Health care’s ‘upstream’ conundrum

Posted by | Health News | No Comments

When it comes to the long-term health of the country, findings now show the big problem might not be health care at all—it might be everything else. Can researchers get politicians to pay attention?

It’s easy to think of “health” as just another category of social-service spending. But a great deal of modern research suggests that it might be more accurate to think of it as the payoff of all the other services put together. Elizabeth Bradley, president of Vassar College and a former Yale researcher widely seen as the world’s foremost expert in the relationship between social services and health, has documented how the ratio of a country’s social-service spending to health care spending is highly correlated with health outcomes around the world. “The right question for our political agenda is, ‘What’s going to give us the most bang for the buck in health outcomes?'” says Bradley. “What our work has shown is that the answer is spending on social services.”


The real reason American health care is so expensive – Hint: single-payer won’t automatically fix it!

Posted by | Health News | No Comments

Americans are quickly learning that they don’t consume more health care than most developed countries.

In fact, they consume a lot less! They are also learning that the real reason US consumers pay a lot more for everything from diagnostics, procedures, and medications, to doctors and hospitalizations, is that private insurance companies don’t have enough negotiating power!

Hospitals and care providers take note: you are NOT prepared for the reimbursement tsunami that is coming your way!

The real reason American health care is so expensive

First Contact ED

Posted by | Emergency and Urgent Services | No Comments

Hospitals need to rethink their ED operations if they want to realistically address the sorry state of ED facilities all over the country!

Many ED facilities were designed for a different business, as well as volumes and complexities well below what is expected of a modern ED.

We propose hospitals STOP wasting precious capital and labor on updating facilities and instead delayer their service as shown in the graph below.

The focus of this operational redesign is to untangle the varied services provided by EDs, that currently generate one-size-fits-all patient care funnels, backlogs and extended wait times.



Please join the conversation by commenting here!

2017 Educational Series

Posted by | Webinars | One Comment

Is your hospital using monitoring metrics and practices that are incomplete and inadequate for day-to-day operations?

At The Nash Group, we provide methodologies that support modified assignments based on complexity of care. Our methodologies are hardwired to include fully loaded budgets as well as hiring and recruitment strategies.
Please join us during our educational webinars to learn more about how we can help.

Read More

EDs and Penitentiaries: Presentation at the IONL Mid-Year Conference 2017

Posted by | Events and Presentations, Health News, Nursing Staff, Staff Engagement | No Comments


The prison population of the United States has quadrupled in the past 25 years. Currently, nearly 2.3 million U.S. inmates (about 1% of U.S. adults) must rely on their jailers for health care. A deep dive of emergency departments and penitentiaries reveals interesting daily operation similarities.

Read More

Staffing Plans – What to Share with Staff and the Public

Posted by | Healthcare Data, Healthcare Transparency, Nurse Patient Ratios, Nursing, Nursing Staff, Patient Care, Patient Census, Patient Experience, Patient Safety, Patient Satisfaction, Patients, Staff Engagement, Staff Morale, Tracking Costs | No Comments

Once a staffing plan has been developed, how do we monitor our compliance to the plan?   How do we share these results with our staff and patients, in order to demonstrate our commitment to patient safety and staff satisfaction?

Read More

A Great Cause for Nonprofits: Hospital Sisters Mission Outreach

Posted by | Nonprofits | No Comments

In the United States we are fortunate enough to have world-class healthcare and state-of-the-art technology. Unfortunately, this is not the case around the world. Many hospitals in other countries don’t even have the most basic of hospital equipment including syringes, gauze, anesthesia, or clean beds. This makes treating patients not only challenging but dangerous for many doctors and nurses abroad.

Read More

An Interview with Marti from Southwest General

Posted by | Testimonials | No Comments

We recently had the privilege and opportunity to work with Marti Baushka from Southwest General in Ohio. We worked closely with Marti and the team at Southwest General to improve patient placement and projected phasing for a new bed tower. Managerial transitions also kept us on our toes, but through it all, we are proud to hear such kind words from Marti.

We’ve included a portion of our interview below. For the full story, check out her section in Advice From Your Peers, along with interviews from a handful of other clients. Read More