HealthLeaders Media QualityLeaders - September 30, 2010 | 4 Signs of Surgeons' Inattention in the OR View as a Webpage | Subscribe for Free
4 Signs of Surgeons' Inattention in the OR
Cheryl Clark, Editor, Community Hospitals
The more often a surgeon performs a procedure, the better the chances of a good outcome. But sometimes, repetition can lead to trancelike drifting or—"automatic behaviors that are not accompanied by close attention," researchers report. They outline four telltale signs of automaticity in the operating room.[Read More]
September 30, 2010
Editor's Picks

Multidisciplinary Approach Reduces Breast Cancer Deaths
A breast cancer screening program in Norway—which makes mammographic screening available to women between the ages of 50 and 69—led to a smaller decrease in deaths by breast cancer than anticipated. In Norway, each county is required to establish multidisciplinary breast cancer management teams—made up of specialized radiologists, radiologic technologists, pathologists, surgeons, oncologists and nurses—that women enroll in before entering the national screening program.[Read More]

Falling TB Rates Point to Greater Danger for U.S.
Researchers at Johns Hopkins Bloomberg School of Public Health and Stanford University have created computer simulations that show a paradoxical correlation between falling ordinary tuberculosis prevalence rates and an increasing risk for more extensive MDR-TB, infection that is resistant to at least two of the primary antibiotics used for treatment. The most successful approach to reduce the risk of multi-drug resistant epidemics "would be to ensure that populations around the world combine high rates of case findings that are tightly coupled to high compliance with directly observed drug therapy," one of the authors says.[Read More]

Patient 'Coaching' Savings Tallied
As providers heatedly debate whether providing intense patient "support" saves healthcare dollars, a study of 174,120 patients concludes that it does. The savings are tiny, about $6 per person per month, but significant. The report suggests that two extra efforts by health coaches to make telephone contact with higher risk patients resulted in a 3.6% reduction in costs after one-year, largely due to reduced costs of hospital admission or readmission, which were 10% less. The study was conducted by David Wennberg, MD, of Health Dialog Services Corporation and colleagues, and was published in the New England Journal of Medicine.[Read More]

Care Management Solutions Go Mobile
Care management could get a boost from mobile health applications such as a do-it-yourself online symptom advisor, nurse advice line, and care management program within a single, full-featured smartphone application. Evidence seems to support the claim: researchers have shown that simple text messages from a dermatologist may help encourage patients to apply sunscreen regularly.[Read More]

Register Today for Lead Transformation: Accelerate Value, Quality, and Coordination
Join us October 21, live or virtually, for this complimentary, exclusive half-day leadership event that will bring leaders from top healthcare organizations to explore real paths to take today toward accountable care structures and define what medical home and patient-centered care mean for your healthcare organization. Recognized leaders and peer experts will be featured from: Texas Health Presbyterian Hospital Dallas, Columbus Regional Hospital, Baptist Health System, Chenango Memorial Hospital, Network Health, Crystal Run Healthcare, Moffitt Cancer Center, Novant Health, and GE Healthcare, Americas. This event takes place October 21, 8:30 am—12:30 pm (CST) at The Fairmont in Dallas, Texas. To register call 800/753-0131or click here.
Sponsored Headlines From IBM
Video: Green Data Centers to Smart Buildings with Enterprise Asset Management: Clay Nesler, of Johnson Controls, discusses how IBM asset management solutions enabled them to bring smart building solutions to the commercial and institutional marketplace. IBM Maximo, the complete end-to-end solution, addresses the instrumentation of buildings and the interconnection of that information and technical systems. Johnson Controls have been able to integrate data from all systems—reducing energy use, improving productivity and reducing costs.
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Join the HealthLeaders Media Council
If you want even better insight into what your peers are doing as healthcare experiences seismic changes, this is an opportunity you can't afford to pass up. The HealthLeaders Media Council is comprised of the nation's leading healthcare executives who collectively provide the most unbiased industry intelligence available. As a HealthLeaders reader, we invite you to qualify to become a member by completing a brief survey.
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This Week's Headlines
Panel: Wellness programs pay off for employers
Dallas Business Journal, September 30, 2010

Report calls D.C. hospital care worst
The Washington Business Journal, September 29, 2010

Mayo worker put patients at risk for hepatitis
The Los Angeles Times, September 27, 2010
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  From HealthLeaders Magazine  
Strategies for Hospital C-suite Organization
We all know who holds the ultimate power in the C-suite, but what's the ideal balance of power among its other leaders? How do you get your top lieutenants working together as a team rather than as little tyrants lording over their healthcare fiefdoms? [Read More]