June 10, 2019 |  0
Public and private payers incentivizing providers (P4P) to coax desired clinical behaviors have failed. Both CMS derived measures and those used by commercial insurers, many of which overlap, fail to pass Good Housekeeping standards and lack the reliable characteristics indicators must possess. Whether those indicators are valid, attributable, or meaningful makes all the difference in […]
March 6, 2019 |  0
You have read constant references about ACOs (accountable care organizations) in every journal you pick up until you are blue in the face, I’m sure. You or your hospital might even be participating in one. Mostly all straight Medicare patients (the two-thirds not in Managed Medicare) are eligible for inclusion. You need two things to […]
By Jennifer Burtch, DNP, MSN, ANP-C
February 21, 2019 |  1
By: Jennifer Burtch, DNP, MSN, APRN, ANP-C It’s the beginning of the year, and as a nurse practitioner, I have been looking for medical conferences that provide the most up-to-date information and expertise in hospital medicine. The caveat is finding one that has pharmacology hours needed for annual licensure. I prefer to attend conferences in […]
January 22, 2019 |  0
The year ended with many lists for best reads of 2018. (See  NY Times, The New Yorker, The Washington Post, GQ, Powell’s Books, Obama’s list, and Bill Gates’ list for 2018.) I’m a firm believer in literature improving empathy. Literature, fiction, stories all impact our daily work. We are in the business of storytelling and […]
January 14, 2019 |  0
“The Joint Commission – [insert name of your institution here] is in the survey window.” A message you have become accustomed to seeing every few years at your hospital–and one administrators liken to habanero sauce on a gaping cold sore. But there is something else you should know. Bet you were not aware of this […]
January 8, 2019 |  0
Florence Nightingale, in her seminal 1859 Notes on Nursing textbook, reminded nurses about the importance of not waking hospitalized patients up. It is not surprising that years later, the American Academy of Nursing, through the Choosing Wisely™ campaign, recommended that hospitalized patients not be woken for routine medical care to protect their sleep, citing numerous […]