11 Most Pressing Issues for Hospital CEOs

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The American College of Healthcare Executives asked CEOs to rank the following issues that confronted their organizations in 2012 in order of concern, with the lowest numbers reflecting the highest concerns. Rankings are based on responses from 472 CEOs from community hospitals, i.e. non-federal, non-specialty and short-term facilities.

Financial challenges held the number one spot, just as it has for the past nine years. For the first time, healthcare reform implementation dropped to third since it was introduced to the survey in 2009. Years prior, it was ranked as the number two concern. Personnel shortages saw the largest increase among CEOs' concerns from last year, even though the issue still ranked 10th out of the 11 issues.

1. Financial challenges
2012: 2.5
2011: 2.5

2. Patient safety and quality
2012: 4.4
2011: 4.6

3. Healthcare reform implementation
2012: 4.7
2011: 4.5

4. Governmental mandates
2012: 5.0
2011: 4.6

5. Care for the uninsured
2012: 5.6
2011: 5.2

6. Patient satisfaction
2012: 5.6
2011: 5.6

7. Physician-hospital relations
2012: 5.8
2011: 5.3

8. Technology
2012: 7.6
2011: 7.2

9. Population health management
2012: 7.9
2011: N/A

10. Personnel shortages
2012: 8.0
2011: 7.4

11. Creating an accountable care organization
2012: 8.6
2011: 8.4

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