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Sharing Insights, Discussing Trends

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Articles and Reports

Gallagher Integrated Takes the Stage

Aurora Young and Kelly Prchal were invited to present at the Merchant Medicine 2017 ConvUrgent Care Strategy Symposium .

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The Board-CEO Partnership: CEO Performance and Appraisal

Great hospital performance is positively influenced by great governance. Great governance is possible only with great board-CEO relations. The CEO performance planning and appraisal system is one of the central vehicles in which board-CEO relations can be clarified and enhanced. At recent leadership conference of The Governance Institute, board members, physicians, and CEOs were invited to identify practical strategies that have the potential to nurture great board-CEO relations by focusing on enhancements within the process of CEO performance planning and appraisal. Their input is included in this two part white paper. Part A explores trends in CEO performance development that are shaped by the organization’s business strategy and argues for developing talent through the three concepts of trust, transparency and truthfulness. Part B provides a short review of how to introduce an effective CEO performance planning and appraisal system in high performance health services organizations. The papers are intended to provide an easy read and a tool to stimulate conversations among the senior leaders of the board, executive team and medical staff.

Service Excellence

New Insights into the power of “Patience Experience Mapping” and Boards that create cultures that unleash organizations to provide sustained gains in HCAHPS scores and market position.

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Standing In Boardrooms: Insights from ASHHRA 2016 Conference

A Roadmap with 25 mileposts for successfully journey into and around the boardrooms of health sector governing bodies.

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Dyads, Compacts and Experience Maps: Essential Structures for the Success of Integrated Health Systems

Physician leaders at an increasing number of our clients recognize the value of weaving together three strands of strategy to make a rope that successfully pulls an integrated health system into the domain of value based payments

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Boards are Valuable!

After a recent Gallagher Integrated study, it has been concluded that effective Hospital Boards create significant value to the organizational vitality of hospitals and health systems, with both qualitative and economic dimensions.

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Seven Executive Actions to Develop Younger Board Members

Work with our colleague Larry Walker enables hospital and health system executives to access new resources for great board work, the Gallagher GovernWell Resource Suite.* One of the many resources in this suite describes a series of considerations for C-Suite leaders to become more active and successful attracting younger community leaders into the work of their governing boards. Wise CEOs will explore the following seven actions with board leadership to establish and follow a roadmap to stronger governance by lowering the average age of the board.

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Leadership Burnout at the Intersection of Board, Physician, and Executive Work

Too many hospital board members complain that their time and talents are not being well used. As a result, it is more difficult to attract and retain the best and brightest board members in their early and mid-careers.

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Healthcare Post 2016 Presidential Election

We have just been through an election that shocked the world and our nation and that has left us questioning what is likely to happen – especially in terms of healthcare. President-elect Donald Trump campaigned on repealing and replacing Obamacare, in recent weeks, he has backed away from earlier, stronger notions of replacing, at any rate, we don’t know what “repeal and replace” would look like.

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Leadership Competencies for the Next Generation of Healthcare Executives

Competency requirements for the next generation healthcare leader will be notably different from those of the traditional hospital or health system administrator. And leadership positions will lead change through influence without necessarily controlling operations. Hospital administrators will be refocused on managing cost centers according to protocols and standards set by others, not on shaping strategy and developing programs. This article touches base on the leaders of the future and the direction they are headed.

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2016 Compensation Survey Season

As the 2016 compensation survey season draws to a close, we at Integrated Healthcare Strategies are pleased to have once again provided timely reports with increased participation in all of our national compensation survey offerings.

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The Evolution of Peer Group Construction

The basic tenets of peer group construction in tax-exempt health care have not changed much over the last decade. As health care advisors, we are still tasked with providing market data for clients that represents like organizations and like positions, especially since IRC 4958 requires the compilation of data on like organizations and like positions in order to take advantage of its “safe harbor” and create a rebuttable presumption of reasonableness.

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2016 Updates to the Advanced Practice Clinician Compensation Survey

The National Healthcare Advanced Practice Clinician Compensation Survey was launched in late summer of 2016 with significant updates to better capture the current trends and methodologies surrounding Nurse Practitioner and Physician Assistant pay and pay practices.

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Urgent Care Growth Prompts The Need For Better Data

The way that we are seeking care is changing. Access to care continues to be a top healthcare issue as our population ages and appointment availability in specialty clinics is limited. Patients are seeking new access points to respond to acute healthcare needs and the convenience of walk-in care is relatable and attractive to an increasingly savvy patient population.

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Physician Leadership: The Minefields of Medical Directorships

Medical Staff leaders and health system executives tear their hair out when they think about the risks and confusion of Whistleblowers, RAC Audits, as well as an erosion in clinical care quality or medical staff morale and collaboration. Too often at the center of this confusion and threats to an organization’s financial health are poorly functioning “Medical Directorships”.

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Executive Consulting: Strengthening the CEO Performance Review Process

Health systems are catching up with other industries to achieve higher organizational performance by encouraging improved executive performance. The formulae for higher executive performance requires adjusting at least five dials.

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Board Community Health Needs Assessments

Board leaders have come to realize they must be more actively engaged in conducting, and acting upon, assessments of health needs in the communities they serve as tax-exempt entities. The process of defining these needs can now be better guided by data layering, and by an exciting Charrette technique to enhance community engagement.

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Are You Ready for a Generation X CEO?

Trends show that if it hasn’t happened already, hospitals and health systems soon will have members of Generation X vying for top executive positions. With the baby boom generation reaching retirement age—and given the growing complexities and demands of health care leadership—many of the most experienced candidates are leaving the industry.

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On-boarding to Prevent the “July Effect”

For teaching hospitals, summer is always a time that is filled with anticipation---and often a bit of trepidation, as well. Although the traditional date when a new crop of resident physicians assumed their duties (July 1) is now past, the process of actively engaging them in the work of the organization is still underway.

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Physician Burnout Infographic

Detect physician burnout before it's too late.

Generation Impact Infographic

Recent studies have shown a decline in employee engagement—particularly in the United States and many European Union nations. Measuring and managing the wrong or incomplete set of engagement drivers is mostly to blame.

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Programs of Promise

We help health systems design, develop, and operate programs that promote physician leadership development, education, and learning experiences. These strategies can be executed in your organization, in local schools of business or public health, and in learning networks across the US. Whether the physicians are employed, under contract, or fiercely independent, we empower health systems to enhance the capabilities of the physician leaders needed for success.

Turbulent Waters. Uncharted Pathways. An Untested Compass.

Just as board risk factors can frustrate a successful expedition in a strange land, so will they cause health system boards to uncover difficult risks in their transition from volume to value situations. Our work with boards across the US finds a baker’s dozen of 13 key risks facing the work of hospital and health system boards.

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5 Actions Boards Should Consider to Lessen the Disruptiveness of CEO Turnover

Hospital CEO turnover in 2014 decreased to 18 percent, and remains among one of the highest rates reported in the last 15 years, according to a recent report by the American College of Healthcare Executives. The turnover rate in 2012 was 17 percent, and in 2011 and 2010 it was 16 percent. The annual rate has fluctuated between 14 and 18 percent in the decade prior to 2013.

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10 Successfully Designed Physician Leadership Academies

The move to clinical integration needs more than smart care management protocols. You need to find, develop, support, review, and reward a new generation of physician leaders. Physician leadership development, however, is easier to talk about than to accomplish. Ten examples of effective “Physician Leadership Academies” are profiled for your leaders to emulate in out own local planning and program refinements.

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Regulatory Changes and Implications on the Healthcare Environment

This Vitals newsletter highlights the new regulatory changes and their implications to healthcare organizations. With heightened scrutiny that effect all elements of an organization, it is critical these changes are fully understood and discussed.

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3 Prevalent Issues of Healthcare Organizations

When healthcare organizations struggle to deal with prevalent issues, they are not content to focus narrow solutions for short term gains; they want solutions that yield fast results but can be sustained long-term.

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Building a Clinical Career Ladder Nurses Will Want to Climb

A generational shift is taking place in the workforce, and nursing is no exception. Baby boomers who have dominated the nursing staff for a very long time are retiring, and they are being replaced by Millennial nurses who have a different set of values and expectations, different even from their Gen-X peers.

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The Epidemic of Physician Burnout

The evidence is rapidly accumulating to suggest that physician burnout has reached epidemic levels in the US healthcare delivery system. In a December 2015 article from the Mayo Clinic Proceedings, researchers reported that 54.4% of physicians responding to a large national survey reported at least one symptom of burnout.

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Better CEO Retention Begins with a Better Search

In our experience, the problem of CEO turnover often begins with the search process itself. We strongly believe that a more thorough search process can lead to a better match that has the potential to last a very long time.

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The Transformative New Executive Roles, the Talent Needed, and How to Pay Them

Population health management and accountable care are changing the structure of integrated healthcare systems, and health systems are inventing the leadership team of the future as they create new leadership roles.

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Dare to Compare Part 1 of 3: Great Governance in Canadian Hospitals

In their journey to find, understand, and apply enhanced governance practices, great boards explore how other boards do their work and adapt those insights to improve their performance. Great boards can dare to compare their board behaviors and systems to those in the work of three types of boards: Canadian Hospitals, U.S. Credit Unions, and U.K. Hospitals. To help stimulate conversations in the Boardrooms of U.S. hospitals, we offer the three part series, “Dare to Compare” as a resource for boards to master the art and science of governance innovation. This is the first of three and we hope these three short papers encourage your leadership to break through complacency and journey into the domain of high performance governance.

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Dare to Compare Part 2 of 3: Great Governance in U.S. Credit Unions

In their journey to find, understand, and apply enhanced governance practices, great boards explore how other boards do their work and adapt those insights to improve their performance. Great boards can dare to compare their board behaviors and systems to those in the work of three types of boards: Canadian Hospitals, U.S. Credit Unions, and U.K. Hospitals. To help stimulate conversations in the Boardrooms of U.S. hospitals, we offer the three part series, “Dare to Compare” as a resource for boards to master the art and science of governance innovation. This is the second of three and we hope these three short papers encourage your leadership to break through complacency and journey into the domain of high performance governance.

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Dare to Compare Part 3 of 3: Great Governance in UK Hospitals

In their journey to find, understand, and apply enhanced governance practices, great boards explore how other boards do their work and adapt those insights to improve their performance. Great boards can dare to compare their board behaviors and systems to those in the work of three types of boards: Canadian Hospitals, U.S. Credit Unions, and U.K. Hospitals. To help stimulate conversations in the Boardrooms of U.S. hospitals, we offer the three part series, “Dare to Compare” as a resource for boards to master the art and science of governance innovation. This is the third and final of three and we hope these three short papers encourage your leadership to break through complacency and journey into the domain of high performance governance.

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Part 1 of 5: Collaborative Governance

This is the first and introductory piece of a five-part series of white papers on the new forms of governance for Population Health Management (PHM) by integrated health systems and accountable care organizations. These five include: Collaborative Governance, Competency Based Governance, Generative Governance, Intentional Governance, and Transformation Governance. We encourage boards to circulate these white papers and engage in spirited conversations about how these models are being mastered in their board work, and what investments could advance them even further into the high performance governance domain.

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Part 1 of 5 (Attachment): Street Smart Insights for Enhanced Collaborative Governance

This is an attachment to the first piece of a five-part series of white papers on the new forms of governance for Population Health Management (PHM) by integrated health systems and accountable care organizations. These five include: Collaborative Governance, Competency Based Governance, Generative Governance, Intentional Governance, and Transformation Governance. We encourage boards to circulate these white papers and engage in spirited conversations about how these models are being mastered in their board work, and what investments could advance them even further into the high performance governance domain.

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Part 2 of 5: Competency Based Governance

This is a the second piece of a five-part series of white papers on the new forms of governance for Population Health Management (PHM) by integrated health systems and accountable care organizations. These five include: Collaborative Governance, Competency Based Governance, Generative Governance, Intentional Governance, and Transformation Governance. We encourage boards to circulate these white papers and engage in spirited conversations about how these models are being mastered in their board work, and what investments could advance them even further into the high performance governance domain.

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Part 3 of 5: Generative Governance

This is a the third piece of a five-part series of white papers on the new forms of governance for Population Health Management (PHM) by integrated health systems and accountable care organizations. These five include: Collaborative Governance, Competency Based Governance, Generative Governance, Intentional Governance, and Transformation Governance. We encourage boards to circulate these white papers and engage in spirited conversations about how these models are being mastered in their board work, and what investments could advance them even further into the high performance governance domain.

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Part 4 of 5: Intentional Governance

This is a the fourth piece of a five-part series of white papers on the new forms of governance for Population Health Management (PHM) by integrated health systems and accountable care organizations. These five include: Collaborative Governance, Competency Based Governance, Generative Governance, Intentional Governance, and Transformation Governance. We encourage boards to circulate these white papers and engage in spirited conversations about how these models are being mastered in their board work, and what investments could advance them even further into the high performance governance domain.

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Part 5 of 5: Transformational Governance

This is a the final piece of a five-part series of white papers on the new forms of governance for Population Health Management (PHM) by integrated health systems and accountable care organizations. These five include: Collaborative Governance, Competency Based Governance, Generative Governance, Intentional Governance, and Transformation Governance. We encourage boards to circulate these white papers and engage in spirited conversations about how these models are being mastered in their board work, and what investments could advance them even further into the high performance governance domain.

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Five “To Do’s” and Five “Taboos” for Success

Our recent studies of physician leadership surfaced practical insights of what to do and what to avoid in order to optimize physician leader effectiveness and we are now incorporating these insights into our work to help clients develop and refine their “Physician Leadership Academies”.

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A New Normal

Over the coming year, Gallagher Integrated is focusing content at all levels to the Practitioner, Patient, Leader, and Culture that help to define the New Normal of healthcare, providing you with valuable, real world insights that can help make sense of the evolving industry we work in. It's an exciting time in healthcare, and we're glad to be a part of it with you.

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Increased Roles in Physician Leadership

Our firm is seeing a significant increase in blended clinical and administrative leadership roles for physicians. This trend has continued, and we have followed it through the administration of our Medical Director and Physician Executive Survey that began in 2014.

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Rise of the Permanent Interim Executive

Increasingly, we are living in an “on-demand” world, and our workplaces are reflecting the changes happening in society. Healthcare, with its breathtaking pace of change and exceptional pressures on costs, is an industry where interim executives can make a meaningful impact. Fortunately, there is a ready pool of highly qualified and experienced healthcare executives who have chosen careers as permanent interims.

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Trustee State Certification Programs

Information regarding 16 trustee certification and education programs organized by state with summaries of each program including program goals and motivators, competency models, the number of graduates, the rigor of the certification, and financial cost.

Is Your Organization a Career “Stepping Stone” for High-Performing Employees?

For most healthcare organizations, building and sustaining a highly engaged workforce has become a foundational strategy of their human capital initiatives. During the last decade, the scientific case for creating a highly engaged workforce has continued to grow.

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Board Work and Boundary Spanning

Answering questions by Board and C-Suite leaders is not easy. It requires broader and deeper engagement between board members and their counterparts in organizations and institutions influencing the “social determinants of health”

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APC Supervision: An Emerging Component of Physician Compensation

As the healthcare landscape in the United States moves towards controlling costs and ensuring patient access to care for newly insured patients, the use of Advanced Practice Clinicians (APC) is playing a significant role. Average growth of a nurse practitioner and physician assistant staffing went from approximately 10.5% in 2012 to between 12.0% and 16.7% in 2013. Read more on the development of APC compensation here:

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Aligning Physician Compensation with Industry Best Practice

Aligning payments to hospital employees (e.g., physicians) in the same manner by which the hospital is being reimbursed is key in ensuring the long-term financial viability of the organization. Read more.

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Announcing the Release of A NEW MEETING PLACE: The Impact of Increasing Healthcare Consumerism on Clinical Integration

In response to the shifting climate change in healthcare towards clinical integration, and the demands of consumerism, Integrated Healthcare Strategies (Gallagher Integrated), a division of Gallagher Benefit Services, Inc., presents a new whitepaper that offers practical data to assist healthcare leaders with pricing, convenience, and other important issues in a changing market.

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Beware of Generational Differences

As the Baby Boomers have begun to leave the workplace in meaningful numbers over the last ten years, the topic of “the multi-generational workplace” has become particularly popular, and with good reason. This article, authored by David Rowlee, is designed to demonstrate why generational groups don’t always matter as much as some people think they do.

Not Your Father's Board: Why Some Boards Pay Directors

Across the country, a small number of larger, more complex health systems have quietly begun to pay directors for their service on boards. At first glance, this seems out of place in a nonprofit healthcare industry that has relied for decades on public service-minded individuals who lend their expertise without pay. But something seems to have changed to make paying directors more culturally acceptable to some organizations. What has changed? Practically everything!

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Improving Communications of Staff Pay

Two things are certain: Everyone wants to make more money than they do, and managers would love to be able to pay their employees more than tight budgets will allow. So what do employees want to know about their own pay? Clarity around staff pay represents the biggest opportunity hospitals have to reduce turnover and increase employee engagement, both of which can have a positive return on investment to the organization.

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2015 National Healthcare Leadership Survey Results

The results of the 2015 National Healthcare Leadership Survey recently published. The leadership survey provides base salary, incentive award, and benefit data for over 30,000 employees in 189 executive and 53 manager-level positions.

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Understanding the Market Relationship Between Physician Compensation and Production

When a physician has the opportunity to earn compensation through a production based compensation plan, it is important to understand the market relationship between compensation and production. Often, our clients will ask us why a physician who produces at the 90th percentile of the reported market data cannot earn a compensation per WRVU rate that is also positioned at the 90th percentile of the reported market data. We believe that it is appropriate to reward physicians for increased production, however, it is important that production based incentives are established appropriately and are based the facts and circumstances of that particular arrangement. More specifically, the reward to the physician should be an increase in overall compensation, and not in the compensation rate per unit of production.

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Staff Compensation: Building a Foundation

Staff compensation constitutes about 50 to 60 percent of the total operating costs of a hospital. As the single largest component of the expense budget, it gets surprisingly little attention in boardrooms and senior staff meetings. While most boards pay a great deal of attention to executive compensation, and many also devote time to physician compensation (all should!), most boards do not pay attention to staff compensation, even though it represents a higher cost to the organization.

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Medical Staff Development Plan – Actionable Plan for Physician Recruitment & Documented Rationale for Private Practice Support Payments

Medical Staff Development Plans (“MSDP”) have been used by healthcare organizations over the past three decades to project the local and/or regional need for physician specialties. Many forward-thinking healthcare organizations have maximized the utilization of a well developed Medical Staff Development Plan for facilitating strategic and business planning efforts, differentiating clinical service offerings from competitors, and more.

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Gainsharing Programs: Fair Market Value/Commercial Reasonableness Implications

Over the last several years, hospitals and health systems have explored different strategies to help align independent community physicians with the general goals of the organization as an alternative to employment. These initiatives have proved successful through various types of models, all of which contribute to the hospital’s ability to better serve its patients. While these models can differ in terms of structure, most are typically founded on “Triple Aim” principles (i.e., improved patient health, improved patient experience/satisfaction, and reduced costs). Given this market trend, many of our clients are considering, or have already begun implementing these types of models in support of improved physician alignment.

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Our Advice on Staff Compensation Conundrums

How much time does your C-suite spend discussing the compensation philosophy for your employees? The executive compensation committee of your board should have a discussion annually to reaffirm the philosophy of executive pay. Doesn’t it naturally follow for you, as leaders of employees, to align that philosophy throughout your organization? Only in a perfect world, right?

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Incorporating Panel Size into Physician Compensation Plans

It seems that weekly we hear the same question: How do we pivot our compensation program to accommodate a marketplace where value-driven population health is replacing a volume-driven, fee-for-service mentality? Many organizations are wrestling with this issue and a common, popular solution has been to introduce “panel size” metrics and measures as a form of compensation. The early adopters who have incorporated panel size metrics have focused initially on incorporating these metrics within their primary care compensation programs. This article will discuss how panel size is typically incorporated into a compensation plan as well as key questions for implementation

Together is More

Knowledge. Guidance. Insights. That’s what our clients have come to expect from INTEGRATED Healthcare Strategies in this ever-changing healthcare industry. Recently, INTEGRATED has been working on an exciting growth opportunity to bring our clients even more knowledge, more guidance, and more insights.

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Culture Change Coming! – Any Lessons from the Past?

Warnings about the coming culture change for healthcare organizations with the anticipated change in reimbursement from volume to value have been widely heard. Can anything be learned from past successful corporate culture changes by organizations in similar circumstances?

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Population Health Readiness

Before a hospital takes on this new care model, trustees must ask management three questions.

Paying Community Physicians for Clinical Research

Increasingly, community hospitals, health systems, and their affiliated physicians are engaging in clinical trials and other medical research opportunities. As a result, INTEGRATED Healthcare Strategies is receiving requests from these organizations regarding best practices for paying physicians for this type of work. This article outlines successful physician compensation strategies we have observed in community health systems with established clinical research programs.

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Medicare Reimbursement – Prepare for the Transition From Volume to Value

While the landscape of healthcare continues to change and has been in the early stages of moving from volume to value, clear goals have recently been set to ensure more Medicare payments are tied to quality or value.

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Beware of Generational Differences...Or, At Least, Some of Them: An Exploration of Generational Research Gone Wrong

As the Baby Boomers, the largest generation, have begun to leave the workplace in meaningful numbers over the last ten years, the topic of “the multi-generational workplace” has become particularly popular, and with good reason.

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Anesthesia Market Projections For 2015 – What Are We Seeing And What Should You Be Thinking About?

The five primary issues driving the strategies of anesthesia practices, and how these issues are affecting hospital/anesthesia relationships and contracts

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Rethinking the Art and Science of Physician Engagement Metrics

When it comes to truly understanding the strength of relationships forged between healthcare organizations and physicians, engagement stands out as one of the most talked about metrics today--and for good reason. David Rowlee provides insights on this topic in the Fall 2014 issue of Healthcare Strategy Alert.

How Boards Compensate CEOs

New research suggests CEOs are paid based on organization-wide performance. In October 2014, Kevin Talbot shares his insight with Trustee Magazine on how boards compensate CEOs.

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Governance Culture and Performance Improvement

In the Nov/Dec 2014 issue of Healthcare Executive, Susan O'Hare and Don Seymour share their insight on governance culture and performance improvement: the board-CEO relationship, rightsizing, and more.

People Plans for Physicians

The transition of the physician workforce from independent practice to employment has been underway for some time. It may seem like a monumental change in the way medicine is practiced, but it is only the beginning.

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5 Strategies to Retain High-Performing Executives

High-performing executives are always in great demand. The best executives get calls from search firms monthly or weekly, and they get offers that may be very tempting. In this environment of historic executive turnover, what can your organization do to retain its high-performing executives?

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Uncovering Unique Considerations when Valuing Assessments with Telemedicine Service Providers

Telemedicine continues to emerge as a solution for increasing access and adding an element of convenience to clinical patient care. And services available through telemedicine are expanding rapidly, which means new and unique service arrangements between hospitals and telemedicine service providers are continuously developing.

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Changing Culture, Leading Strategy at Healthcare Organizations

INTEGRATED’s Don Seymour, one of the stars of the Raising the Bar video series, participated in a HealthLeaders Media Executive Roundtable in August titled, “Changing Culture, Leading Strategy at Healthcare Organizations.” Read the transcript of the roundtable discussion, which is featured in this month’s issue of HealthLeaders magazine.

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5 Critical Qualities of the 21st Century Healthcare Leader

Healthcare is changing more rapidly now than ever before, and new technologies, new legislation, and shifting generational dynamics are placing never-before-seen demands on the industry's leadership. The following article features 5 critical qualities up-and-coming healthcare leaders will need in this uncertain environment. Part of it will be published in Executive Insights in November.

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Assessing the Performance of Employed Physicians

Employee performance evaluations are a routine part of the responsibilities of every supervisor or manager in a healthcare organization. Most organizations conduct such formal evaluations at least annually, and generally use a standard evaluation tool. But when it comes to employed physicians, such evaluations are often the exception, rather than the norm.

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People Plans for the Executive Team

Healthcare is a rapidly changing world, and healthcare leaders must be flexible, innovative, and entrepreneurial to stay on the cutting edge of developments in the industry. There is much discussion that the personal characteristics of the CEO and executive team may be far more important than experience gained over long careers in hospital management. As health systems become less hospital-centric, the traditional way of hiring executives with deep healthcare careers is being challenged.

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INTEGRATED Healthcare Strategies Publishes Its 2014 National Healthcare Leadership Compensation Survey

INTEGRATED Healthcare Strategies, a national healthcare human resource consulting firm and leader in compensation and engagement surveys, recently published its 2014 National Healthcare Leadership Compensation Survey. It is the most extensive survey in the industry and is consistently published in late August to ensure healthcare organizations have the information they need to plan for the coming year.

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A High-Level Look at Hospital Affiliations: Roundtable Discussion

In August 2014, INTEGRATED Healthcare Strategies sponsored a Becker's Hospital Review Executive Roundtable surrounding the topic of hospital affiliations. The article features a discussion between all five panelists regarding popularity of hospital affiliations, what hospitals are and should be looking for in an affiliation partner, and more.

People Plans for the Board of Directors

Healthcare is a rapidly changing business environment, and management at every level, from the board of directors to the supervisors on the floor, has had to adapt to the pace of change and the uncertainty that comes with it. How well an organization meets this challenge begins at the very top, with a board that is knowledgeable, strategic, professional, flexible, and visionary.

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IRS Regulations Require Changes to Certain Executive Plans

With the IRS finalizing the proposed regulations under Section 83 in late February, programs relying on Section 83 should be reviewed and modified as necessary. INTEGRATED provides insight on the Section 83 changes along with Section 457(f) arrangements to navigate these current and expected law changes for your organization's plans.

Physician Engagement (getting your docs on board!)

In an article written by Lee Ann Jaroussee for the April issue of H&HN, INTEGRATED's Bill Jessee is quoted explaining a key driver of physician engagement -- professional satisfaction. Additionally, a graphic of common key influencers of physician engagement from Dr. David Rowlee's presentation, "Organizational Culture, Clinician Engagement, and Physician Integration: Keys to Success," was included.

INTEGRATED Healthcare Strategies Publishes Its 2014 National Healthcare Staff Compensation Survey

National healthcare consulting firm INTEGRATED Healthcare Strategies recently published the results of its National Healthcare Staff Compensation Survey, which obtained data from 908 healthcare organizations, representing more than 960,000 employees.

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Physician Clinical Integrated Networks and Key Aspects of Efficiency Agreements

Increasingly, healthcare organizations are creating Physician Clinically Integrated Networks (“CIN”) in order to develop and operate a clinically integrated managed care contracting network of health care providers with the stated goals of improving quality of care while reducing unnecessary costs.

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To Pay or Not to Pay: Board Compensation in Not-for-Profit Health Systems

The increasing demands on health systems including population health management, electronic health record (EHR) technology requirements, and the financial challenges enacted by the Affordable Care Act have put a premium on governance and board member involvement.

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Accountable Care Organizations: Implications for Physician Compensation

Jeff Wells, intern at INTEGRATED's Las Vegas location, provides an overview of Accountable Care Organizations (ACOs). Subtopics include the background, implementation, and private sector interest of ACOs.

Linking Compensation to Payment Incentives

In an article for Healthcare Executive, Don Seymour, Kevin Talbot, and Chad Stutelberg share their insight on developing compensation strategies that link executive and physician compensation models to acute care outcome-based payment methodologies.

Participate, Purchase, Benefit | The 2014 National Healthcare Leadership Compensation Survey is Currently Open

The 2014 National Healthcare Leadership Compensation Survey is currently open for participation and will publish on August 29, 2014. For more information on participating or purchasing any of our suite of national surveys specializing in the Healthcare industry, or to participate in future surveys, please contact us at Comp.Surveys@IHStrategies.com or call (800) 327-9335.

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Review of CEO Compensation at Largest Massachusetts Charities

In December 2013 the Office of the Attorney General of Massachusetts published its report on the compensation of CEOs at the 25 largest public charities in Massachusetts. The review was intended to enhance the transparency of executive compensation at public charities and tested an new reporting form calling for quicker reporting and more information than required by IRS Form 990.

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People Plans for the New Healthcare Environment

Every senior team has financial strategies, capital improvement plans, business development initiatives, expense controls, and quality and service improvement programs to help deal with the changing landscape of health care. Experience has shown that those organizations that demonstrate a high level of success have incorporated short- and long-term “people” plans as part of all their initiatives.

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Conducting Effective Compensation Committee Meetings

A Five Year Retrospective 2009 -- 2014

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Emerging Physician Leader Roles

In our work with hospitals and healthcare systems across the country, INTEGRATED Healthcare Strategies (“INTEGRATED”) is seeing a rapid increase in the number and types of physician roles which blend traditional clinical practice and organizational management/leadership.

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Conducting Effective Compensation Committee Meetings

Part three of three: Getting What Is Needed from a Compensation Committee That Manages Rather Than Governs

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Conducting Effective Compensation Committee Meetings

Part two of three: Diagnosing and Solving Committee Inability to Complete its Agenda

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Conducting Effective Compensation Committee Meetings

Part one in a three part series: Protection from Intermediate Sanctions

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Destined To Lose | Five Reasons Internal Interim Hospital Leaders Fail

In healthcare’s current reality of diminishing reimbursements, laser focus on productivity, and aspirations of “breaking even on Medicare dollars,” the loss of a key hospital executive can set back strategic plans, injure physician relationships, and take the budget management process on a wild ride.

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Best Practices for Board Compensation Committees

There are several steps board compensation committees can take to strengthen governance of executive compensation.

Rethinking The Art and Science of Physician Engagement Metrics

When it comes to truly understanding the strength of relationships forged between healthcare organizations and physicians, “engagement” stands out as one of the most commonly tracked metrics. There is a good reason for this. A wealth of research has been produced by organizational scientists demonstrating that high levels of engagement triggers high states of organizational performance. The theory is simple. Engaged physicians perform better on the job. The better physicians perform, the more likely an organization is to be successful.

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Participate in the 2014 National Healthcare Staff Compensation Survey

Healthcare leaders and HR executives struggle to design pay programs that make the best use of limited resources while maintaining or even improving employee understanding and engagement. It is critical for healthcare organizations to rely on comprehensive benchmark data to ensure they develop effective compensation programs.

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Critical Access Hospitals and Their Unique Compensation Issues

Critical access hospitals (CAHs) face many unique challenges in comparison to their larger or more urban counterparts. While most organizations experience some difficulties attracting and retaining talent regardless of location or size, this specific issue has been at the forefront for rural and critical access hospitals for well over a decade. Compounding the issue is the necessity of the CAH to maintain stable financial performance, while providing high quality care to a typically low income per capita community.

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Are People Still Your Most Valuable Asset?

Are the employees and physicians of your organization leaving the doors and windows of your house open as the polar vortex-like chill of healthcare reform hits your doorstep? Almost all leaders like to say that people are their organization’s most valuable asset, but how do they really measure that? Many of today’s best healthcare organizations are using scientifically-based engagement measurement tools to verify the actual value that employees and physicians bring in terms of improving business outcomes in a predictable way.

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Fit or Failing in 2014

There are several indicators that leading practices track to determine if they are fit or failing. As a physician, or medical practice, the compensation you earn or the net income at the end of the year may not tell the whole story. Just like many unsuspecting patients who, by all appearances look healthy, fall victim to cancer, your practice may look and feel successful on the surface, but what is going on inside of your practice may be a completely different story. Learn more!

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What HR Should Look Like in 2014

It’s a frequent complaint in healthcare: “The HR department doesn’t play a strategic role.” And it’s common for human resource professionals to respond by saying, “ How can we be strategic if we’re not given a seat at the table?” This standoff serves only to diminish the role of HR in the management structure. Strategic leaders routinely and frequently challenge the status quo of their operations. HR leaders need to do the same if they want to be viewed as strategic partners. Learn more!

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Commercial Reasonableness

In May of 2013, a federal jury found that Tuomey Healthcare System, Inc. violated the Stark Law and the False Claims Act. This resulted in a potential liability for the Sumter, South Carolina-based Tuomey in excess of $350 million. The jury agreed with the federal government’s findings that the compensation paid to selected physicians was in excess of fair market value, was commercially unreasonable, and took into account the volume or value of referrals. Find out what can be learned from this!

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Get In The Know

Approximately 80% of systems and hospitals have a short-term, or annual, incentive plan in place. Long-term incentive plans are typically only found at larger, complex organizations. In addition to detailed summaries of incentive opportunity levels by position, the survey also offers descriptive statistics regarding executive benefits, supplemental benefits and common perquisites. Learn more!

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Governance of Hospital-Owned Medical Groups

As the number of hospital-owned practices continues to grow, it has become increasingly clear that effective governance of the physician enterprise is a key to operational and financial success. Find out why!

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Measuring Engagement

Of all the important indicators on the minds of leaders and human capital strategists today, “engagement” stands out as one of the most talked-about metrics—and for good reason. Over time, organizational scientists have amassed a wealth of empirical evidence showing that engagement promotes business and operational performance.

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The Value of Supplemental Retirement Plans

Attracting and retaining talented and high performing healthcare executives requires a well balanced, competitive total compensation package. Retirement plans play a key role in this, learn about their value to your organization.

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Executive Pay for Performance: The Fundamentals

While the idea is simple—paying more to get more—the realities of healthcare executive pay are much more complex. From the compensation issues arising from healthcare reform to those that have existed for decades, understanding the linkage between executive pay and organizational performance is as important as ever. Click to learn more about this topic and how you can download the E-book for free!

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Driving the Organization

Organization structure drives performance, culture, efficiency, employee satisfaction, public perception, and a host of other factors health systems care about. Yet most systems don’t spend enough time considering whether their structures are driving them in the right direction. Find out if yours is.

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HOPD’s Reimbursement Pressures are Approaching

Many hospitals have realized a significant financial opportunity exists through physician alignment. Physician alignment can be a strategic catalyst for service line expansions, and may result in the acquisition and transition of a privately-owned physician facility to a provider-based billing facility or hospital outpatient department (“HOPD”). Read more and determine if your practice is prepared.

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Executive Mistakes When it Comes to RN Pay

Nursing represents the largest single employee pool for most healthcare organizations, yet most organizations fail to manage their nursing compensation programs as effectively as they should. Learn how to avoid mistakes when it comes to RN pay.

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What Makes a Chief Medical Officer Effective?

Countless theories have been presented over the years by organizational scientists attempting to identify the most important characteristics of highly effective leaders. Click to learn more about what leadership qualities healthcare CEOs and CMOs possess that lead to success.

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Achieving Stronger Physician Engagement

Over the past several years of economic instability, INTEGRATED Healthcare Strategies has been monitoring trends in healthcare. One particular focus has been measuring and managing engagement to improve organizations’ operational efficiencies and performance. Learn how to improve engagement with these nine steps.

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Rewarding Success Through Meeting Community Needs

Given the various attacks on hospitals’ tax-exemption, some experts are advising hospitals to do more to publicize all the community benefits they provide in exchange for their tax exemption. Read more about how success is being rewarded through meeting community needs.

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Children’s Hospitals Executive Compensation Insights

Every year INTEGRATED conducts more than 20 healthcare compensation-related surveys. For the 14th year, we recently published the 2013 Children’s Hospitals Executive Compensation Survey. Click to gain insights into Children’s Hospitals Executive Compensation.

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Strategies for Managing The Changing Landscape of Physician Compensation

Without dispute, one of the major trends involving medical group practices over the last 10-15 years has been physicians transitioning to hospital employment. This trend has been reinforced by new physicians choosing employment over private practice opportunities. These market changes have been the direct result of flat or declining reimbursement, increased government regulation, and general uncertainty in the marketplace.

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Five Compensation Strategies that Maximize Recruitment and Retention of Primary Care Physicians

An article in the Annals of Family Medicine showed that with the implementation of the ACA, the United States will have a shortage of 52,000 PCPs by 2025; 8,000 of whom are needed just to address the additional estimated 30 million more Americans who will be covered under the ACA. While the projections for the shortages of PCPs have varied depending upon the source, most experts agree that we are looking at a severe shortage of PCPs in the future.

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10 Attributes of a Superior Board in 2020

Read about the 10 Attributes of a Superior Hospital/Health System Board in 2020!

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APC's Roles are Changing—Is Your Compensation Model Ready?

As health systems, hospitals, providers, and other interested stakeholders speculate on the future of the care delivery landscape, like artists attempting to interpret a densely fogged horizon, one common theme has gleamed through the haze: The interest in efficient and cost effective patient care. Find out why!

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Effective Leaders in US Healthcare Set Cultures of Celebration

Learn how to be an effective leader by practicing goal setting, communication, trust, and accountability!

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4 Trends in Healthcare Executive Benefits

INTEGRATED Healthcare Strategies published data reported in our National Healthcare Executive Benefits Survey. Read about the top 4 trends we spotted from the survey.

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The Conversation Continues . . . Join In!

Learn why you should attend ASHHRA 2013!

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Trust in the Triangle: Enhancing Relationships Among Board, Medical Staff and Executive Leadership

As health systems face demands for greater accountability and performance, the working relationships between the three key leadership groups known, as “The Triangle” have never been more important. These working relationships are dependent on expanding and enhancing “trust.” Trust matters in the pursuit of organizational performance and vitality.

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BEHIND THE SCENES OF "CLEARLY UNDERSTANDABLE"

Get the behind the scenes scoop from Dr. David Rowlee on what went into creating the Clearly Understandable video series.

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Salary Increase & Benefit Trends Survey Spring 2013 Report Highlights

INTEGRATED Healthcare Strategies monitors trends in healthcare salary increases, incentive practices, and benefit changes. The 2013 survey collected responses from 177 organizations nationwide ranging from small hospitals to multi-billion dollar health care systems.

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Why Great Organizations are not Immune from Union Activity

With the challenges of the Accountable Care Act (ACA) and other dramatic changes facing healthcare leaders, the need for on-going union avoidance activity and expense can be over-looked. Read this case study and learn why executives would be the first to tell you they believed their vulnerability to be extremely low.

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National Nursing Compensation Survey

Nearly 30% of responding organizations provide signing bonuses to employees. Of those, nearly all (91%) provide the signing bonuses to RN positions. This data was collected from the INTEGRATED Healthcare Strategies 2013 National Nursing Compensation Survey.

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Leading Successful Health System Integration: Understanding the Unique Business and Cultural Differences

When building the relationship that will effectively support the group practice, HR leaders can garner a significant amount of operational expertise from the practice manager. HR Pulse, Summer 2013 issue.

Pay that motivates your medical practice staff

How physician practices pay employees can be more important than what is paid to ensure they are motivated. American Medical News, May 20, 2013

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Provider’s Perspective: Focus On Cost and Quality

Reimbursement rate increases are a "thing of the past." Many providers are now focusing on how to survive on Medicare rates.

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Hospital Haters: Why Hospitals and Healthcare Leaders are Becoming the New Villains

Though far from the truth, hospitals and hospital leaders are recently being portrayed as the new villains in what is wrong with healthcare.

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Do Your Doctors and Management Team Trust One Another?

The need for close physician-administrator teamwork has never been greater. This article highlights 10 ways to build trust, and 10 ways to lose it.

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The New Health Care Workplace

Health care reform and younger generations. As published in HR Pulse Magazine. Spring 2013 issue.

Five Compensation Strategies that Maximize Recruitment and Retention of Primary Care Physicians

Strategies proven to be successful in the recruitment and retention of physicians who provide primary care services.

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New Legislation in 2013: The impact to Human Resources and Compensation

Congress recently passed the American Taxpayer Relief Act of 2012, and also raised minimum wage for ten U.S. states.

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The Force Behind Decreasing Union Representation: Human Resource Leaders

Over the last 30 years, private -sector employees represented by a union have decreased. But employee relations in the workplace are consistently improving, and the initiative is led by Human Resource leaders.

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Impact Of Turnover and External Recruiting on Executive Pay

With Boomer generation CEOs preparing to retire, turnover rates could see a significant hike. How do turnover and external recruiting effect executive pay?

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Effective Leaders in US Healthcare Set Cultures of Celebration

Three steps to begin developing cultures of celebration that yield personal and organizational successes.

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Physician Leadership Training - What Are the Essential Elements?

A review of core competencies for successful leadership programs, and the importance of building flexible teaching formats that blend multiple techniques to produce the best results.

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“Right to Work” in Michigan – Why It Happened

Michigan is the latest state to enact anti-union legislation.

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Market Trends in Cardiology Compensation

As payments shift from volume to value, the compensation models for cardiology will continue to shift from individual to group incentives.

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Protecting Your Executives and the Hospital from Adverse IRS Audit Findings

Three tips to make sure you protect your executives and organization from questions raised by the information the Form 990 requires reported.

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Recent Trends in Salary Increases and Benefits

The latest edition of our Salary Increase and Benefit Trends Survey is now open for participation. See a summary of the previous survey's findings.

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Should Physician Compensation be Based on Individual Performance?

A key element in the architecture of a good physician compensation plan is the balance among organizational, team, and individual incentives.

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Why is Executive Pay Still Rising?

Trustees of many healthcare organizations wonder why pay is still rising for healthcare executives, yet they continue to do it.

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Two Steps to Help Manage the Changes of Healthcare Reform

Two steps can take to help ease employees through change and increase their chances for success.

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Physician Recruiting and Retention: 11 Criteria for Best-practice Compensation Plans

11 criteria for "best- practice" physician compensation plans to remain competitive in a tough physician recruiting market due to expected shortages.

Best Practices for Board Compensation Committees

Steps board compensation committees can take to strengthen governance of executive compensation. View this tool and others on the CHG website.

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Senior Leadership Pay Continues to Rise

Across the C-suite, salaries and total cash compensation continue to rise, though changes to incentive structures may be influencing the size of the increase. As appeared in HealthLeaders Media.

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Will Hospital Employment Push Physicians to Unionize?

Organized labor unions may begin looking like an attractive option for some physicians. As appeared on Becker's Hospital Review

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5 Principles for Compliant Physician Leader Compensation Contracts

Five principles for boards to consider as they construct compliant physician compensation agreements. As appeard on Becker's Hospital Review.

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Hospital Executive Retirement Benefits: Where Do They Stand Right Now?

For hospital executives, supplemental executive retirement plans, or SERPs, are a staple of compensation programs, and the benefits within retirement plans could be make-or-break for any person or institution. Becker's Hospital Review, November 2012

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Mentoring Matters

Our work with leaders reinforces the importance of mentoring to not only support the leader’s pursuit of a career of impact, but to support the long-term success and vitality of the healthcare organization.

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Board Responsibility for the Oversight of Physician Leadership Compensation

Many boards and executives don't know the number or nature of their current physician leader contract obligations. INTEGRATED identifies five key principals that board members should be aware of, and five questions they should ask the organization's management team.

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In the Wave of Healthcare Mergers, Don’t Forget Your Most Critical Asset - Your People

All M&A deals have one thing in common, people - yet too often, HR plans, programs, and integration strategies are the last item considered.

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Will Physicians Follow RNs and Wear the Union Label?

With hospitals and health systems now directly employing physicians, more may begin viewing organizing into labor unions as attractive.

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1 in 3 Medical Directors in Line for Bonus Pay

We talked with HealthLeaders Media about trends we're seeing from our 2012 Medical Director Compensation Survey. http://bit.ly/SPYYnp

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Using Executive Incentive Pay to Bridge the Gap to Value-Based Care

Kevin Talbot explains how executive incentive pay can help align goals in the new value-based healthcare environment. Published in Becker's Hospital Review 10/2012.

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2012 National Healthcare Leadership Compensation Survey - Executive Summary

An executive summary of the results from the 2012 National Healthcare Leadership Compensation Survey.

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Leaders Wanted, No Healthcare Experience Needed

A growing trend in healthcare leadership is the selection of Director and Vice President operational-level leaders with no healthcare experience.

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Are Your Physicians Engaged With Your Organization?

Culture is an integral driver for physician engagement and organizational performance.

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2012 Medical Director Survey - Highlights & Trends

The 2012 Medical Director Survey offers an overview of relevant trends in the marketplace. This year's survey included data on over 3,000 medical director and this article highlights a few of the interesting findings.

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Severance on "Voluntary" Termination?

Organizations allow executives (and other employees) to “resign” voluntarily when they are really being fired, even opting to still pay serverance, to ward off more significant consequences of firing the employee.

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How Many Cultures Does Your Organization Have?

Hospitals are merging or becoming a part of larger systems, and the number of medical practices being acquired by hospitals and (usually) merged into the health system is staggering. One of the most frequent problems encountered is traced back to a clash of cultures.

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Third Party Contracting Challenges

Payers are becoming increasingly sophisticated in their approach to contract terms and language for Provider agreements, to the disadvantage of the Provider.

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Paying Medical Directors for Performance

One method for promoting quality outcomes is to include a pay-for-performance component in the Medical Director's compensation plan.

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2012 National Healthcare Staff Compensation Survey Results

Integrated Healthcare Strategies recently published its 2012 National Healthcare Staff Compensation Survey, co-sponsored by the American Society for Healthcare Human Resources Administration (ASHHRA).

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Trying to Recruit & Motivate Generation Y? It Might be Time for Skill-based Pay

Generation Y - soon to be the workforce majority - is more committed to the work they perform, and less to the organization itself. Skill-based pay models fit this new generation very well.

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Aligning ACO Goals with Compensation

Compensation models for employed and non-employed personnel need to be well-aligned with the performance metrics that an ACO venture is trying to achieve.

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Physician Leadership: Stuff They Don't Teach in Medical School

Physician leadership skills differ from the skills that make a talented doctor.

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2012 National Nursing Compensation Survey Results

Highlights of the findings from the Integrated Healthcare Strategies 2012 National Nursing Compensation Survey.

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Is Merit Pay Dead or Just Going Through a Transformation?

Variable pay isn't working for most organizations because they don't have the wage increase budget to provide a substantial variance between performance levels.

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The Impact of Increased Medicaid Payments to Primary Care Physicians

An increase in Medicaid payments to primary care providers will go into effect in 2013 and 2014. What will the effects be?

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7 Statistics on 2011 Children's Hospital Executive Compensation

Seven statistics from the Integrated Healthcare Strategies 2011 Children's Hospitals Executive Compensation Survey.

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Devastating NLRB Rules for Non-Acute Facilities

Rules set by the National Labor Relations Board (NLRB) have made it incredibly easy for unions to get into non-acute care facilities. A new leadership approach will be needed to overcome these new labor union tactics.

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The Importance of CPT Code Modifiers: A Fair Market Value Perspective

CPT (Current Procedural Terminology) code modifiers not only impact reimbursement, but also physician Work Relative Value Unit ("WRVU") productivity, and thereby, physician compensation.

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11 Hospital, Health System Executive Compensation Trends

11 hospital and health system executive compensation trends experts are seeing in the current market. As appeared on the Becker's Hospital Review website.

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Unique Compensation Issues in Critical Access Hospitals

At the forefront for rural and critical access hospital challenges is attracting and retaining talent. To address the lack of benchmark pay data available to this specific industry segment, INTEGRATED Healthcare Strategies has launched a Leadership and Staff Compensation Survey for Critical Access Hospitals.

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Physician Compensation Policy: Do You Have One?

In this article, we offer recommendations for physician compensation plans and policies to ensure compliance, and maintain morale and satisfaction among the physician workforce.

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What are you really paying? Compounding of pay practices and market positioning

Although special pay programs make up a significant portion of total compensation, most organizations do not review these programs and policies on an annual basis. The hidden cost to many organizations is the compounding effect of these differentials.

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“Say on Pay” Begins to Have Effect

Boards and their compensation committees have no obligation to change programs that are voted down by shareholders, but a negative vote delivers a strong message. Shareholder voting only applies to publicly traded companies, but what if employees and retirees encouraged other stakeholders to give a vote of no confidence to the board for its decisions on executive pay?

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120 Statistics on Medical Director Compensation

The role of medical director has drastically changed for hospitals over the past several years. Traditionally, some physicians volunteered to fulfill medical directorship duties, but now that the positions require more time and effort, physicians expect to be appropriately compensated.

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Catching Up With … William F. Jessee, MD, FACMPE

An interview conducted by the publication Medical Home News with William F. Jessee, MD, FACMPE on the topic of physician practices. As appeared in the April 2012 issue.

Physician Compensation: The Market Line Balancing Act

Healthcare administrators are faced with "the balancing act" of physician compensation. Developing these plans can feel like a circus, but there are methods to effectively approaching physician compensation

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Results of the Spring 2012 Salary Increase, Incentive, and Benefit Updates Survey

The major findings from the sixth survey in a series that examines trends in healthcare salary increases, incentive practices, and benefit changes given the unstable economic conditions.

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Rewarding Success at Meeting Community Needs

Attacks on tax-exemption status have led some hospitals to publicize community benefits they provide in exchange for their tax exemption. Tying a portion of executives' pay to community benefit or tying tax-exemption to the amount of community benefit provided are two strategies.

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Compensation Manifesto: 11 Steps for Hospital CEOs and Compensation Committees to

A review of our session at the ACHE 2012 Congress on Healthcare Leadership by Becker's Hospital Review.

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Physician Leadership Development: A Strategic Imperative for Integrated Healthcare Delivery

High-performing physician leaders are critical in this era of health reform. Well-developedphysician leaders can help healthcare organizations achieve goals for improved qualityof care and financial success. As appeared in Healthcare Executive Magazine, Jan/Feb 2012 issue.

New York Attorney General Proposes New Rules

New York Attorney General A. G. Schneiderman announced a new initiative to reduce regulatory burdens and strengthen governance and accountability of non-profit organizations in New York.

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One Step Every Healthcare Organization Can Take to Enhance Employee Engagement...Sales Training

What's the one education or training session hospitals should do for our managers? Believe it or not, it's sales training.

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Physician Contracting & Compensation Pitfalls to Avoid

One physician contracting and compensation pitfall is paying physicians serving as medical directors compensation for performing non-medical directorship functions.

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New York Metro Area Executive Compensation - Survey Results Analysis

Results from the most recent New York Metropolitan Area Survey of executive compensation in hospitals and health systems.

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Do You Have a Game Plan for Your Physician Practices?

Often, a hospital acquires a physician practice without a clear strategy for making that practice and their new employed physicians valuable players for their organization's team.

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Trends in Long Term Incentive Practices Over the Past Decade

Opportunities for long-term incentives for CEOs of not-for-profit health systems have increased,but prevalence of such plans remains stable.

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Leaders are Employees Too!

Data from employee opinion surveys indicate that healthcare leaders are becoming more and more dissatisfied as "employees." Commonly, the problem lies undetected but the effects impact the entire organization.

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Physician Call Compensation Rates: 11 Determining Factors

On-call coverage payments for emergency departments and trauma programs have increased in the past five to seven years, forcing hospitals to look at different strategies to have physicians on-call while also controlling the high call compensation levels. As featured by Becker's Hospital Review.

Bringing the romance back to hospital-physician partnerships

Tips from William, F. Jessee, MD, FACMPE on how hospitals can revive souring relationships with purchased physician practices. As appeared on Healthcare Finance News, January 18, 2012.

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William F. Jessee Talks Physician-Hospital Alignment

So far, neither hospitals nor physicians are up to the challenge of properly aligning themselves. Often lacking is a clear set of organizational goals and strategies to carry out the task of integration, says the former head of the Medical Group Management Association.

Physician Call Pay: Market Trends & General Guidance

The need for physicians on call in emergency departments and trauma centers has been steadily increasing over the last several years. But the increasing demand for higher and higher pay could put healthcare organizations in danger of over-compensating their physicians for this service.

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HR Leadership in Healthcare - at a Crossroads

Two types of Human Resource leaders have emerged in the healthcare industry. How do they differ, and which one is more effective in today's healthcare environment?

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2012 Poised for Success

Executive Insight magazine, December 2011 issue Executive Insight magazine spoke with experts on how to take challenges brought forth in 2011 with best practice solutions to have a successful 2012 and beyond.

Massive Layoffs: Are They Part of Healthcare's Future?

With healthcare reform, healthcare providers are under pressure to reduce costs. The payroll costs of wages and benefits for most healthcare providers is at least 50% of overall costs. Simply put, hospitals will have to find a way to provide high-level care and service with fewer people.

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2011 Medical Director Survey Highlights and Trends

The Integrated Healthcare Strategies Medical Director Survey reports on data that assists organizations in setting compensation for medical directors within fair market value and provides information on relevant trends in the marketplace. In this article, we highlight results from the 2011 survey results.

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Paying Primary Care Physicians Under ACOs

Examines how you compensate primary care physicians and caregiver teams for managing a defined population in an ACO, and avoid non-compliance penalties enforced by regulations aimed to ensure that compensation is reasonable and reaches the level for determining Fair Market Value (FMV).

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New York Asks Not-for-Profits to Justify Executive Pay

Trustees of hospitals and other agencies and institutions that receive funding from the State of New York now have to disclose and justify the way they pay their executives in far more detail than required for IRS Form 990.

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Establishing & Sustaining a Culture of Trust & Transparency

The new model of healthcare will demand better physician-hospital alignment and higher levels of trust between the board, CEOs, and physicians. How can these key players promote a culture and relationship that builds rather than erodes trust?

The Essential CEO Appraisal

The annual CEO appraisal process is critical to an organization’s success; learn how to do it right.

How the Transformation across Healthcare is Impacting Executive Compensation, Search & Relationships

An interview with Senior Vice President, Mark Wade. As appeared in the September 2011 issue of the Connex Chronicle.

Key Differences in Executive and Physician Benefits

As more healthcare organizations look to align with physicians and more physicians seek employment, it is important to understand how employed physicians are typically compensated.

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Looking at Length of Stay in an Untraditional Sense

One strategy that can result in significant savings is to reduce the variability of inpatient length of stay.

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IRS Rules on Cell Phones

IRS rules that personal use of an employer-provided cell phone will not be taxable to the employee so long as the employer has substantial reasons relating to its business for providing the phones.

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Trends in Not-for-Profit Board Compensation

Board compensation practices are subject to heightened scrutiny just as CEO compensation is. Boards should be prepared to defend a rationale for the practice of compensating board members.

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Parkland Memorial Hospital hires Integrated Healthcare Strategies to determine CEOs role

As reported in the Dallas Business Journal on September 13, 2011. A CMS investigation that nearly lost Parkland Memorial Hospital its government funding resulted in its governing board voting to hire Integrated Healthcare Strategies to help figure out Dr. Ron Anderson's next role with the institution.

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M&A Activity at Record High - But Many Will Stall at the Employee Intersection

A common denominator in every healthcare M&A transaction is the people, but too often HR due diligence is put off until late in the diligence process and involves nothing more than a side-by-side comparison of benefit programs. In this article, we share three core perspectives to be used in evaluating all plans.

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No Such Thing as the Perfect Physician Cash Compensation Model

In this article, we review the cash compensation models being used at three successful organizations. While all are effective, they differ completely. We also share common trends that were found in each of the plans.

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Why an "Employee First" Culture is Better at Creating a "Patient First" Culture

An improved patient experience and better customer service are vital to survive in today's transparent, competitive healthcare environment. Instead of placing "patients first," some successful hospitals place "employees first."

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A Decade of Encore Performances?

Boards need to provide roadmaps that will help guide retiring executives to at least a decade of repeat performance and pride development opportunities. Take a look at the five key questions we suggest all senior leaders should answer.

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Governing in an Era of Accountable Care

This article looks at how governance can assist in the success of an Accountable Care Organization. This was published in The Governance Institute's August 2011 BoardRoom Press.

Unions Launch Multi-front Attack on Hospitals

Labor unions are stepping up their battle to regain decades of lost membership and have gone on the war path attacking healthcare organizations, tripling union activity since last summer.

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Case Study: Correcting Staff Pay Compression at MedCentral Health System

In this case study, we explore the pay compression issues MedCentral Health System experienced with their "step" pay system, and how their challenges were resolved with the right compensation strategies.

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Avoid the Tax - Community Health Needs Assessments Required

The Patient Protection and Affordable Care Act falls for all hospitals that meet the requirements of a 501(c)(3) organization under the Internal Revenue Code to conduct a Community Healthc Needs Assessment every 3 years.

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Mining the Middle Ground

Middle-management often provides the most important link between top management, operating staff, and patients. Yet this valuable resource is often stereotyped, overlooked, and left out of succession planning and key decisions - a potentially expensive and critical mistake.

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Integrated Delivery Models Need “Healthy” Physician Practices to Succeed

Healthcare organizations are recognizing the need to adopt models that integrate physicians into their operations. The task is a challenging one, but luckily, there are strategies and resources that can be implemented to get your organization where it wants to be.

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What Should the Compensation Committee Report to the Board?

Reviews best practices for what details should be reported to the board by the Compensation Committee, and what the board should delegate to the Committee.

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Should Hospital CEOs be Rewarded for Increasing Charitable Care?

Why are professors at the University of Connecticut trying to figure this out how trustees pay their CEOs through statistical analysis? And why do they conclude that tax exemptions should be tied to the amount of charity care and community benefit an organization provides? We could have told them what we already know.

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Pay Compression & Employee Engagement

Because of the economic downturn, pay compression has occured and can lead to a decreased job satisfaction and employee engagement. Through a recent survey, we discovered the most prevalent solutions to remedy this problem.

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Medical Oncology Alignment

In this article, we discuss professional service agreements (a model that has emerged as an increasingly attractive opportunity)for Medical Oncology alignment, the benefits of using them, and the common methodologies for compensating physicians for their services under this model.

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Boards and Physician Leaders Share Concern About ACO Journey

Published in June 2011 by Becker's Hospital Review online. Boards and physician leaders recognize that the future of healthcare organizations includes ACOs and closer physician/ hospital alignment. However, the journey toward ACO engagement is uncertain and will require a practical roadmap.

Becker's Hospital Review: Physician Leadership Incentive Compensation Plans

This articles published by Becker's Hospital Review in June 2011 reviews steps to develop a Physician Leader Incentive Plan, as well as criteria for measurement of performance.

Becker's Hospital Review: Improving Quality of Care Through Incentive Plans

Improved quality of care in hospitals and health systems is a core initiative in the healthcare reform laws. A common method to see results is by including quality goals in the executive incentive plan.

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Building Trust in the Triangle

Practical Insights from Governance Institute Conferences. As appeared in The Governance Institute eBriefing, March 2011.

Closer IRS Examinations of Section 501(c) Claims

The Director of the IRS' Exempt Organizations division has announced that, beginning in fiscal year 2011, the division will conduct more examinations of organizations claiming exemption under sections 501(c)(4), 501(c)(5), and 501(c)(6).

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Spring 2011 Salary Increase & Benefit Updates Survey Results

The results for the Spring 2011 survey monitoring trends in salary increases, incentive practices, and benefit changes.

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Quality Metrics and Accountable Care Organizations

The CMS recently published new recommended quality measures, and for healthcare organizations, many should already be familiar from other CMS quality programs they have participated in. Bottom line - healthcare organizations should aim to align their quality measures with ACOs and other physician alignment initiatives.

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Section 409A Compliance Again?

The number of executive compensation plans still not compliant with the 409A regulations would surprise you. Significant penalties can be doled out to employees for noncompliance, so it's wise to make the necessary updates to documents.

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Labor Union Activity Spikes, Why Hospitals Should Pay Attention

Recently, there has been a spike in labor organizing activity. All health systems and hospitals should take heed and ensure they are taking the proper employee engagement and alignment measures to prevent labor activities.

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2011 Medical Director Survey Open for Participation

Resource for medical director compensation for physicians who provide administrative-related duties. Participants will receive a PDF copy of the survey results free of charge.

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Physician Pay in ACOs: Metrics Matter in Value-Based Compensation

IHStrategies recently conducted a survey to investigate key questions related to physician pay-for-performance in ACOs. In this article, we share an overview of our findings with you.

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Community Benefit and the Executive Incentive Plan

Community benefit, as it is generally understood, is rarely a part of an annual incentive plan for healthcare executives. Despite their negative impact on financial performance, the argument for including some kind of community benefit indicator in executive incentive plans is strong.

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IHStrategies Launches National Executive Benefits Survey

The National Healthcare Executive Benefits Survey is unique in the industry as one offering comprehensive data on a wide range of data on healthcare executive benefits.

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Improving Quality of Care Through Executive Incentive Plans

Improved quality of care in hospitals and health systems is a core initiative in the healthcare reform laws. A common method to see results is by including quality goals in the executive incentive plan.

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2010 Mid-Level Provider Survey Results Published

Results from the IHStrategies 2010 Mid-Level Provider Survey. The 2010 survey provides the most comprehensive data on individual cash compensation and pay practices specific to nurse practitioner, physician assistant, and certified nurse mid-wife positions.

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5 Characteristics of an Engaged Hospital Workforce

Identifies five characteristics of an engaged hospital workforce. Published by Becker's Hospital Review, March 2011.

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ACOs and Value for Money

As appeared in Healthcare Executive magazine, March/April 2011 issue. Examines eight imperatives for enhanced board and organizational performance.

IHStrategies Healthcare Compensation Surveys are Underway!

Our popular healthcare compensation surveys have kicked-off for 2011, and this year brings new improvements and enhanced data to our already comprehensive benchmark intelligence. Read on for participation and publication information for our Leadership, Staff, Nursing, Medical Director, and (new) Mid-Level Provider compensation surveys.

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Ready for 2011 & Beyond? Dramatic Ideas to Manage a Changing Workplace

Employee expectations are shifting. Management will need to open their ears and be prepared to act if they want to maintain a happy and motivated workforce.

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Form 990 Compensation Requirements for 2010

Changes to the Form 990 and instructions for reporting compensation using the form since the major modifications implemented in 2008. With the help of information provided by Sherman & Patterson, Ltd., we offer you a helpful guide to the reporting on this form.

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IRS Audit Results on Loans at Tax-Exempt Organizations

Many health care organizations have moved to using the updated Form 990 for more transparent reporting, but the IRS still has concerns. Gaining closer examination are the loans paid to high-ranking executives and how they are reported on the Form 990. Here we review the results from a report published by the IRS.

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What to Expect in 2011: New Challenges in Leading the People of Healthcare

While 2010 was a year focused on healthcare reform and its effects on how healthcare organizations are managed, 2011 looks to be the year where 'people' issues take center stage.

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Governance in 2020

IHStrategies worked with The Governance Institute (TGI) during 2010 to define insights into how our hospital clients' governance structure and policies will need to look and behave in 2020.

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Executive Recruiting... Candidates Speak Out

Recruiting for management and executive positions significantly increased in 2010. To help healthcare organizations place the best possible candidate from their pool, we compiled the top five do's and don'ts during the search process...straight from candidates' mouths.

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Trust Building for Performance Building: Boards and Their CEOs

A healthy, well-functioning relationship between the board and its CEO is critical to optimal organization success. This article shares feedback from participants of a conference hosted by the Governance Institute on effective ways to build trust and develop effective CEO performance planning and appraisal processes in hospital systems.

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Labor Unions are Dead...or at Least on Life Support

This article looks at the two main reasons that labor unions have become irrelevant to most working individuals today: improved relationships between healthcare leaders and their employees, and a changed perception of labor unions by younger generations.

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Motivating Employees Under an ACO

In an industry already riddled with high levels of job insecurity and wage issues, further strain on hospital and employee relations is a cause for great concern. To call for even higher accountabilities for quality and customer service, hospital leaders will need to take employee motivation to the next level.

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Accountable Care Organizations vs. Health Maintenance Organizations

Examines the similarities and differences between ACOs and the HMOs of the 1960s. Highlights areas where ACOs can learn and improve from previous HMO practices.

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Healthcare Executive article: Say Hello to Modern Governance

As appeared in the September/October 2010 issue of Healthcare Executive. The article reviews how hospitals and health systems have begun to develop governance enhancement plans in response to heightened requirements for non profit providers.

"How Will I be Compensated for my Ancillary Services?"

How does a healthcare organization approach the compensation conversation with acquired physicians? The use of work RVUs to determine compensation is not a concept private practice physicians are familiar with. The conversation commonly ends with a questions: "How am I compensated for my ancillary services?"

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INTEGRATED 2010 National Compensation Surveys: Data Briefing

A look at the INTEGRATED Healthcare Strategies 2010 National Healthcare Leadership, Staff, and Nursing surveys, including data briefings from each.

Mid-level Providers in a Changing Healthcare Workforce

Physicians are already in short supply, and with health care reform, mid-level providers will likely need to step in and play a bigger role than they currently do today. This article looks at where mid-level providers are practicing, how they are paid, and how their role will need to change.

Board Portals and Enhanced Governance

Board portals are a tool that should be at the top of a hospital or health system's infrastructure plan to support the pursuit of continuous governance enhancement. Published in BoardRoom Press, August 2010.

Boards and Physician Leaders Share Concern About ACO Journey

Hospital organizations of all sizes are planning how to build Accountable Care Organizations into their strategic and financial plans for 2011-2015. All boards and physician leaders recognize that the future includes ACO care management and closer physician alignment to some degree. But the road to get there may not be a smooth one, so a practical roadmap will be required.

A Call for Increased Oversight of Physician Compensation

To ensure compliance and commercial reasonableness, healthcare organizations will need to be educated on key terms, best practices for governing physician compensation, and techniques for maintaining good governance.

When Cutting Executive Salaries is Appropriate

While many hospitals have temporarily frozen executive salaries, a few have gone a step further and actually cut them. As appeared in Becker's Hospital Review, July 21, 2010.

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New Conversations for Physician Engagement

Five design principles to update your governance model.

What Makes a Successful CEO Search Committee?

In this article, we outline the most commonly asked questions related to CEO search committees -from the ideal size of the committee, to who should and should not be included to serve on the committee.

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Healthcare Labor Update 2010

This labor update summarizes the current challenges that Big Labor faces, plans the Obama Administration has to deal with these dilemmas, and how and when employers will feel the impact of these changes.

How to Take Control of the Compensation Conversation

Focuses on the issue of increasing hospital and health system executive pay scruitiny and action strategies. As appeared in the May 2010 issue of Trustee magazine.

Rethinking Executive Pay in Community-based Organizations

An article from WorkSpan, authored by David Bjork. June 2010.

Spring 2010 Salary Increase and Benefits Change Survey- Preliminary Results

Initiated by the declining economic condition, Integrated Healthcare Strategies (IHStrategies) began monitoring trends in salary increases, incentive practices and benefit changes in the fourth quarter of 2008. This article provides a snapshot of the major findings from the fourth survey in the series, examining the first quarter of 2010.

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Developing Great Physician Leaders

Successful alignment demands effective physician leaders - and a growing number of healthcare organizations are looking at how they can build the talent they'll need to take their organizations into the future. As appeared in Healthcare Strategy Alert, 2010, Issue 2.

Executive Relocation Practices Survey - Summary of Results

Our MSA Executive Search practice surveyed healthcare human resources executives about their executive relocation practices and benefits. A follow-up to our October 2008 survey.

Revenue Less Expense Compensation Models

This article examines the pros and cons related with the revenue less expense model and details the criteria for it to comply with Stark II, tax-exemption standards and the Medicare Anti-Kickback Statute.

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Medical Group Governance: 50 Practices of Top Performing Boards

2009 Report - from The Governance Institute of Hostpials and Health Systems and a study done for American Medical Group Association (AMGA).

The Changing Face of Senior Services

Examines the advancements and new options for care now available to seniors through their retirement years.

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Leading the Multigenerational Work Force

Examines the generational gap that is occuring between leadership and employees as executive roles continue to be held by Baby Boomers, while more and more employees are of Generation X and Y. As appeared in the September/October 2009 issue of Healthcare Executive.

Where Sound Executive Compensation Policy and CEO Recruitment Intersect

To provide insight on how boards can resolve the potentially conflicting issues healthcare organizations may face as they prepare to recruit and compensate an incoming CEO, Integrated Healthcare Strategies interviewed experts in two of healthcare's most challenging arenas today: executive compensation and CEO recruitment.

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Brochures & Literature

2016 Physician Compensation & Production Survey Custom Scatter Graph

As the physician landscape continues to evolve, the way in which organizations pay their physicians is becoming more complex and highly scrutinized. At Gallagher Integrated, we understand the challenges of creating a compensation philosophy that addresses the intricacies of the regulatory environment as well as assuring market competitiveness and the ability to recruit and retain.

Integrated Healthcare Strategies Brochure

For more than 40 years, Integrated Healthcare Strategies (Gallagher Integrated), a division of Gallagher Benefit Services, Inc., has provided consultative services and people-based solutions to clients across the healthcare spectrum, including community and children’s hospitals, academic medical centers, health networks, clinics and assisted-care providers. Gallagher Integrated consultants and nationally recognized thought leaders help organizations achieve their business goals by ensuring top talent is attracted, retained and engaged, while measuring and maximizing human and organizational performance. With tailored solutions that extend well beyond single services, Gallagher Integrated offers the knowledge, guidance and insights that organizations need to not only survive the rapidly changing healthcare environment, but to succeed in it.

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About Us

a two-page summary of our company, our history, and how our expert consultants and nationally recognized thought leaders help healthcare organizations achieve their business goals.

Physician Services Brochure

Physician Services is dedicated to creating successful relationships between healthcare organizations and their practicing physicians. We will carefully audit, design, and implement a total physician compensation plan that not only satisfies your key physicians—satisfaction that impacts patient care—but can ultimately improve your bottom line.

Physician Services Flyer

Our Physician Services team is dedicated to creating successful relationships between healthcare organizations and their practicing physicians.

Total Compensation & Rewards Brochure

From industry leading compensation surveys to staff compensation audits to reasonableness of executive total compensation, Integrated Healthcare Strategies, a division of Gallagher Benefit Services, Inc., is the trusted compensation authority for leading healthcare organizations.

Total Compensation & Rewards Flyer

Integrated Healthcare Strategies (Gallagher Integrated), is the compensation authority for executive, director, and staff compensation, and industry leading compensation surveys.

Human Resource Consulting Brochure

Integrated Healthcare Strategies, a division of Gallagher Benefit Services, Inc., is ready to help you leverage the largest organizational expense in healthcare—your workforce—to deliver to your institution’s mission, reinforce your vision, and support your values.

Human Resources Consulting Flyer

Leverage your workforce to deliver your institution’s mission, reinforce your vision, and support your values.

Governance & Leadership Brochure

Integrated Healthcare Strategies (Gallagher Integrated), helps hospital Boards improve performance and develop strategies and systems to enhance the governance of complex healthcare and hospital systems.

Governance & Leadership Flyer

Integrated Healthcare Strategies (Gallagher Integrated), helps hospital Boards improve performance and develop strategies and systems to enhance the governance of complex healthcare and hospital systems.

Gallagher MSA Search Overview

Gallagher MSA Search, a division of Gallagher Benefit Services, Inc., has a rich history spanning more than 30 years of helping organizations fill mission-critical executive roles with the right talent. With a thorough understanding of healthcare organizations and a customized approach to sourcing and selecting healthcare executive candidates, Gallagher MSA Search combines comprehensive interview and assessment process with unique insights gained from years of search consulting success and hospital administration experience.

Mergers & Acquisitions Flyer

Advisory consultants to help you through the challenging process of healthcare mergers and acquisitions.

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Interim Leadership Flyer

Interim Leadership services assist healthcare organizations with unexpected executive or director-level position vacancies.

Interim Leadership Brochure

Integrated Healthcare Strategies, a division of Gallagher Benefit Services, Inc., offers vetted and proven interim leaders who have the capability and experience to hit the ground running, providing stability and continuity within your organization.

Engagement Surveys Flyer

Measurement solutions for key members of your team - employees, physicians, volunteers, and trustees.

Interim Leadership - Vizient Awardeded Supplier

We at Gallagher Integrated share Vizient’s high ethical standard of behavior. Arthur J. Gallagher & Co., alongside Vizient, has been named to the Ethisphere Institute’s annual list of World’s Most Ethical Companies. Our Interim Leadership services assist healthcare organizations with unexpected executive or director level position vacancies.

Executive Search Flyer

Gallagher MSA Search, a division of Gallagher Benefit Services, Inc., offers the most thorough executive selection process in the industry. We spend significant time with each individual candidate to assess their strengths and weaknesses, before ever presenting them to you for an interview

Gallagher MSA Search - SearchDIRECT

The SearchDIRECTservices of Gallagher MSA Search, offers a streamlined approach to customizing, pricing, and delivering search for critical director-level positions.

Case Studies

Assessments to Enhance Your Physician Practice

When healthcare or practice leadership allow for some or all components of its operations to be reviewed, the door opens on solutions that will produce a measurable results.

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Will Physicians Follow RNs and Wear the Union Label?

With hospitals and health systems now directly employing physicians, they may begin viewing organizing into labor unions as more and more attractive.

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BayCare Health System Transforms Marketing Leadership

BayCare Health System needed new Marketing leadership to help direct it's new patient-centric model. It partnered with MSA Executive Search for access to a strong pool of highly qualified candidates. A few years later, BayCare again turned to MSA Executive Search to fill some Regional Marketing Director positions.

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Strategic Partnerships Create Success in Executive Search

When Saint Francis Care of Hartford, Connecticut went through a major strategic planning initiative, it realized its leadership team had a gap. It did not include a senior physician executive focused on leading physician integration and alignment for the future.

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An Expedited Timeline, a Streamlined Process, & the Right Search Firm Find the Ideal Director of HR

Fort Healthcare needed to fill a Director of Human Resources position quickly, but the Wisconsin provider also required a search firm that could offer a non-traditional executive search process with a speedy presentation of candidates, and at a lower cost.

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Intermountain Healthcare Finds the Perfect fit in a Non-Typical Candidate

See how Intermountain Healthcare of Salt Lake City, Utah, found the best candidate in the middle of seemingly better qualified talent with the expertise of an executive search firm with a proven process and deep candidate networks.

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Correcting Staff Pay Compression at MedCentral Health System

MedCentral Health System contacted Integrated Healthcare Strategies for assistance with a staff compensation assessment. MedCentral Health System is a two-hospital, 361 bed health system with over 2,500 employees located in Ohio.

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The Nebraska Medical Center and IHStrategies Bring CNO to Award-winning Academic Medical Center

The client knew replacing an admired and long-tenured retiring CNO would be a tremendous challenge, and so did our search consultant. A flexible approach, customized search process, committed partnership, plus convincing the CEO to take a unique approach, yielded a smooth process and a successful outcome.

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Encouraging Executive Retention During a Change in Leadership

IHStrategies was engaged to assist a client in designing a retention incentive plan for its executive team, in which multiple members were seen as candidates to fill the retiring President and CEO's position, but where there was concern member's would leave during the transition period.

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Restructured Pay and Enhanced Physician Productivity

A Southeastern Florida Integrated Delivery System partnered with IHStrategies to restructure compensation and more closely tie compensation to physician performance.

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Developing an Integrated Physician Practice

A Top 100 Midwestern Hospital retains IHStrategies to perform a mulit-level engagement that allowed the client to develop an integrated physician group.

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Common Benefit Plans & Reviewing Physician Cash Compensation

IHStrategies helps a prestigious East Coast Medical Center design a common benefits plan for three merged entities, and analyzes physician cash compensation to uncover hidden issues.

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Cash Compensation Based on Productivity

A World-renown mid-west mental health center redesings its cash model to make more pay based on productivity versus straight salary.

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Compensation and Benefits Integrate with Physician Performance to Earn Big for Client

Coastal Southeast Integrated Delivery System generates over $3.5 million in additional revenue with new total compensation plan.

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Attracting the Right Talent for a Turnaround

With net revenues significantly down, one healthcare organization looks for an enticing compensation package to attract and retain a new management team.

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Grandfathered vs. Non-Grandfathered Retirement Benefits

A client that sponsors a SERP struggles to provide parity between grandfathered and non-grandfathered executives employed.

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Flexible Compensation Packages for Diverse Executives

A client seeks to review, update, and resdesign their executive total compensation package to comply with legislative and IRS requirements, and meet the diverse needs of its executive team.

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Client Tools

Form 990 - Schedule H

Hospitals

Form 990 - Schedule J

Compensation Information

Form 990 - Schedule L

Transactions With Interested Persons

Form 990

Return of Organization Exempt From Income Tax

Legislative and Regulatory Information

Yates Guidelines_Board Member Risk

Hospital and health system boards are becoming nervous about exposure to personal liability from their board work. The Department of Justice (“DOJ”) recently announced two False Claim Act (“FCA”) settlements requiring a Board member and executive leadership to make considerable monetary payments to resolve their liability for their involvement in the illegal scheme. See the entire document that lays out board member risk.

New Overtime Rules and How They Apply to You

The U.S Department of Labor (DOL) announced the final ruling to increase overtime eligibility for citizens making less than $913 a week, or $47,476 annually. The new rule goes into effect December 1, 2016.

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457(f) Proposed Regulations Relating to Deferred Compensation Plans

The IRS and the Treasury Department have released the long-awaited, proposed 457(f) regulations relating to deferred compensation plans of tax-exempt organizations and state or local governments. These regulations flesh out the general rule that deferred compensation in tax-exempt or governmental organizations becomes taxable once it is no longer subject to a substantial risk of forfeiture.

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Fair Labor Standards (FLSA) Act: Final Rule Regarding Overtime Regulations

The December 1 effective date provides organizations with time to be proactive in their approach to the final rule on overtime regulations. Forward-thinking organizations will use this change as an impetus to take a systematic approach and broadly review their workforce, its structure, and how it is rewarded. Will your organization be ready? This whitepaper reveals strategies for compliance, considerations, and impact models to implement into your strategic planning. It was written by the following thought leaders from Arthur J. Gallagher and Integrated Healthcare Strategies (Gallagher Integrated), a division of Gallagher Benefit Services, Inc

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Newsletters

March Vitals Newsletter: the best insights from the latest conferences

In this month’s issue of Vitals, we’re recapping some of the best insights from the latest conferences. We’re also proud to announce that Gallagher Integrated is a sponsor of the 8th Annual Becker’s Hospital Review in Chicago, IL. Read on for information about where our top thought leaders will be speaking and what topics they’ll be covering. We hope to see you there!

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February ELEMENTS

The latest governance news from Integrated Healthcare Strategies and the Governance & Leadership practice.

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Best of VITALS 2016

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Physician Compensation Leadership Forum Highlights

The 2016 Gallagher Integrated Physician Compensation Forum was held in Minneapolis over a day and a half in late September, with presentations from Gallagher Integrated’s leading consultants and healthcare practitioners. While there, we discussed important issues impacting physician compensation, governance, engagement, and more. Watch the video recap and check out the materials below to experience Gallagher Integrated’s physician compensation insights for yourself!

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A Post-Election Newsletter

This month’s newsletter looks at the election’s impact on healthcare, highlights regulatory changes and their implications to healthcare organizations, and pinpoints where leadership burnout begins. As you consider the changes in healthcare in the near future, will your organization be prepared?

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Are You Ready for the Next Generation of Healthcare?

This month’s newsletter includes a look at the impact of generational differences on both employee and physician engagement. As you consider the likelihood that your next CEO will be a Gen-Xer or wonder how generations embrace engagement, ask yourself one question: is my organization prepared?

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The Compliance & Regulations News You Need

Today we highlight the regulatory changes and their implications to healthcare organizations. With heightened scrutiny that affect all elements of an organization, it is critical these changes are fully understood and discussed.

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New Roles in Healthcare

In this issue of the Gallagher Integrated VITALS Newsletter, we explore insights from our top thought leaders on transformative roles in healthcare, and how health systems can succeed in the new era of healthcare.

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The New Normal is Here!

The past year has seen a lot of changes in the healthcare industry. At Gallagher Integrated, we see these changes - the shift to a new normal - falling into four collective categories: The New Practitioner, The New Patient, The New Leaders, and The New Culture.

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Vitals Best Articles of 2015 Newsletter

2015 was a big year for Gallagher Integrated, and we’ve put together a list of all the top articles from the year. Read the issue for access to our most viewed and downloaded articles from 2015—all in one place.

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Vitals December 2015 Newsletter

Take a look inside our Governance Digital Library to explore several smart practices for board decision-making! This issue includes insights and news on APC supervision, interim leadership, assessing and retaining workforce engagement, and aligning physician compensation with new compensation models.

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Vitals September 2015 Newsletter

Exclusive article from Ken Ackerman, FREE Interim guide, 2015 compensation survey results, the latest Gallagher Integrated whitepaper on consumerism, and more featured in September!

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Vitals August 2015 Newsletter

This issue includes articles such as "How To: Write a Medical Staff Development Plan," "Staff Compensation: Building a Foundation," and "The Missing Link In Your Physician Compensation Plan."

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Vitals May 2015 Newsletter

An Important Message Regarding Our Partnership with Arthur J. Gallagher & Co., Our Advice on Staff Compensation Conundrums, Gainsharing Programs: FMV/Commercial Reasonableness Implications, Nursing Compensation Survey Results, and Incorporating Panel Size into Physician Compensation Plans

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Vitals March 2015 Newsletter

Population Health Management: The New Frontier, Best Practices fro Paying Community Physicians for Clinical Research, A Physician Compensation Survey that Digs Deeper, 3 Questions Trustees Must Ask for Population Health Readiness, and more.

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Vitals February 2015 Newsletter

Population Health Management, generational research gone wrong, anesthesia market projections for 2015, board quest for quality improvement, and 2015 national compensation surveys.

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Vitals January 2015 Newsletter

Our "Best of" Vitals 2014!

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Vitals December 2014 Newsletter

The shifting venues in the delivery of care, rethinking physician engagement measurement, governance culture and performance improvement, people plans for physicians, 5 critical qualities of the 21st century healthcare leader, and a rational approach to physician integration.

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Vitals November 2014 Newsletter

The shifting venues in the delivery of healthcare, linking compensation to pay incentives, 6 strategies to retaining high performing executives, and more.

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Vitals October 2014 Newsletter

Increasing healthcare consumerism, assessing the performance of employed physicians, compensation survey results, and more.

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Vitals September 2014 Newsletter

Board compensation in not-for-profit health systems, compensation survey results, benchmarking without benchmarks, and more.

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Vitals June 2014 Newsletter

Decreased payments and increased risks, emerging physician leader roles, people plans for the new healthcare environment, and more.

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Vitals April 2014 Newsletter

Rethinking the art and science of physician engagement, compensation surveys, and is your practice healthy and fit?

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Vitals February 2014 Newsletter

Don't miss out on the February "Best Of" Vitals 2013!

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Vitals January 2014 Newsletter

Measuring Engagement in 2014 + Trends, Insights, & Comp News!

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Vitals November 2013 Newsletter

What Makes a Chief Medical Officer Effective? | Plus Healthcare Trends, Insights, & Compensation News

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Vitals September 2013 Newsletter

Over the past several years of economic instability, INTEGRATED Healthcare Strategies has been monitoring trends in healthcare. One particular focus has been measuring and managing engagement to improve organizations' operational efficiencies and performance. Learn how to improve engagement with these nine steps in our feature article. Also check out other healthcare trends, compensation news, and insights.

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Vitals August 2013 Newsletter

Read about the top 4 trends INTEGRATED Healthcare Strategies spotted from the in the recently published National Healthcare Executive Benefits Survey. Also learn about additional healthcare trends, compensation news and insights in the August 2013 edition of Vitals.

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Vitals July 2013 Newsletter

As health systems face demands for greater accountability and performance, the working relationships between the three key leadership groups known as "The Triangle" (the board, executive leadership and physicians) have never been more important. These working relationships are dependent on expanding and enhancing "trust." Trust matters in the pursuit of organizational performance and vitality. Learn more about this topic and other compensation news, insights, and trends!

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Vitals May 2013 Newsletter

Our newsletter is currently getting a make-over. Now delivered eight times a year, we'll be bringing you the best industry topics even better. While you wait for the reveal, please enjoy the eight most popular newsletter articles in the past year.

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February 2013 Newsletter

Employee engagement; how the public perceives healthcare leaders; trust with docs & hospital managers; the 3 main components in healthcare - the INTEGRATED eNewsletter has answers.

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January 2013 Newsletter

Don Wegmiller Joins Hall of Fame; 5 Physician Compensation Strategies; Impact Of Turnover; Decreasing Union Representation; New Legislation; Compensation Surveys; Physician Benefits Survey

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December 2012 Newsletter

Topics: Salary Increase Data; IRS Audits; Cardiology Pay; Labor Union Trends; Physician Leadership Training; and High-Performing Cultures.

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November 2012 Newsletter

News: Physician Recruiting; Managing Reform; Rising CEO Pay; Physician Pay; Employee Engagement; Salary Trends

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September 2012 Newsletter

The INTEGRATED September 2012 eNewsletter includes topics on Medical Director & Executive pay data; physician engagement & more.

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October 2012 Newsletter

INTEGRATED October 2012 Newsletter is here: Physician Labor Unions; Boards & Physician Pay; Healthcare M&A; Leadership Legacy, more...

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August 2012

INTEGRATED Healthcare Strategies August newsletter on Volunteer Engagement; CEO Severance; M&A Culture Challenges; and 3rd Party Contracting.

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July 2012

The Jully 2012 issue focused on Medical Director Pay for Performance; Staff Compensation Data; Recruiting Gen Y; Aligning Pay to ACOs.

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June 2012

June 2012 issue covers: Hospital Volunteers; Physician Leaders; Nurse Pay Data; Merit Pay; and Medicaid Payments to Physicians

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May 2012

Our May 2012 newsletter issue covers new labor union rules; CPT code modifiers; a case study on healthcare recruiting; and our National Healthcare Executive Benefits Survey.

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April 2012

The April 2012 issue highlights: Critical Access Hospital Pay; Physician Compensation Policy; Healthcare Surveys; Say on Pay; Compounded Pay Practice Issues, and more.

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March 2012

Our March 2012 issue featuring a new book on Executive Compensation; a case study on strategic partnership; Physician Compensation; Results form our latest Salary, Incentive, & Benefit Updates Survey; and insights on rewards based on meeting community needs.

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February 2012

The February 2012 issue of our monthly newsletter includes topics on: Attorney General new rules on non-profit executive compensation; pitfalls in physician contracts and compensation; leadership training to engage employees; Leadership compensation in NY.

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January 2012

The January 2012 issue of our newsletter including topics on Successful Operation of Physician-Owned Practices, leadership satisfaction, and CEO long-term long-term incentive plan trends

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December 2011 Newsletter

The December 2011 issue of our newsletter. What's inside: Physician call pay trends; HR leadership in healthcare; the right candidate in a tight timeline; changes in salary increases, incentives and benefits.

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November 2011 Newsletter

The November 2011 Issue. What's inside: Healthcare layoffs; Intermountain Healthcare case study; Medical Director Compensation; Building Trust in Hospital Leadership

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October 2011 Newsletter

Paying primary care physicians in ACOs; NY asks non-profits to justify executive pay; culture for trust and transparency; impact of healthcare reform; 2011 compensation surveys

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September 2011 Newsletter

Topics include: Physician vs. Executive benefits; Physician Incentives; Measuring Physician Alignment; Employee Cell Phones; Advanced Practice Clinician Compensation; Board Compensation

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August 2011 Newsletter

The August 2011 issue of the Integrated Healthcare Strategies newsletter focusing on M&A activity, physician cash compensation, patient satisfaction, succession planning, and a survey on measuring physician alignment.

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Online Surveys

Presentations

Off-Script Episode 3: The Path Ahead

Unfiltered conversations can produce unconventional insights, and that's exactly what Off-Script offers. In Episode 3: The Path Ahead, we bring together six of the industry’s top experts to have a frank conversation about today's healthcare issues affecting practitioners, patients, leaders, and cultures—and the issues of tomorrow.

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Governing the Physician Enterprise: New Imperatives for Success

the complete presentation by James Rice at the 2016 Physician Compensation and Leadership Forum hosted by the Physician Services practice of Gallagher Integrated.

Risks in the Boardroom

On the journey for accountable care we will find Risks in the Boardroom. This presentation by Managing Director & Senior Advisor, Dr. James A. Rice, FACHE, explores risk mitigation for 13 risks in an era of accountable care.

The Shifting Venues in Healthcare Delivery: Planning Today for Tomorrow's Healthcare Leader

In December 2014, Kevin Haeberle and Jane Groves presented a webinar on the trending topic: the shifting venues in healthcare delivery. They focused on providing insight on how organizations can plan today for tomorrow's healthcare leader in regard to this trend.

Non-Traditional Data Analyses

In August 2014, senior consultant Jeff Christenson presented this at an internal education session, showcasing some non-traditional types of analyses clients have asked him to do in the past couple of years.

Where Is Healthcare Going? And How Will We Get There?

In October 2014, INTEGRATED's Bill Jessee presented "Where Is Healthcare Going? And How Will We Get There?" at Iowa Hospital Association's annual meeting. The presentation focuses on the forces shaping healthcare today, the delivery system changing in response to the environment, and what this all means for hospitals and physicians.

Navigating Troubled Waters: Leading the Process of Change

In October 2014, INTEGRATED's Bill Jessee presented "Navigating Troubled Waters: Leading the Process of Change" at Iowa Hospital Association's annual meeting. The presentation focuses on the what makes an effective leader--the qualities of leaders, elements of trust, and more.

Thriving Among the New Realities of Pay and Risk

INTEGRATED thought leaders Dr. William Jessee and Don Seymour share their insight and advice on the emerging pay/risk trend in today's evolving healthcare environment. This webinar coincides with their 3-part video series titled "Raising the Bar."

New Focus, New Structures, New Results in the Provider Sector of Healthcare

In a C-Suite Resources presentation, Chairman Emeritus Don Wegmiller provided INTEGRATED with knowledge and insight into the state of the provider sector of healthcare today. Topics covered include new structures, reforms impacting providers, and provider challenges.

MedAxiom Interview with Tom Becker: FMV, Productivity Measure, & Valuation

Tom Becker, senior VP of INTEGRATED Healthcare Strategies, sits down with MedAxiom's Suzette Jaskie and Somerset CPAs Stephen Diagostino to discuss Fair Market Value (FMV) for physician compensation, valuing a compensation plan without a productivity measure, and how practices and hospital systems can prepare for valuation.

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Spotlight on Executive Compensation in the Healthcare Industry

A presentation from a November 2011 webinar hosted by compensation and law experts from Integrated Healthcare Strategies and Eptein Becker Green.

Challenges in Executive Compensation: Are You and Your Board Prepared?

Presentation given to Institute of Healthcare Executives & Suppliers. Spring, 2010.

Lahey Clinic's Approach to Governance of Executive Compensation

Presentation from AMGA's 2010 annual conference. A case study, looking at Lahey Clinic's Executive Compensation Program.

High Performance Physicians: How to Recognize and Reward Physicians in a Quality Environment

A presentation on "High Performance Physicians: How to Recognize and Reward Physicians in a Quality Environment" presented to members of the Hospital Association of Southern California (HASC) in February 2010.

Physician Recruitment: The True Cost to Your Organization

Presentation from the Ohio Hospital Association 2009 Annual Meeting.

Physician Insights & Trends

March 18, 2009. A presentation on developing long-lasting relationships within the changing physician environment. Presented at the Montana Hospital Association.

Connecting HR to the Board with a Strategic People Plan

March 18, 2009. Presented at the Montana Hospital Association's Spring 2009 Conference.

CEO Selection: Getting it Right

2008 presentation that discusses the challenges associated w/successfully recruiting and retaining the right CEO candidate.

Securing HR's Seat at the Table: Developing and Selling Strategic

2008 Presentation from the ASHHRA Conference

Thriving (Not Just Surviving) in the Face of Big Labor's Assault on Health Care

2008 Presentation from the ASHHRA Conference.

Press Releases

Gallagher Integrated Named Novation Awarded Supplier

Integrated Healthcare Strategies, a division of Gallagher Benefit Services, Inc., has been named a Novation Awarded Supplier for interim management services. Novation is the nation’s leading healthcare services company focused on revolutionizing operational performance for more than 100,000 members and affiliates of VHA Inc., UHC, Children’s Hospital Association and Provista.

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Gallagher Integrated Enriches Governance and Strategy Services with Industry Leader Dr. James Rice

Integrated Healthcare Strategies, a division of Gallagher Benefit Services, Inc., is excited to announce the re-engagement of Dr. James Rice. A former executive at Gallagher Integrated, Dr. Rice will provide governance support for physician group and hospital clients.

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Integrated Healthcare Strategies Publishes Its 2015 National Nursing Compensation Survey

The National Nursing Compensation Survey presents data on emerging positions in healthcare as well as trends and special pay practices around the country, proving to be an effective tool for managing nursing salaries.

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INTEGRATED Healthcare Strategies Launches its Physician Compensation and Production Survey

INTEGRATED Healthcare Strategies, an expert in data gathering and understanding physician compensation, invites healthcare organizations to participate in its Physician Compensation and Production Survey. This survey is unlike other physician compensation surveys in the marketplace, as it breaks down total cash compensation into individual components of pay that align with production, allowing for a deeper analysis of physicians at the same income and productivity levels.

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INTEGRATED Healthcare Strategies 2015 National Compensation Surveys Season is Now Open

INTEGRATED Healthcare Strategies, a healthcare compensation and human resource consulting firm, announced the kickoff of its 2015 National Compensation Survey Season.

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INTEGRATED Healthcare Strategies Launches “Clearly Understandable” Employee Engagement Video Series

A video series making employee engagement and its impact on healthcare operations “clearly understandable.”

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INTEGRATED Healthcare Strategies Launches Concierge Medicine Survey

INTEGRATED launches new survey dedicated to collecting benchmark data on the growing trend of concierge medicine practices.

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Don Wegmiller, Former President and Current Chairman Emeritus of INTEGRATED Healthcare Strategies, Inducted into Modern Healthcare’s “Health Care Hall of Fame”

Don Wegmiller, Chairman Emeritus of INTEGRATED, inducted into the Modern Healthcare “Health Care Hall of Fame.”

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INTEGRATED Healthcare Strategies to Launch its 2013 National Healthcare Compensation Surveys

INTEGRATED Healthcare Strategies continues its twenty year history in compensation surveys with the opening of its 2013 season.

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INTEGRATED Healthcare Strategies and SullivanLuallin Group Announce New Service for Hospitals and Medical Groups

INTEGRATED Healthcare Strategies and SullivanLuallin Group offer a seamless solution for improving patient satisfaction scores.

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INTEGRATED Healthcare Strategies Ranked as One of the Largest Healthcare Management Consulting Firms

INTEGRATED Healthcare Strategies ranked in the top twenty on Modern Healthcare's 2012 list of the Largest Healthcare Management Consulting Firms in the nation.

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INTEGRATED Healthcare Strategies Announces Publication of New Book on Healthcare Leadership Excellence

INTEGRATED Healthcare Strategies announces the publication of "Healthcare Leadership Excellence: Creating a Career of Impact."

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INTEGRATED Healthcare Strategies Publishes Results from 2012 Medical Director Compensation Survey

INTEGRATED Healthcare Strategies published 2012 Medical Director Survey

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INTEGRATED Healthcare Strategies Publishes 2012 National Healthcare Leadership Compensation Survey

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INTEGRATED Healthcare Strategies Publishes 2012 National Healthcare Staff Compensation Survey Report

Reveals benchmark salary data from our 2012 National Healthcare Staff Compensation Survey.

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INTEGRATED Healthcare Strategies Reveals Breakthrough Insights on Healthcare Volunteer Engagement

Integrated Healthcare Strategies uses advanced statistical modeling to predict impact from changes in key volunteer engagement factors.

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INTEGRATED Healthcare Strategies Publishes 2012 National Nursing Compensation Survey Results

Benchmark data from our 2012 National Nursing Compensation Survey.

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Deborah Weber Joins Firm as Vice President in HR Consulting Service Line

Integrated Healthcare Strategies hires new Vice President with over 20 years of industry experience.

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NTEGRATED Healthcare Strategies Opens New Office In Palm Springs, California

Healthcare management consulting firm, Integrated Healthcare Strategies, expands its consulting service operations to the West Coast.

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David A. Bjork, PhD, Publishes Book on Healthcare Executive Compensation

Integrated Healthcare Strategies, in collaboration with the American College of Healthcare Executives (ACHE), has published the book “Healthcare Executive Compensation: A Guide for Leaders and Trustees.”

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Survey Results Show Latest Trends in Healthcare Salary Increases

Integrated Healthcare Strategies reveals key findings from its Spring 2012 Salary Increase, Incentive, and Benefit Updates Survey focused on healthcare executive and staff compensation.

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Carolinas HealthCare System Retains MSA Executive Search to Recruit Assistant Vice Presidents

MSA Executive Search retained to lead searches for an Assistant Vice President, Invasive Cardiology, and Assistant Vice President, Cardiovascular Surgical Services for Carolinas HealthCare System.

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Eastern Maine Healthcare Systems Names Derrick O. Hollings New Chief Financial Officer

MSA Executive Search helps Eastern Maine Healthcare Systems place Derrick O. Hollings as new Senior Vice President, Treasurer and Chief Financial Officer following a nationwide search.

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Integrated Healthcare Strategies Strengthens Physician Governance and Operations Consulting Services

Integrated Healthcare Strategies continues to grow its Physician Governance and Operations Consulting services in response to market demands; hires new consultant.

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Integrated Healthcare Strategies Announces Additions to Leadership Team

Healthcare management consulting firm, Integrated Healthcare Strategies, grows its leadership team; Terry Hobbs named new leader for Human Resources Consulting services and David Rowlee, Ph.D., to lead Engagement and Opinion Survey services.

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Integrated Healthcare Strategies Announces Exciting Changes in its MSA Executive Search Practice

Jane Groves, founding EVP and Practice Leader of MSA Executive Search shifts focus 100% on consulting; Pam Sime, expert in search and human resources in the healthcare industry, named new Practice Leader.

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St. Francis Care Hires New Leadership Executives Through MSA Executive Search

Saint Francis Care of Hartford, Connecticut, has hired Dawn Bryant as its SVP and Chief Human Resource Officer, and Linda Shanley as its VP/Chief Information Officer. MSA Executive Search/Integrated Healthcare Strategies was the retained executive search firm.

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Integrated Healthcare Strategies Survey Shows Latest Trends in Medical Director Compensation

Integrated Healthcare Strategies, recently published the results of its 2011 Medical Director Survey and shares highlights from the data.

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Mayo Clinic Health System of Eau Claire, Wisconsin Retains MSA Executive Search to Recruit New VP/CN

MSA Executive Search retained to lead a national Vice President/Chief Nursing Officer search for the Mayo Clinic Health System of Eau Claire, Wisconsin.

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Integrated Healthcare Strategies Announces Executive Vice President James A. Rice to Join MSH

Integrated Healthcare Strategies Announces Executive Vice President James A. Rice to Join Management Sciences for Health to Strengthen and Enhance Governance and Management of Grass Roots Health Systems in Developing Nations.

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Integrated Healthcare Strategies Shares Data From Healthcare Compensation Survey Results

Integrated Healthcare Strategies closes 2011 compensation survey season and shares highlights from published reports on staff, nursing, and leadership pay.

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Integrated Healthcare Strategies Survey Reveals Trends in Executive Benefits at Hospitals

Integrated Healthcare Strategies published data reported in its 2011 National Healthcare Executive Benefits Survey.

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Integrated Healthcare Strategies Ranked as One of the Largest Healthcare Management Consulting Firms

Integrated Healthcare Strategies, was ranked on Modern Healthcare’s 2011 list of “Largest Healthcare Management Consulting Firms.”

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Iowa Health System Retains Integrated Healthcare Strategies to Recruit New Physician Group EVP/COO

Integrated Healthcare Strategies has been retained to lead a national Executive Vice President/Chief Operating Officer search for Iowa Health System for its new physician group division that will act as the physician face for its medical practices.

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Integrated Healthcare Strategies Introduces Addition of Mergers and Acquisitions Advisory Services

Integrated Healthcare Strategies launched a service to help healthcare organizations with HR due diligence strategies during merger and acquisition transactions.

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North Kansas City Hospital Retains Integrated Healthcare Strategies to Recruit New VP

Our MSA Executive Search practice retained to lead a national Vice President search for Meritas Health Corporation of North Kansas City, Missouri.

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Physician Resource Planning Expert Joins Integrated Healthcare Strategies

Tony Kouba, Physician Resource Planning expert, has joined healthcare management firm, Integrated Healthcare Strategies, to assist clients with required Community Health Needs Assessments.

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The Aroostook Medical Center Retains Integrated Healthcare Strategies to Recruit New CNO

MSA Executive Search, an executive search firm dedicated exclusively to healthcare, has been retained to lead a national Chief Nursing Officer search for The Aroostook Medical Center of Presque Isle, Maine.

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Saint Francis Care Retains Integrated Healthcare Strategies to Recruit New VP/CIO

MSA Executive Search, an executive search firm dedicated exclusively to healthcare, has been retained to lead a national Vice President/Chief Information Officer search for Saint Francis Care of Hartford, Connecticut.

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MGMA President & CEO Joining Integrated Healthcare Strategies

William Jessee, MD, FACMPE, FACPM, outgoing President and CEO of MGMA and esteemed healthcare industry expert, joining national healthcare consulting firm, Integrated Healthcare Strategies

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Integrated Healthcare Strategies Expands Physician Practice Consulting Services

Integrated Healthcare Strategies joins forces with Gooder Professional Management Services to help clients meet organization goals while maintaining physician-hospital relationships.

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Integrated Healthcare Strategies Launches Social Media Presence

Integrated Healthcare Strategies, a leader in performance-enhancing healthcare consulting, announces it will now share topical news, resources and advice through social media channels.

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Survey On Advanced Practice Clinicians Provides Unique Pay Data

Integrated Healthcare Strategies announces opening of survey reporting data on compensating advanced practice clinician providers, whom are now heavily utilized to increase patient access and improve quality and efficiency.

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IHStrategies Launches New Survey Exclusive to Healthcare Executive Benefit Plans

Integrated Healthcare Strategies announces its National Healthcare Executive Benefits Survey; participants receive a free copy of the survey results.

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University of Maryland Medical Center Retains IHStrategies to Find VPHR/CHRO

IHStrategies executive search group retained to lead a national Sr. VP Human Resources/Chief Human Resource Officer search for The University of Maryland Medical Center, part of the University of Maryland Medical System.

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Mark Wade Joins Healthcare Consulting Firm, IHStrategies, as Sr. Vice President

Integrated Healthcare Strategies hires human resource industry expert, Mark Wade, to serve as a Senior Vice President out of its Dallas office.

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The Children’s Hospital of SW Florida/Lee Memorial Health System Hires IHS for CAO Search

MSA Executive Search, an executive search firm dedicated exclusively to healthcare, has been retained to lead a national Chief Administrative Officer search for The Children’s Hospital of Southwest Florida/Lee Memorial Health System in Fort Myers, FL.

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PinnacleHealth System Hires New President and Chief Executive Officer

PinnacleHealth System in Harrisburg, PA, central Pennsylvania’s leading healthcare provider, has hired Michael A. Young as its President and Chief Executive Officer. Young will assume his duties in June.

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IHStrategies Appoints Rita Johnson VP of Executive Search Practice

MSA Executive Search, the retained search practice of IHStrategies, employs new Vice President with 20 plus years of industry experience.

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INTEGRATED Healthcare Strategies Contributes to Revolutionary Medical Residency Guide

INTEGRATED Healthcare Strategies announces the publication of Adventures in Medicine: The Resident's Guide to Life and Practice (AIM), to which INTEGRATED contributed consultant expertise.

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Webinars

Insights Exchange Webinar Series

Mapping for a Successful 2017!

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Mapping a Successful Journey to Population Health Part 3

Hospital and Health System Boards are looking for practical insights about how they can protect their tax-exemption, and be better prepared for expanded investments for health gain, not just health care. Part 3 explores Transforming the Consumer Experience: Cultures Accountable to the Customer

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Mapping a Successful Journey to Population Health Part 2

Hospital and Health System Boards are looking for practical insights about how they can protect their tax-exemption, and be better prepared for expanded investments for health gain, not just health care. Part 2 explores The Community Health Charrette: Engagement for Community Health Partnerships

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Mapping a Successful Journey to Population Health Part 1

Hospital and Health System Boards are looking for practical insights about how they can protect their tax-exemption, and be better prepared for expanded investments for health gain, not just health care. Part 1 explores Community Health Needs Assessments: Your Roadmap into Population Health

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Emergence of Physician Executive Roles Warrant Careful Governance Practices

In this webinar, we will review compensation administration best practices that mitigate risk for physician executives. After attending the webinar, you will: - Have an understanding of the numerous laws regulating compensation for physician executives - Appreciate the organizational risk associated with compensation practices for physician executive roles - Be able to assess if the administrative practices in your organization are consistent with best practices which help to reduce risk - Be able to develop a plan to improve your organization's administrative practices

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A Digital Resource to Launch Your Board into SMART Governance

Gallagher Integrated has recently released a new product: Gallagher GovernWell™ is a game-changing resource for governance boards attempting to meet the new demands and pressures for successful governance, with more than 3,000 pages of customizable governance materials.

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Proposed 457(f) Deferred Compensation Regulations

With the IRS and Treasury Department releasing their long-awaited, proposed 457(f) regulations regarding deferred compensation plans, it is important to understand how these new standards and rules may apply to programs at your organization. The webinar will be led by Gallagher Integrated’s Total Compensation and Rewards thought leader Toni Dolby, in conjunction with Kirk Sherman and James Patterson, attorneys with Sherman & Patterson Attorneys at Law.

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Meeting the Boards Responsibility for Overseeing Physician Compensation

This webinar, presented by Chad Stutelberg and Kevin Talbot, explores why the board must oversee compensation of employed physicians, physician compensation reasonableness framework, market analysis methodology, and compensation management and governance.

Energizing Your Volunteers- A Multi-generational Engagement Strategy

A webinar that dives into our 2012 National Volunteer Benchmark data.

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Tools for Performance Improvement in Hospital-Owned Practices

Learning objectives including use of benchmarking data to improve clinical performance; understand how your program compares with carrier conversion factors, FTE provider performance standards, and necessary staffing per FTE provider; trends that improve the bottom line; develop a position on health care reform, and understand your market potential; correct provider mix to meet the service needs o

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Successful Operation of Hospital-Owned Practices: Turning Losers into Winners

Webinar examining several of the most common issues confronting hospital-owned practices, and offers specific strategies for turning problematic practices into valuable assets.

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Webinar: 22 Questions to Ask BEFORE You Buy a Physician Practice

Reviews 22 questions designed to stimulate careful consideration before entering into a practice acquisition.

Spotlight on Executive Compensation in the Healthcare Industry

Examines the recent surge in audits and scrutiny of healthcare organizations’ executive compensation practices.

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Physician Leadership Series, Webinar 3: Governing the Physician Enterprise

Part 3 of a 3-part webinar series on Physician Leadership for Clinical Integration. This webinar explores new insights into strategies to establish a governance model for diverse physician relationship to achieve sustained growth and economic vitality.

Physician Leadership Series, Webinar 1: Physician Alignment Strategy

Part 1 of a 3-part webinar series on Physician Leadership for Clinical Integration. Topic: Physician Alignment Strategy: Foundation for Clinical Integration

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Physician Leader Performance Reviews

Physician leadership has shown to be an essential element in hospitals' successful development of integrated healthcare systems for the coming era of bundled payments, and for their enhanced clinical process improvements. This webinar examines practical insights into how best to develop and conduct performance planning and review initiatives for physician leaders engaged in medical directorships

Governance Best Practices for Medical Groups: Insights from a National Survey of AMGA Members

An educational webinar put on by Integrated Healthcare Strategies and AMGA, that will help gain new insights into the governance and leadership factors that will frustrate and facilitate higher performance among our nation's leading medical groups and other organized systems of care.

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Physician Leadership & Versatility Styles

As hospitals move forward on physician alignment strategies, they are recognizing the value of physician leaders who have certain key competencies and leadership styles. This webinar reviews recent studies into the physician leaders styles most conducive to their effectiveness, and explores strategies for the development of these effective styles.

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Enhancing the Role of Organ Procurement Organizations' Clinical Advisory Boards

Learn what many top performing OPO’s are doing around establishing the federally mandated Clinical Advisory Boards and the success they have had thus far. Both in terms of how they have leveraged the time and talent of the Advisory Board members, but also enhanced the relations between the Governing Board and the Advisory Board.

Webinar: Top 5 Do’s and Taboos for Executive Team Continuity Planning

Boards and CEOs are increasingly recognizing the power of and focusing on the advanced strategic planning for their leadership talent; talent that is aligned with not only the performance imperatives for the overall enterprise, but also personal aspirations, among others. Participants will be introduced to effective strategies to enhance organizational performance.

CEO Performance Planning in a Down Economy & Scrutinized Healthcare Environment

Boards are taking a closer look at their CEO performance appraisal process to enhance its effectiveness in evaluating the CEO and setting clear performance expectations. A robust performance appraisal is both good governance and assure that the CEO's goals are aligned with the organization's.

Top 5 Do's and Taboos for CEO Transition and Succession Planning

Hospitals across the US have seen that one of the most unsettling events in the life of any organization is a change at the top. Even when it is planned in advance, it calls for a high tolerance of ambiguity. CEO transition and succession planning is an important strategy to protect and enhance an organization’s capacity to grow and prosper.

White Papers

The Advancing Role of Advanced Practice Clinicians

Compensation, development, & leadership trends

Leadership Continuity: From Emergency Transition to the Leadership Pipeline

Succession planning is a critical tool for ensuring lasting organizational improvement. However, the biggest challenge for most organizations is how to effect a well-designed change of leadership without disrupting the organizational continuity.

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Are Boards Paying Enough Attention to Compliance?

The warning signs of risk and how to prepare to handle them.

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FLSA Regulation Changes Are Coming. Are You Prepared?

This whitepaper reveals strategies for compliance, considerations, and impact models to implement into your strategic planning. It was written by the following thought leaders from Arthur J. Gallagher and Integrated Healthcare Strategies (Gallagher Integrated), a division of Gallagher Benefit Services, Inc.

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Best Compensation Administration Practices: Reduce Risk for Physician Executive Roles

Emerging New Roles for Physician Executives Warrant Careful Governance Practices. Download this whitepaper to review our presentation of compensation administration best practices that mitigate risk for physician executives.

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Top 5 Imperatives Boards Face

This whitepaper delves into the five imperatives that boards must master in an era of accountable healthcare driven by consumerism. Each imperative includes three strategic actions that boards need for smarter and better board work.

Physician Affiliation & Engagement Content Kit

What's wrong with your physician compensation? Why are your most engaged physicians leaving? What are 5 strategies to maximize physician retention? What are 11 must-have criteria for compensation plans? How many cultures are driving your organization? Do your doctors and management trust each other? The questions can seem daunting. INTEGRATED offers some answers.

Rethinking the Art and Science of Physician Engagement Metrics

When it comes to truly understanding the strength of relationships forged between healthcare organizations and physicians, “engagement” stands out as one of the most commonly tracked metrics. There is a good reason for this. A wealth of research has been produced by organizational scientists demonstrating that high levels of engagement triggers high states of organizational performance. The theory is simple. Engaged physicians perform better on the job.

Executive Pay for Performance: The Fundamentals

While the idea is simple—paying more to get more—the realities of healthcare executive pay are much more complex. From the compensation issues arising from healthcare reform to those that have existed for decades, understanding the linkage between executive pay and organizational performance is as important as ever. So INTEGRATED Healthcare Strategies offers this exploration of The Fundamentals; a literal What, Where, When, Why, and How of executive pay for performance. Five articles authored by INTEGRATED thought-leaders, providing five different perspectives to help you better understand how pay impacts performance so you can better manage your organization's success.

Raising the Bar: The Realities of Decreased Payments & Increased Risks

Hospitals and physicians are facing an ever-increasing trend in today's healthcare industry: a decrease in healthcare payments and an increase in organizational risks. This white paper is based off of the 3-part video series, "Raising the Bar," featuring Don Seymour and Dr. William Jessee.

Is Your Organization a Career “Stepping Stone” for High-Performing Employees?

Employee engagement is a powerful predictor, but organizations that only focus only on overall engagement scores might be overlooking critical issues.

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Achieving Volunteer Engagement in Healthcare – Part 2

Part one of this two-part series revealed the key drivers of volunteer engagement. This article continues to explore the state of volunteer engagement with special emphasis on how it is changing, and how age diversity within volunteer populations can necessitate different engagement-building strategies.

Governance for Health Care Providers - The Compensation Committee

A chapter from the publication "Governance for Health Care Providers: The Call to Leadership," that discusses how health care executives are paid, and how Boards need to govern executive compensation. Chapter authored by Kenneth Ackerman, Chairman.

An Exploration of Volunteering in Healthcare-Part 1

A large-scale analysis of the Integrated Healthcare Strategies National Volunteer Database revealed two very important results.

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Compensation for Nonprofit Health Care Board Members: The Right Path or a Minefield?

As appeared in the Spring 2012 issue of Inquiry Magazine. An interview with a panel of experts on the topic of compensating healthcare board members.

Strengthening Public Hospital Governance

An analysis of board structure and practices in a shifting industry from The Governance Institute's 2011 Biennial Survey of Hospitals and Healthcare Systems.

Whispers: Quiet Conversations that Erode Trust Between the Board, Physicians, and Executives

Quiet yet destructive conversations whispered among health system leaders delays meaningful discussions, fuel unproductive stereotypes, and erode trust. Recent interactions with a series of physician, board, and administrative leaders provided suggestions for more successful cooperation.

Great Governance

A practical guide on governance for busy board leaders and executives of non profit healthcare. Published by the Alliance for Advancing Non-Profit Healthcare.

Trust Building for Aligned Leaders

For key organizational objectives to be reached, it will require strong trust, coordination, and collaboration between boards, physicians, and executive leaders. In this whitepaper, we share insights collected from leadership conferences hosted by the Governance Institute.

Expanding the Need for Physician Alignment and Physician Leaders

Reviews how effective physician leadership can help healthcare organizations achieve goals and improve performance in critical areas, especially critical in a time of accountable care and health reform.

Volunteer Engagement & Satisfaction Survey Report

A White Paper on recognizing the contribution dedicated volunteers make to your organization, showing that worth to others, and making sure your volunteers remain engaged and valuable.

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Elevating the Role of the Healthcare HR Leader

A look into how the Healthcare HR leader can become a valued member of the leadership team and be involved at the same level as their peers in strategies to enhance operations.

Regulation of Executive Compensation at Nonprofit Health Care Organizations: Coming Changes?

Executive compensation in health care organizations, particularly tax-exempt organizations, has come under increasing scrutiny in recent years. This paper identifies the implications for tax-exempt health care organizations of recent efforts to regulate executive pay, as well as some changes that the boards of nonprofit health care providers and insurers should consider to minimize the case fo

 

From detailed academic whitepapers to timely blog posts, you'll find an outstanding assortment of market data and information, ready to explore.

From the Blog...

Boundary Spanners

New challenges for trustees in the journey to population health and accountable care

It is difficult to have a board meeting now without at least one question like…. “How are we p ...Read More

Dyads, Compacts and Experience Maps: Essential Structures for the Success of Integrated Health Systems

Physician leaders at an increasing number of our clients recognize the value of weaving together three strands of strategy to make a rope that successfully ...Read More

Our Approach

You may be interested in learning more about our complete range of consulting services for healthcare organizations.