HealthLeaders Media Corner Office - April 16, 2010 | In-Store Clinics: If You Can't Beat Them, Should You Join Them? View as a Webpage | Subscribe for Free
In-Store Clinics: If You Can't Beat Them, Should You Join Them?
Philip Betbeze, Senior Editor-Leadership

Some hospitals and most physician offices are worried about the proliferation of in-store clinics, and have been for some time now. But despite the fact that they don't make money for many of the grocery and drug stores that offer them, they're not going away. On the contrary, they're growing by leaps and bounds.
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  April 16, 2010

Editor's Picks
How Healthcare Can Link the Care Continuum
This is a great read by my colleague Elyas Bakhtiari, who explores the fact that the three big healthcare problems being debated by reformers—rising costs, poor quality, and limited access—stem at least in part from a central, fatal flaw: Healthcare is highly fragmented. Linking the care continuum to make many different healthcare services function as one is a central challenge facing hospitals, physicians, and other providers. However, these structural realignments are a long way off and, even if enacted, will only provide the framework for change. New care models will have to come from providers, he writes, and this will likely happen at the service line level. [Read More]
Cost of Medical Care Outstrips Inflation
You could be forgiven for bypassing this story. After all, this effect has been ongoing for decades. But how long can it last? No one really knows, but it can't go on forever. Still, when you have people spending other people's money (or money that they don't see in foregone raises), it's easy to see why demand is still high despite the record cost of healthcare. No question healthcare has gotten better over the years, but I would argue the value has dropped precipitously. [Read More]
Fewer Preventable Events Equal Lower Medical Malpractice Claims, Says RAND
I've been covering healthcare long enough to remember in the early part of last decade that malpractice premiums were causing a huge dislocation in the provision of some services in some states. Pennsylvania, for example, was losing OBGYNs by the hundreds. Now, an exhaustive five-year study has shown that yes, malpractice premiums do come down when adverse events come down. That conclusion seems intuitive, but it wasn't what most of the sources I was interviewing back then were saying. Frivolous lawsuits, they said, were largely to blame. I don't dispute that such lawsuits exist, but it turns out that they weren't the main cause. [Read More]
Time to Tell Your Leadership Team's Story
The deadline is approaching to enter the seventh annual Top Leadership Teams in Healthcare Awards—a program that celebrates stories of great healthcare leadership in hospitals, health plans, and medical group practices. There are five categories: large hospitals and health systems (500 or more licensed beds); community and mid-sized hospitals (100 to 499 licensed beds); small hospitals (fewer than 100 licensed beds); health plans (state, regional, and national); and medical group practices (physician-owned, single- or multi-specialty groups employing 25 or more physicians). Winners will be announced nationally and profiled in an issue of HealthLeaders magazine. [Learn More]
This Week's Headlines
Moody's: Health Reform Will Drive Consolidation, Hinder Credit for Nonprofit Hospitals
John Commins, for HealthLeaders Media - April 15, 2010
U.S. Renal Care to Acquire Dialysis Corp. of America for $112M
John Commins, for HealthLeaders Media - April 14, 2010
Hospital infection problem persists
New York Times - April 14, 2010
Three Steps to Lower Insurer Overhead Costs
Les Masterson, for HealthLeaders Media - April 14, 2010
Massachusetts hospital executives cool to call for $100 million
Boston Globe - April 15, 2010
Washington, DC, takes over hospital that defaulted on city loans
Washington Post - April 15, 2010
Miami-Dade County leaders want bigger union pay cuts at Jackson Health System
Miami Herald - April 15, 2010
Insurer sets out Medicaid coping strategies for states
Wall Street Journal - April 15, 2010
UnitedHealth CEO Stephen Hemsley was paid $102 million in '09
Minneapolis Star Tribune - April 15, 2010
Webcasts/Audio Conferences
Neuroscience Service Lines Strategies (April 22)
Integrated Compensation Plans to Enhance Physician Performance (May 13)
Five Proven Steps to Improve Patient Satisfaction Scores (May 19)
Seamless Systems of Care: Better Alignment, Coordination, and Outcomes (June 2)
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From HealthLeaders Magazine
Split Decisions

HealthLeaders April 2010
While reforms aim to encourage coordination, linking the care continuum will happen at the service line level. But first providers will have to change their relationships, and how they think about care delivery. [Read More]
Service Line Management
On the Spectrum

The lack of care coordination for those with autism is costly for patients and providers alike. [Read More]
View from the Top

How Hospitals and Federally Qualified Health Centers Should Collaborate: Drowning in losses from uncompensated emergency room care? Collaborative relationships between hospitals and federally qualified health centers can benefit both provider types by allocating scarce resources effectively and efficiently to lift the health status of a community and decrease hospital losses from avoidable ER visits. [Read More]
Audio Feature

Create Extra Capacity, Without Extra Expense: Many healthcare leaders think their hospital is seeing all the patients they can, but what if you could add extra capacity without the expense of staffing up or building new capacity? Wayne Keathley, president of New York's Mt. Sinai Medical Center, was able to add 10,000 patient discharges per year by working on accountability and efficiency in patient throughput. [Listen Now]
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