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1. Chicago Hospital News and Healthcare Report Issue 2 2012

1. Chicago Hospital News and Healthcare Report Issue 2 2012

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PRSRT STDU.S. PostagePAIDWest Palm Beach, FLPermit #4595
THE REGION’S MONTHLY NEWSPAPER FOR HEALTHCARE PROFESSIONALS & PHYSICIANS
Visit us online at www.chicagohospitalnews.com 
February 2012 Volume 10Issue 6• $3.00
 AROUND THE REGION
Mark Niederpruem NamedHospital Administrator atShriners Hospitals forChildren - Chicago
Page 6
MAKING ROUNDS
Renowned Neurologist to LeadMemory Disorders and Co-Lead Head Injury Program atNorthShore UniversityHealthSystem
Page 5
IN THE 1ST PLACE
Practice?
Page 2
Fighting for Air in Chicago
Page 3
Discussing and Educating inPalliative Care
Page 4
WHAT’S NEW
Advocate South SuburbanHospital Pediatric Unit NowOpen
Page 4
 ACCOLADES
Shriners Hospitals forChildren® ChicagoRecognized for OutstandingNursing Quality
Page 7
EDUCATION
Master of HealthAdministration: A Good Moveto Make
Page 8
Changes in Health CarePresenting New Career& Education Opportunities inMedical Interpreting
Page 9
Medical Coding & Billing – When You’re Interested in aMedical Career Without DirectPatient Care!
Page 10
CARDIOLOGY
Loyola Patient "EnormouslyImproved" After ExperimentalHeart Valve Procedure
Page 11
Using Cardiac MR for Kidsto Decrease InvasiveProcedure and Radiation
Page 13
MONEY MATTERS
Stay on Top of YourProtection Needs
Page 15
INSIDE THIS ISSUE:
BY ALICIA FAUST ANDGINA DIBELLA
T
he U.S. health care indus-try is currently undergoingmonumental changes as aresult of national health carereform. Organizations are movingaway from a utilization-basedhealth care system to a patient-centric, outcomes-based healthcare system. One of the manyhealth care reform initiatives isthe Center for Medicare andMedicaid Services (CMS) transi-tion from ICD9 to ICD10 codingsets for diagnosis and inpatientprocedure coding. CMS has initi-ated the change to ICD10 toimprove patient care, diagnosis,billing and reimbursement whilealso supporting cost reduction andimproved reporting. Where are we today?
5010 Compliance Outcomes 
On January 1, 2012, providerswere required to become 5010compliant. Providers completedsignificant technology updates,testing and coordination withtheir payors and/or clearinghouses
BY TOM WIFFLER
 W
hen it comes to overallhealth, Illinois ranksin the middle of thepack.That’s according to the 22ndannual America’s HealthRankings from United HealthFoundation. The report, thelongest running of its kind in thecountry, placed Illinois 28thamong all 50 states for overallhealth in 2011, up one spot fromthe prior year.Here’s a snapshot of howIllinois fared:Illinois’ Strengths• Ready access to early prena-tal care• Ready availability of primarycare physicians• Moderate high school gradu-ation rateIllinois’ Challenges• High rate of preventable hos-pitalizations• High levels of air pollutionIllinoisans are getting somethings right. While we shouldtake a moment to congratulateourselves for these successes, wecan’t take continued progress forgranted. Significant challengesremain. When United Health Found-ation first began rankingAmerican’s health in 1990,smoking represented one suchchallenge. More than one in fourIllinoisans, or 28.7 percent,smoked regularly. But educationbrought greater understandingof the risks associated withlighting up. We turned attitudesagainst it, and today, just 16.9percent of Illinoisans self-reportas smokers. We demonstratedthat change is indeed possible,in the process helping manypeople improve their health andwell-being and saving millionsof dollars in health care costs.
Continued on page 14Continued on page 10
Prepare for the 2013 Adoption of ICD10
I
n the traditional practice of medicine, the physician isboss, and tells everyone elsewhat to do.But at Loyola UniversityChicago, medical and nursingstudents are learning a newmodel, in which doctors, nursesand other health-care profession-als work as a team. Loyola isamong the first universities in theUnited States to teach such a col-laborative model.Loyola's new InterprofessionalLeadership Committee is devel-oping a joint curriculum inwhich select classes will includeboth nursing and medical stu-dents. The classes will be co-taught by faculty from Loyola'sStritch School of Medicine andMarcella Niehoff School of Nursing. Such collaborationmakes sense in many areas of medicine. For example, whatmedical students learn in per-forming health assessments is
Continued on page 8
 At Loyola University Chicago, Medical andNursing Students are Learning TogetherHow Healthy Is Illinois?
 Alicia FaustTom Wiffler
EDUCATION
Gina DibellaDr. Fran R. Vlasses and Dr. Aaron Michelfelder
 
2
February 2012www.chicagohospitalnews.comChicago Hospital News
Place
In the
FIRST
I
NSIGHTS FOR
H
EALTH
C
ARE
P
ROFESSIONALS
Practice?
L
uciano Pavarotti was quoted as saying, “If I don’t practice a day, I know it. If I don’tpractice for two days, my wife knows it. If I don’t practice for three days, the worldknows it.” Judging from Mr. Pavarotti’s career, it is evident to me that he may havenever missed a day of practice. In the business world we are measured by our perfor-mance much like a world class operatic tenor, such as Pavarotti, is measured by his fans.It takes relentless dedication and practice to be the best at one’s craft. Successful peoplearen’t born with talent; they work to improve skills and competencies as they practiceon the job each day. Some people may believe that if they could only find a field wherethey were naturally gifted they would be great from day one, but that doesn’t happen.There is no evidence that proves people are born with greatness without experience andconsistent practice.The most frequently asked question in business coaching is, “How do I practice busi-ness?” Many areas of business in fact are directly practical; presenting, negotiating,delivering evaluations, deciphering financial statements, etc – and we can practice themall. Still these skills are not the true essence of leadership success and performance. Thegreat leaders are masters at communication and relationship management in criticalenvironments … while under pressure. It takes communication and relationship man-agement skills, along with critical thinking, for one to navigate through the treacherouswaters of healthcare leadership. In order for a person to hone their soft skills they mustpractice and welcome feedback. Feedback is crucial, and getting it should be no prob-lem in business. The problem is when people do not seek it. We find that they eitherwait for it or hope it will never come. Without guidance and a road map, we are travel-ing in the dark and do not know when we have reached our destination. To be a suc-cessful leader, one must have guidance and the opportunity to experience wins alongthe way, or the person doesn’t develop and/or loses interest.The most common reason an executive chooses or is asked to engage a coach is whenthey lack the highly needed skill of communication and relationship management. Tobe able to navigate through the political and sometimes stressful environment of health-care can be a daunting journey and without the ability to communicate effectively andbuild strong alliances with key stakeholders and team members could lead to a lack of performance. The “high potentials” we work with tell us that they have the motivationand zest to be successful, but in some organizations, it is hardto hear the “message”. It could be two-fold, the message maynot be clear, but also the person seeking the message may not be taking the right initia-tive to get the message.The process starts with outlining the definition of success: for the organization,department and individual. Then define the concrete values that support and shapethose business ideas. Last would be to identify an area to develop, create an action plan,and begin to practice it. For example:The key elements in an action plan are:
• Your Goal –
Communicate more effectively, (to groups, individuals, leaders, etc.)
• Desired Outcomes
- As a result of working this plan, what new outcomes will beachieved?
• Action Steps
- These should include the training and education opportunities youwill complete to hone your skills in this particular area.
• Target Dates -
The dates you will begin each action step and the dates you expectto complete them.
• Progress Indicators
- Observable changes that will tell you that you are makingprogress toward your goal as a result of completing the action step.
• Barriers -
Anticipate what things may hinder your ability to complete the actionstep and develop a strategy to overcome them.It takes effort from the individual and their leadership team to communicate effective-ly and to build a culture of feedback and development. Yes, it takes practice and a com-mitment to change but the benefits are endless. In Malcolm Gladwell’s book, “Outliers”,he proves that it takes 10,000 hours of practice at something to become an expert. Withthis said - where are you in the process?
 Jason Wheeler is a Consultant at First Transitions, Inc., a corporate-sponsored careertransition and executive coaching firm specializing in the healthcare field. He can bereached at (630) 571-3311, (312) 541-0294 or at jwheeler@firsttransitions.com. You can also visit the website atwww.firsttransitions.com.
BY JASONWHEELER
 
Chicago Hospital Newswww.chicagohospitalnews.comFebruary 2012
3
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A
ir in Chicago, like manyother places nation-wide, can be dangerousto breathe. High levels of airpollution cause significantproblems for people sufferingfrom chronic diseases includ-ing asthma, bronchitis, emphy-sema, cardiovascular diseaseand diabetes. While childrenand the elderly are particularlyharmed by air pollution, evenhealthy adults are at risk whenpollution levels rise aboveacceptable levels.Thankfully, we have a keyweapon in the fight against deadly air pollu-tion. The Clean Air Act gives the UnitedStates Environmental Protection Agency(EPA) the power to set health-based stan-dards to improve the air we breathe. In 2010,the Clean Air Act saved 160,000 Americansfrom premature death; U.S. EPA estimatesthat it will prevent over 230,000 prematuredeaths in 2020. Further, he recently adoptedthe Cross State Air Pollution Rule which willsave 1,500 lives each year in Illinois alone.Since its creation, the Clean Air Act hasenjoyed widespread, bi-partisan support.Signed into law by Richard Nixon in 1970,the Act was bolstered by Jimmy Carter in1977 and again by George H.W. Bush in1990. Today, a majority of Americans (69percent) believe that Congress should notinterfere with the U.S. EPA's authority toprotect Americans from toxic air pollution.In fact, three out of four voters support theU.S EPA setting tougher standards on specif-ic air pollutants, including mercury, smogand carbon dioxide.Despite all of the Act’s support and suc-cess, the air we breathe is still under attack.Currently, Congress is considering legisla-tion that would eliminate some of our mostbasic protections against dirty and danger-ous air and would make it harder for the U.S.EPA to do its job. In response, the AmericanLung Association is working in conjunctionwith leading public health organizations andmedical communities to make sure leadersin Washington do not weaken clean air pro-tections.Today, we ask Chicago’s medical commu-nity to join us in this fight for clean air.On February 1, the American LungAssociation in Illinois became the latest stateto engage in our national campaign.Together, we hope to educate Chicago’s med-ical and public health communities aboutthe critical importance of the Clean Air Act,and how vital it is to stand up and show oursupport.Congressional interferenceand weakening of air pollutionstandards would result in seri-ous health consequences foreveryone in Chicago andIllinois as a whole. Those whoremember life before the CleanAir Act can attest that the hazethat regularly envelops theChicago skyline on summerdays used to be much worse.Because of the Act, the city’sair continues to improve, andwith it, so do the lives of thepeople who live here. While it seems indefensible to opposesuch a necessary lifesaving measure, somepeople in Washington are doing just that.Despite the wide availability of emissionscontrol technologies, lobbyists for coal-firedpower plant operators and their allies inCongress are fiercely leading the charge toweaken and in some cases, eliminate manyClean Air Act protections. In 2011, moderateimprovements to the Mercury and Air ToxicsStandards were barely finalized beforeCongress scheduled hearings to delay theirimplementation. A similar move has beeninitiated to block the aforementioned Cross-State Air Pollution Rule, which requires coal-fired power plants to be responsible for thehealth impact their emissions have on down-wind communities.Fortunately, the destruction of the CleanAir Act is not a fait accompli. As recent leg-islative battles have demonstrated, money isno match for the power of civic action. When citizens speak, legislators listen. When citizens write, legislators respond. When citizens organize, legislators takeaction.And when Chicago’s doctors, nurses andother health professionals demand a strongClean Air Act, the Illinois delegation willcertainly take note.Chicago’s medical and public health com-munity has the opportunity to stand up forthe wellbeing of the people it serves. TheAmerican Lung Association in Illinoisimplores you to join us in the fight forhealthy air. I encourage you to visitFightingForAir.org and the E-Advocacy net-work at LungIL.org to learn more about ourcampaign and how you can tell Congressthat science – and not politics – should setair quality policy.
Peter Iwanowicz, Assistant Vice Presidentwith the American Lung Association, can bereached at (202) 785-3355.
Fighting for Air in Chicago
BY PETERIWANOWICZ
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Ottawa Regional to Join OSF Healthcare System
A definitive agreement has been signed that may result in Ottawa Regional Hospital &Healthcare Center joining the OSF HealthCare System. Ottawa Regional Hospital, to berenamed OSF Saint Elizabeth Medical Center, is expected to join the Catholic systemlater this spring. The announcement comes after nearly 15 months of due diligence, aprocess described by the organizations as validating the benefits to the communities theyserve. Before a change of ownership occurs Ottawa Regional’s corporate members mustratify the proposed arrangement and the organizations must receive approval from theIllinois Health Facilities & Services Review Board.
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