Brace for Healthcare Management Shakeups

No doubt you're aware of the seismic shift in healthcare compensation structures, both from the commercial and government payer sides. Are you also aware of the corresponding shift necessary within your organizational hierarchy?

3 comments on "Brace for Healthcare Management Shakeups"
John (6/8/2011 at 4:32 PM)

Robert, it's interesting that the airlines analogy was used. We know how well that's worked for them...
Robert Trinka (6/7/2011 at 11:43 AM)

Phil, it is interesting that Thomson Reuters recently ranked the Top Ten Health Systems, which includes names like Advocate Health Care, Mayo, Partners Healthcare, etc. The eight criteria they used included, In-hospital mortality, Medical complications, Patient safety, Average LOS, 30-day Mortality rate, 30-day readmission rate, Adherence to clinical standards of care, and "HHS" patient survey score. No specific inclusion of expense management, cost controls and containment, or per cent increase/decrease in total cost of care. Ironically, the single largest issue facing all healthcare providers (whether they know it or not) is COST! A hospital or health system management team should be looking at major real cost reductions over the next 5 to 10 years of up to 50%, while improving quality standards and benchmarks. Impossible? No. And if no one believes that will be required, just ask the airlines (post 1978 deregulation) and other industries that have had to change the way they did business to dramatically reduce cost in a short period of time while maintaining the essential standards of service and performance. That will be the challenge and the survivors will figure out how to do it.
Stefani (6/6/2011 at 2:18 PM)

Phil - The hospital infrastructure is archaic. We all know that. A dual governance system is just plain inefficient and perpetuates the 'we-they' dichotomy that keeps the medical staff distant from the executive staff. Each must share the same economic and quality goals and have equal interest in achieving them.


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