By developing close contractual relationships with those who provide care outside the hospital's walls, from primary care to skilled nursing, he's not only strengthening his organization's position of leadership in the community, he's providing a physical location for smaller organizations to collaborate with each other and his hospital.
That's the kind of vision that will save many hospitals that, no question, are facing difficult financial times ahead. They're seeing shrinking reimbursements and regulatory burdens expand as organizations try to get a handle on waste and quality problems that still plague healthcare to an unconscionable degree.
And he thinks that vision will also keep it independent.
Uncertainty about the evolution of healthcare payment is well-founded. Just don't let it get in the way of what you and your team can do to adapt, and even thrive. You have to take risks. Real risks.