Covid-19: A prediction challenge like no other Covid-19 will challenge hospital leaders in many ways. But no one expected that a key challenge would be in a basic skill every hospital administrator mastered early in their career – estimating volume. Hospital leaders are accustomed to estimating volume. They do it all the time – for […]
Ambulatory care has grown dramatically in recent years, and all signs point to continued growth. In 2017 (the most recent year for which data is available), net outpatient service revenue equaled 95% of net inpatient revenue, an increase from 83% in 2013.[1] Clearly every hospital and health system must have an effective ambulatory care strategy. […]
It is increasingly important for hospitals and health systems to be proactive in enhancing and ensuring the quality of care in those post-acute care (PAC) facilities to which they refer patients. This influence is critical to preventing prolonged recovery periods with their associated increase in the cost of care. Hospitals also want to assure that […]
by Mark J. Dubow, Director
and Ross Shuster, Senior Associate
and Ross Shuster, Senior Associate
If your ambulatory network is the only provider in town, and it is providing high-quality services at reasonable rates that meet the community’s needs, those characteristics will likely position your organization for success. But what happens when your organization is surrounded by competitors (including some of the new entrants) fighting for market share? How do […]
by Rudd Kierstead, Principal
You want to reduce physician subsidies in your employed physician enterprise, and you have numerous initiatives to increase physician engagement under way. What matters, however, is not the number of physician engagement efforts, but how thoroughly they engage physicians in operations at the ground level. Veralon recently surveyed leadership at 30 physician enterprises with 11,000 […]
by Meredith Inniger, Manager
Many conversations we have with hospital and health system executives about market growth strategies eventually turns to the topic of micro-hospitals — and for good reason. These facilities typically include a small-scale emergency department (ED), low-acuity surgery, and are often comprised of eight to 10 inpatient beds as well as additional observation beds (notably, these […]
by Robert Hill, MBA, MS, FACHE and Craig E. Holm, MBA, FACHE
Medical staff development planning requires analytic rigor and detailed work. There is no way around it; a multi-hospital health system needs to determine the needs of each of its individual hospitals, as well as the system in the aggregate, in a consistent manner. Health systems can realize resource efficiencies and strategic benefits by addressing medical […]
by Rudd Kierstead, Principal and Craig E. Holm, Director
If your employed physician enterprise is like most, you are experiencing calculated losses of $100,000 to $200,000 per physician, and the losses are likely increasingly intolerable. The figures for physician losses, as currently determined, certainly grab attention, and as a financial indicator are very important. However, those figures do not provide much in the way […]
by Amanda Brown, Manager, and Amanda Kueh, Analyst
CMS has opened applications for a second cohort of BPCI Advanced (Bundled Payment for Care Improvement-Advanced) participants in April. This initial application step gets you valuable data, and time to decide whether to pursue participation. Advantages of applying include: No obligation to participate. You have time (likely until fall 2019) to decide whether to sign […]
by Molly Johnson, MHSA and Craig Holm, MBA, FACHE
The growth and aging of the U.S. population will significantly increase the demand for medical care over the coming decade. At the same time, the supply of physician services is decreasing as physicians work fewer hours per week, and retirements are likely as more than a third of currently active physicians reach age 65 within […]