Q & AMarch2012_cover

Brent James, MD: Using Data to Transform Healthcare Delivery  

Brent James, MD, chief quality officer at Intermountain Healthcare, says using data-driven performance improvement grounded in shared values is "just good management."

 

 

 


Cover Story

Achieving Sustainable Cost Transformation  

Hospitals and health systems must make strategic changes to transform their cost structures in response to new-era requirements, or risk being marginalized in their markets. 

By Brian S. Channon, Ellen G. Reilly, Jason H. Sussman


Features

Finding Your Organization's Sweet Spots for Cost Management  

Three organizations share innovative approaches for improving quality while reducing costs. 

By Jeni Williams

Web Extra: Learn the role healthcare finance professionals can play in quality improvement, and view a copy of Bellin Health's project management charter.

Cutting Costs in Your Own Backyard: Opportunities in Financial Services  

CFOs should take advantage of key opportunities to achieve cost savings and performance improvement in financial services. 

By Jan van Londen, Paul Zimmerman

 

Frequent-User Patients: Reducing Costs While Making Appropriate Discharges  

Hospitals need effective policies for discharging homeless patients, who, without such policies, would likely soon return to the emergency department only to be readmitted as inpatients.  

By Henry Fader, Carolyn Phillips

Web Extra: Numerous laws and regulatory requirements have a bearing on hospitals' discharges of homeless patients.   

A Multidisciplinary Approach to Denials Prevention  

A hospital brought staff together to respond to denials and manage audits efficiently and effectively. 

By Rick Leach, Mary Daymont, Julie Roby, Linda Metro, Sandra Walter  

Web Extra: Find two sample reports for tracking audit activity

Current Trends in Hospital Mergers and Acquisitions

Healthcare reform will result in more consolidation and integration among hospitals, reversing a recent trend in which hospitals tended to stay away from such transactions. 

By Thomas Brown Jr., Krist Werling, Barton Walker, Rex Burgdorfer, J. Jordan Shields


Focus Areas

Payment

Medicare Coverage Analysis: Avoiding Compliance Pitfalls  

Determining the eligibility of a clinical study for Medicare coverage requires a detailed review to identify what can be paid by Medicare or third-party payers. 

By Alex Morillo

 

Capital Finance

Market Turbulence Creates Financing Opportunity

With GNMA securities at historically low rates, any hospital with outstanding, callable debt should consider accessing the FHA program and GNMA securities.

By James Cooper

 

Physician Relations

The Drive to Survive: Independent Medical Practice

As independent medical practices seek hospital-physician alignment, hospitals should strive to be the "hospital of choice" for those practices for their mutual survival. 

By Marc Halley

Web Extra: CFOs should ask these questions before they enter into a physician alignment agreement.


Columns

From the Chair   

Spring Cleaning

Guidelines for managing the cost of youth sports that could also serve as guidance for healthcare finance professionals in search of ways to reduce costs in their organizations.  

By Gregory Adams, FHFMA   

 

From the President

The Value ROI

The return on investment for high-value health care includes improved safety, reduced cost, and higher volume. 

By Richard L. Clarke, DHA, FHFMA

 

From the Editor

Getting Better

Key factors associated with performance improvement include motivation, preparation, and repetition. 

By Robert Fromberg, Editor-in-Chief

 

Eye on Washington

Post-Election Outlook for Providers: A Resource-Constrained Environment

It matters little who wins the White House or controls Congress after the 2012 election-healthcare providers will still face many of the same challenges they are facing today.  

By Gail Wilensky

 

Healthcare Value

Finding a Common Language for Value-Based Health Care

The transition to a value-based healthcare system will require changes in many things, not least of which is the language used to define value in health care. 

By James Landman

 

5 Ways To...

5 Ways to Provide More Connected Care

IT can faciliate communication among stakeholders and improve care coordination.

By Karen Wagner

 

Data Trends

Regional Impact of the Medicare Value-Based Purchasing Program

Etcetera

HFMA Delegation Learns Health Care-Brazilian Style

Executive Interview

Robert Shapiro: A Strategy to Meet Future Needs

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