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.TRANSCRIPT
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HEALTH CARE POWERHOUSE FOCUSED ON THE FUTURE
NASHVILLE
To download a PDF file of this special section, please visit ModernHealthcare.com/NHCC
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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.
We’re also proud to call Nashville our home – a unique community
with more than 250 health care organizations that are our colleagues,
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.
This isourCommunity.Athome inNashville.Atworkaroundthenation.
www.chs.netContact Kenneth Hawkins, Senior Vice President, Acquisitions, 615-465-7000.
PromisesMade.
Promises Kept.
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NASHVILLE HEALTH CARE COUNCIL N1
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FROM THE CHAIRMAN
The evolution and current momentum of Nashville’s health care community is signifi cant not only to the region, but also to the national
health care landscape. On behalf of the Nashville Health Care Council Board of Directors, it is an honor to partner with Modern Healthcare on this special section about Nashville’s dynamic health care industry.
The Nashville area is home to 250 health care companies which create 200,000 jobs locally and 400,000 jobs globally. Nashville’s health care organizations are leaders in hospital management, outpatient surgery, disease management, wellness, population health, health information technology and beyond. Our hospital management companies own or operate more than half of the investor-owned hospitals in the nation. Nashville’s health care cluster is unmatched. It accounts for more than $70 billion in annual revenue.
The industry success found in Nashville is the result of an innovative environment that has a long
tradition of encouraging entrepreneurs to found new ventures in the area. The community also supports the continued development of our existing large and diverse health care sector, and works to attract new health care companies to relocate to the region.
While home to more than four decades of industry innovation, our passion stems from how we affect the lives of patients and their families. In Nashville, a collaborative spirit fuels a continuing desire to improve people’s health, care and outcomes.
We are grateful to Modern Healthcare for telling the story of Nashville, the nation’s premier health care industry capital. ■
BEN LEEDLE
CEO | Healthways
Chairman
Nashville Health Care Council
A global health care force based in a dynamic city
“In Nashville, a collaborative spirit fuels
a continuing desire to improve people’s
health, care and outcomes.”
Earl Swensson Associates, Inc.Over 50 years o f a rch i tec tu ra l exper ience
www.esarch.com 615-329-9445
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N2 NASHVILLE HEALTH CARE COUNCIL
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FROM THE PRESIDENT
A diverse group of leaders committed to the future
On behalf of the Nashville Health Care Council’s more than 225 member organizations, I would like to thank Modern Healthcare for their
partnership in producing Nashville: Health Care Powerhouse Focused on the Future.
Founded in 1995, the Council serves to foster the growth of Nashville’s unique health care industry. Our members are both Nashville-based and national organizations that are leaders in a diverse mix of health care industry segments. Also represented in our numbers are professional service fi rms with signifi cant expertise in the health care industry.
The pages that follow provide an overview of the industry history in Nashville and the profound impact it has on the delivery of innovative, high-quality patient care around the globe. The section also details how Nashville executives are preparing for the changes directed by health reform and ultimately providing a vision for the future direction of improving health, well-being and care delivery in this country.
For nearly 20 years, the Council has been privileged to work with world-class leaders to provide critical information needed to grow successful organizations that provide superior patient care. Health care is Nashville’s most important economic driver, contributing more than a $30 billion benefi t to the local economy. We look forward to future opportunities to ensure a supportive operating environment for existing, start-up and relocating health care businesses through quality educational programs, networking and mentoring activities.
We hope you enjoy learning about our health care industry and we invite you to learn more by visiting the Nashville Health Care Council at www.healthcarecouncil.com. ■
CAROLINE YOUNG
President
Nashville Health Care Council
“Health care is Nashville’s most important
economic driver, contributing more than a
$30 billion benefi t to the local economy.”
Working with healthcare companies nationwide for more than a quarter of a century.
www.lovell.com | (615) 297-7766
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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
of our great health care system, connecting
service providers with patients with health care
professionals and more. Yet that is just what
Lipscomb University in Nashville, Tenn., has been
quietly doing for quite some time now.
Medical schools nationwide covet our pre-med students—in fact, often accepting a higher percentage of our students than their own. Our “TransformAging” programs are preparing a new generation of health care professionals who see successful health care for this key demographic in a different way.
Lipscomb opened the first college of pharmacy in Middle Tennessee, and our nursing students have been supporting area hospitals and health care facilities for years, even some in remote villages around the world.
Our graduate programs in health care informatics and 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 the area specific to the health care industry.
As you can see, we are helping build Nashville as a health care capital by educating professionals who will successfully and creatively connect the blocks one at a time.
www.lipscomb.edu
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“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
The 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 fi rms with wide-ranging expertise in the health care industry.
Nashville’s health care industry is its most important economic engine,
contributing an overall economic benefi t 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.”
“It has the right people, at the right time, at the right place to solve the
needs of health care in our ever-changing world,” Frist said.
The Council promotes the continued growth of Nashville’s health care
industry by fostering a supportive operating environment for existing,
start-up and relocating health care businesses. Through educational
programs, the Council provides executives with timely information on
key operational and policy challenges facing health care companies, as
well as networking and mentoring activities.
Council events focus on pressing issues facing the health care industry
and have featured leaders such as Centers for Medicare and Medicaid
Services Administrator Marilyn Tavenner, U.S. Chief Technology Offi cer
Todd Park, U.S. Senate Republican Leader Mitch McConnell (R-Ky.),
AHIP CEO Karen Ignagni, Microsoft CEO Steve Ballmer and numerous
other leaders from government, industry and fi nance.
Since its inception, the Council has placed a strong emphasis on
expanding Nashville’s reputation as a health care capital by meeting
with health care and business leaders across the nation and worldwide.
More than 200 health care executives have joined the Council on
missions to 17 international cities in 14 countries.
In November 2010, the Council with the Nashville Area Chamber of
Commerce conducted a trade mission to Santiago, Chile and Buenos
Aires, Argentina.
The Council and Chamber previously embarked on a study mission
to the United Kingdom, which offered participants an up-close look
at the British and Scottish health care systems through small-setting
exchanges with policymakers, business executives and dignitaries in
London and Edinburgh.
The Council has also hosted business and government leaders from
around the world to Nashville, including groups from Russia, Sweden
and Asia. During a recent Nashville visit Asia business experts shared
fi rst-hand insights on private sector business opportunities in the
reformed and expanded Chinese health care system. ■
FOR MORE INFORMATION on the Nashville Health Care Council,
please visit www.healthcarecouncil.com
Expansion-minded council promotes growth, reaches out globally to connect with leaders
ABOUT THE COUNCIL
The Council recently marked its 15th anniversary by hosting 500 members at a panel session featuring legendary health care leaders and entrepreneurs.
N4 NASHVILLE HEALTH CARE COUNCIL
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N6 NASHVILLE HEALTH CARE COUNCIL
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The Nashville area boasts more than 250 health care companies, of which more than 56 are corporate headquarters and 16 are publicly traded. In addition, more
than 300 professional service firms lend their expertise to Nashville’s health care industry.
“It starts with the unique culture we have in Nashville,” said Wayne Smith, chairman of the board, president and
chief executive officer of Community Health Systems, an operator of general acute care hospitals with 135 affiliated hospitals in 29 states. Smith is also the current chairman of the Nashville Area Chamber of Commerce.
“Companies here have an interest in helping other companies develop,” Smith said. “It’s not that we’re not competitive; we are.
But, the companies here are collegial, and we collaborate to improve and grow our industry as a whole. That benefits
everyone – our business, our employees, the communities we serve around the country.”
Combining many large and established companies with innovative startups, Nashville has a history of health care management that goes back five decades, said Bill Carpenter, chairman and chief executive officer of LifePoint Hospitals®, a hospital company operating 56 hospital campuses in 18 states.
“We have a legacy and an amazing collection of health care companies in hospital management, health information technology, disease management, life sciences and many other sectors,” Carpenter said. “We have a deep bench of talent and a broad network of advisors that can support companies of all sizes.”
For nearly 20 years, the Nashville Health Care Council has been the catalyst for collaboration and champion of the entrepreneurial spirit that characterizes the Nashville health care community.
“The Council brings us together to consider industry-wide issues and opportunities,” Smith said. “We can talk about the things that matter to all of us and work toward common goals.”
Carpenter said the need for collaboration and innovation will increase in the coming years.
“We are in a period of change and uncertainty in health care,” Carpenter said. “Health reform is leading most of this
A health care community successfully blending collaboration and innovationNashville’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.
“As a community, we must
work together to find ways
to prevent illness and keep
people healthier. We must also
find ways to boost efficiency
and improve patient outcomes
across the board.”
BILL CARPENTERChairman and CEO LifePoint Hospitals®
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change and driving a new focus on improving quality of care and reducing costs. As a community, we must work together to find ways to prevent illness and keep people healthier. We must also find ways to boost efficiency and improve patient outcomes across the board.”
“These are exciting times,” Carpenter added.Nashville’s health care industry is one of the most diverse
sector clusters in the nation. In addition to traditional provider organizations, such as hospital companies and ambulatory groups, Nashville is home to insurers, technology, care management companies and a variety of support and entrepreneurial ventures.
“In Nashville, and thanks in part to the leadership provided by the Nashville Health Care Council, a unique collaborative spirit exists,” said Richard M. Bracken, chairman and chief executive officer of HCA. “There is a progressive and responsible recognition that a diversity of organizations will be essential for the continued positive growth and efficiency of the health care industry.”
Two highly-respected academic health science centers anchor Nashville’s health care industry: Meharry Medical College and Vanderbilt University Medical Center, known for their tertiary care clinical services and research.
Dr. Wayne J. Riley, president and chief executive officer at Meharry Medical College, believes health care for everyone in the United States is destined to improve.
Founded in 1876, Meharry is well-known for training African American physicians, dentists, biomedical scientists, health care administrators and health policy experts. It is also the nation’s largest private, independent historically black academic health center dedicated to educating minority and other health professionals.
“I envision a health care system that will continue to evolve for the better – first by focusing on ensuring access for everyone who needs health care services and then, by continuing to find better ways to deliver evidenced-based care efficiently and effectively,” Riley said. “We know that prevention is key to good health, so I would envision a future where more and more of us take advantage of practices that we know work toward good health, such as eating a well balanced diet, exercising, minimizing stress, avoiding tobacco use to name a few.”
Marketing innovationInnovation often begins with university research, and the Vanderbilt University Center for Technology and Commercialization has found a way to take innovative research from the university and prepare the resulting intellectual property for the marketplace.
Vanderbilt’s Center for Technology also works with local and regional entrepreneurs, investors, executives and other business leaders to advance technologies in sectors such as broad drug delivery, health care management and other information technology systems, said Assistant Vice Chancellor Alan Bentley.
“Health care innovation nationally is probably the single most important element contributing to reducing health care expense and improving patient care,” Bentley said.
Right now, the Center for Technology is working with investors to position some of its medical center information systems for broad commercialization. For one project, the
center has engaged a local entrepreneur to create a company to deliver a nanosponge drug delivery system developed in the Vanderbilt Department of Chemistry by Dr. Eva Harth and colleagues.
Bentley said he anticipates similar partnerships between Vanderbilt researchers and the Nashville area health care community will be commonplace in the coming years.
“The Vanderbilt research community is such an innovative bunch, there are numerous opportunities to partner locally to develop high impact health care products,” Bentley said
And, once those innovations become business models, Nashville community groups like the Entrepreneur Center and the Nashville Capital Network are in place to nurture startups into successful ventures.
“Nashville is home to a number of new and longtime entrepreneurs in health care. At the Entrepreneur Center, we connect these innovators with critical resources to accelerate business creation and growth. We are the ‘front door’ of Nashville for all types of entrepreneurs, creating both a physical and virtual place for providing resources, making connections, seeking advice and launching a business,” said Michael Burcham, president and chief executive officer of the The Entrepreneur Center.
Tackling community issuesSupport from leaders in the Nashville health care industry gives the Council the clout it needs to tackle big issues in the community, exemplified in the Council’s role in an award-winning project by Nashville Public Television.
As Nashville’s business community has thrived, the health of its children has not. The city ranked 48th in the nation for children’s health—from obesity to infant mortality—and the state overall didn’t fare much better. In 2009, Nashville Public Television spearheaded a partnership among Nashville health care organizations and community partners to confront the crippling effects of poor childhood health in the region.
The Council was on board immediately, said Beth Curley, president and chief executive officer of Nashville Public Television. Council member Healthways, the largest independent global provider of well-being improvement solutions, was also an initial key supporter. The Council and its members continued to play a major role, building and participating in a coalition that brought the project to fruition.
Titled “Children’s Health Crisis,” the project’s first phase
CONTINUED >
“Nashville is home to a number of
new and longtime entrepreneurs
in health care. At the Entrepreneur
Center, we connect these
innovators with critical resources
to accelerate business creation
and growth. We are the ‘front
door’ of Nashville for all types
of entrepreneurs, creating both
a physical and virtual place for
providing resources, making
connections, seeking advice and
launching a business.”
Michael BurchamPresident and CEO The Entrepreneur Center
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N8 NASHVILLE HEALTH CARE COUNCIL
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consisted of seven documentaries aired over three years. Each episode examined a different issue, from childhood obesity to mental health to adolescent sexuality.
Other elements of the project included 18 health spots for children and parents during daytime children’s television programming, as well as 81 health update spots during prime time. It featured call-in programs, weekly on-air reports and an extensive website.
The project lived off the air, too. Information was distributed to area schools, community centers and health-care providers with translations in four languages other than English. Nashville Public Television held a series of Family Health Nights at Nashville schools. In 2011, more than 550 families attended literacy and nutrition workshops involving games and
healthy food.Throughout the process the Council assisted with the project
by providing input on content, identifying health care experts and assisting with staging events, said Daniel Tidwell, vice president of development and marketing for Nashville Public Television.
“They have really been one of our most active and involved partners,” Tidwell said. “They have done a great job in helping us get the word out about it and helping us connect with the health care community.”
The series won the 2011 Midsouth Regional Emmy Award for Community Service. In 2010 it won two Emmy Awards in 2010 for best topical documentary and best public affairs documentary. Other awards include the 2011 American Academy of Pediatrics Friend of Children Award, 2011 and 2012 Tennessee Commission on Children & Youth Making KIDS COUNT Media Award and 2010 National Educational Telecommunications Association awards for best long-lead promo and Science/Nature documentary.
Addressing important local issues with a combination of television programming and other outreach is generating buzz among station managers and producers in the public television community.
“It’s on the radar screen,” Curley said. “People are talking about it at a number of other stations and trying to figure out what they can do.”
But the best news, said Council President Caroline Young, is the impact on children’s health. Tennessee now ranks 39th in child well-being. “All of these efforts are slowly, but steadily moving the needle,” Young said. “More Nashvillians understand the need to create a culture of health and wellness.”
Instilling positive lifelong health habits in kids is the only way to truly change overall health in the United States, said Council member Scott McQuigg, chief executive officer of HealthTeacher, which provides a comprehensive online health education curriculum used in public schools, after-school and home school programs in the United States and internationally.
“Our country desperately needs consumers to take more responsibility for their health,” McQuigg said. “The costs of poor health choices among adults are becoming insurmountable.”
“Successfully teaching young people the intrinsic value of health today will provide a generational shift in health and well-being that will pay dividends for our communities and country tomorrow,” McQuigg added.
Aging population influxIndustry leaders are also focusing on Nashville and the nation’s aging population, which will continue to need a higher level of health care.
“The rising number of seniors is a global trend and not limited to the aging of the baby boomer generation in the United States,” said Herb Fritch, president of HealthSpring, a health plan delivering quality health care, primarily through Medicare Advantage and other Medicare and Medicaid products.
“Advances in science, technology and medicine mean people today are living longer,” Fritch said. “However, as we age we become more susceptible to chronic illnesses like high blood pressure, diabetes, and heart disease.”
HealthSpring works with physicians and patients to develop personalized care plans that combine regular medical care with preventative services and disease management. The approach has resulted in an average 80-90 percent compliance with evidence-based medicine practices compared to a national average of 40-50 percent, Fritch said.
“We’ve documented great success with innovative initiatives that support the doctor-patient relationship and better align health care resources,” Fritch said.
Fritch maintains that pioneering new programs and strengthening existing ones focused on delivering better health outcomes, reduced costs and higher patient satisfaction is vital for keeping seniors healthy in a future with a larger number of older Americans are expected to celebrate their 100th birthday.
When the situation calls for acute care follow up, skilled nursing and home health provide the most cost efficient settings for the majority of cases, said Steve Flatt, president, National HealthCare Corp., one of the nation’s oldest long-term health care companies, operating 130 health care facilities in 11 states.
“As we move to a world of bundled payments and capitated payment for the care of defined populations, we want to be positioned to work with physicians and hospitals to meet the clinical and financial targets for effective, quality care of an aging population,” Flatt said.
An increase in the U.S. elderly population combined with an influx of Medicaid patients due to the passing of the Accountable Care Act means managing the revenue cycle is going to be more important than ever, said Scott Mertie, president of Kraft Healthcare Consulting, an affiliate of Kraft CPAs which is one of the largest independent certified public accounting firms in Middle Tennessee. His practice specializes in all aspects of reimbursement and compliance related to Medicare and Medicaid.
“Providers already struggle with Medicare and Medicaid rates, as well as an increase in compliance,” Mertie said. New health care laws will not likely alleviate that struggle, he added.
“We’ve documented great
success with innovative
initiatives that support the
doctor-patient relationship
and better align health care
resources.”
HERB FRITCHPresident HealthSpring
COLLABORATION AND INNOVATION continued
CONTINUED >
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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.
facebook.com/HealthSpring @HealthSpringwww.healthspring.com
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“They are going to have to learn to operate their organizations by managing patient care with lower reimbursement rates while caring for more patients.”
Mertie said the best way he can assist his clients is make sure they’re informed about regulations that affect them directly, as well as indirectly over the long term.
Technological advances such as the MISTY™ care management platform for health care providers, payers and caregivers will help patients with chronic conditions, many who are older, said Scotte Hudsmith, president and chief
executive officer of Parental Health, which developed and delivers MISTY™.
Established in 2009, Parental Health set out to design a program specifically to support Medicaid and Medicaid Advantage. Being part of the Council was a help in getting his new concept off the ground, Hudsmith said.
“Starting Parental Health in this community has allowed us to tap into a vast knowledge base of how care is provided to patients with chronic conditions,” he said.
Because the same population is responsible for most of Medicare and Medicaid spending, efficiently managing their complex care is paramount. The Centers for Medicare and Medicare Services states that its primary objective is to improve access, outcomes and quality while reducing cost.
“Approximately 5 percent of the members in Medicare and Medicaid consume the majority of the cost,” Hudsmith said. “If a plan can manage those costs proactively, the system overall can save an enormous amount of money, while improve access and quality of care. “
Technology in numbersIncreasing numbers in the aging population is just one of many impending changes related to health care delivery in the United States.
Thanks to health care reform, health systems will also see an increase in the insured population, as well as more participants in indigent care programs nationwide, said George Lazenby, chief executive officer, of Emdeon, the largest health care financial and clinical network in the nation – connecting 1,200 payers, 500,000 providers, 5,000 hospitals, 81,000 dentists and 60,000 pharmacies – and processing more than six billion health care information exchanges per year.
“The one thing that is clear about the future of health care is that we have to improve our efficiency to reduce the costs of our health care system,” Lazenby said.
That is where technological improvements associated with delivering data and exchanging information come into play.
“Any improvements that lead to higher levels of efficiency will be achieved by the increased availability of relevant data for decisions within the workflow,” Lazenby said. “Technology will clearly play a significant role in this going forward.”
Investment in new care models, especially health care information technology will accelerate as health care companies align their processes with the requirements of health care reform, said Claire Miley, a health care regulatory lawyer and member at Bass, Berry & Sims PLC, which represents 16 public health care companies, more than 150 health care-related businesses and is one of the 10 largest health law firms in the United States.
“Health care technology, especially health information technology, is the underpinning of the new coordinated care models created by health reform,” Miley said.
In addition to the changes brought on by health care reform, hospitals and other health care providers face Medicare reimbursement costs beginning in 2012 if they fail to invest in health care technology that complies with government mandates for “meaningful use,” Miley added.
Centers for Medicare and Medicare Services defines meaningful use as the application of certified electronic health records technology in ways that can be measured significantly in quality and in quantity.
Doing business in the birthplace of for-profit health care and working with some of the world’s most sophisticated health care companies, Miley said she expects to participate on the cutting edge of industry innovation in the area of health care technology.
Executive physicians at forefront New federal regulations, evolving demographic differences and changes in social populations will contribute to the increasing importance of the chief medical officer and executive physician in the coming years.
As executive chairman at TeamHealth, one of the largest providers of outsourced physician and clinical staffing solutions for hospitals in the United States, Dr. Lynn Massingale said the company is focused on initiatives that improve quality in a measurable way, reduce unnecessary costs and enhance the patient experience in emergency services, hospital programs, anesthesia and urgent care.
Whether it’s a chief medical officer focused on clinical issues or a physician executive with broader executive management duties, physician leaders will need to develop requisite skills beyond their medical credentials to be effective as high-level corporate executives, Massingale said.
Kim Harvey Looney, a health care regulatory practice leader at Waller, a national law firm, shared, “The increased emphasis on quality will require the physician/CMO to be more proactive. While quality standards are not new, the physician/CMO will be spending more time making sure that new quality metrics are in place before there is a problem. The importance of taking a proactive approach is underscored by developments such as the Hospitals Readmissions Reduction Program which will reduce Medicare payments for hospitals viewed as having excess patient readmissions as well a recent patient care measures endorsed by the National Quality Forum.”
“Physician executives and CMOs should be at the forefront and integrally involved with nonphysician leaders of most organizations that will excel in the future,” Massingale said.
Physician leaders will face increased staffing challenges, said attorney Jay Hardcastle, partner and chair of the Health Care Practice Group at Bradley, Arant, Boult, Cummings LLP.
“There may be a shortage of physicians in the coming
“Physician executives and CMOs
should be at the forefront
and integrally involved with
nonphysician leaders of most
organizations that will excel in
the future.”
LYNN MASSENGALE, MDExecutive Chairman TeamHealth
COLLABORATION AND INNOVATION continued
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years,” Hardcastle said. “The physician executives will need to plan for fewer physicians giving care to more patients. Moreover, physician executives will face increased pressure to demonstrate value — that is, improved quality for lower cost.”
The need for physician leaders with executive and business skills keeps increasing, from the community to the corporate level, agrees Dr. Barbara Paul, senior vice president and chief medical officer for Community Health Systems. “Change management, conflict resolution and communications aren’t taught in medical school, but are critical skills,” Paul said. “Every medical staff and community hospital benefits from having physicians with these skills.”
The traditional role of physician leaders as advocates for the medical point of view has evolved into one that incorporates an understanding of the overall imperatives at their organizations. That means finding “ways to move all parties from tacit and passive agreement to commitment and action around a shared goal,” Paul said.
A proponent of physician leaders with greater management savvy, Paul has taken an active role helping physician leaders transition to a more prominent role in the business of health care. She enlisted the support of the Council to develop a new networking program for physician executives consisting of a series of small dinner gatherings with physician executives from a cross-section of Nashville companies.
“Our vision was to create an event where physician executives could share ideas and discuss common challenges,” Paul said.
“Change management, conflict
resolution and communications
aren’t taught in medical school,
but are critical skills. Every
medical staff and community
hospital benefits from having
physicians with these skills.”
BARBARA PAUL, MDSenior Vice President, CMO Community Health Systems
The first dinner earlier this year resulted in a physician from Vanderbilt University Medical Center agreeing to speak at an upcoming national meeting of medical staff leaders. Paul said she is working with another physician from Meharry Medical College on future projects.
“This is exactly the kind of collaboration that makes Nashville unique,” Paul said. “By working with the Council, we had instant credibility and interest from many local companies.”
And that is in keeping with the mission of the Nashville Health Care Council: to promote the continued growth of Nashville’s health care community by fostering a supportive operating environment for existing, start-up and relocating health care businesses; providing networking and mentoring activities; and ensuring that executives have the timely information they need to maintain Nashville’s position as the nation’s health care industry capital. ■
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Those concerns are also among the major issues that have emerged under health care reform: accountable care, reimbursement, “meaningful use” of electronic health
records and reducing clinical costs while improving quality.Survey respondents represent various sectors of Nashville’s
health care industry, including hospitals and other care providers, professional services, consulting services and information technology. The businesses range in size from fewer than 100 employees to more than 10,000.
Regardless of how health care legislation plays out over the short haul, Nashville’s
health care leaders are preparing for health care reform in the same way they continue to position themselves as innovators and change agents open to new opportunities.
Saint Thomas Health — a member of Ascension Health, a Catholic health ministry that is the largest nonprofit health care system in the United States — began the process of transforming health care delivery two years ago, said its President and Chief Executive Officer Dr. Mike Schatzlein. Saint Thomas Health Services consists of nine hospitals, four in conjunction with Capella Healthcare, and several other health service providers that serve Middle Tennessee, Southwestern Kentucky and Northern Alabama.
“Not so much because of external pressures, but rather because it is the right thing to do, service delivery must be more person-centered, far less fragmented and much less expensive,” said Schatzlein, who is also market leader for Ascension Health Ministry for Nashville and Birmingham.
Saint Thomas has channeled its efforts into three major areas: accepting responsibility for the continuum of care for individuals and populations, information systems integration and process improvement to provide consistent quality and safety at lower cost, Schatzlein said. A year ago, it launched an accountable care organization, MissionPoint Health Partners. The increasingly popular accountable care model
Leaders’ top concern: Implementing reformHEALTH CARE LEADERS SURVEY
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.
CONTINUED >
0 1 2 3 4 5 6 7 8 9 10
Reimbursement 8.02
Technology 7.56
Healthcare reform implementation 7.21
Governmental mandates 7.15
Patient satisfaction 6.65
Staffing and personnel shortages 6.32
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
NOT a concern VERY SERIOUS concern
SURVEY: Reimbursement, technology issues emerge as leaders prepare for the future
Respondents were asked:
“ On a scale of 1 to 10, rate EACH of the following as it impacts your health care business right now.”
Source: Modern Healthcare survey of Nashville Health Care Council Leaders
Average ratings
Regardless of how health care
legislation plays out over the
short haul, Nashville’s health care
leaders are preparing for health
care reform in the same way they
continue to position themselves
as innovators and change agents
open to new opportunities.
mh.qxp 8/21/2012 3:42 PM Page 12
She measures her professional performance one patient at a time.We measure our business performance one solution at a time.
Parallon.net
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N14 NASHVILLE HEALTH CARE COUNCIL
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consists of networks of hospitals, doctors and other providers coordinating — and being held accountable for — patient care.
MissionPoint now has more than 1,400 doctors and nine hospitals, and is responsible for all or part of the continuing
care of nearly 30,000 members. It is one of the first institutions sanctioned as an accountable care organization for Medicare patients by the Centers for Medicare Services, Schatzlein said, adding that he expects MissionPoint will enroll more than 21,000 Medicare patients in 2012.
With health care reform expected to introduce tens of millions of previously uninsured patients into the managed care system, it is not surprising that nearly a third of the survey’s respondents ranked medical reimbursement as their No. 1 concern.
Scott Mertie, president of Kraft Healthcare Consulting, which specializes in all aspects of reimbursement and compliance related to Medicare and Medicaid, said he has
already been working with clients eager to understand how health care reform laws will impact their facilities.
“Due to RAC’s (recovery audit contractors) and other forms of governmental claims audits, our compliance practice has seen a large increase in providing external coding and documentation audits and other risk assessments to identify areas of exposure for our clients,” Mertie said.
Lattimore, Black, Morgan & Cain, P.C., the largest regional accounting and financial services family of companies based in Tennessee has been proactive in health care reform.
“We began implementing an active campaign to address the health care reform bill years ago when it was merely a possibility,” said Andrew Bissonnette, health care partner at the firm.
With a team of more than 40 health care professionals, the firm has expertise in national accounting firms as well as direct industry experience, Bissonnette said. “Having these professionals with extensive financial and practical experience enables us to dissect this bill, and what it means to our clients quickly and efficiently.”
Making certain that providers receive payment for every patient will be increasingly complex as the volume of new patients increases.
Passport Health Communications, which specializes in software and business solutions for health care companies, anticipates 30 million people will access health care in the United States as a result of health care reform. The company has developed products that track logistics and patient risk
HEALTH CARE LEADERS SURVEY continued
“We are always looking forward to
make accessing health care easier
for patients and to help providers
achieve the necessary payment
certainty.”
SCOTT MACKENZIE CEO Passport Health Communications, Inc.
SCA
N S
MA
RTPH
ON
E
We’ve created a way for every doctor to know the very latest breakthroughs in cancer treatments.
We developed MyCancerGenome.org 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.
VanderbiltHealth.com/breakthroughs
The promise of discovery
mh.qxp 8/21/2012 3:42 PM Page 14
NASHVILLE HEALTH CARE COUNCIL N15
special advertising supplement
from outpatient, to inpatient, to post-acute care to manage the patient’s entire episode of care across health care enterprises. It has also developed software to determine eligibility, facilitate enrollment and identify financial assistance for needy patients.
“We are always looking forward to make accessing health care easier for patients and to help providers achieve the necessary payment certainty in order to continue delivering the high level of care Americans enjoy and demand,” said Scott MacKenzie, chief executive officer of Passport Health Communications, Inc.
In terms of impact to the health care business, more than half of those surveyed ranked technology high. Health IT and management plays a huge role in health reform, specifically in meaningful use of electronic health records technology (EHR). (The recent Supreme Court decision does not affect meaningful use, which was established under earlier legislation. Health care providers must prove meaningful use of certified electronic health systems to qualify for Medicaid and Medicare incentive payments.)
As two of the biggest national providers among the Nashville health care community, Hospital Corporation of America (HCA) and Community Health Systems (CHS) are focused on establishing meaningful use best practices.
“Whether it’s working toward the requirements of health reform or successful implementation of electronic health records to achieve meaningful use, our scale allows us to address multiple issues simultaneously, innovate, perfect approaches and then replicate successful strategies,” said Dr.
Jonathan B. Perlin, HCA president, Clinical and Physician Services Group and chief medical officer. HCA is the largest private operator of health care facilities in the world.
Perlin said he is proud that most of HCA’s hospitals attested for meaningful use last year, but stresses that it is not an “end point.”
“We see the EHR as a vehicle for delivering better patient care, with greater continuity, more personalization and improved efficiency,” he said.
At CHS, clinical excellence has always been a top priority, said Dr. Lynn Simon, the company’s senior vice president and chief quality officer.
Simon said that like other hospitals and health systems, CHS has historically examined clinical measures separately from day-to-day operations. But with the focus shifting to value based purchasing, quality efforts and operations need to be integrated more closely, she said.
“We’re looking at quality metrics in real time — not just at the historical data— and that is a good thing for our patients,”
CONTINUED >
“We see the EHR as a vehicle for
delivering better patient care,
with greater continuity, more
personalization and improved
efficiency.”
JONATHAN B. PERLIN, MDHCA president, Clinical and Physician Services Group and chief medical officer
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Emergency Medicine | Anesthesia | Hospital Medicine Clinical Outsourcing Services
800.818.1498 | teamhealth.com
mh.qxp 8/21/2012 3:42 PM Page 15
N16 NASHVILLE HEALTH CARE COUNCIL
special advertising supplement
Simon said. “The entire industry has to remain focused on ways to reduce medical errors. Patient safety is a priority for us – as it should be for all health care providers.”
CHS has embarked on efforts to make its affiliated hospitals highly reliable, Simon said. It is shifting its focus from process
of care measures to improving outcomes, including improving mortality rates and reducing readmissions and hospital acquired conditions.
One example she points to is a system-wide development of standardized order sets. Local medical staffs approve them, but with an organization-wide standardized and consistent approach to quality, CHS
can drive higher quality, reduced costs, the ability to track resource consumption and organization-wide efficiency, Simon explained.
Successful health care reform depends on keeping costs down
HEALTH CARE LEADERS SURVEY continued
while improving quality. That is especially true for providers of Medicaid and Medicare services.
Vanderbilt Health System is Tennessee’s largest provider of Medicaid services and addresses a significant volume of Tennessee’s Medicare population.
“Already, we know we will be facing declining reimbursements as we continue to treat these populations,” said Dr. C. Wright Pinson, deputy vice chancellor for health affairs, Vanderbilt University and chief executive officer of the Vanderbilt Health System.
In order to meet that challenge, last year Vanderbilt Health System began a comprehensive operational improvement process to create savings and realign its cost structure. The organization met its initial goal to save $50 million and continued to work toward even greater efficiencies, Pinson said.
Vanderbilt also recently received an $18.8 million federal grant it will use in partnership with its affiliate medical centers — Maury Regional Medical Center, NorthCrest Medical Center and Williamson Medical Center — to establish a medical home model.
Pinson said all parties will be able to better manage patient populations with costly and epidemic chronic illnesses, such as diabetes, heart disease and hypertension.
“Based on the success of our medical home pilot, financial modeling projects, we can create significant savings while also greatly improving outcomes for these patients,” he said. ■
“Based on the success of our
medical home pilot, financial
modeling projects, we can create
significant savings while also
greatly improving outcomes for
these patients.”
C. WRIGHT PINSON, MD Deputy vice chancellor for health affairs, Vanderbilt University and CEO Vanderbilt Health System
Many of the nation’sleading 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.
Contact HMS for powerful IT solutions that can help your growing organization succeed.www.hmstn.com1-800-383-3317
mh.qxp 8/21/2012 3:42 PM Page 16
WE ARE HEALTHCARE LAW.
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.
The best companies and brightest minds in healthcare operate in Nashville. And so do their healthcare attorneys.
wallerlaw.com
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N18 NASHVILLE HEALTH CARE COUNCIL
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As LHC’s executive director, Judith Byrd, explained recently, “Health care is Nashville’s largest and fastest growing economic driver, which has a ripple effect across
the Nashville economy to the tune of more than 200,000 jobs. LHC wants to build Nashville’s reputation as the nation’s health care capital. And, in order to do that, we need to plan for the future.”
The way to do that, Byrd told the Nashville Post, is creating a place where up-and-coming professionals in the health care industry can get to know each other better while gaining valuable knowledge about the industry.
“Fostering the next generation of health care leaders and entrepreneurs helps solidify Nashville’s position as a health care industry leader and ensures a strong economy and good quality of life for the city,” she said.
Nashville’s rising health care stars mentored to meet future industry challengesWhere 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.
INVESTING IN NASHVILLE’S FUTURE LEADERSHIP
“Fostering the next
generation of health care
leaders and entrepreneurs
helps solidify Nashville’s
position as a health
care industry leader and
ensures a strong economy
and good quality of life for
the city.”
JUDITH BYRDExecutive DirectorLeadership Health Care
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NASHVILLE HEALTH CARE COUNCIL N19
special advertising supplement
More than 650 professionals representing nearly 300 companies are active members in LHC. And over the past year, nearly 1,500 people attended LHC events.
One of LHC’s signature activities is an annual visit to Washington. About 100 delegates took the most recent trip to the nation’s capital, where they sat down for briefings with top Obama administration officials, government policymakers and influencers.
“The delegations to Washington, D.C., have provided us with an opportunity to hear firsthand from policy experts inside the beltway about real-life issues that are relevant to the 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 trips to Wall Street.
The Washington visits have also been highly informative for another LHC member, Sarah Cook, director of account management at Healthways Inc., a company whose work has included coaching individuals and groups toward optimal nutritional health, as well as collaborating with large health plans to improve well-being for millions of people.
“The delegations to D.C. have been extremely valuable, especially the 2010 delegation,” Cook said. That trip occurred just as Washington lawmakers were passing the massive health care overhaul, the Patient Protection and Affordable Care Act.
“As delegates, we heard from political leaders, literally as change was happening,” Cook said. “It was exhilarating and gave me a personal perspective of the political environment
unlike any I could ever achieve from a distance. I returned to work with a better understanding of the opportunities and the challenges my clients faced as they outlined their future strategies.”
LHC member Kelvin Ault, senior vice president of tax for Vanguard Health Systems, also singles out the group’s trips as important experiences. “I think the D.C. and New York delegation trips have been the most rewarding both from a professional development standpoint as well as from a networking standpoint,” Ault said — but he adds that he has also learned a lot by attending LHC’s local events.
Those events in Nashville include roundtable sessions, which give LHC members a chance to sit down with influential leaders and gain insights about the health care field. LHC has hosted such sessions with Dr. Jeffrey Balser, Vanderbilt University Medical Center’s vice chancellor for health affairs; former U.S. Senate Majority Leader Bill Frist, BlueCross BlueShield of Tennessee CEO Vicky Gregg and numerous other well-respected industry leaders.
“LHC has given me insights into numerous areas of health care — clinical, medical device, pharma, technology, managed
CONTINUED >
More than 650 professionals representing nearly
300 companies are active members in LHC
“This is a landmark partnership for us and the communities we serve.” - Mike Schatzlein, M.D. CEO, Saint Thomas Health
To learn more about this and other unique partnerships, visitCapellaHealthcare.com/partnership-opportunities
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.
We’re proud to have Saint Thomas Health, a
quality leader in advanced cardiac, neuroscience
and women’s services, as our newest joint venture
partner for four Tennessee community hospitals.
Saint ThomasHealth
mh.qxp 8/21/2012 3:42 PM Page 19
N20 NASHVILLE HEALTH CARE COUNCIL
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NASHVILLE’S FUTURE LEADERSHIP continued
care, political and more,” Cook said.Likewise, Ault said, “LHC provides me with an opportunity
to expand my horizons and depth of industry knowledge beyond the tax world that I live in on a day-to-day basis.”
Ault started his career at the Nashville office of Ernst & Young, where he worked predominantly with clients in the health care industry. He joined LHC about nine years ago, when he was vice president of tax at LifePoint Hospitals, and he has remained in the organization since moving to Vanguard, which owns 28 acute care and specialty hospitals and complementary facilities in Illinois, Arizona, Michigan, Texas and Massachusetts.
“I think it has given me a professional advantage over my counterparts at other health care companies who aren’t involved in LHC, by helping me to see the broader industry perspective,” Ault said.
Ault said he has taken the knowledge he gained at LHC events and used it when he advocates for legislation and regulatory tax initiatives at the state and federal level. For example, a charity care tax credit for investor-owned hospitals was recently enacted after lobbying by Ault and others.
Ault said LHC has opened professional doors for him. “I’m en route to Chicago now to present at an IRS health care industry conference to present on current and future state of the health care industry,” he recently said. “I wouldn’t have had the knowledge or the confidence to do this presentation if it weren’t for what I’ve learned through my involvement with LHC.”
LHC’s other recent local events have included a panel of
women health care industry leaders discussing health care reform and a discussion focused on social entrepreneurism in health care. In addition, LHC offers a “Board-to-Board” mentoring program which matches LHC Board members with Council Board members. The pairs meet to discuss topics such as business strategy and the political landscape. The mentoring program also provides board-level meetings for interaction and career growth. Recently, HCA Retired Chairman & CEO Jack O. Bovender Jr. held a discussion with Council and LHC boards on the importance of mentoring.
Humphreys said she has made valuable connections — and friendships — by participating in LHC.
“It has been an organization through which I have formed lifelong friendships,” she said. “It has been instrumental in the development of my career, in particular from a networking standpoint.”
Cook praises LHC for helping her with both knowledge and networking. “I’m confident that I have a pulse on the current state of health care and the impact for various stakeholders, and I know who to call for additional expertise if needed,” she said.
Humphreys said LHC is a great forum where up-and-coming health care leaders can exchange ideas.
“It’s a place where people can come together, learn from each other and share ideas and experiences,” Humphreys said. “I do think that LHC is one of the most beneficial organizations that a young executive in the Nashville community can participate in, from education to programming to networking.” ■
-
-
-------
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The POWER of a national partnership.
mh.qxp 8/21/2012 3:42 PM Page 20
NASHVILLE HEALTH CARE COUNCIL N21
special advertising supplement
Leadership Health Care (LHC)
has been cultivating Nashville’s
health care leaders of the future
for 10 years now. The Nashville
Health Care Council launched the initiative in 2002 to foster the next
generation of industry executives with educational, mentoring and
networking opportunities.
Many LHC alumni have risen to leadership positions in established
health care organizations or have gone on to launch successful startup
companies. Since its beginnings, LHC membership has climbed from
120 members to more than 650 today, representing nearly 300
companies.
“For 10 years, Leadership Health Care has been playing a critical role in
Nashville,” said Michael Drescher, former chairman of LHC and director
of Network Communications at BlueCross BlueShield of Tennessee.
“LHC has created a forum where the next generation of health care
leaders can brainstorm, discuss policy and solve problems. Businesses
are grown from these discussions; this is what has helped Nashville
become and remain the health care industry capital.”
“LHC membership has become an
invaluable resource for professionals
looking to take their career to the
next level,” said LHC Executive
Director Judith Byrd. “Not only do
individuals gain industry insight by
mentoring and networking with
top executives, but they are given
opportunities to develop essential
skills and expand their knowledge.”
“The history of Nashville’s health
care industry is filled with legendary
leaders who dynamically impacted how health care is administered
here and across the country,” said Nashville Health Care Council
President Caroline Young. “It is within the membership of the Council’s
Leadership Health Care initiative that we will see the next generation
who will come forward to leave their own mark on health care.” ■
For more information on the Council’s Leadership Health Care
initiative, please visit www.leadershiphealthcare.com.
Leadership, entrepreneurial spirit fuel LHC growth“LHC has created a forum
where the next generation
of health care leaders can
brainstorm, discuss policy
and solve problems.”
MICHAEL DRESCHER Former chairman, LHC Director of Network Communications BlueCross BlueShield of Tennessee
CULTIVATING THE NEXT GENERATION
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N22 NASHVILLE HEALTH CARE COUNCIL
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Nashville Health Care Council Board of DirectorsBen R. Leedle, Jr. (Chairman) President & CEO, Healthways
William F. Carpenter III (Vice Chairman) Chairman & CEO, LifePoint Hospitals
Alfredo Arguello Senior Vice President, GE Healthcare
Andrew S. Bissonnette, CPA Healthcare Partner, Lattimore Black Morgan & Cain
Dennis C. Bottorff Managing General Partner, Council Capital
Richard M. Bracken Chairman & CEO, HCA
Bruce Broussard President, Humana
Victor L. Campbell Senior Vice President, HCA
Thomas G. Cigarran Chairman Emeritus, Healthways
Gregory L. Daniels, CPA Senior Vice President, Aon Risk Solutions
Roger L. (Vern) Davenport Chairman & CEO, M*Modal
The Honorable William H. Frist, M.D. Partner, Cressey & Company
William Gracey President & COO, BlueCross BlueShield of Tennessee
Thomas P. (Tom) Hackett Managing Director, Healthcare Investment Banking, SunTrust Robinson Humphrey, Inc.
Michael R. Hill Shareholder, Harwell Howard Hyne Gabbert & Manner
Christopher A. Holden President & CEO, AmSurg
Joey A. Jacobs Chairman & CEO, Acadia Healthcare
A.J. Kazimi CEO, Cumberland Pharmaceuticals
Jim Lackey CEO, Complete Holdings Group
Bond Oman Chief Executive Officer, OGA
C. Wright Pinson, M.B.A., M.D. Deputy Vice Chancellor for Health Affairs & CEO, Vanderbilt Health System
Keith Pitts Vice Chairman, Vanguard Health Systems
Wayne Riley, M.D., MPH, MBA, MACP President & CEO, Meharry Medical College
Mike Schatzlein, M.D. President & CEO, Saint Thomas Health
W.E. (Bill) Sheriff CEO, Brookdale Senior Living
Dee Anna Smith CEO, Sarah Cannon Research Institute
Wayne T. Smith Chairman, President & CEO, Community Health Systems
Mark Wainner (Chair, Leadership Health Care) Vice President, AmSurg
EX OFFICIO
James W. Bradford Dean, Owen Graduate School of Management
William C. O’Neil, Jr. Director, Healthways
Ralph J. Schulz, Jr. President & CEO, Nashville Area Chamber of Commerce
Caroline Young President, Nashville Health Care Council
PAST CHAIRS
Jack O. Bovender, Jr. Retired Chairman & CEO, HCA
Thomas G. Cigarran Chairman Emeritus, Healthways
James E. Dalton Chairman, Signature Health Corporation
Thomas F. Frist, Jr., M.D. Co-Founder & Chairman Emeritus, HCA
Joseph C. Hutts CEO, BreatheAmerica
Harry R. Jacobson, M.D. Chairman, MedCare Investment Funds & Vice Chancellor, Health Affairs Emeritus, Vanderbilt University Medical Center
Ken Melkus Senior Advisor, Welsh, Carson, Anderson, & Stowe
Martin S. Rash Chairman & CEO, RegionalCare Hospital Partners
H. Rusty Siebert Chairman & CEO, Winchase Gulf Coast Properties
Wayne T. Smith Chairman, President & CEO, Community Health Systems
WE’RE IN
HEALTHCARE’S HOMETOWN
AND WE KNOW ALL THE NEIGHBORS.
mh.qxp 8/21/2012 3:42 PM Page 22
NASHVILLE HEALTH CARE COUNCIL N23
special advertising supplement
Nashville Health Care Council Member Directory 2012-2013
Acadia Healthcare
Accelecare Wound Centers
Adams and Reese
Adreima
Advantage Behavioral Health
Advocat
Aegis Sciences Corporation
AirStrip Technologies
Akin Gump Strauss Hauer & Feld
Alana HealthCare
Alvarez & Marsal
Ambulatory Services of America
American HomePatient
AMERIGROUP
AmSurg
Aon Risk Services
Aquinas College
Ardent Health Services
AstraZeneca Pharmaceuticals
athenahealth
Avenue Bank
Avondale Partners
Baker, Donelson, Bearman, Caldwell & Berkowitz
Bank of America Merrill Lynch
Barclays Capital
Bass, Berry & Sims
BDO USA
Behavioral Centers of America
Belmont University
BioMimetic Therapeutics
BlueCross BlueShield of Tennessee
Bradley Arant Boult Cummings
Brentwood Capital Advisors
Brookdale Senior Living
Brown Brothers Harriman
The Buffkin Group
Burr & Forman
C3 Consulting
Cadence Bank
Cain Brothers
Capella Healthcare
Capital Bank
Catalyst Healthcare Research
CBIZ Valuation Group
CCMP Capital Advisors
Centerre Healthcare
The CFP Group
CGS
Chase
Clearwater Compliance
Clinically Home
Cogent HMG
Commerce Bank
Community Health Systems
Council Capital
Covenant Surgical Partners
Craneware InSight
Cressey & Company
Cross Country Education
Crowe Horwath
Cumberland Consulting Group
Cumberland Pharmaceuticals
DaVita
Dell Services
Deloitte
Deutsche Bank
Dixon Hughes Goodman
Dream Systems
DynaVox Mayer-Johnson
Earl Swensson Associates
EDG PartnersCONTINUED >
Making Communities Healthier Across America
LifePoint’s hospitals nationwide are more than just healthcare facilities. Each is an integral thread in the fabric of community life, a key local employer and a centerpiece of business development.
To learn more, visit www.LifePointHospitals.com.
P R O U D M E M B E R
mh.qxp 8/21/2012 3:42 PM Page 23
N24 NASHVILLE HEALTH CARE COUNCIL
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NASHVILLE HEALTH CARE COUNCIL MEMBER DIRECTORY continued
eDoc4u | Conduit Corporation
Emdeon
EMG Clinics of Tennessee
eMids
EnableComp
Epiphany Health Ventures
Ernst & Young
Fifth Third Bank
First Tennessee Bank
FirstBank
FOCUS Search Partners
Ford & Harrison
Foundations Recovery Network
Freshfields Bruckhaus Deringer
FTI Healthcare
Gallagher Benefit Services
GeBBS Healthcare Solutions
GE Healthcare
Gould Turner Group
Gresham, Smith & Partners
Harbert Management Corporation
Harpeth Companies
Harwell Howard Hyne Gabbert & Manner
HCA
HCCA International
HCP
Health Care REIT
Healthcare Management Systems
Healthcare Productivity Automation
HealthCaring Company
HealthSpring
HealthStream
HealthTeacher
Healthways
Heritage Group
Hospice Compassus
Houlihan Lokey
Huguley Consulting Group
Human Capital Group
Humana
Huron Healthcare
IASIS Healthcare
IBM
IMI Health
Informatics Corporation of America
Ingenious Med
Ingenuity Associates
Inspire Health
INSPIRIS
Intel Corporation
Interior Design Services
Jarrard Phillips Cate & Hancock
Jefferies & Company
Katcher Vaughn & Bailey Public Relations
KPMG
Kraft Healthcare Consulting
Lattimore Black Morgan & Cain
Lellyett & Rogers Company
LetterLogic
LifePoint Hospitals
Lipscomb University
The Little Clinic
Littler Mendelson
Lovell Communications
M*Modal
M2Grx Med-Management Group
Madison Dearborn Partners
Marsh | Mercer
Marwood Group Advisory
McKesson
McNeely Pigott & Fox Public Relations
MedAssets
MedSolutions
Meharry Medical College
Meiko USA
Metropolitan Nashville Hospital Authority
Microsoft Corporation
Midas+Solutions, ACS a Xerox Company
Middle Tennessee School of Anesthesia
Middle Tennessee State University
Miller & Martin
Modern Healthcare
Moelis & Company
Morgan Stanley
Nashville Area Chamber of Commerce
Nashville Business Journal
National Distribution and Contracting
National HealthCare Corporation
Noro-Moseley Partners
North Highland Company
OGA
Onlife Health
Outpatient Imaging Affiliates
Owen Graduate School of Management
Paradigm Group
Parallon Business Solutions
Parental Health
Partners Healthcare Group | PHG Technologies
Passport Health Communications
PharmMD
PICA Group
Ponder & Company
Post-n-Track
Press Ganey
PricewaterhouseCoopers
Privia Health
Prologics
PYA
QHR
Raymond James | Morgan Keegan Health Care
Investment Banking
REACH Health
RegionalCare Hospital Partners
Regions Bank
The Rehab Documentation Company
Renal Advantage
ReviveHealth
Robert W. Baird & Company
Saint Thomas Health
Santé Ventures
Sarah Cannon Research Institute
Seigenthaler Public Relations
Shareable Ink
Sherrard & Roe
Shire Regenerative Medicine
Skanska USA Building
SmartRoom
SMS Holdings
Southwind, A Division of the Advisory Board Company
SpecialtyCare
SRS
The SSI Group
STAT Solutions
Stephens
Stites & Harbison
SunTrust Banks | SunTrust Robinson
Humphrey
Symbion
Take Care Health Systems
Tatum
TeamHealth
TherEX
TIBCO Software
Trauger & Tuke
Trevecca Nazarene University
UBS Financial Services
UnitedHealth Group
Vanderbilt University Medical Center
Vanguard Health Systems
Vestar Capital Partners
The Viability Company
Vivere Health
W Squared
Waller
Western Kentucky University
Wheelhouse
Williamson Medical Center
Willis HRH
Windsor Health Plan
WoodRidge Behavioral Care
XMi High Growth Development Fund
Ziegler Investment Banking
Zycron
As of August 2012
mh.qxp 8/22/2012 10:24 AM Page 24
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To learn more about SpecialtyCare, call (800) 633-3445 or email [email protected] www.specialtycare.net
SpecialtyCare can help you improve clinical outcomes, patient safety and operating efficiency, all while reducing costs. As the most experienced provider of outsourced clinical services for the OR, we work side by side with surgeons, anesthesiologists and nurses in more than 750 hospitals across the country. And if our contract retention rate of 98% is any indication, they value our partnership. Look into SpecialtyCare — the OR performance people.
Perfusion, Intraoperative Neuromonitoring, Autotransfusion,
Minimally Invasive Surgical Support, Surgical Assist
Your Operating Room
Sterile Processing Department Management
Clinical Services
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IMPROVED BUSINESS & CLINICAL OUTCOMES
EMDEON Connecting over 400,000 hospitals, physicians, labs, pharmacies, payers and channel partners,
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