Week of January 25-29, 2016


Health Care Leadership and Management
Health care sometimes can make patients feel as if they’re buried in red tape and mountains of paperwork. But a new set of standards from the American Hospital Association, if adopted, could make those burdens disappear, and save the field billions in the process. Administrative Simplification Strategies Offer Opportunities to Improve Patient Experience and Reduce Costs, 

The introduction of a controversial new core measure for sepsis bundles is refocusing attention on one of health care’s most vexing conditions.  The use of the sepsis bundle has reduced the death toll from the condition, and CMS is trying to standardize care for the huge population of patients who acquire it.  North Shore-Long Island Jewish Health System in New York received a 2014 John M. Eisenberg Patient Safety and Quality Award from the Joint Commission and the National Quality Forum for reducing sepsis mortalities by 50 percent since 2009.

The majority of teams I work with have a conflict problem: They have too little conflict. They seldom express dissent, diversity of opinion, or frustration. Instead, they act passive-aggressively toward one another, leaving themselves in a quagmire of unresolved issues. As a team leader, you need to foster productive conflict to limit the damage done by this behavior. Reducing Passive-Aggressive Behavior on Your Team, 

To improve care delivery and achieve the Triple Aim of better care, better health and lower costs, hospitals and healthcare providers must implement several key principles, according to a joint report from two American Hospital Association (AHA) committees. The AHA’s Committee on Performance Improvement identified seven principles for improved system design, Care and Payment Models to Achieve the Triple Aim, 

How many leadership seminars, professional development opportunities, and conferences have you attended where the Myers-Briggs test (MBTI) has been featured?  In my edtech world, support and utilization of Myers-Briggs appears to be pervasive.  As academic technology leaders and emerging leaders we can do better than to keep supporting the personality-type/MBTI myth. We can pay attention to what the research does say about productivity, and have the courage to jettison some long held practices and assumptions that are not supported by the research.  Myers-Briggs, Leadership Training and EdTech,

The field of behavioral economics is built on the premise that human behavior is not always rational. … Health care organizations are increasingly entering into contracts that reward them for improving outcomes and reducing spending. But they often struggle to translate these goals into effective incentive programs for physicians making the decisions that are key to achieving cost savings and quality improvements. Using Behavioral Economics to Design Physician Incentives That Deliver High-Value Care, 

ACA Implementation
If you want to understand health care in America, go to Broadway, where Hamilton is playing nightly to sell-out crowds, says David Blumenthal, M.D.  In a new blog post, The Commonwealth Fund’s president explains that in health care politics—and in all our politics—the United States is still living out the conflict between Alexander Hamilton and Thomas Jefferson that flared in the 1790s. Hamilton and Health Care,

In 2008, researchers at the Institute for Healthcare Improvement (IHI) proposed the Triple Aim, strategic organizing principles for health care organizations and geographic communities that seek, simultaneously, to improve the individual experience of care and the health of populations and to reduce the per capita costs of care for populations.  Since that time, IHI and others have worked together to determine how the implementation of the Triple Aim has progressed. Drawing on our 7 years of experience, we describe 3 major principles that guided the organizations and communities working on this endeavor: creating the right foundation for population management, managing services at scale for the population, and establishing a learning system to drive and sustain the work over time.  Pursuing The Triple Aim: The First 7 Years,

Our updated analysis of the Affordable Care Act’s marketplace health plans finds that premiums increased 6 percent nationwide for all plans and benchmark silver plans in 2016. (By comparison, premiums in employer-based plans rose 4 percent in 2015—the most recent year available—and increased annually by 7.3 percent, on average, between 2000 and 2015.) We also found that the number of carriers participating in local markets declined slightly: about 6 percent in urban areas, 7 percent in suburban areas, and 3 percent in rural areas.  Modest Changes in 2016 Health Insurance Marketplace Premiums and Insurer Participation, 

Those in favor of expanding the role of private plans in Medicare argue that commercial insurers are more efficient than traditional Medicare and can therefore save taxpayers money. According to a new Commonwealth Fund analysis, however, those plans that have comparatively lower costs are concentrated in a small number of U.S. counties.  Does Medicare Advantage Cost Less Than Traditional Medicare?

U.S. Government Suspends Enrollment in Cigna Medicare Advantage, NY Times, 
Drug shortages in American ERs — mostly of lifesaving medicines to treat infectious diseases or poisonings — have increased more than 400 percent, Washington Post, 
Tech Execs See Consumers Drawing the Line on Privacy With Health, Bloomberg, 
Maryland’s bold payment reforms blaze a path, but will others follow? Modern Healthcare,
Consumers Cut Costs By Combining Limited Coverage Health Plans, Despite Penalty Risks, Kaiser,
As Population Ages, Where Are the Geriatricians? NY Times, 
Candidate Policy Plans Resonate More With Democrats. Here’s why. WSJ, 
American Hospital Association Uncompensated Hospital Care Cost Fact Sheet, AHA, 
American Hospital Association Underpayment by Medicare and Medicaid Fact Sheet, AHA,
A No-Wait ER at 1/10th the Cost and Half the Time, Forbes,
Research begins into possibility of a vaccine for Zika virus, Washington Post, 
Retirement Giant Fidelity Now Wants Workers’ Health Insurance, Bloomberg, 
Scientists Move Closer to Understanding Schizophrenia’s Cause, NY Times, 
Partners offers $1 million in innovation grants to employees, Boston Globe, 


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