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2007 H&HN Article Index

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Clinical Management Series

Working Together to Rebuild Orthopedics: A Joint Effort, Jan Greene, January 2007, 65
Compromise is key if hospitals and surgeons want to strengthen a traditionally profitable service line

Home Care Heats Up: Will Payment Issues Spoil the Boom? Jodie Snyder, July 2007, 56
New monitoring devices promise to greatly enhance care and control costs, but reimbursement isn’t keeping pace

Medication Management, Amy Buttell Crane, October 2007, 57
Efforts to improve how prescriptions get from clinician to pharmacy to patient


Columns: Business Matters

High-Class Problems, Alden Solovy, January 2007, 34
Putting work into perspective helps to keep life balanced

Free Patient Safety Report, Alden Solovy, February 2007, 30
Well, OK, nothing’s really free … but the price is right

Notes From the Trail [Part 1], Alden Solovy, March 2007, 32
In this series, our executive editor relates management lessons learned on Mount Rainier

Notes From the Trail [Part 2], Alden Solovy, April 2007, 30
Reflections on the difference between the speed of action and the pace of change

Notes From the Trail [Part 3], Alden Solovy, May 2007, 32
Busted tent poles are no match for emergency duct tape and a sturdy rain fly

Notes From the Trail [Part 4], Alden Solovy, June 2007, 36
When words of encouragement are needed most, they could be closer than you think

Notes From the Trail [Part 5], Alden Solovy, July 2007, 36
Attempting to summit Rainier after 12 days on the trail is a trek of health, mind and spirit

Notes From the Trail [Part 6, Fini], Alden Solovy, August 2007, 34
Honesty is a key ingredient of bravery

Signposts, Alden Solovy, September 2007, 34
The AHA Environmental Assessment identifies today’s—and tomorrow’s—health care trends

Creating Health, Alden Solovy, October 2007, 26
The history of health care enters a new era

Adventures in Business Travel, Alden Solovy, November 2007, 30
When the squeeze is on, all you can do is bear it—and grin

Choices, Alden Solovy, December 2007, 28
For both those who need and deliver health care, questions are momentous


Columns: Editor’s Notes

On Turning 80! Mary Grayson, January 2007, 6
H&HN turns 80, enjoy the celebration

Not Now, Mary Grayson, June 2007, 6
At dusk, Death passed by my door. Then, turned and knocked.

Do You Believe? Mary Grayson, July 2007, 6
Wise men say that behind every successful CEO is a successful board, but, psst, do be believe?

Know Better?, Mary Grayson, August 2007, 6
We get a big kick out of the lapses in ethics of big business, but do we learn anything?

The View From the Middle, Mary Grayson, September 2007, 6
Some things about CEO leadership and patient safety that you May 2007 not see on the PowerPoints

Call a Spade a Spade? Mary Grayson, October 2007, 6
Then again, who knows—it might be a rose is a rose by any other name…

Conspiracy Theories, Anyone? Mary Grayson, November 2007, 6
Single events in isolation often don’t seem very important. Tie them together and, well, you have …

Trouble Comes to Snow Village, Mary Grayson, December 2007, 4
Every four years or so, villagers can’t believe what they overhear


Columns: OutBox

A New Lineup in Washington, Rick Pollack, January 2007, 84
Hospitals face challenges that have little to do with who is running the government

Responding to the Call, John R. Combes, M.D., February 2007, 80
Helping trustees increase performance and accountability

Partners in Public Health, Ron Anderson, M.D., March 2007, 88
Six questions hospitals should consider to help rebuild America’s public health system

A Call for Coverage, Rick Pollack, April 2007, 90
Diverse groups put aside difference and push a two-pronged plan to help the uninsured

Changing Roles for Consumers, Kevin E. Lofton, May 2007, 94
The implications from hospitals and health systems when your patients become more proactive

MEMO re: 2007 Leadership Summit, Ian Morrison, June 2007, 90
Outline of upcoming meeting

Measuring What Matters Most, Janet M. Corrigan, July 2007, 166
Current programs represent and excellent way to jump-start performance reporting, but …

The Quest for Quality, Jeffrey D. Selberg, August 2007, 70
All honorees share common characteristics and strategies in meeting quality aims

What’s Past is Prologue … ,” Kevin E. Lofton, September 2007, 102
We must succeed where other generations have failed and bring true change to our vast and complex system

You Decide, Rick Pollack, October 2007, 80
“The most important political office is that of private citizen.”—Louis D. Brandeis

Evidence-Based Management, Thomas G. Rundall, November 2007, 72
It seems obvious that decision-making should be based on sound research and facts, but it’s not

Maintaining Quality of Life, Deborah Bohr, December 2007, 76
Learn from your peers how to implement a palliative care program in your community


Community Health/Wellness/Outreach

A Mission to Listen, Bill Santamour, April 2007, 34
AHA initiative provides a framework for hospitals to connect with their communities

2006 Foster G. McGaw Prize, Terese Hudson Thrall, April 2007, 67
Winner: Memorial Healthcare System, Hollywood, Fla.

The 2007 NOVA Awards, Gina Rollins, July 2007, 60
Winners: UMass Memorial Medical Center, Worcester, Mass.; Heartland Health, St. Joseph, Mo.; Palmetto Health, Columbia, S.C.; Spectrum Health, Grand Rapids, Mich.; Boston Medical Center, Boston; and Legacy Health System, Portland, Ore.


Diagnostic Imaging

Space Jam, Alan Joch, February 2007, 40
Are digital imaging systems straining your storage resources?


E-Health/Technology

The Case for E-Prescribing, Dagmara Scalise, February 2007, after 44
E-prescribing systems can provide significant benefits

Telemedicine’s Adolescent Angst, Brian Vastag, June 2007, 66
Growing pains are evident, the “wows” relatively rare, but home-based care is ready to explode

Ten Lesson from the Top 100, Alden Solovy, Suzanna Hoppszallern and Sarah B. Brown, July 2007, 40
One thing is certain: Technology is part of the process of improving care


Facilities

Still Booming, Dave Carpenter and Suzanna Hoppszallern, March 2007, 44
Survey suggest that the construction boom is still going strong, but rising costs pose red flags

Leaps and Bounds, Charlotte Huff, October 2007, 36
A nationwide building boom among children’s hospitals is dramatically changing the pediatric landscape


Finances/Census

Financing Change: Designing Future Deliver Systems, various authors, May 2007, after 62

  1. Visions of Health Care’s Future: Bigger, more patient-focused systems?, Dave Carpenter
  2. Payment System Changes Encourage Cost Management, Not Delivery Innovation, Richard L. Clarke
  3. How Technology Will Reshape Clinical Care, Molly Joel Coye, M.D.
  4. Hospital Relationships with Physicians, Paul B. Ginsburg
  5. Future Delivery System Design: Will Capital be a Driving Force?, Frederick A. Hessler
  6. Working Together to Reform Health Care, Karen Ignagni
  7. Improved Outcomes and Margins Trrough System Optimization, Stephen R. May 2007field
  8. A Framework to Improve America’s Health, Richard J. Umbdenstock

The New Era CFO, Amy Buttell Crane, June 2007, 38
In today’s hospital, just focusing on finance doesn’t cut it

The Board’s Role in Capital Financing, Lee Ann Runy, June 2007, after 42
As complexity grows in health care, board responsibilities becomes more challenging

Financial Imperative: Physician Relations, Matthew Weinstock, June 2007, 51
Leading health systems outline challenges, strategies at annual investors’ conference


Insurance/Reimbursement

Can Big Business Save Health Care? Philip Dunn, January 2007, 38
Corporate America wants value for its insurance buck. And now it’s doing more than just asking.

SCHIP: Does it have legs?, Terese Hudson Thrall, March 2007, 57
The federal-state program is caught between those who want to expand its scope and those who want to limit it

Taking the Offensive Against Claims Denials, Amy Buttell Crane, May 2007, 46
Alert staff and the right technology can ensure that hospitals get the payments they deserve

Medicaid is the New Medicare, Mark Taylor, June 2007, 54
Get-tough fraud investigators say they’ll train their eyes on providers of all types and sizes

State’s Evidence, Howard Larkin, September 2007, 48
Four big questions loom over ambitious state efforts to expand coverage

“Never” Land, Dave Carpenter, November 2007, 34
Medicare declares “no pay for preventable errors”; private insurers sure to follow

The Undercovered Class, Matthew Weinstock, December 2007, 32
For millions of Americans—and their providers—today’s insurance is no guarantee against big debt

Leadership

Louisiana’s Second Chance, Howard Larkin, February 2007, 54
Hurricane Katrina washed away New Orleans’ safety net, but it also created opportunity to replace the antiquated health care system

Population Puzzle, set of strategic planning stories

  1. Suburban Sprawling, Eric Apalategui and Matthew Weinstock, May 2007, 36
    When a community suddenly swells, the local hospital must figure out how, whether to keep pace
  2. Urban Crawling, Chris Serb, May 2007, 42
    City hospitals adapt to new and varied realities

Legal/Regulations

Stark Redo, Chris Serb, February 2007, 35
Hospitals hesitate to help digitize doctors’ offices until the “relaxed” rules are further clarified


Management/Governance

Building a Better Board—and Learning to Like It, Terese Hudson Thrall, January 2007, 61
In today’s complex and scrutinized health care environment, trustees must bring expertise and independence

Management Engineers, Amy Buttell Crane, April 2007, 50
A scientific approach to pinpoint a hospital’s problems and find common-sense solutions

Attributes of a High-Performing Culture, Lee Ann Runy, April 2007, after 58
Tips, first steps in becoming a high-performing hospital

Ice Breakers, Terese Hudson Thrall, September 2007, 56
The relationship between nursing and finance executives is often frosty. Promoting a thaw is in everybody’s best interest.

Honesty in Leadership, Mary Grayson, October 2007, 30
Interview with AHA chair-elect Thomas Priselac


Marketing

How “Wowed” Are Your Patients? Charlotte Huff, November 2007, 53
Consumer loyalty—not satisfaction—is what hospitals really need to measure, some experts insist


Palliative/End-of-Life Care

2007 Circle of Life Awards, Jan Greene, August 2007, 55
Winners: University of California, San Francisco Palliative Care Program, San Francisco; Woodwell Program, Oakmont, Pa.; Covenant Hospice, Pensacola, Fla.


Patient Care

Pain Management, Lee Ann Runy, November 2007, after 44
Six years after Joint Commission standard required hospitals to establish pain management policies and patient assessment, there’s still much work to be done


Patient Safety/Medical Errors

Patient Safety in the Operating Room, Lee Ann Runy, March 2007, after 48
The right culture can result in the right outcomes and help avoid costly litigation

Save Lives Now, Philip Dunn, April 2007, 42
Five ways to improve patient safety in the ED

Creating a Culture of Patient Safety, Lee Ann Runy, May 2007, after 50
Five-step process to strengthen safety efforts, a checklist for CEOs and a case study

Is That Product Safe? Lee Ann Runy, August 2007, after 46
How to guarantee the integrity of medical supplies and tell staff about recalls

Can Your Nurses Stop a Surgeon? Matthew Weinstock, September 2007, 38
Advocate Health Care leaders create culture of safety that permeates organization

Final Five: ASCs Told to Target Patient Safety, Gina Rollins, December 2007, 53
CMS will likely require ambulatory surgery centers to report on quality of care measure starting in 2009

Pharmaceuticals/Pharmacists

Pressure Points: What’s Stressing Your Pharmacy, Eric Apalategui, May 2007, 59
Med safety is most visible. Staff shortages mean higher wages, if you can find anybody to hire. And then there’s the drug crunch.


Predictions/Trends

Catching the Proton Wave, Charlotte Huff, March 2007, 62
Hospitals weigh the promise of a breakthrough cancer treatment against the enormous costs

Practical Genomics, Haydn Bush, August 2007, 36
Out of the lab, into practice

2008 AHA Environmental Assessment, Gene O’Dell, September 2007, 65
Insight and information about trends and issues that May 2007 affect the health care field

Sleep Centers Rise and Shine, Susan Kreimer, October 2007, 44
With smart planning, hospitals tap into public’s demand for more shut-eye

Medical Tourism Takes Flight, Philip Dunn, November 2007, 40
With high-quality, low-cost care, overseas hospitals hope to turn a tricke of U.S. patients into a trend

Florida Forecast: Partly Cloudy, Haydn Bush, December 2007, 40
For providers in the Sunshine State, the continuing population boom is both a boon and a bane


Quality & Performance Improvement

Inside the Premier/CMS Pay-for-Performance Project, H&HN staff, March 2007, 36
Exclusive roundtable: Insights from the five top hospitals

Seven Tactics for Hardwiring Quality Cost Savings into Hospital Operations, John Byrnes, M.D., July 2007, 34

2007 Quest for Quality Prize, Lee Ann Runy, September 2007, 78
Winner: Columbus (Ind.) Regional Hospital. Finalists: Integris Baptist Medical Center, Oklahoma City; and Cedars-Sinai Medical Center, Los Angeles. Citations of Merit: Amarillo (Texas) VA Health Care System; and McLeod Regional Medical Center, Florence, S.C.

Performance Improvement, Lee Ann Runy, October 2007, after 48
Which path is right for your hospital: Toyota Production System/Lean Management, ISO 9000, the Malcolm Baldrige National Quality Award or Six Sigma?


Rural Health Care

Rural Recruitment, Terese Hudson Thrall, December 2007, after 44
Foldout details scope of clinician shortage in rural America, how they compete with urban providers for scarce staff


Section: Data Page

Number of Hospitals Grows, Beds Decline, Lee Ann Runy, January 2007, 75
Data from Hospital Statistics 2007 edition

Good MD Relations = Good Admissions, Lee Ann Runy, February 2007, 66
Data from PRC 2006 Employee Perception Study

Budget Fights Loom for Research Agencies, Matthew Weinstock, March 2007, 72
Data from AHRQ, CDC, HHS and NIH

As Health Costs Climb, Employers Retrench, Lee Ann Runy, April 2007, 76
Data from SHSMD’s Futurescan, 2007

Health Care in Retirement, Matthew Weinstock, May 2007, 82
Data from Fidelity Investment and Center for Retirement at Boston College

Nurses: Satisfaction Not Guaranteed, Lee Ann Runy, June 2007, 76
Data from Health Resources and Services Administration and Press Ganey Associates

Funding Infrastructure, Dave Carpenter and Suzanna Hoppszallern, July 2007, 154
Data from Health Facilities Management/American Society for Healthcare Engineering 2007 Hospital Infrastructure Survey

The Older You Get, the More Health Care You Need, Matthew Weinstock, August 2007, 59
Data from Centers for Disease Control and Prevention

Supply Chain IT Getting Executive Attention, Dave Carpenter and Suzanna Hoppszallern, October 2007, 72
Data from MMHC/AHRMM survey

SCHIP Still Hotly Debated in Congress, Lee Ann Runy, November 2007, 63
Data from Kaiser Commission on Medicaid and the Uninsured

Patient Safety Efforts Help Keep Lid on Lawsuits, Lee Ann Runy, December 2007, 62
Data from Aon’s 2007 Hospital Professional Liability and Physician Liability Benchmark Analysis


Section: Perspectives

CIOs Input Key to Creating Seamless Infrastructures, Brian Vastag, February 2007, 16
Six-part look at impact and promise of clinical information technology

Efficiency, Speed and Patient Safety Drive Fast-Paced Evolution of Medical Equipment, April 2007, 14
Six-part look at impact and promise of clinical information technology

Banks Aim to Play a Bigger Role in Hospital Investment Strategies, June 2007, 16
Six-part look at impact and promise of clinical information technology


Section: Practical Ethics

Lost: Patients’ Personal Info, Dagmara Scalise, January 2007, 24
Opinions from Richard Palmisano II, R.N., MS, and Jonathan Davis

You Choose: IT or Outreach, Terese Hudson Thrall, February 2007, 25
Opinions from Bill Vanaskie and Gary Hagens, D.M.D.

Time to Tell Surgeon to Retire? Lee Ann Runy, March 2007, 24
Opinions from Jim Anderson and Mary Ann Bell

Can You Avoid a Quid Pro Quo?, Terese Hudson Thrall, April 2007, 22
Opinions from Reg Wagle and Elaine Hugunin

Time to Drop a Low-Pay Insurer?, Terese Hudson Thrall, May 2007, 27
Opinions from Teri Fontenot and Reezie DeVet

A Fresh Start? Terese Hudson Thrall, June 2007, 24
Opinions from Isaac Palmer and Daniel Neuflder

Cut Benefits or Cut Workers? Matthew Weinstock, July 2007, 24
Opinions from Paul K. Whelton, M.D., and Randy Phelps

Time to Start Blogging? Haydn Bush, September 2007, 24
Opinions from Mel Pyne and Nancy Schlichting

Newly Wed or Newly Shed? Terese Hudson Thrall, October 2007, 20
Opinions from Susan Davis, R.N., and Susan Croushore

Fast Food or Fast Exit? Matthew Weinstock, November 2007, 20
Opinions from Todd Nelson and Randall L. O’Donnell

Will YouTube Video Make Him Pay? Terese Hudson Thrall, December 2007, 20
Opinions from Steven Scott and Chris Hunt


Section: Staffing Watch

Staffing Watch, Terese Hudson Thrall, January 2007, 30
Roundup of staffing problems and solutions

Staffing Watch, Terese Hudson Thrall, February 2007, 26
Roundup of staffing problems and solutions

Staffing Watch, Terese Hudson Thrall, March 2007, 28
Roundup of staffing problems and solutions

Staffing Watch, Terese Hudson Thrall, April 2007, 28
Roundup of staffing problems and solutions

Staffing Watch, Terese Hudson Thrall, May 2007, 28
Roundup of staffing problems and solutions

Staffing Watch, Terese Hudson Thrall, June 2007, 30
Roundup of staffing problems and solutions

Staffing Watch, Terese Hudson Thrall, July 2007, 32
Roundup of staffing problems and solutions

Staffing Watch, Terese Hudson Thrall, August 2007, 32
Roundup of staffing problems and solutions

Staffing Watch, Terese Hudson Thrall, September 2007, 30
Roundup of staffing problems and solutions

Staffing Watch, Terese Hudson Thrall, October 2007, 25
Roundup of staffing problems and solutions

Staffing Watch, Terese Hudson Thrall, November 2007, 26
Roundup of staffing problems and solutions

Staffing Watch, Terese Hudson Thrall, December 2007, 26
Roundup of staffing problems and solutions


Section: Storyboard

Quality Paperwork is Never Done, Dagmara Scalise, January 2007, 26
Data from Premier Inc. and H&HN research

Government Gumbo: Cooking Up an EHR Network, Matthew Weinstock, February 2007, 20
Data from U.S. Department of Health & Human Services, National Alliance for Health Information Technology and the American Hospital Association

Health Care for All: Universal Coverage Proposals, Matthew Weinstock, March 2007, 20
States with pending legislation on universal coverage

Legislatures Turn Up Heat on Hospital-Acquired Infections, Matthew Weinstock, April 2007, 24
States with pending and passed legislation concerning HAIs

Tornado’s Wrath, Heroic Response, Matthew Weinstock, May 2007, 24
What happens when the hospital is the center of a disaster?

Big Questions Loom for Big Health Care Deal, Haydn Bush, June 2007, 28
A look at big health care mergers

Surgery with a Guaranteed Price, Haydn Bush, July 2007, 30
Program testing flat-fee for services, treatment of complications

Debate on When to Commit Mental Health Patients, Haydn Bush, August 2007, 28
When do you involuntarily commit mentally ill patients?

How One Hospital is Cutting Serious Safety Events, Lee Ann Runy, September 2007, 27
Cincinnati Children’s Hospital Medical Center created a team to eliminate serious safety events by 2010

Confusion Still Reigns Over NPI, Matthew Weinstock, October 2007, 22
FAQs on Centers for Medicare & Medicaid service’s National Provider Identifier

Why the UAW-GM Deal Matters to You, H&HN Staff, November 2007, 22
The facts and fallout of the UAW-GM deal to provide health care benefits for retired unionized employees

How One Hospital Slashed ED Waits, Matthew Weinstock, December 2007, 22
Meadows Regional Medical Center, Vidalia, Ga., cut ED length of stay 43 percent


Workforce Issues

Superworker: Admitting Staff with the Right Stuff, Howard Larkin, January 2007, 48
As high-deductible plans, uninsured surge, “patient access specialists” head off headaches

Filling the Gaps, Lee Ann Runy, January 2007, after 52
Physician assistants and nurse practitioners see expanded roles and responsibilities

Shock Absorbers, Terese Hudson Thrall, June 2007, 60
Hospital residency programs smooth the bumps for new nurses

On Call? No thanks., Charlotte Huff, August 2007, 42
Specialty physicians cite any number of reasons to refuse ED assignments, hospitals search for ways to fill the void

A “Model” HAS, Dave Carpenter, September 2007, 62
Alegent Health Care’s consumer-driven plan rewards its staff for health behaviors and cut costs