In the old era of "extractive" growth, hospitals leaders often justified growth as an input, as a means to advance some larger end—securing access, funding innovation, or extending the mission.
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But in the emerging era of "productive" growth, where purchasers are selectively buying care in a competitive market, leaders must reposition growth as an output rather than an input. Hospitals will grow because they’re doing something right.
And if hospitals remain stagnant, or shrink? In a competitive market, that means purchasers are actively choosing someone else. Hospitals that don’t grow are failing.
Future growth is essential—but as the measure of success.