Cover Story


Affliliation Options for Independents

Independent hospitals and medical groups under pressure to consolidate with larger providers should consider as an alternative affiliating with a partner that exhibits complementary strengths.

By John Fink, Gary Edmiston

hfm Q & A

Jonathan Perlin, MD: Assessing the ROI of EHRs

Jonathan Perlin, MD, shares his perspective on the genesis of a standard model for assessing the ROI of EHRs and how the model might benefit providers and other healthcare stakeholders.

Web Extra: Read more of hfm's interview with Jonathan Perlin

From the President's Desk

From the President's Desk


HFMA President and CEO Joe Fifer shares his thoughts and expands on the ideas in his November hfm column.



How Rolling Forecasting Facilitates Dynamic, Agile Planning

Rolling forecasting is an alternative to the annual budgeting process that allows organizations to make more accurate operating projections and respond to changes with with greater agility.

By Debra Miller, Michael Allen, Stephanie Schnittger, Theresa Hackman


Data Key to Quest for Quality

Three health systems used a form of data warehousing unique to health care to gain greater insight into clinical workflows and improve performance.

By Florence S. Chang, Charles Macias,  Jon Nielsen


Elevating the Role of Finance at Mary Lanning Healthcare

By transforming budgeting and performance monitoring through strategic partnerships between finance and operations, a hospital enhanced productivity, reduced labor costs, and improved its bottom line.

By Amanda Hoffman, Jay Spence


SEC Actions Compel New Focus on Disclosure

Healthcare organizations should take a lesson from recent SEC actions, involving increased scrutiny of disclosures related to municipal securities, and establish effective disclosure programs.

By Heidi H. Jeffery, David Y. Bannard

Special Advertising Section

Keys to Energy Sustainability in Hospitals

Gain insight on how hospitals are finding new ways to conserve energy—and the bottom line over the long term—by upgrading facilities technology, incorporating multiple sources of energy, and even leveraging renewable sources right in their own backyards.

Focus Areas


Managing "Tail Liability"

As hospitals seek to more fully integrate with their physicians, they should also consider the costs of malpractice insurance associated with increased liability exposure.

By Richard Frese, Ryan Weber

Web Extra: Learn more about the history of claims-made coverage as well as the effects of switching from occurrence coverage to claims-made coverage for one organization. 



Achieving Clinical Integration

When developing a clinically integrated network, providers should embrace progress, not perfection; manage the development process in reverse; and afford physician leaders an oversight role.

By John Redding

Web Extra: Read this web extra to Achieving Clinical Integration by John Redding


From the Chair

Staying Competitive in the New Environment

One important way hospitals and health systems can stay competitive in healthcare environment is to work toward better integration of physicians and care delivery.

By Steven P. Rose, FHFMA, CPA


From the President

Dare I Be Encouraged?

There is reason for optimism that the healthcare industry has the potential to move to a climate that is positive and focused on solutions.

By Joseph J. Fifer, FHMA, CPA


From the Editor

The Art of Making Progress

Maintaining momentum is critical when embarking on big changes in health care; an article in the November hfm has two out-of-the-ordinary tips for how to do that.

By Robert Fromberg, Editor-in-Chief


Eye on Washington

A Bumpier Roll-Out Than Expected

The roll-out of the health insurance marketplaces in October was not exactly the auspicious start for this important provision of the Affordable Care Act that many had hoped for.

By Gail R. Wilensky


Healthcare Value

The Structure of Value

Sessions at HFMA’s Thought Leadership Retreat showed how providers across the care continuum are collaborating to enhance value through improved administrative efficiencies and well-coordinated care.

By James H. Landman


Healthcare Reform

Using Shared Decision-Making to Improve Healthcare Value

Developing incentives for providers, patients, and insurers to use shared decision-making will help move the United States toward a value-based healthcare system.

By William B. Weeks


Capital Finance

Using Real Estate to Hedge Against Interest Rate Risk

As hospital and health system leaders address new levels of uncertainty in capital planning, the monetization of real estate assets can be a key strategy for hedging against interest rate risk.

By Jeffrey H. Cooper, Jeffrey D. Corkhill


5 Ways To...

5 Ways to Support an Integrated System

At HFMA’s Thought Leadership Retreat this past October, leaders from recently merged and affiliated systems shared five keys to success.

By Jeni Williams


Data Trends

Effects of a Flat Facility Fee for ED Visits


Member Spotlight: Horse Sensitivity

Publication Date: Friday, November 01, 2013