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  • Where Have All the Volumes Gone?

    In June of 2011, I penned a blog entitled…. A Common Question: Where Are Inpatient Volumes Going? I began by stating that this question was being asked by a myriad of healthcare audiences – leaders in the C-Suite, physicians, pharmaceutical companies, revenue cycle experts, insurers, supply chain companies, and investors. At that time I predicted inpatient volumes would decline 2% to ...
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  • I Have A Dream

    For many years I have had a dream – wouldn’t it be wonderful if new technologies and excellent disease management would permit medical care to be delivered outside our traditional hospital walls! What a legacy we would all share if in some small way each of us could say we contributed to their closures, like our colleagues in the past did with TB Sanitariums, Polio Hospitals, and large ...
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  • What are the Key Strategies to Achieve Successful Physician Integration

    As was discussed in Blog I in this series, enhanced physician integration is essential for the future success of any hospital or health system in existence today. In addition, Blog II articulated both the historical and present reasons why this integration is so hard to achieve. Because integration is both essential and hard to achieve, we must answer the question – What are the key ...
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  • Do You Know Who's Making the Rebar?

    In 1997, Clayton Christensen introduced “principles of disruptive innovation” in his book, The Innovator’s Dilemma. Several years later, in 2009, Christensen applied these disruptive principles to healthcare in The Innovator’s Prescription. Recent stories in numerous periodicals and newspapers have made it clear to me the disruptive process Christensen has described is ...
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  • How Do Physicians Acquire Leadership Competencies to Embrace Successful Integration

    How do physicians acquire the necessary leadership competencies to embrace successful integration? In order for physicians to participate in the integrative strategies identified in a previous blog, they must have the leadership competencies to do so. There are numerous requirements for physicians to be an effective leader, both in the clinical and administrative areas. These include: 1. ...
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