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Whitepapers

The whitepapers on HealthLeadersMedia.com includes case studies and research briefs on business and technology issues affecting healthcare organizations. Information on submitting a whitepaper to HealthLeaders Media.
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TRAVELERS ON THE MAGNET JOURNEY: THE CONTRIBUTION OF TRAVEL NURSES IN PREPARING FOR AND MAINTAINING ANCC MAGNET (TM) DESIGNATION

December 1, 2007
This white paper discusses how travel nurses can contribute to the ANCC Magnet Recognition Program for healthcare facilities and identifies some examples of the roles travel nurses can play along the way.

BY:
Kim Windsor, MSN, MBA
Bette Case DiLeonardi, PhD, RN-BC
AMN Healthcare, San Diego, CA

For more information on the December 3, 2007 webcast on this topic, please visit www.AMNHealthcare.com

(PDF format - click here to download the latest version of acrobat reader)

2007 National Survey on Patient Throughput and Capacity Challenges

November 1, 2007
This survey was designed to capture candid responses of U.S. healthcare executives on issues facing their facilities regarding patient throughput, bed occupancy and length of stay. Nearly three-fifths surveyed said their facilities did not have the ability to track patients continuously and over half rated the efficiency of their facility's bed-turn process as poor or fair. The majority said they have incorporated process improvements, but half said they have not incorporated a patient flow system despite ranking patient flow systems as having the greatest potential to improve patient throughput.

BY:
StatCom, Alpharetta, GA
www.StatCom.com

(PDF format - click here to download the latest version of acrobat reader)

Understanding and Improving Access to Care

October 1, 2007
The benefits of a high-functioning patient access environment are huge: optimization of patient volume entering the health system; support for high quality, effective care delivery processes; and facilitation of appropriate revenue realization. However, access is often not comprehensively addressed-in part because it is a multi-dimensional concept whose elements can be challenging to define, measure and improve. This white paper provides a new framework for understanding and improving access issues, including an exploration of root causes of access-related problems, guidelines for establishing a strong foundation for process improvement, assessment questions, and recommendations for sustaining improvements over time.

BY:
Stockamp & Associates, Lake Oswego, OR
http://www.stockamp.com

(PDF format - click here to download the latest version of acrobat reader)

Create Virtual Beds with Aggressive Throughput Management

September 18, 2007

Meeting Patient Flow Demands with Creative Case Management

It's a familiar story. A hospital has to put its emergency department on "divert" status. Patients are stacking up in hallways waiting for inpatient beds to become available. The operating suites are running behind schedule, delayed because of overcrowding in the recovery room.

The American health system is in the grip of a chronic shortage: there are not enough beds... or are there?

Is this Physician Order Valid?

September 18, 2007

Physician orders keep your hospital moving. Every day in every unit, many dedicated professionals are doing the jobs they've been trained to do with caring and expertise. Walking through a busy floor, an untrained observer might see it all as chaos. Physician orders, when they work, make sure it's not. They give staff from various departments and ancillary areas a common communication vehicle and a shared language: they assure everyone's on the same page, for every patient, every time.

Hospitalists in Community Hospitals

September 18, 2007

Hospitalists, as more than one CEO has noted, are the future in acute-care hospitals. As health care has evolved - with family practice physicians mostly engaged in office-based practices, internal medicine specialists largely removed from caring for inpatients, and critical care andemergency medicine physicians taking specialized roles - hospitalists increasingly began to fill an important niche: the general care of hospitalized patients.

Are You Ready For Inspection Every Day, Any time?

September 18, 2007
It makes sense, doesn't it? Hospitals should be ready for examination without notice. After all, every patient deserves our best. No one in your organization would disagree with that. But it's not just a matter of doing your best to deliver quality care. The snag is ever-changing regulations. Whether you're accredited by JCAHO or HFAP/AOA (Healthcare Facilities Accreditation Program, a division of the American Osteopathic Association), or subject to a review against the CMS Conditions of Participation, you face a huge challenge in assuring your organization is always ready for an unannounced survey.

To Play Or Not To Play

September 18, 2007

Medicare has a history of offering alternatives to the traditional Medicare feefor-service program. However, the latest offering called Medicare Advantage, has the potential to shape the healthcare industry like no other that has come before it. Deciding how to handle the new program is the most immediate issue facing hospital administrators today.

So, how do you decide whether Medicare Advantage is truly an advantageous option for your hospital system? The answer is a tricky one, and it requires thoughtful examination of how well your organization can respond to the demands of this managed care program.

BASSETT HEALTHCARE, COMMUNITY CARE APPROACH TO IMPROVE QUALITY AND PHYSICIAN SATISFACTION

July 20, 2007
Bassett Healthcare's mission to provide the finest in medical care has become more challenging as the scope of its network has grown over the years. With obstacles of diverse medical information and variable care practices across many locations and systems, Bassett sought a solution to aggregate patient information across all sources, provide common access and communication capabilities and incorporate evidence and best practices into delivering patient care across the enterprise.

BY:
ICA Informatics, Nashville, TN
www.ICAInformatics.com

(PDF format - click here to download the latest version of acrobat reader)

HOW CONVERGENCE ENHANCES MEDICAL INFORMATION SHARING: WHAT RHIO LEADERS NEED TO KNOW

July 1, 2007
The U.S. healthcare system is facing significant issues in such areas as total cost, efficiency and availability of information. There is common agreement that the cure must include integrated systems for gathering, storing and sharing medical information. The availability of current, accurate medical information can reduce medical errors, cut duplicate tests, and give practitioners a firmer basis for treatment decisions. Encouraged by the U.S. Department of Health and Human Services (HHS), a new kind of organization, the Regional Health Information Organization (RHIO), is leading the way.

BY:
AT&T
www.att.com/fourpoints
(PDF format - click here to download the latest version of acrobat reader)

THE EFFECT OF PARTICIPATION IN EDOCAMERICA ON HEALTH CARE COSTS

July 1, 2007
We recently commissioned a third-party consulting firm to perform a statistical analysis on insurance claims data to test the hypothesis as to whether or not our services produce a positive, significant ROI for our clients. The test covered a 2 year period of time analyzing over 1.45 million insurance claims of more than 18,000 people. The results were most encouraging and showed that individual users of the eDocAmerica system experienced annual health insurance claims that averaged $89 less than non-users.

BY:
eDocAmerica, Little Rock, AR
www.eDocAmerica.com

(PDF format - click here to download the latest version of acrobat reader)

IMPROVING DENIALS MANAGEMENT REAPS BIG BENEFITS FOR HOSPITALS

June 1, 2007
Hospitals often overlook subtle yet important factors in the denials management process. In fact, the University HealthSystem Consortium believes reducing denials is the best way academic medical centers can decrease lost revenue. This white paper provides insights into taking a comprehensive approach to denials management and outlines the elements that must be in place to ensure an effective process, which ultimately leads to improved outcomes.

BY:
Stockamp and Associates, Lake Oswego, OR
http://stockamp.com/
(PDF format - click here to download the latest version of acrobat reader)

Is This Physician Order Valid?

March 7, 2007

Physician orders keep your hospital moving. Every day in every unit, many dedicated professionals are doing the jobs they've been trained to do with caring and expertise. Walking through a busy floor, an untrained observer might see it all as chaos. Physician orders, when they work, make sure it's not. They give staff from various departments and ancillary areas a common communication vehicle and a shared language: they assure everyone's on the same page, for every patient, every time.

HOW TO CREATE A SERVICE LINE WITH A MARGIN OF 20% IN THE FIRST YEAR

March 1, 2007
How to create a service line with a margin of 20% after the first year.

Hospital executives have a tough job. To balance the budget you can either cut expenses or increase revenue. Have you considered adding a boutique service line that can generate a positive margin of 20% in 12-18 months, requires less than $26,000 per year (amortized) in capital funds, and brings up to 4 million dollars in in-patient admissions, surgeries, tests, and procedures? This white paper describes how one service line can stimulate more business in a short period of time.

BY: Karin Roemers-Kleven, RN, CWS, FCCWS, President/CEO
Comprehensive Healthcare Solutions, Inc.
Tacoma, WA
www.comprehensive-healthcare.com/

(PDF format - click here to download the latest version of acrobat reader)

INTEROPERABLE HEALTHCARE COMMUNITIES--NOW

February 1, 2007
From the physician's office to the hospital to the patient's home, Misys OptimumT is a family of clinical solutions and Web-based technologies designed from the ground up share patient data across all venues of care. The result? Better outcomes, improved hospital-physician relations, reduced medical errors and time saved for patients and busy clinicians alike. All of this from Misys Healthcare Systems, the leading provider of easy-to-use, reliable, high-quality systems and services to hospitals, physicians' offices and homecare agencies for over 25 years.

BY:
Misys Healthcare Systems
Raleigh, NC
www.misyshealthcare.com

(PDF format - click here to download the latest version of acrobat reader)

BUILT TO LAST: SUSTAINING SUPERIOR REVENUE CYCLE PERFORMANCE

January 29, 2007
What makes a revenue cycle improvement initiative not merely succeed, but continue to provide significant financial benefits 2, 5, even 10 years or more into the future? This white paper provides insights on creating and maintaining a high-performing revenue cycle, including a questionnaire for evaluating your hospital's performance, a case study on an organization that's sustained its gains for more than a decade, and some of the often-overlooked organizational benefits of an optimized revenue cycle.

BY:
Dale R. Stockamp
Stockamp & Associates, Lake Oswego, OR
www.stockamp.com

(PDF format - click here to download the latest version of acrobat reader)

NATIONAL PROVIDER IDENTIFIER (NPI) & HEALTHCARE CLAIM SETTLEMENT

January 1, 2007
The looming requirement for the National Provider Identifier (NPI) holds significant ramifications for the claim settlement process. Current claim management systems operate based on Provider Identification Numbers (PINs) that were assigned to providers by health plans. NPI will require major changes to these systems to allow the association of payments with providers using NPIs rather than PINs. This white paper reviews the NPI requirement, outlines possible impacts to claim management systems, and offers steps payers should take to be ready.

BY:

Lisa Miller
Payformance Health CTO, Jacksonville, FL
www.payformance.com/

(PDF format - click here to download the latest version of acrobat reader)

THE STRATEGIC IMPERATIVE OF ADAPTING THE HOSPITAL'S MANAGEMENT STRUCTURE

January 1, 2007
We are pleased to present ECG's Insight on the Strategic Imperative of Adapting the Hospital's Management Structure. Our clients have asked us to examine characteristics of high performing organizations. One key finding is that leaders of performance driven hospitals adapt their management structures to their strategies to obtain better traction on key initiatives. This Insight addresses how to think strategically about your management structure and provides some key considerations for leaders to contemplate when redesigning their organization.

BY:
ECG Management Consultants
Seattle, Boston, Washington D.C., San Diego, St. Louis
www.ecgmc.com

(PDF format - click here to download the latest version of acrobat reader)

ELECTRONIC CLAIMS SETTLEMENT

January 1, 2007
Healthcare is a $2 trillion industry facing many challenges, and holding many opportunities for improvement. One such opportunity is in claim settlement, as today over 95% of claims are settled with paper checks and paper remittance advices. Electronic claim settlement offers tremendous advantages to payers and providers, including significant cost savings. This white paper reviews the benefits and challenges of Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA), as well as a practical approach to implementing an electronic approach.

BY:
Payformance Corporation, Jacksonville, FL
www.payformance.com/

(PDF format - click here to download the latest version of acrobat reader)