May 2017 Issue of Becker's Hospital Review

May 2017 Issue of Becker's Hospital Review

May HR Cover

On the Cover

100 Great Hospitals in America | 2017
Becker's Hospital Review is pleased to release the 2017 edition of its list of "100 great hospitals in America." Click here to continue.

Executive Briefings in this Issue

Interdisciplinary Rounds: The Key to Redesigning Care for Value

Challenged by Surface Compatibility? Don't Compromise: Disinfectant Innovations Eliminate the Need for Tradeoffs 

Making Prevention the Priority — How to Boost Adult Immunization Rates 

Controlling Avoidable Utilization: How to Use Clinical Evidence and Data to Improve Care 

Anatomy of a Post-Acute Care Partnership: A Guide to Finding the Right Partner and Forming a Successful Joint Venture


5 States With the Most Rural Hospital Closures
Of the 25 states that have seen at least one rural hospital close since 2010, those with the most closures are in the South, according to research from the North Carolina Rural Health Research Program. Click here to continue.

Arizona Hospital Falls Into Bankruptcy Less Than 2 Years After Opening 
Green Valley (Ariz.) Hospital is filing for Chapter 11 bankruptcy less than two years after it opened. Click here to continue.

Mount Sinai Hospital's Operating Income Jumps 52% 
New York City-based Mount Sinai Hospital's operating income increased in 2016 on higher patient volume. Click here to continue.

Key West Commissioner: CHS Hospital’s Profit Margin 'Obscene and Unconscionable' 
Key West, Fla., commissioners are concerned about the high prices patients face at Lower Keys Medical Center in Key West, which is part of Franklin, Tenn.-based Community Health Systems. Click here to continue.

Inova’s Operating Income Plunges 92% as Investment Gains Boost Bottom Line 
Inova Health's operating income plummeted in 2016 due to special charges, but the Falls Church, Va.-based system ended the year with higher net income than in 2015 after factoring in investment gains. Click here to continue.

8 Pieces of Advice on Improving Claim Collection Rates 
With the rise of high-deductible health plans and pressure on reimbursement rates, many hospitals and health systems are trying to improve collection rates to maintain or boost their financial performance. Click here to continue.

Uninsured Accounts Pay About 6% on the Dollar, Analysis Finds 
The more patients owe in out-of-pocket costs, the less likely hospitals are to collect their payment, according to an analysis by Crowe Horwath. Click here to continue.

Minnesota ‘Underdog’ Hospital System Mocks ‘Bad Billing’ in Branding Campaign 
Who doesn't love receiving unexpected medical bills? North Memorial Health Care in Robbinsdale, Minn., mixes a healthy dose of sarcasm and dry humor in its new tongue-in-cheek branding campaign debuting Tuesday, Minneapolis/St. Paul Business Journal reports. Click here to continue.

Quorum Health Continues Divestiture Spree With Sale of Alabama Hospital 
Brentwood, Tenn.-based Quorum Health Corp. has sold 60-bed Cherokee Medical Center in Centre, Ala., to NNZ Holdings in Sunrise, Fla. Click here to continue.

SSM Health’s Operating Income Tumbles After Acquisition 
SSM Health, a nonprofit 20-hospital system based in St. Louis, saw revenue increase in 2016, but higher expenses due to the acquisition of Saint Louis University Hospital dragged down SSM's operating income. Click here to continue.

Study: Chargemaster Prices Have ‘Limited Relationship’ to Hospital Quality at Best 
A study in Health Affairs found although hospitals' chargemasters may reflect strategic business decisions, they do not have a significant relationship with quality of care provided. Click here to continue.

10 Largest US Health Systems Ranked by 2016 Revenue Change 
Nine out of the 10 largest health systems in the U.S. reported revenue increases from 2015 to 2016. LifePoint Health reported the largest increase at 22 percent and Community Health Systems was the only system in the top 10 to report a decrease. Click here to continue.

7 Things to Know About Medical Coding, Billing Specialists 
Medical coding and billing specialists are an integral part of hospitals' and health systems' efforts to optimize revenue cycle management processes. Click here to continue.

CMS Releases Final Rule on Medicaid DSH Calculation: 4 Things to Know 
CMS issued a final rule March 30 addressing how Medicare and other third-party payments are treated when calculating hospitals' Medicaid Disproportionate Share Hospital payments. Click here to continue.

Study: 20% of Americans Try to Compare Costs Prior to Care 
Amid the rising popularity of high-deductible health plans, healthcare consumers are searching for cost information before receiving care. Click here to continue.

Nebraska Hospital to Send 2 Types of Invoices to Address Patients’ Billing Concerns 
Hebron, Neb.-based Thayer County Health Services altered its billing system to send patients two types of statements — one "regular" and one "detailed" — in an attempt to alleviate patients' billing concerns, The Hebron Journal Register reports. Click here to continue.

Global Healthcare RCM Market Projected to Surpass $100B by 2024 
A new research study projects the global healthcare revenue cycle management market will exceed $100 billion by 2024. Click here to continue.

$1M Infusion Allows California Hospital to Avoid Closure — For Now 
Sebastopol, Calif.-based Sonoma West Medical Center was able to keep its doors open due to a last-minute $1 million infusion from Durall Capital Holdings, a Sunrise, Fla.-based hospital and laboratory operator. Click here to continue.

Partners HealthCare to Shutter Union Hospital in 2019 
North Shore Medical Center in Salem, Mass., which includes two campuses and is part of Boston-based Partners HealthCare, plans to close Union Hospital in Lynn, Mass., in October 2019, NSMC confirmed Friday. Click here to continue.

S&P: ACA Markets Likely to Stabilize This Year 
Standard & Poor's Financial Services predicts health insurers selling plans on the ACA individual market will be close, on average, to breaking even this year, if lawmakers don't significantly change the individual market. Click here to continue.

Louisiana Long-Term Care Hospital to Close by June 3 
Ruston-based LifeCare Specialty Hospital of North Louisiana will shutter its facility and terminate all employees by June 3, according to KSLA-12 News. Click here to continue.

Hospital Stocks Drop as GOP Tries to Revive ACA Replacement Bill 
Major for-profit hospital operators saw their share prices sink on Tuesday as Republican leaders sought to revive the ACA replacement bill. Click here to continue.

Fitch: Political Uncertainty Doesn’t Change Long-Term Outlook for Healthcare 
Fitch Ratings said it maintains a stable outlook and sector rating for healthcare, even as the current political climate generates uncertainty. Click here to continue.

Bankrupt Arizona Hospital Discloses Debts Owed to 34 ‘Critical Vendors’ 
Green Valley (Ariz.) Hospital filed for Chapter 11 bankruptcy April 3. In its bankruptcy documents the hospital says it was "poorly managed" and "undercapitalized" since it opened less than two years ago, according to the Green Valley News. Click here to continue.

Virginia Lawmakers Vote Down Proposed Medicaid Expansion 
The Virginia House of Delegates rejected expanding the state's Medicaid program under the ACA Wednesday, according to Richmond Times-Dispatch. Click here to continue.

Study: Hospitals in Medicaid Expansion States Saw Average Revenue Increase of $5M Through 2015 
With the ACA still intact — for now — the 19 states that have not expanded Medicaid under the law have the option to do so, a decision with important implications for hospitals, according to a report from the Robert Wood Johnson Foundation and the Urban Institute. Click here to continue.

Seema Verma Won’t Weigh in on Kentucky Medicaid Decision Due to Conflict of Interest 
CMS Administrator Seema Verma will recuse herself from an agency decision on whether Kentucky can add a work requirement to its Medicaid expansion, reports Kaiser Health News. Click here to continue.

CMS Finalizes 2018 Medicare Advantage, Part D Rates: 4 Things to Know 
CMS finalized a 0.45 percent rate increase for the Medicare Advantage and Part D programs in 2018. Click here to continue.

Setting Lower List prices — A First for Pharma? 
Several major drugmakers have thrown a wrench into the typical drug pricing system this week by setting lower than normal prices for two newly-approved drugs, reports Bloomberg. Click here to continue.

Hospitals Often Exceed Budget for Equipment Costs in Q2 
When buying new equipment, hospitals seek to balance improved care quality with the financial implications of the purchase, according to a new report from Chicago-based OpenMarkets. Click here to continue.

Closure of US Retailers Hits Record Pace: Why Hospital Leaders May Want to Take Note 
The financial peril many U.S. retailers have faced in recent years has led to thousands of closures and created numerous vacancies in shopping malls across the country, and Bloomberg forecasts the industry's future is bleak. Click here to continue.

FTC Will Continue to ‘Aggressively Enforce’ Antitrust Law, Challenge Hospital Mergers Under Trump 
Analysts expect the Federal Trade Commission's campaign to challenge some hospital mergers on competitive grounds will continue under the Trump administration, according to Bloomberg. Click here to continue.

5 Guidelines for Small Urgent Care Centers to Follow When Negotiating Terms
As the healthcare ecosystem becomes increasingly consolidated, small urgent care centers must prepare for new transaction opportunities. Click here to continue.


16 Phrases CEOs Never Want to Hear 
Honesty and candor are traits CEOs usually appreciate in their colleagues and staff. However, some things are better left unsaid. Click here to continue.

CEOs Pursue More Acquisitions When They Don’t Win Awards 
When CEOs lose out on awards from business media outlets, they up their game by seeking out more and/or larger acquisitions, according to a recent study featured by Harvard Business Review. Click here to continue.

Trend: Making the CEO Part of Your Hospital’s Brand 
Your hospital or health system may have a potent branding tool sitting in the C-suite right now. Click here to continue.

11 Health System CEOs Name Their Greatest Talent Outside of the C-suite 
Hospital and health system CEOs are charged with a myriad of responsibilities, many of which keep them tied to their desks and phones throughout the day. Click here to continue.

Why Healthcare Needs Inspirational Leaders and How to Become One 
"If it's to be, it's up to me." Click here to continue.

Automation Slashes 220 Jobs at Express Scripts 
Express Scripts, a St. Louis-based pharmacy benefits manager, will lay off 220 workers when it closes its office in Trevose, Pa., according to The Philadelphia Inquirer. Click here to continue.

7 Healthcare Professionals on Mayo Clinic’s Private Insurance Prioritization Policy 
A video surfaced last week of Mayo Clinic CEO John Noseworthy, MD, giving a speech in 2016 in which he said the system would prioritize patients with private insurance over those with Medicare or Medicaid in non-emergent cases, but the health system would continue to take all patients regardless of insurance source. Click here to continue.

5 Things to Know Before Becoming a Healthcare Consultant 
Considering a switch from industry to consulting? Click here to continue.

10 Thoughts on Hospitals and Health Systems in 2017 
The following are 10 thoughts on hospitals and health systems so far in 2017. Click here to continue.

5 Takeaways from the Demise of the AHCA 
President Donald Trump's decision last Friday to scrap the American Health Care Act ahead of a House vote sent some Republican lawmakers reeling, while Democrats celebrated the survival of the ACA. Click here to continue.

What Kaiser Permanente CEO Bernard Tyson Learned as a Patient in His Own Hospital 
When Bernard Tyson, chairman and CEO of Oakland, Calif.-based Kaiser Permanente, knew something didn't feel right, he called his cardiologist immediately and went straight to the emergency room. Click here to continue.

4 Symptoms of Strategic Inertia 
"Innovation" is a favorite buzzword across all industries. Despite attempts to integrate innovation efforts into strategy, companies often find themselves in a state of strategic inertia, or an innovation plateau, according to an article in the Harvard Business Review. Click here to continue.

Trios Health Cuts 95 FTEs to Improve Finances 
Kennewick, Wash.-based Trios Health, part of the Kennewick Public Hospital District, is reducing its workforce through various measures, including layoffs, according to a Tri-City Herald report. Click here to continue.

5 Biggest Concerns for Health System Executives in 2017 
A new set of concerns has emerged among hospital and health system executives, according to The Advisory Board Company's latest Annual Health Care CEO Survey. Click here to continue.

PeaceHealth Revises Number of Job Cuts in Oregon to 271 
Vancouver, Wash.-based PeaceHealth will cut 271 positions in Oregon, up from the 186 it initially anticipated, reports The Register-Guard. Click here to continue.

Hackensack Meridian Health Unveils New Brand 
Less than a year after it formed via a merger, Hackensack Meridian Health in Edison, N.J., launched a new brand, logo and tagline — "Life Years Ahead" — on Wednesday. Click here to continue.

Can a Massive Hospital Learn From a Lean Startup? 
Have you recently asked your executive team to become more innovative, consumer-centric and agile, only to be met with uncomprehending stares? The "lean startup" methodology may be a way to rally the troops. Click here to continue.

3 Ways MACRA Will Change Health Systems 
Implementation of the Medicare Access and CHIP Reauthorization Act not only marks a new era in provider reimbursement, but it also will likely lead to significant shifts within the overall healthcare system, according to a recent whitepaper from Leavitt Partners, a Salt Lake City-based healthcare intelligence firm. Click here to continue.

Hospital Industry’s HighestPaid CEO Made More Than $51M in 2016 
King of Prussia, Pa.-based Universal Health Services Chairman and CEO Alan Miller made more than $51.3 million last year, according to the company's annual proxy filing with the Securities and Exchange Commission. Click here to continue.

Poll: 75% of Americans Say Trump Should Try to Make the ACA Work
A vast majority of Americans believe President Donald Trump and his administration should try to make the ACA work, according to the latest Kaiser Health Tracking Poll. Click here to continue.

CIO/Health IT

9 Types of Malware That Should Be on a Hospital’s Radar
There are nine types of malware frequently delivered to healthcare organizations, according to a Workgroup for Electronic Data Interchange report. Click here to continue.

NC Officials Mistakenly Send Information for 1.2k Patients to Media Outlets 
Mecklenburg County, N.C., officials accidentally sent HIPAA-protected information to two media outlets on March 27, impacting at least 1,200 patients, WSOC-TV reports. Click here to continue.

A Popular Ransomware Family Now Evades AI Detection
Cerber — the most commonly deployed ransomware family — found a new technique to conceal itself, according to an analysis by the security vendor Trend Micro. Click here to continue.

Report: Compromised Health Data Records Drop 75% in 1 Year 
The healthcare industry accounted for 28 percent of data breaches in 2016, however, the number of comprised health data records dropped from 2015 to 2016, according to Gemalto's Breach Level Index. Click here to continue.

Philadelphia Physician Accused of Hacking Female Classmates’ Devices 
A former Philadelphia physician was charged with identity theft and invasion of privacy for allegedly hacking into the cell phones, email and social media accounts of former Delran (N.J.) High School classmates, reports. Click here to continue.

4 Trends Driving Telehealth 
The Advisory Board, a Washington, D.C.-based healthcare best practices firm, highlighted four main trends in telehealth in a new report. Click here to continue.

4 Questions With Rush CIO Dr. Shafiq Rab 
Dr. Shafiq Rab, CIO of Rush University Medical Center in Chicago, uses his background in public health to inform his IT vision. Click here to continue.

Penn Medicine Sets Sights on Yelp, Twitter Data to Drive Better Patient Care 
Seven in every 10 Americans use social media, according to a 2017 report out of the Pew Research Center. Click here to continue.

44% of Physicians Think Telehealth Programs Are ‘Poor’ or ‘Very Poor’ 
Only 15 percent of U.S. physicians believe their state has done a good job adopting telehealth strategies, according to a SERMO survey. Click here to continue.

30 Answers to 1 Question: What Should CIOs Cut From Their IT Budget Tonight? 
CIOs can't always control how big their IT budget is, so what can they cut when everything seems important? Click here to continue.

41% of Intel’s New US VPs Are Women, Minorities 
Intel boasted 45.1 percent diverse hiring in 2016, a benchmark it is committed to surpassing in 2017, according to a blog post by Danielle Brown, Intel's vice president of human resources and chief diversity and inclusion officer. Click here to continue.

Rural Hospitals Save $81k Per Year with Telemedicine 
Telemedicine may help rural hospitals limit spending and stimulate revenue, according to a report from NTCA-The Rural Broadband Association. Click here to continue.

HIEs Have ‘Reached the Limits of Their Effectiveness,’ Says Chilmark 
Application programming interfaces will solve the healthcare industry's issues with data interoperability, according to a Chilmark Research report. Click here to continue.

CMS 10 Innovative Hospital Programs 
Cambridge, Mass.-based Abt Associates completed its final evaluation of the 10 projects that won hospital-based Health Care Innovation Awards from CMS. Click here to continue.

Medical Specialties Ranked by EHR Use 
Across medical specialties, physicians report an 86.9 percent EHR adoption rate, according to a report from the CDC's National Center for Health Statistics. Click here to continue.

Study: Physicians Spend 50% of Their Day on ‘Desktop Medicine’
A study in Health Affairs investigated how physicians split their time between patient visits and computer tasks. Click here to continue.

AI in Healthcare: 6 Health IT Executives on What to Expect Over the Next 20 Years 
Artificial intelligence is gaining ground in healthcare. In 2012, there were fewer than 20 artificial intelligence startups focused on healthcare; last year there were almost 70, according to CB Insights. Click here to continue.

23andMe to Offer At-Home Genetic Tests for 10 Diseases 
The Food and Drug Administration on Thursday approved 23andMe's home DNA tests consumers can use to assess their genetic risk for various diseases, reports The New York Times. Click here to continue.

Cleveland Clinic Creates Venture Arm to Maximize Results of Spinoff Companies
Cleveland Clinic has created a new entity to collaborate with Cleveland Clinic Innovations to help build its pipeline of startups into successful, sustainable companies. Click here to continue.

No. 1 Cost of Ransomware Attack is Downtime, Survey Finds 
Security professionals share four main concerns about ransomware, according to an Imperva report. Click here to continue.

4 Notes on Using Blockchain for Healthcare Data 
In an analysis titled Blockchain: Opportunities for health care, Deloitte details how blockchain can be used to revolutionize health information exchange. Click here to continue.

HHS mum on top ONC appointment: 5 things to know 
Since Friday, the health IT world has been buzzing with news that Donald Rucker, MD, may be the new national coordinator for health IT. Click here to continue.

Is Google Parent Alphabet Pivoting Toward Healthcare? 3 Notes 
Alphabet, Google's parent company, is increasingly hiring from and investing in the biotechnology, healthcare and life sciences, according to Click here to continue.

Healthcare Ransomware Attacks to Jump 4-fold by 2020: 5 Findings 
The healthcare security market is projected to soar over the next five years, according to report by Herjavec Group, a Toronto, Canada-based information security firm. Click here to continue.

2 Types of Hospitals With the Highest Risk of Data Breaches 
Teaching hospitals and facilities with high bed counts are most at risk for breaches, according to new research published in JAMA Internal Medicine. Click here to continue.

Pomona Valley Hospital Medical Center to Implement Cerner’s EHR Platform
Pomona (Calif.) Valley Hospital Medical Center will implement North Kansas City, Mo.-based Cerner's Millennium EHR platform across all facilities. Click here to continue.

Epic Pranks Internet With Tinder-Style App 
Epic restructured its homepage on Saturday to advertise a new product: Epic TinDr. Click here to continue.

DOD Reveals Cerner Implementation Timeline 
During a Senate appropriations subcommittee hearing on March 29, the U.S. Department of Defense presented an updated timeline for its Cerner implementation rollout. Click here to continue.

Appalachian Regional Healthcare to Implement Meditech EHR
Appalachian Regional Healthcare will adopt Meditech's Web EHR later this year. Click here to continue.

CMO/Care Delivery

CMS Investigation Into SC Hospital Prompted by Restrained Patient’s Death 
Greenville (S.C.) Memorial Hospital, part of Greenville Health System, will lose its Medicare contract next month unless it corrects deficiencies identified in a CMS survey that was conducted after a patient who was strapped to a gurney died of traumatic asphyxiation. Click here to continue.

Man Arrested for Impersonating a Nurse Practitioner at California Medical Clinic 
A 39-year-old man with no medical training was arrested and charged with identity theft and practicing without a license after posing as a nurse practitioner at a medical clinic in San Francisco. Click here to continue.

2 Patient Suicides in 8 Days Reported at Montefiore Medical Center 
Two patients at Montefiore Medical Center in Bronx, N.Y., killed themselves in the span of eight days, according to the New York Daily News. Click here to continue.

51 Hospitals With the Lowest Heart Attack Readmission Rates 
The following is a list of hospitals with the lowest 30-day readmission rates from heart attacks, according to data from CMS. Click here to continue.

Sepsis Drug Shortage Linked to Increase in Patient Deaths 
Septic shock patients treated at a hospital with an insufficient supply of the drug norepinephrine were more likely to die than those treated at a hospital not experiencing the effects of the 2011 norepinephrine drug shortage, according to a study published in the Journal of the American Medical Association. Click here to continue.

Jury Sides With Heart Surgeon in $6.4M Defamation Lawsuit Against Memorial Hermann 
A Texas jury found Houston-based Memorial Hermann Health System guilty of gaming its own peer-review process for financial gain, according to a report in the Houston Chronicle. Click here to continue.

Hospitals Are Getting Physician Burnout and Engagement All Wrong — Here’s Why 
Physician burnout poses a threat to clinicians' well-being, patient care and the hospital bottom line — and it's on the rise. Click here to continue.

Summa Health Stripped of Emergency Residency Program Accreditation After Appeal Denied 
Akron, Ohio-based Summa Health System's emergency residency program lost accreditation after its appeal was denied by the Accreditation Council on Graduate Medical Education, according to a report from the Akron Beacon Journal. Click here to continue.

Study: Lean Primary Care Model Increased Physician Productivity By 5% 
Implementation of a Lean primary care model can lead to decreased operating costs, as well as better physician productivity and patient satisfaction, according to a study published in American Journal of Managed Care. Click here to continue.

WHO Launches International Effort to Reduce Medication Errors 
The World Health Organization launched the Global Patient Safety Challenge on Medication Safety — an international effort aimed at reducing harmful medication errors around the globe by 50 percent in the next five years — on Wednesday. Click here to continue.

10 Best and Worst States for Physicians 
Most of the worst states for physicians are in the Northeast, according to an analysis by WalletHub. Click here to continue.

Leapfrog Safety Grades Penalize Hospitals for Transparency, Study Suggests 
After analyzing The Leapfrog Group's Hospital Safety Grade system, researchers from Ann Arbor-based University of Michigan determined hospitals may receive higher grades if they don't self-report certain scores to the patient safety watchdog group. Click here to continue.

Can a Simple Congratulatory Text Message Up Hand Hygiene Compliance? 
Text messaging via smartphones can help increase hand hygiene compliance among healthcare workers, a study published in the American Journal of Infection Control found. Click here to continue.

7 Statistics on NP, PA Job Satisfaction & Salary 
Nurse practitioners and physician assistants both report high job satisfaction and growing salaries, according to a recent survey from PracticeMatch. Click here to continue.

AMA: 92% of Millennial Physicians Cite Work-Life Balance as a Priority 
Fifty-six percent of millennial physicians providing at least 20 hours per week of patient care said they were unhappy with the current state of medicine, according to a survey conducted by the American Medical Association. Click here to continue.

6-Year-Old Loses Leg After Strep Throat Complication 
Physicians at Akron (Ohio) Children's Hospital were forced to amputate the leg of a six-year-old girl suffering from a rare complication linked to strep throat, according to a report from NBC4. Click here to continue.

Patient Wait Times Increased 30% Since 2014: 5 Findings 
The time patients wait to schedule a physician appointment has reached its highest point in more than 10 years, according to a Merritt Hawkins report. Click here to continue.

Which Specialties Plan to Participate in MACRA in 2017?
About 43 percent of physicians said they expected to participate in the Medicare Access and CHIP Reauthorization Act in an annual Medscape survey. Click here to continue.

88% of Second Opinions From Mayo Physicians Result in Different or Refined Diagnosis 
A number of patients referred to Rochester, Minn.-based Mayo Clinic for a diagnosis confirmation or second opinion found they were initially misdiagnosed, according to a study published in the Journal of Evaluation in Clinical Practice. Click here to continue.

Significant Pay Gaps Persist Among Minority, Female Physicians
Average physician compensation in 2016 was $294,000 — but average pay for female physicians and all minority physicians fall below that benchmark, according to Medscape's 2017 Physician Compensation Report. Click here to continue.

Maryland Hospital NICU Reopens 4 Months After Investigation into Bacteria Outbreak 
The neonatal intensive care unit at Prince George's Hospital Center in Cheverly, Md., reopened Monday, four months after federal investigators started looking into how a potentially deadly bacteria entered the unit. Click here to continue.

5 Things to Know About Specialist, Primary Care Pay in 2016 
Physician pay has increased for the seventh year in a row to an average annual compensation of $294,000 for full-time physicians in 2016, according to Medscape's 2017 Physician Compensation Report, which has tracked pay data for seven years. Click here to continue.

Surprise State Inspection Finds Linen Storage Issue at UPMC Shadyside
UPMC Shadyside in Pittsburgh did not store clean and soiled linen according to proper standards, according to the findings of an unannounced inspection conducted by the Pennsylvania Department of Health. Click here to continue.

7 Ways Hospital Design May Affect C-Section Rates 
The physical design of a hospital's birthing unit may affect its Cesarean section rate, according to a new paper published by Ariadne Labs and MASS Design Group. Click here to continue.

Icahn School of Medicine Works to Change its Academic Culture Following Dean’s Letter on Student’s Suicide 
Officials at New York City-based Icahn School of Medicine at Mount Sinai are on a mission to change the academic and behavioral cultures at the medical school following the death of a fourth-year medical student last fall, according to The Wall Street Journal. Click here to continue.

Almost Half of Physicians in Shared Savings ACOs Aren’t Aware of Their Downside Risk 
Nearly 50 percent of physicians participating in Medicare Shared Savings Program ACOs could be losing money without knowing it, according to a survey published in Health Affairs. Click here to continue.

Nurse Practitioner Scope of Practice Laws in All 50 States & DC 
As of 2016, there were more than 222,000 nurse practitioners licensed in the United States, according to the American Association of Nurse Practitioners' National Nurse Practitioner Database. Click here to continue.

Hospitals ‘Rushing’ to Obtain Accelerated Visas for Foreign Medical Students
Some of the 3,814 non-U.S. citizens who graduated from foreign medical schools and were accepted into U.S. residency programs may face delays starting their rotations after the suspension of a government program allowing U.S. employers the opportunity to fast-track visa applications took effect Monday, according to STAT. Click here to continue.

Thought Leadership

Hackensack Meridian Health Co-CEO Robert Garrett: Hospitals Should ‘Take the Lead’ on Healthcare Reform 
With recent events in Washington, D.C., it is unclear what the future holds for healthcare. Click here to continue.

5 Reflections on Next Generation Leadership with Carolinas HealthCare System’s Chief of Staff Debra Plousha Moore 
A new class of leaders is set to succeed their baby boomer predecessors, and these up-and-comers will manage a very different type of health system due to the rapid development of new ideas, policies and technologies, according to Debra Plousha Moore, system chief of staff and executive vice president at Charlotte, N.C.-based Carolinas HealthCare System. Click here to continue.

4 questions with The Johns Hopkins Hospital President Dr. Redonda Miller 
Redonda Miller, MD, MBA, has served as president of Baltimore-based The Johns Hopkins Hospital since July 1, 2016. Click here to continue.

Collaboration and Value Are Keys to Reimagining Care 
In the United States, healthcare leaders and providers recognize that a gap still exists between the promise of consistently delivered personalized, coordinated care and the current patient experience. Click here to continue.

ACA Repeal, Change Management and Leading Through Uncertainty: 5 Questions With Dr. Richard Afable, President & CEO of St. Joseph Hoag Health 
The only consistent thing about the healthcare industry today is that change is constant. Click here to continue.

Andy Slavitt: Hospital CEOs Must Leave the Sidelines, Join Conversation on Health Reform 
After two years as CMS acting administrator, Andy Slavitt plans to spend his newfound time helping collaboration between lawmakers on the Hill and healthcare providers in the private sector. Click here to continue.

4 Questions With Dignity Health CEO Lloyd Dean 
Lloyd Dean currently serves as president and CEO of San Francisco-based Dignity Health. Click here to continue.

The Health Reform Debate is About Conflicting Ideologies: Leaders, Don’t Let That Deter Your Strategy 
The debate over the future of health reform has been contentious, tumultuous and exhausting to keep up with. Click here to continue.

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