HealthLeaders Media NursingLeaders - June 29, 2010 | Moody's Reports Nurse Strike Will Have Credit Negative Effect
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Moody?s Reports Nurse Strike Will Have Credit Negative Effect
Rebecca Hendren, Editor
The temperature is rising in the dispute between the Minnesota Nurses Union and Twin Cities Hospitals. The union said it will begin an open-ended strike on July 6 if a deal is not reached with six local hospital systems. The 12,000-member union is threatening what would be the largest nursing strike in the nation's history. Doing so will have a "significant credit negative" effect for the organizations, warned independent credit rating company Moody's Investor Service in a report this week. [Read More]
June 29, 2010
Editor's Picks

Using EMR Data to Conduct Clinical Research, Improve Quality
Tech-savvy hospitals are using EMR data to conduct clinical research, improve quality, and inform business decisions. At Montefiore Medical Center in Bronx, NY, an analyst was curious whether a new clinical research tool the system had developed could duplicate the results of a study into dangerous side effects of the antibiotic gatifloxacin in diabetic patients. The analyst isolated a cohort of the four-hospital system's patients who had been on the antibiotic and compared them to a group that was on a different antibiotic. Sure enough, he found the same results. And all while on his lunch hour. [Read More]
CMS Update Indicates High Provider Success Rate for Appealing Denials
It pays to appeal. A recently released CMS report indicates that providers have been winning more RAC appeals since the last update. The June 14 report updates information from its January 2009 report, which included data through of March 27, 2008, and reveals that the number of appeals claims dropped significantly from the 118,051 reported in January, to the 76,073 in the new data. [Read More]
HHS Asks Hospitals to Grant Visitation Rights Now
Department of Health and Human Services Secretary Kathleen Sebelius asked the leaders of the major hospital organizations this week to urge their members to not wait for the conclusion of the formal rulemaking process before implementing new rules that would broaden the visitation rights of their patients. In April, the White House asked HHS to initiate rulemaking to lift restrictions on unrelated visitors who act as surrogate decision makers and visit hospitalized patients. [Read More]
Follow-up Appointments May Not Reduce Readmissions
Improving follow-up appointments is often considered one of the key strategies for reducing costly hospital readmissions, but a new study suggests that better discharge processes don't reduce 30-day readmission rates at all. While previous research has found that follow-up appointments reduce readmissions for special patient populations, the latest study, which was conducted by Mayo Clinic researchers and appears in the latest Archives of Internal Medicine, examined nearly 5,000 dismissal summaries for general medicine patients discharged in 2006 from Mayo Clinic hospitals in Rochester, MN. [Read More]
NurseLeaders Forum

Success With a Fall Reduction Strategy
Neal T. Loes, RN, BSN, MS, chief nursing officer at Mary Greeley Medical Center in Ames, IA, writes about his hospital's efforts to reduce patient falls as part of its three-year strategic plans based on six indicators of success. [Read More]

Business Rx

Strengthen Shared Governance Hospitalwide
When Athens (GA) Regional Medical Center (ARMC) implemented shared governance five years ago, the initial drive of the program was met with different levels of success. Unit councils excelled in some areas and struggled in others, leading to inconsistent results. The organization decided it was time to change that—and it pursued clear data to back up its decision-making process. [Read More]

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Nursing Headlines

See you in 6 months. And your insurer is OK with the bill
The New York Times - June 28, 2010

Hundreds of CA nurses have been punished by other states
Los Angeles Times - June 28, 2010

Though outnumbered, some Twin Cities nurses resist call to strike
Minneapolis Star Tribune - June 28, 2010

It's In the Bag: Bacteria Harbored In Reusable Grocery Bags May Be Causing Foodborne Illness
Cheryl Clark, for HealthLeaders Media - June 25, 2010

Audio Conferences/Webcasts

July 22: Nursing Excellence: Applying the ANCC Magnet Recognition Program® Principles to Transform Your Culture
October 8: Nursing Orientation: Tools and Evidence-Based Best Practices to Engage New Hires
November 4: Nursing Accountability: Promote Personal Commitments with Proven Cutting-Edge Strategies
December 8: Nurse Retention and Workforce Planning: Meaningful Recognition Strategies for Building a Healthy Work Environment
On Demand: Shared Governance in Nursing: Case Studies in Collaborative Decision-Making
On Demand: Nursing-Sensitive Quality Indicators: Engage Nurses in Quality Improvement and Improve Patient Outcomes
On Demand: Horizontal Hostility in Nursing: Proven Organizational Strategies for Effective Communication and Collaboration

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Audio Feature
Why Patient Experience Should Drive CEO Decision-Making: If a hospital is to become patient-centric, the CEO has to have patient experience at the top of his or her list of concerns, says Gary Adamson, chief executive officer of Starizon Studio. The CEO is the only person in the organization who can span across all the department silos and drive a well-thought out orchestrated patient experience, he says. [Listen Now]
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