GPHA Clouds

Latest "Healthcare Improvement" Posts

Business Risk

The cost of how you make choices

There are several definitions of business risk on the web. Some of the business risks that hospitals face today are unavoidable components of the healthcare business. These components include ever changing government rules and regulations, reimbursement realities, uncertain volumes, and market forces. Our work starts with the choices you make. We work hard to mitigate business risk when and wherever we can. We provide the best guidance we can and work to operate in a data driven environment, using experts both from our staff, partners and vendors. 

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Posted by Aaron Miller on December 30th, 2015 in GPHA Hospitals, Healthcare Improvement


GPHA and Cerner Announce Partnership

GREAT PLAINS HEALTH ALLIANCE TO TRANSITION AFFILIATED HOSPITALS TO NEW DIGITAL PATIENT RECORD

PHILLIPSBURG, Kan. — Nov. 10, 2015 — Great Plains Health Alliance (GPHA) announced that it has selected Cerner, a global leader in health care technology, to implement an integrated electronic health record (EHR) across the alliance’s 25 affiliated critical access hospitals. Dozens of populations across Nebraska and Kansas counties will be transitioned onto the Cerner system.

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Posted by Aaron Miller on November 9th, 2015 in GPHA Events, GPHA Hospitals, Healthcare Improvement


340B Mega Guidance: A Tough Pill to Swallow for Some

HHS published its much anticipated Omnibus guidance (“Mega Reg”) on August 28, 2015. The full document, which includes 90 pages of information is located here. http://federalregister.gov/a/2015-21246

Upon reading of this document, discussion with colleagues in the 340B space, and reading of multiple blog posts, I thought I would take a stab at summarizing some of what is included in the guidance.

Perhaps the biggest change, which is always good water cooler discussion in the 340B community, is further clarification, or in this writer’s opinion “narrowing” of the “Definition of a Patient”. The existing definition of a patient is found here on the OPA website. Sparing you the details of the existing definition, let’s jump right into what the proposed new definition of a patient is, and how it might change your program.

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Posted by Aaron Miller on September 15th, 2015 in Healthcare Improvement, Pharmacy Services


Eldon Schumacher to Receive KHA Advocacy Award

eldon schumacher khaIf you have followed the recipients of the Kansas Hospital Association Distinguished Health Care Advocate Award in the past, you know that the honor has usually been reserved for elected officials like Sen. Jerry Moran or Sen. Pat Roberts. This year, however, the KHA Executive Committee took a slightly different view of the award, deciding to look beyond public officials to others who might have a strong record of advocacy on behalf of Kansas hospitals.

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Posted by Aaron Miller on August 25th, 2015 in Healthcare Improvement, Our People


Health Reform

It’s Your Choice.

It seems that everyone eats and everyone has some notions about what is good and what isn’t.  It also seems that a lot of people can cook and so have some ideas about the best way to prepare different dishes.  Some people believe some plants are not intended as food and so should never be cooked.  One of my friends would fall into this category with respect to Brussels sprouts.

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Posted by Aaron Miller on March 3rd, 2015 in Healthcare Improvement


Building Maintenance under a Lease Contract

We recently got an excellent question from a community member where we operate a leased hospital.  The question was, “Why isn’t GPHA responsible for the cost of keeping the building up if they are leasing the hospital?” 

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Posted by Aaron Miller on January 22nd, 2015 in GPHA Hospitals, Healthcare Improvement


The Flex Time Advantage

Increasing employee satisfaction and efficiency, and saving on costs

The times, they are a changin’. Over the past 25 years there has been noticeable shift in what had been a largely ignored employment arrangement: the schedule. In recent studies as many as 85% of employers offer some form of flex time in their organization. What has changed in the past two and half decades that would merit such a drastic change of typical business practices that existed for hundreds of years? The answer is simple: employee satisfaction.

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Posted by Aaron Miller on December 15th, 2014 in Healthcare Improvement, Human Resources and Personnel Management, Our People


The Top of the Stack

World Class Plumbers

Entering the world of hospital administration, it has been fun for me to replace my acronym saturated military lexicon (TDY, TOT, MRE, OPR, CC, BX, MP, IP, etc etc etc) with a new, equally extensive, medical vocabulary (OB, PT, OP, RT, OT, CT, MD, RN, on and on).  One of the terms that has captured my attention the most through the course of my transition, however, is the term “leak”.  

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Posted by Aaron Miller on November 26th, 2014 in GPHA Hospitals, Healthcare Improvement, Our People


Reducing the Cost of Prescription Drugs

Drug company gives free medication to elderly woman, avoids injectable medications and hospital visits

A 92 year old woman, now in assisted living, had an aggressive bacterial infection. The infection had limited options for treatment. Only a few oral prescription drugs and a small number of injectable drugs have been shown to cure this particular infection. Zyvox (linezolid) developed by the Pfizer corporation is one of the oral prescription drugs that has demonstrated success in the past. This breakthrough medication is necessary to keep the upper hand in the continuing fight against antibiotic-resistant bacteria. Without it, patients may be required to get days or even weeks of continuous injectable antibiotics, often multiple times per day. These treatments can be uncomfortable, inconvenient, and in some cases unsuccessful. At the end of several weeks of treatment, if the infection persists, hospitalization may be required.

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Posted by Aaron Miller on November 11th, 2014 in GPHA Hospitals, Healthcare Improvement


Board Report – October 2014

An Excellent Resource for Non-Profit and Healthcare Board Members

“The 8 Principles of Effective Governance: A Handbook for Directors of Non‐Profit Organizations”  written by John W. Mize, a healthcare attorney with Clark, Mize & Linville, Chartered.  Having been involved in the healthcare industry for many years, John Mize has a vast amount of knowledge on the topic of governing Non-Profit entities.  

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Posted by Aaron Miller on October 23rd, 2014 in Healthcare Improvement, Reports