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5 Strategies for Building a Top-Performing Hospital

Hospitals should build meaningful scale and scope as well as focus on integration, cost, quality of care, and customer service to be competitive under value-based business models.

By Kathleen McCarthy

 

 

Web Extra: Learn how Adirondack Health Institute in Queensbury, N.Y., expanded access to primary care for a disproportionately older population.


Features

Are Your Physician-Integration Strategies Sustainable?

 Hospitals and health systems require sustainable strategies for integrating with physicians if they are to achieve continued success in the nation's future valued-based healthcare delivery system.

By James Pizzo, Todd Fitz

 

Web Extra: Current physician-integration strategies can be categorized into four basic groupings: customer service programs, contractual ventures, joint ventures/other ownership options, and employment.  

 

Web Extra: Some hospitals and health systems with a significant head start in physician-clinical integration are achieving improved quality and efficiencies, but it is too early to measure results for most recent entrants.

 

Web Extra: Effective physician acquisition playbooks and and a 100-day post-acquisition integration plans have six and seven elements, respectively.

 

The Urge to Merge

In the face of current economic challenges and looming future challenges posed by healthcare reform, a critical decision for many independent hospitals is whether to merge or continue to go it alone. 

By Daniel Grauman, Matthew Tam

 

Outlook for Independent Community Hospitals: Uncertain

Today's financially challenging healthcare environment is forcing leaders of many independent community hospitals to ask whether their "stand-alone" can continue to stand alone. 

By Scott Clay, Peter Bruton

 

Distressed Industries: Lessons for U.S. Health Care

 Taking a cue from the automotive and financial services industries, healthcare organizations can turn historic markers and lessons into positive change. 

By Jeff Anderson

 

4 Pitfalls to Clinical Integration

Mistakes commonly made when pursuing clinical integration can significantly prolong implementation or derail the initiative altogether. 

By John Redding

 

Applying the ABCs in Provider Organizations

By using activity-based costing to understand their true costs, healthcare providers can avoid many potential pitfalls that can result from using traditional costing methods. 

By Seema Pandey

 

Equity Versus Adequacy of Managed Care Contracts

Hospital finance leaders can use this framework for assessing managed care payments in negotiations with commercial payers. 

By William Cleverley, James Cleverley

 

The 50 Percent Solution to Reducing Energy Costs

A systematic plan for reducing hospital energy costs, with a framework that focuses on capital outlay, performance tracking, and cash inflows and outflows, can result in big savings. 

By B. Alan Whitson

Web Extra: Learn why hospitals have high rates of energy use, and view an exhibit detailing utilities use by patient discharge.


Focus Areas

Payment

Health Insurance Exchanges Bring Potential Opportunities

The introduction of the state health insurance exchanges, as provided for in the Affordable Care Act, poses many strategic implications for healthcare providers.  

By M. Orry Jacobs, Bill Eggbeer

 

Accounting

Perspectives on Medical Malpractice Self-Insurance Financial Reporting

Financial reporting of medical malpractice self-insurance is evolving, with the rate of claims climbing. Accounting guidance has evolved, affirming some practices while modifying others. 

By Richard Frese, Patrick Kitchen


Columns

From the Chair

One at a Time

Supporting organizations that are working to improve the lives of others is an important way to make a difference.  

By Ralph Lawson, FHFMA, CPA

 

From the President

No Whining Allowed

Meeting the challenges for multiyear financial planning posed by value-based payment requires a team approach that promotes good spirits while maintaining a serious focus on getting the job done. 

By Joseph Fifer, FHFMA, CPA

 

From the Editor

 Avoiding " I Told You So"    

Careful planning and ongoing assessment are critical to hospitals reaching strategic objectives that require drastic changes in structure, incentives, relationships, and processes. 

By Robert Fromberg, Editor-in-Chief

 

Eye on Washington

Is the Slowdown in Healthcare Spending Sustainable?

To understand the true significance of the recent slowdown in healthcare spending, it is necessary to know how much and why spending has slowed and whether the slowdown is likely to continue. 

By Gail Wilensky

 

Healthcare Value

Road Maps for the Value Journey

HFMA has been working with academic medical centers, aligned integrated systems, multihospital systems, rural hospitals, and stand-alone hospitals to define unique road maps to value for each group.
value for each group. 

By James Landman

 

Healthcare Reform

Cap and Trade: A Mechanism to Reduce Healthcare Costs

A mechanism for using market forces to reduce utilization, and thereby bend the overall healthcare cost curve, is described. 

By William Weeks

 

5 Ways To...

5 Ways to Attract the Most Highly Qualified Travel Nurses

More hospitals should adhere to the 90/10 permanent to temporary staffing ratio for travel nurses that is considered best practice across industries.  

By Karen Wagner

 

Data Trends

Supply Chain Benchmarking Presents Oportunity for  Added Cost Savings

 

Etcetera

Member Spotlight: Packer Pride

 

Executive Interview

Ann Pumpian: Sharp Healthcare's Risk Sharing Strategy


 

Publication Date: Thursday, November 01, 2012

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