HealthLeaders Media Community and Rural Hospital Weekly - March 5, 2008
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Finding Dr. Right
Carrie Vaughan, Editor, Community Hospitals
It's no secret that rural areas have a hard time recruiting physicians. Yet according to a survey of nearly 2,000 physicians by, roughly 80 percent of doctors who have never practiced in a rural area are not opposed to the idea--at least in theory. So why do only 10 percent of docs choose to practice in rural settings, even though 22 percent of the population lives in rural areas? [Read More]
March 5, 2008
Editor's Picks

eICU brings specialists' eyes to rural areas
This article highlights another way that technology can help bring specialty care to rural areas and enable patients to stay closer to home. Des Moines, IA-based Mercy Medical Center launched its electronic intensive care unit, Mercy eICU Connect, earlier this year. The system allows doctors and nurses to keep track of critical care patients remotely, 24 hours a day, seven days a week. Last year, my colleague, Gary Baldwin, wrote about a similar program at Norfolk, VA-based Sentara Healthcare that monitored 11 ICU departments across six hospitals up to 120 miles apart. [Read More]

Senate passes Indian healthcare bill
The Senate passed legislation that would provide American Indians with better access to healthcare services, modernize health clinics on reservations and increase tribal access to Medicare and Medicaid. The legislation would provide about $35 billion for Indian healthcare programs over the next 10 years. [Read More]

Calling all doctors, any doctors ... please
Physicians seeking help repaying their loans may want to check out New York. Since recruiting doctors to remote or underserved areas is challenging at best, most states offer physicians loan repayment programs in exchange for practicing in underserved regions. The amount that doctors can receive varies by state. New York Gov. Eliot Spitzer is proposing an initiative that would set aside $2 million per year and would help as many as 100 doctors each year. Thirty percent of the loan would be paid off after two years (the minimum requirement of service), and the payments would continue to grow each year to the point where it would be paid off after five years. The repayment maxes out at $150,000. [Read More]

Community resistance to hospital expansion heats up
This article demonstrates the importance of getting community support to your hospital expansion or construction project early on in the process. Bethesda, MD-based Suburban Hospital unveiled a $230 million plan to expand its 65-year-old facility, which would improve access to the emergency room, add private patient rooms, create physicians' offices, expand parking and modernize the hospital's 15 operating rooms. While neighborhood residents support Suburban's effort to modernize, the community voted 155-0 to oppose any plan that would close Lincoln Street, demolish homes, and build commercial offices or expand surface parking. [Read More]
Leaders Forum

ED Revenue Cycle Management
Emergency department revenue cycle management has never been more critical than in 2008. The skills of physicians, nurses, case managers, HIM, chargemaster staff members, and compliance staff members come into play for optimal revenue cycle management in the ED. [Read More]
This Week's Headlines

Audits sting hospitals, physicians
AP/Yahoo News - March 3, 2008
States: Medicaid changes costly
AP/Yahoo News - March 4, 2008
Letters back Lawrenceville, GA, heart center
Atlanta Journal-Constitution - February 28, 2008
About those healthcare plans by the Democrats
New York Times - March 3, 2008
Spring Hill, TN, hospital approved
The Tennessean - February 28, 2008
West Maui hospital plan gets key approval
Pacific Business News - February 29, 2008
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From HealthLeaders Magazine
Love Thy Vendor?
Providers and IT suppliers don't get along, right? You can build a partnership of trust with your vendor--and actually get what you pay for. Here's how. [Read More]
Community Call
Discussion Board
Each week, Community Call will pose a question to encourage community and rural hospital leaders to share success stories and best practices. This week's question is "Do you have any suggestions on how to tackle CPOE systems in smaller hospitals?"
Audio Feature
HIMSS 2008: IT Makeover: Randy Cox, chief information officer at Riverview Hospital, Noblesville, IN, describes how he enlisted department leaders to define what they needed in an enterprise IT makeover.
Sponsor Community and Rural Hospital
Contact Lisa Brown, Director of Integrated Sales, at or call 781.639.1872.
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