How to Keep Score

September 1, 2015

Although it is obvious that the difference between a 90-point and 89-point wine is insignificant, and the higher-scored wine may potentially be inferior depending on our intended use, the price difference to the consumer for the higher-scored wine can easily exceed $30.

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Patient Driven Staffing Levels

July 20, 2015

On average, hospitals devote close to 70 percent of their budget to labor costs. Until robots replace humans in the delivery of patient care, selection of the proper skill mix and number of nurses remains a significant factor that determines cost in provider organizations.

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Square Peg – Round Hole Problem

July 6, 2015

Rapid adoption of EHRs has been hindered by a variety of factors, including a fragmented marketplace, changing federal incentives, provider uncertainty about the regulatory landscape, and the striking lack of interoperability between systems.

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Strategic Operational Plans

May 20, 2015

Standing up in a canoe is hard enough. Standing up in two canoes with one foot in each while traveling through Class 4 rapids is mind-boggling.
Class 4 rapids are defined as “intense, powerful but predictable …

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Getting Ahead

March 20, 2015

Cloud-based applications maintained by vendors offer significant advantages in cost of ownership by eliminating the cost of upgrades, providing immediate access to the latest versions of applications, and reducing the costs associated with maintaining hardware.

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Relationships Matter

January 20, 2015

Patients with sub-par experiences often post negative comments on one or more social media platforms to express their dissatisfaction. These posts then form the building blocks for a provider’s online reputation.

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Still Babbling

January 19, 2015

The problem of poor interoperability did not suddenly appear in the hot Washington summer of 2014. It has existed for several years; I called it out in an article published in this journal at the end of 2013.

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