Becker's Hospital Review

100 Hospitals With Great Heart Programs p. 43 50 of the Most Powerful People in Healthcare We highlight the real movers and shakers in this annual roundup of distinguished men and women who have shaped policy, thoughts, operations and management in healthcare. p. 15 Becker's CEO Roundtable A dozen healthcare leaders met in Chicago for a candid discussion about hospitals and healthcare, including clinical integration, hospital layoffs, consolidation and more. We took notes. p. 22 Incorporating Pharmacists Into ACOs Medication management has a major impact on the costs and outcomes of care, but it is relatively untapped by ACOs. Why is that and how is it changing? p. 26 INDEX Table of Contents p. 6 Clinical Integration & ACOs p.26 Financial Management p. 39 Health Information Technology p. 40 Hospital Review January 2014 • Vol. 2014 No. 1 10 Challenges and Opportunities for Hospitals in 2014 By Molly Gamble It's not hard to develop a Chicken Little worldview if you work in healthcare, particularly if you're sitting in the hospital C-suite. If you don't catch yourself, it's easy to think the sky is falling, piece by piece, one day after the next. The challenges facing hospitals are daunting, surely. But real leaders know what good they get from doomed thinking: none. It's an exer- cise in futility, and real leaders have never cared for pointlessness. For this, we're glad. As experts here can attest to, there are some real opportunities behind each of the challenges looking hospital and health system leaders squarely in the eye in 2014. 1. Health insurance exchanges. Hospitals face three challenges regarding the health insurance exchanges. One is lower reimbursement under the exchanges than they would receive from employer-sponsored commercial plans. Christopher Kerns, managing director with The Advisory Board Company in Washington, D.C., said he's heard reimbursement rates under the typical exchange plan are a sincontinued on page 8 The Future of Hospitals: Visions of the Healthcare Landscape in 2035 Staying Strong Under Pressure: Nonprofit Hospitals Discuss the Year Ahead By Helen Adamopoulos By Helen Adamopoulos Picture what would happen if physicians from 20 or 30 years ago travelled through time to the present day and wandered into a modern hospital. They probably wouldn't recognize a lot of what was happening around them, especially when it comes to technology, says Mitch Morris, MD, vice chairman and national leader of the healthcare provider sector for Deloitte. Looking forward to 2014, Michael Rowan, executive vice president and COO of Englewood, Colo.-based Catholic Health Initiatives, sees a number of financial hurdles up ahead for his health system. continued on page 12 continued on page 13 Utilization of hospital services is falling across the industry, he says. Additionally, like other providers, CHI faces Medicare Becker's Hospital Review 5th Annual Meeting May 15-17, 2014 • Swissôtel • Chicago, Illinois The Most Business- and Quality-Focused Meeting in the Hospital and Health System Arena 100+ sessions and 190+ speakers Register by April 1 for Early Registration Discounts For more information visit, www.BeckersHospitalReview.com and click on "Conferences."

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