HealthLeaders Media Community and Rural Hospital Weekly - April 2, 2008
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Going from Good to Great
Carrie Vaughan, Editor, Community Hospitals
I spent time earlier this week reading some of the 2008 Top Leadership Teams entries for community and midsized hospitals. It's always nice to learn about organizations that are getting it right. Yet as I reviewed the entries, I was reminded that the biggest hurdle for many community hospitals is simply getting started. [Read More]
April 2, 2008
Editor's Picks

Small hospitals push to do angioplasties
In many states, community hospitals that don't have heart surgeons are banned from doing elective angioplasties. But a study suggests that it may not be as risky as has been feared. If confirmed, it could change state policies and would give community hospitals access to the lucrative procedure. I wonder, however, if any community hospitals have been deterred by recent reports that angioplasty may be on the decline given the procedure's modest results and high costs. [Read More]

Doctors sued for failing to supervise assistant
Last week I wrote about how physicians and nurses need to take full advantage of mid-level providers and assistants. Allowing these clinicians to handle more responsibilities will enable docs and nurses to focus their attention where they are needed the most. As the role of care extenders grows, however, nurses and docs need to ensure that they are following the rules established for supervising these clinicians. When a physician assistant missed a diagnosis that led to complications with a sinus infection, the two doctors that were supposed to be supervising the PA were named in the malpractice suit. Their practice agreement claimed one of the physicians would see every patient treated by the assistant, and their failure to do so played a part in the $3 million verdict. Similarly, as the role of nurse practitioners is expanding to include more who work in retail clinics, some physician' groups are calling for updated rules that would give them more supervision over the nurse practitioners. In Tennessee, state health professionals are weighing whether changes are needed. [Read More]

Small hospital seeks to revive Los Angeles facility
Pacific Hospital of Long Beach, CA, has emerged as the leading candidate to breathe new life into Martin Luther King-Harbor Hospital in Los Angeles. Pacific Hospital, which offers basic emergency services and relatively few specialized programs, has proposed to reopen the hospital with 77 beds initially, far fewer than the 400 beds once available at the site. [Read More]

IU med school expands rotations outside Indianapolis
Indiana University plans to have students take clinical rotations at hospitals outside Indianapolis starting this fall. In addition to helping the medical school accommodate its larger class sizes, officials hope to expose students to parts of the state they might want to return to for work. [Read More]

More mental health providers on the way
The School of Nursing at UNC-Chapel Hill is increasing the scarce supply of mental health providers by retraining nurses to diagnose and treat psychiatric illness. UNC-Chapel Hill is one of a handful of universities nationally that trains registered nurses to be psychiatric nurse practitioners. [Read More]
Leaders Forum

Physicians Offer Insights on Practicing Rural Medicine
Ask the average physician and you'll likely find that he didn't go into medicine for the money. Despite fairly universal frustration with the contemporary constraints of practicing medicine, today's physicians profess motivations similar to those of their predecessors: the desire to serve, a fascination with medical science, or an attraction to the intellectual and social stimulation medical practice offers. [Read More]
This Week's Headlines

Angioplasty's golden era may be fading
USA Today - March 27, 2008
McCordsville, IN, could get medical site of its own
Indianapolis Star - March 28, 2008
Maryland hospitals adding space, services
Baltimore Sun - April 1, 2008
Study finds many patients dissatisfied with hospitals
New York Times - March 31, 2008
Boston hospital cuts include managers, nurses
Boston Globe - March 31, 2008
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From HealthLeaders Magazine
Your Hospital, the Entrepreneur
Forget those fixed-income investments. Many organizations are funding early-stage healthcare ventures. [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 "Any advice on how to maintain employee and patient satisfaction while relocating to a new facility?"
Audio Feature
Value Your Part-Timers: Laura Boehlke Bray, physician leader at the Duluth Clinic in Duluth, MN, talks about the importance of providing part-time options as an essential part of retaining and recruiting physicians in your practice. [Listen Now]
Sponsor Community and Rural Hospital
Contact Lisa Brown, Director of Integrated Sales, at or call 781.639.1872.
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