Price transparency for docs, too

Re: "The Power of Knowing" by Marty Stempniak in H&HN Daily, May 17

It's not just hospitals that will need to be price sensitive and transparent. A lot more health care purchases occur in the doctor's office than in a hospital. Out-of-pocket costs have increased there, as well. The customer-patient is becoming more sensitive to that price. And if your doctor is employed by a hospital, and his office is licensed as a clinic so the hospital can take advantage of the revenue bump, you have just added to the problem because that cannot be rationally explained to the customer-patient.

— Donald Bellenfeuille

Values Matter

Re: "Using Values to Gain Competitive Advantage" by Joe Tye in H&HN Daily, April 29

Thanks Joe! Great article! The one thing that attracted and gave me a sense of pride in applying for my current position with Rochester General Health System was that I was not able to even view posted jobs without reviewing and clicking "accept" to the organization's values. (Just to see what would happen, after I was hired, I went back to the website and clicked "I do not accept." I was returned to the home page — a very clear message that without my buy-in, I was not a good fit!

— Doug Della Pietra

A Vision for the Ages

Re: "Turning 'Those Darn Kids' into Tomorrow's Hospital Leaders" by Bill Santamour in H&HN Daily, May 21

There are important factors that cannot be learned, such as vision around what will/could happen in health care. Much of what is happening today, we were discussing 10 to 15 years ago at the hospital I practiced in. It was obvious that health care needed to change and some systems were successful. ACOs are not a new topic or patient care model … we used to call it continuum of care vs. episode of care. In 2004, we had discussions with a regional BCBS around value-based payment. We were driven by clinical excellence, patient and employee satisfaction and patient safety.

— Frdpan

Cut Costs, Not Just Payment

Re: "The Bending of the Health Care Cost Curve" by Ian Morrison in H&HN Daily, May 7

After listening to Paul Ryan in a Wisconsin Advocacy Day speech, it occurred to me that his and most of the other initiatives aren't focused on cost-reduction, but rather on reducing reimbursements.

All that does is shift the cost, much as you describe with employer plans. We desperately need to reduce the cost of health care delivery — not just cut reimbursement. That can only be done through government initiatives.

— Larry Rine

Speaking Their Language

Re: "The Patient Experience: Taking It to the Next Level" in April H&HN

An important part of the patient experience was omitted: providing a trained health care interpreter so patients can understand what is said and ask questions.

— Roberta Gottfried

A Universal Principle

Re: "Skating to Where the Puck is Going to Be" by Matthew Weinstock in H&HN Daily, May 15

This is pertinent for for-profits as well! The importance and power of strategic relationships crosses all financial and service delivery models.

— RHunter

Correction

Hospitals & Health Networks' special foldout section in March, titled "Closing the Primary Care Gap," included outdated information in a definition of nurse practitioners.

The final sentence in the definition from the American Association of Nurse Practitioners should have read:

"NPs are authorized to practice across the nation and have prescriptive privileges, of varying degrees, in all 50 states, plus the District of Columbia."