Nashville Health Care Council


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The Nashville Health Care Council is an association of healthcare industry leaders working together to further establish Nashville's position as the nation's healthcare industry capital.

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Nashville Health Care Council

  1. 1. mh.qxp 8/21/2012 3:42 PM Page 25 special advertising supplement NASHVILLE HEALTH CARE POWERHOUSE FOCUSED ON THE FUTURE To download a PDF file of this special section, please visit
  2. 2. 12mh0436_08 8/3/12 2:33 PM Page 1 This is our Community. At home in Nashville. At work around the nation. Our name – Community Health Systems, Inc. – says a lot about who we are. Our affiliated hospitals provide quality care in communities all over the country – from Alaska to Florida, from California to New Jersey. We’re proud to be a vital health resource in these cities and towns. Promises Made. We’re also proud to call Nashville our home – a unique community with more than 250 health care organizations that are our colleagues, Promises Kept. neighbors and partners. As a member of the Nashville Health Care Council, we join with other leading health care companies in the quest for quality, innovation, and a strong health care system. Because we know what we do in Nashville can improve the quality of life in every community we serve. Contact Kenneth Hawkins, Senior Vice President, Acquisitions, 615-465-7000. 12mh0436.pdf RunDate: 08/27/12 Full Page Color: 4/C
  3. 3. mh.qxp 8/21/2012 3:42 PM Page 1 special advertising supplement FROM THE CHAIRMAN A global health care force based in a dynamic city T he evolution and current momentum of tradition of encouraging entrepreneurs to found new Nashville’s health care community is significant ventures in the area. The community also supports not only to the region, but also to the national the continued development of our existing large and health care landscape. On behalf of the Nashville diverse health care sector, and works to attract new Health Care Council Board of Directors, it is an health care companies to relocate to the region. honor to partner with Modern Healthcare on this special section about Nashville’s dynamic health care industry. “In Nashville, a collaborative spirit fuels The Nashville area is home to 250 health care a continuing desire to improve people’s companies which create 200,000 jobs locally and BEN LEEDLE 400,000 jobs globally. Nashville’s health care health, care and outcomes.” CEO | Healthways Chairman organizations are leaders in hospital management, Nashville Health Care Council outpatient surgery, disease management, wellness, While home to more than four decades of industry population health, health information technology innovation, our passion stems from how we affect and beyond. Our hospital management companies the lives of patients and their families. In Nashville, a own or operate more than half of the investor- collaborative spirit fuels a continuing desire to owned hospitals in the nation. Nashville’s health improve people’s health, care and outcomes. care cluster is unmatched. It accounts for more than We are grateful to Modern Healthcare for telling the $70 billion in annual revenue. story of Nashville, the nation’s premier health care The industry success found in Nashville is the result industry capital. ■ of an innovative environment that has a long Spotsylvania Regional Medical Center A s we embark on our next 50 years of architecture, we continue to provide spaces that relate to their users. The belief of our founder is that “Anyone who has a passion for design should also have a passion for humanity.” Passion for Design, Passion for Humanity We bring those passions to all of our designs of healthcare facilities. In doing so, we create human- centered environments that promote healing, safety Monroe Carell Jr. Children’s Hospital at Vanderbilt and wellness and deliver optimal functional performance with flexibility. That’s our history and reputation. It’s for our clients’ futures. St. Luke’s Hospital at The Vintage St. Anthony Hospital Earl Swensson Associates, Inc. Over 50 years of architectural experience 615-329-9445 NASHVILLE HEALTH CARE COUNCIL N1
  4. 4. mh.qxp 8/21/2012 3:42 PM Page 2 special advertising supplement FROM THE PRESIDENT A diverse group of leaders committed to the future O n behalf of the Nashville Health Care Council’s more than 225 member organizations, I would “Health care is Nashville’s most important like to thank Modern Healthcare for their partnership in producing Nashville: Health Care economic driver, contributing more than a Powerhouse Focused on the Future. $30 billion benefit to the local economy.” Founded in 1995, the Council serves to foster the growth of Nashville’s unique health care industry. For nearly 20 years, the Council has been privileged Our members are both Nashville-based and national to work with world-class leaders to provide critical organizations that are leaders in a diverse mix of information needed to grow successful organizations CAROLINE YOUNG health care industry segments. Also represented in our that provide superior patient care. Health care is President numbers are professional service firms with significant Nashville’s most important economic driver, Nashville Health Care Council expertise in the health care industry. contributing more than a $30 billion benefit to the The pages that follow provide an overview of the local economy. We look forward to future industry history in Nashville and the profound opportunities to ensure a supportive operating impact it has on the delivery of innovative, high- environment for existing, start-up and relocating quality patient care around the globe. The section health care businesses through quality educational also details how Nashville executives are preparing programs, networking and mentoring activities. for the changes directed by health reform and We hope you enjoy learning about our health care ultimately providing a vision for the future direction industry and we invite you to learn more by visiting of improving health, well-being and care delivery in the Nashville Health Care Council at this country. ■ Working with healthcare companies nationwide for more than a quarter of a century. | (615) 297-7766 N2 NASHVILLE HEALTH CARE COUNCIL
  5. 5. 12mh0417_08 7/30/12 1:59 PM Page 1 If physicians, hospitals and patients are the building blocks of a health care system, we provide the mortar. It takes a lot to bring together all the parts Lipscomb opened the first college of pharmacy in Middle of our great health care system, connecting Tennessee, and our nursing students have been supporting area hospitals and health care facilities for years, even some in service providers with patients with health care remote villages around the world. professionals and more. Yet that is just what Lipscomb University in Nashville, Tenn., has been Our graduate programs in health care informatics and quietly doing for quite some time now. computer security are especially aimed at producing the professionals who will shape electronic medical records. And Lipscomb’s College of Business offers one of the few MBAs in Medical schools nationwide covet our pre-med students—in the area specific to the health care industry. fact, often accepting a higher percentage of our students than their own. Our “TransformAging” programs are preparing a new As you can see, we are helping build Nashville as a health care generation of health care professionals who see successful health capital by educating professionals who will successfully and care for this key demographic in a different way. creatively connect the blocks one at a time. 12mh0417.pdf RunDate: 08/27/12 Full Page Color: 4/C
  6. 6. mh.qxp 8/21/2012 3:42 PM Page 4 special advertising supplement ABOUT THE COUNCIL Expansion-minded council promotes growth, reaches out globally to connect with leaders T he Nashville Health Care Council is an association of health care industry leaders working together to further establish Nashville’s position as the nation’s health care industry capital. Founded in 1995 as an initiative of the Nashville Area Chamber of Commerce, the Council’s membership includes more than 225 organizations that are world leaders in hospital management, outpatient services, disease management, academic medicine, health information technology and beyond. Also represented are professional services firms with wide-ranging expertise in the health care industry. Nashville’s health care industry is its most important economic engine, contributing an overall economic benefit of nearly $30 billion and more than 200,000 jobs to the local economy Council co-founder Dr. Thomas F. Frist Jr., chairman emeritus of HCA, characterizes Nashville as the “Silicon Valley of health care.” The Council recently marked its 15th anniversary by hosting “It has the right people, at the right time, at the right place to solve the 500 members at a panel session featuring legendary health needs of health care in our ever-changing world,” Frist said. care leaders and entrepreneurs. The Council promotes the continued growth of Nashville’s health care industry by fostering a supportive operating environment for existing, In November 2010, the Council with the Nashville Area Chamber of start-up and relocating health care businesses. Through educational Commerce conducted a trade mission to Santiago, Chile and Buenos programs, the Council provides executives with timely information on Aires, Argentina. key operational and policy challenges facing health care companies, as well as networking and mentoring activities. The Council and Chamber previously embarked on a study mission to the United Kingdom, which offered participants an up-close look Council events focus on pressing issues facing the health care industry at the British and Scottish health care systems through small-setting and have featured leaders such as Centers for Medicare and Medicaid exchanges with policymakers, business executives and dignitaries in Services Administrator Marilyn Tavenner, U.S. Chief Technology Officer London and Edinburgh. Todd Park, U.S. Senate Republican Leader Mitch McConnell (R-Ky.), AHIP CEO Karen Ignagni, Microsoft CEO Steve Ballmer and numerous The Council has also hosted business and government leaders from other leaders from government, industry and finance. around the world to Nashville, including groups from Russia, Sweden and Asia. During a recent Nashville visit Asia business experts shared Since its inception, the Council has placed a strong emphasis on first-hand insights on private sector business opportunities in the expanding Nashville’s reputation as a health care capital by meeting reformed and expanded Chinese health care system. ■ with health care and business leaders across the nation and worldwide. More than 200 health care executives have joined the Council on FOR MORE INFORMATION on the Nashville Health Care Council, missions to 17 international cities in 14 countries. please visit “BY THE MID-1990S, THE HEALTHCARE INDUSTRY HAD A STRONG PRESENCE IN NASHVILLE, but it needed structure, opportunities for healthcare leaders to network and discuss issues that affect the entire industry and, of course, a vehicle to promote Nashville as a desirable location for healthcare companies. The Nashville Health Care Council has provided the platform and leadership to help Nashville become the Silicon Valley of healthcare. Originally established to be a regional resource, the Council’s reach today is national and global. It has far exceeded its founders’ vision of what it could become.” THOMAS F. FRIST JR., MD | Chairman emeritus of HCA | Former Chairman, Nashville Health Care Council N4 NASHVILLE HEALTH CARE COUNCIL
  7. 7. 12mh0433_08 8/2/12 2:52 PM Page 1 YOU WOULDN’T HIRE A SURGEON WHO HASN’T SPENT TIME AT THE TABLE The same should be true of your outside counsel Bradley Arant Boult Cummings LLP represents some of the most prominent nonprofit and for-profit hospital systems, long-term care providers, surgery companies, rehab providers, imaging companies, cancer care centers, and dialysis providers in the country. E X PERIEN CE . B AB C. | ALABAMA | DISTRICT OF COLUMBIA | MISSISSIPPI | NORTH CAROLINA | TENNESSEE No representation is made that the quality of the legal services to be performed is greater than the quality of legal services performed by other lawyers. Contact: Jay Hardcastle, 1600 Division Street Nashville, TN 37203,, (615) 252-2386 12mh0433.pdf RunDate: 08/27/12 Full Page Color: 4/C
  8. 8. mh.qxp 8/22/2012 10:23 AM Page 6 special advertising supplement A health care community successfully blending collaboration and innovation Nashville’s health care industry has grown exponentially over the last few years by doing business locally, nationally and globally and establishing a reputation for innovation. everyone – our business, our employees, the communities we T he Nashville area boasts more than 250 health care companies, of which more than 56 are corporate serve around the country.” headquarters and 16 are publicly traded. In addition, more Combining many large and established companies with than 300 professional service firms lend their expertise to innovative startups, Nashville has a history of health care Nashville’s health care industry. management that goes back five decades, said Bill Carpenter, “It starts with the unique culture we have in Nashville,” chairman and chief executive officer of LifePoint Hospitals®, a said Wayne Smith, chairman of the board, president and hospital company operating 56 hospital campuses in 18 states. chief executive officer “We have a legacy and an amazing collection of health of Community Health care companies in hospital management, health information “As a community, we must Systems, an operator technology, disease management, life sciences and many other work together to find ways of general acute care sectors,” Carpenter said. “We have a deep bench of talent and hospitals with 135 a broad network of advisors that can support companies of all to prevent illness and keep affiliated hospitals in 29 sizes.” people healthier. We must also states. Smith is also the For nearly 20 years, the Nashville Health Care Council find ways to boost efficiency current chairman of the has been the catalyst for collaboration and champion of the Nashville Area Chamber entrepreneurial spirit that characterizes the Nashville health and improve patient outcomes of Commerce. care community. across the board.” “Companies here “The Council brings us together to consider industry-wide have an interest in issues and opportunities,” Smith said. “We can talk about BILL CARPENTER helping other companies the things that matter to all of us and work toward common Chairman and CEO develop,” Smith said. goals.” LifePoint Hospitals® “It’s not that we’re not Carpenter said the need for collaboration and innovation competitive; we are. will increase in the coming years. But, the companies here are collegial, and we collaborate to “We are in a period of change and uncertainty in health improve and grow our industry as a whole. That benefits care,” Carpenter said. “Health reform is leading most of this N6 NASHVILLE HEALTH CARE COUNCIL
  9. 9. mh.qxp 8/21/2012 3:42 PM Page 7 special advertising supplement change and driving a new focus on improving quality of care center has engaged a local entrepreneur to create a company and reducing costs. As a community, we must work together to deliver a nanosponge drug delivery system developed in the to find ways to prevent illness and keep people healthier. We Vanderbilt Department of Chemistry by Dr. Eva Harth and must also find ways to boost efficiency and improve patient colleagues. outcomes across the board.” Bentley said he anticipates similar partnerships between “These are exciting times,” Carpenter added. Vanderbilt researchers and the Nashville area health care Nashville’s health care industry is one of the most diverse community will be commonplace in the coming years. sector clusters in the nation. In addition to traditional “The Vanderbilt provider organizations, such as hospital companies and research community ambulatory groups, Nashville is home to insurers, technology, is such an innovative “Nashville is home to a number of care management companies and a variety of support and bunch, there entrepreneurial ventures. are numerous new and longtime entrepreneurs “In Nashville, and thanks in part to the leadership provided opportunities to in health care. At the Entrepreneur by the Nashville Health Care Council, a unique collaborative partner locally to Center, we connect these spirit exists,” said Richard M. Bracken, chairman and develop high impact chief executive officer of HCA. “There is a progressive and health care products,” innovators with critical resources responsible recognition that a diversity of organizations will be Bentley said to accelerate business creation essential for the continued positive growth and efficiency of the And, once those and growth. We are the ‘front health care industry.” innovations become Two highly-respected academic health science centers anchor business models, door’ of Nashville for all types Nashville’s health care industry: Meharry Medical College and Nashville community of entrepreneurs, creating both Vanderbilt University Medical Center, known for their tertiary groups like the a physical and virtual place for care clinical services and research. Entrepreneur Center Dr. Wayne J. Riley, president and chief executive officer at and the Nashville providing resources, making Meharry Medical College, believes health care for everyone in Capital Network are connections, seeking advice and the United States is destined to improve. in place to nurture Founded in 1876, Meharry is well-known for training startups into successful launching a business.” African American physicians, dentists, biomedical scientists, ventures. Michael Burcham health care administrators and health policy experts. It is also “Nashville is President and CEO the nation’s largest private, independent historically black home to a number The Entrepreneur Center academic health center dedicated to educating minority and of new and longtime other health professionals. entrepreneurs in health “I envision a health care system that will continue to care. At the Entrepreneur Center, we connect these innovators evolve for the better – first by focusing on ensuring access with critical resources to accelerate business creation and for everyone who needs health care services and then, by growth. We are the ‘front door’ of Nashville for all types of continuing to find better ways to deliver evidenced-based entrepreneurs, creating both a physical and virtual place for care efficiently and effectively,” Riley said. “We know that providing resources, making connections, seeking advice and prevention is key to good health, so I would envision a future launching a business,” said Michael Burcham, president and where more and more of us take advantage of practices that chief executive officer of the The Entrepreneur Center. we know work toward good health, such as eating a well balanced diet, exercising, minimizing stress, avoiding tobacco Tackling community issues use to name a few.” Support from leaders in the Nashville health care industry gives the Council the clout it needs to tackle big issues in the Marketing innovation community, exemplified in the Council’s role in an award- Innovation often begins with university research, and winning project by Nashville Public Television. the Vanderbilt University Center for Technology and As Nashville’s business community has thrived, the health Commercialization has found a way to take innovative of its children has not. The city ranked 48th in the nation for research from the university and prepare the resulting children’s health—from obesity to infant mortality—and the intellectual property for the marketplace. state overall didn’t fare much better. In 2009, Nashville Public Vanderbilt’s Center for Technology also works with local Television spearheaded a partnership among Nashville health and regional entrepreneurs, investors, executives and other care organizations and community partners to confront the business leaders to advance technologies in sectors such crippling effects of poor childhood health in the region. as broad drug delivery, health care management and other The Council was on board immediately, said Beth information technology systems, said Assistant Vice Chancellor Curley, president and chief executive officer of Nashville Alan Bentley. Public Television. Council member Healthways, the largest “Health care innovation nationally is probably the single independent global provider of well-being improvement most important element contributing to reducing health care solutions, was also an initial key supporter. The Council and expense and improving patient care,” Bentley said. its members continued to play a major role, building and Right now, the Center for Technology is working with participating in a coalition that brought the project to fruition. investors to position some of its medical center information Titled “Children’s Health Crisis,” the project’s first phase systems for broad commercialization. For one project, the CONTINUED > NASHVILLE HEALTH CARE COUNCIL N7
  10. 10. mh.qxp 8/21/2012 3:42 PM Page 8 special advertising supplement COLLABORATION AND INNOVATION continued “Our country desperately needs consumers to take consisted of seven documentaries aired over three years. Each more responsibility for their health,” McQuigg said. “The episode examined a different issue, from childhood obesity to costs of poor health choices among adults are becoming mental health to adolescent sexuality. insurmountable.” Other elements of the project included 18 health spots “Successfully teaching young people the intrinsic value of for children and parents during daytime children’s television health today will provide a generational shift in health and programming, as well as 81 health update spots during prime well-being that will pay dividends for our communities and time. It featured call-in programs, weekly on-air reports and an country tomorrow,” McQuigg added. extensive website. The project lived off the air, too. Information Aging population influx “We’ve documented great Industry leaders are also focusing on Nashville and the nation’s was distributed to area aging population, which will continue to need a higher level of success with innovative schools, community centers health care. and health-care providers initiatives that support the with translations in four “The rising number of seniors is a global trend and not doctor-patient relationship limited to the aging of the baby boomer generation in the languages other than United States,” said Herb Fritch, president of HealthSpring, a and better align health care English. Nashville Public health plan delivering quality health care, primarily through Television held a series resources.” of Family Health Nights Medicare Advantage and other Medicare and Medicaid products. at Nashville schools. In HERB FRITCH “Advances in science, technology and medicine mean people President 2011, more than 550 today are living longer,” Fritch said. “However, as we age we HealthSpring families attended literacy become more susceptible to chronic illnesses like high blood and nutrition workshops pressure, diabetes, and heart disease.” involving games and HealthSpring works with physicians and patients to develop healthy food. personalized care plans that combine regular medical care with Throughout the process the Council assisted with the project preventative services and disease management. The approach by providing input on content, identifying health care experts has resulted in an average 80-90 percent compliance with and assisting with staging events, said Daniel Tidwell, vice evidence-based medicine practices compared to a national president of development and marketing for Nashville Public average of 40-50 percent, Fritch said. Television. “We’ve documented great success with innovative initiatives “They have really been one of our most active and involved that support the doctor-patient relationship and better align partners,” Tidwell said. “They have done a great job in helping health care resources,” Fritch said. us get the word out about it and helping us connect with the Fritch maintains that pioneering new programs and health care community.” strengthening existing ones focused on delivering better health The series won the 2011 Midsouth Regional Emmy Award outcomes, reduced costs and higher patient satisfaction is vital for Community Service. In 2010 it won two Emmy Awards for keeping seniors healthy in a future with a larger number of in 2010 for best topical documentary and best public affairs older Americans are expected to celebrate their 100th birthday. documentary. Other awards include the 2011 American When the situation calls for acute care follow up, skilled Academy of Pediatrics Friend of Children Award, 2011 and nursing and home health provide the most cost efficient settings 2012 Tennessee Commission on Children & Youth Making for the majority of cases, said Steve Flatt, president, National KIDS COUNT Media Award and 2010 National Educational HealthCare Corp., one of the nation’s oldest long-term health Telecommunications Association awards for best long-lead care companies, operating 130 health care facilities in 11 states. promo and Science/Nature documentary. “As we move to a world of bundled payments and capitated Addressing important local issues with a combination of payment for the care of defined populations, we want to be television programming and other outreach is generating buzz positioned to work with physicians and hospitals to meet the among station managers and producers in the public television clinical and financial targets for effective, quality care of an community. aging population,” Flatt said. “It’s on the radar screen,” Curley said. “People are talking An increase in the U.S. elderly population combined with about it at a number of other stations and trying to figure out an influx of Medicaid patients due to the passing of the what they can do.” Accountable Care Act means managing the revenue cycle But the best news, said Council President Caroline Young, is going to be more important than ever, said Scott Mertie, is the impact on children’s health. Tennessee now ranks president of Kraft Healthcare Consulting, an affiliate of Kraft 39th in child well-being. “All of these efforts are slowly, but CPAs which is one of the largest independent certified public steadily moving the needle,” Young said. “More Nashvillians accounting firms in Middle Tennessee. His practice specializes understand the need to create a culture of health and in all aspects of reimbursement and compliance related to wellness.” Medicare and Medicaid. Instilling positive lifelong health habits in kids is the only “Providers already struggle with Medicare and Medicaid way to truly change overall health in the United States, said rates, as well as an increase in compliance,” Mertie said. New Council member Scott McQuigg, chief executive officer of health care laws will not likely alleviate that struggle, he added. HealthTeacher, which provides a comprehensive online health education curriculum used in public schools, after-school and CONTINUED > home school programs in the United States and internationally. N8 NASHVILLE HEALTH CARE COUNCIL
  11. 11. 12mh0432_08 8/2/12 3:02 PM Page 1 Nashville’s Got A Brand New Bag. HealthSpring is a proud part of Nashville’s thriving health care community. Since our founding, we have partnered with physicians to revolutionize the health care experience for our members. Let the revolution continue. @HealthSpring 12mh0432.pdf RunDate: 08/27/12 Full Page Color: 4/C
  12. 12. mh.qxp 8/21/2012 3:42 PM Page 10 special advertising supplement COLLABORATION AND INNOVATION continued Investment in new care models, especially health care “They are going to have to learn to operate their information technology will accelerate as health care organizations by managing patient care with lower companies align their processes with the requirements of health reimbursement rates while caring for more patients.” care reform, said Claire Miley, a health care regulatory lawyer Mertie said the best way he can assist his clients is make sure and member at Bass, Berry & Sims PLC, which represents 16 they’re informed about regulations that affect them directly, as public health care companies, more than 150 health care- well as indirectly over the long term. related businesses and is one of the 10 largest health law firms Technological advances such as the MISTY™ care in the United States. management platform for health care providers, payers and “Health care technology, especially health information caregivers will help patients with chronic conditions, many technology, is the underpinning of the new coordinated care who are older, said Scotte Hudsmith, president and chief models created by health reform,” Miley said. executive officer of In addition to the changes brought on by health care reform, Parental Health, which hospitals and other health care providers face Medicare “Physician executives and CMOs developed and delivers reimbursement costs beginning in 2012 if they fail to invest should be at the forefront MISTY™. in health care technology that complies with government Established in 2009, mandates for “meaningful use,” Miley added. and integrally involved with Parental Health set out Centers for Medicare and Medicare Services defines nonphysician leaders of most to design a program meaningful use as the application of certified electronic health organizations that will excel in specifically to support records technology in ways that can be measured significantly Medicaid and Medicaid in quality and in quantity. the future.” Advantage. Being part Doing business in the birthplace of for-profit health care and LYNN MASSENGALE, MD of the Council was a working with some of the world’s most sophisticated health Executive Chairman help in getting his new care companies, Miley said she expects to participate on the TeamHealth concept off the ground, cutting edge of industry innovation in the area of health care Hudsmith said. technology. “Starting Parental Health in this community has allowed us to tap into a vast Executive physicians at forefront knowledge base of how care is provided to patients with New federal regulations, evolving demographic differences and chronic conditions,” he said. changes in social populations will contribute to the increasing Because the same population is responsible for most of importance of the chief medical officer and executive physician Medicare and Medicaid spending, efficiently managing in the coming years. their complex care is paramount. The Centers for Medicare As executive chairman at TeamHealth, one of the largest and Medicare Services states that its primary objective is to providers of outsourced physician and clinical staffing solutions improve access, outcomes and quality while reducing cost. for hospitals in the United States, Dr. Lynn Massingale said “Approximately 5 percent of the members in Medicare the company is focused on initiatives that improve quality in and Medicaid consume the majority of the cost,” Hudsmith a measurable way, reduce unnecessary costs and enhance the said. “If a plan can manage those costs proactively, the system patient experience in emergency services, hospital programs, overall can save an enormous amount of money, while improve anesthesia and urgent care. access and quality of care. “ Whether it’s a chief medical officer focused on clinical issues or a physician executive with broader executive management Technology in numbers duties, physician leaders will need to develop requisite skills Increasing numbers in the aging population is just one of many beyond their medical credentials to be effective as high-level impending changes related to health care delivery in the United corporate executives, Massingale said. States. Kim Harvey Looney, a health care regulatory practice Thanks to health care reform, health systems will also see an leader at Waller, a national law firm, shared, “The increased increase in the insured population, as well as more participants emphasis on quality will require the physician/CMO to be more in indigent care programs nationwide, said George Lazenby, proactive. While quality standards are not new, the physician/ chief executive officer, of Emdeon, the largest health care CMO will be spending more time making sure that new quality financial and clinical network in the nation – connecting 1,200 metrics are in place before there is a problem. The importance payers, 500,000 providers, 5,000 hospitals, 81,000 dentists of taking a proactive approach is underscored by developments and 60,000 pharmacies – and processing more than six billion such as the Hospitals Readmissions Reduction Program health care information exchanges per year. which will reduce Medicare payments for hospitals viewed as “The one thing that is clear about the future of health care having excess patient readmissions as well a recent patient care is that we have to improve our efficiency to reduce the costs of measures endorsed by the National Quality Forum.” our health care system,” Lazenby said. “Physician executives and CMOs should be at the forefront That is where technological improvements associated with and integrally involved with nonphysician leaders of most delivering data and exchanging information come into play. organizations that will excel in the future,” Massingale said. “Any improvements that lead to higher levels of efficiency Physician leaders will face increased staffing challenges, said will be achieved by the increased availability of relevant data attorney Jay Hardcastle, partner and chair of the Health Care for decisions within the workflow,” Lazenby said. “Technology Practice Group at Bradley, Arant, Boult, Cummings LLP. will clearly play a significant role in this going forward.” “There may be a shortage of physicians in the coming N10 NASHVILLE HEALTH CARE COUNCIL
  13. 13. mh.qxp 8/21/2012 3:42 PM Page 11 special advertising supplement years,” Hardcastle said. “The physician executives will need The first dinner earlier this year resulted in a physician from to plan for fewer physicians giving care to more patients. Vanderbilt University Medical Center agreeing to speak at an Moreover, physician executives will face increased pressure to upcoming national meeting of medical staff leaders. Paul said demonstrate value — that is, improved quality for lower cost.” she is working with another physician from Meharry Medical The need for physician leaders with executive and business College on future projects. skills keeps increasing, from the community to the corporate “This is exactly the level, agrees Dr. Barbara Paul, senior vice president and chief kind of collaboration medical officer for Community Health Systems. “Change that makes Nashville “Change management, conflict management, conflict resolution and communications aren’t unique,” Paul said. taught in medical school, but are critical skills,” Paul said. “By working with resolution and communications “Every medical staff and community hospital benefits from the Council, we had aren’t taught in medical school, having physicians with these skills.” instant credibility and but are critical skills. Every The traditional role of physician leaders as advocates for the interest from many medical point of view has evolved into one that incorporates an local companies.” medical staff and community understanding of the overall imperatives at their organizations. And that is in hospital benefits from having That means finding “ways to move all parties from tacit and keeping with the physicians with these skills.” passive agreement to commitment and action around a shared mission of the goal,” Paul said. Nashville Health Care BARBARA PAUL, MD A proponent of physician leaders with greater management Council: to promote Senior Vice President, CMO savvy, Paul has taken an active role helping physician leaders the continued growth Community Health Systems transition to a more prominent role in the business of health of Nashville’s health care. She enlisted the support of the Council to develop a new care community by networking program for physician executives consisting of a fostering a supportive series of small dinner gatherings with physician executives from operating environment for existing, start-up and relocating a cross-section of Nashville companies. health care businesses; providing networking and mentoring “Our vision was to create an event where physician activities; and ensuring that executives have the timely executives could share ideas and discuss common challenges,” information they need to maintain Nashville’s position as the Paul said. nation’s health care industry capital. ■ NASHVILLE HEALTH CARE COUNCIL N11
  14. 14. mh.qxp 8/21/2012 3:42 PM Page 12 special advertising supplement HEALTH CARE LEADERS SURVEY Leaders’ top concern: Implementing reform In Nashville, how to implement health care reform is top of mind for industry leaders. Issues related to the recently upheld Patient Affordable Care Act, including how medical expenses will be reimbursed, technology’s role in health care delivery and patient safety and quality, are among the biggest concerns to Nashville’s health care executives and administrators, according to a recent Modern Healthcare survey of 50 top level leaders in the Nashville Health Care Council. T hose concerns are also among the major issues that have Saint Thomas Health — a member of Ascension Health, a emerged under health care reform: accountable care, Catholic health ministry that is the largest nonprofit health reimbursement, “meaningful use” of electronic health care system in the United States — began the process of records and reducing clinical costs while improving quality. transforming health care delivery two years ago, said its Survey respondents represent various sectors of Nashville’s President and Chief Executive Officer Dr. Mike Schatzlein. health care industry, Saint Thomas Health Services consists of nine hospitals, four in including hospitals and conjunction with Capella Healthcare, and several other health Regardless of how health care other care providers, service providers that serve Middle Tennessee, Southwestern professional services, Kentucky and Northern Alabama. legislation plays out over the consulting services “Not so much because of external pressures, but rather short haul, Nashville’s health care and information because it is the right thing to do, service delivery must be leaders are preparing for health technology. The more person-centered, far less fragmented and much less businesses range in size expensive,” said Schatzlein, who is also market leader for care reform in the same way they from fewer than 100 Ascension Health Ministry for Nashville and Birmingham. continue to position themselves employees to more Saint Thomas has channeled its efforts into three major than 10,000. areas: accepting responsibility for the continuum of care for as innovators and change agents Regardless of how individuals and populations, information systems integration open to new opportunities. health care legislation and process improvement to provide consistent quality and plays out over the safety at lower cost, Schatzlein said. A year ago, it launched short haul, Nashville’s an accountable care organization, MissionPoint Health health care leaders are preparing for health care reform in the Partners. The increasingly popular accountable care model same way they continue to position themselves as innovators CONTINUED > and change agents open to new opportunities. SURVEY: Reimbursement, technology issues emerge as leaders prepare for the future Respondents were asked: Reimbursement 8.02 Average ratings Technology 7.56 “ On a scale of 1 to 10, Healthcare reform implementation 7.21 rate EACH of the following as it impacts Governmental mandates 7.15 Patient satisfaction 6.65 your health care Staffing and personnel shortages 6.32 business right now.” Financial challenges 6.31 Patient safety and quality 6.29 Physician/hospital relations 6.06 Care for the uninsured 5.40 All other responses 4.18 0 1 2 3 4 5 6 7 8 9 10 Source: Modern Healthcare survey of Nashville Health Care Council Leaders NOT a concern VERY SERIOUS concern N12 NASHVILLE HEALTH CARE COUNCIL
  15. 15. 12mh0418_08 7/30/12 2:22 PM Page 1 She measures her professional performance one patient at a time. We measure our business performance one solution at a time. 12mh0418.pdf RunDate: 08/27/12 Full Page Color: 4/C
  16. 16. mh.qxp 8/21/2012 3:42 PM Page 14 special advertising supplement HEALTH CARE LEADERS SURVEY continued already been working with clients eager to understand how consists of networks of hospitals, doctors and other providers health care reform laws will impact their facilities. coordinating — and being held accountable for — patient care. “Due to RAC’s (recovery audit contractors) and other MissionPoint now has more than 1,400 doctors and nine forms of governmental claims audits, our compliance practice hospitals, and is responsible for all or part of the continuing has seen a large increase in providing external coding and care of nearly 30,000 documentation audits and other risk assessments to identify members. It is one of areas of exposure for our clients,” Mertie said. the first institutions Lattimore, Black, Morgan & Cain, P.C., the largest regional “We are always looking forward to sanctioned as an accounting and financial services family of companies based in make accessing health care easier accountable care Tennessee has been proactive in health care reform. organization for “We began implementing an active campaign to address for patients and to help providers the health care reform bill years ago when it was merely a Medicare patients achieve the necessary payment by the Centers for possibility,” said Andrew Bissonnette, health care partner at the certainty.” Medicare Services, firm. Schatzlein said, With a team of more than 40 health care professionals, SCOTT MACKENZIE adding that he expects the firm has expertise in national accounting firms as well as CEO MissionPoint will direct industry experience, Bissonnette said. “Having these Passport Health Communications, Inc. enroll more than professionals with extensive financial and practical experience 21,000 Medicare enables us to dissect this bill, and what it means to our clients patients in 2012. quickly and efficiently.” With health care reform expected to introduce tens of Making certain that providers receive payment for every millions of previously uninsured patients into the managed care patient will be increasingly complex as the volume of new system, it is not surprising that nearly a third of the survey’s patients increases. respondents ranked medical reimbursement as their No. 1 Passport Health Communications, which specializes in concern. software and business solutions for health care companies, Scott Mertie, president of Kraft Healthcare Consulting, anticipates 30 million people will access health care in the which specializes in all aspects of reimbursement and United States as a result of health care reform. The company compliance related to Medicare and Medicaid, said he has has developed products that track logistics and patient risk We’ve created a way for every doctor to know the very latest breakthroughs in cancer treatments. We developed to help doctors everywhere guide their patients to the very latest cancer treatments being offered here and around the world. It’s one of the many ways we’re tailoring medicine to the unique characteristics of each patient. The promise of discovery SCAN SMARTPHONE N14 NASHVILLE HEALTH CARE COUNCIL
  17. 17. mh.qxp 8/21/2012 3:42 PM Page 15 special advertising supplement from outpatient, to inpatient, to post-acute care to manage the Jonathan B. Perlin, HCA president, Clinical and Physician patient’s entire episode of care across health care enterprises. It Services Group and chief medical officer. HCA is the largest has also developed software to determine eligibility, facilitate private operator of health care facilities in the world. enrollment and identify financial assistance for needy patients. Perlin said he is “We are always looking forward to make accessing health proud that most care easier for patients and to help providers achieve the of HCA’s hospitals necessary payment certainty in order to continue delivering attested for meaningful “We see the EHR as a vehicle for the high level of care Americans enjoy and demand,” said use last year, but delivering better patient care, Scott MacKenzie, chief executive officer of Passport Health stresses that it is not an Communications, Inc. “end point.” with greater continuity, more In terms of impact to the health care business, more than “We see the EHR as personalization and improved half of those surveyed ranked technology high. Health IT and a vehicle for delivering efficiency.” management plays a huge role in health reform, specifically in better patient care, meaningful use of electronic health records technology (EHR). with greater continuity, JONATHAN B. PERLIN, MD (The recent Supreme Court decision does not affect meaningful more personalization HCA president, Clinical and Physician Services use, which was established under earlier legislation. Health and improved Group and chief medical officer care providers must prove meaningful use of certified electronic efficiency,” he said. health systems to qualify for Medicaid and Medicare incentive At CHS, clinical payments.) excellence has always been a top priority, said Dr. Lynn Simon, As two of the biggest national providers among the the company’s senior vice president and chief quality officer. Nashville health care community, Hospital Corporation of Simon said that like other hospitals and health systems, CHS America (HCA) and Community Health Systems (CHS) are has historically examined clinical measures separately from day- focused on establishing meaningful use best practices. to-day operations. But with the focus shifting to value based “Whether it’s working toward the requirements of health purchasing, quality efforts and operations need to be integrated reform or successful implementation of electronic health more closely, she said. records to achieve meaningful use, our scale allows us to “We’re looking at quality metrics in real time — not just at address multiple issues simultaneously, innovate, perfect the historical data— and that is a good thing for our patients,” approaches and then replicate successful strategies,” said Dr. CONTINUED > THREE DECADES LATER, WE CONTINUE TO BE THE PREFERRED PROVIDER. Founded in 1979 in Tennessee, TeamHealth has been advancing patient care through strong leadership, innovation and teamwork. Today we are one of the nation’s largest providers for Emergency Medicine, Anesthesia, and Hospital Medicine. Executives know they can benefit from our large pool of resources, infrastructure, and best practices while maintaining accountability at the local level. TeamHealth is your patient care partner for the future. Emergency Medicine | Anesthesia | Hospital Medicine Clinical Outsourcing Services 800.818.1498 | NASHVILLE HEALTH CARE COUNCIL N15
  18. 18. mh.qxp 8/21/2012 3:42 PM Page 16 special advertising supplement HEALTH CARE LEADERS SURVEY continued Simon said. “The entire industry has to remain focused on ways while improving quality. That is especially true for providers of to reduce medical errors. Patient safety is a priority for us – as it Medicaid and Medicare services. should be for all health care providers.” Vanderbilt Health System is Tennessee’s largest provider CHS has embarked on efforts to make its affiliated hospitals of Medicaid services and addresses a significant volume of highly reliable, Simon said. It is shifting its focus from process Tennessee’s Medicare population. of care measures to “Already, we know we will be facing declining improving outcomes, reimbursements as we continue to treat these populations,” “Based on the success of our including improving said Dr. C. Wright Pinson, deputy vice chancellor for health mortality rates and affairs, Vanderbilt University and chief executive officer of the medical home pilot, financial reducing readmissions Vanderbilt Health System. modeling projects, we can create and hospital acquired In order to meet that challenge, last year Vanderbilt Health significant savings while also conditions. System began a comprehensive operational improvement One example she process to create savings and realign its cost structure. The greatly improving outcomes for points to is a system- organization met its initial goal to save $50 million and these patients.” wide development of continued to work toward even greater efficiencies, Pinson said. standardized order sets. Vanderbilt also recently received an $18.8 million federal C. WRIGHT PINSON, MD Local medical staffs grant it will use in partnership with its affiliate medical centers Deputy vice chancellor for health affairs, — Maury Regional Medical Center, NorthCrest Medical approve them, but Vanderbilt University and CEO with an organization- Center and Williamson Medical Center — to establish a Vanderbilt Health System wide standardized and medical home model. consistent approach Pinson said all parties will be able to better manage patient to quality, CHS populations with costly and epidemic chronic illnesses, such as can drive higher quality, reduced costs, the ability to track diabetes, heart disease and hypertension. resource consumption and organization-wide efficiency, Simon “Based on the success of our medical home pilot, financial explained. modeling projects, we can create significant savings while also Successful health care reform depends on keeping costs down greatly improving outcomes for these patients,” he said. ■ Many of the nation’s leading hospital companies depend on HMS. The Nashville healthcare community is thriving and we’re growing with it. More than 700 community hospitals nationwide have chosen to partner with HMS for comprehensive IT solutions. As industry trends have fueled growth in multi-entity provider organizations, many of those providers are choosing HMS. 1-800-383-3317 Contact HMS for powerful IT solutions that can help your growing organization succeed. N16 NASHVILLE HEALTH CARE COUNCIL
  19. 19. 12mh0457_08 8/16/12 10:45 AM Page 1 WE ARE HEALTHCARE LAW. The best companies and brightest minds in healthcare operate in Nashville. And so do their healthcare attorneys. Waller. The law firm of choice in the healthcare industry since its inception. We have client relationships spanning decades because time and again, clients come for the lawyer and stay for the firm. Proud Nashville residents. Proven healthcare industry partners. 12mh0457.pdf RunDate: 08/27/12 Full Page Color: 4/C
  20. 20. mh.qxp 8/21/2012 3:42 PM Page 18 special advertising supplement INVESTING IN NASHVILLE’S FUTURE LEADERSHIP Nashville’s rising health care stars mentored to meet future industry challenges Where can you find Nashville’s health care leaders of tomorrow? Look for them at Leadership Health Care’s educational, mentoring and networking events. The group, an initiative of the Nashville Health Care Council, has been cultivating the area’s emerging health care leaders for a decade now. A s LHC’s executive director, Judith Byrd, explained “Fostering the next recently, “Health care is Nashville’s largest and fastest generation of health care growing economic driver, which has a ripple effect across leaders and entrepreneurs the Nashville economy to the tune of more than 200,000 jobs. LHC wants to build Nashville’s reputation as the helps solidify Nashville’s nation’s health care capital. And, in order to do that, we need position as a health to plan for the future.” care industry leader and The way to do that, Byrd told the Nashville Post, is ensures a strong economy creating a place where up-and-coming professionals in the health care industry can get to know each other better while and good quality of life for gaining valuable knowledge about the industry. the city.” “Fostering the next generation of health care leaders and entrepreneurs helps solidify Nashville’s position as a health JUDITH BYRD care industry leader and ensures a strong economy and good Executive Director quality of life for the city,” she said. Leadership Health Care N18 NASHVILLE HEALTH CARE COUNCIL
  21. 21. mh.qxp 8/21/2012 3:42 PM Page 19 special advertising supplement More than 650 professionals representing nearly 300 unlike any I could ever achieve from a distance. I returned to companies are active members in LHC. And over the past year, work with a better understanding of the opportunities and nearly 1,500 people attended LHC events. the challenges my clients faced as they outlined their future One of LHC’s signature activities is an annual visit to strategies.” Washington. About 100 delegates took the most recent trip to LHC member Kelvin Ault, senior vice president of tax for the nation’s capital, where they sat down for briefings with top Vanguard Health Systems, also singles out the group’s trips Obama administration officials, government policymakers and as important experiences. “I think the D.C. and New York influencers. delegation trips have been the most rewarding both from “The delegations to Washington, D.C., have provided us a professional development standpoint as well as from a with an opportunity to hear firsthand from policy experts networking standpoint,” Ault said — but he adds that he has inside the beltway about real-life issues that are relevant to the also learned a lot by attending LHC’s local events. industry,” said attorney Angela Humphreys, a member of the law firm Bass, Berry & Sims PLC. An LHC member since the initiative started in 2002, Humphreys has taken part in all 10 of LHC’s delegations to Washington as well as similar LHC More than 650 professionals representing nearly trips to Wall Street. The Washington visits have also been highly informative 300 companies are active members in LHC for another LHC member, Sarah Cook, director of account Those events in Nashville include roundtable sessions, which management at Healthways Inc., a company whose work has give LHC members a chance to sit down with influential included coaching individuals and groups toward optimal leaders and gain insights about the health care field. LHC nutritional health, as well as collaborating with large health has hosted such sessions with Dr. Jeffrey Balser, Vanderbilt plans to improve well-being for millions of people. University Medical Center’s vice chancellor for health affairs; “The delegations to D.C. have been extremely valuable, former U.S. Senate Majority Leader Bill Frist, BlueCross especially the 2010 delegation,” Cook said. That trip occurred BlueShield of Tennessee CEO Vicky Gregg and numerous other just as Washington lawmakers were passing the massive health well-respected industry leaders. care overhaul, the Patient Protection and Affordable Care Act. “LHC has given me insights into numerous areas of health “As delegates, we heard from political leaders, literally as care — clinical, medical device, pharma, technology, managed change was happening,” Cook said. “It was exhilarating and gave me a personal perspective of the political environment CONTINUED > We believe the future of healthcare is all about partnerships. At Capella, we creatively collaborate with communities, hospital boards, physicians and employees to make community hospitals stronger and poised for future success. Saint Thomas “This is a landmark Health partnership for us We’re proud to have Saint Thomas Health, a and the communities quality leader in advanced cardiac, neuroscience and women’s services, as our newest joint venture we serve.” partner for four Tennessee community hospitals. - Mike Schatzlein, M.D. CEO, Saint Thomas Health To learn more about this and other unique partnerships, visit NASHVILLE HEALTH CARE COUNCIL N19
  22. 22. mh.qxp 8/21/2012 3:42 PM Page 20 special advertising supplement NASHVILLE’S FUTURE LEADERSHIP continued women health care industry leaders discussing health care care, political and more,” Cook said. reform and a discussion focused on social entrepreneurism Likewise, Ault said, “LHC provides me with an opportunity in health care. In addition, LHC offers a “Board-to-Board” to expand my horizons and depth of industry knowledge mentoring program which matches LHC Board members with beyond the tax world that I live in on a day-to-day basis.” Council Board members. The pairs meet to discuss topics such Ault started his career at the Nashville office of Ernst & as business strategy and the political landscape. The mentoring Young, where he worked predominantly with clients in the program also provides board-level meetings for interaction health care industry. He joined LHC about nine years ago, and career growth. Recently, HCA Retired Chairman & CEO when he was vice president of tax at LifePoint Hospitals, and Jack O. Bovender Jr. held a discussion with Council and LHC he has remained in the organization since moving to Vanguard, boards on the importance of mentoring. which owns 28 acute care and specialty hospitals and Humphreys said she has made valuable connections — and complementary facilities in Illinois, Arizona, Michigan, Texas friendships — by participating in LHC. and Massachusetts. “It has been an organization through which I have formed “I think it has given me a professional advantage over lifelong friendships,” she said. “It has been instrumental in the my counterparts at other health care companies who aren’t development of my career, in particular from a networking involved in LHC, by helping me to see the broader industry standpoint.” perspective,” Ault said. Cook praises LHC for helping her with both knowledge and Ault said he has taken the knowledge he gained at LHC networking. “I’m confident that I have a pulse on the current events and used it when he advocates for legislation and state of health care and the impact for various stakeholders, and regulatory tax initiatives at the state and federal level. For I know who to call for additional expertise if needed,” she said. example, a charity care tax credit for investor-owned hospitals Humphreys said LHC is a great forum where up-and- was recently enacted after lobbying by Ault and others. coming health care leaders can exchange ideas. Ault said LHC has opened professional doors for him. “I’m “It’s a place where people can come together, learn from en route to Chicago now to present at an IRS health care each other and share ideas and experiences,” Humphreys industry conference to present on current and future state of the said. “I do think that LHC is one of the most beneficial health care industry,” he recently said. “I wouldn’t have had the organizations that a young executive in the Nashville knowledge or the confidence to do this presentation if it weren’t community can participate in, from education to programming for what I’ve learned through my involvement with LHC.” to networking.” ■ LHC’s other recent local events have included a panel of - - The POWER of a national partnership. The NDC Network of Independent Distributors offers alternate solutions in addition to your hospital needs. To discuss how a local distributor can service your network across the continuum of care, please contact: , VP of Business Development & Corporate Programs at (615) 324-6341. N20 NASHVILLE HEALTH CARE COUNCIL