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Cover Story:
Outpatient Care Expansion Comes Under Scrutiny

Even the most ardent proponents of outpatient care say its pace of growth may slow, depending on a community's need for integrated care and specific demand for multidisciplinary approaches.



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Measuring Mission

Most healthcare leaders say their organization's dedication to mission is strong or very strong, with only about one in 10 describing that quality as weak or neutral. How can a leader ensure real commitment to mission, and how do you know if your organization is meeting its mission? What are the metrics? What do you look for?

Keys to Process Improvement

A willingness to learn from others and to set transparent, measurable goals is essential in developing efficient systems. 

How Big, How Soon?

With an influx of newly insured patients to the healthcare system by 2014, the question of 'Should you build it?' boils down to another question: How many will come?

A Race to the Bottom

A rate-setting proposal in Massachusetts could have wide-ranging ramifications.

Dealing with Data Breaches
Disclosure Report Could Reveal HIPAA Breaches

A proposed rule would give patients the right to get a report on who has electronically accessed their protected health information. Some legal experts worry this could pose problems for healthcare providers.

Breach Can Cost $2 Million, Study Says

A significant data breach can cost your organization $2 million, according to a study by the Ponemon Institute in Traverse City, MI. The research and consulting group found that hospitals are rushing to adopt electronic health records in an effort to cash in on government incentives, but they may not be prepared to adequately address data security and data privacy issues.


 

Controlling Nurse Labor Costs
Outpatient Move Saves Hospital

An expanded physical therapy program helps save a 22-licensed-bed critical access hospital in Illinois, a facility that nearly shut down because of fiscal and management problems.

More Uncertainty

The failure of Congress' so-called Super Committee to reach consensus on a deficit reduction plan will affect healthcare leaders. 

Keeping Readmission Rates Low with Treatment Guidelines
Developing Treatment Guidelines for Hip Fractures

Though UPMC Hamot has been using treatment guidelines for years—since long before Jim Donnelly, RN, MBA, chief quality officer and chief nursing officer, started there 12 years ago, he says—the organization is still developing new order sets when problem areas arise.

Feeling Better About ICD-10

Despite the concerns about cost and preparation, the transition to the new coding system should yield numerous quality benefits. 

Physicians Managing Costs

As hospital systems restructure their cardiology programs, many have enlisted physicians to oversee clinical programs, which is expected. But physicians as cost-control managers?

Lessons from Battle

Sudip Bose, MD, FACEP, FAAEM, has seen the world of healthcare from a unique perspective—the battlefield.


Scorekeeping
What's your score? That question piques curiosity and creates competition like few others, as this issue's cover story details.
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