RSSAuthor Archive for Elizabeth Jones

Error: Unable to create directory uploads. Is its parent directory writable by the server?

Elizabeth (Liz) Jones is an associate editor at HCPro. She writes and contributes to several monthly newsletters including Medical Staff Briefing, Hospitalist Leadership Advisor, and Credentialing and Peer Review Legal Insider. Liz graduated from Salem (MA) State College in 2003 with a B.A. in professional writing. Before joining HCPro, Liz wrote for a national monthly business publication where she gained experience in executive-level business and healthcare issues.

Professionelle Erstellung von Websites.

Es ist nicht Geheimnis, falls sich Personen in jener modernen Erde zunehmend herauf der Suche nach jener oder jener Information deinem Internet verteilen. Und dies ist schlüssig, denn heute haben viele Unternehmen ferner Organisationen die eigene Internetauftritt im Community. Um ein interessantes Werk oder Gute angebot für eine Dienstleistung zu finden, müssen die Menschen keine Zeit für Kontakt haben zu den Geschäften und Organisationen aufwenden, sondern alleinig auf die Website betrachten und allesamt notwendigen Infos erhalten. Auf jeden fall gewinnen in diesem Sinken diejenigen Firmen, die ihre eigene Abbildung im Datenautobahn (umgangssprachlich) haben.

Heutzutage ist die Website diese eine, Darstellung dieses Unternehmens im Netzwerk, Reklame für dasjenige Unternehmen und seine Produkte und das großes Plus für dies Image. Das ist Feedback von Diesen Kunden des weiteren Partnern, die Möglichkeit von seiten Onlineverkauf und Beratung und vieles mehr. Und dies sind in keiner weise alle Vorteile moderner Websites. Letztendlich ist echt eine Website ein großer Schritt mit der Tendenz eines Unternehmens und einer Organisation. Mehrere Geschäftsleute sind daran begeistern kann, wo Jene die Erstellung einer Website (Englisch, um die Internetseite zu bestellen) zu dem erschwinglichen Abgabe bestellen sachverstand. Natürlich ist echt es viel rentabler ferner zweckmäßiger, das in spezialisierten Internetagenturen abgeschlossen tun. Darüber hinaus wird der Durchlauf der Herstellung der Ressource von einem professionellen Team von Spezialisten, bestehend taktlos Programmierern, Designern, Optimierern, Textern und anderen, durchgeführt. Der Kunde kann anhand des Portfolios oder eines Teilweise der Bewertungen die Qualität der schon fertiggestellten Web-Studio-Werke kennenlernen. Wohl beginnende Organisationen schätzen ihren Ruf und versuchen, die Arbeit derart effizient als möglich zu erledigen, derweil die Testen für die Dienstleistungen in keiner weise hoch sind.

Große Webstudios können (sich) vergewissern, dass alle Kundenanforderungen berücksichtigt werden, die kompetenteste des weiteren attraktivste Visualisierung der Page auf allen Geräten des weiteren ihre Effektivität in Gefüge von Businesspromotion, unabhängig vonseiten Thema und Spezifität. Bemerkenswert ist, dass die Tendenz von Projekten hier immer in kürzester Zeit erfolgt. Gleichzeitig sachverstand Geschäftsinhaber sogleich eine sonstige Werbung zu gunsten von die Internetseite im Community bestellen, die Zielgruppe anlocken und die Anzahl dieser Verkäufe erhöhen. In der Tat ist echt die Order einer Website in dieser modernen Erde nicht so sehr schwierig. Solche Dienste sein von Studios und eigenen Spezialisten erbracht. Sie sachverstand ein Projekt von beliebiger Komplexität, Diversität und Gegenstand entwickeln. Sofern Sie Geld sparen bedürftig, sollte jener Kunde herauf die beginnenden Internetagenturen obacht geben. Trotz jener geringen Kostenaufwand versuchen die Meister, ihre Arbeit qualitativ und zuverlässig zu erledigen. Wenn dies Budget es Ihnen ermöglicht, ein teureres Produkt zu erhalten, müssen Sie einander an erfahrene und professionelle Organisationen wenden.

Professionelle Website-Erstellung ermöglicht das Ihnen, einen neuen Hinschauen auf Ihr eigenes Geschäft zu verziehen (platte, fliese). Ein kompetenter Transfer mit ein virtuelles Flugzeug ermöglicht es, ebenso in jener Ruhezeit das spürbares Einkommen zu erzeugen. Eine erfolgreiche Website ist der Autoschlüssel zu dem erfolgreichen Geschäft. Aber was bestimmt allen Erfolg jener Website? Gibt es bestimmten Kriterien, die helfen, welchen Erfolg des Projekts zu bestimmen? Bevor allem Webdesign und technische Lösung. Elementar sind ebenso die Unterstützung der Beihilfe und deren Förderung. Professionelle Erstellung von Websites ist echt unmöglich ferner ohne einen kompetenten Marketingansatz. Worüber ratschen wir jetzt? Entwickler dieser Ressource falls sich jener Erstellung dieser Site nähern, um eine Ressource abgeschlossen schaffen, die Zielgruppe erhöht und mehr und mehr Profit bringt, und eine elektronische Broschüre ist überhaupt in keiner weise das, was wir brauchen. Die beste Phase dieser Arbeit koennte sein, die Besonderheiten des Geschäfts dieses Kunden, die Bekanntschaft qua der Zielgruppe, das Studium der Konkurrenten zu kennenlernen. Auf jener gleichen Stufe werden Geschäftsziele festgelegt. Die professionelle Erstellung von Webseiten bietet die Möglichkeit, Schlussfolgerungen darüber zu ziehen, auf was jemand sich einstellen soll, auf welche Materialien die Sites zu setzen sind, was auf jener Hauptseite über platzieren ist, welche Schlüsselwörter zur Beziehung der Website usw. operieren. In welchen ersten Phasen ist die professionelle Erstellung von Websites ohne ernsthafte Arbeit bei weitem nicht vorstellbar Webdesign. Das Formgebung der Internetauftritt ist die Kleidung, zu gunsten von die Sie sich in kauf genommen werden. Infolge der Tatsache, dass das jeden Vierundzwanzig stunden eine zunehmende Anzahl seitens des gleichen Themas existieren, konzentriert einander der Benutzer, um in keiner weise verwirrt abgeschlossen sein, herauf die website erstellen kosten Beihilfe, die schöner aussieht. Je teurer dies Design erscheint, desto zuversichtlicher wird es sein. Taktvolle rücksichtsnahme vor allen Erfolgreichen, die genug Geld für teures Webdesign besitzen. Professionelle Erstellung von Websites – Arbeitskapazität von allen ohne Ausnahme von Elementen einer Internetseite, bequem des weiteren klar jetzt für alle Navigation, bequeme Strukturierung der Informationen.

Apply to be a speaker at CRC 2012

The Credentialing Resource Center is excited to put the call out for speakers to present at the 15th Annual Credentialing Resource Center Symposium, May 10-11, 2012 at the Hilton Walt Disney World Resort in Orlando, Fl.

That’s right, to celebrate the 15th year of this two-day conference for MSPs and medical staff leaders, we’ve decided to shake things up a bit. We’re leaving Las Vegas and bringing the show to Orlando, right on the Walt Disney property!

In addition to a new location, we’re looking for speakers who can present interactive workshops on topics such as privileging, legal issues, accreditation, best practices for measuring physician competency, and just about anything else medical staff-related.

If you’re interested in applying, please download the application and e-mail it to editor Julie McCoy (jmccoy@hcpro.com) by September 14, 2011.

We look forward to seeing you in Orlando!

Report quality and ethical issues internally first

If a medical staff member feels obligated to report inappropriate care or conduct, he or she should take certain steps to reduce his or her liability risk. The first step is to report issues internally to a medical staff leader, says Tim Adelman, Esq., partner at Adelman, Sheff & Smith, LLC, in Annapolis, MD.

Although the reporting physician may not be protected under whistleblower laws during this initial step (some states’ whistleblower laws require healthcare professionals to report to an outside organization to gain protection), reporting issues internally helps physiicans maintain professional relationships.

“You risk putting yourself in a bad psition if you report your colleagues or the hospital you work at without giving them a fair chance to address the issue,” says Adelman. If the reporting party doesn’t give the facility or colleagues a chance to correct the behavior, he or she may find it uncomfortable to work there in the future.

Adelman also suggests that physicians take a step back to ensure that they are reporting the facility or individual(s) for the right reasons. Are they eporting because they engaged in disruptive behavior and want to defend their actions? Are they seeking revenge? Physicians should reconsider reporting for any reason other than a legitimate concern.

“I would never discourage [physicians] from reporting, but what I would encourage them to look at is what they are trying to accomplish and what they want to have happen in the future,” says Adelman.

If a physician does report a colleague or the facility at which he or she works to an outside board because efforts to address the issues internally have failed, the physician should be sure to have adequate documentation of the questionable or offending behavior. The reporting party should also be sure that the act of reporting won’t come as a surprise to the individuals involved. “Any time that it is perceived as sneaky or out to get someone, it is going to really taint your reputation and credbility.”

To learn more about physician reporting, check out the June issue of Credentialing & Peer Review Legal Insider (subscription required).

Provide hospitalists with adequate billing and coding training

One of the best things that hospitalist program managers can do to ensure adequate training is to work with the billing department to find an individual who is qualified to educate hospitalists about billing.

“More and more practices have a certified coder on staff whose job it is to work with the doctors, train them, and conduct audits of the documentation to give them feedback on what they are doing right and wrong,” says Leslie Flores, MHA, partner at Nelson Flores Hospital Medicine Consultants in La Quinta, CA.

Not all hopsitalist programs have a certified coder available. In that case, the program may need to rely on a noncertified individual in the billing department or a hospitalist who is charged with training newcomers. However, having a hospitalist conduct the training may be dangerous, says Flores. “If that physician has developed bad habits, he may pass them on to new people.”

Another option for hospitalist programs is to hire an external consultant. “It is more expensive, but I think it is worth it,” says Jonathan Lovins, MD, SFHM, hospitalist and assistant clinical professor of medicine at Duke University School of Medicine in Durham, NC. Facilities may be able to find coding auditors and trainers through the Society of Hospital Medicine or the American Association of Certified Coders.

The rule of thumb, says Lovins, is for every hospitalist to receive at least two hours of training on billing and coding when they first start and refresher courses every year. The training should include notes from previous encounters with patients. “If you do it without notes, it is very abstract, and people don’t take away much from it. Bring in real hopsitalist notes.”

Check out the June 2011 issue of Medical Staff Briefing for more information about training hospitalists in billing and coding (subscription required).


Check out our new resource for medical staff leaders

Medical Staff Leadership Essentials: A Guide to Developing Leadership Skills and Recruiting the Next Generation provides valuable insight to help new and veteran medical staff leaders develop, retain, and recruit a legacy of effective future physician leaders. Written by 35-year medical staff veteran R. Dean White, DDS, MS, a medical staff consultant in Granbury, TX, and reviewed by The Greeley Company’s Jonathan H. Burroughs, MD, MBA, FACPE, CMSL, this book is a complete training resource for any medical staff leader who may have been elected (or thrown)  his or her position with little experience. It’s also great for veteran leaders who wish to train incoming leaders. Check out table of contents:

  • Chapter 1: Principles of leadership
  • Chapter 2: Foundational leadership skills that can be learned
  • Chapter 3: Roles and responsibilities of medical staff leaders
  • Chapter 4: Identifying and recruiting medical staff leaders
  • Chapter 5: Educating medical staff leaders
  • Chapter 6: Nominating and selecting medical staff leaders
  • Chapter 7: Succession planning and leadership retention
  • Chapter 8: Understanding the medical staff culture to meet future challenges
  • Chapter 9: Reflections and resources
  • Chapter 10: From the field: Medical staff leaders share their thoughts on what it means to lead

To order, click here.

Authors explore the ethics of physicians participating in capital punishment

The Hastings Center Report this month explores the ethics involved with physicians participating in lethal injection. On one hand, allowing physicians to participate may make deaths swifter and more humane for patients, but on the other hand, killing patients goes against physicians’ code of ethics to “first, do no harm.” In 2010, the American Board of Anesthesiologists decided to revoke the certification of any physician who participated in capital punishment, following the AMA’s lead.

Free-standing emergency departments on the rise

Free-standing emergency departments are on the rise, according to Physician News Digest. The majority of patients currently visit emergency departments for non-urgent and semi-urgent care, and visiting a free-standing emergency department, which is not attached or associated with a hospital, can save them money and reduce wait times in hospital-associated emergency departments. They aren’t the best choice, however, for true emergencies, such as heart attacks, and it’s difficult for patients to know which facilities offer which services, say critics.

ACGME-compliant staffing model reduces costs for hospital

When the ACGME released its new Common Program Requirements, many balked at the estimated cost of implementing and remaining compliant with the new rules. However, the University of California, San Francisco’s (UCSF) Benioff Children’s Hospital found that the right staffing model can reduce hospitalization costs by 11% and shorten lengths of stay by 18%, reports Hospitalist News Digital Network.

“In September 2008, UCSF expanded and reorganized its pediatric inpatient hospitalist service, moving from a traditional call model to a shift-based staffing model. In the process, the hospital eliminated cross-coverage of different teams in favor of dedicated night teams that were subsets of their day teams,” the article states.

Case review form and peer review referral form

In the May issue of Credentialing & Peer Review Legal Insider, we discuss with Linda Van Winkle, CPCS, CPMSM,  manager of medical staff services at Christus St. Patrick in Lake Charles, LA, the chart review form and the peer review referral form that she submitted to the Credentialing Resource Center Symposium contest. These two forms have helped in Christus St. Patrick’s quest to reduce the number of peer review cases that are sent to the multi-disciplinary peer review committee unncessarily and have helped Van Winkle  sail through the OPPE process. In the newsletter, Linda explains why she developed the forms and how to use them. Check them out and see if your facility can adapt them.


Thanks for sharing, Linda!

Is developing privileging criteria always a struggle?

It doesn’t have to be! Join HCPro on February 9 at 1:00 ET for “Step-by-Step Guide to Developing Privileging Criteria,” a 90-minute Webcast hosted by Sally Pelletier, CPMSM, CPCS and Christina W. Giles, CPMSM, MS. During the program, Sally and Chris will walk you through best practices for privileging criteria development following the below agenda:

  1. When do you need to develop privilege criteria (when is something a new privilege vs. an extension of an existing privilege)?
  2. What internal and external sources are available?
  3. How do you create equivalent criteria for procedures that cross specialty lines?
  4. What elements should be considered when defining the criteria?
  5. Case studies that reflect various settings, examples of forms, and sources you can use to develop criteria
  6. Live Q&A

To purchase access to the Webcast, please click here.

New York Times shines light on the aging physician issue for the general public

Here at HCPro, we’ve been discussing the issue of aging practitioners for years and offering our customers tips, strategies, and policies to help them usher aging yet valued physicians into retirement. However, the general public may not be as acutely aware of the issue as our customers are. Many mistakenly think that there are foolproof mechanisms in every hospital to protect them from doctors who are no longer competent to practice, reports a January 25 article in The New York Times. Jonathan H. Burroughs, MD, MBA, FACPE, CMSL, senior consultant with The Greeley Company, a division of HCPro, Inc., in Danvers, MA, was quoted in The New York Times article. He emphasizes the need to screen aging physicians early to allow them to modify their practices and enter retirement with dignity, rather than having their licenses taken away after an embarrassing or deadly event.

Did the ABIM overreach?

Months ago, the American Board of Internal Medicine proposed sanctioning 139 physicians for passing along and receiving test questions from a test preparation company. While many physicians feared the sanctions would cost them their jobs, it now appears dozens of the physicians cited won’t be held for sanctions the ABIM initially sought.

Drew Wachler, an attorney representing 40 physicians, says the ABIM has allowed his clients to resume their careers, by shifting course, in part. Still, he says, he hopes ABIM will revise its procedures, and that remains to be seen.

Via Joe Cantlupe, HealthLeaders Media.