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Dr. Kurt Newman Named CEO at Children’s National Medical Center
July 24, 2011

Posted by chcablogadmin in : Leadership

Kurt Newman, M.D.

I’ve had the great opportunity not only to meet Dr. Kurt Newman but work with him during his tenure at Children’s National Medical Center. When we first met, it was in in the late 90s at Children’s Hospital of Central California, where we were both attending a PHIS presentation. I was wearing a tie — we all did in those days — with a large gold design at the bottom. Kurt mistook this for a Texas-style belt buckle and immediately sized me up as a Texan. After we had a laugh, we realized we’re both Tar Heels and have bonded over our North Carolina roots. We are thrilled to have Kurt on board leading his children’s hospital. — JR

On July 14, the Board of Directors at Children’s National Medical Center announced Kurt Newman, M.D. as President and Chief Executive Officer, effective September 1, 2011. Dr. Newman has been at Children’s National for more than 25 years and currently serves as the Senior Vice President for the Center for Surgical Care.

A board committee launched a national search following the retirement announcement by Edwin K. Zechman, after 17 years of leadership. After an extensive search and interview process, they selected Dr. Newman.

Dr. Newman began his career at Children’s National Medical Center as a student of Judson Randolph, M.D., a pioneer in pediatric surgery. Dr. Newman has served as the Senior Vice President of the Joseph E. Robert, Jr., Center for Surgical Care since 2004.  He has also led a period of tremendous growth and innovation, in both facilities and strategic partnerships. In 2009, Children’s National received a $150 million gift from the Government of Abu Dhabi that created the Sheikh Zayed Institute for Pediatric Surgical Innovation.

Dr. Newman is a member of the Board of Commissioners of the Joint Commission on Accreditation of Health Care Organizations and a past member of the Board of Governors of the American Pediatric Surgery Association. He has also served as chairman of the Surgery Section of the American Academy of Pediatrics.

An expert in clinical resource management, Dr. Newman has served as a consultant to several children’s hospitals in conjunction with CHCA. He is the author or co-author of more than 60 publications.

Dr. Newman articulated an impressive vision to lead Children’s National. He is an accomplished physician, researcher, educator and administrator and is poised to lead an already vibrant team dedicated to caring for kids. — James Lintott, Chairman of the Board of Directors at Children’s National Medical Center

 

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ACO Udpate: Issue #6
July 24, 2011

Posted by chcablogadmin in : Financial Viability, Healthcare Reform, Leadership

In this edition of ACO Update we talk with Steven Altschuler, President and CEO, Children’s Hospital of Philadelphia. Steve once again candidly outlines his strong vision and market strategy for CHOP including their expansion plans and 10-year, $2 billion initiative to invest in facilities, services and infrastructure by the year 2020. CHOP’s vision is a complete transformation from a “children’s hospital located in a major U.S. city into a large regional network of pediatric care anchored by a children’s hospital delivering the most specialized pediatric care available anywhere in the world.” Steve also shares three effective strategies for almost any children’s hospital to operate and even prosper, in today’s economic climate.

In case you missed it earlier this month, I’ve included a link to our April ACO call with Mary Dale Peterson, M.D., President and CEO, Driscoll Children’s Health Plan. Dr. Peterson provides an overview of the integration efforts and ACO framework at Driscoll. 

I welcome your comments and suggestions as well as your questions. Please feel free to contact me directly.

Jacqueline Kueser, Vice President, CHCA
Jacqueline.kueser@chca.com

 

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CEO Interview Series: Regionalization and Market Positioning
July 24, 2011

Posted by chcablogadmin in : ACO Update, Healthcare Reform, Innovation, Leadership

The following interview with Steve Altschuler, President and CEO, Children’s Hospital of Philadelphia, is another in the series of CEO interviews with Jacqueline Kueser, CHCA Vice President, and Toomas Truumees, Partner, DSI, regarding children’s hospitals’ responses to the current and envisioned health care environment. Once again, Steve openly shares CHOP’s strategy and market position strengths and pursuits. (See “Steve Altschuler Talks CHOP Strategy” from April 2011.) – JR

Steven Altschuler

CHOP’s Vision for the Future
The vision of the Children’s Hospital of Philadelphia is to remain a leader in pediatric health care.  While this seems basic and elementary, it is actually complex and perhaps even visionary.  We expect to remain a leader in changing the way we deliver care, a leader in identifying new therapies, and in developing new ways to deliver them to the market.  To remain a leader, we will focus much of our effort on margin generation. 

Our growth plans also reflect how we define our vision of leadership.  For example, CHOP has a large regional footprint, the largest in the country.  Our vision is to double the size of our footprint over the next five years. We have 200 primary care physicians and have plans to employ twice that number.  Our leadership vision is a complete transformation of the enterprise from a children’s hospital located in a major U.S. city into a large regional network of pediatric care anchored by a children’s hospital delivering the most specialized pediatric care available anywhere in the world.  Our institution will remain exclusively focused on the needs of children.

CHOP’s $2 Billion – Ten-Year Strategy
Our primary strategy calls for a $2 billion investment in developing our facilities, our services and our infrastructure by the year 2020.  It calls for expansion of our CHOP Care Network, expansion of our Ambulatory Care Center, and for significant investment in our Information Technology capabilities.

To achieve the objectives of this strategy we first must ensure adequate cash flow to be able to finance this expansion.  Cash flow demands that all of CHOP management, including administration and clinical components, consider the cost-of-care in designing and delivering care to our patient population.  We must be able to employ actuarial-based accounting and rigid cost-controls as well as we establish and benefit from a “cost sensitive” culture. 

Another significant challenge to accomplishing this growth strategy is further developing relationships with our “payor community.”  We must develop and implement new and innovative concepts as we negotiate new contracts to ensure we have the resources we need to achieve our goals.

The Impact of Payment Reform
Payment reform, which will be driven first by the market and economic climate, and then by health reform, must be effectively managed if we are to reach our financial requirements.  The challenge for CHOP will be how to plan for a five-to-10 percent decrease in revenues over a three-to-five year period, and at the same time maintain our ambitious plans for expansion. 

One solution we’ve identified is to work with some of our payors to decrease administrative burden on a contractual basis.  We are also focused more in the bundled payment approach, not global capitation.  Another aspect of our value based health care plan is our aggressive alteration of the care model with IT enhancements to shift care from specialists to primary care physicians.  We want to decrease the rate of referrals to decrease cost, enhance profession satisfaction of the PCP, and increase specialist efficiency.

I anticipate some children’s hospitals will be challenged in this new economic environment.  Currently, children’s hospitals receive 30 percent of their margins from cardiac and neonatal care.  In five years, services like cardiology will be a commodity.  Children’s hospitals must then compete on cost and quality with no margin.  Therefore, we must radically change the organization to sustain our mission.

Alternative Paths for Children’s Hospitals
CHOP’s vision, in light of the challenges I have discussed, will work for CHOP.  The strategy used by others must be developed to answer their goals and challenges, and the solutions will be different for each.

However, I believe there are essentially three effective strategies that can be employed by almost any children’s hospital that will enable them to operate, and to even prosper, in light of today’s economic climate.  I offer them for consideration.

 1. Luminary Programs: The luminary programs only a children’s hospital can provide will offer significant margin.  Those children’s hospitals that can develop four or five cutting-edge services and attract international patients will be positioned to withstand future economic hurdles.

 2.  Pediatric Networks: For those children’s hospitals not equipped to offer luminary programs, they must have access to capital to build networks, and perform commodity services at a lower cost. 

3. Super-Regional Pediatric Health Care Network:  Children’s hospitals in adjoining regions can merge to offer pediatric care in a specific area of the country.  It would require excellent management expertise to administer a large network of complex institutional relationships.

Independent children’s hospitals that are not successful in rationalizing care for complex services or developing integrated systems must find alternatives for long-term sustainability.

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Nitric Oxide Agreement Signed
July 24, 2011

Posted by chcablogadmin in : CHCA News, Cost Reduction, Group Purchasing

Over the last several months, CHCA has been working with Owner Hospitals to reduce your spend on nitric oxide, a patent protected drug which costs CHCA Owners nearly $70 million per year. Guided by the work of an Owner Hospital Task Force, a Nitric Oxide Services Agreement has been signed with Ikaria (INOtherapy) to provide platinum-tier pricing (unlimited utilization) for a period of five years. The potential savings for Owner Hospitals is $3.6 million annually.

Letters of Commitment were sent to each Owner Hospital supply chain management director.  Owners will have 90 days (from contract effective date of June 30, 2011) to return the LOC. If you have questions about your hospital’s opportunity specifics, please contact your supply chain leader or Sean Jeffries (sean.jeffries@chca.com).

 

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