Acute Care

Is the integration of urgent, emergent, inpatient and
care of patients with
acute medical conditions.


Choosing Wisely: How the Wrong Independent Physician Group Can Cost Your Hospital

By Denise Brown, MD, and Savoy Brummer, MD, FACEP

There are many options for hospitals looking to improve operational performance and physician engagement. Employment models, locums and outsourcing are among the many options available to hospital administrators today.

For those looking to partner with a physician-owned practice to staff an emergency department or hospitalist program, there are many benefits but also many things to consider. One plus is the physician-owners of such groups have a strong incentive to maintain high quality standards that can help hospitals meet the challenges of healthcare reform.

Of course, not all groups are created equal, and choosing the best group to partner with isn't easy. In today's post, two experienced physician-owners discuss common pitfalls and offer advice on how to spot an underperforming group.

Perspectives: Dr. Brown, Dr. Brummer, thanks for joining us. Let's start by talking about some common pain points between hospitals and physician groups. What kinds of things get in the way of that relationship?

Dr. Brummer: Well, first, there's culture. Hospital administrators want to make sure that you have a culture of engagement, a culture of cooperation and communication. But because it's difficult to assess culture when evaluating potential groups, administrators can be lulled into thinking all contract groups are the same and select cost over value hoping that culture follows suit. This rarely happens, and the typical results are negative consequences for patient care, poor quality and operational performance, and a lack of efficiencies that cost even smaller individual hospitals tens of millions of dollars a year.

Reform Realtime: What are the biggest pressures facing your hospital today?

Last week, we heard perspectives from providers around the country on the biggest problems their facing, but now we want to hear from you!

What are you most concerned about at your practice? What issues are you hearing from your providers, nurses, and staff? Take our poll below to share your thoughts. Then come back in two weeks to see the results. Subscribe to the blog in the top-right corner to be notified automatically.

Reform Realtime Video: Problems Facing Hospitals and Providers

The Affordable Care Act has imposed a number of new rules and regulations on hospitals and healthcare providers. In this video, hear from providers across the country talk about the problems they're currently facing. Share your concerns in the comments section below.

Reform Realtime: On the Ground at Hospitals Across the Country

By Joshua Tamayo-Sarver, MD, PhD, FACEP

CEP America is excited to announce the launch of Reform Realtime here on Perspectives. The initiative aims to examine the impact of health exchanges on acute care through:

  • Up-to-the-minute data sharing
  • Expert analysis
  • On-the-ground reports from hospitals and physician leaders
  • And much more

  • The goal of Reform Realtime is to provide you with an in-depth view of trends and changes affecting our industry.

    So how can we do this? That's where our data comes in.

    It's Not too Early to Gear Up for ED CAHPS

    By Tiffany Hackett, MD, MBA, FACEP

    No one plans to spend Saturday afternoon in the ED. This reality hit home when our laughter from lunch with old friends was pierced by the sound of glass shattering. We heard a scream and realized my daughter had just run through a sliding plate-glass door. During this experience, I had a rare opportunity to observe my profession from the patient/family side of things.

    What struck me most is the tightrope that ED providers must walk while providing high-quality, patient-centered care. As a parent, I valued the time the doctors and nurses spent with my child and me. On the other hand, I understood the pressures they were under to move us as quickly as possible through the diagnostic and treatment process. They worked hard to provide a healthy dose of empathy without sacrificing efficiency.

    ED physicians' ability to manage these opposing forces will become even more crucial over the next year or so as Centers for Medicare & Medicaid Services (CMS) rolls out its latest patient satisfaction survey — okay, patient opinion survey — the Emergency Department Consumer Assessment of Healthcare Providers and Systems (ED-CAHPS).

    Want Meaningful Use? Make Technology Meaningful for Doctors.

    By Jason Ruben, MD

    Last fall, as hospitals and healthcare providers scrambled to meet impending EMR "meaningful use" deadlines, regulators were sending some decidedly mixed messages.

    On Nov. 18, 2013, a representative from the Office of the National Coordinator for Healthcare Technology addressed a gathering of the American Medical Informatics Association. She insisted that meaningful use would proceed on schedule.

    "Wish there could be a delay of Stage 2 meaningful use? Don't hold your breath," wrote a reporter from Healthcare IT News, who was covering the story.

    Then, less than one month later on Dec. 6, the Centers for Medicare & Medicaid Services (CMS) announced that it would indeed extend Stage 2 for an additional year and delay the arrival of Stage 3 until 2017.

    Human factors played a pivotal role in CMS' decision. By delaying the program a year, they hoped to create:

    "Ample time for developers to create and distribute certified EHR technology before Stage 3 begins, and incorporate lessons learned about usability and customization."

    News Updates — Reform Victories and Setbacks

    Our biweekly news updates are designed to keep you up to date with current developments relating to the Acute Care Continuum. Feel free to share your perspective on these stories or link to articles that you have found relevant to today's healthcare environment.

    7 Million People Sign Up for Commercial Health Plans

    As the March 31 deadline passed, the White House announced that 7.1 million people successfully signed up for commercial health plans through federal and state exchange programs. Beyond individuals who now have commercial insurance, HHS reported, "roughly 3 million more individuals enrolled in Medicaid or the Children's Health Insurance Program between October and February." The figures are in line with a new report from the Urban Institute, which says that 5.4 million Americans who previously lacked health insurance have gotten coverage since October.

    Pages: Prev1234567...34NextReturn Top


    Enter your email address:

    Popular Articles

    6 Ways Scribes Can Help With Service Excellence

    By Melissa Maranda, MBA, PHR Have you ever gone to a restaurant where the service was lackluster and you were charged for every little thing &mdash...

    Lean Healthcare: A Long Journey Worth Taking

    By Do Kim, MBA Today I spent my day at a client hospital's kaizen lean event. Throughout the week, the emergency department team is conducting tests...

    Reducing Readmissions: How Engaging Front-Line Providers Can Enhance Improvement Efforts

    By Courtenay Kohlman, RN, BSN The importance of strong care transitions is finally receiving the attention it deserves thanks to Medicare's hospital...

    ICD-10 Documentation: Tips and Tricks for Providers (Part 3 of 4)

    By Jim Strafford, CEDC, MCS-P In Parts 1 and 2 of our series on ICD-10 implementation, we discussed differences between ICD-9 and ICD-10 coding...

    Emergency Department Medical Decision-Making for NPs/PAs: Your Brain At Work

    By Sheila Sanning Shea, MSN, RN, ANP, CEN, and K. Sue Hoyt, PhD, RN, FNP-BC, CEN, FAEN, FAANP, FAAN Nurse practitioners (NPs) and physician assistants...

    Recent Discussion