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100 Accountable Care Organizations to Know p. 21 INSIDE 54 Statistics on Hospital CEO, CFO Compensation p. 35 Hospitals Will See "Eroding Profits" in Move to New Payment Models p. 41 Stop Paying for Paltry Performance: 5 Tips for Hospital Leaders p. 39 Chuck Lauer: The Patient is Your Boss p. 60 Hospital Review September 2013 • Vol. 2013 No. 9 How Much Should We Expect Healthcare to Mimic Other Industries? By Molly Gamble One way people point out healthcare's dysfunction is by comparing it to other industries. Analogies about a hospital's pricing scheme compared to that of a restaurant, for example, suggest hospitals are deficient, even out of control. Diners know the price of their cheeseburgers, for instance, but few patients know the price of their echocardiograms. continued on page 8 INDEX Special CFO Roundtable p. 14 Executive Briefing: Hospital & Health System Transactions p. 30 Clinical Integration & ACOs p. 34 Compensation p. 35 Reimbursement & Revenue Cycle p. 41 Executive Briefing: Managing the Non-Acute Care Supply Chain p. 43 Legal & Regulatory Issues p. 46 Executive Briefing: The Value of Time in Healthcare p. 52 Hospital Layoffs on the Rise: 4 Best Practices for Hospitals Facing the Last Resort By Heather Punke Large layoffs and workforce reductions have become more common at hospitals and health systems across the country, regardless of size or for- or nonprofit status. Through July this year, several organizations have laid off dozens and cut hundreds more jobs through attrition. For example, St. Vincent Health in Indianapolis cut roughly 865 jobs, Denver Health eliminated 300 jobs through layoffs, attrition and reduction in new hires, and Vanderbilt University Medical Center in Nashville, Tenn., eliminated more than 300 staff members. In one of the biggest layoffs so far, Bacontinued on page 12 Consolidation Nation: Where Will the Hospital Industry Stand After the TenetVanguard Merger? By Bob Herman One of the most consistent drumbeats heard in the hospital industry over the past several years has been a crescendo of hospital mergers, acquisitions, affiliations and alignment strategies. Simply put, hospitals and health systems are looking to partner with each other to handle healthcare reform, and it's leading to mass consolidation. In the first three weeks of July alone, there were roughly two dozen hospital and health system mergers, acquisitions, partnerships, affiliations or transactions announced or completed. However, no hospital M&A announcement has been bigger this year than 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.