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As the Patient Protection and Affordable Care Act (PPACA) plays out, philanthropy will continue to play a very significant role in healthcare delivery. In fact, philanthropy is likely to be even more important in the years to come in order for hospitals to meet the increase in demand for healthcare services. William C. McGinly, Ph.D., CAE, from the Association for Healthcare Philanthropy provides insight on the implications of healthcare reform and philanthopy. He discusses the aspects of the PPACA that affect philanthropy efforts, the message hospitals and health systems should be relaying to donors, and the impact the economy has had on fundraising.
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As hospitals and health systems face an era of change and uncertainty, having a mission that is effective and well understood is more important than ever. It is the board’s obligation to maintain a congruent mission, and this requires a thoughtful practice to identify services that are not directly related to the mission and ensure that the integrity of mission is protected. In this article, John Brozovich presents the questions that the board needs to ask as they assess the mission and he provides recommendations for successfully building a hospital or health system’s mission.
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New proposed rules were released October 18th by the Centers for Medicare and Medicaid Services, which would reduce unnecessary, obsolete, or burdensome regulations and save hospitals and healthcare providers nearly $1.1 billion each year and over $5 billion over five years. Since the proposed rules would affect many aspects of hospital operations, as well as health system governance, we asked a couple of our member CEOs to respond and describe whether they think these rules would help or hinder their organizations. More Info
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Selling a hospital is a politically charged issue that frequently brings emotional responses from the community. If not handled correctly, public concerns can gain momentum and derail transactions that boards have specifically structured to meet the long-term healthcare needs of their communities. In this article, Barton C. Walker, Kristian A. Werling, Rex Burgdorfer, and Jordan Shields suggest a number of strategies to ensure that community concerns are appropriately addressed in the design and implementation of a process, before they put transactions at risk. More Info
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The investment committee is rapidly returning to a position of prominence and leadership amongst board committees. Service on the investment committee should attract the most competent, experienced, and dedicated board members. Michael W. Peregrine, Esq. encourages the board and investment committee to work together to revisit the role and function of this important body and the manner in which it operates and administers the organization’s investment portfolio. He also provides key agenda items to consider when thinking about the structural and operational aspects of the committee. More Info
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Patient-driven leadership starts with physicians who are engaged and team players, but all too often physician become disengaged. This lack of physician–hospital alignment, disruptive behavior, and disengagement in general, are all symptoms of a larger problem that can’t be treated with short-term fixes or a binder full of initiatives. In this article, Brian Wong, M.D., M.P.H., explores how physicians can reconnect and the benefits this will have on the culture of the organization, as well as the patients. More Info
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The recent combination of two suburban Chicago hospitals represents the reappearance of a transaction structure that has been rarely used since the 1990s. Central DuPage Hospital and Delnor Hospital have combined via a consolidation transaction, each becoming part of a newly created parent company. Although these transactions are not common today, nearly half of the 40 largest 501(c)(3) systems, and most of the large Catholic systems, resulted from these sorts of arrangements in the past. In this article, James Burgdorfer, Jordan Shields, and Rex Burgdorfer explore consolidation transactions in an effort to consider the role they might play in the current merger market. More Info
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The governance committee is increasingly becoming one of the most active and vital of all board-delegated functions. Its focus on guiding the commitment to effective governance practices places it in a key board leadership position. Such a committee supports the non-profit mission by helping ensure that board members possess the necessary qualifications and competencies, and that the board’s governance processes mirror recognized best practices. Michael W. Peregrine, Esq. presents possible responsibilities and emerging duties for this committee and provides recommendations for achieving board objectives through a well-established, effective governance committee. More Info
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One of the key ingredients to having a successful hospital or health systems is gaining patient trust. Patients want to trust their physicians, trust that everyone communicates, and trust that they are going to experience a healthy outcome. They need to believe in the people taking care of them, and the best way to build patient trust is to model it by equipping physicians, nurses, administrators, and staff members to work as trusted teams. In this article, Brian Wong, M.D., M.P.H. discusses the Importance of patient-driven leadership and the need for an organizational culture that supports full engagement in quality efforts and strong communication and coordination among staff. More Info
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Accountable care organizations (ACOs) have captured industry attention nationwide. Many hospitals and health systems are assessing their current state of readiness for ACOs and their wherewithal for moving from an activity-based payment model to the bundled or risk- and outcomes-based model. The majority of healthcare organizations are finding that they may not currently have the competencies required for participation in an ACO. In this article, James J. Pizzo and Mark E. Grube recommend starting with clinical integration. By building a clinical integration program, hospitals and health systems can proactively position themselves for this new model of care.
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