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	<title>Comments for Nesmith&#039;s Notes</title>
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	<link>http://dwaynenesmith.com</link>
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	<lastBuildDate>Tue, 22 Jul 2008 16:08:25 +0000</lastBuildDate>
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		<title>Comment on Employers&#8217; Opportunity to Improve Health Care Results by Scott Hodson</title>
		<link>http://dwaynenesmith.com/blog/archives/2008/07/employers-opportunity-to-improve-health-care-results/comment-page-1/#comment-17</link>
		<dc:creator>Scott Hodson</dc:creator>
		<pubDate>Tue, 22 Jul 2008 16:08:25 +0000</pubDate>
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		<description>I agree.  Many American health systems are significantly underinvested in quality management Infrastructure, Process, and Organization required to coordinate and manage care across the continuum.  Breakthrough improvements in quality and patient safety cannot be achieved without  a &quot;world class&quot; quality management foundation that includes:

Strategy: including a clear linkage of quality and patient safety to the organizational strategy and a Board-driven imperative to achieve quality goals.

Infrastructure:  incorporating effective quality management technology, EMR and physician order entry, evidence based care development tools and methodologies, and quality performance metrics and monitoring technology that enables &quot;real time&quot; information.

Process: including concurrent intervention, the ability to identify key quality performance &quot;gaps,&quot; and performance improvement tools and methodologies to effectively eliminate quality issues.

Organization: providing sufficient number and quality of human resources to deliver quality planning and management leadership, adequate informatics management, effective evidence based care and physician order set development, performance improvement activity, and accredition planning to stay &quot;survey ready every day.&quot;

Culture: where a passion for quality and patient safety is embedded throughout the delivery system and leaders are incented to achieve aggressive quality improvement goals.

My firm has assisted a number of progressive health systems to achieve such a foundation, and to develop truly World Class Quality.</description>
		<content:encoded><![CDATA[<p>I agree.  Many American health systems are significantly underinvested in quality management Infrastructure, Process, and Organization required to coordinate and manage care across the continuum.  Breakthrough improvements in quality and patient safety cannot be achieved without  a &#8220;world class&#8221; quality management foundation that includes:</p>
<p>Strategy: including a clear linkage of quality and patient safety to the organizational strategy and a Board-driven imperative to achieve quality goals.</p>
<p>Infrastructure:  incorporating effective quality management technology, EMR and physician order entry, evidence based care development tools and methodologies, and quality performance metrics and monitoring technology that enables &#8220;real time&#8221; information.</p>
<p>Process: including concurrent intervention, the ability to identify key quality performance &#8220;gaps,&#8221; and performance improvement tools and methodologies to effectively eliminate quality issues.</p>
<p>Organization: providing sufficient number and quality of human resources to deliver quality planning and management leadership, adequate informatics management, effective evidence based care and physician order set development, performance improvement activity, and accredition planning to stay &#8220;survey ready every day.&#8221;</p>
<p>Culture: where a passion for quality and patient safety is embedded throughout the delivery system and leaders are incented to achieve aggressive quality improvement goals.</p>
<p>My firm has assisted a number of progressive health systems to achieve such a foundation, and to develop truly World Class Quality.</p>
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		<title>Comment on Gas Tax Holiday Hoax by Eliminating the Gas Tax will not lower gas prices &#124; Right Commentary</title>
		<link>http://dwaynenesmith.com/blog/archives/2008/05/gas-tax-holiday-hoax/comment-page-1/#comment-10</link>
		<dc:creator>Eliminating the Gas Tax will not lower gas prices &#124; Right Commentary</dc:creator>
		<pubDate>Wed, 07 May 2008 01:13:47 +0000</pubDate>
		<guid isPermaLink="false">http://dwaynenesmith.com/?p=110#comment-10</guid>
		<description>[...] more on GAS &amp;l.. Washington Wire - WSJ.com : Clinton Joins McCain on Gas-Tax Holiday; Obam.. Startup - one more time &#187; Gas Tax Holiday Hoax Hillary Clinton - Watching those Intellectuals  The Gas-Tax Holiday &#171; Seth and Ray&#8217;s [...]</description>
		<content:encoded><![CDATA[<p>[...] more on GAS &#38;l.. Washington Wire &#8211; WSJ.com : Clinton Joins McCain on Gas-Tax Holiday; Obam.. Startup &#8211; one more time &raquo; Gas Tax Holiday Hoax Hillary Clinton &#8211; Watching those Intellectuals  The Gas-Tax Holiday &laquo; Seth and Ray&#8217;s [...]</p>
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		<title>Comment on Apple making it easy? I&#8217;m not so sure. by Iphone » Apple making it easy? I’m not so sure.</title>
		<link>http://dwaynenesmith.com/blog/archives/2008/05/apple-making-it-easy-im-not-so-sure/comment-page-1/#comment-9</link>
		<dc:creator>Iphone » Apple making it easy? I’m not so sure.</dc:creator>
		<pubDate>Sun, 04 May 2008 01:51:41 +0000</pubDate>
		<guid isPermaLink="false">http://dwaynenesmith.com/?p=108#comment-9</guid>
		<description>[...] Startup - one more time wrote an interesting post today on Apple making it easy? I&#8217;m not so sure.Here&#8217;s a quick excerpt I thinking about getting an iPhone and have decided I’m willing to part with the 20 bucks to test out the email app so there is no need for me to repeat what others have said about this already&#8230;. [...]</description>
		<content:encoded><![CDATA[<p>[...] Startup &#8211; one more time wrote an interesting post today on Apple making it easy? I&#8217;m not so sure.Here&#8217;s a quick excerpt I thinking about getting an iPhone and have decided I’m willing to part with the 20 bucks to test out the email app so there is no need for me to repeat what others have said about this already&#8230;. [...]</p>
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		<title>Comment on Open Coffee Club Boulder by Open Coffee Club Boulder</title>
		<link>http://dwaynenesmith.com/blog/archives/2008/02/open-coffee-club-boulder/comment-page-1/#comment-7</link>
		<dc:creator>Open Coffee Club Boulder</dc:creator>
		<pubDate>Wed, 06 Feb 2008 01:11:56 +0000</pubDate>
		<guid isPermaLink="false">http://dwaynenesmith.com/?p=86#comment-7</guid>
		<description>[...] the-way-to-the-centre wrote an interesting post today onHere&#8217;s a quick excerpt [...]</description>
		<content:encoded><![CDATA[<p>[...] the-way-to-the-centre wrote an interesting post today onHere&#8217;s a quick excerpt [...]</p>
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		<title>Comment on Howard Dean to Lead DNC by elf-skinned balance</title>
		<link>http://dwaynenesmith.com/blog/archives/2005/02/110835815730108463/comment-page-1/#comment-2</link>
		<dc:creator>elf-skinned balance</dc:creator>
		<pubDate>Tue, 25 Sep 2007 16:45:11 +0000</pubDate>
		<guid isPermaLink="false">http://dwaynenesmith.com/?p=40#comment-2</guid>
		<description>Guard against the impostures of pretended patriotism -- George Washington

				&lt;a href=&quot;http://www.life-extension-technology.info&quot; rel=&quot;nofollow&quot;&gt;life extension mix&lt;/a&gt;</description>
		<content:encoded><![CDATA[<p>Guard against the impostures of pretended patriotism &#8212; George Washington</p>
<p>				<a href="http://www.life-extension-technology.info" rel="nofollow">life extension mix</a></p>
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