Challenges and Concepts for the Local Hospital Leader In a previous article, I discussed the rationale for, and challenges associated with, the formation of large, multi-entity systems, and suggested steps that system-level leaders might take to improve their success at realizing the potential of those systems.  In this article, I want to examine the challenges...Read More

It takes a lot of courage for a healthcare leader to address the challenges and complexity of the healthcare world.  Most people do not think of courage as a leadership competency.  They believe that courage is a ‘thing’ that we either have or do not have.  However, it is possible to build courage with practice....Read More

Simple Steps to Help Create and Sustain High Performing Teams Earlier this week we had the privilege facilitate a session with a leadership team that would objectively be considered a high performing group.  It was a team that has worked together for a relatively short period of time and recently added a few new members....Read More

What are the common models for healthcare management integration?   Our industry has seen changes over the past few years, but the dyad and triad models continue to be most common. Dyad model The definition of a dyad model can vary among medical institutions, but all of the definitions are fundamentally similar:  dynamic joint leadership between...Read More

As healthcare organizations grapple with the dramatic changes taking place on every front, one of the frequent responses is to enter into one of an array of possible business combinations with other parties. Those business combinations range from simple contracts to full mergers and acquisitions. What they have in common, though, is the desire to...Read More

Healthcare CEOs are facing similar issues across the country and within differently-sized organizations. What issues are keeping health system CEOs awake at night? In an August article, Becker’s Hospital Review listed ten of the top concerns, including: The extent of risk pushed to systems. Alliance efforts with best-in-class operators. A shrinking pool of acquisition candidates....Read More

Dyad leadership structures continue to proliferate in the healthcare industry. Organizations are finding this is a great way to move physicians into senior leadership positions, immediately.  When paired with a seasoned leader the physicians have the privilege of perfecting their leadership skills in a safe environment while being in a meaningful position of authority.  The...Read More

The Medicare Access & CHIP Reauthorization Act, known as MACRA, is a proposed rule issued in April 2016 by the Centers for Medicare & Medicaid Services (CMS). According to information from the AMA, the MACRA rule creates 2 different payment pathways for physicians—alternative payment models (APMs) and the Merit-Based Incentive Payment System (MIPS). Is this...Read More

Question: Is your governance model operating at peak performance? The healthcare industry is undergoing a complex transformation. Organizations are adapting to shifts in care delivery and reimbursement models, increased clinical integration, complex business relationships and governance structures, stringent regulations and rapid technological advancements. Despite all this change, most healthcare organizations haven’t focused on transforming governance...Read More