The University of St. Thomas

Posts Tagged ‘healthcare’

Leadership for Successful Financial Results

Published on: Tuesday, April 19th, 2011

floydmedcenterIn my last post, I discussed the challenge of living with Medicare payment rates. One hospital that is meeting this goal is Floyd Medical Center, a 304-bed stand alone safety net hospital in northwest Georgia.

Floyd had struggled in prior years and in 1996 they embarked on a journey to improve their financial position and be the provider and employer of choice in their regions.

Initially, the hospital began benchmarking other similar institutions to find areas for improvement and then make needed changes. However, the leadership did not feel this approach alone would achieve their long term goals and instead undertook an extensive Lean Six Sigma program.

They initially focused on improving five key processes: (more…)

Living with Medicare Payment Rates

Published on: Friday, March 25th, 2011

85619004As the Affordable Care Act celebrates its one year birthday, a number of realities have begun to become very apparent in the health care provider community.  A very large trade off in the negotiations between the providers and Congress during the enactment of the ACA was that many more individuals would now have insurance and, as a result, hospitals would be willing to accept a lower rate of Medicare payment rate increase.

The impact of this tradeoff varies by hospital, but the impact has now begun to be felt.  The effective Medicare rate increase will be close to 1 percent for next 10 years.    Compounding this problem are new pressures on health plans to reduce their costs with all states now having rate review power and many states having actual rate setting authority.  Health plans are now asking hospitals in their networks why they need to continue to cost shift this Medicare “underpayment” to them. 

This discussion is also made more intense by the recently released MedPAC recommendations for hospital rate increases (1 percent for 2012).  Because Medicare is frequently criticized for not paying providers adequately, MedPAC goes to great lengths to examine Medicare beneficiary’s access to care, the number of hospitals going into and out of business and whether there are hospitals that can actually make a profit on Medicare revenues. (more…)

Electronic Health Record Success Stories

Published on: Tuesday, March 8th, 2011

85618430A recent study by Romano and Stafford in the Archives of Internal Medicine  showed that among the visits where the practitioners used Electronic Health Records (EHRs) with clinical decision support (CDS) only 1 of 20 quality indicators showed significantly better performance in visits with CDS compared with EHR visits without CDS.  It is important to note that this study used data from 2005–2007 and was sampled nationally.

Although this study received widespread notice, many organizations in Minnesota have quietly made significant strides in the effective use of EHRs. This progress was on display this year at the annual winter conference of the Minnesota Medical Group Management Association.

Two local project in particular deserve special attention: the Institute for Clinical Systems Improvement’s High-Tech Diagnostic Imaging (HTDI) Project and local health care analytics firm Evidity’s assessment of the effectiveness of Electronic Health Records in improving the quality of care in Minnesota. (more…)

How are you doing on improving your leadership skills?

Published on: Monday, December 8th, 2008

If you are in a health care leadership position and believe in lifelong learning, we recommend you read and complete the healthcare leadership self-assessment tool. This recently updated list of approximately 300 skill and knowledge competencies was assembled by the Healthcare Leadership Alliance, a collaboration of the leading health care professional associations (1), including:

  • American College of Healthcare Executives
  • American College of Physician Executives
  • American Organization of Nurse Executives
  • Healthcare Financial Management Association
  • Healthcare Information and Management Systems Society
  • Medical Group Management Association

The competencies are categorized into five critical domains illustrated in this diagram. These domains and their topical areas are listed below.
LeadershipSkillsChart.jpg

1. Communications and Relationship Management

  • Relationship management
  • Communications skills
  • Facilitation skills

2. Leadership

  • Leadership skills
  • Organizational culture and growth
  • Strategic planning and advocacy

3. Professionalism

  • Personal and professional ethics
  • Professional and community contribution
  • Continuing education and lifelong learning

4. Knowledge of the Health Care Environment

  • Health care issues and trends
  • Health care personnel
  • Standards and regulations

5. Business Skills and Knowledge

  • Problem solving and decision making
  • Systems thinking
  • General management
  • Financial management
  • Human resources
  • Organizational dynamics and governance
  • Strategic planning and marketing
  • Information management
  • Risk management
  • Quality improvement

 Individuals can use the self-assessment tool to identify areas of strength as well as areas for personal development. Organizations can survey their employees to develop training and organizational development activities.

The University of St. Thomas has used this model as the basis for individual leadership in its model for high performance health care. For organizations, the model is built around the Baldrige Health Care Criteria for Performance Excellence.

The educational programs of the Opus College of Business are designed to embrace this model and these national standards. They also inform the research agenda of the Center for Health and Medical Affairs.

Finding time for professional development is always challenging, but it is also stimulating and classroom activities provide extensive networking opportunities. So complete the self-assessment, read a book and take a class. Your career will thank you.

Reference

(1) ACHE Healthcare Executive Competencies Assessment Tool 2009. (Cover Story). Healthcare Executive. November 2008.