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The Monthly Pulse – Administrators (Aug. 2023)

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The Monthly Pulse
Industry News
3 myths about ECMO that are costing hospitals and patients
The Story
Recent trends have shown that at least half of U.S. hospitals are experiencing negative margins. One way to confront financial strains is to leverage the treatments that can’t be offered in an outpatient setting, including extracorporeal membrane oxygenation (ECMO). Unfortunately, ECMO tends to carry a bad reputation, but it’s one that can be righted with a few quick facts.
What You Should Know
ECMO is often perceived as a drain on financial resources, when in reality it’s a cost-effective measure that could deliver a significant ROI for hospitals. In fact, it has one of the highest reimbursement rates of any hospital services and can deliver a return with even just a few ECMO patients. ECMO is also seen as being too complex, and while it does involve specialized technology, most intensive care nurses and respiratory therapy providers can be trained on it in as little as a few months. Finally, the belief that ECMO has poor survival rates is a myth born from the fact that it was originally used on the sickest patients. Recent data shows survival rates actually vary between 71% to 73%, making it a viable option for saving patients’ lives.
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Healthcare costs will grow 7% next year, PwC finds
The Story
According to PwC’s annual report, healthcare costs are expected to swell by 7% for 2024, an increase that’s higher than that of 2022 and 2023. While certain trends, such as the availability of biosimilar medications, could help offset some of the rising expenses, there are several factors driving prices.
What You Should Know
Due to factors such as multi-year provider contracts, healthcare typically isn’t as affected by annual inflation as other industries. Yet, 2024 is likely to see several drivers behind rising costs, including the shortage of healthcare workers, and an increasing demand for nonessential care from patients who delayed such procedures during the pandemic. Emerging cell and gene therapies which have received recent FDA approval will also be costly, as will those with increasing demand such as prescriptions for diabetes and obesity. Factors such as biosimilars, virtual care, and an increasing demand for outpatient surgeries could control some of these costs, however.
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State legislatures around US grapple with how to handle nursing shortages
The Story
Across the U.S., advocates for nurse and hospital associations are at odds over nurse staffing bills, many of which call for nurse-to-patient ratios. While at least 18 states have introduced new bills and Congress has reintroduced legislation to address ratios on a federal level, there’s been considerable pushback from hospital associations, who claim that the move could affect patient care.
What You Should Know
Hospital associations cite recent changes such as advanced technology and the current shortage of healthcare workers, arguing that the current climate of healthcare doesn’t reflect a need for nurse-to-patient ratios. Proponents of staffing ratio bills, on the other hand, argue that requiring more nurses on staff could actually alleviate staffing issues. Advocates point to the success that came after the first nursing ratio bill was passed in 2004 in California, which ultimately attracted more nurses and improved patient outcomes. Still, many states remain conflicted, and it’s unlikely that any major changes will take hold for at least several months or even years.
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Leadership Reflections
Trust and Inspire
I recently had the privilege of attending the Tugboat Institute Summit 2023, where we celebrated 10 years and listened to 18 Tugboat talks. One of those speakers was Steven M. R. Covey, author of Trust & Inspire. I was particularly inspired by Steven’s talk as well as a great conversation with him over lunch.

Some key takeaways:
  1. The old leadership style of Command & Control no longer works, but many organizations are still operating with this. A new, more effective leadership style is Trust & Inspire.
  2. The most effective Trust & Inspire leaders view their leadership as stewardship. They recognize there is greatness in the people around them and trust them to deliver great results.
  3. Trust is made up of two factors:
    1. Trust that is given
    2. Trustworthiness that is earned
  4. A trust-inspired leader models trust, connects with people through caring and belonging, and connects to purpose.
  5. Inspiring others is a learned skill and not just for the charismatic. People don’t want to be managed, they want to be led. They want to be trusted. They want to be inspired. And when people are inspired, it motivates them to a level beyond engagement.
Join me in considering how we can move our leadership approach toward one of stewardship, trusting, caring, orienting toward purpose, and inspiring our teams.
Daryl Bert
Daryl Bert
t: 540-421-0696
Upcoming Events

Healthcare Cybersecurity Forum
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Wed. Sept. 6 - Fri. Sept. 8
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HLTH 2023
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Sun., Oct. 8 - Wed., Oct. 11
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