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Making Sense of the MACRA: A Primer for Trustees

Trustee Articles
This primer provides an overview of the MACRA law and includes questions to help boards, executives and clinical leaders discuss its impact on their organization.

Put Equity at the Heart of Care

Health care is a fundamental right — a civil right and a human right. Statistically, however, underserved patient populations, often minority groups, receive the worst care nationwide.

Advent of "Care Systems" Means Governance Must Also Transform

Trustee Articles
Society and industries are always evolving; revolutionary change occurs sporadically when powerful forces align to disrupt the old order. The health care delivery system today is in the midst of an historic transformation to redesign how care is delivered. The quite immodest aim is to take 20 to 30 percent of costs out of the system while maintaining or improving clinical outcomes and patients’ health.

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Intermountain Healthcare Embraces Transformation

Trustee Articles
Utah-based Intermountain Healthcare continues to transform itself to best adapt to the demands of the changing health care environment. As part of the current transformation, the health system has organized its leadership to optimize the interdependencies of safety, quality, patient experience and workforce engagement. Under this construct, the system streamlines decision making, minimizes waste and redundancy, and positions the organization to deliver exceptional patient-centered care.

Credentialing, Privileging and the Engaged Board

Trustee Articles
Education, preparation and collegiality can empower physician and lay member trustees to make fair and thoroughly vetted decisions.

Competency-Based Governance Toolkit

Trustee Articles
The role of a health care organization trustee gets more complicated and more sophisticated every day. Pressures are increasing simultaneously for higher quality, lower cost, more transparency and accountability, and use of evolving and evermore expensive technology.

Red Rules for Boards

Trustee Articles
In industries where safety is critical and quality must come first, such as airlines and nuclear power, “red rules” refer to protocols that must be followed “to the letter” – all work stops until they are. A commercial airliner doesnʼt leave the gate if the pilot spies a possible leak or flat tire; a nuclear plant operator or even a Toyota assembly line worker can “stop the line” when he spots a critical flaw.

Data's Motivating Power

Trustee Articles
Analytics can be a tool for constructively engaging physicians in health systems’ transition to value

CMS Announces Savings in First Year of Home Care Demonstration

Participants in the Centers for Medicare & Medicaid’s Independence at Home demonstration saved more than $25 million in the payment model’s first performance year while delivering h