core hospital services. The obvious hasn't been stated or dealt with by the president of the governing board and it ends up being a very dicey and uncomfortable situation. I'm curious as to how your organizations handle the board membership of the medical staff. |
