Issue link: https://beckershealthcare.uberflip.com/i/235056
22 Becker's Hospital Review CEO Strategy Roundtable Becker's CEO Roundtable 2013: 12 Leaders on the Biggest Healthcare Challenges Today By Molly Gamble and Bob Herman In a world that has become dominated by talking points and vapid banter, genuine discussion is often left out of the mix. This has especially applied to healthcare, which has become a frequently volleyed topic among politicians and figureheads. But what if 12 healthcare leaders had a chance to comment on the challenges surrounding today's healthcare environment candidly? On Nov. 14, that hypothetical question was realized in a concrete scenario, as Becker's Hospital Review hosted its Annual CEO Strategy Roundtable. Twelve healthcare leaders from every corner of the industry — standalone safety-net providers to healthcare association leaders to multihospital health system executives to a lawyer who helped craft the Patient Protection and Affordable Care Act — met at the Ritz-Carlton in Chicago for a panel-style discussion on clinical integration, the rise in hospital layoffs, consolidation and many other issues affecting the industry as it heads into the biggest year of healthcare reform yet. Note: The following excerpts have been edited for clarity. Panelists • lan Channing. President and CEO of Sinai Health System (Chicago). A • Joe Fifer. President and CEO of the Healthcare Financial Management As sociation (Westchester, Ill.) • Larry Goldberg. President and CEO of Loyola University Health System (Maywood, Ill.) • Diana Hendel, PharmD. CEO of Long Beach (Calif.). Memorial Hospital, Miller Children's Hospital Long Beach and Community Hospital Long Beach. • Catherine Jacobson. President and CEO of Froedtert Health (Milwaukee). • Phil Kambic. President and CEO of Riverside Medical Center (Kankakee, Ill.) • Lynn Nicholas. President and CEO of the Massachusetts Hospital Association (Burlington). • Michael Sachs. Chairman of Sg2 (Skokie, Ill.) • José Sánchez. CEO of Norwegian American Hospital (Chicago). • Quint Studer. Consultant and Founder of Studer Group (Gulf Breeze, Fla.). • Russell Sullivan, JD. Partner at McGuireWoods (Washington, D.C.) and Former Staff Director for the U.S. Senate Finance Committee. • Paul Summerside, MD. CMO of BayCare Clinic (Green Bay, Wis.). Moderators • cott Becker, JD, CPA. Publisher, Becker's Hospital Review, and Partner at S McGuireWoods. • huck Lauer. Former Publisher of Modern Healthcare, Author and Public C Speaker. From left: Joe Fifer, Larry Goldberg, Catherine Jacobson, Russell Sullivan, Dr. Diana Hendel, Dr. Paul Summerside, Alan Channing, Lynn Nicholas, José Sánchez, Phil Kambic, Quint Studer, Michael Sachs and moderator Scott Becker On hospitals and physician integration Larry Goldberg: We have a fully employed model in our academic medical center. We have a culture of employed physicians. We also work with many community docs who are in private community hospitals we own. They are both very important to us. We are trying to have a series of different models where physicians can work with us de- pending on their situation. You have to be adaptive to the environment. The AMC model that we have is much more integrated than just buying practices, and that's probably our secret sauce. All of our docs are on a standardized comp model we have developed. Everyone is working side-by-side across the continuum of care. We all argue about downstream revenue. What we have done is say, "Let's stop looking at it that way." We don't produce physician [profit and loss statements] anymore. It just alienates our relationships with our docs. Dr. Paul Summerside: How do you measure profitability? The old-fashioned way is [to] earn it. I'm a big believer in the owner versus renter mentality.