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Special Lists Issue: Largest Hospitals, Top-Grossing Hospitals & More! p. 16 INSIDE 7 Forecasts on Hospital Inpatient, Outpatient Volumes p. 36 Keeping the Patient at the Center: Q&A With Beaumont Health CEO Gene Michalski p. 14 Private Equity and Nonprofit Hospitals: Strange Bedfellows or Saving Grace? p. 41 A Look Into the Pressing Need for Health IT Talent p.52 INDEX Special Lists Issue p. 16 Clinical Integration & ACOs p. 21 Executive Briefing: Population Health p. 22 Compensation p. 35 Finance, Revenue Cycle & ICD-10 p. 36 Executive Briefing: Emotional Intelligence p. 37 Transaction & Valuation Issues p. 41 Executive Briefing: Protecting OR Revenue p. 43 Executive Briefing: Specialty Hospitalists p. 48 HIT p. 52 Hospital Review August 2013 • Vol. 2013 No. 8 10 Things the Most Progressive Hospitals Do By Molly Gamble It's been said that there are three types of people in the world: the retrograde, the stationary and the progressive. The same could be said for organizations, particularly in healthcare. There are hospitals that will cling to the ways of the past. There are also organizations that will settle as they are, resisting major change, surviving rather than excelling. Then there are the progressive ones, the hospitals defying the norm. These hospitals are tackling challenges that surpass the confines of their singular institutions. One hospital vowed to share its prices for common services and, just to add some teeth to it, challenged local competitors to do the same. continued on page 8 Positive Hospital-Union Relationships: Open Communication is Key By Heather Punke Unions in general have been in decline in the United States over the last 20 years. In 1983 the union membership rate — the percent of wage and salary workers who were members of a union — was 20.1 percent, and there were 17.7 million union workers. In 2012, the union membership rate was 11.3 percent, and there were just 14.4 million union members, according to Bureau of Labor Statistics data. Da Vinci Robots: Minimally Invasive Miracle or Costly Conundrum? By Jim McLaughlin Minimally invasive surgeries have grown in use among surgeons and favor among patients and payers. Robotically assisted surgery performed using the da Vinci robot is the latest technologic upgrade, but new research is calling its effectiveness — and higher cost — into question. But, even some healthcare executives skeptical of the da Vinci's cost-saving potential find the machine indispensable in recruiting physicians and marketing to patients. Rise of the robots The healthcare industry, however, is swimming against the stream. Last year, 20.8 percent of healthcare workers — people in healthcare practi- Laparoscopic surgeries have been recognized as safe alternatives to traditional open surgeries, with shorter hospital stays, less blood loss and faster, less painful recoveries. The da Vinci robot allows surgeons to perform a type 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.