The guiding coalition at Better Times Hospital has revisited its original proposition, called 3-6-9. The original vision included three medical staff committees (the medical executive committee [MEC], credentials committee, and a single multispecialty peer review committee); six...
The only thing harder than initiating change is sustaining it. It has been six months since Better Times Hospital held its retreat. The task at hand, as noted in John Kotter's Leading Change, is step seven of the eight-step change process: consolidate the gains to date...
In mid-May, CMS released a final rule containing many changes to its hospital Conditions of Participation (CoP). There has been some confusion over the change allowing one governing body for a multihospital system. Some hospitals have mistakenly interpreted this to mean...
As part of President Obama's executive order "Improving Regulations and Regulatory Review," which aims to reduce unnecessarily burdensome rules, CMS has granted hospitals and medical staffs greater flexibility in several key areas. The updated Conditions of Participation (CoP)...
Hospitals and physicians spend millions of dollars in legal fees, along with years of litigation and court hearings, on medical malpractice suits. What if you could wipe that all way with a simple, sincere apology?
In the last installment, the medical staff model change initiative at Better Times Hospital hit the wall. The guiding coalition again sought counsel from John Kotter's Leading Change. It became apparent that in addition to the long haul, a short-term win was needed. The...
