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82 c-suite respondents - Premier Inc. · economic outlook spring 2016 c-suite survey...

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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-Rural HOSPITALS n=82 n=72 n=81 n=79
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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

n=82

n=72

n=81

n=79

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

n=76

n=71

n=76

n=81

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%

n=81

n=81

n=77

n=43

n=80

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%.

1

2

3

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/

n=82


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