Keys to Understanding the Relationship Between Primary Care and Hospital Revenue

A Summary of Marc Halley’s New Book: The Primary Care-Market Share Connection: How Hospitals Achieve Competitive Advantage, by Marc Halley, Chicago, Health Administration Press, 2007, Points to remember include: The true measure of market share is the number of primary care physicians (PCPs) who refer patients to a hospital and its affiliated specialty physicians. […]

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Healthcare Collaboration: A Vision

The word "collaborate" conveys two meanings.  One derived from the Latin "collaborare," means to work together.  The other connotes partnering with people who are not trustworthy, as in "collaborating with the enemy." In this and subsequent blogs, let’s explore this duality and how we can move from viewing life as a series of "us-versus-them" battles […]

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Keys to Successful Electronic Healthcare Record Implementation

At a recent conference, a vendor remarked wistfully that the process of implementing an electronic health record is only 20% technology and 80% change management, process improvement, and physician engagement. On page 59 of their book, The Executive’s Guide to Electronic Health Records, Chicago: Health Administration Press, 2007,, Smaltz and Berner quote an article […]

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Hot-Button Words to Avoid in Healthcare

A West-Coast internist wrote that health-care professionals could benefit from “interventional marriage counseling” because they talk at rather than to each other, not hearing what the other side is saying. Although the reasons are multifactorial, hot-button words, such as “but,” “just,” and “you” can stress relationships and interfere with collaboration. But How many of us […]

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Competition: An Opportunity to Improve Physician-Hospital Collaboration?

In Chapter 3 of my book Better Communication for Better Care, I offered a 3-part strategy for dealing with competition: 1) Proactivity 2) Collaborative Conflict 3) Containment I will address proactivity today and discuss the other parts of the strategy in subsequent ezines. Hospital executives bring considerable resources to the table. As a result, negotiations […]

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