tag:blogger.com,1999:blog-32053362.post592315565258146272..comments2024-03-26T00:25:34.026-04:00Comments on Not Running a Hospital: Early terms news arrives late in MAPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-32053362.post-76453852280437232832012-01-04T11:41:33.052-05:002012-01-04T11:41:33.052-05:00Well, I hope they didn't go too far and elimin...Well, I hope they didn't go too far and eliminate the ones that are clinically necessary.Paul Levyhttps://www.blogger.com/profile/17065446378970179507noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-52074164473040733072012-01-04T11:30:54.385-05:002012-01-04T11:30:54.385-05:00The Seton Hospitals in Austin, TX., will not allow...The Seton Hospitals in Austin, TX., will not allow alective inductions of labor prior to 39 weeks and took their birth trauma rate to the lwoest in the nation. Texas Medicaid has since eliminated early induction of labor as a Medicaid benefit.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-25990470040968676062012-01-01T22:30:11.189-05:002012-01-01T22:30:11.189-05:00Paul - interesting - do you know if this is a majo...Paul - interesting - do you know if this is a major concern for hospitals or physician groups with GP or bundled payment contracts?Martha Bebingerhttps://www.blogger.com/profile/00209465890817377973noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-36781500116735156642011-12-28T10:23:59.733-05:002011-12-28T10:23:59.733-05:00From Twitter:
Amy Romana: MA is not the only sta...From Twitter:<br /><br />Amy Romana: MA is not the only state late to the party. Multiple forces aligned to make this the QI project of the year in OB.<br /><br /><br />My recent blog post on 39wks and other improvement trends in 2011: <br />http://transform.childbirthconnection.org/2011/12/2011transformation/@midwifeamynoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-77891460065936067322011-12-28T07:17:03.967-05:002011-12-28T07:17:03.967-05:00Martha,
Doesn't MA have a law allowing mother...Martha,<br /><br />Doesn't MA have a law allowing mothers to go to the hospital of their choice, regardless of their insurance plan? If so, the bundled payment regime would have to exclude childbirth.Paul Levyhttps://www.blogger.com/profile/17065446378970179507noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-11955673802736987982011-12-28T02:06:47.879-05:002011-12-28T02:06:47.879-05:00Thanks Keith for weighing in on why, as Paul sugge...Thanks Keith for weighing in on why, as Paul suggests, MA teaching hospitals are more interested in research than in efficient and effective care. <br /><br />Will the move to global payments, with some different financial incentives, shift the priorities at hospitals?<br /><br />Are there cultural factors that shape the focus within MA hospitals?Martha Bebingerhttps://www.blogger.com/profile/00209465890817377973noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-59366995690394387022011-12-27T12:51:08.849-05:002011-12-27T12:51:08.849-05:00The other group that has done well with this issue...The other group that has done well with this issue is Ascension Health – 62 far-flung Catholic hospitals.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-6437289176811920992011-12-27T09:19:10.540-05:002011-12-27T09:19:10.540-05:00My guess is process improvement research does not ...My guess is process improvement research does not generate the revenue or prestige. It also often leads to a more efficient and less costly health care system. How many health care executives are driven by the desire to have their institution generate less revenue?Keithnoreply@blogger.com