Professional Documents
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December 4-7
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January 6-8
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March 6,7
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Noon CST
Please join Michael Millenson, president of Health Quality Advisors, Jay Warden, senior vice president of The Camden Group and William M. Dwyer, president of Dwyer HC Strategies, to discuss the trends that will shape the Midwest!s healthcare business environment in 2012:
http://www.healthwebsummit.com/ppmidwest120911.htm
a HealthcareWebSummit Event
co-sponsored by
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NEWS
Wisconsin (Continued from Page One)
clinical level. We had to start from zero, Logan said from his retirement home on Florida. They had to start by establishing a baseline from which subsequent improvement could be tracked. Our premise was if we told physicians where they were on the curve of performance, all physicians being achievers, they would do the right thing, Logan said. We would publish them internally, then publicly. We thought public exposure would help us. The notion that publication of comparative quality results could inuence behavior was already established also through a study situated in Wisconsin. In 2003 Health Affairs published a research study by Judith Hibbard showing that hospital performance went up as soon as comparative results became publicly available. That study made clear that clear that there is some improvement if it is privately shared info, but more improvement if it is publicly shared, said Irene Fraser, director of the Center for Delivery, Organization, and Markets at the Agency for Healthcare Research and Quality. There are two theories about why it works that way, she said: One, going through the consumer vector, consumers see the information and act on it, and that changes the market. The other theory is that providers see it, and dont like to look bad as professionals, so they act on it at that point. It has been harder to study physicians practices than hospitals, because most physicians are in small practices, where the cost and disruption of data gathering would make a research project prohibitive. Wisconsin, however, has a somewhat unusual medical landscape. Most doctors work in large multispecialty group practices, such as those afliated with the Dean Clinic, the Marsheld Clinic, or Aurora Health Care. On a state level, Wisconsin has one of the highest rates of electronic medical recordkeeping in the country, partly because these large aggregations of physicians have the capital and the will to invest in these expensive systems. In 2004 at Dean we spent $40 million in the rst year on electronic medical records, none of which came back to the physicians in income, Logan said. The benets all accrued to patients in improved care. This underlying electronic infrastructure is one of the reasons this study could be undertaken more easily in Wisconsin than in
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In Brief
Two Northern Indiana Hospitals Sign Accord to Combine Operations
The boards of two northern Indiana hospitals have agreed to merge into a single operating entity. Memorial Hospital and Health System of South Bend, with 325 beds, will combine with Elkhart General Health System, with 297 beds. Both are near the University of Notre Dame. Conversations regarding a merger began in March. The hospitals will commence discussions in December around what form the new healthcare organizations parent company will take. The afliation follows years of successful collaboration between the two organizations and as a proactive response to dramatic changes pending in the healthcare industry around healthcare reform, the hospitals said in a joint statement.
Continued on Page 3
other states (with the possible exceptions of Minnesota and Massachusetts). And indeed there are other regional quality organizations, such as Minnesota Community Measurement and Quality Quest in Peoria, Ill., that do much the same kind of work. Chris Queram, the chief executive of the Wisconsin Collaborative, said the decisive factor was the willingness of the states physicians to get behind this project. Electronic record is part of it. Political will trumps that, he said. The 2003 landmark hospital study was pushed through by a business coalition using discharge data available through the state division of health, he said. That sent a signal to providers, both hospitals and physicians, that this stuff is coming, and wed like to have a say in how measures are selected, how theyre dened, where the data comes from. Physician leaders of the major groups saw the accountability imperative is not going away, and chose to embrace it instead of keep it from happening, Queram said. I give them a lot of credit. In the beginning it was scary, Logan said. It meant opening up the underwear drawer and saying, Im not doing so well on this measure, what are you guys doing that works better? There is that certain element of, Gee, I dont look as good as my peers, so maybe we should put some effort into this. Lambs study, which has been submitted to a medical journal, was paid for through a grant of $295,889 from the Commonwealth Fund. The foundation supported the study because it wants to build the case that public reporting of quality indicators makes a difference in patient outcomes, said AnneMarie Audet, M.D., who oversees the program in health system quality and efciency. Reporting this data costs money. People say, if you want me to invest in this, show me that value. The project was designed to compare Wisconsins performance to that of two states that didnt have public reporting, Iowa and North Dakota, as well as the rest of the United States. Those states didnt see the improvement that was seen in Wisconsin. In surveys, physicians groups were asked to what extent they paid attention to the published results. The researchers found that many of the clinics were paying a lot of attention to how they scored on these measures, then implementing clinical guidelines, patient reminders, and educational tools for patients.
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NEWS
Page 3
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In Brief
Were really pleased with all the interest, a spokeswoman for the agency said. Medical malpractice insurers are required to report any payments they make on cases involving doctors they insure. Hospitals, likewise, have to report actions against physicians on their staff. Criminal convictions must also be reported, but it is more difcult to gather independent data from the states 102 county courts. Physicians are supposed to self-report their convictions. However, few of them do. The physician proles can be found at www.idfpr.com.
St. Lukes Kansas City Unveils $330 Million New Patient Tower
St. Lukes Hospital of Kansas City opened a new $330 million patient tower that is designed to house the hospitals Mid America Heart Institute. The new tower showcases the latest medical technology and patient amenities. Our commitment to excellence is reected in every detail of the beautiful new structure, from expanded patient care space to improved accessibility, said Julie Quirin, CEO of St. Lukes Hospital, in a statement. The new home of the heart institute includes surgical suites, catheterization labs, and electrophysiology suites. Patient rooms have private showers and bathrooms. Family members will have a place to sit and sleep. Nearby nursing stations are intended to make staff more accessible to patients and visitors. Physicians are able to meet with family members after procedures in special private consultation rooms. Patients and families will have access to an acre of new green space, including a healing garden, courtyard garden, and rooftop garden.
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OPINION
Page 4
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MARKETPLACE/EMPLOYMENT
Page 5
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MHA or MBA Preferred. 5 plus years progressive experience in hospital operations as hospital CEO or equivalent. Previous Critical Access Hospital (CAH) experience preferred. Strong physician relations and understanding of physician practice management. Managed care experience, experience and knowledge in quality initiatives.
BENEFITS AND COMPENSATION Salary is commensurate with experience. To attract!and retain the best professionals, we offer a comprehensive and competitive benets package that includes medical, dental, vision, 401(k), employee assistance program, and much more. Contact: Mary Ann Holloway, Director, Human Resources (620) 724-5142 maholloway@girardmedicalcenter.com
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MARKETPLACE/EMPLOYMENT
Page 6
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