Improving the landscape Hospital Nutrition

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Improving the landscape Hospital Nutrition -

Improved Nutrition Landscape Hospital

what did you eat the last time you visited a hospital? Most of us - especially when we are under stress - are more likely to pick up a bag of chips to a salad, especially if the first is much more abundant than the latter. The same is true of the hospital staff, clinicians and administrators -. Many of which are faced with nutrition options subpar daily Hospital Nutrition

At Society for Education of Public Health (SOPHE) 65th Annual Meeting in Baltimore, partnership for a healthier America (PHA) Food and nutrition strategic initiatives Manager Courtney Winston , RD, spoke to participants ways to make the environment of the nutrition of more hospital conducive to well-being. Recent trends in health care delivery and administration have placed hospitals to be the standard bearers for the health and well-being for the whole community - including its employees - rather than just a site for acute care or a workplace. "It has not always been the traditional approach," Winston noted, adding that the transition to improved nutrition of the hospital would not be overnight.

complicating factors

In terms of well-being in the workplace, hospitals are a particularly sensitive case. For starters, they employ around 5 million people - about 1.5 percent of the entire population of the United States - many face long, changes in stress and work fast changing environment. To complicate the issue, hospitals also employ or support many different people with different levels of responsibility and education, GED student volunteers to staff certified M.D. and doctoral. And most of these people, said Winston, do not eat well at work. The nurse uses an average of five pieces of chocolate per shift - often deals with grateful patients and colleagues well-intentioned - and less than five servings of fruits and vegetables. Physicians, in turn, signal the lack of access to healthy food. Given the negative effects of poor nutrition on cognitive function, she added, it is crucial that those responsible for health care cultivate better access to better food choices.

Hospital Assessment Nutrition

With all this in mind, how do we quantify and describe a requirement of the nutrition of the hospital? For starters, Winston in partnership with the Centers for Disease Control and Prevention (CDC) to develop Hospital Nutrition Scan Environment cafeterias, vending and Gift Shops (HNES-CVG) , which assesses four food environments separate a given hospital. Each area receives a rating based on different criteria. Cafeterias were evaluated based on factors such as the review of the menu, grab-and-go products and POS products, while vending machines were scanned for things like healthy food and drinks access . After testing the process with an inter-rater reliability study and digitization of 39 hospitals in California, how the hospital nutrition environments stack? "The short answer is" bad enough ", reported Winston. Cafeterias, on average, scored about 28 percent of possible points; ATMs performed slightly better with 32.7 percent; and gift shops were a disaster, earning less than 1 percent of possible points

Setting a Precedent

Although the results are disappointing, partnerships like initiative healthy foods Hospital help hospitals find solutions. the initiative, which already has more than 700 members, partners with hospitals and food suppliers from the hospital across the country to offer healthier options throughout their facilities. member hospitals commit to three to four years of work to improve nutrition meals for patients, as well as the food options in the cafeterias on site guidelines. - ranging from nutrition labeling, removing deep fryers, wellness meals for children and adults and the increase spending on fruits and vegetables -. Are rigorous but effective

A major problem in the minds of the delegates was related to the financial impact of such a program. Food from fryers, unfortunately, makes a lot more money than fruits and vegetables - at least in the short term. Winston acknowledged that sales in the first cohort of hospitals have relied on at first, but then increased staff acclimated to the new food directory. Part of the reason why the program lasts as long as it does, she says, is so health officials can spend the first year rise in power of enthusiasm among staff, clinicians and administrators and create a positive change dynamically. partner hospitals and hospital food vendors include:

  • Ann Hospital & Robert H. Lurie Children of Chicago
  • Catholic Health Initiatives
  • Centura health
  • Mercy Hospitals & clinics
  • Cleveland Clinic
  • Eskenazi health
  • Gundersen Lutheran
  • Henry Ford health System
  • Indiana University Health [1945022enfants]
  • Kaiser Permanente
  • Lucile Packard Children's Hospital at Stanford
  • MaineHealth
  • Morrison Healthcare Food services
  • Meridian Health
  • Nemours children's health system
  • Wexner Medical Center
  • Oregon health & science University
  • Sodexo
  • St. Luke's Hospital
  • UnityPoint Health
  • University of Colorado Health
  • University of Iowa Hospitals and clinics
  • Washington Adventist Hospital

Like structure of our health care delivery system continues to change, the management of physical, mental and emotional health providers and staff will be a key issue for many health administrators. Learn how you can lead the discussion - and to shape the future of health care -. With a Master of Health Administration (MHA) from George Washington University

How your organization has supported - or discouraged - better nutrition among employees? Tell us in the comments.


Q & A with Dwayne Spradlin, CEO of Health Data Consortium

14.08 Add Comment
Q & A with Dwayne Spradlin, CEO of Health Data Consortium -

Q & A with Dwayne Spradlin, CEO of Health Data Consortium

HDP logo 1 As part of our pre-event coverage for Datapalooza health, we interviewed Dwayne Spradlin, CEO of Data Consortium health. Here Spradlin discusses the rapidly changing landscape of health care, new advances in health care technology and the power of open data to improve patient outcomes.

Learn more about what awaits you at the 2014 conference here.

Why do you think the Datapalooza health has increased so rapidly since its creation in 2010?

A health reasons Datapalooza has really taken off since its creation in 2010 is the recognition of the power that health data open holds for patients, providers, researchers, developers and healthcare entrepreneurs -. really the entire healthcare continuum

From June 2010, the leaders of the federal health, academic and government convened to advance the use of what was considered "health data Community ", and now the concept of sharing information on health is a common dialogue within the health care system. It is more a question of" if "but" how. "How can we ensure the open health data is shared responsibility in accordance with corporate standards and policies? This is a major concern of the Consortium of health data, and much of the dialogue in the health Datapalooza centers around these key issues.

How the 2014 event differs from its predecessors in terms of programming and more conversations about health care?

the landscape of health care is now changing rapidly. With the continued implementation of the Affordable Care Act, the data is more important than ever. More patients enter the responsible care organizations (ACOs), which require safe and sustainable data sharing across a health system or, as some have described, the medical area of ​​a patient. The health care system focuses on quality improvement and monitoring measures, and are working to advance the field as a whole. These changes to the health care system will be presented prominently on Health Datapalooza. We will hear various stakeholders - from private industry to government - on how the changes are implemented and how the data is leading the process

New to the health program Datapalooza this year is the way research .. We added this to provide more rigorous academic element analysis of the impact and the best uses of big data and public health data resources to research. The implications of data on research in health will also be discussed in a speech NIH Director Francis Collins, MD, Ph.D., who will speak on the agenda of research at the National Institutes of Health (NIH).

We are also seeing a surge of innovation inspired and driven by the output data sets from the Centers for Medicare & Medicaid Services (CMS) and others. The a-Palooza code Data Consortium Health is an excellent example of how these data sets are used to challenge the coders, developers, researchers, clinicians, patient advocates and entrepreneurs to create the next breakthroughs in technology Health care.

the "Apps Expo" is one of the most anticipated events of HDP. Are there specific topics or current topics you expect to emerge during the Expo and this year's competition?

Based on the current health care environment, we expect to see App Demos that utilize address data quality improvements, data and file systems electronic integration health, consumer health and management tools, including decision making. Consumers today are much more engaged and involved in their own health than they once were, so I think it's safe to say that the tools of decision making will be a hot topic to look out for this year. We are also pleased to see applications that rely on some of the latest technology available, such as Google Glass.

Health Datapalooza, and the App Demos in particular, are channels through which people can see first hand the immense opportunities that come with sharing of health data and begin to catalyze progress in this area .

# # #

Dwayne Spradlin, CEO, Data Consortium Health
now the CEO of the Consortium of health data, Dwayne Spradlin was previously President and CEO of InnoCentive, Inc., crowdsourcing pioneer linking the business, government and foundations to a global network of innovators on the Internet. Prior experience includes President of Hoovers, Inc., a leader in information and online business analysis; President of StarCite; Senior Vice President at VerticalNet, Inc.; and Director in practice Emerging Technologies Unit Management Consulting Services PricewaterhouseCoopers LLP (now IBM Global Services). Spradlin has been featured on CNBC, ABC, NPR and the BBC and quoted in The Economist, BusinessWeek, The New York Times and many other newspapers and magazines, and published by FT Press and Harvard Business Review.

@GW will attend MHA Health Datapalooza June 1-3 in Washington, DC Check back for more in-depth coverage of the event on our blog.


Focus on students: Kelly Baker

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Focus on students: Kelly Baker -

student Spotlight: Kelly Baker

Kelly Baker Kelly Baker wanted to pursue a MHA, but she did not know if she could hold graduate in his busy schedule. Between his work as an account manager at RelayHealth Financials and responsibilities as a mother, she did not have much extra time. However, thanks to MHA @ GW, Baker is able to continue his studies and to fulfill its other obligations. Read more in the Q & A below.

Tell us a little about yourself.

I am a very busy person, and I'm constantly on the road. I'm currently living in Atlanta, Georgia. I am a woman, mother to two year old son, and a business professional.

Why did you decide to earn an MHA degree?

I firmly believe that pursuing an MHA degree I improve my career and my professional and educational network.

Why did you choose the MHA @ GW program?

I always had the desire to pursue a MHA, but my life was so intense that I did not think I could really do the time. Not to mention the schools offering MHA program does not have all the best reputation in the industry. This platform offers the degree I wanted a strong, reputable university.

Did you have any reservations about this degree online?

Oh, certainly. I wanted to ensure that the same quality that I received in the classroom would be duplicated in this platform.

What excites you most about the program?

The most exciting part of this program is the ability to tell my real life work experience that we discuss in class. It gives me outside perspective and allows me to directly apply what I learn in real time.

What was your favorite part of your experience in MHA @ GW?

The opportunity to learn from these dynamic teachers and other professionals in different parts of the world is definitely one of my favorite places.

What do you hope to accomplish on graduation?

After completing this program, I hope to have built a strong network of people I can draw on the resources. I also want to emerge as a stronger leader with a better understanding of the health care industry as a whole.

What should we know about you?

I really learned a tremendous amount in my first meeting with MHA @ GW. I did not think it was possible to go back to school with all that I have on my plate, but - as cliché as it sounds -. If I can do it, anyone can


HHS Secretary Burwell Addresses GW students

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HHS Secretary Burwell Addresses GW students -

HHS Secretary addresses students Burwell GW

Sylvia Mathews Burwell Sylvia Mathews Burwell, the new Secretary of Health and Human services, spoke about leadership and vision for the department recently at an event organized by the Milken Institute school of public health at George Washington University. Dean Lynn Goldman presented the incoming secretary as "a great leader" before ceding the stage to Burwell, who has set aside the time to answer questions from students after his address. But first, she has highlighted three objectives it intends to pursue in his new role :. to deliver results, strengthen relationships and build strong teams

Burwell credited his small town upbringing in Hinton, West Virginia, as the inspiration for many of the direction of price values ​​it today. she learned the hard work and customer service at dinner of his grandfather, Denny ( "Denny ... no there was no Grand Slam "), and the importance of providing tangible results in one of his first jobs, scooping ice cream.

strong relationships with colleagues and the general public hinge on trust, she said - and transparency will play a large role in establishing that trust. "While the numbers are not quite where we want them, we'll tell you about it," she continued. "He can not do to the best and most attractive press release, but we believe that you build trust by sharing the news, good and bad." She also stressed the importance of bipartisan cooperation, citing the ongoing efforts of the Department to work with the state governments on the Medicaid expansion.

"There are ideological cancer cure anything. There is not a Democratic or Republican way to solve Ebola. There is not a liberal or conservative approach to suicide prevention. "- Sylvia Mathews Burwell, Secretary of Health and Human Services

the issues students have addressed a variety of topics, work-life balance and background Burwell . Congress communication and disease prevention A student in health administration from the Milken Institute school asked: "from the perspective of public health, disease prevention is much cheaper than treating a disease or illness. What barriers prevent us to use more resources to address the social determinants of health are the main means of preventing disease, and how can we overcome these obstacles? "

Burwell noted the importance of prevention, but also the inherent difficulties of cultivating a culture that supports it. Using a healthy diet, for example, she cited three main variables that can determine the success of a prevention initiative: first, the knowledge of how to prevent a given condition; (What is healthy eating?) Second, the availability and accessibility of tools for prevention (how much access to healthy food?); and third, whether individuals work together as communities to facilitate the most important cultural and behavioral changes.

For the future health managers and professionals in public health, Burwell will definitely someone to look at the discussion of topics such as surrounding Affordable Care Act and transparency of cost health care continue to evolve. Look at his address in full.


Look at April 2015 Immersion: Day two

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Look at April 2015 Immersion: Day two -

look at the April 2015 Immersion: Day Two

MHA @ GW students are required to attend a total of four immersion experiences while enrolled in the program. Recently, the Milken Institute School of Public Health at George Washington University welcomed more than 20 new students on campus for an intensive three-day course on leadership and ethics, led by Director Dr program . Leonard Friedman and Professor Ricky Allen, MHSA, MDiv, FACHE.

Curious about previous dives? Learn more about our experiences in September 2014 and January 2015.

Navigation Professional Differences

What different people need in a professional environment? How certain personality types prefer to drive and, equally important, how they prefer to be directed? How can you influence your environment in a way that supports the productive collaboration between a variety of personality types? The Saturday morning session examined the relationship between personality type and organizational effectiveness through continuous analysis of MBTI student outcomes. The discussion focused on an interpretation of MBTI advanced by psychologist David Keirsey, who said that the types can be grouped into four temperaments :. Detection / judgment, sensing / perception, intuition / thought, and intuition / feeling


Students found that such combination groups can tell us a lot about how people behave in the workplace and environments that encourage them to develop or stop. (For example, some people thrive on conflict, others need a more harmonious work environment.) A good leader, Dr. Friedman said, can recognize when others' preferences do not coincide with their own - and then understand how to address the gaps inherent in the understanding. "Just because you do not need, it does not mean that others do not," he said.

"Whatever you do has got to be for the benefit of our patients and our communities," he said. "Not for your board, not for certain payer and not for a regulatory body. "- Dr. Leonard Friedman

" I think what makes an effective organization is employee initiative, flexibility and responsibility, "Dr. said Friedman's conclusion of the session. This means, he said, influenced the origin of employee motivation to be intrinsic rather than extrinsic, including employees in decision making, communicating the mission and values ​​of the organization, and finally, be flexible and responsive.

"Whatever you got to be for the benefit of our patients and our communities," he said. "Not for your board, not paying for some and not for a regulator."

Go Colonials! Join the Community GW

Students took fast breaking sessions to pick up their keys on campus GWorld cards. They also arrested by the official campus bookstore for some chamois essential supplies and blue

Theories Leadership Styles and case studies

Back to work :. Saturday afternoon, the students took a deep dive into leadership theories and styles with Professor Allen. Understanding where a specific theory might apply, or if a certain style could be most effective, he said, can help leaders to facilitate collaboration between the different personality types. To illuminate and differentiate the styles of leadership - servant, autocratic, laissez-faire, democratic and situational - students divided into groups to evaluate a case study in the real world. Each group was assigned a leadership style and loaded after role play of the case on the basis of this style.

What do you miss ? Read about day and three days of this immersion experience.


Len's Friends: Amy Stowers

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Len's Friends: Amy Stowers -

Len's Friends: Amy Stowers

Len's Friends Header

Dr. Leonard Friedman, director of the Master of Health Services Administration (MHSA) and online Executive Master of Health Administration (MHA @ GW ) programs offered by the School Milken Institute of public health, is a firm believer in the idea that "health care is. a business based on the relationship "" friends of Len "aims to develop this concept by profiling some of the closest personal and professional industry contacts Dr. Friedman. - and sharing their comments and ideas with industry expert you

Amy Stowers is the founder and CEO of OptimizeIT consulting, a consulting firm and full-service solutions based in San Diego, California. great experience Stowers industry - a critical care nurse to director of clinical information director of information and finally consultant - covers clinical, administrative areas and advisory Mrs. Stowers is an accomplished senior executive in the management and strategy systems. information. She has extensive knowledge in strategic management functions of information systems, including design, development, system selection, implementation needs assessment, implementation and contract.

"I originally met Amy through my work with the American College of Healthcare Executives and theNational Capital Healthcare Executives chapter in his role as president of the section," says Dr. Friedman. "I came to the known as one of the most talented consultants in the health information technology and capable people I know. "

How did you decide to pursue a career in health administration? and what attracted you to consult specifically?

Amy Stowers during several years after my BSN, I became an expert in intensive care and moved into administration. It was about seven years my career as head of the very progressive nursing took me under her wing. she had a strategy to move the organization of a shared governance system, and she needed change agents who were willing to think and collaborate in a new way. I was chosen by her for president and co-chair a number of shared governance councils. My most advanced leadership style to include an internal desire to maximize the talents of each, develop strong teams and serve as a strategic change agent.

A motion to the council was right for many reasons. I touched my career goals and fulfill my inner passion to make a difference in a staff position. After working with a coach, the consultant is the way it has been decided that the best for me. So I started OptimizeIT, and since then, I am able to thrive on the challenges that a diverse range of customer commitments brings. Just think, I founded a company on a value system that was my own and had to lift many comfort zones. I love the organized chaos and extreme challenges, so I thrive in situations where leadership roles that require a lot of creative thinking, critical resulting in the transformed operations. It was such a wonderful inspiring journey.

I work for about 20 years in the healthcare IT field, having obtained a Master of Science in nursing informatics. My administration and portfolio positions healthcare technology has been extended. I have now added a specialization in telemedicine.

How to prioritize tasks when you are faced with a stressful situation?

My ability to effectively prioritize tasks in stressful situations is both learned and innate determination. I seem to have the ability to filter the noise - or information that is not necessary at some point. This quality is very useful when working on teams that must work together to accomplish complex integrated activities for an effective result. Practice also helps. One of my favorite books is "Performers peak performers: The new heroes of American Business" by Charles Garfield. Garfield does a great job of describing the common characteristics of high achievers. He says the peak performers and sort things not only take action but a deliberate action for results. I also applied to solve problem in stressful situations.

Strategically, my approach to work effectively in stressful situations is to be forthcoming and trustworthy. I lay the foundation by telling people up front what I will do, how I will do and what is expected of them, then I do. I encourage you all to be part of the solution, and I really explores the strengths and capabilities of each. My goal is to maximize the contribution of each.

I love the organized chaos and extreme challenges, so I thrive in situations where leadership roles that require a lot of creative thinking, critical resulting in the transformed operations. It was such a wonderful inspiring journey.

In most business situations, I serve as a catalyst for change and I am committed to assess the organizational culture and implement a plan to move the organization towards new goals. This can be stressful for people within organizations.

In the book "Good to Great," Jim Collins made two critical points that I religiously use in my work. The first is the importance of getting people to face the situation as it is today. Collins says that we must "maintain unwavering faith that you can and avail you, whatever the difficulties, and at the same time have the discipline to confront the most brutal facts of our current reality." Sometimes we tend to look at things with rose -colored glasses or we do not disclose fully. Facing the brutal facts is so important. the use of this early in my commitments paves the way for the opening and transformation. It tells the individuals, "Your organization is good; now go to large. "

Another point Collins fact is that leader will not come with all the answers, and then motivate everyone to follow your messianic vision. This means having the humility to grasp the fact that you do not understand not enough to have all the answers, then ask questions that will allow the best possible ideas I use all the time. it helps people to understand that even if we face the facts of brutul I will listen first and they can, if they choose, a part of the solution.

But make no mistake, in my work I leave no effort when it comes to achieving the required goals and objectives.

What are some of the most pressing challenges and opportunities for professionals who travel in these areas? What would you recommend for future professionals of the health administration?

the challenges and most pressing opportunities are, frankly, the vast change that is underway. I encourage aspiring leaders in health care to use the talent around them. There are so many hidden talents in our organizations because of silos, because of politics, because of territoriality and because people do not understand how to articulate their skills and passions. As they build relationships and help those around them, they also learn and grow. We need to be lifelong learners.

I encourage IT professionals in health care to be open minded and not get trapped in a situation where there are no opportunities for growth. The work on multidisciplinary projects and very comfortable with change. Today, more than ever, no job is guaranteed. People watch what you do and listen to what you say, so be careful and be sure to always remain credible. Your brand and your values ​​must never be compromised.

I encourage IT professionals in health care to be open minded and not get trapped in a situation where there are no opportunities for growth. The work on multidisciplinary projects and very comfortable with change. Today, more than ever, no job is guaranteed.

I encourage future professional network health care as they never put forward network. This is something I started too late. We are so busy in our jobs, but there is a whole world out there, talented, positive intelligent individuals who will help us achieve our dreams.

You recently helped to define the term "population health." Your definition included the assertion that "all human beings as a member of the global population deserves the right to necessary fundamentals to be in good health." can you clarify what you mean by "fundamentals" and how our health care system can better prioritize?

I am a champion of IT healthcare. I think this is part of the solution to fix the US health care system. However, as I developed a definition of health of the population, I thought of all the effort and money spent on "population health" and predictive analytics. What came to mind is: how this issue if we can not provide the basic elements of basic health? We miss the boat on psychosocial fundamental elements necessary for a healthy life.

I was raised in West Virginia, in an extremely rural area that has great poverty, smoking and other factors that lead to poor health. It is discouraging, and yet I am hopeful that, with a renewed focus on welfare, this population will reap the benefits of being healthy.

Maybe it's time to take a breath and ask, "What are the problems that we really need to solve, and in what order? "

Have you seen cases where a community has effectively harnessed their resources to improve the health of the community rather than invest those resources in hospitals and health care systems to take care of people who are already sick?

in my most current position, I work with amazing people, the best and brightest, to implement telehealth programs state-of-the-art. as I started this role, my initial task was to conduct a comprehensive assessment of civil telemedicine. during the evaluation process, I found several States and organizations that have implemented exemplary telehealth programs. These programs have a significant positive impact on individuals, communities and populations. Telehealth has great potential to improve the welfare and health care in underserved areas.

Telehealth will definitely be a catalyst for the true health of the population, as long as we confront the brutal facts of our current situation and listen, listen, listen. Let's be sure to close the loop, be transparent and provide a review without bias.

Meet more of Len's friends.