hfm June 2015Cover Story

Charting a Path to Health System Efficiencies Following a Merger
A business plan of operational efficiencies can help a health system achieve large-scale gains in cost performance and organizational alignment following a merger or an acquisition.
By Brandon Klar, MHSA and Gregory P. Shufelt, MBA


From the President's Desk

June 2015: From the President's Desk: Reconfiguring Cost Structures   Expanding on thoughts in his June 2015 column in hfm, HFMA President and CEO Joe Fifer talks about reconfiguring cost structures.

Web Specials

To Increase Efficiency, Decode Medicare Spending Per Beneficiary 
By Dale N. Schumacher, MD, MPH, Len Felgner, Eric D. Dobkin, MD, Fern E. Nerhood, and Margaret W. Paroski, MD

Tools for Financial Engagement: Helping Patients Think Like Consumers 
By Bird Blitch

Defining BI Goals for Coordinated Care and Population Health
By Rose Rohloff


Features

Determining the ROI of Clinical Care Improvement 
Moving beyond traditional formulas for calculating clinical ROI requires a completely new outlook on technology selection and implementation. 
By Nancy J. Ham, MIBS

Building the Business Case for an Outpatient Pharmacy   
Viewing the pharmacy department as a "business within the business" puts healthcare organizations on track to create transformational change that can lead to a substantial ROI. 
By Gregory S. Burger, MS, RPh, FASHP and James A. Jorgenson, MS, RPh, FASHP

Using Perioperative Analysis to Reduce Costs and Optimize Performance in the OR     
Hospitals can reduce costs and enhance the quality of care in their operating rooms by using data analytics to monitor performance, identify improvement opportunities, alter processes, and measure the efficacy of changes. 
By Doug Rempfer

Preparing for Bundled Payments in Health Care
With bundled payments set to become a more significant factor in health care, providers should take steps to optimize their readiness in several key areas.
By Cynthia Ambres and Mark Jamilkowski


Special Feature

Chair Profile: New Collaborations, Boundless Opportunities
For Melinda S. Hancock, FHFMA, CPA, MBA, the state of health care today, and its evolution tomorrow, might be aptly summarized in the words of Sir Arthur C. Clarke: “The limits of the possible can only be defined by going beyond them into the impossible.”
By Daniel R. Verdon


Publication Advertising

Business Profiles
Readying for Health Care Today and Tomorrow      
Sponsored by KPMG

Ad Index


Supplements

HFMA Educational Report
Cross-Department Strategies to Elevate Documentation and Coding Performance      
Sponsored by Optum 360


Focus Areas

Cost and Quality
Beyond Surgical Call Coverage: Reaping the Benefits of a Surgical Hospitalist
A surgical hospitalist program can address issues with surgical call coverage and help organizations prepare for value-based payment.
By Richard Soohoo and Leon J. Owens

Accounting
Using an Allocation to Control Retained Professional Liability and Workers’ Comp Insurance Costs
A properly designed allocation can help hospital finance leaders control costs and maintain appropriate budgets regarding professional liability and workers’ compensation self-insurance or large-deductible programs.
By Richard C. Frese


Columns

From the Chair
Going Beyond: Building Success in a Changing Healthcare Economy      
As the healthcare industry continues to evolve, we’re all being asked to go beyond the boundaries of our traditional roles and responsibilities. 
By Melinda Hancock

From the President
Healthcare Cost Structure: Reconfiguration ? Reduction
Hospitals and health systems are reconfiguring their cost structures, a process which presents a two-fold challenge. 
By Joseph J. Fifer, FHFMA, CPA

From the Editor
Collaboration: Let's Build the Bridges to Improve Health Care      
To survive in the nation’s changing healthcare environment,  provider organizations require effective collaboration between finance and clinical departments. 
By Daniel R. Verdon

Eye on Washington
CMMI's Oncology Care Model: New Model, New Twist
The second specialty care model instituted by the Center for Medicare and Medicaid Innovation (CMMI) emphasizes multipayer collaboration.
By Chad Mulvany

Integration
7 Ways to Improve the Performance of an Integrated Care Network
There are many types of integrated delivery networks, but all share a common journey in striving to improve financial performance. 
By Keith D. Moore and Dean C. Coddington

Healthcare Reform
Characteristics of Successful 'Super ACOs'
The authors have identified over 30 Super ACOs nationally, comprising more than 150 different health systems and almost 800 hospitals. 
By David G. Anderson and Dudley E. Morris

Capital Finance
Confronting Reluctance to Seek a Strategic Partner
Independent hospitals in need of help should understand the obstacles that impair their ability to seek partnerships with other organizations.
By Julian R. Head

Q&A
Rebecca Fox: Data Help Fuel Physician Buy-In of Performance Improvement Initiatives
Rebecca Fox, MD, describes the approaches finance leaders should use to engage clinicians in performance improvement initiatives.   

Data Trends
Hospitals May See Costs Rise As Self-Pay Patients Obtain HMO Coverage 
As the number of uninsured decreases with the implementation of the Affordable Care Act, hospitals should monitor how newly insured admissions are paid for and the financial impact of the new coverages.

Publication Date: Monday, June 01, 2015