Hospital Leaders — Cut Waste Out Before Regulatory Reform Hurts

med424089Waste Not, Want Not.”  This good advice from our grandmothers is now an imperative direction for hospital leaders.

Too many are standing around trying to figure out how reform will impact hospitals.  Those standing still will find proactive leaders passing them by.

The smart leaders understand that regardless of how healthcare reform looks when it becomes law, the real truth is that we’ll all be getting less. Knowing this is the end-point gives us all the freedom to take action now.

Proactive hospital leaders are already assuming the conclusion and are getting to the task of cost reduction and quality enhancement in preparation for whatever change comes our way.

The strategy to thrive (who just wants to survive?) is critical, stem to stern evaluation of all processes within the hospital from operations through administration, from staffing through organizational structure.

This need not be arduous, laborious or time consuming but it must be critical, objective and structured. In fact there is much merit in a blitz approach to assessment yielding fast, reliable opportunities that can be prioritized and addressed with alacrity.

Such a rapid approach is less disruptive, more culturally respectful and garners fewer opponents capable of hijacking the process. Analysis-paralysis is prevented. In the end, nothing yells success like results that translate to the bottom line and the ability to invest in mission critical activities.

A relatively small hospital recently took action to reduce labor cost and put an extra $8 million on their bottom line without layoffs or departmental closings – a savings that will repeat year after year. Consider then, the even greater potential for cost reduction at larger hospitals. The places to look for productivity gains with dramatic results lie in improving labor productivity, increasing patient throughput, eliminating the need for facilities expansion with more efficient processes and LOS reduction.

Waste Not, Want Not.”  Or as Ben Franklin once said: “A penny saved is a penny earned. “ Never have pennies been as important as when you are fighting a recession, healthcare reform and more aggressive regulatory compliance – all at the same time.

Read more about hospital financial performance.

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About the Author

Kate Fenner (RN, PhD) understands how hospitals work. First as a nurse, and later as an educator and consultant, Kate has immersed herself in the issues that face hospital leaders. She has the rare ability to problem-solve and communicate at all levels of an organization—from staff members to Board members. As Chief Executive Officer of Compass Group, Inc., she uses this talent to help clients meet their clinical and cultural goals. Since Kate first entered the healthcare field over a quarter century ago, she has filled leadership roles in numerous university, state, regional, and national organizations. Her varied experience has given her a strong understanding of leadership dynamics, while staying abreast of the hospital industry’s emerging problems and innovations. Drawing from her years in both healthcare and academia, Kate applies proven leadership and development strategies to hospital settings, providing Compass Group clients with creative, effective solutions to their most pressing concerns. Kate obtained her doctorate in Ethics and Law in Healthcare from the Union Institute Graduate School in Cincinnati, OH, and also holds Master’s and Bachelor’s degrees in nursing from Northern Illinois University. In addition to her numerous national speaking engagements, Kath has authored a leading college text in law and ethics in healthcare, was senior author of Aspen’s Manual of Nursing Recruitment and Retention, and with Richard Coffey & Sheryl Stogis co-authored the Jossey-Bass text, Virtually Integrated Health Systems: A Guide to Assessing Organizational Readiness and Strategic Partners.

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