Monday, September 8, 2025

Executive Briefing Monday September 8th, 2025

 

#HospitalOps #CMS #HealthcareWorkforce #PriceTransparency #EDBoarding #HospitalLeader #NursingExecutive #NursingLeader #EmergencyPhysician #Nursing #Hospitals #CaseManagement


National Daily Hospital Executive Healthcare Briefing

Date: Monday, September 8, 2025
Introducing the Healthcare System Executive version of the Executive Briefing

Today we are introducing the Healthcare System Executive version of the daily Executive Briefing. This issue will be published Mondays, Wednesdays and Fridays.  It will emphasize key global and national political, policy, and business venture news.

 On Tuesdays, Thursdays and Saturdays we will continue publishing the Hospital Executive version of the daily Executive Briefing. This will continue to emphasize Patient Throughput / Patient Engagement / Hospital Margin /   Case Studies in Operational Excellence, and provide a fresh list of Quality / Financial Benchmarks with each issue.

Edition Tag: Executive Healthcare Briefing

1. Global & Health Sector Headlines

2. Health Policy & Industry Updates

3. Early Morning Briefing Highlights

4. Strategic Implications for Leadership

Focus AreaInsight & Executive Considerations
AI in DiagnosticsTaiwan’s developments illustrate opportunities for scalable AI tools in early screening pathways.
Global Health FinanceConsistent fund flows, such as Kenya's Ksh4B, are critical to institutional trust and stability.
US Policy RiskHHS budget constraints and CDC instability may disrupt program expansion, immunization campaigns, and data reporting.
Pharma LandscapeLayoffs and shifting portfolios suggest a need for partnerships in oncology, immunology, and metabolic therapy sectors.
Real Estate TrendsRising interest in MOBs points to convergence of clinical care with retail facility strategy—potential expansion or investment opportunity.


📍 Published at National Daily Hospital News
#HospitalOps #CMS #HealthcareWorkforce #HospitalFinance #EmergencyServices #HospitalLeader #NursingExecutive #NursingLeader #EmergencyPhysician #Nursing #Hospitals #CaseManagement #EmergencyNurse

Published as part of the National Daily Hospital News series.
Visit the archive here: https://nationaldailyhospital.blogspot.com/

Connect with us:
LinkedIn: https://www.linkedin.com/in/spencetepper/
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Number One Hospital Blog: https://bethenumber1hospital.blogspot.com/

© 2025 National Daily Hospital News
Principle Author: ChatGPT5
Editor: Spence Tepper
Permission to share freely given

By Spence at September 08, 2025 0 comments

Saturday, September 6, 2025

Executive Briefing Saturday September 6th, 2025

#HospitalOps #CMS #HealthcareWorkforce #PriceTransparency #EDBoarding #HospitalLeader #NursingExecutive #NursingLeader #EmergencyPhysician #Nursing #Hospitals #CaseManagement

 

National Daily Hospital Executive Briefing — Saturday, September 6, 2025

1) Hospital Margins / Revenue / Reimbursement

News

  1. Fitch reports 2024 median improvement for not-for-profit hospitals, but headwinds persist in 2025 (labor, payer pressure). https://www.fitchratings.com/research/us-public-finance/us-nfp-hospitals-see-margin-improvement-challenges-mount-26-03-2025

  2. Strata: Q2 2025 margins stabilized; median change +2.4 pts YoY, with strongest gains in the South. https://www.stratadecision.com/press-release/hospital-and-health-system-operating-margins-stabilized-throughout-q2-despite-rising

  3. KFF compendium: margins rebounded in 2023 and improved again in 2024 vs 2023; labor and supply cost trends remain key drivers. https://www.kff.org/key-facts-about-hospitals/?entry=hospital-finances-profit-margins

Recommendations

  1. Double-down on outpatient growth (ASC/OPPS opportunities) and service line diversification to offset inpatient pressure. https://www.beckershospitalreview.com/finance/what-separates-high-and-low-performing-hospitals-in-2025

  2. Reduce contract labor and manage wage growth with pipeline hiring, internal float pools, and schedule optimization (aligns with stronger 2024–25 performers). https://www.stratadecision.com/press-release/hospital-and-health-system-operating-margins-stabilized-throughout-q2-despite-rising

  3. Tighten managed-care performance: denial prevention, price-yield for under-reimbursing plans, and value-based care readiness. https://www.chartis.com/insights/no-margin-error-managed-care-playbook-resetting-2025

Case Study (Margin Improvement)
UPMC: activity-based costing + service line operations to identify variation and improve contribution margins. https://www.healthcatalyst.com/learn/success-stories/activity-based-costing-in-healthcare-service-lines-upmc

2) Inpatient Throughput

News

  1. JCQPS (2025): “PROPEL Discharge”—pre-11:00 a.m. discharges rose from 5.1% to 21.8% with interdisciplinary interventions. https://www.jointcommissionjournal.com/article/S1553-7250%2824%2900298-8/fulltext

  2. BMJ Open (2025): Accurate early expected discharge date & discharge planning associated with improved throughput. https://bmjopen.bmj.com/content/15/5/e097563

  3. Cureus (2025): “Daily Dispo Documentation” (EDD + “reason not discharging today”) improved flow and discharge efficiency. https://www.cureus.com/articles/386348-daily-dispo-documentation-improves-patient-flow-and-discharge-efficiency.pdf

Recommendations

  1. Set EDD on admission; require daily EDD updates and barrier coding in the EHR. https://bmjopen.bmj.com/content/15/5/e097563

  2. Use a standardized morning discharge playbook (pre-9 a.m. orders, prioritized rounds, transport/EVS pre-book). https://www.jointcommissionjournal.com/article/S1553-7250%2824%2900298-8/fulltext

  3. Stand up a digital coordination/flow huddle with real-time discharge tasks and accountability. https://www.cureus.com/articles/386348-daily-dispo-documentation-improves-patient-flow-and-discharge-efficiency.pdf

Case Study (Early-Day Discharge)
Academic medical center increased % of discharges before 11 a.m. from 7% → 19% via multidisciplinary interventions. https://www.jointcommissionjournal.com/article/S1553-7250%2825%2900035-2/fulltext

3) Emergency Department Throughput

News

  1. Narrative review (2025): Fast track/short-stay/AMU models shorten ED LOS and improve efficiency. https://pmc.ncbi.nlm.nih.gov/articles/PMC12268096/

  2. 2025 machine-learning study predicts LWBS risk to target front-end actions. https://pubmed.ncbi.nlm.nih.gov/40660109/

  3. Systematic review (2024): POC testing and triage liaison physicians mitigate crowding, improve time-to-treatment and LWBS. https://pubmed.ncbi.nlm.nih.gov/38826092/

Recommendations

  1. Add split-flow/fast-track for ESI 4–5; staff a physician-nurse team adjacent to triage during peak hours. https://www.ceemjournal.org/m/journal/view.php?doi=10.15441%2Fceem.24.248

  2. Implement POC testing for high-volume complaints (e.g., chest pain, influenza/COVID, GI) to cut turnaround time. https://pubmed.ncbi.nlm.nih.gov/38826092/

  3. Deploy an LWBS risk model dashboard to trigger back-fill rooms, hallway care protocols, or triage-to-treat. https://pubmed.ncbi.nlm.nih.gov/40660109/

Case Study (Front-End Team at Triage)
Physician-nurse team by triage improved throughput and reduced LWBS without construction changes. https://www.ceemjournal.org/m/journal/view.php?doi=10.15441%2Fceem.24.248

4) Bed Placement Throughput

News

  1. BMC Health Services Research (2025): Digital Coordination Centre implementation—enablers, barriers, strategies for scale. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-025-13343-y

  2. Systematic review (2025): Clinical/economic impact of hospital digital dashboards; LOS and throughput effects summarized. https://pmc.ncbi.nlm.nih.gov/articles/PMC12296400/

  3. Johns Hopkins Command Center adds “clinical nurse expediter” role to accelerate internal bed movement (2025). https://www.hopkinsmedicine.org/news/articles/2025/06/making-room-for-care-clinical-nurse-expediter-helps-patients-move-forward

Recommendations

  1. Centralize placement in a flow/command center with real-time bed status, admits, EVS, transport, and PAC discharges. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-025-13343-y

  2. Use dashboards with predictive admissions/LOS and EVS turnaround timers tied to accountability. https://pmc.ncbi.nlm.nih.gov/articles/PMC12296400/

  3. Create a “bed expeditor” function to resolve clinical/operational blockers in real time. https://www.hopkinsmedicine.org/news/articles/2025/06/making-room-for-care-clinical-nurse-expediter-helps-patients-move-forward

Case Study (Digital Ops Centre)
Australian hospital’s Digital Coordination Centre: implementation learnings to speed placement and improve flow. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-025-13343-y

5) Patient Satisfaction / Engagement

News

  1. U.S. HCAHPS analysis (2025): drivers of patient satisfaction across 3,286 hospitals—communication and responsiveness remain central. https://pmc.ncbi.nlm.nih.gov/articles/PMC12156982/

  2. Patient portal engagement improves preventive care outreach and satisfaction signals in primary care populations (2025). https://pmc.ncbi.nlm.nih.gov/articles/PMC12205184/

Recommendations

  1. Hardwire bedside communication routines (purposeful hourly rounding; teach-back; meds/expects script) tied to HCAHPS domains. https://pmc.ncbi.nlm.nih.gov/articles/PMC12156982/

  2. Expand portal messaging for targeted outreach (e.g., overdue labs/vaccines) and inpatient education links. https://pmc.ncbi.nlm.nih.gov/articles/PMC12205184/

Case Study (Follow-Up via Portal Messaging)
Randomized trial: portal messaging pathway reduced delayed diabetes follow-up and improved engagement. https://qualitysafety-bmj-com.bibliotheek.ehb.be/content/early/2025/05/10/bmjqs-2024-018249

6) Patient Safety / Culture of Safety

News

  1. JAMA Network Open (Apr 2025): higher agency/overtime nurse hours associated with increased patient safety risk. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2832117

  2. .A randomized clinical trial published on PubMed Central showing that a patient portal message increased patient portal engagement, even if HbA1c follow-up wasn’t significantly improved: https://pubmed.ncbi.nlm.nih.gov/40348403/

  3. AHRQ SOPS program resources & 2025 database updates for benchmarking hospital safety culture. https://www.ahrq.gov/sops/databases/hospital/index.html

Recommendations

  1. Cap overtime/agency use with core staffing targets and real-time redeployment rules. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2832117

  2. Run monthly SOPS pulse surveys on 2–3 domains; close the loop with unit-level action plans. https://www.ahrq.gov/sops/databases/hospital/index.html

  3. Reinforce leadership walkrounds with documented feedback to staff to lift safety climate. https://www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/measuring-safety-culture.pdf

Case Study (Safety Culture Trajectory)
Private health network (Brazil): sustained improvements across multiple SOPS domains over 7 years. https://bmjopenquality.bmj.com/content/14/1/e003020.full.pdf

Quality Metrics to Share with Your Team (Numbered; no tables)

  1. Operating margin trend (industry): Median change +2.4 pts YoY (Jun 2025 vs Jun 2024). https://www.stratadecision.com/press-release/hospital-and-health-system-operating-margins-stabilized-throughout-q2-despite-rising

  2. Discharge timing: Pre-11 a.m. discharges can rise 5% → 22% with structured, interdisciplinary interventions. https://www.jointcommissionjournal.com/article/S1553-7250%2824%2900298-8/fulltext

  3. ED throughput models: Fast track/short-stay/AMU approaches shorten ED LOS in multiple settings. https://pmc.ncbi.nlm.nih.gov/articles/PMC12268096/

  4. LWBS risk: Machine-learning models accurately flag high-risk patients to target front-end actions. https://pubmed.ncbi.nlm.nih.gov/40660109/

  5. Bed placement: Digital dashboards/coordination centers associated with LOS and flow improvements. https://pmc.ncbi.nlm.nih.gov/articles/PMC12296400/

  6. HCAHPS drivers: Communication and responsiveness are leading satisfaction predictors nationally. https://pmc.ncbi.nlm.nih.gov/articles/PMC12156982/

  7. Safety risk & staffing: Higher overtime/agency hours linked to worse safety outcomes. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2832117

Leadership Call to Action (≤5)

  1. Lock the morning discharge playbook (pre-9 a.m. orders; prioritized rounds; transport/EVS pre-book; EDD at admit). https://www.jointcommissionjournal.com/article/S1553-7250%2824%2900298-8/fulltext

  2. Stand up (or tune) your command/flow center with a “bed expeditor” and predictive dashboards. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-025-13343-y

  3. Activate ED split-flow (fast track + triage physician-nurse team) during peaks; deploy POC testing for high-volume syndromes. https://www.ceemjournal.org/m/journal/view.php?doi=10.15441%2Fceem.24.248

  4. Make communication a daily habit (teach-back, purposeful rounding, discharge education scripts) and track HCAHPS signals weekly. https://pmc.ncbi.nlm.nih.gov/articles/PMC12156982/

  5. Stabilize core staffing (pipeline hiring, internal float, incentives), and monitor overtime/agency exposure with safety triggers. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2832117

📍 Published at National Daily Hospital News
#HospitalOps #CMS #HealthcareWorkforce #HospitalFinance #EmergencyServices #HospitalLeader #NursingExecutive #NursingLeader #EmergencyPhysician #Nursing #Hospitals #CaseManagement #EmergencyNurse

Published as part of the National Daily Hospital News series.
Visit the archive here: https://nationaldailyhospital.blogspot.com/

Connect with us:
LinkedIn: https://www.linkedin.com/in/spencetepper/
Facebook: https://www.facebook.com/Compirion
Number One Hospital Blog: https://bethenumber1hospital.blogspot.com/

© 2025 National Daily Hospital News
Principle Author: ChatGPT5
Editor: Spence Tepper
Permission to share freely given

By Spence at September 06, 2025 0 comments

Friday, September 5, 2025

Executive Briefing Friday September 5th, 2025

 

#HospitalOps #CMS #HealthcareWorkforce #PriceTransparency #EDBoarding #HospitalLeader #NursingExecutive #NursingLeader #EmergencyPhysician #Nursing #Hospitals #CaseManagement


National Daily Hospital Executive Briefing — Friday, Sept 5, 2025

1) Hospital Margin / Revenue / Reimbursement

News: Moody’s reports nonprofit hospital median operating margins rose to 1.5% in FY 2024, up from 0.5% the prior year, though still below pre-pandemic levels.
Source: https://www.chiefhealthcareexecutive.com/view/in-a-change-hospital-revenue-growth-is-outpacing-expenses

Recommendations:

  1. Strengthen cost controls and improve revenue cycle efficiency to capitalize on modest recovery.

  2. Re-forecast FY25–26 budgets using updated margin data.

  3. Benchmark against peers to identify gaps in profitability and cost structure.

Case Study: Analysis shows for-profit hospitals averaged + $218 profit per Medicare discharge, while nonprofits posted – $2,553 losses due to higher acuity and weaker payment-to-cost ratios.
Source: https://www.aamc.org/about-us/mission-areas/health-care/most-hospitals-routinely-lose-money-medicare-hospitalizations

2) Hospital Inpatient Throughput

News: Hospitals face rising inpatient days and discharge delays, stressing capacity nationwide.
Source: https://www.beckershospitalreview.com/care-coordination/hospital-capacity-in-2025-5-notes-on-volumes-boarding-and-length-of-stay/

Recommendations:

  1. Conduct discharge time studies to pinpoint throughput bottlenecks.

  2. Implement early discharge orders and multidisciplinary rounds.

  3. Use predictive analytics to anticipate discharge barriers.

Case Study: A PDSA-based discharge program improved discharges outside peak hours from 28% → 36%, orders before 9 a.m. from 4% → 16%, and before 11 a.m. from 7% → 19%, without harming LOS or satisfaction.
Sources:
https://pmc.ncbi.nlm.nih.gov/articles/PMC11838157/


https://journals.lww.com/pqs/fulltext/2025/03000/enhancing_hospital_throughput__a_multidisciplinary.1.aspx

3) Hospital Emergency Department Throughput

News: Forecasts warn of sharp increases in inpatient and ED demand through 2035, heightening urgency for scalable solutions.
Source: https://www.vizientinc.com/insights/all/2025/from-every-angle-emergency-department-overcrowding

Recommendations:

  1. Adopt split-flow or fast-track pathways for low-acuity patients.

  2. Deploy predictive staffing tied to demand forecasts.

  3. Address ED boarding as a systemwide hospital issue, not an isolated ED problem.

Case Study: Split-flow redesign improved door-to-clinician times, reduced wait times, lowered LWBS, and boosted satisfaction.
Source: https://soundphysicians.com/case-study/split-flow-model-reduces-ed-wait-times-and-throughput/

4) Hospital Bed Placement Throughput

News: A JAMA Network Open analysis warns U.S. hospital occupancy could reach a critical 85% threshold by 2032.
Source: https://people.com/hospital-capacity-could-reach-dangerous-threshold-10-years-11683318

Recommendations:

  1. Start long-term capacity planning tied to occupancy forecasts.

  2. Use load-leveling across units to reduce boarding.

  3. Expand post-acute pathways to accelerate inpatient discharges.

Case Study: Research shows load-leveling reduced ED boarding times by 7.8 hours on average.
Source: https://www.sciencedirect.com/science/article/abs/pii/S0735675725005893

5) Hospital Patient Satisfaction / Engagement

News: Press Ganey finds patient perceptions of safety strongly drive loyalty: LTR scores average 85.3 for high safety vs. 34.6 otherwise.
Source: https://info.pressganey.com/press-ganey-blog-healthcare-experience-insights/patient-experience-2025-new-trends

Recommendations:

  1. Monitor safety perceptions alongside traditional HCAHPS scores.

  2. Reinforce safety through visible communications and leadership rounding.

  3. Use digital engagement platforms to improve patient confidence.

Case Study: Oliver Wyman reports engagement is shifting to proactive strategy, integrated into clinical and operational design from the start.
Source: https://www.oliverwyman.com/our-expertise/perspectives/health/2025/june/patient-engagement-will-be-healthcares-next-breakthrough.html

6) Patient Safety / Culture of Safety

News: AHA–Vizient analysis shows safety outcomes (falls, infections) have rebounded to or surpassed pre-pandemic levels, linked to stronger culture and workforce resilience.
Source: https://www.aha.org/guidesreports/2025-03-11-improvement-safety-culture-linked-better-patient-and-staff-outcomes

Recommendations:

  1. Conduct regular safety culture surveys (e.g., AHRQ SOPS).

  2. Deploy TeamSTEPPS to strengthen teamwork and communication.

  3. Use safety culture results to guide targeted unit-level interventions.

Case Study: Kuwait’s national safety culture survey (2025) showed strong scores for teamwork within units (87.2%) and organizational learning (87.5%), while highlighting improvement areas.
Source: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-025-12668-y

Quality Metrics to Share With Your Team

  1. Median nonprofit hospital margin up to 1.5% in FY 2024.

  2. For-profit hospitals earned + $218 per Medicare discharge vs. – $2,553 for nonprofits.

  3. Discharges before 11 a.m. increased from 7% → 19% under structured program.

  4. National inpatient capacity projected to hit 85% by 2032.

  5. Load-leveling reduced ED boarding by 7.8 hours.

  6. Patient safety perception boosts LTR scores (85.3 vs. 34.6).

  7. National safety culture survey: teamwork 87.2%, learning 87.5%.

Leadership Call to Action

  1. Re-baseline FY25–26 budgets using updated margin and revenue data.

  2. Implement day-one EDD and early discharge huddles.

  3. Launch split-flow or fast-track ED pathways and predictive staffing.

  4. Begin long-term capacity planning with load-leveling strategies.

  5. Run safety culture surveys and act on results with targeted interventions.

Footer

📍 Published at National Daily Hospital News
#HospitalOps #CMS #HealthcareWorkforce #HospitalFinance #EmergencyServices #HospitalLeader #NursingExecutive #NursingLeader #EmergencyPhysician #Nursing #Hospitals #CaseManagement #EmergencyNurse
Published as part of the National Daily Hospital News series.
Visit the archive here: https://nationaldailyhospital.blogspot.com/
Connect with us:
LinkedIn: https://www.linkedin.com/in/spencetepper/
Facebook: https://www.facebook.com/Compirion
Number One Hospital Blog: https://bethenumber1hospital.blogspot.com/
© 2025 National Daily Hospital News
Principal Author: ChatGPT5
Editor: Spence Tepper
Permission to share freely given

By Spence at September 05, 2025 0 comments
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