Featured Article

Reducing COPD Readmissions with a Cross-Continuum Approach

By Laura Ramos Hegwer

Within four years, Carolinas HealthCare System dropped its COPD readmission rate from 21.8 percent to 13 percent. A major factor in the health system’s success was a root-cause analysis that proved some key assumptions wrong.

Initially, project leaders thought that most COPD readmissions were the result of lax patient adherence to follow-up treatment. However, the root-cause analysis revealed that problems with patients’ home equipment, inadequate patient education, and poor access to primary care were actually more prevalent reasons for COPD readmissions.

Strategic Planning

A Newcomer to the C-Suite: Chief Strategy Officers Steer Health Systems to the Future

By Lola Butcher

Chief strategy officers (CSOs) at Children’s Hospital of Orange County (CHOC) and MemorialCare Health System are helping to expand their organizations’ geographic footprints.

CHOC’s Elaine Bauer is accomplishing that goal by changing her organization’s self-image from a free-standing community pediatric hospital to a health system focused on pediatrics. Diane Laird of MemorialCare is creating a partnership with University of California Irvine Health to develop new primary care centers.

Leader Profile

Achieving Results Through Diversity
Nicholas Tejeda, CEO, Doctors Hospital of Manteca, uses a unique perspective on diversity―called “cultural humility”―to make significant strides in clinical quality and positive business results. For example, Tejeda’s commitment to diversity and cultural humility are advantages for his hospital as it welcomes new patients under its recently negotiated Medicare Advantage narrow-network capitated agreement.

“I encourage staff to enter a scenario, be humble, and understand that each person is unique. If you pause and respect that perspective, you have an opportunity to consider peoples’ needs, how they are different than you, and how you share a culture and vision with them. If you ask yourself those questions, you suddenly start to consider the person and then this diversity thing makes sense from a clinical and business perspective,” says Tejeda.

Leadership Skills

Conflict Resolution Strategies: Scripts for Handling Uncomfortable Scenes

By Margaret Pearce

Conflict Resolution Strategies: Scripts for Handling Uncomfortable Scenes
Margaret Pearce, chief nursing officer for the University of Utah Hospitals and Clinics, shares how she would respond to two difficult workplace scenarios: an employee who starts crying during a conversation about performance issues and tension between a manager and a staff member. She recommends listening carefully to employees’ concerns but, at the same time, setting clear expectations for employee behavior.

Publication Date: Monday, April 21, 2014