SPRING 2016 C-SUITE SURVEY
WHAT IS HAVING BIGGEST EFFECT ON CARE DELIVERY?
Just under half of executives surveyed said the Affordable Care Act and population health are heavily impacting their health systems’ ability to deliver care.
TRANSITION TO POST-ACUTE CARE
The shift in payment policy has led health systems to explore where, how and with whom they should partner and interact to enhance population health.
CARE DELIVERY TRENDS
Wellness initiatives 4%
The Affordable Care Act/Population Health
Other 10%
Drug shortages 1%
Emerging technology 13%
Staffing shortages 24%
48%
the hospital of the future will not be a hospital at all
high-value post-acute care networks will be a key area of focus over the next three years
creating high-value post-acute care networks will be the greatest challenge over the next three years
92%95%94%
82 c-suite respondents+ 25% Large (500+ beds), 37% Mid (200-500 beds), 38% Small (<200 beds) + 54% Rural / 46% Non-RuralHO
SPIT
ALS
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It is one thing for providers within the same organization using the same systems to successfully share data. Integrating data across multiple, disparate systems is something else altogether.
SPRING 2016 C-SUITE SURVEYECONOMIC OUTLOOK
CARE DELIVERY TRENDS
INTEGRATING HEALTH IT ACROSS THE CONTINUUM
89% of executives cite operational and cultural issues around mergers and acquisitions as a significant challenge their systems will face over the next three years.
24% of executives said staffing shortages would have the biggest impact on their ability to deliver care.
The situation could be particularly dire with respect to nurses - only 46% believe they will have an adequate nursing supply to meet their needs over the next three years.
Strongly Agree
Agree Somewhat Agree
Somewhat Disagree
Disagree Strongly Disagree
Spring 2016 28% 22% 16% 9% 20% 5%
Fall 2015 22% 19% 13% 20% 11% 15%
Strongly Agree
Agree Somewhat Agree
Somewhat Disagree
Disagree Strongly Disagree
2% 22% 22% 21% 17% 16%
+ RETAIL CARE
+ M&A
+ STAFFING SHORTAGES
38%68%successfully accessing ambulatory data from employed physician networks
successfully accessing ambulatory data from affiliated or non-employed physician networks
ONLY
66% of executives believe their organization will own or operate its own retail pharmacy in the next three years, up from 54% in fall 2015. n=79
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95% of executives believe drug shortages will continue to be a problem for at least the next three years.
Strongly Agree
Agree Somewhat Agree
Somewhat Disagree
Disagree Strongly Disagree
Spring 2016 35% 41% 20% 4% 0% 1%Fall 2015 37% 45% 12% 6% 0% 0%
+ DRUG SHORTAGES
SPRING 2016 C-SUITE SURVEYECONOMIC OUTLOOK
NEXT-GENERATION SUPPLY CHAIN
Population health requires the supply chain to expand its reach financially and in the areas of quality and clinical data.
PHARMACY LANDSCAPE
Similar to Fall 2015, 97% of executives suggest drug price increases pose a challenge for their organizations.
Strongly Agree
Agree Somewhat Agree
Somewhat Disagree
Disagree Strongly Disagree
Spring 2016 56% 28% 12% 2% 1% 0%Fall 2015 58% 34% 6% 2% 0% 0%
+ DRUG PRICES
Ongoing shortages and rising drug costs and continue to be major issues challenging providers on a daily basis, even with all of the publicity these issues have been getting.
54%
96%
growth of affiliated physician practices has led to major challenges for supply chain management
expect to further standardize physician preference item purchases
of rural executives are concerned with drug shortages
of executives are exploring value-based contracting partnerships
more detailed patient outcomes + rise in precision medicine will result in growing supply costs
98%86%83%
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n=77
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n=74
SPRING 2016 C-SUITE SURVEYECONOMIC OUTLOOK
Health IT & Telecom munications
Facility Construction
Facility Renovation
Laboratory Equipment
Surgical Equipment
Imaging Equipment
Other Clinical Equipment
Therapeutic Technology
Spring ‘16 84% 46% 56% 11% 42% 45% 23% 12%
LARGEST CAPITAL INVESTMENTS
Health IT continues to be the area where health systems project the most significant capital investments, with 84% of executives citing IT.
Capital investments in facility construction also experienced a significant increase, with 46% of executives citing this area.
Facility renovation was the second most cited area at 56%.
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Where are your largest capital investments over the next 12 months?
Premier, Inc.’s Economic Outlook highlights emerging trends impacting care providers and the healthcare industry as a whole. The publication leverages subject matter expertise from diverse points of view, while detailing best practices and strategies needed to drive performance improvement.
www.premierinc.com/about-premier/publications/economic-outlook/
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