HealthLeaders Media Corner Office - March 20, 2009 | The Time to Innovate Is Now View as a Webpage | Subscribe for Free
The Time to Innovate Is Now
Carrie Vaughan, Senior Editor-Leadership

Your hospital is losing millions. You can't purchase new equipment or update aging facilities. Your endowments have dried up, and you may have to cut services and lay off employees—if you haven't already. Welcome to the life of a hospital executive in 2009.
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  March 20, 2009

Editor's Picks
Blumenthal Spearheads Health IT Reform
President Obama has picked David Blumenthal, a Harvard Medical professor who is director of the Institute for Health Policy at Massachusetts General Hospital, to be the national coordinator for health information technology. Blumenthal will be in charge of $19 billion in health IT funds from the stimulus package. This story analyzes Blumenthal's blueprint for how the federal government should push for widespread use of interoperable health IT systems and offers insights about the road ahead. [Read More]
Plans to divert ER patients on hold
The University of Chicago is putting the brakes on a controversial program that redirects some patients from the emergency room to other facilities. The programs are meant to address rising costs and long waits for emergency treatment. President Robert Zimmer announced plans to "review, refine and modify" these proposals. Overseeing the project is the newly appointed chairman of the department of medicine. Much of the criticism has been that the hospital was turning its back on its commitment to the community, which includes some of the poorest neighborhoods in the country. [Read More]
No lay offs
I bet employees at Joliet, IL-based Silver Cross Hospital are sleeping a little more soundly after CEO Paul Pawlak's pledge to full- and part-time employees that there will be no layoffs in 2009. Similarly, employees at Boston-based Beth Israel Deaconess Medical Center must be proud that their efforts to avoid layoffs through a combination of wage freezes, salary cuts in high administrative jobs, and benefit reductions resulted in 450 jobs that were spared.
Using the 'R' Word
What are the long-term implications of the comparative effectiveness study in the stimulus package? Rationing healthcare services may be closer than you'd like to think, according to my colleague Jim Molpus. The study may be a first step toward determining which treatments are appropriate for patients in various stages of life and health. [Read More]
Are You Part of a Top Leadership Team?
HealthLeaders Media is gearing up for its fifth year of the Top Leadership Teams in Healthcare program that recognizes the best in senior leadership teamwork at hospitals, health plans, and medical group practices. This year's winners will be honored during HealthLeaders Media '09: The Hospital of the Future Now, an event planned for October 15-16 at The Palmer House in Chicago. If you and your organization have an outstanding teamwork story to share, go to the Top Leadership Teams site to learn more about the six categories, download an entry form, and submit your entry. The deadline to submit is April 30.
This Week's Headlines
Two unions, once bitter rivals, will now work together
New York Times - March 19, 2009
Healthcare overhaul cost may reach $1.5 trillion
AP/Yahoo News - March 18, 2009
Team effort in the House to overhaul healthcare
New York Times - March 18, 2009
Healthcare leaders discuss goals for University of Iowa Hospitals
Des Moines Register - March 18, 2009
Commentary: Retail healthcare is . . . um . . . retail
Sg2 (free registration required) - March 18, 2009
Ousted North Carolina doc fights back
Raleigh News & Observer - March 17, 2009
Governor Rell rejects UConn, Hartford Hospital proposal
Hartford Courant - March 17, 2009

Service Lines Strategies Workshop 2009: Joint Replacement (April 20)
5 Ways to Improve the Patient Experience at Your Hospital (On Demand)

Top 5 Healthcare Jobs
CEO/Administrator: HealthSouth, San Antonio, TX. Responsible for creating an environment and culture that enables the hospital to fulfill its mission by meeting or exceeding its goals . . . [Read More]
Chief Financial Officer: Lakeland Regional Hospital, Springfield, MO. Oversees all financial related functions of the hospital and is directly responsible for financial statement preparation, analysis, and reporting . . . [Read More]
Administrative Director of Clinical Information Systems: Virginia Mason Medical Center, Seattle, WA. Accountable for the successful planning, project management, and implementation of both hospital and ambulatory clinical information system projects . . . [Read More]
Chief Nursing Officer: El Paso Specialty Hospital, El Paso, TX. Responsible for strategic oversight and operational performance for patient care services . . . [Read More]
Chief Medical Officer: Oregon State Hospital, Salem, OR. Provide medical leadership and direction to our clinical staff and physicians . . . [Read More]
From HealthLeaders Magazine
SOS: Public Hospitals

HealthLeaders July 2007
On the brink even during good economic times, many public hospitals are operating in technical insolvency amid a painful recession. But they can take heart from following the example of two that have managed well. [Read More]
Service Lines Management
Beyond Obstetrics

A changing female demographic has created new opportunities for hospitals to grow the women's health service line into much more than just labor and delivery. [Read More]
View from the Top

Problems and Solutions in End-of-Life Healthcare Federal legislation passed in 1990 affirms patients' rights to document end-of-life wishes and designate a healthcare decision-maker, requiring hospitals to ask all patients at time of admission about their advance directives. However, despite passage of this legislation—the Patient Self Determination Act of 1990—only 15% to 20% of patients have an advance directive, and even when there is one, 65% to 76% of physicians are unaware of these patient choices. Consequently, people end up getting healthcare services in the last days of life that they would not have wanted. [Read More]
Audio Feature

CEO Survey: Cheryl Herbert, president of Dublin Methodist Hospital in central Ohio, offers insights on the HealthLeaders Media Industry Survey 2009, discussing CEOs' view of the quality of their organizations' information technology and how the federal stimulus package may affect healthcare IT. [ Sponsored by TeamHealth and by VHA. (Click Here)]
Sponsor HealthLeaders Media Corner Office

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