At the Helm

Insights for the C-suite

Health policy outlook: What we know and don't know

Eric Cragun January 9, 2017

The 115th United States Congress convened last week, and President-elect Donald Trump will be inaugurated on January 20. In the two months since the election, there has been much coverage of Republicans' preparations and early steps to repeal and replace the Affordable Care Act (ACA).

However, despite all the chatter, Republicans have not reached consensus or announced details on their plans, and the path forward is shrouded in much uncertainty. At this point, most reports are more speculative than substantive.

Even after Republicans start releasing legislative text in coming weeks, uncertainty will persist to some degree as Republicans continue to figure out process and details of repeal, and begin navigating the challenges of developing and passing a replacement plan.

In that light, below is a summary of what we know and what remains unknown at this point in the process. Many of the questions our Chief Research Officer Chas Roades proposed in the aftermath of the election remain open.

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Why the EHR is crucial to NYC Health + Hospitals’ mission

John Kontor, MD January 5, 2017

Early in my clinical career, my care team tracked and managed our diabetic patients using spreadsheets, and even then, it felt like we were using technology well to support our care goals.

However, it wasn't until the industry broadly adopted more advanced EHRs that I realized the vast opportunity for health IT to revolutionize health care, and transform a health system's core strategies to deliver on a mission of accessible, quality patient care.

Nowhere is this more evident than in the story of NYC Health + Hospitals, the largest public health system in the country, as they embarked upon one of the biggest EHR implementations ever.

When NYC Health + Hospitals asked Advisory Board to help, we knew we had a deep bench of experts that could pull from years of experience in health IT and would take this work personally, like my colleague Ed Marx who is currently serving as NYC Health + Hospitals' interim CIO.

Advisory Board partnered with NYC Health + Hospitals through their Epic implementation, supporting their mission to provide care to all of New York City, with the first two facilities successfully going live in April 2016.

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Community hospitals: What's your long-term game plan?

John Johnston, CPA, MHA December 6, 2016

The volume of hospital M&A deals has doubled over the last six years, with fewer and fewer community hospitals still going at it alone. For the remaining holdouts, they are at an important juncture: Should they continue fighting for independence or join a larger system?

This heavily-debated question is at the core of many board meetings. While the answer is unique to each institution, in either scenario, the community hospital that proactively controls its own destiny—instead of losing that control to market forces—can come out ahead.

Whether the future holds independence or acquisition, here is what leadership needs to know to position their hospitals for future growth.

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How Dartmouth-Hitchcock CEO's personal experience led him to call for a health care 'revolution'

by Eric Larsen, Managing Partner November 16, 2016

Welcome to the "Lessons from the C-suite" series, featuring Managing Partner Eric Larsen's conversations with the most influential leaders in health care.

In this edition, Jim Weinstein, CEO and president of Dartmouth-Hitchcock Health System, talks to Eric about empowering patients, why D-H dropped out of the Pioneer ACO program but might consider NextGen, and his belief that transparency is key to improving health care quality.

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When pursuing our purpose helps you achieve yours

Robert W. Musslewhite November 11, 2016

Today is Veterans Day, and I can't think of a better time to pause in gratitude to those who serve our nation—and in this case especially, those who serve our nation's patients.

It's our honor to support organizations with a mission above commerce, such as health systems and universities. And we nurture the same service orientation in our staff, hiring individuals attuned to our members' mandates and empowering employees to pursue their purpose.

This summer, I shared a few examples of the inspiring things that happen when we partner with our member organizations to use best practices to their fullest. Continuing that discussion, I want to tell you about Edward Marx (incidentally, an Army veteran and the son of one, too) and what his leadership has meant for NYC Health + Hospitals.

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Why one CEO doesn't want competition to be the 'ruling force' for her hospitals

by Eric Larsen, Managing Partner September 6, 2016

Welcome to the "Lessons from the C-suite" series, featuring Managing Partner Eric Larsen's conversations with the most influential leaders in health care.

In this edition, Michelle Hood, president and CEO of Eastern Maine Healthcare Systems, tells Eric how her system approaches partnerships and collaborations, describes the challenges and opportunities of providing health care in rural areas, and reveals why she abandoned her career plan to be a scientist.

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5 things CEOs need to know about imaging services

Lea Halim September 2, 2016

Welcome to the "CEOs Need to Know" series, where our top experts help hospital and health system CEOs understand the most pressing issues facing the members of their leadership teams.

In our sixth installment, Lea Halim, Senior Consultant of the Imaging Performance Partnership explains what CEOs really need to know about imaging services.

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5 things CEOs need to know about pharmacy

Lindsay Conway August 10, 2016

Welcome to the "CEOs Need to Know" series, where our top experts help hospital and health system CEOs understand the most pressing issues facing the members of their leadership teams.

In our fifth installment, Lindsay Conway, Managing Director of the Pharmacy Executive Forum explains what CEOs really need to know about pharmacy.

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