Tuesday, June 14, 2016

EHR's Continue To Underwhelm

Late one night early in my career a fellow colleague and I were locked in a debate over the future of home automation systems. Near the end of this discussion he said "Everyone knows how to use a light-switch, and if they don't it's almost immediately obvious how to operate one." He was right, nearly everything on the market that attempted to improve on this design had fallen short because the light-switch in its underwhelming way is really a master of user interaction.

Thursday, June 9, 2016

Using HIEs To Increase Admissions Productivity

     
Admissions still remains one of the most difficult times during the transition to hospice care. These first few hours are a delicate balance of patient and family education combined with a seemingly endless set of questions. As length of stays have decreased in recent years hospices have had to contend with higher admission rates to avoid a decrease in total census. This has put increased pressure on the teams that handle these transitions, and in many cases shifted the focus from patient education to documentation. There isn't a quick fix for solving this imbalance, but Health Information Exchanges (HIEs) can increasingly help lower the initial set of documentation required for admissions.

Thursday, June 2, 2016

How Mindfulness Can Benefit the Hospice Professional

Guest Post By: Gillian Hamilton, MD, PhD, Administrative Medical Director


Yes, mindfulness is all the rage these days. But what can it do for hospice teams: nurses, social workers, CNAs, physicians, and bereavement counselors?

I first realized that hospice teams need mindfulness when nurses began telling me that they spent all night worrying about their sick patients. Then an excellent and very skilled nursing assistant talked about how guilty she felt because a patient had fallen in the shower, and she couldn’t get it out of her head a month later. As time went by, I realized more and more how often our wonderful staff took the patients’ problems home with them.