Healthcare adds 33,000 jobs in September, though diagnostic labs shed staff

http://www.healthcarefinancenews.com/news/healthcare-adds-33000-jobs-september-though-diagnostic-labs-shed-staff

Healthcare businesses added 33,000 jobs in September, the U.S. Department of Labor’s Bureau of Labor Statistics announced on Friday, as the sector continues to be one of the biggest drivers of American jobs.

Overall, the U.S. economy added 156,000 jobs in the month, and the unemployment rate held at 5 percent.

Ambulatory services added 23,900 jobs in the month while hospitals added 6,900 positions. Only medical and diagnostic laboratories lost jobs in the month, shedding 400.

Overall, healthcare has added 445,000 jobs in the past 12 months. September’s gains more than double the 14,000 jobs the sector added in August.

Here’s the seasonally adjusted breakdown for the healthcare sector. All numbers are in thousands:

How Not to Hire the Wrong People

http://www.healthleadersmedia.com/hr/how-not-hire-wrong-people?spMailingID=9652923&spUserID=MTMyMzQyMDQxMTkyS0&spJobID=1020558128&spReportId=MTAyMDU1ODEyOAS2

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There’s been a lot of fanfare lately about the use of data to predict “flight risk” with employees. But one could argue that this type of approach, while seemingly proactive on the surface, actually treats the symptoms and not the actual illness itself. The illness? Hiring the wrong people to begin with.

The reason we consistently make bad hiring decisions is actually quite simple: We rarely have the information we need to make an informed decision. We get a candidate’s resume, and then we ask a few behavioral interview questions, like: “Tell me about a time when you had to …” Then we ask ourselves an interesting question. How do I feel about this candidate?

Frequently the answer to this question depends on how much the individual reminds us of ourselves. Subjectively deciding to hire a “Mini Me” is common, according to Business Insider, which found that “…when we don’t have a rigorous, replicable set of criteria from which to evaluate a potential hire’s merit, we fall back on our most immediate instrument: ourselves.” The result is a lack of diversity that can negatively impact outcomes, including financial returns. On the other hand, a 2015 McKinsey report found that companies in the top quartile for racial and ethnic diversity are 35% more likely to have financial returns above their respective national industry medians.

5 Things to Know About Drug Diversion

http://www.healthleadersmedia.com/nurse-leaders/5-things-know-about-drug-diversion?spMailingID=9652923&spUserID=MTMyMzQyMDQxMTkyS0&spJobID=1020558128&spReportId=MTAyMDU1ODEyOAS2#

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Drug diversion and addiction among nurses is not uncommon, but it is often misunderstood. An expert shares insights to improve understanding.

Have you ever worked with a colleague who diverted drugs to feed an addiction?

Chances are you have, though you may not have known it, since drug diversion and addiction are often very secretive issues. Most estimates put nurses’ drug and alcohol misuse at around 6% to 10%, or about one in 10 nurses.

This makes it highly likely that at some point in your career you’ll encounter a colleague or staff member who is, or will, divert and misuse drugs.

Yet, diversion and addiction are still misunderstood, says Laura Wright, PhD, CRNA, associate professor in the Department of Acute, Chronic, and Continuing Care at The University of Alabama at Birmingham, School of Nursing.

 

“Addiction is a disease, it’s not a moral defect,” she says. “But, when I talk about addiction, I still get people asking me, ‘Why would they ever do that? That’s an awful thing. How could they do that to their children?'”

Here are five things Wright, who is a member of the American Association of Nurse Anesthetists Peer Assistance Advisors Committee, (AANA) wants nurses to know about drug diversion and addiction.

Transgender man’s suit is latest clash over hospital chain’s Catholic ethics

http://www.scpr.org/news/2016/10/07/65331/transgender-man-s-suit-is-latest-clash-over-cathol/

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Josef Robinson was born a woman; he started the process of becoming a man about two and a half years ago. He began hormone therapy and planned to undergo a bilateral mastectomy as well.

But Robinson, a registered nurse at a Dignity Health facility in Arizona, got some surprising news: His San Francisco-based employer, which describes itself as being “rooted in the Catholic tradition,” refused to cover any of his transition-related care under its employee health insurance plan. His policy excludes all coverage related to sex transformation surgery.

That “was totally shocking to me,” said Robinson. “I never would have thought in a million years that that would happen.”

Robinson sued Dignity, alleging that its refusal to cover transition-related care qualifies as sex discrimination under Title VII of the Civil Rights Act of 1964 and the Affordable Care Act.

Title VII forbids discrimination on the basis of sex. The Affordable Care Act prohibits discrimination based on sex in health insurance and health care. Section 1557 of the law, which the U.S. Department of Health and Human Services finalized in May, says categorical exclusions related to gender transitions are discriminatory.

“I work for a hospital who treats all kinds of people – doesn’t matter race, religion, whatever – yet they have an insurance policy that has an exclusion for transgender individuals,” Robinson said. “It just doesn’t add up for me.”

Wide variation in Medicare payments to treat post-surgical complications

http://www.fiercehealthcare.com/finance/wide-variation-medicare-payments-to-treat-post-surgical-complications?utm_medium=nl&utm_source=internal&mrkid=959610&mkt_tok=eyJpIjoiWVRNelpHVmtNR1JrTmpjeiIsInQiOiIyNGJBRGJMS1pRVkRSNnFvOEhmQ2dlKzRUcmVxeWJScjVKdmpSeWVDclY3bEhRRXpobHp5Z3JvSE9ydnkycDgrNU14Y2NFeGFwRzNVWTdzRGZTRE1DUzhmZEpvZElCaVFGTVJNcnFEV0VXOD0ifQ%3D%3D

surgery

Post-operative complications are always costly. But depending on the hospital, they can cost much more than anticipated.

That’s the conclusion of researchers at the University of Michigan School of Medicine and Brigham and Women’s Hospital in Boston. The research team examined more than 576,000 Medicare patients who suffered post-surgical complications for abdominal aortic aneurysm repair, oncology-related colectomies, pulmonary resection and total hip replacements. Complication rates ranged from 4.9 percent for the hip replacements to 25.1 percent for the colectomies.

Prior research has suggested that higher-volume facilities tend to have better outcomes and associated lower costs.

The cost of delivering care for the post-surgery complications was anywhere from two to three times higher at more expensive hospitals than at lower-cost facilities, with quality of care often suffering in comparison, according to their study, which was published in JAMA Surgery.

Bundled payments: What healthcare leaders need to know

http://www.fiercehealthcare.com/healthcare/keckley-what-healthcare-leaders-must-know-bundled-payments

Understanding the Value of Medicaid

View at Medium.com

Today, Medicaid provides coverage to nearly 73 million people — kids, low-income working adults, seniors, and people with disabilities — making it the nation’s largest insurer.

16 healthcare leaders on the Forbes 400 list

http://www.beckershospitalreview.com/hospital-management-administration/16-healthcare-leaders-on-the-forbes-400-list.html

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Each year, Forbes publishes its annual “Forbes 400 list,” which profiles and ranks America’s wealthiest people based on their estimated net worth.

Here are 16 individuals working in healthcare who made this year’s “Forbes 400″ list.

Note: This list includes ties.

  • No. 47 — Patrick Soon-Shiong, MD ($9.2 billion net worth)
  • No. 55 — Thomas Frist ($7.9 billion)
  • No. 61 — Carl Cook ($7.2 billion)
  • No. 128 — Reinhold Schmieding ($4.4 billion)
  • No. 134 — Phillip Frost, MD ($4.1 billion)
  • No. 134 — Ronda Stryker ($4.1 billion)
  • No. 174 — Randal Kirk, JD ($3.6 billion)
  • No. 214 — Kieu Hoang ($3.1 billion)
  • No. 264 — Robert Duggan ($2.6 billion)
  • No. 264 — Pat Stryker ($2.6 billion)
  • No. 274 — John Brown ($2.5 billion)
  • No. 309 — Jon Stryker ($2.3 billion)
  • No. 321 — Judy Faulkner ($2.2 billion)
  • No. 321 — Stewart Rahr ($2.2 billion)
  • No. 335 — John Kapoor, PhD ($2.1 billion)
  • No. 374 — Amy Wyss ($1.8 billion)