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SPECIAL LEADERSHIP ISSUE: 11 Leading Health System CEOs Share Goals for 2012 p. 18 INSIDE Building on a Legacy of Exceptional Care Q&A With Mass General Hospital Review Hospital President BUSINESS & LEGAL ISSUES FOR HEALTH SYSTEM LEADERSHIP Dr. Peter Slavin p. 22 January/February 2012 • Vol. 2012 No. 1 Hospital Leadership is The Year Ahead: 40 of the a Culture, Most Powerful Not a Person 12 Challenges and Q&A With LifePoint Hospitals People in CEO Bill Carpenter p. 24 Opportunities for Hospitals in 2012 Healthcare Leadership By Rachel Fields By Molly Gamble Lessons From As some states challenge the Affordable “Little” Failures It may be difficult to believe, but 2012 means hospitals are only in the Care Act in court, others are pushing Q&A With Health Management second year of healthcare reform. Many call this time one of uncertainty, implementation of regulations under Associates CEO Gary Newsome which is true, but it also presents great opportunity for innovation, change the federal reform law. The healthcare p. 34 and growth. Some concepts of healthcare reform that once seemed novel industry in 2011 is a fragmented and fascinating place. Here are 40 people continued on page 8 Finances in the who have been instrumental in shap- Era of Population ing healthcare policy, trends and debate Health over the last year. Q&A With Kevin Lang and Steve 10 Ways for Hospitals and Mohr of Loma Linda University Mark T. Bertolini. Mark Bertolini is Medical Center p. 44 Health Systems to Increase chairman, CEO and president of Aet- na, a health insurance company with INDEX Profitability in 2012 more than $34 billion in 2010 revenue, a workforce of more than 34,000 and By Bob Herman Hospital-Physician operations in North America, Asia, Eu- Relationships & ACOs p. 41 To say hospital and health system operating margins are different today rope and the Middle East. A member than they were a decade ago is an understatement. Medicare reimburse- of the company’s board of directors, Hospital Finance & ment reductions, cuts to state Medicaid programs and rising tides of Mr. Bertolini assumed the role of CEO Revenue Cycle p. 44 uncompensated care have created an atmosphere where some hospi- in Nov. 2010 and the role of chairman in April 2011. Mr. Bertolini recently Hospital Transactions & tals, particularly smaller, community hospitals, are simply happy with a described his company as “an evolving Valuation Issues p. 46 break-even balance sheet. technology services company with a big Compensation Issues p. 49 The environment is unlikely to change in the short term. The super- insurance vehicle” in an interview with committee was unable to reach a bipartisan agreement to cut $1.2 tril- Healthcare IT News. Aetna has been in- Executive Brief: Employing lion over 10 years, and it will cause sequestration cuts of 2 percent to vesting in research and development in Anesthesiologists p. 50 Medicare starting in 2013. the last decade, and its recent $6 billion continued on page 42 continued on page 12 REGISTER TODAY! Becker’s Hospital Review Annual Meeting CEO Strategy, ACOs, Physician-Hospital Integration, Improving Profits and Key Specialties Keynote Speakers: Bob Woodward, Coach Mike Ditka and Suzy Welsh Co-Chaired by Chuck Lauer and Scott Becker May 17-18, 2012; Chicago • Hotel Allegro Register Today! www.regonline.com/beckershospital reviewannualmeeting_1041813 When competition turns to cooperation, hospitals get better. Cogent HMG creates the largest, most experienced private hospital medicine company. 100-plus programs in 27 states. More options. Unparalleled care. formerly White | Thompson Sullivan Branding Corporate – Competition to Cooperation to Competition – Corporate AGENCY: EXPERIENCED LEADERSHIP Every hospital needs consistent, stable leadership on every level and hospitalists AD TITLE: Color : INTEGRATED STRUCTURE are no exception. Cogent HMG provides carefully structured planning for your 7822 UTPUT COORDINATED CARE TEAM hospitalist program beginning with our knowledgeable leadership team. Cogent O ONGOING TRAINING Healthcare and HMG have improved hospitals all across the United States. JOB NO.:JOB DATA-DRIVEN PROCESS Now, we’re improving them together. Beckers Hospital Review 8.5” X 11” w/bleed 8.5” X 11” To learn more, call 1.888.646.7763 or visit cogenthmg.com. Cogent HMG CLIENT: PUBLICATION: AD SIZE: 7822-COG-Beckers-PRNT_F.indd 1 12/13/11 11:44 AM #1056 SD-Beckers Ad RV5 q7:Layout 1 6/23/11 6:20 PM Page 1 P R O F I T A B I L I T Y T H R O U G H P E R I O P E R A T I V E I M P R O V E M E N T IMPROVEYOUR BOTTOM LINE. Surgical Directions solutions are driven by measurable results and the belief that culture change leads to sustainable operational success. Surgical Directions consistently helps hospitals improve their perioperative performance. 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Helping improve your perioperative service, enhancing your bottom line! perioperative & anesthesia consulting · assessment · interim management 312.870.5600 www.surgicaldirections.com Visit us at HIMSS 2012 Booth #8303 1/4/12 11:12 AM ACO_beckers_0212.indd 1 Register by April 1, 2012 and SAVE! Becker’s Hospital Review Annual Meeting Great topics and Thank you to our corporate sponsors! speakers focused on ACOs, Physician- Hospital Integration, Improving Profits and Key Specialties • 74 Sessions, 124 Speakers • A case study on Payor Provider Integration by Bob Edmond- son, Vice President of Strategic Planning and Business Devel- • 40 Plus CEOs, CFOs and COOs speaking opment, West Penn Allegheny Health System • Great topics and speakers focused on ACOs, Physician-Hos- • Key Thoughts from The Center of Medicare/Medicaid Innova- pital Integration, Improving Profits and Key Specialties tion, Valinda Rutledge, Director of Patient Care Models Group • The smartest people in the healthcare arena • Key Thoughts on Budgeting in Times of Uncertainty - John • Focused talks and panels on the most important subjects fac- R. Zell, VP of Finance and CFO, OSF St. Joseph, Henry ing health systems today Brown, CFO, Westchester Hospital, Joseph Guarracino, Se- • Keynote presentations from Mike Ditka, NFL Hall of Fame nior Vice President & CFO at The Brooklyn Hospital Center, Football Player and Coach moderated by Scott Becker, JD, CPA, Partner, McGuire- Woods LLP • Keynote presentation from Bob Woodward, Author and As- sociate Editor of the Washington Post • Key Strategies to Align Independent and Employed Physi- cians - Paul Summerside, BayCare Clinic, Chris Karam, • Keynote panels led by Suzy Welch, Author Television Commen- President & CEO, CHRISTUS St. Michael Health System, tator and Business Journalist Allan Fine, Chief Strategy and Operations Officer, The New • Listen to key strategies for CFOs and the current state of the York Eye & Ear Infirmary, moderated by Kristian A. Werling, healthcare credit markets Partner, McGuireWoods LLP • Co-chaired and panels led by Charles S. Lauer, Consultant, Au- • Hospital Strategies for Surviving and Thriving in the Chang- thor and Former Publisher of Modern Healthcare Magazine ing Healthcare Environment - Russ Richmond, MD, McKin- sey Hospital Institute Hotel Allegro 171 West Randolph Street • Chicago, Illinois For more information, call Becker’s Hospital Review 800-417-2035 if you would like to sponsor or exhibit at this event, please call 800-417-2035 To register, contact Becker’s Hospital Review at 800-417-2035 or fax 866-678-5755 or email: [email protected] Register online: https://www.regonline.com/beckershospitalreviewannualmeeting_1041813 6 Sign up for the FREE Becker’s Hospital Review E-Weekly and CFO Weekly Report at www.BeckersHospitalReview.com or call (800) 417-2035 Hospital Review BUSINESS & LEGAL ISSUES FOR HEALTH SYSTEM LEADERSHIP January/February 2012 Vol. 2012 No. 1 www.BeckersHospitalReview.com Editorial FEATURES Lindsey Dunn Editor in Chief 7 Publisher’s Letter 800-417-2035 / [email protected] Rob Kurtz 18 11 Leading Health System CEOs Share Top Goals for 2012 Editor in Chief, Becker’s ASC Review 800-417-2035 / [email protected] 21 A Relationship Checklist for Hospital CEOs: 7 Behaviors to Ace Laura Miller Editor in Chief, Becker’s Orthopedic, Spine and Pain Review 800-417-2035 / [email protected] 22 Building on a Legacy of Exceptional Care: Q&A With Mass General Hospital President Rachel Fields Dr. Peter Slavin Managing Editor, Becker’s ASC Review 800-417-2035 / [email protected] 25 Becker’s Hospital Review Annual Meeting Conference Brochure Molly Gamble Assistant Editor 24 Hospital Leadership is a Culture, Not a Person: Q&A With LifePoint Hospitals CEO 800-417-2035 / [email protected] Bill Carpenter Abby Callard Writer/Reporter 34 Leadership Lessons