Quality and Outcomes

Why Health Systems Must Tackle Behavioral Health

Howard Gershon, Principal, New Heights Group

With the shift toward value-based care and the assumption of risk, many health care organizations are beginning to understand that they must address behavioral health in conjunction with physical care for patients. In our new story, Howard Gershon, a founding principal of New Heights Group, discusses the business case. Here’s an excerpt. Behavioral health issues Read More

Laying the Groundwork for Value-Based Care

Andy Grimm, CEO of Northeast Missouri Health Council

One of the keys to success in preparation for value-based health reimbursement models is the use of technology to identify opportunities to close gaps in service, improve cost-effectiveness of treatments, improve outcomes, and enhance preventive care services. In Missouri, three Federally Qualified Health Centers serving more than 53 counties and 107,000 patients in mostly rural Read More

The Business Case for Behavioral Health

Howard Gershon, Principal, New Heights Group

// By Howard Gershon, LFACHE // With the shift toward value-based care and the assumption of risk, many health care organizations are beginning to understand that they must address behavioral health in conjunction with physical care for patients. Behavioral health issues are in the news every day, whether it’s a national sports figure who has Read More

View From the C-Suite: Andy Grimm, CEO of Northeast Missouri Health Council

Sheryl S. Jackson

// By Sheryl S. Jackson // A newly formed alliance of three Federally Qualified Health Centers provides an example of how shared expertise and pooled resources are laying the groundwork for value-based care, with the ultimate goal of driving better outcomes and lower costs in Medicaid managed care contracts. One of the keys to success Read More

How Data Drives Quality Improvement at Piedmont Fayette

Merry Heath, RN, MSN, chief nursing officer at Piedmont Fayette Hospital

Quality and star ratings matter, according to Healthgrades: Patients treated at hospitals receiving a 5-star rating have a 49 percent lower risk of dying, and a 59 percent lower risk of experiencing one or more complications during a hospital stay than if they were treated at hospitals receiving a 1-star rating in that procedure or Read More

Does “Award-Winning Quality” Matter?

Marcia Simon

// By Marcia Simon, APR // Quality and star ratings matter, according to Healthgrades: Patients treated at hospitals receiving a 5-star rating have a 49 percent lower risk of dying, and a 59 percent lower risk of experiencing one or more complications during a hospital stay than if they were treated at hospitals receiving a Read More

Health Care Organizations Succeeding with Medicare Advantage Plans

John Lovelace, president of government programs at UPMC Health Plan

Hospital and physician-owned Medicare Advantage (MA) plans have seen double-digit growth since 2015. Axios, which tracks membership data from the Center for Medicare and Medicaid (CMS), reports that the largest organization in this category, Kaiser Permanente, grew 23 percent from 2015 to 2018, to almost 1.6 million members. The other 40 or so hospital- and Read More

Is a Hospital-Sponsored Medicare Advantage Plan Right for Your Organization?

Wendy Stark Healy

// By Wendy Stark Healy // Medicare Advantage Plans have become a popular choice among Medicare recipients, and health systems are staking their claim to the market. Some health systems have had insurance arms for years, and others are just launching their plans. Done correctly, hospital-sponsored Medicare Advantage plans offer an attractive opportunity for health Read More

The Key to Solving Patient Throughput Efficiency: Process Visibility

Scott Opitz, president of ABBYY Process Intelligence

// By Scott Opitz // What’s the best way to improve a process? In complex organizations like health care systems with countless interdependent processes, tracing the root of a problem back to its source and fixing it may not be a straightforward proposition. What if there was an always-on technology solution running in the background Read More

View from the C-Suite with Dr. Tony Slonim, CEO of Renown Health

A vision for population health through community partnerships and innovation // By Jane Weber Brubaker // Under Dr. Tony Slonim’s leadership, Renown Health has forged strong connections with the community, acting as a catalyst for change. “If you want to improve the health of your community, engage the people who are most likely to be Read More

Kaiser Permanente Launches New Social Health Network

Loel Solomon, PhD, vice president of community health at Kaiser Permanente

Treating illness is important, but that is only a part of overall health. Social determinants of health (SDoH) — the conditions under which people are born, live, and work — are increasingly recognized as strong influences on health. Conditions like poverty, education level, and lack of social support contribute to more than half of premature Read More

Telemedicine Can Solve Access Issues and Boost Market Share

Are your providers losing patients because of access issues? A robust telemedicine program that offers convenient care for patients is one way to protect market share. Our new article by Marcia Simon, APR, explores how telemedicine brings subspecialties to outlying communities. Here’s an excerpt: Most of Gundersen Health System’s patients live at least 25 miles Read More

How To Attract and Retain Top Nursing Talent

Kathy Selker, President, Northlich

Facing a nursing shortage projected to increase in coming years, hospitals need to know how to hire and retain top talent — and marketing has a key role in this critical objective. Here’s an excerpt from Kathy Selker‘s new article for us on this topic; Selker is the president and CEO of Northlich. Health care needs Read More

Marketing Hospitals to Nurses

Kathy Selker, President, Northlich

How Marketing Can Support Your Employer Brand // By Kathy Selker // Facing a nursing shortage projected to increase in coming years, hospitals need to know how to hire and retain top talent — and marketing has a key role in this critical objective. Health care needs in the U.S. are growing rapidly. Baby boomers Read More

Why Effective Management of the Patient Journey Is Essential

Rich Phillips CEO and co-founder of Customer Evolution

“The U.S. health care industry is undergoing tremendous change — some might say disruption,” says Rich Phillips, CEO and co-founder of Customer Evolution. “This is driven by multiple factors, including rising consumer expectations, the significant cost of care noncompliance, and the emergence of nontraditional competitors.” In his new article, Phillips explains why health care marketers Read More

Making the Shift from Journey Mapping to Journey Management to Improve Patient Experience and Health Outcomes

Rich Phillips CEO and co-founder of Customer Evolution

// By Rich Phillips // The U.S. health care industry is undergoing tremendous change — some might say disruption. This is driven by multiple factors, including rising consumer expectations, the significant cost of care noncompliance, and the emergence of nontraditional competitors. To thrive within this tumultuous environment, health systems are increasingly focused on two important Read More

Book Takes a Positive View of Health Care Achievements

Michael J. Dowling, president and CEO of Northwell Health

There are many reasons to write a book, but Michael J. Dowling, president and CEO of Northwell Health, identifies the need for an objective look at health care that takes positive achievements into account as well as challenges as his reason for co-authoring Health Care Reboot: Megatrends Energizing American Medicine. “I was growing increasingly frustrated Read More

Technology, Community are Keys to Solving Opioid Epidemic

“There are about 2.5 million people addicted to opioids, but only 10 to 20 percent of them get help,” says Andrey Ostrovsky, MD, chief medical officer at Solera Health (and former CMO of Medicaid). Solera Health is an “integrated health network” that “connects patients, providers, and physicians to a network of partners who are preventing Read More

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