BRIAN KLEPPER
First published on THCB.
America's health systems are facing an increasingly hostile marketplace. Keeping our hospitals intact will require changes in how we treat them and how they manage themselves.


Lately, I've had interesting discussions with a thoughtful exec. at a major Western health system about the ferocious challenges facing hospitals and health systems. Her organization's internal conversations at the moment are centered, in part, on what they should do to become "reform ready," not only for policy changes that could be in the wings, but more importantly, for emerging market dynamics that will change the ways hospitals work. She asked me to catalog some of the trends I think health system managers will have to deal with, along with five recommendations for action. Here's some of what I told her.