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Intermountain Health Care: a multihospital system committed to rural health care.

This article describes Intermountain Health Care's experience in rural health care and outlines the accomplishments and problems that a multihospital system has experienced in maintaining its commitment to rural health care. Development of services in both administrative and clinical functions shared between referral centers and the corporate office with rural hospitals is explained and the amount of savings generated described. The challenge of maintaining hospitals with 20 beds or fewer is explained as well as how hospitals with 50 beds or more are breaking even because of the support from the system. Strategies are described to address decreasing revenues in the environment and alternatives of care available from Intermountain Health Care to the communities that cannot sustain an acute care facility are identified.

Data Collection↗

How healthy is your hospital? Executives often have no idea.

Is your hospital in trouble? Would you know if it is? Many administrators don't see the danger signs for months before a financial crisis hits, said turnaround specialist David Hunter. He offers a quiz to test executives on their knowledge of the key factors in a hospital's health.

Financial Management↗

More chief financial officers are setting their sights on the executive's suite.

More hospital chief financial officers are aspiring to the chief executive's suite, and many say they are better prepared for it than ever. However, industry experts say a lack of operations and leadership experience, and opposition from hospital boards, will keep CFOs from reaching the top. While the number of CEOs with a financial background is slim, some CFOs have reached their goals.

Age Factors↗

How to maintain control over the work of accounts receivable service firms.

Healthcare organizations that enter agreements with accounts receivable consulting firms should insist on various contractual safeguards. These controls allow a hospital to reject any recommendation without incurring extra costs; approve the format of bills sent to potential payers and review copies of bills later produced; insist that consultants identify themselves to payers as hospital representatives, not employees; and protect their interests in other ways.

Accounting↗