Within the healthcare reform rollout, the top issues were reduced operating costs, aligning incentives for payers and providers, the shift to value-based purchasing, physician alignment, and regulatory uncertainty.
Within the category of government mandates, the top concerns were CMS audits, implementation of ICD-10, CMS regulations, state regulations, and increase government scrutiny by the IRS, the Office of the Inspector General, and the Justice Department.
Patient safety and quality concerns included engaging physicians to improve the quality culture, redesigning care processes, pay for performance, and redesigning work environments to reduce errors.
Bowen concedes that the survey provided few surprises.
"What is a little interesting is this juxtaposition of government mandates and patient safety and quality and how the government mandates were high last year and patient safety and quality are even higher this year in terms of concerns and engaging physicians and redesigning care," she says.
"It speaks well to the fact that the industry is moving forward in their quest to redesign care, but they are painfully aware that the environment they are doing that in is fraught with other constraints that they have to be very realistic about."
Though void of surprises, Bowen says the survey provides a state-of-industry snapshot about the concerns of hospital leadership.