Category Archives: Nursing

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

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 Hospitals Manage Social Determinants of Health

Alexandra Drane at Patient Experience Summit

May 29, 2015  |  Jane Stuckey

At the AONE and the Patient Experience conferences last month, three presentations stood out. Each described innovative ways to quantify and manage social determinants of health. HOME TELEHEALTH The Cleveland, Ohio VAMC manages the care of 110,124 veterans, but it provides more than healthcare. It impacts upstream determinants of health such as employment and housing…. | 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

Why Guess? Know How to Change Hospital Processes with Confidence

Change hospital processes with confidence

April 20, 2015  |  Kristyna Culp

If you don’t know for certain that a process change will work before you try it, you’re guessing. People guess because it’s easier than looking at data. Or because they have anecdotal evidence. “That transporter is always late and I have to take the patient myself!” Unfortunately a lot of anecdotal evidence just yields red herrings…. | Read More

How to Prove that Cutting Staff Won’t Actually Save Money

How to prevent hospital staff cuts

April 17, 2015  |  Kristyna Culp

When cutting costs, many hospitals trim less expensive staff, like techs and transporters. You may suspect this is a bad move, but we help you make the business case for creating the most efficient staffing model. We illustrate what happens when transporters don’t move admitted patients from the Emergency Department. When nurses pick up the… | Read More

The Truth About Unscheduled Patients: Predictably Reliable

order from chaos

April 15, 2015  |  Kristyna Culp

On any given day, a hospital knows its quantity of surgical patients because they schedule cases at least a week in advance. They can also predict the number of discharges and unscheduled patients even though they may seem random. With less precision, of course, but determining patterns and average ranges is not rocket science. When… | Read More

How Hospital Staff Can Improve Patient Satisfaction With Scripting

felt speech bubble

March 11, 2015  |  Kristyna Culp and Kathy Clarke

We encounter “scripting”, or standardized responses, every day. Order a cheeseburger and the cashier will ask if you want to Supersize it. Rent a car and the staff will ask whether you prefer the gas purchase option. Fill up with gas and the screen on the gas pump asks if you would like a car… | Read More