November 2014 Issue of Becker's Hospital Review

 

 NOV HR Current Issue

On the Cover


  200 Hospital Benchmarks
With the shift from fee-for-service to value-based care, physicians and hospital executives have an increased interest in using comparative data as a tool to help improve quality of care. Healthcare is a data rich industry, and healthcare executives can use the comparative information to benchmark themselves against competitors as well as national leaders. Click to continue »
   
The Burdens of Benchmarking
Comparing numbers is an effective point of reference for organizations, but benchmarking comes with its fair share of caveats and problems, and pay for performance is making data comparison even more complex. Click to continue »
   

Hospital Credit Ratings: What the Shift From Inpatient to Outpatient Means for Performance Measurement
About five years ago, South Nassau Communities Hospital in Oceanside, N.Y., saw about 62 percent of its volume from the inpatient side and 38 percent on an outpatient basis. Click to continue »


Publisher’s Letter

CFO Roundtable

Health System CFOs on Their Changing Roles, Challenges and the Most Important Thing CFOs Can Do Today

Three health system CFOs from across the country weigh in on how they have met the challenges of the changing CFO role, the most important things CFOs in the healthcare industry can do today and how to overcome anticipated challenges in their field. Click to continue »


Clinical Integration & ACOs

ACOs in Pioneer Model, Shared Savings Program Improve Quality, Generate Savings
Accountable care organizations participating in the Pioneer program and Medicare Shared Savings Program reduced Medicare spending by $817 million last year, according to CMS. Click to continue »

Dr. Farzad Mostashari: Why Hospital Leaders Should Embrace One of the PPACA’s Most Promising Provisions
Not that long ago, McAllen, Texas, seemed to be the epitome of a problem that has plagued the U.S. healthcare system for years — healthcare costs were soaring, but people weren't getting any healthier. Click to continue »

More Pioneer ACOs Exit Program
Three accountable care organizations from across the country have announced they're exiting the Pioneer program, leaving only 19 of the original 32 Pioneer ACOs, according to a report by The Wall Street Journal. Click to continue »

10 ACOs Earning Largest First-Year Performance Bonuses
In 2013, which was performance year one of the Medicare Shared Savings Program, accountable care organizations with April 2012 and July 2012 start dates earned more than $300 million as their share of program savings. Click to continue »


Financial Management 

The Ultimate CFO Dashboard: Metrics to Watch to Succeed in a Shifting Healthcare Industry

On a regular basis, Kevin Brennan — executive vice president of finance and CFO of Danville, Pa.-based Geisinger Health System — monitors his system's margin, EBITDA, capital structure, liquidity, average age of plant and credit ratings, along with metrics related to operations, community benefit and strategy. "Certainly, as a financial officer, the financial matters are uppermost in my mind," he says. Click to continue »


Executive Briefing: Automated Valuations

Do Automated Valuation Tools Realize Their Value Proposition?
A staggering volume of transactions implicate the federal healthcare laws, with requirements that remuneration be consistent with fair market value. Click to continue »


Executive Briefing: Growing OR Case Volume 

Key Management Behaviors That Keep Enhancing the Value of Mature ASC Joint Ventures

The surgery center market in the U.S. is a mature one. Many surgery centers were developed in the 1980s and 1990s, and strong growth continued throughout the decade beginning in 2000. Click to continue »


Health IT

Lonely at the Top: Why CIOs Rarely Become CEOs
Currently, the CIO career path rarely leads to the corner office. Click to continue »


Executive Briefing: OR Clinical Outsourcing

Improving OR Performance With a Partner
Clinical outsourcing: It's not just for hospitalists and the ED. See how one hospital reduced LOS by 0.61 days and blood and blood component costs by $3,500 per case through outsourcing OR clinical services. Click to continue »


Leadership & Management 

Serve Locally, Govern Nationally: Board Recruitment Goes Borderless
Historically, hospital boards consisted of local community leaders around a table where presidents of local banks and owners of local businesses discussed hospital matters. Gather a large group of local leaders together — all of whom have similar vested interests — and the discussions will be, presumably, polite. Click to continue »

From the Editor’s Desk: Peter Drucker’s Brilliant 47-Year-Old Idea Could Transform Healthcare
There's a theme arising in the various conversations I've had about leadership lately: The front-line employees are the ones with the real power to transform an organization, leadership just guides them. Click to continue »

The Corner Office: Dr. Stephen Klasko of Jefferson Health System on Passion, Creativity and His “New Math”
Stephen Klasko, MD, MBA, is president and CEO of Thomas Jefferson University and Jefferson Health System in Philadelphia. A board-certified OB-GYN, Dr. Klasko is bridging the art and science of medicine and healthcare information technology through an entrepreneurial-academic model. Click to continue »

Hospital & Health System Executive Moves

Hospital & Health System Transactions

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