HealthLeaders Media Corner Office - January 9, 2009 | You Came to the ED for That? View as a Webpage | Subscribe for Free
You Came to the ED for That?
Carrie Vaughan, Senior Editor-Leadership

Hospital emergency departments are full of patients who don't belong there. It's not news that EDs are overcrowded, plagued by long waits, and have patients lining the hallways. Unfortunately, the current economic downturn means that the uninsured ranks will likely grow, prompting even more patients to use the ED as their primary-care provider.
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  January 9, 2009

Editor's Picks
Skills to lead in tough times
In this Q&A, business advisor Ram Charan offers advice on how leaders can bring their organizations though this economic downturn stronger and more resilient. He says that leaders should be tuned in to the external forces driving change and be able to anticipate changes that will impact them. Leaders also need to confront the reality of their situation and communicate that to employees. Now is not the time for rose-colored glasses. [Read More]
Under fire
Atlanta's Grady Memorial Hospital, which is still millions of dollars in debt, received harsh criticism from healthcare activists for a proposal that would generate $2.5 million per year for the hospital by eliminating free care to some patients. Currently, Fulton and DeKalb patients who earn less than $26,000 a year—or 250% or less of the federal poverty guidelines—can receive free medical care. Under the proposal, those patients who earn between 126% and 200% of the federal poverty guidelines would only receive a 60% discount on their bill. Grady CEO Michael Young said the hospital wants "to make sure that people who can afford to pay something will pay something." [Read More]
Should patients be told of better care elsewhere?
Physicians routinely advise patients to seek out a second opinion regarding a diagnosis or treatment plan. But is that enough? This New York Times article examines whether physicians have an ethical obligation to tell patients that they may live longer or avoid complications by going to a different hospital? [Read More]
Gupta chosen for medical post
Sanjay Gupta, associate chief of neurosurgery at Grady Memorial Hospital in Atlanta and a correspondent for CNN and CBS, has surfaced as President-elect Barack Obama's choice for U.S. surgeon general. He would also hold a top post in the new White House Office of Health Reform. [Read More]
This Week's Headlines
Healthcare industry sees rapid growth in outpatient surgery centers
Pittsburgh Post-Gazette - January 8, 2009
Florida Legislature expected to slash hospital budgets
Miami Herald - January 8, 2009
Tough times for managers, too
Business Week - January 6, 2009
Economy hitting Pennsylvania hospitals
Philadelphia Inquirer - January 7, 2009
Stark reintroduces healthcare bill
Wall Street Journal (blog) - January 7, 2009
Seven hospitals in New York accused of $50 million Medicaid fraud
New York Times - January 6, 2009

Incentive-Based Compensation Plans to Enhance Physician Performance (February 12, 2009)
Service Line Strategies Workshop 2009: Women's Health (On Demand)
Top 5 Healthcare Jobs
CEO/Administrator: HealthSouth, Midland, TX. The Chief Executive Officer is responsible for all day-to-day operations of the hospital and is accountable for planning organizing and directing the hospital . . . [Read More]
Chief Nursing Officer: Porter Valparaiso Hospital, Chicago, IL. The Chief Nursing Officer is responsible for providing leadership to nurse employees, and maintaining necessary regulatory and compliance approvals and quality accreditations . . . [Read More]
Chief Financial Officer: Lindner Center of Hope, Mason, OH. The Chief Financial Officer directs the preparations of all financial reports, including income statements, balance sheets, and tax returns and reports for government regulatory agencies . . . [Read More]
Chief Medical Officer: Mercy Hospital of Bakersfield, Bakersfield, CA. This position will provide skilled management and leadership functions for the organized medical staff . . . [Read More]
Director of Clinics: Knapp Medical Center, Weslaco, TX. The Clinic Director is responsible for exploring, developing, and implementing business opportunities and plans . . . [Read More]
20 People Who Make Healthcare Better

HealthLeaders July 2007
In our annual HealthLeaders 20, we offer profiles of individuals who are making a difference in today's complex healthcare world. [Read More]
Service Lines Management
Here Come the Seniors

The influx of baby boomer patients promises to increase the already high demand for senior services. But the prospect of expanding a service line that relies so heavily on Medicare has some hospital leaders jittery. [Read More]
Leaders Forum

Key Trends and Implications for 2009 HealthLeaders contributor Steven T. Valentine discusses 10 trends that will have a significant impact on the healthcare delivery system, and where senior leaders and board members should be concentrating their efforts in the difficult year ahead. [Read More]
Audio Feature

What is Old is New Again: Hospital and physician leaders who have been around long enough remember when employing physicians was a sound strategy, then a disastrous one, and now is back again. At the 2008 HealthLeaders Media Top Leadership Teams Conference, David White, CEO of Iasis Healthcare Corp. in Franklin, TN, discussed how the industry can get it right this time. [Listen Now]
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