Posts Tagged ‘hospital’

Edward Eckenhoff on Improving a Major Healthcare System

Monday, November 2nd, 2009

Edward EckenhoffI once asked legendary healthcare publisher and speaker Chuck Lauer who the most inspiring figure he met in healthcare was.  He answered Eddie Eckenhoff.  It’s easy to see why.

Eckenhoff is founder and president of the National Rehabilitation Hospital (NRH) in Washington, D.C.  A paraplegic since a 1963 auto accident, Eckenhoff is at the forefront of efforts to enhance the quality of care provided to patients undergoing rehabilitation.  He led the creation of the New Value Process, a loyalty program that draws inspiration from Disney’s model customer relations efforts.  By creating a culture of excellence at the NRH, Eckenhoff and his team members are cutting the average length of stay, making the rehabilitation process seamless for patients and their families and delivering optimal outcomes at discharge.

Consider this:  The average length of stay in a rehabilitation hospital has changed from as long as four months to an average of 30 days.  A lot of activity is now packed into that short time period, including three to 4 ½ hours of intensive therapy every day.  Within 24 hours of arrival, the patient’s team – including the physician, rehab nurse, physical therapist, occupational therapist, speech/language pathologist when needed, rehabilitation engineer and neuropsychologist – is in place and a discharge date established.  That is the culture of patient care he has created.

In a recent interview for the Alter+Care Podcasts on Healthcare, Edward Eckenhoff says that a patient arriving at the NRH likely will have been assured by the staff of the acute-care hospital that “everything will be fine”.  The rehabilitation hospital staff’s job is to break the reality to the patient from day one by assuring the patient that they will teach him to live with reasonable independence and functionality – especially when a spinal injury is involved.

Since opening in 1986, the NRH has grown into the NRH Medical Rehabilitation Network, which operates in 34 locations, and serves thousands of patients with disabilities ranging from spinal cord injuries to traumatic brain injury, stroke, arthritis, amputation and other neurological and orthopedic conditions.  Recognized as one of “America’s Best Hospitals” by U.S. News & World Report, the NRH has more than 1,500 staff members, including over 200 physicians.

 
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Recession Makes Access to Quality Healthcare Less Accessible for the Poor

Tuesday, June 2nd, 2009

Thousands of poor women on Chicago’s South Side have lost what may have been their single lifeline to decent healthcare with the University of Chicago’s recent announcement that it is closing its storefront Women’s Medical Center on 47th Street near Woodlawn Avenue. This move is the latest in a pullback by the University of Chicago on some of the healthcare services it delivers to the city’s poor and indigent.47001667

According to University of Chicago Medical Center executives, the clinic’s June closing is a victim of the deep recession that has forced the hospital to cut $100 million from its budget.  The Women’s Medical Center, which treated women whose only healthcare insurance is Medicaid, consistently lost money.  The tax-exempt hospital insists that it isn’t hurting the poor, saying that most of the clinic’s patients will be sent to other neighborhood clinics.  The move will let the hospital focus on the more complex illnesses of the patients who utilized the clinic.

“We can’t do everything for everyone in the community,” says John Easton, the medical center’s spokesman.  “Our goal is to use our scarce resources to provide complex care and let our partners in the community provide primary care, which they do very well.”

The clinic’s closure is a highly controversial move.  As a non-profit hospital, the Medical Center is perceived as having a responsibility to give back to its community in exchange for the enormous tax breaks it receives.  It’s a tremendous loss for the women who visited the clinic to keep up with their annual pap smears and mammograms.

Walk-In Clinic A Good Fit With the Healthcare Village

Thursday, May 28th, 2009

Urgent care centers (Illinois law mandates that they be called immediate or convenient care centers) are gaining ground nationwide as an alternative for families with minor medical emergencies that require quick treatment.  Although the walk-in clinic concept has been around for more than 20 years, the trend is picking up steam in an increasingly cost-conscious healthcare environment.  emergency_roomApproximately 8,000 such facilities currently are open for business in the United States.

A 2008 survey by the Urgent Care Association of America found that most centers are owned by physicians, and approximately 15 percent are hospital affiliated.  More than 55 percent are located in suburbs, where well-off patients with private insurance are unwilling to spend hours waiting in an emergency room.  The survey found that of an average of five employees, 1.7 are physicians; 0.4 are nurse practitioners; 0.7 are registered nurses; and 2.3 are clinical staff or medical assistants.  Sixty percent of patients are seen by a physician, nurse practitioner or physician’s assistant in just 30 minutes.

Alter+Care sees immediate care centers as a great fit with Alter+Care’s Healthcare Village concept (our concept of a wellness/preventive-focused outpatient campus, see www.healthcarevillage.net, because the village becomes a healthcare destination while generating visibility and visits for all services located in the village such as diagnostics/imaging, specialty clinics, physician practices, retail healthcare, laboratory and the wellness center.  For patients, the centers provide easy access and reasonably priced care because they typically charge far less than an emergency room visit.  Insurers who want to control costs are encouraging people to use urgent care facilities as an alternative, especially during after hours and on weekends.