August 30, 2022  | Volume XIX, Issue 33

Hospitals Experiencing Worst Margins Since Beginning of Pandemic
Kaufman Hall experts said that 2022 is shaping up to be the worst year financially for U.S. hospitals and health systems since the beginning of the COVID-19 pandemic. Hospitals and health systems saw decreases in outpatient revenue and operating room time and increases in inpatient lengths of stay from June to July, according to Kaufman Hall's most recent National Hospital Flash Report released yesterday. Hospitals hired more aggressively in July, but labor was still in high demand and prices rose accordingly. Sicker patients also stayed in the hospital longer, driving up costs. The report also stated that an increasing number of patients continue to choose ambulatory centers over hospital settings for surgical procedures, which is a "sign of a larger shift to ambulatory care and new ways of accessing care outside of the hospital." 

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Host an Intern Through the CTE Advanced Internship Program

The Career and Technical Education Advanced Internship Program (CTE AIP) is a school-year internship initiative that aims to place qualified high school juniors and seniors into internship opportunities that are specifically aligned to their industry of study. This will mark the second year of this initiative, which will commence on Monday, September 12, 2022 and end on Friday, May 26, 2023. We are actively recruiting host employers within the health science cluster, including biomedical science and biotechnology. Play an active role in cultivating the next generation of professionals by registering today. More information about programs of study and the program

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August 31 is International Overdose Awareness Day
Tomorrow is the day of the world’s annual campaign to end overdose, remember without stigma those who have died, and acknowledge the grief of the family and friends left behind. The aim of the campaign is to raise awareness of overdose, which is one of the world’s worst public health crises, and stimulates action and discussion about evidence-based overdose prevention and drug policy.

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A documentary following individuals grappling with the current systemic failures of how we have dealt with addiction in communities and their journey to develop and employ new, innovative, and often controversial solutions to the problem. 
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The Promise and Practice of Advance Care Planning 

Did you know only about one-third of Americans complete living wills, durable power of attorney for health care forms, psychiatric advance directives, or other types of advance care planning? Attend this three-part series to learn behavioral strategies and hear case examples that will help you engage and empower your patients to participate in advance care planning. Also learn how to make advance care plans accessible by uploading them to the newly released AD Vault in the CRISP DC health information exchange. 
  • September 7: The Basics of Advance Care Planning — What It Is, Why It’s Helpful, and How to Ensure It Matters
  • September 13: Overcoming Patient Reluctance and Provider Discomfort to Engage in Advance Care Planning
  • September 22: From Beginning to End: A Case-Based Experiential Session About Advance Care Planning
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Accelerating Health Equity Conference Accepting Proposals 

The Institute for Diversity and Health Equity and AHA Community Health Improvement are accepting content proposals for the annual Accelerating Health Equity Conference, May 16-18, 2023, in Minneapolis from potential speakers on emerging topics, including:
  • Building authentic and sustained community engagement and partnership
  • Understanding and meeting individuals' health and social needs
  • Establishing systematic and shared accountability and building diverse leadership and governance
  • Creating equitable and inclusive workplaces
Frontline leaders from hospitals, health systems, public health and community-based organizations are encouraged to submit proposals by September 25, 2022.
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COVID-19 Community Transmission Level: High
View more about CDC's COVID-19 data that DC Health uses to measure levels of transmission.
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Provider Preview Reports for November 2022 Refresh Available
Providers can now access the latest Provider Preview Reports via the Certification and Survey Provider Enhanced Reports (CASPER) application. Once released in CASPER, providers will have 30 days during which to review their quality measure results. CMS encourages providers to download and save their Hospice Provider Preview Reports for future reference, as they will no longer be available in CASPER after this 60-day period. 
Provider Preview Report
CAHPS Preview Report

A Guide for Health Care Organization to Achieve Health Equity

Significant disparities in life expectancy and other health outcomes persist across the U.S. Health care has a significant role to play in achieving health equity. While health care organizations alone do not have the power to improve all of the multiple determinants of health for all of society, they do have the power to address disparities directly at the point of care, and to impact many of the determinants that create these disparities. This white paper provides guidance on how health care organizations can reduce health disparities related to racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion.
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Children's National Hospital Earns Second Honorable Mention in the Patient Safety & Quality Poster Competition
Best Practice Clinical Immersion Framework: A Pilot Study
The academic practice gap has been well documented in nursing literature for over four decades. While academic nursing has a long history of requesting clinical experiences for nursing students, these placements are not easily obtained, especially in pediatrics. The COVID-19 pandemic exacerbated the already limited availability of pediatric clinical experiences for nursing students. In response to the continued need for pediatric clinical experiences a freestanding academic pediatric hospital and three academic nursing programs collaborated to form the District of Columbia Practice Academic Collaborative (DCPAC). The collaborative aimed to address the unmet demand for clinical experience and to provide academic credit to students hired for the hospital’s practice-based internship. The DCPAC collaboration resulted in the design and implementation of a pilot study to evaluate the outcomes of a best practice clinical immersion framework using a shared clinical syllabus and e-learning platform.
Best Practice Clinical Immersion Framework: A Pilot Study
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Quality Showcase Publication
Where Can I Get Naloxone in DC?
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What Hospitals Need to Know: Nurse Moral Injury
Nurse moral injury is at an all-time high, and nurses aren't the only ones suffering with the ongoing pandemic—patients, hospitals and health care systems are suffering, too. The toll that pandemic has had on our nurses and their well-being is far more detrimental than most realize. Nurse moral injury leads to a higher likelihood of medical errors and costs hospitals across the country $9 billion annually. Avoid these unnecessary costs and preventable errors—invest in nurse wellness.
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Emotional Support for Your Team
September 14  |  1 pm

Duke University Health System will share in this webinar how it offers emotional support to health care team members when they encounter professional, patient-related, and/or personal stressors. During the webinar, part of the AHA Team Training monthly webinar series, learn how to provide peer support directly as well as how to build a support structure for your health care teams to ensure that we are truly caring for each other.
Event Details

As the largest network of community health centers in Washington, D.C., Unity Health Care provides a full range of health and human services to meet the needs of our communities through a network of over 28 traditional and non-traditional health sites and a mobile medical outreach vehicle. Our team of compassionate and multicultural health professionals place Unity values into action every day to bring whole-person care and wellness to nearly 100,000 patients through 475,000 visits annually. Deeply rooted in the District’s neighborhoods for over 35 years, Unity strives to promote healthier communities through compassion and comprehensive primary and specialty health care and wrap-around services, regardless of ability to pay. 
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Copyright © 2022 District of Columbia Hospital Association. All rights reserved.

Jacqueline D. Bowens, President & CEO
Jennifer Hirt, Senior Director, Communications & Member Engagement

District of Columbia Hospital Association
1152 15th Street NW, Suite 900
Washington, D.C. 20005-1723

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