The difficult transition between the hospital and nursing home

KEN COVINSKY, MD | PHYSICIAN | SEPTEMBER 5, 2013 The difficult transition between the hospital and nursing home Huge numbers of older persons transition from hospitals to the nursing home. Often, an older hospitalized patient needs skilled nursing care before they are ready to return home. In other cases, a nursing home patient who needed hospitalization is returning to the nursing home. Older patients and their families certainly hope that great communication between the hospital and nursing home would assure a seamless transition in care. But a rather stunning study in the Journal of the American Geriatrics Society suggests the … Continue reading

Is the end near for small community hospitals?

MIKE SEVILLA, MD | PHYSICIAN | SEPTEMBER 2, 2013 Are the days numbered for Salem Community Hospital and other community hospitals around the country? Recently, a local story happened that made me think of this. The announcement was made that the Akron General Health System was being purchased by a joint venture of Cleveland Clinic and Community Health Systems (CHS). CHS is a Tennessee-based hospital operator who also owns three other hospitals in the Northeastern Ohio area where I live. Six months ago, Akron City Hospital along with the rest of the Summa Health System announced that they were joining … Continue reading

The fiscal disaster of healthcare costs has a human toll

By Timothy Johnson, MD-Today, I come back to the tragedy of medical economics in this country. And I would apply that word “tragedy” in at least two ways. The first tragedy is that we are headed for fiscal disaster in this country because of healthcare costs. We now spend twice as much per person on healthcare as the average per person cost of all developed countries. During the past several decades, the inflation rate for healthcare costs has usually been two to three times the general inflation rate. Obviously, this level of healthcare cost increase cannot continue. It is, to … Continue reading

Mean doctors and nice nurses: It’s time to change our brand

  By Karen S. Sibert, MD In my hospital’s preoperative area, upright on her bed, sat an unhappy middle-aged lady who needed an operation to treat complications from her previous bariatric surgery. She hadn’t lost weight and clearly was feeling discouraged about practically everything. She was physically uncomfortable, couldn’t even keep down her own saliva because her lower esophagus was obstructed, and was in tears. As her anesthesiologist, I came to evaluate her prior to surgery. In fairly short order, I got her a tissue and a warm blanket, listened to her tale of woe, and finished my pre-anesthetic examination. … Continue reading

Creating a World-Class Insurance Sales Culture

By Tim Sawyer- Selling insurance isn’t like it used to be. Not many people just walk-in or call ready to do business anymore. And when they do, they expect more – more knowledge, more professionalism, more choices, a good deal, or a better price. If your agency doesn’t have a world-class sales culture built into it, then it’s set up to fail. So how do you build a world-class sales culture? Here’s a step-by-step mini guide to help get you started: Step #1. Identify Agency VALUES Perhaps your agency values honesty in all your dealings with clients. Perhaps your agency … Continue reading