James Dias

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What Payers Seek from Orthopedic Destination Centers

Mark Xistris is Vice President, Business Development & Provider Relations for The Alliance, a not-for-profit member cooperative of more than 240 self-funded employers and insurance trusts covering more than 100,000 individuals in Wisconsin, northern Illinois and northeast Iowa.  His main responsibilities include oversight of the provider network, pay-for-performance programs, business development of the cooperative and […]

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What’s Your Patient Navigation Strategy?

Patient navigation has become the new favorite strategy for healthcare organizations trying to overcome the challenges of a fragmented care continuum. Whether seeking control over a complete episode in a bundled payment, or trying to make connections within an ACO, navigators are fast becoming critical liaisons between the different settings and silos (like physician offices […]

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Risk-Proofing the Surgical Episode for Patients

It’s a milestone for every new parent, when your first child is born and you begin to look at your house in a new way. The comforts of home: accessible electrical outlets, the designer coffee table, lots of cabinet space, and a spiral staircase… now represent accidents just waiting to happen. “Project babyproofing” begins and […]

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The “7 Deadly Sins” that Lead to Preventable Readmissions

Preventable readmissions are a top focus for healthcare administration due to recent Medicare penalties. Starting October 1, the CMS Readmissions Reduction Program will increase the maximum penalty to 3% and add COPD and total hip and knee replacements to the list of measures. New payment structures like bundled payments add more pressure by offering no […]

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The 6-Step Service Line Maintenance Checklist

Whether it’s your family car or the orthopedic service line, proper maintenance is essential to keep things running reliably and at a high performance level. Once you’ve built your program, sitting back and letting it run itself is not an option. Routine evaluation and tuning at monthly, semi-annual, and annual checkpoints are key to staying […]

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There May be Zombies in Your Hospital

While the CDC and the Pentagon have both issued emergency preparedness plans for a zombie apocalypse, it’s unlikely most hospitals have assessed this kind of “threat.” However, zombies may already be among us, lurking around the corners in hospital hallways or seated at the nearest nurses’ station. Here are three types of “zombies” that may […]

MedCity Influencers

Initiating a Bundled Payment Project

A guest post by Sheldon Hamburger, Principal of The Aristone Group “A journey of a thousand miles begins with a single step.” – Laozi, Founder of Taosim A bundled payment project has great potential to bring positive change to a provider organization. But like all change, it will cause disruption as this new model is […]

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How to Manage Your Ortho Team Like the Miami Heat

It’s NBA Finals time and the Miami Heat are making their fourth appearance in a row and angling for their third straight championship. Running a high-performance team is no easy feat, especially trying to win consistently year over year. Here are five strategies you can take from LeBron and the crew to apply to your […]

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4 New Lessons on Patient Experience from Disney

It’s been 10 years this month since Fred Lee published his book “If Disney Ran Your Hospital: 9 1/2 Things You Would Do Differently.” The book offers hospital administrators and service line directors key insights for transforming their “services” to “experiences,” including: Generating loyalty by doing memorable things that patients don’t expect Being alert on […]

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Is Your Operating Room Leaking Money?

Organic growth of total joint replacement volume is growing at 3-4% per year as the number of physicians entering orthopedic residency programs is in decline. Cuts in Medicare reimbursement for total joints is forecast every year, producing stressors for the surgeon to perform more surgery just to tread water financially. Hospitals spend a sizeable investment […]

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5 Bits of Actionable Info from AAOS 2014 for Your Ortho Department

Thousands of orthopedic surgeons descended on New Orleans this month for their Annual Meeting. Key research results and industry leaders’ opinions were on display. Here’s the actionable information that you can take to your orthopedic service line to start making changes today: New Research Generally Finds Comparable Outcomes for Outpatient, Inpatient Orthopaedic SurgeriesWith outcomes being […]

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9 Inspiring Quotes for Nurse Leaders from AONE 2014

The theme of this year’s American Organization of Nurse Executives (AONE) annual conference was “Inspiring Leadership.” Inspirational keynote speakers seemed to drive the message home for the CNOs and nurse managers in attendance. Below are some of the quotes that were heard repeated through the conference halls: 1. Robert Ballard, President, Institute for Exploration and […]

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6 Patient Experience Lessons from “The Bachelor”

A guest post by Maeghan Nicholson, Director of Marketing for Wellbe “The Bachelor” is wrapping up its 18th season on ABC on Monday. While this reality TV staple is often considered a guilty pleasure, there are lessons here that can be applied to how we take on the patient experience in healthcare: 1. You only […]

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Are You Ready for Bundled Payments?

CMS just put out a call in February for additional participants in bundled payments programs that involve post-acute care. By increasing the number of participants, they hope to gain a “more robust data set” and improve their evaluation of the models. So far bundles have been seen as an easier “first step” toward a value-based […]