HealthLeaders Media Community and Rural Hospital Weekly - October 20, 2010 View as a Webpage | Subscribe for Free

To Err is Human, to Get it Right Takes a Village
Cora Nucci, Senior Online Editor
In the OR it's not the superstar surgeon working as a solo act who has the best outcomes; it's the surgeon who has gathered a staff of strong individuals and led them to act as a finely calibrated team. For surgeons in rural hospitals, improving teamwork can be especially challenging.[Read More]
October 20, 2010
Editor's Picks

Changes to healthcare bring added stress to hospital administrators
Some hospital administrators in Minnesota say health care reform's looming changes are causing them sleepless nights. Tim Rice runs Lakewood Health System, a small hospital in Staples, Minn. with 25 beds. He said health reform was like a big rock perched on a cliff. People talked about it for decades but Congress never pushed the rock over the edge—until now. "The difference between now and past efforts is that if you don't move the rock is going to crush you," he says. [Read More]

Reducing In-Hospital Patient Falls
Fall-related injuries can be some of the most common, disabling, and expensive health conditions encountered by adults, especially older adults. But it's an issue where identifying the best ways to prevent them—especially within the confines of a healthcare organization—can be quite challenging. The overarching problem appears to be that "we can't find a magic prediction rule that appears to discriminate between people falling and people who fall and injure themselves" says an expert.[Read More]

Physicians Aren't Giving Patients the Whole Story
In their consultations with patients, physicians too often omit information about disease and treatment, leaving patients unprepared to make fully informed decisions about their care, University of Michigan researchers concluded in a national study and survey about medical decisions. "So it goes," writes HealthLeaders senior editor Joe Cantlupe, "another study that examines communication issues involving patient and physician, in which seemingly little "tweaks" in the system—improving the one-on-one dialogue, possibly adding more time to the process—could eventually mean a big difference in healthcare."[Read More]

Severe Radiation Oncologist Shortage Forecast
Demand for radiation oncologists in the U.S will outpace the supply 10-fold in the next decade a report published in this week's edition of The Journal of Clinical Oncology says. The report points to the very real chance that cancer needs to be treated with radiation as soon as possible in order reduce tumor size and prevent growth. If patients have to wait longer for a limited number of available providers, appointments may be delayed. Report author Benjamin Smith, MD, suggests three strategies that may extend the supply of radiation oncologists.[Read More]

Breakthroughs Report: Hospital Merger and Acquisition Strategies
The rules of healthcare are changing. Today, growth isn't about just getting bigger. It's about developing all of the components needed for coordinated care and reduced costs. In this HealthLeaders Media Breakthroughs report, leading hospital systems that have seen the value of growth from mergers and acquisitions—North Shore LIJ Health System, Novant Health, Baylor Health Care System, and Bayhealth Medical Center—share insights and lessons learned. [Read More]

Intelligence Report: Patient Experience — Help Wanted
While 72% of senior healthcare leaders say that patient experience has been a priority in the past year, only 1 of 8 CEOs has primary responsibility for it. Our exclusive, original research and analysis examines this paradox and delves into the realm of patient experience and its challenges, including why healthcare leaders report lack of success in achieving the kind of patient experience they need to provide. More Analysis »

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 800/753-0131 or click here.
Leaders Forum

It is Time to Act
With the signing of the Patient Protection and Affordable Care Act, along with the Health Care and Education Affordability Reconciliation Act, major change will be coming to the way healthcare is organized, delivered, and managed in the United States. Healthcare leaders have been dealing with constant change for the past 30 years, but now the rate of change will need to accelerate in order to achieve success in a reformed healthcare environment. [Read More]
This Week's Headlines

Judge lets 20 states' challenge of health-care law move forward
The Washington Post, October 15, 2010
Canada's public health care at crossroads
Market Watch, October 20, 2010
The doctor is in (but shouldn't be)
The New York Times, October 15, 2010
Partnerships announced among Cape Cod physicians and hospitals
Cape Cod Today, October 15, 2010

Webcasts/Audio Conferences

Surgeon General Addresses Electronic Health Data Security Concerns (October 4)
Strategies to Manage ED Arrivals (October 1)
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From HealthLeaders Magazine
Your Move:
Hospitals are Predicting, Adapting to Change

  The business models that will emerge in the era of healthcare reform are still unclear, but leading hospitals and health systems are already positioning themselves to adapt when they do come into focus. They're taking the first steps toward becoming accountable care organizations even before anyone knows for sure what an ACO will look like—or even if they'll ever come to fruition.[Read More]
Service Line Management
Patient-Centered Surgery
  Making surgery more patient-centered requires careful coordination and better feedback from patients and their families. [Read More]