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Frost & Sullivan Speaks Candidly with U.S. Healthcare CIOs
Frost & Sullivan, July 2010, Pages: 39
This study encompasses an analysis of feedback provided by U.S. Healthcare hospital CIOs and senior executives. Our Q2 panel consisted of 13 hospital CIOs, CTOs and VPs responsible for the selection, purchase, and management of HIT products and services. Panel participants were randomly selected from a pool of pre-screened, qualified candidates and represented hospitals from the private, nonprofit and government sectors across the U.S. (including major urban centers and rural areas) with >50 beds. The discussion was conducted via a moderated online discussion over a period of three days - April 27-29, 2010.
Healthcare Reform – Market Forces
The number of newly insured patients will significantly decrease hospitals’ losses from providing care to the uninsured with no means to pay
Changes in Medicare reimbursement rates will have a huge market impact on both the amount and methods of payments to providers
Reform establishes a Medicare pilot program to evaluate bundling payments between different providers for an episode and period of care (Accountable Care Organizations)
Medicare won’t pay for preventable hospital readmissions starting in 2012. Hospitals will be paid based on quality performance measures accelerating data- driven, evidence-based decision making and use of IT
Healthcare Reform – Questions Posed to Panel
Near Term Impacts
- What do you need to do differently today (this year)?
- What aspects of your operations/day-to-day work/bottom line will be most impacted?
- What is the immediate short-term (1-2 year) financial impact of Healthcare Reform – capital budgets, ROI, etc?
- If you do not anticipate that Healthcare Reform will have much of a real impact this year or next, is there any other issue that will significantly impact your short-term operations and planning ?
Impacts Further Out
- What changes driven by Healthcare Reform will impact hospitals most over the coming five years?
- What aspects of your operations / day-to-day work / bottom line will be changed most impacted by Healthcare Reform over the long-term?
- Which stakeholders in the US healthcare system will win or lose influence from the changes Healthcare Reform will bring?
- What other long-term financial impacts of Healthcare Reform – volume, reimbursement, capital budgets, facilities planning, ROI, etc. – will impact hospitals the most?
Healthcare Reform – Key Messages
The shape of change is yet to be determined; most fear a net negative impact due to reimbursement cuts
Major takeaways
- Most participants are currently more focused on meeting Meaningful Use deadlines although they agree they will soon need to develop strategies and contingency plans to reduce expenses in preparation for payment changes
- Concern was expressed about patients’ misconceptions of the timing of changes in insurance, driving more uninsured into the system before they are actually covered
- The need to partner with physician providers and even competitors is seen as important, particularly in light of accountable care organizations (ACOs)
- Reform will continue to drive adoption of EHRs. The biggest winners will be ambulatory EHR vendors and large established enterprise HIT companies. Participants are concerned about vendor capacity to meet growing demand
- Payers and small to mid-sized hospitals are seen as the biggest potential losers
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