Dwayne Keller

Check out the latest #Leadership Reverie blog post on High Reliability Organizations!

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Thank you to our wonderful participants this afternoon in the HCT Consulting Group Healthcare Transformation Executive Roundtable. Brian D. Washburn, DHA, MHA, FACHE, FACMPE, CHFP, PMP Chris Saxman Elizabeth Crawford Restat Elya Prystowsky, MS, PhD Mark Korth. I was encouraged by several insights from this amazing group: 👉 #Transformation - we know it when we see it! 👉 #Valuebasedcare - we know it when we don't! 👉 #Valuebasedcare means different things to #patients and #providers but we should not lose sight that like or not, we have to play by the language and definitions being proposed by the Centers for Medicare & Medicaid Services 👉 #Transformation towards #VBC should be keeping healthcare simple, local and well-coordinated - what 99% of people are trying to do today. Organizing to stop the despicable 1% is adding 30% of costs to everyone - especially #ruralhealth 👉 #EMR Transformation has put some hospitals out of business and in some communities, when the hospital closes, the whole community shuts down 👉 #Transformation this group sees on the horizon includes demand for change only intensifying, doing more with fewer providers, addressing #documentation challenges, #AI should focus on removing the hassle of the little things 👉 MAJOR RISK AHEAD - Will #transformation defined by CMS + #BigTech lead to a loss of simplifying the provider-patient experience? Will documentation to meet #VBC demands only escalate due to the 'potential' of what technology offers? And therefore, will health disparities only expand due to the inability of #ruralhealth to keep up? Ultimately - will we eventually have to unwind many of the current technology investments to one day return to a simpler provider-to-patient connection? Thanks again to our amazing participants. DM me if you'd like to be on our roster to participate in the next one!

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$36 per minute...that is what 60 seconds of operating room time costs a typical hospital. With 60-70% of your hospital's revenue tied to perioperative services, it is mission critical to ensure a robust operating system is in place. Value Capture LLC can help your perioperative team design and implement an effective, sustainable system to support the efficient use of resources and ensure best-in-class quality, all while growing volume. Click on the link below to learn more. #operationalexcellence #perioperativeservices

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So proud of the Shawn Jenkins Children’s Hospital and the work the teams do each and every day! We ranked nationally in four specialties (and these four ranked in the top ten regionally of 63): #2 for Cardiology & Cardiac Surgery (up from #4 the past two years) and #1 regionally. #24 for Nephrology (a significant leap from #48 in 2023) and #2 regionally. #30 for GI & GI Surgery (another notable increase from #50 last year) and #3 regioanlly. #38 for Cancer and #8 regionally. Six programs placed in the top 50 nationally for outcomes: 1stCardiology & Heart Surgery 22nd G.I. & G.I. Surgery 26th Nephrology 36th Cancer 36th Diabetes & Endocrinology 48th Orthopaedics

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Truly excellent event in Columbus yesterday with the Greater Ohio Chapter of AHRMM. A couple takeaways that reinforced the criticality of hospital supply chain teams: 1) Supply chain teams are TRULY burdened by the Baxter IV solution shortage. One Supply Chain Director I spoke with characterized it as worse than COVID because the procedures haven't stopped or slowed and the supply is just not there. This isn't getting talked about enough in broader healthcare circles and it's because of the heroic work supply chain teams are doing to keep things afloat. There were many calls for better resilience planning by both hospitals and suppliers, plus the inclusion of clinicians in the process of identifying high-risk supplies. However, IMO, in most cases the financial incentives aren't there for suppliers to truly diversify their supply chain (granted Baxter announced today it'd lose $200 mil from the NC factory shutdown). 2) Hospital supply chain teams deal with crazy one-off scenarios! Jodi Keller from the Central Ohio Trauma System described a rabies outbreak at a camp stressing Ohio's rabies vaccine supply, weather events, Crowdstrike impacting prescription software, etc. etc. etc... We're past National Healthcare Supply Chain Week, but these folks deserve continued appreciation. Many thanks to Ashley Brown, MHA, CMRP, RHIA, Hannah Miller, SMBA, CMRP, LSSYB and the team for organizing a great event!

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Operationalizing Value-Based Care Across Multi-State Systems: A Complex but Rewarding Journey Healthcare executives leading multi-state organizations face a daunting yet exciting challenge: operationalizing value-based care (VBC) consistently across diverse geographies. It’s not just about aligning with a single-payer or adapting to one patient population. Instead, it’s about creating a framework that bridges the gaps between states, systems, and stakeholders while ensuring quality care and controlling costs. Here’s why it’s tough and why it’s worth it: 1. Payer Contracts Vary Widely: Different states have different payers, each with unique value-based agreements. Negotiating terms, understanding benchmarks, and aligning incentives across systems is like managing a puzzle where the pieces are constantly shifting. 2. Patient Populations Differ: A successful VBC model in a densely populated urban market may not work for a rural community where access to care and social determinants of health play a more significant role. Tailoring approaches while staying true to an overarching strategy is critical. 3. Regulatory Complexities Add Layers: Navigating the maze of state-specific regulations, licensure requirements, and reporting standards requires adaptability and a deep understanding of compliance. How Do We Overcome These Challenges? The key lies in striking the right balance between centralized strategy and localized execution. - Centralized Strategy: Develop a core value-based care framework focusing on quality, cost containment, and patient outcomes. Establish guiding principles and use data analytics to drive decisions. - Localized Execution: Empower regional teams to adapt the model based on local needs. Develop payer-specific playbooks, invest in population health management tools, and engage community resources to address social determinants of health. - Technology as an Enabler: Unified EHR systems and predictive analytics can provide a holistic view of performance across regions. This data ensures consistency while identifying areas for tailored interventions. The Payoff Organizations that navigate these complexities successfully achieve more than cost savings. They build scalable, sustainable systems that improve patient care across diverse communities. The path isn’t easy, but the rewards are transformative for multi-state systems committed to leading the VBC transformation. How is your organization tackling the operational challenges of VBC across state lines? #ValueBasedCare #HealthcareLeadership #PopulationHealthManagement #QualityandOutcomes

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If I asked you to choose between Trader Joe's or Target, which would you choose? It's a silly question, really. Because both offer unique benefits. As major GPOs shift in the market, exclusive agreements are becoming common. But are they truly driving value for health systems and patients? Exclusive GPO contracts limit choice. It's like forcing someone to choose between Trader Joe’s and Target. At Advantus Health Partners, we offer diverse vendor partnerships and PPI contracts, enhancing both economic benefits and patient care. By rethinking exclusivity, we prioritize patients and empower health systems with choice. Ready to supplement your supply chain with value-added partnerships? Contact Advantus today to learn more about our non-exclusive contracts. https://lnkd.in/deiYRgfE #SupplyChainStrategy #GPOExclusivity

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🌟 Upcoming Live Webinar: Enhancing Dialysis Facility Preparedness 🌟 🗓️ Date: June 25 ⏰ Time: 2 PM ET Join me, Kristi Wells, RN from Greenfield Health System, for an essential webinar explicitly designed for nurse leaders in the dialysis industry. Here's why you should attend: 🔍 Insightful Learnings: Gain firsthand insights into state surveyors' crucial findings and perspectives. Understand what they look for during evaluations and how this impacts facility operations. 📈 Improve Facility Readiness: Learn about the latest trends and focus areas identified by surveyors. This knowledge will help enhance your facility's preparedness and compliance, ensuring you meet and exceed regulatory standards. 💡 Actionable Strategies: I'll share key strategies and best practices to prepare your facility for upcoming surveys, helping you avoid common pitfalls and enhance patient care. 🎓 Earn CE Credits: Earn 1.00 Continuing Education credit by attending this webinar and completing the required post-test and evaluation. This webinar is not just a learning opportunity—it's a chance to improve your facility's operations and patient outcomes directly. Stay ahead of the curve by understanding the latest surveyor expectations and industry standards! Register Here: https://lnkd.in/eBpmNXbw ✨ Don't miss out on this chance to elevate your professional practice and facility standards! ✨ #DialysisCare #NurseLeaders #HealthcareWebinar #DialysisPreparedness #StateSurveyors #ContinuingEducation #NursingEducation #DialysisNursing #HealthSystem #PatientCareExcellence

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Last month's Vistage meeting highlighted the complexities structure examining work levels and the importance of defining cross-functional relationships with clear accountabilities. Tom Foster outlined seven key types of these relationships: service getting, prescribing, audit, monitoring, coordinating, collateral, and advisory, essential for an organization's overall functionality. The discussions emphasized the importance of "testing" team members with special projects to evaluate for advancement readiness, preparing them for future roles or promotions. This strategy enhances operational efficiency and prepares the team for dynamic growth and adaptability. I'm looking forward to diving into some of this with my team! #Vistage #FosterLearning #Relationships

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Top of mind for many hospitals and health systems: developing a more resilient supply chain and protecting patient care. Recently, Methodist Le Bonheur Healthcare turned to Premier for partnership after recognizing the vital need to strengthen its supply chain and protect against ongoing product shortages. In the below blog, Rusty Parker, DPT, MHA, Senior Director of Supply Chain Management at Methodist Le Bonheur Healthcare, highlights how the health system partnered with Premier Inc. supply chain and clinical experts to help resolve six significant product shortages and their overall goal of protecting and enhancing the supply chain for the benefit of clinicians, patients and the communities they serve: https://lnkd.in/gcbHWXz7

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This is a unique meeting of healthcare executives who share strategies and use cases for innovative technologies (AI and cybersecurity)and operations. I highly recommend this meeting as an opportunity to meet some transformational leaders in healthcare. https://lnkd.in/gfffn2aH

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Hospital and Health System Transactions The volume of announced transactions grew significantly in Q3 2024. With 27 announced transactions, Q3 had the highest level of activity thus far in 2024 and in line with pre-pandemic activity levels. Announced sales resulting from the Steward Health Care bankruptcy represented a significant amount of this volume, with 11 of the 27 announced transactions involving Steward hospitals.

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The beginning of EHR and ERP integration

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One of my favorite parts of my job is succession and readiness planning and this is great data from Sullivan Cotter. As we reimagine our career goals this Labor Day, what are you planning to “sharpen the saw” over the next 12-18 months? I’ll start: I’m diving into the #SPHR test prep — to validate to the world my HR technical skills. Funny how four little letters are needed to do that. It’s been a while, but it’s time! #SuccessionPlanning #LeadershipDevelopment #ExecutiveLeadership #TalentStrategy #HRTransformation #CareerGrowth #CHRO #WorkforcePlanning #StrategicHR #TalentManagement #HRLeadership

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☝ Don't Miss the Application Deadlines for the ACO Primary Care Flex Model! CMS is accepting applications for the ACOs Primary Care Flex Model until August 1, 2024. Interested organizations must apply as new or renewing ACOs to the Medicare Shared Savings Program (MSSP) by June 17, 2024. The ACO PC Flex Model will launch on January 1, 2025, and run for five years. Low-revenue ACOs participating in the Shared Savings Program can apply to the ACO PC Flex Model. This innovative model aims to increase the number of low-revenue ACOs and enhance primary care payment through a Prospective Primary Care Payment (PPCP) option, shifting payment from fee-for-service to a predictable, monthly payment. 💲 Enhance primary care payment and innovative care delivery  📉 Narrow Disparities in health care outcomes  🔻Reduce program expenditures while preserving the quality of care  💪 Strengthen participation incentives for new and low-revenue ACOs 💰 Base Rate and Payment Enhancements  💴 One-time Advanced Shared Savings Payment Health Equity Strategy to drive accountable care and advance health equity #ACOPrimaryCareFlexModel #HealthcareInnovation #PrimaryCare #AccountableCare #Medicare #HealthEquity #SustainableHealthcare #ValueBasedCare #VBC #RiskAdjustment #PPCP #SharedSavings #CMS https://lnkd.in/gmiKZsHM

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