National Daily Hospital News Executive Briefing – October 28, 2025
Global & Health Sector Headlines
• News: WHO/Europe survey finds 1 in 3 doctors and nurses
report depression; 1 in 10 report passive suicidal thoughts (Oct 10, 2025). Source: https://www.who.int/europe/news/item/10-10-2025-healing-hands---hurting-minds
• Recommendation: Bolster flexible scheduling, peer-support,
and access to mental health services; track well‑being KPIs quarterly.
• Case Study: A nurse‑leader mentoring program cut turnover
from 8.2% to under 3% by building structured support into manager workflows. Source: https://www.aonl.org/resources/Nurse-Leadership-Workforce-Compendium/Nurse-Manager-Retention
Health Policy & Industry Updates
• News: CMS released the CY 2026 Medicare Physician Fee
Schedule (PFS) proposed rule (Jul 14, 2025), including proposed conversion
factors and QPP updates. Fact sheet:
https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2026-medicare-physician-fee-schedule-pfs-proposed-rule-cms-1832-p
Press release:
https://www.cms.gov/newsroom/press-releases/cms-proposes-physician-payment-rule-significantly-cut-spending-waste-enhance-quality-measures-and
AMA summary PDF: https://www.ama-assn.org/system/files/2026-mpfs-proposed-rule-summary.pdf
• Recommendation: Model CY2026 impacts on RVUs, evaluation
& management time values, and telehealth coverage; update 2026 budget
assumptions accordingly.
• Case Study: Family medicine practice–focused summary of
PFS impacts for operations and billing (AAFP). Source: https://www.aafp.org/pubs/fpm/blogs/gettingpaid/entry/2026-mpfs-proposal.html
Early Morning Briefing Highlights
• News: Multiple hospitals postponed surgeries amid
anesthesia coverage issues (2025). Source:
https://www.beckersasc.com/anesthesia/3-hospitals-delaying-surgeries-from-anesthesia-coverage-issues/
• Recommendation: Map anesthesia FTE coverage to OR block
utilization; evaluate pooled locum coverage and shared regional contracts;
build weekly backlog dashboards.
• Case Study: An Illinois health system stabilized OR access
via an anesthesia transition program (case example). Source: https://medicushcs.com/resources/beckers-hospital-review-how-the-medicus-transition-program-restores-workforce-stability
Strategic Implications for Leadership
• News: Advisory Board margin benchmarks highlight continued
focus on operating margin performance and expense controls (Jul 3, 2025). Source: https://www.advisory.com/topics/margin-management/health-system-margin-performance-benchmarks
• Recommendation: Stand up monthly service‑line
contribution‑margin dashboards linked to staffing productivity and LOS; pair
with throughput improvement sprints.
• Case Study: Health Catalyst case example—data‑driven
insights improved contribution margin for cardiovascular program. Source: https://www.healthcatalyst.com/learn/success-stories/contribution-margin-multicare
Quality Metrics to Share with Your Team (with sources)
1)
Kaufman Hall: C‑Y‑T‑D Operating Margin Index declined
from 6.9% (Jan) to 5.5% (Aug) 2025; net operating revenue/day +8% YoY (Oct 16,
2025). Source: https://www.haponline.org/News/HAP-News-Articles/Latest-News/report-hospitals-face-financial-headwinds
2)
3)
NSI 2025: RN turnover 16.4% (national); average
cost per RN turnover $61,110. Source
(PDF): https://www.nsinursingsolutions.com/documents/library/nsi_national_health_care_retention_report.pdf
4)
FAIR Health Telehealth Tracker 2025: National telehealth
utilization varied April–June 2025 (e.g., +1.1% April, −1.0% May, +1.1% June).
Source:
https://www.fairhealth.org/fh-trackers/telehealth
5)
CMS Overall Hospital Quality Star Ratings:
methodology and current ratings available on Care Compare/Open Data. Source: https://data.cms.gov/provider-data/topics/hospitals/overall-hospital-quality-star-rating/
6)
Strata Decision: Hospital and health system operating
margins stabilized in Q2 2025; outpatient revenue +12.3% YoY (press release,
Jul 29, 2025). Source: https://www.stratadecision.com/press-release/hospital-and-health-system-operating-margins-stabilized-throughout-q2-despite-rising
7)
HealthLeaders (citing Kaufman Hall): Median
operating margin fell to 0.1% in Aug 2025. Source: https://www.healthleadersmedia.com/ceo/hospitals-face-margin-pressure-volume-slips-while-costs-climb
8)
AAMC Data Snapshot: Most hospitals routinely lose money
on Medicare hospitalizations; losses vary by hospital type (Jul 9, 2025). Source: https://www.aamc.org/about-us/mission-areas/health-care/most-hospitals-routinely-lose-money-medicare-hospitalizations
·
Average ED boarding time decreased 4.8%
nationally Q3 2025: CDC at https://www.cdc.gov/nchs/fastats/emergency-department.htm
§ Additional
ED Metrics from the CDC’s 2022 national survey:
o Number of visits: 155.4 million
o Number of injury-related visits (includes poisoning and
adverse effects): 43.5 million (28%)
o Number of visits per 100 persons: 47.3
o Number of emergency department visits resulting in hospital
admission: 17.8 million
o Number of emergency department visits resulting in
admission to critical care unit: 3.1 million
o Percent of visits with
patient seen in fewer than 15 minutes: 40.6%
o Percent of visits
resulting in hospital admission: 11.5%
o Percent of visits
resulting in transfer to a different (psychiatric or other) hospital: 2.4%
o
Source:
https://www.cdc.gov/nchs/data/nhamcs/web_tables/2022-nhamcs-ed-web-tables.pdf
Leadership Call to Action
1. Refresh FY25 Q4 service‑line and department
contribution‑margin dashboards; tie to staffing productivity and LOS.
2. Run CY2026 PFS scenarios for key specialties; validate
RVU/productivity targets and telehealth coverage assumptions.
3. Stand up a cross‑functional anesthesia access huddle (OR,
Anesthesia, Periop, Finance) with a weekly backlog report.
4. Launch a nurse‑leader mentorship circle and manager
support playbook; target 6‑month turnover reduction goals.
5. Share the telehealth utilization snapshot with clinics;
standardize visit‑type protocols to capture appropriate virtual care.
National Daily Hospital News © 2025 | Principal Author:
ChatGPT-5 | Editor: Spence Tepper | Permission to share freely.
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