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2019 National Health Care Governance Survey Report

A new AHA report provides a wealth of benchmarking data for hospital boards, answering questions about typical size of the hospital board, board diversity, term limits, board selection, orientation/education, evaluation, time commitment, and more.

The report includes data and commentary organized by these categories:

  • Board composition
  • Board structure and support
  • Board practices
  • Performance oversight
  • Board culture

Source: National health care governance survey report. American Hospital Association, 2019. https://trustees.aha.org/system/files/media/file/2019/06/aha-2019-governance-survey-report_v8-final.pdf

Posted by AHA Resource Center, (312) 422-2050, rc@aha.org

 

AMA Updated Data on Physician Practice Arrangements

Data from the American Medical Association’s Physician Practice Benchmark Surveys indicates for the first time ever that more physicians are employees rather than owners of medical practices. Physician employment has been an ongoing trend in recent years, but the AMA report indicates the pace of growth has slowed.

This latest report provides data and discussion of medical practices, covering their number, type, size, specialty, and ownership structure.

Source: Kane CK. Policy research perspectives. Updated data on physician practice arrangements: for the first time, fewer physicians are owners than employees. American Medical Association, 2019. https://www.ama-assn.org/system/files/2019-07/prp-fewer-owners-benchmark-survey-2018.pdf 

Posted by AHA Resource Center, (312) 422-2050, rc@aha.org

 

2017 National Nursing Workforce Survey

The National Council of State Boards of Nursing and the National Forum of State Nursing Workforce Centers have published their latest joint biennial survey results on the nation’s nursing workforce. The report provides a statistical overview and discussion of both registered nurses [RN] and licensed practical/vocational nurses [LPN/LVN]. Survey findings cover these topics:

  • Size of the RN and LPN/LVN workforce nationally and by state
  • Aging of the workforce
  • Gender, race, and ethnic diversity
  • Education
  • Employment and salary
  • Telehealth use

Source: Smiley RA and others. The 2017 national nursing workforce survey. Journal of Nursing Regulation 9(3):S1-S88, Oct. 2018, updated Jan. 2019. https://www.journalofnursingregulation.com/article/S2155-8256(18)30131-5/fulltext

Posted by AHA Resource Center, (312) 422-2050, rc@aha.org

State Telehealth Laws & Reimbursement Policies

The Center for Connected Health Policy, the National Telehealth Policy Resource Center, has released its latest biannual update on state telehealth laws, regulations, and policies, with a primary focus on Medicaid fee-for-service programs. However, managed care/private payer laws are also covered when available.

Telehealth policy trends are briefly summarized from a national perspective, followed by detailed state profiles. Each state profile on telehealth reimbursement includes:

  • Key state agencies/organizations
  • State policy overview
  • Definitions
  • Live video, store-and-forward, and remote patient monitoring
  • Eligible providers, sites, geographic limits, facility/transmission fees, services/specialties
  • Consent
  • Professional regulation/health and safety, including cross-state licensing and online prescribing

States vary considerably on telehealth policies. Overall, the report noted live video Medicaid reimbursement is far more prevalent than reimbursement for store-and-forward and remote patient monitoring. Other trends noted for some states are specific documentation and/or privacy and security guidelines; the addition of home and schools as eligible originating sites; and the inclusion of teledentristy and substance abuse services as qualifying specialties.

State telehealth laws & reimbursement policies; a comprehensive scan of the 50 states & the District of Columbia. Center for Connected Health Policy, Spring 2019. https://www.cchpca.org/sites/default/files/2019-05/cchp_report_MASTER_spring_2019_FINAL.pdf

Posted by AHA Resource Center (312) 422-2050, rc@aha.org

Rural Obstetric Services: Access, Workforce, and Impact

A new research briefing looks at declining access for rural women to obstetric services. Between 2004 and 2014, 179 rural counties in the U.S. lost hospital-based obstetric services, with over half of rural counties now lacking these services. The distribution of rural counties without obstetrics services varies widely geographically, from 78% in Florida to 9% in Vermont.

Access to obstetric service factors may be related to lower birthrates, a limited rural obstetric workforce, Medicaid eligibility, and socio-economic factors. The impact of limited OB services is also briefly covered.

Links to the nine reports covered by the research overview — all from the University of Minnesota Rural Health Research Center — are  provided.

Source: Rural obstetric services: access, workforce, and impact. Rural Health Research Recap, Rural Health Research Gateway, April 2019. https://www.ruralhealthresearch.org/recaps/8

Posted by AHA Resource Center (312) 422-2050 rc@aha.org

Acute Care Hospital Closures and Openings, 2010-2016

The Medicare Payment Advisory Commission [MedPAC] has updated its annual chart on the number of openings and closures of acute care hospitals participating in the Medicare program:

According to the latest FY2017 AHA Annual Survey Database, about 98% of the nation’s acute care, non-federal hospitals participate in the Medicare program.

Source: MedPAC Databook: Section 6. Medicare Payment Advisory Commission, June 2018. http://www.medpac.gov/docs/default-source/data-book/jun18_databooksec6_sec.pdf?sfvrsn=0

Related source: North Carolina Rural Health Research Program. Rural hospital closures: January 2010-present. University of North Carolina, Cecil G. Sheps Center for Health Services Research, accessed April 9, 2019 at http://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/

Posted by AHA Resource Center (312) 422-2050, rc@aha.org

 

Investing in social services as a core strategy for health organizations: developing the business case

Social determinants of health — economic stability, neighborhood and physical environment, education, food, transportation, community and social context — can all impact health outcomes. With the growing emphasis on population and community health, how do hospitals and health systems make the business case for investing in social services to improve the health of their patients and communities?

A new report from the KPMG Government Institute focuses on building the business case for social services investment by healthcare organizations of all types. After defining social services investment and its common barriers, the guide focuses on these six steps:

  1. Identifying what to invest in
  2. Determining what success is by selecting the care outcomes
  3. Measuring costs of care
  4. Determining the appropriate investment model
  5. Setting up the return on investment approach
  6. Sensitivity analysis and investment kick-off

The appendices include several short business case examples from different types of healthcare organizations.

Source: Investing in social services as a core strategy for healthcare organization: developing the business case – a practical guide to support health plan and provider investments in social services. March. 2018. http://www.kpmg-institutes.com/ content/dam/kpmg/governmentinstitute/pdf/2018/investing-social-services.PDF. Also available from the Commonwealth Fund at http://www.commonwealthfund.org/~/media/files/publications/other/2018/investingsocialservices_pdf.pdf

Posted by AHA Resource Center (312) 422-2050, rc@aha.org