In the last installment, the medical staff model change initiative at Better Times Hospital hit the wall. The guiding coalition again sought counsel from John Kotter's Leading Change. It became apparent that in addition to the long haul, a short-term win was needed. The...
The saying "If you build it, they will come," applies to baseball fields and malls, but not CPOE. Getting these systems up and running involves a host of challenges, including cost and IT infrastructure, but the most formidable of those challenges is getting the docs on board...
The medical staff model change initiative at Better Times Hospital has hit the wall. The medical staff is in an uproar over the administration's assault on their cherished structures and processes. Department chairs grouse that the rug is being pulled out from under them. The...
It's no secret that hospitals stand to gain a lot when contracting with a hospitalist group. Hospitalists can improve quality, increase efficiency, and reduce costs. However, finding the best hospitalist group for your organization can be a daunting task. Any facility looking...
At Better Times Hospital's medical staff redesign retreat, the guiding coalition emerged with a model called "3-6-9." The model calls for three key medical staff committees: the medical executive committee (MEC), credentials committee, and a single multispecialty peer review...
Good things come from hospitalist programs. Well-run hospitalist programs produce shorter lengths of stay, better core measure compliance, and more rapid adoption of order sets and protocols. Primary care physicians (PCP) experience an increase in productivity and income after turning over...
