May 2016 Issue of Becker's Hospital Review

On the Cover

Executive Briefing

The Paradigm Shift in Healthcare – from Business to Consumer
Healthcare providers are becoming increasingly aware that today's patients have more control over how they obtain care and pay for it.

Executive Notes

Market Domination is Everything + 7 More Thoughts on Strategy
There are many different thoughts as to what is the right strategy for hospitals and health systems. Click here to continue >>

Worth the Weight: What 3 Hospital CEOs Gained From Losing
When you envision a CEO or leader, what do you imagine? Click here to continue >>

No Pay Raises for Community Health Systems CEO and CFO in 2016
Community Health Systems Chair​​man and CEO Wayne T. Smith and the Franklin, Tenn.-based system’s CFO W. Larry Cash will see no change in their base salary in 2016. Click here to continue >>

Tenet CEO and CFO Compensation Slashed in 2015
Tenet Healthcare President and CEO Trevor Fetter and the Dallas-based system’s CFO Daniel Cancelmi experienced compensation cuts of 14.5 percent and 47.2 percent, respectively, in 2015. Click here to continue >>

Health System Executives' Primary Concerns Shift to Consumers
While care transformation remains top of mind for hospital and health system executives, two of the four most commonly cited concerns relate to patients’ non-clinical needs, such as meeting consumer expectations and patient engagement, according to The Advisory Board Company’s Annual Health Care CEO Survey. Click here to continue >>

Hospital CEO Turnover Rate in 2015 Among Highest Reported in 20 Years
Hospital CEO turnover in 2015 held steady at 18 percent, according to a recent report by the American College of Healthcare Executives. Click here to continue >>

Finance

Intermountain’s Bad Debt Jumps 41% in 2015
Salt Lake City-based Intermountain Healthcare saw its operating margin fall year over year, as bad debt and expenses increased. Click here to continue >>

$186M Operating Loss Leaves Presence Trimming Jobs
Chicago-based Presence Health will layoff 250 employees during the next three months and leave another 450 jobs unfilled this year.

Trinity Health Records $27.1M Operating Loss: 4 Things to Know
Livonia, Mich.-based Trinity Health recorded an operating loss for the final six months of 2015, caused in part by recent acquisitions. Click here to continue >>

Capella, RegionalCare to Merge Into New $1.7B Company: 10 Things to Know
Franklin, Tenn.-based Capella Healthcare and Brentwood, Tenn.-based RegionalCare Hospital Partners have announced plans to merge, creating a combined company with 18 hospital campuses in 12 states. Click here to continue >>

Boston Children’s Operating Income Plummets 71% in Q1
Boston Children’s Hospital recorded higher revenue in the first quarter of fiscal year 2016 than a year earlier, but those gains were offset by a spike in expenses, according to the Boston Business Journal. Click here to continue >>

CHS Spinoff Issues 2016 Financial Outlook
Following its spinoff from Franklin, Tenn.-based Community Health Systems, Quorum Health Corp. expects to record revenue in the range of $2.2 billion to $2.3 billion in 2016. Click here to continue >>

FTC Suspends Challenge of West Virginia Hospital Merger
The Federal Trade Commission has halted its challenge to the merger between Cabell Huntington (W. Va.) Hospital and Huntington-based St. Mary’s Medical Center while it reviews a new state law, according to The Herald-Dispatch. Click here to continue >>

Banner Health Operating Income Plummets 51.2%
Banner Health reported an increase in revenue in 2015, but rising expenses and a loss on its accountable care organization caused the Phoenix-based system’s bottom line to dip. Click here to continue >>

Highmark Health Posts $565M Operating Loss in 2015: 9 Things to Know
Pittsburgh-based Highmark Health, the parent company of insurer Highmark and Allegheny Health Network, recorded an operating loss of $565 million in 2015, compared to an operating loss of $178 million the year prior. Click here to continue >>

ASC Revenue Cycle: Don’t Go it Alone
In 1970, Drs. Wallace Reed and John Ford opened the nation’s first ambulatory surgery center in Phoenix — the culmination of years of clamoring by providers, public officials and patients for a lower-cost, high-quality alternative to expensive hospital stays for same-day procedures.

MACRA Roadmap: 9 Questions on a Post-SGR World, Answered
Last April, to the relief of many providers, Congress passed the permanent “doc-fix” to repeal the flawed sustainable growth rate formula that determined Medicare physician fees. Click here to continue >>

Executive Briefing

The New Healthcare Leader
Success in the hospital business looks markedly different today than it did even 10 years ago.

Care Delivery

Feds Seek Information on ‘Concurrent Surgeries’ at 20 Medical Facilities: 7 Things to Know
Federal officials have asked 20 hospitals and health systems to outline their practices and policies concerning “concurrent surgeries” where a surgeon performs operations on two or more patients simultaneously, according to a Pittsburgh Post-Gazette report. Click here to continue >>

Camden Coalition Awarded $8.7M for National ‘Hot-Spotting’ Center
The Camden (N.J.) Coalition of Healthcare Providers — a nonprofit started by Jeffrey Brenner, MD, to help improve heath for the most complex patients — plans to spread its unique approach to patient care by establishing a national center of excellence and housing a scholar-in-residence for research. Click here to continue >>

8 Hospital, Health System CXOs to Know
The chief experience officer is a critical leadership role in healthcare as hospitals and health systems strive to improve the patient experience while lowering costs. Click here to continue >>

Why Denver Health is Experiencing a Physician Exodus
Denver Health Medical Center, the city’s historic safety-net hospital and one of only a few Level I trauma centers in Colorado, is attempting to deal with a series of physician resignations, according to the Denver Post. Click here to continue >>

FDA Recommends Banning Most Powdered Medical Gloves
On March 21, the U.S. Food and Drug Administration proposed a ban on the majority of powdered gloves used by healthcare workers, citing that the gloves pose substantial risk of illness or injury to both providers and patients. Click here to continue >>

Walgreens Partners With UnitedHealth’s Pharmacy Arm
Walgreens and OptumRx, UnitedHealth Group’s freestanding pharmacy care services business, are joining forces. Click here to continue >>

Reporting Quality Measures is Costly, Not Useful for Physician Practices, Survey Finds
Reporting on quality metrics is a time-consuming task for physicians and their staff. Click here to continue >>

Executive Briefing

Hospitals: Is Your ED’s Length of Stay Costing You Millions?
Emergency departments are often inundated with patients seeking acute medical care.

Taking the Wheel: Transforming the Hospital OR to Drive Value
It has been well-established that value is now “driving healthcare,” but this industry platitude leaves many hospital and health system executives wondering how they can take control of the wheel and ensure they are optimizing value and all that it entails.

Health IT

The Guide to Cringeworthy Health IT Conversations: 10 Leaders on the Terms They Dread Most
In health IT, “innovation” and “uberization” are all the rage. Click here to continue >>

McKesson Cuts 1,600 Jobs, 4% of U.S. Workforce
San Francisco-based McKesson is eliminating nearly four percent of its U.S. workforce, which equates to nearly 1,600 jobs, in an effort to reign in costs, reports Bloomberg. Click here to continue >>

Hospitals in Kentucky, Maryland Suffer Ransomware Attacks
A growing number of ransomware attacks made headlines in March, with two incidents in particular highlighting the threat this type of malware poses to the healthcare industry.

To Pay or Not to Pay Ransom: A Tale of 2 Hospitals
At least five hospitals reported ransowmare attacks in the past two months. Click here to continue >>

Executive Briefing

Finding and Fixing the Leaks in Your Hospital’s Revenue Cycle
As healthcare costs outpace commercial and government reimbursement rates, and as high-deductible health plans become the norm rather than the exception, many hospitals have found their revenue cycle infrastructures have sprung unexpected leaks.

Thought Leadership

7 Questions with Memorial Sloan Kettering Cancer Center’s Dr. Craig Thompson
It’s an exciting time to lead a cancer center. Click here to continue >>

7 Thoughts From CHI’s Michael Rowan
As president of health system delivery and COO of Englewood, Colo.-based Catholic Health Initiatives, Michael T. Rowan is leader with one of the nation’s most extensive healthcare systems. Click here to continue >>

Ask Chuck: What’s a Hospital CEO to Do When His Team is Flat-Out Tired?
Dear Chuck: I run a 350-bed hospital that is part of a mid-sized western health system, and I’m tired. Morale and therefore productivity among my medical staff is at an all-time low. Click here to continue >>

Analytics Can Help Hospitals Survive and Thrive in a Value-Based Reimbursement Environment
If you are the CEO or the CIO of a hospital, you are facing a huge transformation as the industry moves from a fee-for-service environment toward a value-based reimbursement system. Click here to continue >>

The Future of the Hospital is the Network
From patient to consumer, from acute care to population health, from fee-for-service to fee-for-value — the past decade has flipped healthcare on its head. Click here to continue >>

The Corner Office: Intermountain Healthcare’s Dr. Charles Sorenson on Making a Meaningful Impact
For someone who never aspired to hold an executive leadership position, Charles W. Sorenson, MD, has led marked clinical and operational improvement at the helm of Salt Lake City-based Intermountain Healthcare. Click here to continue >>

The Clinical, Financial & Emotional Benefits of Molecular C. Difficile Testing
A single Clostridium difficile infection presents an array of challenges for hospitals