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Physician employment is a current and future reality. Hospitals and health systems understandably seek secured referrals, negotiating power with payers, and the flexibility to succeed in an uncertain future payment environment. This article describes current challenges for physician employment, and provides some suggestions for successful employed physician relationships. More Info
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While there has been enormous focus on—and political discourse around—those aspects of federal healthcare reform related to expanding access to care, the revolution in payment approaches already taking place will likely have a more profound long-term impact on the industry. No one expects board members to know the details of the myriad payment approaches. However, the board can and should play a vital role in helping to ensure that the hospital or health system remains financially viable through what could be a decade-long transition period. More Info
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In this edition:
Financial Viability: The Challenges of Living in Two Worlds
Managing Physician Employment: Learning from Past Mistakes **Special Section**
A Better Way: Dealing with Serious Illness and End of Life Care
Government Targets Healthcare Industry Officers and Directors Personally
**Advisors' Corner**
Growth in the Reform Era More Info
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When a board portal implementation project fails, the most common scapegoats are the software package that was selected or the board members themselves, but the real factors determining the success of a board portal implementation are more nuanced. A number of factors combine to promote success or failure—many of which must be addressed during the initial research and planning phase. Planning the implementation well, in addition to providing adequate training for the board and staff, are the keys to a smooth transition to e-governance. In this article, Dottie Schindlinger presents the most common challenges in implementing board portal solutions, as well as her perspective and suggestions for how to meet these challenges. More Info
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Taking meeting minutes it is one of the most critical planks of the board support platform. Properly prepared minutes can serve not only as a useful guide for future board action, but also to memorialize the exercise of due care by board and committee members. The latter is becoming increasingly important, as the quality of board conduct is more frequently coming under regulatory and judicial scrutiny. For these and other reasons, the practice of minute taking and the process by which minutes are reviewed and finalized should reflect a thoughtful, coordinated effort by the general counsel and governance support personnel. In this article, Michael Peregrine draws attention to particularly important aspects on the minute-taking process and provides guidance on taking effective minutes.
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