About Paris Lovett

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So far Paris Lovett has created 10 blog entries.

Will the Healthcare Cost Curve Bend to Payment Models or Technology?

Decade after decade, in political races, news stories, and now social media, we hear about the crisis of rising costs in higher education and healthcare. Inflation in prices for healthcare has long outstripped general inflation, and healthcare is now 18 percent of GDP. As people see one category of expenditures seemingly taking over their personal budgets, it’s natural to think [...]

By |2020-03-30T18:51:37+00:00October 9th, 2018|

Staffing the Shift: The Human Impact of Getting it Right

“They just don’t care about us,” goes the refrain. When the shift is understaffed, nurses can feel betrayed by the managers and executives responsible for filling shifts. As an emergency physician, I work at a wide range of Emergency Departments (“ERs”), from large referral centers with four or more providers working around the clock, to tiny ERs with eight beds [...]

By |2020-03-30T18:54:08+00:00June 26th, 2018|

Takeaways from the 2018 ACHE Annual Congress

Last month I attended the Annual Congress of the American College of Healthcare Executives (ACHE) in Chicago. The ACHE represents executives in hospitals and health systems: CEOs, COOs, CFOs, as well as nursing and physician executives and more junior executives on the leadership track. The annual Congress is a great place to get a sense of the ideas and concerns [...]

By |2020-03-30T18:54:48+00:00April 24th, 2018|

Surge Actions: The Front End

Not all patient volume surges are alike. With so many differences among patients and illnesses, different levels of acuity, and specialty nursing requirements, when volume picks up, critical bottlenecks will appear in different parts of the system each time. Which part of the system reaches overload first? Which overload is the worst? Which has the greatest impact upon clinical care, [...]

By |2020-03-30T18:55:57+00:00April 3rd, 2018|

Triggers for Surges: The Role of Advanced Data

Precision matters when hospitals are responding to surges in inpatient demand. Many hospitals learn the hard way just how expensive it can be when there is no effective process for responding to surges as they can result in lost transfers, lost direct admissions, lost admissions from ED walkouts, sometimes even canceled surgical cases, to say nothing of the negative impact [...]

By |2020-03-30T18:57:04+00:00January 2nd, 2018|

Surge Planning: When physicians, not beds, are the bottleneck

*Updated March, 18 2020 When healthcare administrators think of hospital bottlenecks and delays, they usually think of three things as the root causes: beds, beds and beds. Of course, staffing and other resources factor in, but usually the common denominator is the ability to provide clean, ready, staffed beds. However, in some hospitals there is a second key constraint in [...]

By |2020-03-30T18:57:25+00:00November 7th, 2017|

Managing Surges: Inpatient Triggers

Surge plans are created so hospitals and health systems can mobilize to meet the challenge of census surges with responses that are early, organized and complete. In my last post, I discussed how overcrowding in the emergency department is often used as a trigger for surge responses. The ED is “the canary in the coal mine” indicating when the hospital [...]

By |2020-03-30T18:58:29+00:00August 8th, 2017|

Managing Surges: Triggers in the Emergency Department

Curing capacity issues in a hospital involves actions ranging from long-term, strategic improvements in matching supply and demand for beds, through to immediate actions to address problems in the here-and-now. However, there are short-term preparedness measures, specifically defining triggers to action, that can mitigate or bypass the disagreements and loss of time in activating responses to census surges. The Emergency [...]

By |2020-03-30T18:58:43+00:00June 27th, 2017|

Do you need a surge plan?

Anyone in a leadership role at a hospital has seen what happens on days with a very high census. Critical patients wait hours in the emergency department because there aren’t any ICU beds. Patients in the ICU have had discharge orders for two days but there are no telemetry beds for them to move out to. There are anxious calls [...]

By |2020-03-30T18:59:08+00:00May 9th, 2017|

Only a Holistic Approach Can Fix Patient Flow

When working to improve patient flow, it is vital to recognize that the different parts of a hospital are deeply interconnected. The nursing units where overcrowding is most evident may not be the units where the mismatch between demand and capacity is causing the problem. Further, patients have complex journeys through their hospital stays, and do not simply move “downstream” from [...]

By |2020-03-30T19:00:31+00:00March 7th, 2017|