Posted on March 17, 2017 by kmgarber
The average size of a health care governing board is 13 to 16 members, according to a 2015 survey conducted by The Governance Institute. This article, written by a governance consultant, describes the traditional model for a hospital board – the community board model. Reasons why health systems are exploring other models are discussed. These other models include:
- Mirror boards
- Community board at the parent company level only
- Board of experts
- Committees only at the system board level
- CEOs of subsidiary hospitals report directly to system CEO
Source: Stout, L.R. (2017, March-April). Breaking free from traditional models. Healthcare Executive, 32(2), 72-75. Click here for publisher’s website: http://ache.org/HEOnline/digital/heonline_index.cfm Posted by AHA Resource Center (312) 422-2050 email@example.com
Filed under: Governing boards, Posted by Kim Garber | Tagged: health system governance, Hospital governing board, Size of governing board | Leave a comment »
Posted on March 15, 2017 by kmgarber
During the nursing shortage of the early 1980s, there were an estimated 100,000 vacancies nationwide and inadequate staffing in over three-quarters of U.S. hospitals. In an effort to alleviate the shortage, the American Academy of Nursing engaged four AAN fellows to choose a topic and conduct research on nurses employed at hospitals. The author of this brief article – Muriel Poulin – and her colleagues Margaret McClure, Margaret Sovie and Mabel Wandelt, decided to study the characteristics of hospitals that were doing a good job of retaining nursing staff. They surveyed 41 hospitals and prepared a report that served as the basis of the later Magnet Recognition Program.
When I stop to consider how much the program has progressed, I cannot get over it. It has been a remarkable evolution that now includes hundreds of healthcare organizations around the world…” (Dr. Poulin, page 73).
Poulin, M. (2017, February). A remarkable journey: Why the Magnet Recognition Program continues to resonate today. JONA. The Journal of Nursing Administration, 47(2), 72-73. Click here for publisher’s website: http://journals.lww.com/jonajournal/Abstract/2017/02000/A_Remarkable_Journey__Why_the_Magnet_Recognition.2.aspx
American Nurses Credentialing Center. (2017). ANCC Magnet Recognition Program. Click here: http://www.nursecredentialing.org/Magnet Posted by AHA Resource Center (312) 422-2003 firstname.lastname@example.org
Filed under: Hospitals, Nursing, Nursing units, Posted by Kim Garber | Tagged: Magnet hospitals, Magnet recognition program | Leave a comment »
Posted on March 14, 2017 by kmgarber
Advantages and disadvantages of allowing patients to read the notes that physicians and other providers write about their office visits and hospital care are explored in this short Modern Healthcare article. The movement towards greater transparency of care is explored further on the website OpenNotes. Here are some of the providers that are exploring this concept.
Who is doing this?
- Geisinger Health System (Danville, PA)
- Beth Israel Deaconess Medical Center (Boston)
- Sutter Medical Foundation (Sacramento, CA)
- MUSC Health (Charleston, SC)
- Harborview Medical Center (Seattle)
- Mayo Clinic
- Kaiser Permanente Northwest
- Department of Veterans Affairs
- UCHealth (Denver)
Sources: Livingston, S. (2017, Jan. 2). Growing number of doctors allowing patients to read their notes. Modern Healthcare, 47(1), 14-15. Click here for publisher’s website: http://www.modernhealthcare.com/article/20161231/MAGAZINE/312319982; and, OpenNotes. www.opennotes.org Posted by AHA Resource Center (312) 422-2050, email@example.com
Filed under: Electronic health records, Posted by Kim Garber | Tagged: EHR, Physician notes, Transparency | Leave a comment »
Posted on March 13, 2017 by kmgarber
These data were compiled based on reports of firearm discharges in hospitals over a 10-year period ending in December 2016. During this time, a total of 416 firearm discharges occurred, killing 279 people. A tendency for larger hospitals to have more frequent firearm discharges was observed.
Top 5 Motives for Firearm Discharge
- 30 percent (suicide)
- 15 percent (while violating another law)
- 10 percent (domestic – family dispute)
- 10 percent (related to care of patient who is a prisoner)
- 6 percent (accidental)
Elderly people (over 70 years old) are disproportionately likely to be in this offender group.
Source: Aumack, T., York, T., and Eyestone, K. (2017). Firearm discharges in hospitals: An examination of data from 2006-2016. Journal of Healthcare Protection Management, 33(1), 1-8. Click here for publisher’s website: http://www.iahss.org/?page=Journal Posted by AHA Resource Center (312) 422-2050 firstname.lastname@example.org
Filed under: Emergency department, Posted by Kim Garber | Leave a comment »
Posted on March 13, 2017 by kmgarber
Here is the annual list compiled by ECRI Institute of the top 10 patient safety concerns based on a review of event reports and survey data.
Most organizations already know what their high-frequency, high-severity challenges are. Rather, this list identifies concerns that might be high priorities for other reasons, such as new risks, existing concerns that are changing because of new technology or care delivery models, and persistent issues that need focused attention or pose new opportunities for intervention.” (page 2)
The Top 10 (these topic headings are quoted directly from the white paper):
- Information management in EHRs
- Unrecognized patient deterioration
- Implementation and use of clinical decision support
- Test result reporting and follow-up
- Antimicrobial stewardship
- Patient identification
- Opioid administration and monitoring in acute care
- Behavioral health issues in non-behavioral-health settings
- Management of new oral anticoagulants
- Inadequate organization systems or processes to improve safety and quality
A nice feature of this white paper is that it contains links to ECRI Institute resources that provide advice and guidance on each of these topics.
Source: ECRI Institute. (2017, March). Top 10 patient safety concerns for healthcare organizations 2017: Executive brief. Plymouth Meeting, PA: ECRI Institute. Click here for free full text (but you may be asked to fill out a registration form): https://www.ecri.org/EmailResources/PSRQ/Top10/2017_PSTop10_ExecutiveBrief.pdf Posted by AHA Resource Center (312) 422-2050, email@example.com
Filed under: Patient safety, Posted by Kim Garber | Tagged: ECRI Institute, Top 10 lists | Leave a comment »
Posted on March 10, 2017 by kmgarber
Design considerations for negative isolation and positive isolation rooms are discussed in this brief article by an engineering consultant. Negative-pressure isolation rooms are intended to keep an infectious patient from infecting others in the hospital. Positive isolation rooms are the opposite – intended to keep germs away from an immunocompromised patient in the room. The recommendation for both types of isolation rooms is reported to be at least 12 air changes per hour. Some hospitals use isolation rooms for general patients when they are available. Although allowed in the past, it is no longer possible to operate isolation rooms that can be switched back and forth from negative to positive pressure.
Source: Herrick, M. (2017, February). Pressure points: Planning and maintaining air isolation rooms. Health Facilities Management, 30(2), 29-32. Click here: http://www.hfmmagazine.com/articles/2671-planning-and-maintaining-hospital-air-isolation-rooms Posted by AHA Resource Center (312) 422-2050, firstname.lastname@example.org
Filed under: Design, Posted by Kim Garber, Special care units | Tagged: Airborne infectious isolation rooms, Airborne isolation rooms, Hospital isolation rooms, Infection control, Isolation room design, Negative pressure isolation rooms | Leave a comment »