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HELP WHERE HOSPITALS NEED IT ®

Community Hospital Blog

Healthcare Reform
LTACH Changes and Market Opportunities

The federally mandated moratorium on new long term acute care hospitals, or LTACHs, and new beds to existing facilities ends Dec. 29. This change has caused renewed interest in how LTACHs can be beneficial to hospitals.

 

LTACHs offer specialized healthcare services for patients with complex conditions while reducing the cost of lengthy hospital stays in acute care environments. 

 

If you’re taking a closer look at the market demand for LTACH opportunities – improving, expanding or developing services – CHC can help.

 

CHC offers distinction through: 

  • CHC ContinueCARE LLC – the post-acute care company of CHC offering a unique model that benefits the host hospital by participating in the arrangement. The model provides for the continued operation and existence of a not-for-profit LTACH facility.
  • Expertise and services that help hospitals navigate LTACH regulatory complexities, facilitate reimbursement, and improve operations and finances for competitive advantage.

CHC can help you evaluate and move forward with LTACH opportunities. To learn more about LTACH Services and to read the LTACH model of success case study or call 972.943.6400.

Tags: Healthcare Reform , LTACH, Strategic Direction
Healthcare reform – challenges and action steps for community hospitals

Hospitals are expected to implement new payment and delivery models now that the Supreme Court has upheld the Patient Protection and Affordable Care Act. But community hospitals may have difficulties transforming their organizations due to limited resources and other challenges.

 

CHC’s president and CEO Mike Williams spoke this month with Becker’s Hospital Review about the challenges facing community hospitals and immediate actions to take in order to weather current and future changes in healthcare.

 

The four main challenges are:

  • Revenue cycle. As Medicare reimbursement levels decline, community hospitals may suffer most because they serve a disproportionate number of Medicare and Medicaid patients. In addition, many community hospitals lack the clout to secure the best rates from managed care providers.
  • Access to capital. In part due to reduced reimbursement, community hospitals also lack access to capital. This prevents them from updating their facilities, which can affect patient volume and quality of care.
  • Physician recruitment. There’s a nationwide physician shortage, and on top of that, it can be difficult to attract primary care physicians and specialists to remote or rural areas.
  • Hospital-physician alignment. Community hospitals, like all hospitals, struggle to work cooperatively with medical staff to improve quality and lower costs.

 Six actions can be taken immediately to address these challenges:

  • Optimize internal operations. The goal is to provide care in a cost-effective manner with the best possible outcomes.
  • Benchmark performance against similar hospitals. Comparing clinical data can help identify opportunities for improvement.
  • Assess feasibility of independence. After making as many internal improvements as possible, community hospitals must assess the feasibility of remaining independent, now and in the future.
  • Consider partnerships. If internal improvements aren’t sufficient to compete in the marketplace, community hospitals should consider forming relationships with other organizations. When seeking a partner, community hospitals should make sure the hospital’s culture aligns with the prospective partner’s culture; define expectations upfront; and make clear what they must provide in return and the amount of control they will cede for the expected benefits of the partnership.
  • Ensure board involvement. The board may need to be educated about its responsibilities, including overseeing finances, clinical quality and strategy.
  • Collaborate with physicians and involve them in the hospital’s governance.

Read the full Becker's Hospital Review article.

  

If these health reform challenges sound all too familiar, CHC can help with operations assessment, board education, strategy development and, if necessary, partnership options. Call us today at 972.943.6400.

Tags: Affordable Care Act, Healthcare Reform , Hospital Board Advisory, Hospital-Physician Alignment, Independence, Operational Assessment , Patient Protection , Physician Recruitment, Strategic Direction
ACA ruling mandates Community Health Needs Analysis. Isn’t it time you got started?

ACA ruling mandates Community Health Needs Analysis. Isn't it time you got started?

 

The Supreme Court has spoken. And though the justices may not have the last word on the Patient Protection and Affordable Care Act (politicians are still debating), their ruling means the ACA is now the law of the land and hospitals must take action to satisfy its requirements.

 

One of the new requirements states that not-for-profit, charitable hospitals must conduct a Community Health Needs Assessment (CHNA) once every three years and develop a plan to meet the health needs of the community.

 

Like many hospitals, you probably have questions about the Community Health Needs Assessment (CHNA) and Implementation Plan requirements. Perhaps you’re wondering if your facility has the staff or time to complete the assessment and implementation plan. Perhaps you aren’t sure when your specific assessment and implementation plan must be completed.

 

This is where CHC Consulting can help.

 

At CHC Consulting, we take a flexible approach in working with our clients. We can complete the entire community needs assessment from start to finish or provide assistance in certain areas such as:

  • Data collection
  • Conducting one-on-one interviews, focus groups or surveys
  • Writing the report after your facility has completed the analysis

To learn more about the CHC Consulting Community Health Needs Assessment process and how we can help you meet the new regulations, contact David Domingue at ddomingue@communityhospitalcorp.com or visit the Community Health Needs Assessment page on our Website.

Tags: Affordable Care Act, Community Health Needs Assessment, Healthcare Reform , Hospital Board Advisory
Community Health Needs Assessments - Have questions? We have answers.

The passing of federal health reform legislation – the Patient Protection and Affordable Care Act – has already brought many changes to hospitals including four new requirements for not-for-profit, charitable hospitals. One of those new requirements states that not-for-profit hospitals must conduct a Community Health Needs Assessment (CHNA) once every three years and develop a plan to meet the health needs of the community.

 

Are you one of many hospitals that has questions about the Community Health Needs Assessment (CHNA) and Implementation Plan requirements? Do you wonder if your facility has the staff or time to complete the assessment and implementation plan? Do you know when your specific assessment and implementation plan must be completed?

 

This is where CHC Consulting can help. We use the six step process listed below.

 

At CHC Consulting, we take a flexible approach in working with our clients. We can complete the entire community needs assessment from start to finish (as described above) or provide assistance in certain areas such as:

  •  Data collection
  • Conducting one-on-one interviews, focus groups or surveys
  • Writing the report after your facility has completed the analysis

To learn more about the CHC Consulting Community Health Needs Assessment process and how we can help you meet the new regulations, contact David Domingue at ddomingue@communityhospitalcorp.com or visit the Community Health Needs Assessment page on our Website.

Tags: Affordable Care Act, Community Health Needs Assessment, Healthcare Reform

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