Category Archives: Healthcare Reform

What If Better Patient Care Means Reduced Hospital Revenues?

July 28, 2015  |  Dianne Foster

Imagine hearing this at a conference: “Success resulted in decreased revenue for our healthcare system.” My first thought: Am I going to learn about rewarding intelligent failure in this session? Well, not at all. At a recent nurse executive conference, we heard how leaders at Southwestern Vermont Health Care recognized the need to prepare for… | Read More

How to Boost Your Ambulatory Strategy and Thwart Retail Health Threats

healthcare ambulatory real estate strategy

July 9, 2015  |  Mark Furgeson and Jim Eaton

With population health changing the healthcare industry, a different mindset challenges us to rethink ambulatory real estate strategy. Tomorrow’s MOB tenants may compete with retail health providers like Walgreens for business, changing the way we plan and invest in ambulatory facilities today. New ambulatory real estate site selection approaches We must consider: why is Starbucks… | Read More

Three Ways Healthcare Facility Design Can Save Money

Three Ways Healthcare Facility Design Can Save Money

June 16, 2015  |  Michelle Mader

The healthcare industry must figure out how to provide services less expensively. It must implement effective cost-cutting initiatives while developing policies and procedures for managing the future costs of the emerging healthcare system. And quickly, if the Mayo Clinic offers any indication. It expects a twenty to forty percent decrease in annual revenue due to… | Read More

How to Reinvent Nursing for Population Health

How to reinvent nursing for population health

June 8, 2015  |  Dianne Foster

58% of nurses currently work in an acute care setting. But, as providers start to manage health rather than treat illness, we expect inpatient days to decline. The number of hospital-based nursing jobs also may shrink. At this year’s AONE conference, leaders shared their research on new nursing roles. These roles correspond to the ways hospitals… | Read More

How the Best Hospitals Manage Social Determinants of Health

Alexandra Drane at Patient Experience Summit

May 29, 2015  |  Jane Stuckey

At the AONE and the Patient Experience conferences last month, three presentations stood out. Each described innovative ways to quantify and manage social determinants of health. HOME TELEHEALTH The Cleveland, Ohio VAMC manages the care of 110,124 veterans, but it provides more than healthcare. It impacts upstream determinants of health such as employment and housing…. | Read More

Delivering Value to Executives at PDC Summit 2015

February 16, 2015  |  Frank Brooks

Every year, the American Society for Healthcare Engineering (ASHE) hosts the International Summit & Exhibition on Health Facility Planning, Design & Construction (PDC Summit). The summit brings together professionals from a variety of backgrounds to discover new ways to create value for the healthcare built environment. Since making a huge announcement about joining forces last… | Read More

Do Freestanding Emergency Departments Make Financial Sense?

January 28, 2015  |  David White

Many would suggest that Freestanding Emergency Departments (FSEDs) are a suboptimal strategy for the following reasons: Locating FSEDs where patients are insured by the best payors rather than in underserved communities with the highest utilization potential is not consistent with the premise of population health; Non- urgent patients use FSEDs for care that could be… | Read More

Don’t Automatically Assume You Must Replace the Oldest Equipment First

October 31, 2014  |  Charlie Hall

As the healthcare industry continues to evolve, many organizations struggle with the inherent conflict between cost-effective care and aging/overbuilt acute care facilities. Will reform improve patient care? Absolutely, but only if it creates a well-coordinated delivery system with facilities that are efficient and competitive. In this series, we discuss principles to guide investment in inpatient… | Read More

Reconsidering Inpatient Infrastructure Expenditures

October 30, 2014  |  Charlie Hall

As the healthcare industry continues to evolve, many organizations struggle with the inherent conflict between cost-effective care and aging/overbuilt acute care facilities. Will reform improve patient care? Absolutely, but only if it creates a well-coordinated delivery system with facilities that are efficient and competitive. In this series, we discuss principles to guide investment in inpatient… | Read More

The Judicious Use of Demolition is Key to Rightsizing a Hospital for the Future

October 29, 2014  |  Mark Furgeson

 As the healthcare industry continues to evolve, many organizations struggle with the inherent conflict between cost-effective care and aging/overbuilt acute care facilities. Will reform improve patient care? Absolutely, but only if it creates a well-coordinated delivery system with facilities that are efficient and competitive. In this series, we discuss principles to guide investment in inpatient… | Read More

Navigating the Conflict Between Cost-Effective Care and Aging Facilities

October 28, 2014  |  Mark Furgeson

As the healthcare industry continues to evolve, many organizations struggle with the inherent conflict between cost-effective care and aging/overbuilt acute care facilities. Will reform improve patient care? Absolutely, but only if it creates a well-coordinated delivery system with facilities that are efficient and competitive. In this series, we discuss principles to guide investment in inpatient… | Read More

Emergency Department Utilization: Visualizing Geographic Patterns and Anticipating Future Trends

August 18, 2014  |  David White and Michelle Mader

Most hospital administrators question the future impact of the ACA on Emergency Department (ED) visits and resulting treatment space need. Will volumes continue to grow in spite of ACA reforms? Nationwide ED volumes grew 16% in the past twelve years. Round-the-clock access, inexpensive co-pays, diagnostic convenience, and medical home scarcity contributed to this growth rate…. | Read More

A Balanced Approach to CMS Core Measures for Healthcare Providers

June 11, 2014  |  Delia Caldwell

In 2013, CMS made reporting of certain emergency department statistics mandatory. In 2014 those reportable statistics were broadened. These ED core measures are reported as part of the Hospital Compare initiative that allows healthcare consumers to compare services and metrics among hospitals. Currently, CMS takes a small patient sample from EDs for reporting; hospitals do… | Read More

Data Collection and Healthcare Analytics Strategies for Identifying Superusers

May 21, 2014  |  Delia Caldwell

While emergency department usage is by its nature random for most individuals, there is a small percentage of the population for whom it is a more common occurrence. These are the superusers, and almost every ED has its share. For efficiency’s sake, what’s the best way to serve these individuals? Understanding Superusers To begin with,… | Read More

Future Utilization and the Emergency Department

April 23, 2014  |  Jon Huddy

Many hospitals recognize that major decisions lie ahead for their emergency departments — beginning with how to meet demand that continues to increase, despite a variety of efforts to reverse the trend. ED usage soared over the past decade, rising from an average of about 380 ED visits per 1,000 population per year (or ~380/1,000/year)… | Read More