HealthLeaders Media Community and Rural Hospital Weekly - April 28, 2010 View as a Webpage | Subscribe for Free

Will We Ever Start Calling Nurses 'Doctor'?
Cheryl Clark, Editor, Community Hospitals
While researching health professionals' efforts nationally to expand their scope of practices, someone sent me an interesting link to a clickable map of the United States. The map shows, from coast to coast, the substantial variation in the extent to which nurses are allowed to function state by state. And it's precisely this variation that irks the American Nurses Association. [Read More]
April 28, 2010
Editor's Picks

If the U.S. Lacks Doctors, Can Nurses, Optometrists, and Pharmacists Take Their Place?
With all the talk about physician shortages, we wonder how healthcare will be provided, especially when millions more people seek professional help. The answer may be in tremendous expansions of medical professions now deemed subordinate to doctors. [Read More]

Payment Cut: If It's Truly That Bad, Hospitals Should Drop Government
My colleague, Senior Editor Philip Betbeze, suggests the "nuclear" option for community hospitals that don't like what federal payers are offering in reimbursement. Just say no. Heck, around the country, many physician practices are doing just that—without much fallout so far—and this may be what Medicare needs to understand the problem. [Read More]

To Reduce Spending, American College of Physicians Will Advise Doctors What's Too Costly and Useless
This effort is bound to be controversial, as a major physician group tries to tell its members—and any other doctors who are paying attention—that they should break bad habits of ordering silly tests and stop just saying yes to patient demands for worthless care. What will be the impact of its first report, expected this summer, on avoiding costly imaging in low back pain? [Read More]

Auto Insurers Pledge Tighter Scrutiny of Hospitals' Cost-Shifting
Maybe it was a dirty-little secret—but I found this report somewhat surprising. Someone has finally summarized the extent to which hospitals pad bills for treating injuries of auto accident victims, whose claims are paid by car insurance policies. Maybe one might argue that it's fair, because most all of us pay car insurance premiums—the rich and the poor, the sick and the well. But I sincerely doubt that it is right. [Read More]

Time to Tell Your Leadership Team's Story
The April 30 deadline is approaching to enter the seventh annual Top Leadership Teams in Healthcare Awards—a program that celebrates stories of great healthcare leadership in hospitals, health plans, and medical group practices. There are five categories: large hospitals and health systems (500 or more licensed beds); community and mid-sized hospitals (100 to 499 licensed beds); small hospitals (fewer than 100 licensed beds); health plans (state, regional, and national); and medical group practices (physician-owned, single- or multi-specialty groups employing 25 or more physicians). [Learn More]
Leaders Forum

How Hospitals and Federally Qualified Health Centers Should Collaborate
Drowning in losses from uncompensated emergency room care? Collaborative relationships between hospitals and federally qualified health centers can benefit both provider types by allocating scarce resources effectively and efficiently to lift the health status of a community and decrease hospital losses from avoidable ER visits. [Read More]
This Week's Headlines

Bogus 'ObamaCare' health plans offered in door-to-door scam
Hartford Courant April 28, 2010
Inquiry says healthcare charges were proper
New York Times April 27, 2010
100 iPads set for deployment at California Hospital
Network World April 27, 2010
Validity of hospital rankings
Los Angeles Times April 26, 2010

Webcasts/Audio Conferences

Integrated Compensation Plans to Enhance Physician Performance (May 13)
Five Proven Steps to Improve Patient Satisfaction Scores (May 19)
Seamless Systems of Care: Better Alignment, Coordination, and Outcomes (June 2)
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