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Cover Story:
Flat-World Healthcare
Globalization is no longer an uncertain trend in the distant future. U.S. providers must refine their organizational strategy to compete in a marketplace that is broader than ever before.

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Medicine at the Mall
Transforming dated shopping centers into satellite campuses can help hospitals save money and expand their reach in the community.
Insiders' Insights: The Pace of Reform
The Case for Prevention
What Women Want—but Rarely Get
Personalities: Wellness to the Extreme

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A Spinal Shift
As minimally invasive procedures consume a larger portion of spinal care, provider organizations have many opportunities—and challenges—in an increasingly outpatient service line.

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The Path to Unification
Trinity Health’s gradual transition into unified revenue cycle functions means improved efficiency—and new responsibilities for the system’s CFOs.
Convenient Opportunities
Better Estimates=Faster Collections
Money Talk

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Governance in a Hurry
A new president, reimbursement shifts, and a struggling economy add up to a quickening pace of change in healthcare. Will your board be able to keep up?
Power to the Patient
5-Minute Consult

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Human Limitations
Many health IT systems promise to reduce medical errors, and they often do if used properly. But that’s a big if.
A Vote of Confidence
Beyond the CPOE Mountain
Future Tense

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Medical Travel

The notion of traveling to another city—or even another country—for healthcare services continues to grow in popularity. Domestically, the vast majority of medical travel is for life-threatening conditions; nine out of 10 adult consumers are willing to travel more than 100 miles to receive care in such situations. Two percent of hospital discharges across the country now originate from more than 100 miles away. Beyond U.S. borders, the medical tourism industry has reached $20 billion as quality and safety concerns with facilities abroad have begun to lessen. Provider organizations in countries like India and Thailand serve as some of the most popular destinations for the 200,000 Americans who traveled abroad for healthcare services ranging from heart surgery to dental work in 2008.

Loose Lips
Letters to the Editor

Editor's Note: Insulationists
I live in the economic center of the American auto industry. I am nowhere near Detroit. The new corporate headquarters for Japan’s Nissan North America is in Franklin, TN, across I-65 from the Lowe’s where I spend every Saturday shopping. I think about this dynamic now when I see healthcare at the early stages of competing in a global economy. What is so similar is the idea that somehow there are protections in America, insulators of preference that we believe will protect us.
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