Can hospital execs walk the tightrope over the cost-quality chasm?

Top hospital execs are walking a payment system tightrope, a new survey shows, trying to get to the-way-things-will-be without plunging into fiscal disarray because of the-way-things-are-now. It's not just a "quality chasm," as a 2001 Institute of Medicine report famously put it; it's a "cost-quality" chasm where hospitals will be held accountable for both parts of the equation. Navigating the transition requires a delicate sense of balance and timing, according to more than 200 "C-suite" execs surveyed in Getting from Volume to Value in Health Care: Balancing Challenges & Opportunities, a new report from Forbes Insights in association with Allscripts.