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Hospital Review June 2015 • Vol. 2015 No. 6 5 Important Questions for Healthcare Leaders By Molly Gamble Leaders can ask themselves a few questions every day to determine whether their organizations can, or will, make it to the other end. At the Becker's Hospital Review 6th Annual Meeting in Chicago, Michael Dowling spoke about the old and the new in healthcare. Mr. Dowling has led Great Neck, N.Y.-based North Shore- Long Island Jewish Health System as president and CEO since 2002. His time with 19-hospital North Shore-LIJ has been marked by action. The health system has entered into strategic alliances with the Cleveland Clinic, Hackensack University Medical Center and Montefiore Medical Center to increase innovation and improve patient care. Under his Creativity Before Capital: Health Systems and Frugal Innovation By Akanksha Jayanthi What does innovation even mean anymore? Everything in healthcare is deemed "innovative." The word evokes images of technology and futuristic frameworks. Microchips, computers and servers get smaller while their storage capacity grows bigger. Creation and growth tend to be linked with innova- tion. But this capacity of endless creation and growth also requires endless resources, which the healthcare industry just doesn't have. What If The Affordable Care Act Were Gone Tomorrow? By Ayla Ellison The Supreme Court decision on King v. Burwell is expected in late June or early July. It is but one chal- lenge to a law that, in its five years of life, has seen significant resistance. The 2016 presidential election and the fact that a layman — not a lawyer or policy expert — got to the Supreme Court by challenging seven words of the law are only two facts that suggest the ACA's existence as we know it today is far from certain. If a full repeal did occur, how much would change and how much would endure? continued on page 46 continued on page 48 continued on page 8 Inside: 150 Hospital and Health System CFOs to Know p. 23 SAVE THE DATE! Becker's Hospital Review CEO Roundtable + CFO/CIO Roundtable November 18-19, 2015 Ritz Carlton - Chicago, Illinois 44 Leading Hospital & Health System CEOs 33 CFOs & CIOs & 100 Hospital Executives Total Speaking • 5 Tracks & 74 Sessions To learn more visit www.BeckersHospitalReview.com To register, visit www.regonline.com/ceoroundtable2015 INDEX Table of Contents p. 6 Financial Management p. 21 Leadership & Strategy p. 50 Revenue Cycle p. 69 Physician Affairs p. 80 Health IT p. 86 Sustainable Healthcare p. 88 CFO Roundtable What are the essential skills one needs as CFO? What roles do these financial watchdogs play in data security and population health management? Three health system CFOs weigh in. p. 12 24 Thoughts From 5 Healthcare Leaders Quint Studer, Chuck Lauer, Pat Fry, Dr. Steven Mansfield and Steve Goldstein on management advice, health system size and physician relationships. p. 52 How 4 CEOs Spend the Bulk of Their Time Chiefs from Baylor Scott & White Health, Henry Ford Health System, Rush University Medical Center and Saint Francis Medical Center define their top priorities. p. 50