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Hospital Review Outpatient Volumes P Special Lists Issue: Largest Hospitals, Top-Grossing Hospitals & More! p. 16 INSIDE 7 Forecasts on Hospital Inpatient, Hospital Review Outpatient Volumes p. 36 August 2013 • Vol. 2013 No. 8 Keeping the Patient at the 10 Things the Most Da Vinci Center: Progressive Hospitals Do Robots: Q&A With Beaumont Health CEO Gene Michalski p. 14 By Molly Gamble Minimally It’s been said that there are three types of people in the world: the ret- Private Equity rograde, the stationary and the progressive. The same could be said for Invasive and Nonprofit organizations, particularly in healthcare. There are hospitals that will Miracle or Hospitals: cling to the ways of the past. There are also organizations that will set- Strange Bedfellows or Saving tle as they are, resisting major change, surviving rather than excelling. Costly Grace? p. 41 Then there are the progressive ones, the hospitals defying the norm. These hospitals are tackling challenges that surpass the confines of Conundrum? A Look Into the their singular institutions. One hospital vowed to share its prices for By Jim McLaughlin Pressing Need common services and, just to add some teeth to it, challenged local for Health IT competitors to do the same. Minimally invasive surgeries have grown continued on page 8 in use among surgeons and favor among Talent p.52 patients and payers. Robotically assisted surgery performed using the da Vinci ro- INDEX Positive Hospital-Union bot is the latest technologic upgrade, but Special Lists Issue p. 16 new research is calling its effectiveness — and higher cost — into question. Clinical Integration Relationships: Open & ACOs p. 21 But, even some healthcare executives Executive Briefing: Communication is Key skeptical of the da Vinci’s cost-saving Population Health p. 22 potential find the machine indispensable By Heather Punke Compensation p. 35 in recruiting physicians and marketing Finance, Revenue Cycle & Unions in general have been in decline in the United States over the to patients. ICD-10 p. 36 last 20 years. In 1983 the union membership rate — the percent of Executive Briefing: wage and salary workers who were members of a union — was 20.1 Rise of the robots Emotional Intelligence p. 37 percent, and there were 17.7 million union workers. In 2012, the union Laparoscopic surgeries have been rec- Transaction & Valuation membership rate was 11.3 percent, and there were just 14.4 million ognized as safe alternatives to traditional Issues p. 41 union members, according to Bureau of Labor Statistics data. open surgeries, with shorter hospital Executive Briefing: stays, less blood loss and faster, less Protecting OR Revenue p. 43 The healthcare industry, however, is swimming against the stream. Last painful recoveries. The da Vinci ro- Executive Briefing: year, 20.8 percent of healthcare workers — people in healthcare practi- bot allows surgeons to perform a type Specialty Hospitalists p. 48 HIT p. 52 continued on page 12 continued on page 13 REGISTER TodaY! Becker’s Hospital Review CEO Strategy Roundtable November 14, 2013 The Ritz-Carlton Chicago Co-chaired by Scott Becker, Publisher, Becker’s Hospital Review, and Chuck Lauer, Former Publisher, Modern Healthcare To register, visit www.BeckersHospitalReview.com/ novhospitalevent.html, email registration@ beckershealthcare.com or call (800) 417-2035. HAIs KILL MORE AMERICANS $28-45 billion than AIDS, car accidents and in annual hospital costs 3,4,5 breast cancer combined PurThread Technologies: 6 Leaders in Soft Surface Research Acinetobacter Staphylococcus aureus Escherichia coli Klebsiella 1.7 million pneumoniae HAIs annually 1 99,0002 deaths Introducing PurThreadTM Antimicrobial Textiles. PurThread’s fabrics continuously protect privacy curtains, scrubs, lab coats and other soft surfaces against odor-causing organisms. We are taking the lead in research on how protected fabrics may fit into a multifaceted infection prevention strategy that reduces risk and enhances patient and staff safety. Learn more at purthread.com/bcqic. 1,2,3,4,5,6 References available at purthread.com/references/ www.purthread.com/bcqic The EPA has not reviewed PurThread data for healthcare claims. HAIs KILL MORE AMERICANS $28-45 billion than AIDS, car accidents and in annual hospital costs 3,4,5 breast cancer combined 6 PurThread Technologies: 20th Annual Ambulatory Surgery Centers Conference Leaders in Soft Surface Research Improving Profi tability Acinetobacter and Business and Legal Issues October 24-26, 2013 • Swissotel - Chicago, Illinois Staphylococcus aureus 132 great ASC Executives and Physicians and 87 Sessions with Great Topics Focused on Key Issues for ASCs, State of the Industry, Cost Reduction and Benchmarking, and Key Specialties Thank You to Our Corporate Sponsors • Keynote - A Nansy Bit of Rough - David Feherty, CBS Golf • ASCs 2013 and 2014 - Where Does the Industry Stand, Where Escherichia coli Commentator and Best-Selling Author are the Great Opportunities? Nap Gary, Chief Operating Offi cer, Regent Surgical Health, I. Naya Kehayes, MPH, • Keys to Keeping Surgery Centers Profi table Businesses - Robert Managing Principal and Chief Executive Offi cer, Eveia Health Zasa, MSHHA, FACMPE, Managing Partner and Founder, ASD Consulting & Management, Richard N.W. Wohns, MD, JD, Management, Doug Golwas, Senior Vice President Medline MBA, South Sound Neurology, PLLC, Scott Becker, JD, CPA, Industires, Stephen Blake, Chief Executive Offi cer, Central Partner, McGuireWoods LLP, moderated by Bob Woodward, Park ENT & Surgery Center, moderated by Barton C. Walker, Legendary Pulitzer Prize-Winning Journalist/Author and Partner, McGuireWoods LLP Associate Editor, The Washington Post • ASCs, 10 Months and 10 Years Into the Future; Emerging Klebsiella • Washington D.C., The Budgets, Healthcare, America - Bob Business Issues in ASCs - David J. Abraham, MD, The Read- Woodward, Legendary Pulitzer Prize-Winning Journalist/ pneumoniae ing Neck & Spine Center, Linda Ruterbories, RN, ANP, OSC 1.7 million Author and Associate Editor The Washington Post Director, OA Center for Orthopedics, Bill Hazen, RN, CHT, david Feherty Administrator, The Surgery Center at Pelham Bob Woodward • Cost Reduction and Benchmarking - 10 Key Steps to Im- mediately Improve Profi ts - Robert Westergard, CPA, Chief HAIs annually • Success is a Choice - Rick Pitino, Head Men’s Basketball Financial Offi cer, Susan Kizirian, Chief Operations Offi cer, 1 Coach University of Louisville and Ann Geier, RN, MS, CNOR, CASC, Senior Vice President • Anesthesia Issues; Shorten Your Length of Stay in PACU - G-A of Operations, Ambulatory Surgical Centers of America (Gary) Lawson-Boucher, MD, Lieutenant Commander, Medical • Achieving Your Personal Best - Bonnie Blair, Speed Skating 99,000 Corp., United States Navy, ACSCSWF 2 Champion and Gold Medalist • Analyzing the Health System Market - Who Needs to Sell? Why • ASC Association - Key Priorities for 2014 - Nap Gary, Chief Joint Venture? Greg Koonsman, Senior Partner, VMG Health deaths Operating Offi cer, Regent Surgical Health, and William M. • Key Thoughts on Keeping ASC Owners Engaged - Michael Patter- Prentice, JD, Chief Executive Offi cer, ASCA son, President & CEO, Mississippi Valley Health, Darlene Johnson, • Does Your Infection Prevention Program Meet Survey RN, BSN, MSN, CASC, Healthcare Consultants International, Requirements? Marcia Patric, RN, MSN, CIC, Infection Inc., Gary Richberg, RN, BSN, ALNC, CNR-A, CNR-C, CASC, Bonnie Blair Prevention Consultant, AAAHC, and Marsha Wallander, RN, Rick Pitino Administrator, Pacifi c Rim Outpatient Surgery Center, moderated Associate Director of Accreditation Services, AAAHC by Scott Becker, JD, CPA, Partner, McGuireWoods LLP • Key Thoughts on Medicare Inspections and Survey Readiness - Tracy Harbour, RN, BSN, • The State of the ASC Industry - Andrew Hayek, President & CEO, Surgical Care Affi liates Administrator, Surgery Center of Pinehurst, Marti Potter, Administrator, Jersey Shore TM • Which Specialties Are Still Great for ASCs? Which Ones Should ASCs Eliminate Today? Will Ambulatory Surgery Center, Marcy Sasso, CASC, Director of Compliance and Develop- Introducing PurThread Antimicrobial Textiles. Hospital Employment Kill ASCs? What ASC Problems are not Fixable? - David J. Abraham, MD, ment, Facility Development & Management, LLC, moderated by Melissa Szabad, Partner, The Reading Neck & Spine Center, Lawrence E. Kosinski, MD, MBA, AGAF, FACG, Elgin Gas- McGuireWoods LLP troenterology, Timothy T. Davis, MD, DABNM, DABPMR, DABPM, Director of Interventional • Opening a State of the Art ASC in Changing Times - Michael Redler, MD, The OSM Center PurThread’s fabrics continuously protect privacy curtains, Pain and Electrodiagnostics, The Spine Institute, Center for Spinal Restoration, Fred Davis, MD, scrubs, lab coats and other soft surfaces against odor-causing Clinical Assistant Professor, Michigan State University, College of Human Medicine, ProCare • Minimally Invasive Hysterectomy in an Outpatient Setting; Successes and Suggestions - organisms. We are taking the lead in research on how protected Research, ProCare Systems, moderated by Scott Becker, JD, CPA, Partner, McGuireWoods LLP Jon Nielsen, MD, North Memorial Ambulatory Surgery Center at Maple Grove fabrics may fit into a multifaceted infection prevention strategy that reduces risk and enhances patient and staff safety. For more information, call (800) 417-2035 Learn more at purthread.com/bcqic. If you would like to sponsor or exhibit at this event, please call (800) 417-2035 www.purthread.com/bcqic TO RegISTeR,
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