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Metaphorically speaking, a burning platform is a change issue that impels an organization to radically rethink the way it does business. Previous special sections described the forces of change that brought the healthcare industry to the burning platform on which it now rests. This special section focuses on the extent to which those forces of change have been addressed by the Patient Protection and Affordable Care Act of 2010, the healthcare reform legislation President Obama signed into law this spring. More Info
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The healthcare reform bill has been signed into law. While many implementation issues have yet to be worked out, hospital and health system boards need to start preparations. We have drawn from 2010 Conference presentations to help your organization deal with the impact of healthcare reform. More Info
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The dust is settling and the clear message from policymakers to healthcare providers is this: take care of more people with more complications and demands, and do it with fewer resources. From the hospital standpoint there are three major implications:
- Problems accessing care.
- Splitting one check.
- Flat or declining payment.
As the great Congressional debates over healthcare reform pass into history, access to care and cost both continue as unresolved problems. As a result, hospitals and physicians are left with enormous challenges in their mutual quest to provide high-quality patient care. This article outlines the seven questions the board must ask itself in light of recent changes in healthcare. More Info
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Federal healthcare reform is discussed frequently in the media as an insurance coverage expansion bill and not a serious effort to contain costs. It is fair to say that political realities have watered down some cost containment proposals. As of this writing, however, only about 600 pages of the 2,400-page legislation are devoted to insurance expansion efforts—the great majority of the legislation is devoted to exploring new payment and delivery models aimed at improving the quality of healthcare and reigning in costs. More Info
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This roundtable, facilitated by Governance Institute Vice Chairman, James A. Rice, Ph.D., FACHE at The Greenbrier in White Sulphur Springs, West Virginia, centered on healthcare organizations’ preparation for health reform, discussing developments at the federal and state levels, and addressing board and medical staff concerns concerning looming health reform. More Info
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The first program in a new online video series, Working Knowledge: Occasional Updates from The Governance Institute.
A collection of interviews covering hospital–physician alignment issues, it includes discussions with Russell Massaro, M.D., FACPE, Guy M. Masters, M.P.A., James A. Rice, Ph.D., FACHE, Eric D. Lister, M.D., and Kenneth Kaufman. More Info
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Corporate policies and practices regarding executive compensation are receiving scrutiny from governmental agencies and legislators, the news media, organized labor, and the public at-large. The recession, coupled with widely publicized reports of dubious bonus payments and bountiful retirement packages for executives of unsuccessful companies, have heightened nationwide interest and concern. More Info
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This roundtable, facilitated by Governance Institute Advisor, Roger Witalis, FACHE at Hyatt Regency San Francisco, San Francisco, California, is a continuation of the roundtable discussion in May at The Broadmoor, Colorado Springs, Colorado (Transparency & Accountability). More Info
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The failures of Lehman Brothers, AIG, Merrill Lynch, Chrysler, and General Motors signal a gross restructuring of the American economy. So do the mortgage crisis, the bankruptcies of countless other firms, and the budgetary challenges of state and local governments. Healthcare is facing a crisis of a different sort. Ever-rising costs are making healthcare unaf¬fordable, and the recession is making it even more unaffordable. More Info
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Governance structures, processes, and practices continue to change to meet the demands of the organization, the community, and the legal and regulatory environment. The Governance Institute surveys U.S. not-for-profit hospitals every other year. This comprehensive 2009 report includes detailed results and analysis of the nation’s not-for-profit hospital and health system governance structure and practices. More Info
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