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Leadership strategies: Small businesses and sexual harassment
Catherine Iste Business Management, Services & Risk ManagementSmall businesses are not immune to sexual harassment problems. Most small businesses — from doctor's offices to car dealerships — are still predominantly owned by men, according to the Census Bureau. And in many towns, these business owners wield a lot of power and influence, which can make it extremely challenging for employees to speak out against harassment.
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Nurses and vulnerable populations: Ethics and social justice
Keith Carlson Medical & Allied HealthcareIn a politically charged era when the Affordable Care Act (ACA) is consistently on the chopping block, health disparities run rampant and the future of American healthcare is wholly uncertain, nurses must honor the American Nurses Association (ANA) Code of Ethics as powerful advocates for vulnerable populations and the rights of all patients.
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Seema Verma: ‘It’s good to move away from paper’
Scott E. Rupp Healthcare AdministrationElectronic health records need a makeover, and the way they are used must change — so says Seema Verma, the administrator for the Centers for Medicare & Medicaid Services (CMS).
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Are we playing medical Monopoly?
Jason Poquette PharmaceuticalMergers and acquisitions are the name of the game in healthcare these days. It feels like we are watching a giant game of medical Monopoly being played out before our very eyes. Just a few big players are rapidly rolling the dice and plucking up properties as they move their pieces around board.
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Nurses, mergers and the healthcare industry
Keith Carlson Healthcare AdministrationWith the recent announcement that pharmacy giant CVS is buying Aetna in a multibillion-dollar health insurance/pharmacy services merger, the consolidation of the healthcare industry has taken a giant step in a direction that can be characterized as both forward and backward, depending on your perspective. Doubtless, the landscape is changing for consumers and healthcare providers alike.
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Scope it out: How to design and build what’s needed
Curtis Skolnick Healthcare AdministrationPlanners are often asked to test a facilities concept, define how much space it will take and determine how much it will cost to complete. These questions are useful in the early-concept phase of a project, but the basis for planning is missing: What am I solving for, and how does this potential "bricks and mortar" solution meet a defined service, market or strategic need of the organization?
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DNR tattoo sparks much-needed conversation
Joan Spitrey Medical & Allied HealthcareA recent correspondence to the New England Journal of Medicine has sparked some much-needed discussion on the issue of do not resuscitate (DNR). Physicians from the University of Miami wrote in to discuss a recent ethical dilemma encountered while caring for a recent patient who arrived with "Do NOT Resuscitate" tattooed on his chest. The patient's signature was tattooed just below the statement, further adding to the questionable legitimacy.
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Should older doctors be required to use technology?
Scott E. Rupp Healthcare AdministrationDr. Anna Konopka, an 84-year-old doctor from rural New London, New Hampshire, is facing a heartbreaking situation in a changed world. Konopka voluntarily surrendered her medical license in October after the state medical board threatened to suspend it. The reason: She's a throwback to a bygone era.
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Is time of day a factor for surgical complications?
Dorothy L. Tengler Healthcare AdministrationAll surgical procedures have potential complications that can increase the risks of a negative outcome, whether specific to the procedure or after surgery has been completed, but the operating room is the highest risk area for serious complications. Both older and more recent studies indicate that surgeries performed at night lead to worse outcomes, especially for patients undergoing coronary angioplasty, orthopedic surgery, transplant surgery, colorectal surgery and cardiac arrest.
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Are holidays just regular shifts for nurses?
Joan Spitrey Medical & Allied HealthcareFamilies gathered around bounties of lovingly prepared food. Grandparents, cousins, aunts and uncles sharing stories from their youth, laughing and remembering about days gone by. Football and falling leaves as temperatures drop and the mindfulness of being thankful for all the blessings in our lives. This is what the holidays are all about. But for many nurses and healthcare providers, their family gathering is around paper plates and potluck bonanzas in the break rooms of hospital and care facilities around the country.
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