Management Category
Medical Errors and Adverse Event Reporting in Healthcare Transparency.
Will healthcare organizations raise the bar on transparency and start reporting adverse events in a public forum as they do costs, and other quality of care indicators?
Transparency, a word with several connotations: free from pretense or deceit, readily understood, characterized by visibility or accessibility of information especially concerning business practices. When healthcare organizations discuss the notion of transparency the later two descriptions exemplify the concept. Organizational transparency in healthcare has typically taken the form of selected quality of care indicators.
Patient Care or Market Share, Two seemly opposing forces.
Scott MacStravic over at World Healthcare Blog authored a great piece the other day regarding the physician shortage and the use of mid-level providers as a means of improving access to care. I wanted to take an opportunity to echo Scott’s comments with this subject.
Study suggests improved nurse patient ratios don’t equal higher quality of care.
Headlines in the Sacramento Business Journal state “Study: Nurse staffing ratio hasn’t improved patient care”. The California Nursing Outcomes Coalition conducted the study to evaluate the quality of nursing since the advent of nurse patient ratio laws in California.
“The first study of the effect of nurse-to-patient ratios on care in California hospitals concludes hospitals have hired more registered nurses, but they’ve had little effect on two areas of care — patient falls and bed sores.”
Hospitals spin the wheel with mandatory OT, no one wins.
Your in the middle of your shift, the nursing supervisor comes over to the group of nurses working and asks if anyone would like to stay and “do a double”. There is immediate silence, each nurse looks at the other and almost unanimously everyone turns back to the supervisor and signals a resounding “no”. In response the supervisor declares that someone has to be mandated.
Stats show RN salaries may have reached a plateau
Nursing salaries may be leveling out as reported by Advance for Nurses. An on-line study collected salary data of 7500 nurses across the United States which indicated that salaries may have reached a plateau. The report shows a $3000 drop in nursing salaries this year compared to 2007. There are other indicators that suggest the nursing shortage is also tapering off. Experts say that one reason is the large number of nurses that are at the top of their facility pay scale who are now only getting an annual cost of living adjustment.
Cost of health benefits may get you fired.
Bad habits may get your fired. Over the last several months media sources have reported stories about companies that have targeted employees with bad habits. These so called targeted employees have found themselves in the cross hairs of company managers for termination. Termination solely based on “bad habits. Smoking is the favorite vice that has some companies up in arms. In an attempt to mitigate health benefit costs – at least the company’s out of pocket expenses – workers are losing their jobs because of their personal habits.
Concern with Root Cause Analysis and its use in Medicine to mitigate risk.
Root cause analysis (RCA) identifies the fundamental and contributory factors that emphasize variation in performance. It is a systematic retrospective review of occurrences / mishaps / errors that has been widely used in several industries as means of correcting problems. Originally developed in psychology, it has been successfully implemented in aviation and nuclear power; it has become quite popular with error management in healthcare organizations. How good is it in resolving problems?
Surpassing the Competition
I am the proud father of twin boys who are 3 ½. They are very active and already have the abilities to play baseball, football, soccer and golf. Bryce has a mean fastball and Broc can tackle you like a pro.
After writing this story, we bought a Nintendo Wii. We purchased the Wii to provide entertainment for our friends and family. By introducing computers and other forms of technology now, I am hopeful that our children will have a competitive edge in the future.
Just Culture in Healthcare
As a manager you can control two things: “the system that is designed around their employees and the behavioral choices they make in that system.
“Just Culture” is not just another catch phrase or an excuse for the way things are. It’s a concept that’s been around for some time. Originally used in other industries such as aviation, the concept centers on blame and accountability in the work place. David Marx JD discusses the concept on Web M&M as it relates to healthcare.
