Modern Healthcare articles from March 2005

Modern Healthcare archives from March 2005

Medicare modernization at a cost; Still more billions put health plans on the hook to prove privatization works.(Editorial)
March 7, 2005... Byline: Todd Sloane, Assistant Managing Editor Op/Ed The Medicare Modernization Act of 2003 is the gift that just keeps on giving-that is, if you work in the drug industry or managed care. If on the other hand you are worried about federal...

Judging quality; Group purchases tool for rating physician care.(Brief Article)
March 7, 2005... Byline: Modern Physician HealthGrades, the consumer-oriented directory of hospitals, nursing homes and physicians, has acquired the CompareYourCare online patient-education and physician care-rating tool from the Foundation for...

On the move...(appointments)
March 7, 2005... HOSPITALS, SYSTEMS HCA has appointed Jeffrey Crudele, 43, as CFO of its 91-hospital eastern group, based in Nashville. Crudele, who currently serves as CFO of HCA's southeast division in Atlanta, will replace Bill Rutherford, who served in...

In memoriam.(Glenn Mitchell)(Brief Article)(Obituary)
March 7, 2005... Glenn Mitchell, a pioneer in integrated health networks who founded Norfolk, Va.-based Sentara Healthcare, died in January at age 75 after a long battle with Parkinson's disease and dementia. The system issued an obituary last month. The...

Tenet's new tangle; Other states could follow Fla. with racketeering charges.(The Week In Healthcare)
March 7, 2005... Byline: Melanie Evans Tenet Healthcare Corp.'s latest legal headache-a racketeering charge brought by Florida's attorney general-may mushroom into another raft of potentially costly lawsuits against the company should other states follow...

UHS eyes undervalued assets.(Universal Health Services)
March 7, 2005... Byline: Vince Galloro Universal Health Services isn't putting a "for sale'' sign on its behavioral health business, but the company has indi-cated that it may consider spinning off some facilities because the company doesn't think...

South.(Regional News)(Florida Hospital sued by uninsured patients)(District of Columbia and Howard University to open new hospital)(proposed Texas law limits billing for uninsured costs)
March 7, 2005... ORLANDO, Fla.-Florida Hospital, a seven-hospital system, was sued last week in Orange County Circuit Court by 35 uninsured patients over its billing practices, said K.B. Forbes, who helped with the filing as head of advocacy group Consejo de...

Defining heroism; Forget movie stars. The real heroes are fighting in Iraq, caring for the sick.(Publisher's Letter)(Editorial)
March 7, 2005... Byline: Charles S. Lauer From time to time friends and colleagues send me news articles with suggestions for a column. Last week, a good friend sent me one with a different twist, and I thought I would share it with readers. It was...

Northeast.(Regional News)(Greater New York Hospital Association wage index case)(malpractice insurance for Connecticut hospitals)(Mercy Health System to renovate )
March 7, 2005... NEW YORK-A federal judge, in a split decision favoring New Jersey hospitals, last week quashed an effort by the Greater New York Hospital Association to reverse the addition of three New Jersey counties to a New York wage-index area used to...

Midwest.(Regional News)(Methodist Hospitals of Gary and Merrillville to correct deficiencies)(number of medically uninsured in Minnesota rises)(Sisters of Charity of Leavenworth Health System investing in information systems)
March 7, 2005... GARY, Ind.-Methodist Hospitals, with campuses in Gary and Merrillville, Ind., won a three-month reprieve before it must demonstrate to Medicare officials that it has corrected deficiencies related to the deaths of two patients in 2003 and 2004....

Other Voices.(view of Bill Richardson on medicaid reform and social security reform)(Brief Article)
March 7, 2005... "The chairman of the Democratic Governors' Association, Gov. Bill Richardson of New Mexico, echoed the view of many colleagues of both parties that addressing Medicare reform and Medicaid cuts was the real crisis for them and their...

Briefly: Legal.(The Week In Healthcare)(Brief Article)
March 7, 2005... S.C. PHO signs consent decree * The physician-hospital organization of Oconee Memorial Hospital, Seneca, S.C., signed a consent decree with the Federal Trade Commission last week to resolve price-fixing allegations. The FTC alleged that the...

Citizen reformers; Panel to address health system change.
March 7, 2005... Byline: Todd Sloane A national panel that will investigate the nation's healthcare system from top to bottom, focusing on care delivery, access and costs, was named last week. It will hold hearings and issue a preliminary report as early...

Critical time at rural hospitals.( )
March 7, 2005... Byline: Joseph Mantone It's been a boom time for critical-access hospitals, and the rural hospital lobby would like to keep it that way. The critical-access program allows small rural hospitals to receive cost-based reimbursement from...

Executive shuffle; Diversity institute, patient-safety group name leaders.(Institute for Diversity in Health Management)
March 7, 2005... Byline: Melanie Evans The handful of openings for chief executives at high-profile associations has dwindled in recent weeks, as two trade groups picked leaders to steer evolving organizations. Last week, the Institute for Diversity in...

Legislative long shot; Another universal coverage bill introduced in Calif.
March 7, 2005... Byline: Laura B. Benko California lawmakers haven't given up on the prickly issue of universal healthcare coverage. Assemblymen Joe Nation, a Democrat, and Republican Keith Richman introduced a bipartisan bill late last month that...

Ante up; Louisiana's rural hospitals upset over unique fees.( )
March 7, 2005... Byline: Mark Taylor Most rural hospitals seeking disproportionate-share money must be certified by a state agency and demonstrate that they have incurred uncompensated-care costs treating the indigent and uninsured. But not necessarily...

Looking for transparency; Charities may face more stringent IRS requirements.(Internal Revenue Service)
March 7, 2005... Byline: Ralph Loos Not-for-profit hospitals are in danger of being smacked by a "perfect storm'' unless they take action and get a handle on internal financial controls and governance, according to industry insiders and outsiders. And...

No concessions; Medicaid cuts are likely but severity is unknown.
March 7, 2005... Byline: Tony Fong Despite governors' protests last week, cuts to Medicaid are likely to happen and hospitals had better be prepared for the consequences. Governors in Washington for the annual National Governors Association's winter...

Late News; CBO ups estimate by $70 billion.(Congressional Budget Office)
March 7, 2005... The Congressional Budget Office upped its 2006-15 Medicare spending estimate by $70 billion to $5.5 trillion, primarily because of higher estimated costs under the new prescription drug benefit. The CBO said it added $54 billion to projected...

Youthful remodeler pushes makeover of Arizona hospital.
March 7, 2005... University Medical Center in Tucson, Ariz., isn't the first hospital to recognize that its stark decor doesn't exactly spur the healing process. But its white walls will be the first to undergo a makeover in front of a national TV audience. ...

Dedication to quality wins award for exec.(Brief Article)
March 7, 2005... Byline: Modern Physician Physician informatics pioneer Brent James, M.D., has been named a winner of a 2005 Health Quality Award by the National Council for Quality Assurance, the not-for-profit quality certification organization announced...

Doctors and lawyers hope to meet halfway.(physician affairs)(Brief Article)
March 7, 2005... Byline: Modern Physician The Association of Trial Lawyers of America has asked for a meeting with top officials from the American Medical Association to seek "common ground'' on divisive issues like changes to insurance law, caps on...

Corrections & Clarifications.( )(Correction Notice)
March 7, 2005... * Intermountain Health Care, Salt Lake City, said it earned net income of $135.9 million on revenue of $2.37 billion in 2003. Inaccurate information was provided in the Late News section of the Feb. 28 issue (p. 4). * The Feb. 14 article...

A tough job, but I love it; Clear goals and a new culture have HealthSouth positioned for the future.
March 7, 2005... Byline: Jay Grinney When I'm introduced as the new chief executive officer of HealthSouth Corp., I'm often asked, "Why did you take that job?" On the surface, it's an understandable question. HealthSouth is not only working through...

Construction--and costs--GOING UP; Even as expenses mount, pressured by rising commodity prices, healthcare building continues to boom, annual survey shows.(Special Feature)
March 7, 2005... Byline: Susanna Moon Despite projected building costs that have risen 10% to 15% for many of its 80 total facility upgrades now in the works-including four replacement hospitals-Sutter Health has no plans to scrap amenities that its...

Perception is everything; An ACPE survey reveals the details of physicians' public fall from grace. Can they regain the credibility and trust they once enjoyed?(American College of Physician Executives)
March 7, 2005... Byline: Michael Romano Not too long ago, in an era when the avuncular image of "Marcus Welby, M.D." still resonated with the American public, doctors were among the most-respected and admired professionals, revered for their empathy,...

Tenet's prospects; Physicians may hold key to turnaround.
March 14, 2005... Byline: Vince Galloro Reporting a quarterly loss of more than $2 billion is never a good thing, but for Tenet Healthcare Corp. the 10-digit loss may be beside the point. Physicians likely hold the key to a turnaround at Dallas-based...

A quiet approach; Hall of Fame welcomes Parker, Wesbury.(Health Care Hall of Fame)(Brief Article)
March 14, 2005... Byline: Neil McLaughlin, Managing editor These are times of polarization and bluster. Turn on your television and you'll be assaulted by the noise of politicians and pundits screaming at each other. Many of our political and corporate...

Budget woes; Medicaid, Medicare likely targets.
March 14, 2005... Byline: Ralph Loos As the House and Senate debate respective budget proposals this week, looming cuts to healthcare programs seem inevitable. For example, it's no longer a question of whether Medicaid funding will be cut, but of how...

Late News; 12 Blues sue surgery centers.
March 14, 2005... Twelve Blue Cross and Blue Shield plans sued nine surgery centers in Southern California, seven management companies and 34 individuals for allegedly paying patients to undergo needless and sometimes dangerous surgery, most often colonoscopy or...

Little help in bankruptcy bill.( )
March 14, 2005... Byline: Paul Barr Tougher bankruptcy rules expected to become law in coming weeks after passing the U.S. Senate last week aren't likely to help hospitals and health systems, though patients probably will take a hit. With hospitals...

Lifelong learning; To stay ahead of the trends, continue your education throughout your career.
March 14, 2005... Byline: Samuel Odle I didn't start out in healthcare on the executive track; my first job in this field was as an X-ray technician. While I was at that job, I became interested in how the radiology department fit in with other departments...

Billing dispute; ACORN stages walk-in at AHA headquarters.(American Hospital Association)(Association of Community Organizations for Reform Now)
March 14, 2005... Byline: Ralph Loos To say the rally staged at the American Hospital Association's Washington headquarters last week was a rare event would be like calling a snowstorm in Las Vegas out of the ordinary. AHA officials said they found it...

Other Voices.(transplantable organ shortages)(Brief Article)
March 14, 2005... "Toward the end of 2004, there were more than 87,000 people on the national waiting list for organs, but just under 11,000 organ donations. How can this chronic shortage be alleviated? The same way any shortage is dealt with-raise the price to...

Promoting ethics, equality; Stuart Wesbury Jr. honed leadership skills in a variety of healthcare settings.
March 14, 2005... Byline: Ed Finkel Stuart Wesbury Jr. skated across pharmacy, hospital administration and academia before gliding for a dozen years as president of the American College of Healthcare Executives. When he describes his career as a "sheet of...

Pushing for worker insurance.
March 14, 2005... Byline: Cinda Becker California's famous but ultimately failed quest to require employers to provide health insurance coverage for their workers has spread to Connecticut, where a community coalition is backing a bill that mimics the...

Unwelcome houseguests; As the IRS expands CEP audits to include smaller healthcare facilities, Carle Foundation Hospital finds itself playing host.(Internal Revenue Service)
March 14, 2005... Byline: Mark Taylor Hosting Internal Revenue Service agents on your campus for two or three years is something few hospital executives would volunteer to do. But that's just what a central Illinois hospital did late last year when its...

Sympathetic ears; Legislators agree with acute-care hospitals' stance.
March 14, 2005... Byline: Tony Fong Lawmakers at congressional hearings last week appeared to take the side of general acute-care hospitals in their quest to quash competition from physician-owned specialty hospitals. While lawmakers said that many...

DaVita gets another subpoena.(physician compensation)
March 14, 2005... Byline: Joseph Mantone Another week and another subpoena for DaVita. The El Segundo, Calif.-based dialysis provider announced last week that it received a subpoena from the U.S. Justice Department, marking the third ongoing government...

Will the doctor be out for good? Book contains dire warning about growing shortage of physicians.
March 14, 2005... Byline: Charles S. Lauer, Vice President-Publishing/Editorial Director Back in the 1960s and '70s, there was a lot of talk about an oncoming glut of physicians in the U.S. Those predictions took on the air of certainty in 1980 with a...

Let the spin begin; Greater transparency urged for device trials.
March 14, 2005... Byline: Cinda Becker Last week, a clinical trial ended and the spinning began as Cordis Corp., a Johnson & Johnson company, released the results of the first head-to-head comparison of its Cypher drug-eluting stent with its sole competitor...

Thompson's having trouble saying no as the offers pour in.( )
March 14, 2005... Tommy Thompson added two more job titles last week, but he's not done. "I'll be joining some boards,'' he says as he moved through an airport on his way to San Diego to "check out a company.'' Thompson officially ended his four-year...

CNA wins latest staff-ratio battle.(California Nurses Association)
March 14, 2005... Byline: Melanie Evans California hospitals may need to hire thousands of nurses as soon as this week to avoid violating a fiercely contested state law mandating nurse-to-patient ratios. Then again, maybe not. Just how many nurses...

Sealing the deal; Ardent exiting behavioral care with sale.
March 14, 2005... Byline: Vince Galloro The rising value of psychiatric hospitals was demonstrated again as Ar-dent Health Services agreed to sell its 20 psychiatric hospitals to Psychiatric Solutions for $500 million in cash and $60 million in Psychiatric...

Lifetime of leadership; Scott Parker led Intermountain's rise to top of nation's integrated systems.(health care hall of fame)
March 14, 2005... Byline: Ed Finkel Scott Parker always knew he wanted to lead hospitals. But he never envisioned spending 23 years as the founding president of one of the first and most successful integrated healthcare delivery systems and becoming a...

Defending CPOE; Advocates downplay study attributing errors to IT.(computerized physician order-entry)
March 14, 2005... Byline: Joseph Conn Healthcare computerization proponents last week asserted that a new study of automation fails to prove that information technology is a major cause of medical errors rather than the solution to such mistakes. The...

Code blues; Healthcare succumbs to a national trend toward unethical conduct.(Opinions)
March 14, 2005... Byline: Todd Sloane, Assistant Managing Editor Op/Ed We live in an entitlement society. I am not referring to Medicare and Social Security but to a prevailing sense of personal privilege, to people who believe they are owed everything just...

Health Care Hall of Fame: Judges.(Health Care Hall of Fame)
March 14, 2005... A distinguished panel of judges selected the 2005 inductees to the Health Care Hall of Fame. The 11 people who participated in the deliberations represent a variety of organizations associated with the healthcare industry. Thomas Chapman...

Health Care Hall of Fame: Past Inductees.(Health Care Hall of Fame)
March 14, 2005... Bob Ball Inducted in 1999 Clara Barton Inducted in 1993 Karl Bays Inducted in 2001 Ray E. Brown Inducted in 1988 Robin C. Buerki Inducted in 1989 George Bugbee Inducted in 1989 Mother...

On the move...(appointments)
March 21, 2005... HOSPITALS, SYSTEMS Eugene Woods has been named president and CEO of St. Joseph HealthCare, Lexington, Ky., succeeding William Hendrickson, who retired in June 2004. Woods, 40, had been senior vice president and COO of Washington (D.C.)...

Tough enough? Senate panel to decide if GPO plan has teeth.
March 21, 2005... Byline: Cinda Becker The group purchasing industry is perhaps a month away from completing the details of a voluntary ethics initiative aimed at averting legislation that would strictly regulate its business practices. But it remains...

Surgery centers warned of hospital lobby tactics.
March 21, 2005... Byline: Modern Physician Physician ownership of ambulatory surgery centers remains under attack from the hospital lobby, with state regulatory bodies and legislatures shaping up to be the new battlegrounds. That was the word from industry...

Late News; Settlement ends PATH.(Physicians at Teaching Hospitals)(CTI Molecular Imaging)(Brief Article)
March 21, 2005... A civil settlement by a New Jersey teaching hospital and its faculty physician group marked the end of a long-running federal investigation known as Physicians at Teaching Hospitals, or PATH. The University of Medicine and Dentistry of New...

JCAHO plans safety center.
March 21, 2005... Byline: Melanie Evans Experts say they're not sure what to expect of the Joint Commission on Accreditation of Healthcare Organizations' plans to form an international patient-safety center, but they welcome its emphasis on promoting...

Leading the clean-up.
March 21, 2005... Byline: Paul Barr Jerry Cobb went from helping save lives as an emergency medical technician for an ambulance company to helping save the local hospital as a trustee for Shoshone Medical Center in Kellogg, Idaho. Cobb, 56, was working...

Politeness opens doors; Treating receptionists and assistants with respect pays big rewards.(Editorial)
March 21, 2005... Byline: Charles S. Lauer, Vice President-Publishing/Editorial Director Some people are so special that you can never forget them. Although it was a long time ago, I remember this amazing receptionist I used to encounter during my sales...

CPOE is far from KO'd; JAMA study only proves that no technology cures problems in isolation.(Computerized Physician Order Entry)(Journal of the American Medical Association )(Editorial)
March 21, 2005... Byline: Todd Sloane, Assistant Managing Editor Op/Ed While everyone in healthcare information technology is flapping over the latest of two studies to describe some pitfalls of electronic prescribing, a collective deep breath and some...

Desperate states; Governors feel the heat to revamp Medicaid.
March 21, 2005... Byline: Ralph Loos As lawmakers in Washington wrestled last week over cuts to the federal Medicaid program, the Bush administration continued efforts to encourage states to do their share to cut costs at their level. At last month's...

IRS anxiety; Hospitals receiving executive compensation letters.(Internal Revenue Service)
March 21, 2005... Byline: Mark Taylor Hospitals are finally receiving something they've dreaded for 10 months-an invitation to explore executive pay, insider dealings and lavish spending with Uncle Sam. The messages are the first in a series of...

Budget showdown; Tug of war may ensue over planned Medicaid cuts.
March 21, 2005... Byline: Ralph Loos and Tony Fong The battle of the budgets began in earnest last week as the passage of budget resolutions with widely divergent views on Medicaid in the Senate and House set up a collision course between the two chambers....

Taking it to the states; Bills would increase restrictions on niche facilities.
March 21, 2005... Byline: Michael Romano The ongoing battle in the war between community hospitals and specialty hospitals is heading to the states. Like the American Medical Association, which is fighting at both the state and federal levels to limit...

Corruption allegations renewed; Ill. influence-peddling scandal heats up with filing.
March 21, 2005... Byline: Mark Taylor A new filing by Centegra Health System in its May 2004 lawsuit against the Illinois Health Facilities Planning Board and Mercy Health System dropped a bombshell and rekindled an influence-peddling scandal surrounding...

Northeast.(Brief Article)
March 21, 2005... PITTSBURGH-A man who formerly supervised construction at a city hospital that authorities said was overbilled by more than $4 million pleaded guilty March 14 to charges that he accepted about $500,000 worth of kickbacks from a construction...

Midwest.(bill introduced by Missouri Senate)
March 21, 2005... JEFFERSON CITY, Mo.-A bill introduced in the Missouri Senate earlier this month would establish a Medicaid Reform Commission, a signal that the Legislature would debate cuts to the program that Gov. Matt Blunt proposed in his fiscal 2006...

And another one; Healthcare exec nominated for seat on J&J board.(Johnson and Johnson)
March 21, 2005... Byline: Cinda Becker In another example of high-profile healthcare executives teaming up with the companies that sell goods and services to their organizations, the head of "the most comprehensive healthcare system in Georgia'' has been...

Sloane wins Neal award.(Brief Article)(Editorial)
March 21, 2005... Byline: David Burda, Editor Modern Healthcare last week received two prestigious journalism awards for its editorial coverage. American Business Media, the trade group representing business publishers, recognized Modern Healthcare and...

Declassifying coverage; New guidance documents issued by the CMS may clarify the great unknown of Medicare coverage determination.(Centers for Medicare and Medicaid Services)
March 21, 2005... Byline: Paul Barr Some lesser-known provisions of the Medicare Modernization Act of 2003 currently getting a rollout may give healthcare providers and manufacturers a reason to celebrate as the CMS clears up a generally mysterious and...

Driving a system's success.
March 21, 2005... Byline: Paul Barr A financially troubled hospital needs more than good intentions from its trustees to get back onto solid footing. Business and financial expertise also are necessary ingredients for success in today's competitive...

ROBOTS THE NEXT GENERATION; Whether it's automation, transportation or advancedcomputerization, machines are hard at work in America's healthcare organizations.(information edge)
March 21, 2005... Byline: Joseph Mantone Just about every job description includes tasks involving repetition, monotony or drudgery. At healthcare organizations, such work often distracts employees from their main responsibilities and can detract from...

Looking to boost Medicaid; Louisiana, Texas ponder taxing hospitals to aid besieged program.
March 21, 2005... Byline: Paul Barr Government officials in Louisiana and Texas are considering new taxes on hospitals to help shore up their Medicaid programs, according to industry executives. The discussions in both states are preliminary but are far...

South.(Carolinas HealthCare System reaches an agreement to purchase Sanger Clinic)
March 21, 2005... PORT ST. JOE, Fla.-Florida authorities moved to permanently revoke the license of 30-bed Gulf Pines Hospital earlier this month, charging in an administrative complaint that the financially troubled hospital failed to follow infection-control...

West.
March 21, 2005... BERKELEY, Calif.-Alta Bates Summit Medical Center has been formally notified that it is at risk of losing its accreditation because of lapses in patient care and record-keeping. The not-for-profit hospital, owned by Sacramento, Calif.-based...

Trustees of the Year 2005: Intro.(Brief Article)
March 21, 2005... A small group of individuals meets late into the evening, grappling with the challenges of a hospital carrying out its mission. These people labor over the ramifications of their work-keeping the organization financially sound, ensuring quality...

That might not be a late-night JCAHO inspection after all.(Outliers: Asides & Insides)(Joint Commission on Accreditation of Healthcare Organizations)
March 21, 2005... Hospitals should be on the lookout for shady characters posing as surveyors for the Joint Commission on Accreditation of Healthcare Organizations. The JCAHO is telling its some 375 employees with survey responsibilities, "Be prepared to be...

In the spotlight.(Lee Perlman elected to the board of directors of Premier hospital alliance)(Brief Article)
March 21, 2005... Lee Perlman, 46, president of GNYHA Ventures, has been elected to the board of directors of Premier hospital alliance. Perlman begins his term nearly one year after the for-profit subsidiary of the Greater New York Hospital Association signed a...

Mean what you say; Before achieving IT interoperability, leaders must agree on a definition.(Opinions)
March 21, 2005... Byline: Scott Wallace The healthcare industry and policymakers have seized on the importance of "interoperability'' in information technology, a force that could pave the way for better, cheaper and more efficient care for our workforces...

Personal and confidential; Lawmakers consider protecting identity of providers who report errors.(The Week In Healthcare)
March 21, 2005... Byline: Tony Fong As the push for public reporting of medical errors continues, a survey released last week highlighted concerns of healthcare providers that such reporting without confidentiality protection could leave them susceptible to...

Other Voices.(Opinions)(Brief Article)
March 21, 2005... "(California) Assembly Majority Leader Dario Frommer deserves kudos for his efforts to bring greater transparency to the arcane world of hospital charges. California patients should embrace Frommer's legislation, which would further increase...

Back in the saddle; Retired hospital execs named to company boards.(The Week In Healthcare)
March 21, 2005... Byline: Michael Romano Two well-known physician-executives, now retired from the daily rigors of running hospitals, have landed on the boards of two national companies that sell services to the healthcare industry. Floyd Loop, who...

Humana co-founder to retire.(Late News)
March 21, 2005... Byline: Laura B. Benko Healthcare industry veteran David Jones plans to retire as chairman of insurance giant Humana after the annual shareholder meeting April 26, tying up nearly 44 years with the company. Jones, 73, has remained...

Welcome ceremony.(News)
March 21, 2005... Scott Parker, second from left, and Stuart Wesbury Jr., center, were inducted into the Health Care Hall of Fame last week. They're shown with Modern Healthcare's Charles Lauer, left, Thomas Dolan, president of the American College of Healthcare...

Leavitt says he's losing sleep over cost of medical devices.(Outliers: Asides & Insides)
March 28, 2005... Is new HHS Secretary Mike Leavitt bent on bending the rules of the health insurance industry, or is he just another tightwad? Leavitt intrigued his audience at a recent American Medical Association conference in Washington with his response...

Marketing switch; Brailer's office was seeking IT success stories.(The Week In Healthcare)(information technology)(National Coordinator for Health Information Technology)
March 28, 2005... Byline: Michael Romano A plan by the Bush administration's top information technology policymaker to pump up national interest in healthcare IT by highlighting successful case studies and advertising strategies has apparently stalled. ...