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Hospital Review August 2014 • Vol. 2014 No. 8 INDEX Table of Contents p. 6 Executive Roundtable p. 17 CIO Roundtable p. 23 Financial Management p. 29 Clinical Integration & ACOs p. 32 Health Information Technology p. 44 Leadership & Management p. 52 CEO and CIO Roundtables In two discussions, a dozen hospital and health system executives tackle pressing questions about hospital affiliations, health IT and the skill sets most critical for healthcare leaders today. p. 38 Should Nonprofit Hospitals Pay Board Members? The trend of paying nonprofit board members is slowly on the rise, but organizations must address a few considerations before deciding whether this approach makes sense for them. p. 52 What Narrow Networks Mean for Providers There's been a flurry of media attention on narrow networks, and experts have forecasted downsides for both providers and patients. p. 30 What Hospital Leaders Need to Know for Successful Direct Contracting With Employers By Helen Adamopoulos Cleveland Clinic has entered into a number of direct contracting agreements with employers through its Pro- gram for Advanced Medical Care. In 2012, for instance, the system became one of six nationwide to partner with Bentonville, Ark.-based Wal-Mart Corp. As part of that Health IT and Liability: How to Protect Your Hospital When Software Fails By Ayla Ellison Disputes between healthcare organizations and IT ven- dors are becoming more common with increased use of technology, such as electronic health records. As the government attempts to recoup money spent on failed health insurance exchanges, disputes with vendors are also becoming commonplace in other sectors. Of the top 50 companies on the For- tune 500, 14 are traditional health- care organizations that have found continued success in a rapidly chang- ing industry. And 24 are new entrants into health- care; mega-corporations poised to disrupt the $2.8 trillion healthcare industry, according to a recent report from PricewaterhouseCoopers. These two dozen new players come from a range of industries. They in- clude retailers like CVS/Caremark, whose MinuteClinics and public denouncement of tobacco products have made its retail stores go-to des- tinations for health products and services. They include telecommuni- cations companies like Time Warner Cable, which in 2013 announced a partnership with Cleveland Clinic for a new telemedicine program. They even include automakers like Ford, which is developing solutions to aid in chronic condition manage- ment while driving. The currently high cost of care is "the ultimate driver" in bringing these new entrants into the healthcare industry, says Vaughn Kauffman, a partner at PwC. Consumers, increasingly insured continued on page 29 continued on page 8 continued on page 8 Special Lists Issue: Largest Hospitals, Top-Grossing Hospitals & More How Some of America's Largest Companies Are Poised to Shake Up Healthcare By Helen Gregg REGISTER TODAY! Becker's Hospital Review CEO Strategy Roundtable November 5, 2014 Ritz-Carlton Chicago, Chicago 40 Hospital & Health System CEOs Speaking Co-chaired by Scott Becker, Publisher, Becker's Hospital Review, and Chuck Lauer, Former Publisher, Modern Healthcare To learn more visit www.BeckersHospitalReview.com To register, visit www.regonline.com/ceoroundtable2014