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A true test of the success of a process improvement initiative is whether the results can be sustained, and the ED at Hudson Valley Hospital Center in Cortlandt Manor, NY, has just celebrated the fifth anniversary of its "no wait" process. Most patients skip the waiting room entirely and go right to registration, and then to triage.
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The Centers for Medicare & Medicaid Services (CMS), on the march to value-based purchasing and tying quality care to reimbursement levels, certainly will be requiring more and more from hospitals.
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Just as it standardized clinician-to-clinician hand-offs, Kaiser Permanente recognized the importance of the hand-off for the patient from hospital to home.
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The recent report from the Office of the Inspector "Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries" recommends that the Centers for Medicare & Medicaid Services (CMS) focus on the Quality Assurance and Performance Improvement (QAPI) Condition of Participations in its survey and certification processes.
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About 80% of serious medical errors involve problems in hand-off communication, says Klaus Nether, project leader with The Joint Commission Center for Transforming Health Care, who has a black belt in Six Sigma.
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You probably remember the days when nurse-to-nurse shift reports involved a nurse and a voice recorder. "There would be a lot of people coming in and people going and a lot of chaos.
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The perspective of Laura Avakian's book "Helping physicians become great managers and leaders: Strategies that work" is from a human resources professional. And that is because Avakian worked as vice president of human resources in health care for about 25 years at Beth Israel Deaconess and MIT.
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If hospitals don't get it by now, then they're not reading the writing on the wall. Quality will increasingly affect hospitals' financial welfare.
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Hospitals and physicians should prepare for increasing liability costs, according to the 2010 Hospital Professional Liability and Physician Liability Benchmark Analysis created by Aon Risk Solutions, the global risk management business of Aon Corporation, in conjunction with the American Society for Healthcare Risk Management (ASHRM) in Chicago
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If you haven't yet incorporated metrics into your risk management program, you should begin immediately, because the use of metrics will drive much of what happens in the field in coming years, say risk managers and other experts. Risk managers who are using metrics may be ahead of the curve, but still need to ensure they are getting the most out of them.
