Steps that hospitals should take to ensure they are gaining optimal value from their electronic health record (EHR) systems include: Creating a value framework for EHR implementation a value framework or EHR implementation. Creating and build executive understanding of the framework. Quantifying each of the expected benefits of EHR implementation. ...

North Texas Specialty Physicians (NTSP), an independent practice association based in Forth Worth, has been working with healthcare organizations across North Texas to build an HIE known as SandlotConnect. NTSP Executive Director Karen Van Wagner, Ph.D. lays out four key strategies that appear to have been successful in winning broad ...

Health-care organizations, particularly hospitals, are among the most complex organizations to manage. However, the executive selection processes these organizations have in place are poorly understood. The purpose of this study is to explore the executive selection processes employed by USA acute care hospitals and discern if such processes are related ...

Hospital chief executives are tapping physicians for upper management roles beyond the traditional chief medical officer and other primarily clinical positions. But often, these highly educated, entrepreneurial and strong-willed individuals need help acquiring the business and people skills to successfully make the transition.

A combination of the Great Recession and aging baby boomers is being credited by some for driving a huge rate of turnover among CEOs of acute-care hospitals. "Part of the driver is definitely the economy. All the states, and especially the federal government, are facing budget issues, and that all ...

The economical pressure on the health system and especially on hospitals is growing rapidly. Hence, economical knowledge for people in medical executive positions becomes imperative. In advanced and forward-looking hospitals controlling is gaining more and more weight, because it takes over a coordinative responsibility. Ideally controlling is navigating the teamwork ...

Predictive analytics is an advanced business intelligence tool that can help healthcare financial executives mine data resulting in high-value, actionable improvements for their revenue cycle. Predictive analytic solutions can help hospitals increase revenues and improve their decision-making ability to increase revenue and staff productivity. Automation technology can help hospital business ...

With increasing attention paid to reducing racial/ethnic disparities in care and the growth of pay-for-performance programs, policy makers and payers are considering the use of such incentive mechanisms to target disparities reduction. This article describes the results of qualitative interviews with hospital executives to assess the potential impact that such ...

QUALITY ISSUE: The vast majority of health system capacity-building efforts have focused on enhancing medical and public health skills; less attention has been directed at developing hospital managers despite their central role in improving the functioning and quality of health-care systems. Initial ASSESSMENT AND CHOICE OF INTERVENTION: Initial assessment of ...

BACKGROUND: Hospital medicine has grown rapidly, but hospital leaders' perceptions of current and future drivers of hospitalist growth are unknown. OBJECTIVE:: To determine hospital executives' perceptions of factors leading to hospitalist implementation and their vision for hospitalists' work roles. SETTING: Nonfederal, acute care hospitals in California. PARTICIPANTS: California hospital leaders ...

The feds are playing hardball when it comes to healthcare fraud, and physicians and executives are feeling the heat, along with hospitals and systems. "Under the anti-kickback statute and Stark self-referral law, it takes two to tango. When we're doing our analysis of the fraud problem, we have come to ...

Growing interest in pay-for-performance and the level of chief executive officers' (CEOs') pay raises questions about the link between performance and compensation in the health sector. This study compares the compensation of nonprofit hospital CEOs in Ontario, Canada to the three longest reported and most used measures of hospital financial ...

A study was conducted to explore the perceptions of chief executive officers in US hospitals regarding the origins of leadership and how they felt about internally developed successors versus externally recruited successors. Furthermore, the study examined how this group of executives utilizes the succession planning process, what factors impact successor ...

* The HITECH section of ARRA includes provisions relating to protected health information that could significantly alter the C-suite leader's strategy. * Patients will be entitled to request an accounting of disclosure for up to three years after the date of request. The onus will be on hospital leaders to ...

On one hand we have Philippe-Fran?ois-Nazaire Fabre, known as Fabre d'Eglantine, an undistinguished playwright, who, in September 1792, during the French Revolution, was elected a member of the Convention nationale and voted for the execution of Louis XVI in January 1793. On the other hand we have Jean-Antoine-Michel-Dieudonn? Janin de ...

Between the economy and looming health care reform, hospitals face a new era of uncertainty. Many hospitals are implementing a moment-by-moment management strategy, with nearly every capital expenditure requiring approval from the highest-level executives. Experts urge hospitals not to ignore long-term opportunities for growth and to take advantage of physicians' ...

A study was conducted to determine if workforce demographics of chief executive officers within hospitals in the United States were changing. It sought to analyze the retirement patterns and the current gender mix of chief executive officers in hospital settings within the United States. It also sought to capture the ...

Counting among his biggest spare-time interests a lifelong passion for Newcastle United Football Club, Darryn Kerr, estates and facilities director at the Leeds Teaching Hospitals NHS Trust, believes that, in footballing terms, his two years in post have seen the Trust move from Championship to Premier Division status. However, as ...

This study developed and applied benchmarks for five indicators included in the CAH Financial Indicators Report, an annual, hospital-specific report distributed to all critical access hospitals (CAHs). An online survey of Chief Executive Officers and Chief Financial Officers was used to establish benchmarks. Indicator values for 2004, 2005, and 2006 ...

This paper developed a business value increasing model for electronic hospital (e-hospital) based on electronic value chain analysis. From this model, 58 hospital electronic business (e-business) solutions were developed. Additionally, this paper investigated the adoption patterns of these 58 e-business solutions within six US leading hospitals. The findings show that ...

Hospital CEOs spend an average of just six years at one organization, and the cost of turnover is high. Finding executives to fill that top spot is more complicated thanks to a jittery economy, job candidates' worries about selling their homes and other issues. That's prompting hospitals to be more ...

The United States Supreme Court recently ruled that execution by a commonly used protocol of drug administration does not represent cruel or unusual punishment. Various medical journals have editorialized on this drug protocol, the death penalty in general and the role that physicians play. Many physicians, and societies of physicians, ...

Hospitals typically don't come to mind when you think about cutting-edge environmental programs, but that's changing. Rising energy costs, the need to replace older facilities, and a growing environmental consciousness have spurred hospitals nationwide to embrace a green ideology. The executive suite is a vocal and active player in these ...

Well, regarding how I introduced this story today, I thought that I would have to add a new story due to the original request from Vice President Sato. There were other situations. The other day, Mr. Miyabayashi visited my office at the University of Shizuoka, he looked like lack of ...

BACKGROUND: Hospital purchasing alliances are voluntary consortia of hospitals that aggregate their contractual purchases of supplies from manufacturers. Purchasing groups thus represent pooling alliances rather than trading alliances (e.g., joint ventures). Pooling alliances have been discussed in the health care management literature for years but have never received much empirical ...

In the last decade, the economics of healthcare have undergone a dramatic change. Hospital leadership has the challenge of balancing concurrent and competing claims for resources. Executive hospital leadership has the ability to affect the type and quality of healthcare services provided to constituents through their organisational decision-making; however, relatively ...

Anecdotal evidence suggests growing concerns about chief nursing officer (CNO) dissatisfaction, intent to leave, and turnover. However, little evidence documents the magnitude of the problem or whether CNO turnover requires direct action. This article reports the results from the first phase of a three-phase study examining CNO turnover and retention ...

Some former Triad executives have gotten together and formed a chain called Legacy Hospital Partners. Dan Moen, left, Triad's former executive vice president, is Legacy's president and chief executive officer. He and Triad's former CEO, Denny Shelton, say the company will stay out of markets where Triad operated a hospital ...

In a survey of 568 physician members of the American College of Physician Executives (ACPE), most of whom had advanced management degrees (MBA, MMM, MPH), approximately 90% of respondents reported that their investment in the education was "worth it." The return on investment was independent of the quality of the ...

Utilizing a commercially available business analytics tool offering dashboard-style graphical indicators and a data warehouse strategy, we have developed an interactive, web-based platform that allows near-real-time analysis of CPOE adoption by hospital area and practitioner specialty. Clinical Decision Support (CDS) metrics include the percentage of alerts that result in a ...

Think globally and act locally! This should not be viewed as a worn-out cliché because it is the call to action that has propelled Boulder Community Hospital to the forefront of those exemplary hospitals in the United States that have successfully executed environmentally friendly initiatives. It is this notion that ...

To ensure a hospital move is successful, years of painstaking planning must take place; and materials managers should be involved from the time the decision is made by executives until the move is complete. Attention to detail is critical because everything from materials to patients will be affected. So, to ...

BACKGROUND: Ascertaining and documenting patients' preferences regarding end-of-life care is required by accrediting organizations at hospital admission. However, hospitals vary widely in their methods of making these preferences (including do-not-resuscitate [DNR] status) available to frontline providers, increasing the potential for errors. METHODS: We surveyed 127 nursing executive members of the ...

This study examined the general characteristics of chief executive officers (CEOs) and their hospitals and the perceived impact of CEO turnover on various organizational activities. A mail-based survey included 156 hospital CEOs in 6 states in the West South Central, West North Central, and Mountain regions. Neither hospital and CEO ...

Hospitals saw nearly the same rate of turnover among CEOs last year-15%-as they've experienced in the previous five years, according to the American College of Healthcare Executives. But some say that's too high, and the industry has begun taking some measures to retain their top execs. Consultant Jim Nelson, left, ...

PURPOSE OF REVIEW: Lethal injection has come under fire as less than the peaceful, painless death it appears. Reevaluation of the process has sparked examination of the role of doctors in state-sponsored executions. RECENT FINDINGS: Physicians helped design the lethal injection protocol. Seventeen death penalty states require physician involvement and ...

In a recent issue of this journal, David Silver and Gerald Dworkin discuss the physicians' role in execution by lethal injection. Dworkin concludes that discussion by stating that, at that point, he is unable to think of an acceptable set of moral principles to support the view that it is ...

Gepard provides a user-friendly, interactive application for the quick creation of dotplots. It utilizes suffix arrays to reduce the time complexity of dotplot calculation to Theta(m*log n). A client-server mode, which is a novel feature for dotplot creation software, allows the user to calculate dotplots and color them by functional ...

Psychiatric advance directives (PADs) are intended to support patients' treatment decisions during a crisis. However, PAD statutes give clinicians broad discretion over whether to carry out patients' advance instructions. This study uses data from a survey of psychiatrists (N=164) to examine reasons for overriding PADs. In response to a hypothetical ...

As state hospital associations increasingly feel the need to lead the charge for reform, there's been a wave of new chief executives at a number of groups. "The role of the state hospital association is in flux," says Dan Moen, left, chairman of the Massachusetts Hospital Association. "We're the incubators. ...

BLAST and Repeat Masker Parser (BRM-Parser) is a service that provides users a unified platform for easy analysis of relatively large outputs of BLAST (Basic Local Alignment Search Tool) and RepeatMasker programs. BLAST Summary feature of BRM-Parser summarizes BLAST outputs, which can be filtered using user defined thresholds for hit ...

Is it possible to see a return on the huge investments it takes for hospitals to purchase and implement sophisticated clinical information systems? The answer emerging from research HIMSS Analytics is that hospitals can indeed experience powerful returns on investments, but those returns might not take the direct financial form ...

The conviction of two former Roger Williams Medical Center executives in Rhode Island is sure to keep up the heat for more vigorous oversight of hospitals. Robert Urciuoli and Frances Driscoll were both convicted of fraud. "It's not to say that directors should be running these organizations," says attorney Patrick ...

A patient safety executive rounding program at St. Charles Hospital, Port Jefferson, NY, has united staff and helped to identify a number of performance issues. The success of the program has even surprised top administrators who pushed to have it implemented. Each month, teams of executive staff and department heads ...

The OIG's recent approval of several gainsharing proposals presents a new opportunity for hospitals to consider in providing incentives for physicians to help reduce hospital costs. A look at better-performing hospitals identifies both simple and complex strategies that can be successful in supporting physician involvement. Hospital executives should understand the ...

BACKGROUND: The decisions taken by occupational physicians (OPs) generally show low reproducibility and reflect some uncertainties linked to the decision making process. AIM: The aim of the study was to evaluate the variability of different OP decisions in order to assess their reproducibility, which is regarded as a quality factor ...

Trouble revisited National Century Financial Enterprises last month, when the Securities and Exchange Commission sued four former execs for the accounting fraud that caused the financial firm's collapse in 2002. The investigation worries some, but others, like Kathy Patrick, left, an attorney representing former NCFE investors, says there is "legitimate ...

During overwhelming demand for resources, such as during an influenza pandemic, clinicians may be required to deny some patients access to a resource (for example ventilation, or hospital admission). However, no pragmatic guidance exists to help clinicians do this. This paper presents criteria for the prioritisation of access to resources ...

The American Jobs Creation Act of 2004 added Internal Revenue Code (IRC) Section 409A, which makes changes to nonqualified deferred compensation plans. Physician practice groups can take steps to avoid the risk of penalty from noncompliance. Precision and caution in addressing deferred compensation arrangements are especially important now since the ...

Empirical evidence is scarce on chief executive officer (CEO) turnover in U.S. hospitals, with potentially serious implications for many of these organizations. This study, based on a nationwide survey of CEOs at non-federal general surgical and medical community hospitals conducted in the spring of 2004, reports the perceptions of hospital ...