In any transformation, pioneers get the worst of it though, and there are many sources of help now that didn't exist four years ago. There's a track record from early adopters. Companies are springing up to help hospitals and health systems compete and gather data, lowering the table stakes of playing the volume reimbursement game.
By now, others have made mistakes that you can learn from. The research, from us and from others, is out there. You just have to mobilize your team to get it, and give them permission to devise a way through the transition that puts the least amount of pressure on your bottom line for now, but also into the future.
It's a tough balancing act, but only you, as the leader of the organization, can attempt it. So how do you get going if you've hitherto employed a strategy of delay, delay, delay?
I'll be back next week with some suggestions from someone who's been building ACOs and helping transform volume-based healthcare organization for the past three years. He says there's light at the end of the tunnel, and it's not an oncoming train.