What Do Mental Health Patients Want From the ER?

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Dr. Cary Gutbezahl, CEO of Compass Clinical Consulting, was the featured guest on Health Professional Radio network, the #1 global online radio station for health professionals. Host Neal Howard interviewed Dr. Gutbezahl about the desire of Mental Health patients to able to talk with providers about their problems without stigma and without being “written off as a psych patient.” They want their right to give input on their care, to be acknowledged, especially when they are competent to make decisions. To listen to the interview…

Safety and Security in the Emergency Room

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Dr. Cary Gutbezahl, CEO of Compass Clinical Consulting, was the featured guest on Health Professional Radio Network, the #1 global online radio station for health professionals. Part 2 of the interview discusses safety in the Emergency Room and how Mental Health patient’s needs should be addressed, focusing on creating and committing to a plan for positive patient safety change. To listen to the interview…

Mental Health Patients in the Emergency Room (ER)

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Dr. Cary Gutbezahl, CEO of Compass Clinical Consulting, was the featured guest on Health Professional Radio Network, the #1 global online radio station for health professionals. Host Neal Howard interviewed Dr. Gutbezahl on how to address problems related to the care and treatment of mental health patients in the Emergency Room. to listen to the full interview…

Mastery, Not Competency, Leads to Patient Safety

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By Cary D. Gutbezahl, MD Recently, CMS, the federal agency that administers Medicare, announced the list of facilities that will experience payment reductions due to excessive Hospital-Acquired Conditions (HACs). These hospitals scored in the bottom 25% of hospitals in CMS’ HAC rating system. The financial penalty is designed to create an incentive (or disincentive through […]

Accountability and High Reliability in Healthcare

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By Cary D. Gutbezahl, MD The patient safety literature emphasizes that fear is an obstacle to engaging staff in a culture of patient safety. Concern about fear isn’t unique to healthcare. “Drive fear out of the workplace so that everyone may work effectively for the company.” That was rule number 8 in Out of the […]

Hospital Leaders Like to Think that “Immediate Jeopardy Can’t Happen Here” — Until it Does

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Despite state and federal regulations, and private hospital accreditation programs that try to ensure high-quality care, errors occur in hospitals that result in patient injuries. Many errors are due to process failures rather than unpredictable accidents. Process failures can result in harm or, at best, missed opportunities to provide good care. Managers must remain vigilant by employing comprehensive monitoring programs that ensure protocols don’t slip.

Hospital Accreditation, But at What Cost?

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Of course, we all want to provide safe, quality care to patients, but do we need to be associated with an accreditation brand to demonstrate that we do?When considering the costs of accreditation, leaders should ask the following questions…

Accreditation options: How to Select an Accrediting Source

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Regardless of choice — including the option of not seeking accreditation and instead gaining approval through survey by the state agency responsible for CMS oversight — selecting an accreditation source is a strategic decision meriting leadership consideration for an appropriate organizational fit. Because these are choices with real differences, executives should select an accreditation vendor based on criteria. But what criteria make one organization a better fit than the others?

Accreditation Options: Going bare —The state option as an alternative to accreditation

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The “Accreditation Options” series from Compass Clinical Consulting being featured on Becker’s Hospital Review magazine has thus far evaluated the strengths and limitations of the four predominate accrediting organizations with deemed status from CMS: Healthcare Facilities Accreditation Program, The Joint Commission, Det Norske Veritas Healthcare and the Center for Healthcare Improvement.

One additional but rarely used option is to eschew using any external accrediting body and instead selecting state-based review for Medicare/Medicaid approval of Conditions of Participation. There are advantages and costs associated with all options, but few organizations understand, much less consider, the state option.

Treat, Don’t Board, Mental Health Patients in Emergency Departments

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Emergency departments across the nation have been challenged by rising volumes. ED crowding is exacerbated by the increase in the number of patients with mental disorders, substance abuse problems or both, who present with acute problems. Besides the mental health conditions such as schizophrenia, mood disorders, anxiety disorders, alcohol and drug disorders and intent to self-harm, these patients often have other medical problems including diabetes, liver disease and various infections.

How to Build a Patient-Centered Culture

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Cary Gutbezahl, CEO of Compass Clinical Consulting, sat down for an in-depth “Profile in Healthcare Leadership” interview with Mr. Dennis Vonderfecht, President and CEO of Mountain States Health Alliance (MSHA), the largest healthcare system serving Northeast Tennessee, Southwest Virginia, Southeast Kentucky and Northwest North Carolina. The topics was ‘how do you create and communicate a patient-centered care culture?’

Accreditation Options: Understanding the Center for Improvement in Healthcare Quality

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Compass Clinical’s Victoria May Fennel, PhD, RN-BC, CPHQ, is featured in Beckers Hospital Review for her latest article “Accreditation options: Understanding the Center for Improvement in Healthcare Quality.” Written by Victoria May Fennel, PhD, RN-BC, CPHQ The newest hospital accreditation option is the Center for Improvement in Healthcare Quality. Originally formed in 1999 as a […]

Hospital Leadership: The Only Reason We’re Here is to Support the People at the Bedside

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First and foremost remember that the least important part of the organization is the people who are in the C-suites. The most important people are the people who are delivering the care. I don’t ever want anyone to forget in executive leadership that we are here to support the people at the bedside. That’s the only reason we’re here. It’s the only reason we have jobs. It’s the only reason, presumably, that we’re…

Getting the Board on Board

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Cary Gutbezahl, CEO of Compass Clinical Consulting, sat down for an in-depth “Profile in Healthcare Leadership” interview with Mr. Dennis Vonderfecht, President and CEO of Mountain States Health Alliance (MSHA), the largest healthcare system serving Northeast Tennessee, Southwest Virginia, Southeast Kentucky and Northwest North Carolina. The topic was, ‘how do you take the board from thinking at the hospital level to thinking more like a real healthcare system?’

How to Prepare for the Financial Impact of Population Health Management?

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As you look into the future and see the changes occurring where population health becomes a bigger issue for health systems and there’s a migration away from what has always been the cash cow of healthcare – the hospital – how do you manage that financial change as it occurs and keep the whole enterprise afloat? A Profile in Healthcare Leadership with leadership profile features Mark Frey, President and Chief Executive Officer, Alexian Brothers Health System.

 
 
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