Perspectives on the Acute Care Continuum

The Acute Care Continuum is the integration of urgent, emergent, inpatient and post-discharge care of patients with acute medical conditions.

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Do you find yourself wondering how you can find more enjoyment in your life and work as a high-performing medical professional? Do you sometimes feel held back by circumstances beyond your control or stuck in an antiquated system of unrealistic demands and expectations on your time and human capacity?
If so, the techniques of Mental Contrasting and Implementation Intentions may help you bring about the change you need to thrive. In this post, we'll discuss how healthcare professionals can use these research-tested methods to bring their current work lives more in line with their ideals.
11/20/2014 12:25:11 PM | 0 comments
This month in Mindfulness in Medicine, I am honored to showcase my good friend Marlene Chism’s work. Marlene’s consultancy background includes numerous hospitals and professional healthcare associations, physician groups, nursing associations and others. The following piece regarding the myths and realities of being too busy seems extremely timely and topical when it comes to dealing with busy schedules facing everyone in healthcare today.

Healthcare Professionals: Myths and Realities of Being Too Busy

If you listen closely, almost every healthcare professional talks about being too busy.
Being busy is a great way to stunt your leadership growth. After all, if you are busy, you have an excuse that covers many mistakes, including "missing" on a core clinical measure or looking the other way when a team member shortcuts the agreed-upon process. You feel better about putting off large-scale changes that could reap big rewards for your patients.
11/5/2014 2:20:48 PM | 0 comments

By Christina Ballejos-Campos, PhD, RN; Andres Smith, MD; Pablo Velez, PhD, RN; Christine Basiliere, MSN, RN; and Sherri Navedo, MSN, RN

Sharp HealthCare of San Diego has been working toward an important goal: to provide all emergency department (ED) patients presenting with long bone fractures appropriate pain medication within 30 minutes. When they surveyed EDs across the system, they found one that was already taking an innovative approach to the problem.

10/7/2014 10:22:10 AM | 2 comments

In 2012, the Centers for Medicare and Medicaid Services (CMS) rolled out its first emergency department (ED) core measure set. This was the start of a new era in which EDs played a key role in helping their organizations meet national quality goals. A high-performing ED was suddenly necessary in order to maintain accreditation, compete for patients and receive full annual update payments under CMS' Hospital Inpatient Quality Reporting (HIQR) program. New ED measures have been added to the program each year.

9/23/2014 5:28:22 AM | 0 comments

adaptability.jpgOn my first day of medical school, during introductory lectures, the dean said something that seemed a little radical:

"At least 50 percent of everything we teach you in the next four years is going to be proven wrong at some point in the future. The only problem is, we don't know which 50 percent that is."

Those words are particularly salient today as our system begins its shaky transition away from fee-for-service toward population health management. Today's physicians must adapt and evolve not only clinically, but in the realm of care delivery as well.

8/28/2014 8:00:15 PM | 2 comments
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