Hospitals Push for Greater Value in 2020

CMS may have introduced value-based care a decade ago, but the fee-for-service payment model is playing out much longer than anticipated. Despite the slow trajectory, industry experts say value-based care is taking hold in markets where there is significant competition. At the same time, the majority of Medicare beneficiaries are in value-based arrangements and an increasing number of new payment models include downside risk for physicians.

In this latest HealthLeaders Industry Focus Section report, healthcare executives, including Jonathan Jaffery, MD, senior vice president and chief population health officer at UW Health in Madison, Wisconsin, share what’s ahead for value-based care in 2020 and beyond.

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Coming Soon to the ED: How service industry models, wireless communications, and tiny data points are changing the emergency room

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The pace of hospital emergency rooms can only be described as moving from fast to faster as organizations experience growing volumes and patients with increasingly complex healthcare needs. In grappling with these challenges, hospitals find themselves renovating and expanding their EDs. But they are also learning this is not a complete solution in the changing world of the ED.

HealthLeaders recently spoke with leaders from Hardin Memorial Hospital and CHA Hollywood Presbyterian Medical Center about what changes they are making to their ED’s to ensure they are ahead of the curve and maintaining the highest quality of care for their patients.

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Population Health: How Healthcare Leaders Are Re-envisioning Data Integration and Care Management

As provider organizations take on risk and quality-based contracts through ACOs and other payer models, they must carefully consider the next stage of their population health management journey. Fort Myers, Florida–based Millennium Physician Group (MPG) and Western Connecticut Health Network (WCHN) in Danbury have carefully crafted population health strategies over the last several years that include harnessing the power of data and analytics to manage patients differently.

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Take Control of Your Revenue Cycle: Three Ways Finance Leaders are Helping Their Organizations Adapt to Change

Hospital revenue cycle trends come in waves. Leaders are pointing to declining reimbursements, complex payer policies, and a lack of innovation across the revenue cycle in general as among the many challenges hospitals and health systems are grappling with in 2019.

As leaders navigate these areas, HealthLeaders sat down with executives from multiple health systems to discuss these challenges and found three major themes that are driving success across the revenue cycle.

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Defining Roles, Leveraging Technology Top the List of CDI Leadership Challenges

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In some respects, the hurdles facing clinical documentation improvement (CDI) program managers/directors mirror those of CDI staff. Like staff, these leaders strive for physician engagement, juggle competing responsibilities, and gather and leverage data—just at a higher level.

Download this free report to dive into the different challenges that CDI managers face versus those faced by directors and explores how each professional type needs to understand the data, technology, and staffing capabilities of their program to ensure success.

Confronting Top Nursing Challenges

In 2019, healthcare facilities are targeting the underlying reasons nurses leave their jobs, developing nurse managers who are more in sync with nurses’ changing needs, and giving nurses creative opportunities to solve everyday problems.

In the latest HealthLeaders Industry Focus Section report, we will discuss these areas of concern, and other practices healthcare facilities should implement in order to ensure a strong nursing workforce.