Steve Berkowitz

Revisited: Three Rules to Consider during an Intervention

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Steve Berkowitz

I wrote this blog earlier in the year, but have found this piece to again be relevant. Enjoy! —————————————   Almost every chief medical officer (CMO) that I work with in my advisory program has encountered at least one situation in the hospital every year that requires a significant intervention with a member of the… Continue Reading >>

Steve Berkowitz

Managing your Quality Dashboard

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Steve Berkowitz

And “Indicators for Indicators” Now that we are approaching the fall, many of us are looking forward to next year’s budget, strategic plan, and either updating or enhancing the quality dashboard.  Additionally, this time of year, there are new Board members and medical staff officers, some of whom may need to be educated on the… Continue Reading >>

Steve Berkowitz

An unanticipated encounter between the Chief Medical Officer and a Physician Board Member   Recently, a chief Medical Officer (CMO) of a large hospital told me about his Board having to resolve a conflict between the hospital CEO and some of the medical staff.  He related this to me because one of the physician Board… Continue Reading >>

Steve Berkowitz

Health Care Cost– the silent, dangerous blood pressure equivalent of the Industry I remember the one of the first things we were taught in psychiatry was the adage: “The patient will not change until the pain of staying the same exceeds the pain of changing”. How true!  It completely defined the fundamental challenge of psychotherapy. … Continue Reading >>

Steve Berkowitz

The Myth of Wearing Surgical Scrubs

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Steve Berkowitz

The wearing of surgical scrubs has become part of the hospital culture.  Initially intended to reduce the risk of infection and contamination in the operating room environment, their use has expanded far beyond that.  Everywhere one goes in the hospital and the clinics, one sees more and more health care personnel attired in scrubs.  And… Continue Reading >>

Steve Berkowitz

What the doctor says versus what the patient hears

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Steve Berkowitz

What the doctor says versus what the patient hears Positive steps to decrease that gap Communication is an essential part of the doctor-patient relationship. Without effective communication, that relationship simply does not exist. Yet it can be one of the most challenging aspects of maintaining a healthy doctor-patient relationship. Effective communication is difficult in health… Continue Reading >>

Steve Berkowitz

The Societal Challenges of Mandating Health Care

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Steve Berkowitz

With all the pre-convention rhetoric on both sides of the aisle, the topic of health care reform for now has temporarily taken a back seat to terrorism and other issues. But the ultimate fate of the Affordable Care Act and American health care in general will come under continued debate, whether we talk repeal of… Continue Reading >>

Steve Berkowitz

The Importance of the Medical Coding Process

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Steve Berkowitz

You will be NOT be judged (and paid) on how well you performed, but on how well you were coded Did you ever play the game of telephone at a party? A person tells a story to another, who then in turn tells the story to the next person, and on down the line. The… Continue Reading >>

Steve Berkowitz

Hospital Readmission rates… What should be our goal?

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Steve Berkowitz

Several years ago it was indeed disturbing to find out that the national 30-day readmission rate for patients discharged with diseases such as heart failure, heart attack and pneumonia was almost 25%. Fortunately, since becoming a publicly reported measure and a financial determinant in the CMS Pay for Performance (P4P), there has been a great… Continue Reading >>

Steve Berkowitz

The Five Stages of Death and Dying… and Data!

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Steve Berkowitz

Every health care provider I know, as a part of their core curriculum during training, studied the pioneering work of Dr. Elizabeth Kubler-Ross. In her 1969 book “On Death and Dying” she described five stages that patients experience during these difficult times. Her work showed that all patients went through predictable phases or stages as… Continue Reading >>