What’s REALLY Going ON?

October 4th, 2012 by Nick Jacobs Leave a reply »

Over the last twenty five years, I’ve often felt like a stranger in the heatlhcare world.  Each day I coped with rooms filled with individuals who had finely tuned left brains that were bathed at every opportunity in quantitative information.  This was such a phenomena to me that I became a student and then somewhat of an expert on this topic.  What made them tick?  Why did we see the world in such diametrically opposed ways?

Working in that environment often took me to the precipice of despair as my ideas were dismissed as frivolous, my thought patterns seen as radical and too progressive and my career opportunities stomped on by leaders who, for the most part, saw the world in a very similarly left brained manner.

At each  meeting, a history lesson revolving around previously memorialized numbers was the primary topic of discussion.  Most of the time, these numbers simply raised more and more questions, but, regardless, were seen as the most important part of these sessions.  When ideas were presented regarding impacting these numbers that were not quantitative and linear ideas, the rejections could not come fast enough from the lips of the various levels of leadership.  And when qualitative solutions were added that worked, they were still seen as the first thing to be cut in any budget crises.  (What ever happened to mission?)

Well, as with Karma, sooner or later life throws changes at us, and to many of my former peers, these changes have been incomprehensible, overwhelming and completely stiffling.   Why?  Well, for the first time in my adult life, quantitative is equally as important as qualitative in the world of healthcare.  Think of it.  Your patient goes home from the hospital and in the safety of their own house gets a survey from CMS (Centers for Medicare and Medicaid Services) that asks them, (Are you ready for this?) qualitative questions.   If that isn’t bad enough, depending upon how these questions are answered, your budget could be disrupted horribly, and it won’t be a matter of just lowering the quality of toilet paper to make up the difference.

HCHAPS are making hundreds of my former peers ask questions like, “How much are we going to be cut this year due to poor patient responses?”  More importantly, many of them are finally asking, “How can we change our scores?”

Like I said, it’s Karma.

My formula was relatively easy, but it took a balance of right and left brain to implement it.  You see, no matter what you think, life is emotional, and when we base decisions on emotions, entirely new challenges appear?  “Did your nurses treat you nice?”  “Did you get any sleep?”  “Did your doctor explain things appropriately?”  These types of qualitative questions require a different approach to life and to care . . . it’s “Not just the facts!”

In order to be successful in this new healthcare environment, there is a tremendous need for you and your staff to stop and act like human beings on all levels, to reach out to people, to build relationships, to nurture relationships, to mingle, to care, to be transparent, to pay attention to the root causes of numbers that may evolve from something other than algorithms and more numbers.

It’s time to consider balancing right with left brain; to do exercises that challenge your  creative and humanistic deficiencies; to realize that it is not your full time job to simply react analytically.  We are now in an era of qualitative and quantitative like never before, and if you want to thrive and survive, it is not good enough to have HCHAP scores lower than the average prison hospital.

It is time to look at how you treat your employees . . . do they have HOPE?  Do you ever embrace their ideas and dreams?   It is time to embrace the families with transparency, honesty, openness, and, when appropriate, sympathy.   It is time to wake up and pass out the roses.





  1. Craig Aparo says:

    Shawn I put this one on my board:

  2. a1427582 says:

    I’ve said that least 1427582 times. SCK was here

  3. it is grate tiffany bolg. thanks

  4. I would very much like to agree with the previous commenter! I find this blog really useful for my uni project. I hope to add more useful posts later.

  5. Thanks for spending the time to discuss this, I really feel strongly about it and love reading more on this topic. If possible, as you turn into an expert, would you mind updating your blog with more details?

  6. I’d also like to convey that most people that find themselves devoid of health insurance can be students, self-employed and those that are jobless. More than half on the uninsured are under the age of 35. They do not experience they are looking for health insurance because they are young along with healthy. Their particular income is usually spent on housing, food, and entertainment. Most people that do go to work either 100 % or not professional are not supplied insurance via their work so they move without because of the rising tariff of health insurance in the usa. Thanks for the strategies you reveal through this blog.

  7. Thanks for your concepts. Single gadget really noticed is that banks along with pecuniary institutions have in intellect the spending behavior of consumers positive understand that most community do well away their real thanks cards roughly the getaways. They properly obtain plus of this certain fact and arise flooding your peculiar inbox down with snail-mail box down with hundreds of Zero APR credit cards offers just behind the holiday spell concludes. Knowing that when you are comparable 98% of the American district, you’ll soar by the side of the opportunity to merge pecuniary debt and shift balances for 0 leisure activity quotient honor cards.

  8. Pooja says:

    No they will not read it and no they did not read the patriot act eihetr that is the problem no one is reading the bill eihetr democrats or republicans. The staffers who are not elected are the only ones reading and writing the bills. They are making friends so when they are done being staffers they can make big bucks working in firms that get benefits from the bills they make. Vote out your senator if they have not read the bills.

  9. The Newest E commerce is twice the fun. Science specialist Uncovers Harmful E commerce cravings

  10. Nice post. I was checking constantly this weblog and I’m impressed! Extremely useful info particularly the final part :) I care for such information a lot. I used to be seeking this particular info for a long time. Thanks and good luck.

  11. I got what you mean , regards for putting up.Woh I am glad to find this website through google. “Food is the most primitive form of comfort.” by Sheila Graham.

  12. I’d be very grateful if you could elaborate a little bit more*~* http://brazilianremyhair465.webs.com

  13. attention about Monday although analyzing the Motivation involving Traders report. Tiny speculators

  14. izmir escort says:

    If you’re still on the fence: grab your favorite earphones, head down to a Best Buy and ask to plug them into a Zune then an iPod and see which one sounds better to you, and which interface makes you smile more. Then you’ll know which is right for you.

  15. I simply desired to say thanks yet again. I’m not certain what I could possibly have created without those points shared by you directly on such a problem. It actually was an absolute daunting setting for me, but witnessing your skilled style you processed it took me to jump over joy. I am just grateful for the advice and expect you recognize what a powerful job you are always undertaking educating many others through your web page. I’m certain you’ve never come across any of us.

  16. Polskie kino says:

    I have learned a few important effects by your send. I’d personally as well comparable to mention that there can be place where you will force to submission for a loan and never hardship a cosigner such as a Government Student Abet Credit. Except rider you are getting that loan by means of a common lend once-over so therefore you need to live primed to have a co-signer ready to achieve it easier for you. The lenders can center a few decision on the few factors nevertheless the prevalent will be present your credit rating. At hand are some advance companies that will furthermore expression at your work times past and decide based resting on that except in almost each and every one hand baggage it will turning point on your credit keep count.

  17. Yukiko Ojano says:

    Deciding to be a Registered Nurse was the best things I’ve ever done for myself.

  18. Just about every of the things you mention is supprisingly accurate and it makes me contemplate the reason why I had not looked at this with this happy more willingly than. This piece beyond doubt did turn the light proceeding representing me personally as further as this certain topic goes. Still at this time there is actually one exact back issue I am not truly extremely welcoming with and although I appraise to reconcile that with the main theme of the position, allow me comprehend emphatically what all the rest of the visitors have to point out.Well done.

  19. Maybe a feature which enables you to blacklist a number in a central repository would help.

  20. I have 1 gig worth of important emails in specific folders that I’ve exported from my old laptop using the Windows Live Mail feature. Problem is, I can’t seem to import them into outlook.com on my new windows 8 laptop. When I try to install Windows Live Mail or Windows essentials on the laptop it won’t allow it. Says I need to restart my computer due to the fact that it’s already installed….which it isn’t.Any ideas on how to import the folder from Windows live mail into the new windows outlook on my new laptop?thanks!

  21. Great blog! I like it a lot!

  22. Thanks so much for giving everyone an extremely memorable chance to read from this website. It can be so pleasant and as well , packed with a great time for me and my office colleagues to visit your site really three times a week to find out the latest things you will have. And indeed, I am just at all times fascinated with your eye-popping pointers served by you. Selected 4 areas in this posting are honestly the best I’ve had. Readmore: Một số trường hợp về đầu nước chuyển vào máy làm đá viên

  23. Kent Calder says:

    I must show my appreciation to this writer for bailing me out of this type of issue. After browsing throughout the the net and finding techniques that were not helpful, I assumed my entire life was gone. Being alive minus the answers to the difficulties you’ve solved as a result of the short post is a critical case, and ones which might have adversely affected my entire career if I hadn’t noticed your web blog. The competence and kindness in controlling all the details was priceless. I’m not sure what I would have done if I hadn’t discovered such a solution like this. It’s possible to at this point look forward to my future. Thank you very much for your impressive and effective guide. I won’t think twice to propose the blog to anyone who should receive guidance about this topic. Readmore: Hãy xem qua 1 số không gian nội thất cùng vs màu xanh mòng két

  24. I was pretty pleased to uncover this site. I wanted to thank you for ones time just for this wonderful read!! I definitely loved every part of it and i also have you book marked to see new things in your website.

Leave a Reply