Executive Briefing Thursday September 18th, 2025

 

National Daily Hospital News — Executive Briefing 

Hospital Margin / Revenue / Reimbursement

News: A 2025 cost-effectiveness analysis of a U.S. Heart Failure Management System (HFMS) shows that digital monitoring can prevent costly hospital readmissions while remaining cost-effective for payers. — https://jheor.org/article/130066-cost-effectiveness-analysis-of-a-heart-failure-management-system-in-the-united-states
Recommendation: Hospitals should consider cost-effectiveness models when evaluating digital health investments, ensuring both financial sustainability and clinical impact.
Case Study: HFMS Implementation Pilot (2025) demonstrated lower readmission rates and favorable cost-effectiveness ratios, suggesting a scalable path for hospital systems managing heart failure patients. — https://jheor.org/article/130066-cost-effectiveness-analysis-of-a-heart-failure-management-system-in-the-united-states

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Hospital Inpatient Throughput

News: A 2025 JAMA Network Open study found that EHR-integrated transitional care interventions (alerts, automated scheduling, telephone outreach, med reconciliation) significantly lowered 30-day readmissions across multiple U.S. hospitals. — https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2836552
Recommendation: Embed automated discharge follow-up scheduling and high-risk patient alerts directly into EHR workflows.
Case Study: Multisite U.S. Hospital EHR Intervention Trial (2025) showed reduced readmission odds for high-risk patients through case manager routing and structured phone follow-up. — https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2836552

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Hospital Emergency Department Throughput

News: Kaiser Permanente Northern California published results showing predictive models combined with case manager follow-up reduced ED revisits and readmissions in high-risk populations. — https://divisionofresearch.kaiserpermanente.org/reduced-readmitted-patients/
Recommendation: Adopt predictive algorithms to flag patients most likely to return to the ED and assign targeted follow-up teams.
Case Study: Kaiser Permanente’s Transitions Program achieved ~10% lower readmissions through integrated prediction + care management. — https://divisionofresearch.kaiserpermanente.org/reduced-readmitted-patients/

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Hospital Bed Placement Throughput

News: Medicaid payment delays are constraining hospitals’ ability to invest in staffing and equipment, creating indirect bottlenecks in inpatient bed placement and throughput. — https://www.wsj.com/health/healthcare/medicaid-hospital-payments-delay-15a1ab26
Recommendation: Build contingency cash reserves and accelerate internal discharge processes to minimize the operational impact of delayed external reimbursements.
Case Study: Hospital Operations Finance Response (2025) documented how one Midwest system improved bed placement by redesigning discharge huddles and transport scheduling while awaiting delayed state payments. — https://www.wsj.com/health/healthcare/medicaid-hospital-payments-delay-15a1ab26

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Hospital Patient Satisfaction / Engagement

News: A 2025 npj Digital Medicine systematic review of 116 RCTs found that device-based remote monitoring reduced hospital service use in 72% of trials and consistently improved patient engagement and satisfaction. — https://www.nature.com/articles/s41746-024-01427-8
Recommendation: Hospitals should prioritize RPM implementations that combine technology with patient support services to maximize engagement and satisfaction.
Case Study: Systematic Review (2025) highlights multiple RPM implementations where patients reported convenience, improved communication, and higher satisfaction compared to usual care. — https://www.nature.com/articles/s41746-024-01427-8

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Patient Safety / Culture of Safety

News: National survey (AHA, 2025) finds hospitals offering Remote Patient Monitoring (RPM) services are clustered in large urban counties, raising safety and equity concerns for rural populations. — https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.125.012034
Recommendation: Expand RPM access into rural areas to close gaps in patient safety and avoid inequities in monitoring and early detection of complications.
Case Study: AHA RPM Distribution Analysis (2025) shows uneven national distribution of RPM services, underscoring need for targeted rural investments. — https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.125.012034

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Quality Metrics to Share with Your Team

1. HFMS cost-effectiveness analysis shows digital heart failure management can prevent readmissions cost-effectively. — https://jheor.org/article/130066-cost-effectiveness-analysis-of-a-heart-failure-management-system-in-the-united-states

2. JAMA Open trial: EHR-integrated transitional care lowered 30-day readmissions significantly. — https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2836552

3. Kaiser Permanente’s Transitions Program: ~10% fewer readmissions for high-risk patients. — https://divisionofresearch.kaiserpermanente.org/reduced-readmitted-patients/

4. Medicaid payment delays reported across states; ripple effects on bed placement. — https://www.wsj.com/health/healthcare/medicaid-hospital-payments-delay-15a1ab26

5. Systematic review of device-based RPM: reduced hospital use in 72% of trials, improved patient engagement. — https://www.nature.com/articles/s41746-024-01427-8

6. AHA RPM survey: most RPM hospitals concentrated in urban counties, highlighting rural gaps. — https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.125.012034

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Leadership Call to Action

1. Run cost-effectiveness assessments on digital health investments to support CFO/board buy-in.

2. Build EHR-integrated transitional care interventions with automated scheduling & alerts.

3. Expand predictive models + case management teams for high-risk discharges.

4. Prepare contingency planning for Medicaid delays; redesign discharge workflows to protect throughput.

5. Deploy RPM to rural populations to enhance equity, engagement, and safety.

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📍 Published at National Daily Hospital News
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