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Some of the nation's largest health systems want to care for patients in their homes Print E-mail
Written by FHI's Week in Review   
Monday, 25 November 2019 17:27

Samantha Liss reports for Healthcare Dive on Nov. 21, 2019:
Some of the nation's largest hospital systems are turning to a startup to help them deliver at-home hospital care to patients who otherwise would have been admitted...It's a move that may seem at odds with the traditional business model of hospitals, but it's one way providers are trying to get ahead of the curve as pressure mounts to reduce the cost of care and as reimbursement is increasingly tied to quality. It also fits the trend of care moving out of the pricey hospital setting.
"This is the first instance I have seen where a hospital system is attempting to intentionally reduce patient census in favor of lower cost care being provided out of the hospital," states David Fater, CEO at ALDA and Associates International in Boca Raton "This may indicate that we are approaching the tipping point and <witnessing> a new breed of hospital CEO," he adds.

Read more in the current issue of Week in Review>>
Karoline Mortensen’s Passion Lies in Health Policy Print E-mail
Written by FHInews   
Wednesday, 20 November 2019 18:43

The world of healthcare is in constant flux. Seemingly endless policy changes at the local, state and federal levels often result in unintended consequences for those in the industry. To keep up with those changes, many people have opted to attend the Miami Herbert Business School’s Healthcare Executive MBA program.

There, they can expand their knowledge of healthcare management and administration, learning from a team of experienced professors such as Karoline Mortensen, associate professor of Health Management and Policy and Academic Director of the Master in Health Administration (MHA) program.

Mortensen, who has been teaching at UM for nearly five years, has an extensive background in health policy and management. Her classes attract a mix of mid-career professionals including physicians, healthcare executives, registered nurses, pharmacists and researchers. Some are looking to add to their existing knowledge and move up in their organization, while others come from outside of the healthcare industry and are looking to make a career change.
karoline mortensen Because the industry is in flux, Mortensen says she is constantly refreshing the material she teaches.
“While there are core concepts we teach, we also talk a lot about current policies that are up for debate such as ‘Medicare for All’ and the Affordable Care Act,” she says. 

Mortensen earned her master’s degree in Applied Economics from the University of Michigan and her PhD in health services organization and policy from the University of Michigan. She started her career at Rice University, going on to teach at the University of Maryland School of Public Health before landing at UM.

She is a standing member with the Agency for Healthcare Research and Quality Health System Value Research study section, the lead federal agency charged with improving the safety and quality of America's healthcare system.

“I am passionate about understanding the delivery, organization and financing of our healthcare system,” she says.

Mortensen says many of her MBA students are motivated by the fact that they can use what they learn in the classroom to not only improve their work life, but also to improve the care they provide to their patients.

The university’s strong network of alumni, as well as some well-known dignitaries, often serve as guest lecturers. They include Congresswoman and former UM President Donna Shalala, as well as Florida Sen. René Garcia, who represents Hialeah. The university also hosts networking events where alumni engage with students and each other. Healthcare executives and practitioners also are invited as guest lecturers.

“One of the most exciting things about our program is our powerful alumni network,” says Mortensen. “They lead to interesting discussions and provide our students with a balanced perspective. I encourage students to listen to all voices in the class.”

Mortensen has received awards for outstanding teaching and mentoring of graduate and undergraduate students.

“I try to make the material interesting and relevant and I try to push my students to look at information, draw their own conclusions and think of other perspectives,” she says.
Last Updated on Thursday, 21 November 2019 09:36
Re-imagining Elder Care: Creating a More Financially Sustainable, Community-Focused Model Print E-mail
Written by David Friend, MD, MBA & Chris Cooper, RN, MHA, MIM | BDO   
Friday, 25 October 2019 17:12

Elder care is in a race against time. In 2016, there were approximately 45 million Americans over 65. This cohort represents 16 percent of the population, but an astounding 36 percent of overall healthcare spending. At nearly $18,000 per person, we spend five times more on older Americans than we do on children. Further, the senior population continues to grow rapidly, forecast to reach more than 80 million individuals, or nearly double, by 2050. The math is simple: today's way of caring for the elderly is unsustainable. Healthcare organizations, especially those in parts of the Midwest with larger proportions of seniors, must re-imagine the way they care for The industry needs to place greater emphasis on investment in empathy- and community-based care focused on preserving and improving quality of life. Seniors are already demanding such care, fueled by five industry forces that will shape the future of elder care.

Last Updated on Thursday, 28 November 2019 10:22
Advanced Practice Providers' (APPs) Increased Practice Means Increased Risk Print E-mail
Written by Daniel Casciato   
Friday, 18 October 2019 16:47

Healthcare professionals want to prevent any potential legal actions as it relates to the excellent care they provide to their patients. This includes advanced practice providers (APPs), such as Nurse Practitioners who now face similar legal issues to those experienced by physicians and other medical providers. According to Tom Murphy, a Med Mal and Workers Comp Specialist with Danna-Gracey, one of the largest independent brokers of insurance coverages for the healthcare sector, the most common causes for a malpractice claim involving APPs are as follows:
  • Failure to follow the standard of care;
  • Improper use of medical equipment;
  • Failure to document;
  • Failure to monitor and properly assess the patient care, and;
  • Failure to communicate.
Howard Gitlow Uses Real-World Examples to Teach his Healthcare MBA Students Print E-mail
Written by FHInews   
Monday, 30 September 2019 14:00

Imagine if you could save your healthcare system or your own healthcare practice millions of dollars without losing quality of care. Howard Gitlow helps his students do just that. Gitlow is a professor with The University of Miami’s Business School Executive MBA in Health Management & Policy program. US News & World Report ranks it the No. 1 Health Care Executive MBA program in the U.S.

Gitlow’s course focuses on quality management and process improvement. His students are required to design and implement a project at their workplace that improves processes and saves money. He says there have been many success stories, including an oncology practice that saved $9.5 million by taking what the student learned and applying it in the real world.

“The student flow-charted his current process, saw how it was doing, found the weak points and was able to dramatically decrease the time it took to see patients, thereby saving money,” says Gitlow.

You might think that by speeding up processes quality would suffer, but Gitlow says it’s just the opposite.

“If you improve your process and get rid of delays, re-works and mistakes, you go faster with higher quality,” he says. howard gitlow

The MBA program is a three-day weekend, monthly course taught over 23 months. Participants, most of whom are busy executives and clinicians, attend from around the country and sometimes from around the world. It is accredited by the Association to Advance Collegiate Schools of Business (AACSB) and by the Commission for Accreditation in Management Education (CAMHE). It also is a member of the highly prestigious Business School Alliance for Health Management (BAHM), which is by invitation only.

“It is the flagship program of the business school,” says Gitlow. “We have some of the best faculty who know a lot about healthcare. Our students are mature and ready to soak up what is laid out before them.”

Gitlow, who has been teaching at UM for 42 years, has written numerous books and academic articles about how to improve processes. He also serves as an advisor to UM’s Lennar Foundation Medical Center.

“We focus on cooperation more than competition within the organization. We don’t demand results, we help them improve their processes to get results. We do this through the use of extrinsic and intrinsic motivators,” says Gitlow. “By using this process improvement management system they are, by far, the most profitable and productive component of the medical system.”

He teaches students ways to reduce patient no-show rates, the amount of time it takes to get a patient in and out the door, as well as wait times.

Gitlow does much of his teaching through storytelling and real-world examples, which his students not only find enjoyable, but also relevant to their own lives. Students call his examples “unique” and “entertaining” and his subject knowledge “extraordinary.”

“This is not a course you forget; this is a transformational course that you can take with you in all aspects of your life,” he says.

Last Updated on Tuesday, 01 October 2019 14:12
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