Category Archives: Dianne Foster

How to Prevent Reimbursement Denials Before They Occur

preventable denials

September 30, 2015  |  Dianne Foster

Overlooked reimbursement denials can put 1-3% (or more) of net hospital revenue at risk. In a billion dollar revenue health system, avoidable denials run $8-25 million per year. Clinical denials constitute one-third of this amount. Studies show that some health insurers reject 20% of medical claims. The Centers for Medicare and Medicaid estimate a 100-200%… | Read More

Why Enlightened Self-Interest Improves Patient Care

Why Enlightened Self-Interest Improves Patient Care

August 26, 2015  |  Dianne Foster

Which would you rather take part in: an opportunity to enhance your skill set, or, a mandated quality improvement program? A recent study illustrates that investing in the professional growth of hospital staff improves outcomes. What a person does to enhance their own circumstances also enhances the well-being of those they serve. Consider the words of… | Read More

How Will You Make Money If You Don’t Know What Nursing Costs?

nursing cost analytics

August 19, 2015  |  Dianne Foster

“We have to cut nursing costs” are dangerous words when we don’t know what it actually costs for nurses to deliver patient care. Often, nursing care is still considered part of Room and Board. Without a better understanding, we cannot know if we are making money, breaking even, or losing money. This becomes particularly important… | Read More

What If Better Patient Care Means Reduced Hospital Revenues?

better care

July 28, 2015  |  Dianne Foster

Imagine hearing this at a conference: “Success resulted in decreased revenue for our healthcare system.” My first thought: Am I going to learn about rewarding intelligent failure in this session? Well, not at all. At a recent nurse executive conference, we heard how leaders at Southwestern Vermont Health Care recognized the need to prepare for… | Read More

Rebuttal to “14 Things I Wish I Knew Before Becoming a Nurse”

“14 Things I Wish I Knew Before Becoming a Nurse”

July 15, 2015  |  Dianne Foster

Cosmopolitan magazine recently published “14 Things I Wish I Knew Before I Became a Nurse” that received a lot of attention and commentary on social media. I’m sure it also caught the attention of healthcare consumers and prospective future nurses. I found the article and its publicity disheartening. I’ve been a nurse for 36 years… | Read More

How to Get the Most Value from Healthcare Conferences

reflections from the healthcare conference trenches

June 24, 2015  |  Dianne Foster

This morning, sorting through notes from the American Organization of Nurse Executives (AONE) 2015 Conference I attended in April in Phoenix. I came across this doodle I scribbled in a margin: Have we sacrificed networking with people to technology addictions? I remember jotting that down after I enjoyed a conversation with another attendee. As we… | Read More

How to Reinvent Nursing for Population Health

How to reinvent nursing for population health

June 8, 2015  |  Dianne Foster

58% of nurses currently work in an acute care setting. But, as providers start to manage health rather than treat illness, we expect inpatient days to decline. The number of hospital-based nursing jobs also may shrink. At this year’s AONE conference, leaders shared their research on new nursing roles. These roles correspond to the ways hospitals… | Read More

How the Best Nurse Leaders Decide Which Problem to Focus on First

How hurse leaders CNOs decide which problem to focus on first

April 28, 2015  |  Kristyna Culp and Dianne Foster

So you think you have a big chaotic mess and don’t know where to start? The Emergency Department (ED) boards patients. PACU backs up. Inpatient Average Length of Stay (ALOS) continues to increase. Patients wait for appointments. Patient satisfaction scores are not in the 90%+ category. Or, your facility’s market share is not at the… | Read More

How to Make a Hospital Department Relocation More Successful – Part 2

transition planning for hospital department relocation

April 13, 2015  |  Dianne Foster

In Part 1 of this series, we discuss the scope, benefits, and different types of hospital transition planning. Today in Part 2, we cover the elements of a successful transition and different ways to distribute the workload. What does a successful transition plan entail? A customized playbook provides the leader with detailed work plans and… | Read More

How to Make a Hospital Department Relocation More Successful – Part 1

transition planning for hospital department relocation

April 6, 2015  |  Dianne Foster

Most hospital department leaders receive robust support, strategies, and tools to guide career transitions. Few, if any, receive the resources to navigate major construction and workflow re-engineering transitions. While redesigned space offers a chance for a fresh start, it also places the leader in a position of acute risk and vulnerability. They become the “lead… | Read More