{"title":"Letter from the President and CEO.","authors":"","doi":"10.1097/HAP.0000000000000127","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000127","url":null,"abstract":"After years of planning and working to secure the future of Union Terminal, Douglass McDonald announced his retirement in December 2014. Over a 16-year career as President and CEO, Doug had the honor of hosting sitting and soon-to-be U.S. Presidents, as well as presidential hopefuls; accepting a moon rock on behalf of NASA from Neil Armstrong, the first man to walk on the moon; and receiving the Institute of Museum and Library Services National Medal and accreditation from the American Alliance of Museums.","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":" ","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39918616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Road to Value Demands a Smarter Approach to Risk.","authors":"Joseph J Fifer","doi":"10.1097/HAP.0000000000000129","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000129","url":null,"abstract":"<p><strong>Summary: </strong>As healthcare nears year three of the COVID-19 pandemic, hospitals and health systems should consider accepting significant responsibility for the total cost of care from all sources, per covered life, over time. One place to start: Reduce avoidable spending on chronic conditions, which, combined with mental health conditions, account for most healthcare expenditures. This shift will necessitate investments that strengthen the ability to identify at-risk populations and react in ways that help avoid complications and reduce unnecessary costs.Even before the pandemic, it was clear that there were missed opportunities to reduce costs of care. Failures in care coordination contributed to billions of dollars in waste each year. Now, as payers explore innovative risk-based arrangements for addressing the impacts of social determinants of health and delayed care on health outcomes, healthcare providers should seek opportunities to partner with payers in developing shared-risk approaches to patient engagement and chronic condition management. Steps toward designing a model for risk innovation include rewarding physicians and clinicians for managing the total cost of care, involving physicians in discussions around acceptable levels of risk in value-based contracts, ensuring that the organization's cost accounting approach meets its strategic needs, investing in actuaries to study data that can identify rising-risk patients, and exploring innovative partnerships for funding the infrastructure for value.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"38 2","pages":"30-36"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10365509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How One Health System is Demonstrating the Right Way to Build a Smart Growth Strategy.","authors":"Catherine A Jacobson, Scott Hawig","doi":"10.1097/HAP.0000000000000125","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000125","url":null,"abstract":"<p><strong>Summary: </strong>Across the United States, health system growth has been tied to significant investments in physical growth such as the build-out of large, traditional hospitals. Concurrent with this infrastructure investment, value frequently has been sought by cost cutting and large-scale closures of lower-margin facilities.At Froedtert Health, a philosophy of providing the right care at the right time in the right place is driving new growth. As the demand for unique tertiary services at its academic medical center has surged, Froedtert Health is leveraging and enhancing a new community hospital strategy while investing in new capability platforms to complement the health network's care model across Wisconsin.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":" ","pages":"14-17"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39762834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Access Drives Health System Transformation and Growth.","authors":"Jason H Sussman","doi":"10.1097/HAP.0000000000000128","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000128","url":null,"abstract":"<p><strong>Summary: </strong>Healthcare is in the midst of a \"great disintermediation.\" New care delivery models are offering novel ways of accessing care and moving the US healthcare system from a hospital-centric to a consumer-centric focus. This transformation is opening new opportunities for technology-enabled, risk-ready innovators intent on disrupting traditional ties among health systems, primary care physicians, and consumers.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"38 2","pages":"23-29"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10365508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"When the World Changes, Opportunities for Growth Come Forward.","authors":"Bob Sutton, Thomas A Clark","doi":"10.1097/HAP.0000000000000124","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000124","url":null,"abstract":"<p><strong>Summary: </strong>Nothing will ever be the same. The idea of returning to pre-COVID-19 conditions seems less plausible every day. Nearly every business model has had to transform seemingly overnight, and hospitals and health systems are at center stage in the real-time drama that will change the way we promote, deliver, finance, and engage in healthcare for years to come.This is the next normal, the starting point for the future. Planning for Avera Health's future has taken on a new level of excitement. Emerging from the COVID-19 crisis, we are finding opportunities. We are learning how to do our work differently and better. We are exploring new partnerships and areas of business that will add to our mission work. We are focusing on the patient-consumer experience. We are shaping a new future. The notion of a new future terrifies some people-they would rather hold on to the past. At Avera, we see this as our chance to create a future to our specifications. All we have to do is let go of yesterday and dream about what tomorrow can be.Our first action was to reassess our five-year strategic plan, unveiled shortly before the pandemic. We initially thought that the plan had been stymied. What we discovered is that it has actually been accelerated. Our organization has become more agile, focused, and sustainable. Growth has been redefined as deepening our relationship with patients to increase lifetime loyalty and creating efficiencies to bend the cost curve for patients and allow Avera to expand services and service areas. This strategy puts people first, makes healthcare more affordable, and modernizes the doctor-patient relationship.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"38 2","pages":"5-13"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10365507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Productivity Efforts and Service Line Development Sustain Margin Improvement.","authors":"Patty White","doi":"10.1097/HAP.0000000000000126","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000126","url":null,"abstract":"<p><strong>Summary: </strong>How can healthcare organizations best attain sound financial results and, in turn, sustain market growth? Leaders at St. Joseph's Hospital and Medical Center, part of Dignity Health Arizona, realized that they could not cut their way to success. They needed a plan for strategic growth that fit their corporate mission and expanded their market. They moved forward with a proven productivity process that would engage stakeholders at all levels of the organization. Supported by commitments to the necessary financial investment and the patience to see the plans through, their efforts have paid off with substantial improvements in margin. Similar financial growth success stories are playing out in other markets, including Froedtert Health in Wisconsin and Avera Health in South Dakota.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":" ","pages":"18-22"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39762835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Employee Energy and Engagement: Keys to Clinician and Organization Well-Being in a Crisis.","authors":"Harjot Singh","doi":"10.1097/HAP.0000000000000120","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000120","url":null,"abstract":"<p><strong>Summary: </strong>Well-being, engagement, and burnout among clinicians are interconnected, and the common denominator is energy. Decades of research show that employees' energy is a decisive factor in achieving organizational outcomes. Knowing this, healthcare leaders can create well-being programs with measurable outcomes that make a positive impact on the bottom line. Just as important, leaders can avoid wasting money on fruitless efforts. How can clinician well-being be incorporated in organizational culture and strategic and operational plans? What are the special challenges to achieving clinician well-being? What key leadership actions promote and protect the well-being of clinicians? Which approaches are most effective during a crisis such as the COVID-19 pandemic? This article addresses those questions by presenting the rationale and methodology behind well-being programs that also address engagement and burnout so that clinicians can succeed in times of crisis and beyond.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"38 1","pages":"39-44"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9995827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Deep-Rooted Culture Evolves to Support Healthcare Heroes.","authors":"Jim Dunn","doi":"10.1097/HAP.0000000000000117","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000117","url":null,"abstract":"<p><strong>Summary: </strong>Enhancing employee well-being and creating a distinct employee experience are crucial to the success of Atrium Health. Our strategies for listening, well-being, and experience have always been deep-rooted in our culture, and the COVID-19 pandemic brought extraordinary opportunities to refresh those strategies as we carried out our mission during a time of uncertainty, crisis, and disruption to our everyday lives. From the start of the pandemic, we have deliberately anticipated the needs of our employees to provide support when they need it most. As the pandemic eases, we continue to make relevant and timely resources available to increase resilience and overall well-being. Our efforts have evolved to support our heroes-including our nonclinical workers-and to better position Atrium Health for future challenges that come our way. Although we are constantly changing, our primary focus remains the same. Employee well-being and experience are a significant part of who we are and an essential element of the care we all provide at Atrium Health.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"38 1","pages":"14-19"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9993322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Critical Access Hospital Leaders Beat Challenges to Support Their Communities and Staffs.","authors":"Patricia M Schou","doi":"10.1097/HAP.0000000000000119","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000119","url":null,"abstract":"<p><strong>Summary: </strong>Critical access hospitals (CAHs) serve their rural communities as the main access points and communication centers for healthcare, typically with very limited financial, staffing, and support resources. Local residents rely on their CAHs as the only providers for many miles around. When the COVID-19 pandemic hit in early 2020, CAH leaders had to rethink operations and priorities, both internally with staffs and externally with community leaders and organizations. Few critical care beds were available when the need was greatest. Testing was problematic, and cultural barriers complicated care. Now, as virus variants strike where vaccination numbers are low, CAH leaders remain wary of financial hits to elective procedure income, limited resources, and added stress for their staffs. Working with community service organizations and larger regional healthcare centers is a crucial strategy for CAHs as they address care delivery issues and ensure that their caregivers can do their jobs now and in the future.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"38 1","pages":"27-31"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9993324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}