Q&A 

03_HFM_March_cover

Peter Orszag on Reducing Healthcare Spending

Peter Orszag, PhD, discusses decision support and financial incentives to reduce healthcare spending.

 

Cover Story

Next-Generation Cost Management

Hospitals can prepare for the challenges ahead and position themsleves for success by determining ways to reduce their nonlabor expenses.

By Sean Angert, Hazel Seabrook

 


Features

Finding the Sweet Spot: How to Get the Right Staffing for Variable Workloads    

A simulation tool can help hospitals uncover hidden opportunities to reduce costs by optimizing staffing in a way that best reflects demand. 

By David J. Bryce, Taylor J. Christensen

 

Provider Experiences with RAC Appeals Point to Opportunities for Program Improvement

An analysis of a set of Medicare RAC appeal decisions rendered by administrative law judges suggests ways that CMS might improve the process.

By Robert Jacobs, Bonnie Scott, Elizabeth Flood, Ellen Scott

 

The Bottom Line on Wound Care Standardization

At North Mississippi Medical Center,standardization of wound care processes and products led to improved healing rates and a $300,000 annual reduction in supply expenses.

By Patrick McNees, John A. Kueven

 

A Better Way to Measure Volume - and Benchmark Costs

Equivalent patient units is a new measure of hospital volume that improves finance leaders' ability to compare activity and costs-and identify savings potential.

By William O. Cleverley, James O. Cleverley

 

Leave No Money on the Table

Improved management of commerical health plan contracts is criticla for meeting financial targets, particularly in an era of reform.

By Jyoti Osten

 

Finance Oversight Can Avoid Millions in Supply Overpayment

Finance should take the lead in purchasing contract development by establishing fair prices up front, gaining physician buy-in, and developing a system of controls.

By Girard F. Senn, Alexander F. Senn

 

The Case of the Nursing Leadership Development

Leadership development for nurses can have a positive impact on an organization's bottom line, particularly in light of future financial challenges.

By Kathleen D. Sanford

Web Extra: Why Business and Clinical Disciplines Separated, and Why They Need to Be Reunited


Focus Areas

Cost and Quality

The Future of Supply Chain Expense Management

The last frontier for achieving supply savings in hospitals and health systems is supply utilization management.

By Robert T. Yokl


Columns 

From the Chair

Lessons From the Road

HFMA Chair Debora Kuchka-Craig relates some memorable experiences, and lessons in life, from a recent trip to Texas in which a snow storm caused a 16-hour flight delay.

By Debora Kuchka-Craig, FHFMA

 

From the President  

Costing: Good Enough Is Not Good Enough

HFMA's Value Project has found significant variation in ways hospitals measure and analyze quality and cost-the components of value-indicating significant opportunities for improvement.

By Richard L. Clarke, DHA, FHFMA

 

From the Editor

The Joy of Cost Containment

In health care, as in other industries, effective leaders are those who tackle challenges with an energy that is fueled and refueled by an enjoyment of challenge.

By Robert Fromberg, Editor-in-Chief

 

Eye on Washington

Continuing Uncertainty Dominates the Healthcare Landscape

By Gail R. Wilensky

 

Inside IT

Why Workflow Redesign Alone Is Not Enough For EHR Success

By Margret Amatayakul

 

Capital Finance

Tap Your Internal Audit Department to Support Capital Management

By Steve Womack

 

Data Trends

Medicare Claims Show Remarkable Variations by Region, Hospital Ownership, and Teaching Status

 

Etcetera

Member Spotlight: Mad About Mastiffs

The Checklist Manifesto: How to Get Things Right

 

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