Premier: C-Suite Leaders Short-Staffed, but Confident in Value-Based Shift | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Premier: C-Suite Leaders Short-Staffed, but Confident in Value-Based Shift

November 21, 2016
by Rajiv Leventhal
| Reprints

Staffing shortages tops the list of concerns for healthcare C-suite leaders, with 42 percent identifying this as having the biggest impact on their ability to delivery care effectively, according to Premier, Inc.’s Fall 2016 C-Suite Survey.

The survey from the Charlotte, N.C.-based organization, also revealed that nearly three-fourths of respondents identified that a limited number of primary care physicians isn’t adequate to meet the evolving needs of hospitals and health systems in a population health world. Drilling down further in staffing shortages, 51 percent of respondents said they don’t have an adequate supply of “healthcare extenders,” such as nurse practitioners or physician assistants. In sum, the report represented 52 health system C-suite executives across the U.S.

What’s more, somewhat surprisingly, respondents said they believe they’ve prepared adequately and are adjusting well within the “new normal” of a value-based care world:  81 percent reported they are successfully managing the transition from fee-for-service reimbursement to alternative payment models.

Starting next year, of course, the Medicare Access and CHIP Reauthorization Act (MACRA) will launch its first reporting period in which eligible Medicare clinicians will be reporting to a Quality Payment Program that determines a physician’s reimbursement based on the high quality, efficient care they provide that’s supported by technology. There has been significant concern across the industry regarding clinicians’ knowledge and readiness for MACRA, but nonetheless, the Premier survey found that 94 percent of respondents said they are having success in reporting performance-based metrics.

The survey further found that healthcare leaders are looking to innovative solutions to reduce spending without compromising quality, as opportunities to identify easy fixes dry up.  Some 83 percent said it will be important for their supply chain team to explore risk-based contracting with suppliers over the next three years, while 98 percent expect to further standardize physician preference items (PPIs)—a figure that has tripled as a target strategy for healthcare decision makers.

Meanwhile, from a health IT standpoint, when looking at budgets, healthcare IT investments continue to dominate capital expenditures, with 70 percent reporting this as a key area for spending. This trend continues to persist as a prime source of capital investment for the sixth year in row, according to the survey. Within this bucket, reimbursement and regulatory hurdles appear to contribute to lack of widespread use of telemedicine. Nearly six in 10 (59 percent) reported to not incorporate telemedicine into primary care visits.

However, it also should be noted that 95 percent of those surveyed reported operational and cultural issues around mergers and acquisitions (M&A)—a key factor which can affect physician productivity and integration efforts.

Get the latest information on Health IT and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More



Study: EHRs Tied with Lower Hospital Mortality, But Only After Systems Have Matured

Over the past decade, there has been significant national investment in electronic health record (EHR) systems at U.S. hospitals, which was expected to result in improved quality and efficiency of care. However, evidence linking EHR adoption to better care is mixed, according to medical researchers.

Nursing Notes Can Help Predict ICU Survival, Study Finds

Researchers at the University of Waterloo in Ontario have found that sentiments in healthcare providers’ nursing notes can be good indicators of whether intensive care unit (ICU) patients will survive.

Health Catalyst Completes Acquisition of HIE Technology Company Medicity

Salt Lake City-based Health Catalyst, a data analytics company, has completed its acquisition of Medicity, a developer of health information exchange (HIE) technology, and the deal adds data exchange capabilities to Health Catalyst’s data, analytics and decision support solutions.

Advocate Aurora Health, Foxconn Plan Employee Wellness, “Smart City,” and Precision Medicine Collaboration

Wisconsin-based Advocate Aurora Health is partnering with Foxconn Health Technology Business Group, a Taiwanese company, to develop new technology-driven healthcare services and tools.

Healthcare Data Breach Costs Remain Highest at $408 Per Record

The cost of a data breach for healthcare organizations continues to rise, from $380 per record last year to $408 per record this year, as the healthcare industry also continues to incur the highest cost for data breaches compared to any other industry, according to a new study from IBM Security and the Ponemon Institute.

Morris Leaves ONC to Lead VA Office of Electronic Health Record Modernization

Genevieve Morris, who has been detailed to the U.S. Department of Veterans Affairs (VA) from her position as the principal deputy national coordinator for the Department of Health and Human Services, will move over full time to lead the newly establishment VA Office of Electronic Health Record Modernization.