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Dear Employee, we’ve been bought but don’t worry, you can buy shares!
February 3rd, 2010

Bloomberg.com came out with an online article yesterday, Hospital Mergers Loom as U.S. Overhaul Fails Centers.

“Failure to pass the health-care overhaul may accelerate a push by Community Health Systems Inc., Health Management Associates Inc. and LifePoint Hospitals Inc. to acquire facilities weakened by the recession,” wrote David Olmos.

“The nation’s largest publicly traded hospital chains are stalking medical centers that have been hurt by the cost of charity care and unpaid bills in a recession, and are no longer confident stalled health legislation will add 30 million newly insured customers, said Sheryl Skolnick, an analyst at CRT Capital Group LLC in Stamford, Connecticut,” the article continues.

Predictions of market consolidation have been the topic of various conference presentations and healthcare executive newsletter articles for the past year at least.  And, market consolidation is one of the 5 trends that H.T. Klatzky has been including in industry overviews for our client CMO’s.

Healthcare strategists are predicting a market-altering level of health system consolidation across the nation during 2010-2011.  Access to capital continues to be a prime motivator in order to provide large “multi-system systems” with the ability to invest in costly but essential IT infrastructure (read: electronic medical record), clinical technology and updates to worn physical plants.  Profitability is still statistically linked to scale in supply chain efficiencies, as well as in clinical care management programs that can be implemented enterprise-wide.

The Business Week article focused on the activities of for-profit, publicly traded companies like Community Health Systems (CHS), Health Management, Inc., and LifePoint, Inc.  Investment bankers quoted in the story predicted that targets would largely be nonprofit rural and urban hospitals in communities where privately insured people are few and where most of the hospital’s patients are covered by government health programs or who lack insurance.

Our prediction is that existing larger, multi-system hospitals who employee both primary care networks AND physician sub-specialists in key growth areas or who are pursuing creative physician practice agreements will be in the best position to see what the next year or two will bring.

- posted by Joanne Cirillo

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1.29.10 Weekly Roundup
January 30th, 2010

Some very interesting bits out this week.

Why Most Digital Ads Fail To Work is an excellent blog post written by Philip Sawyer for Advertising Age.  A series of online-advertising effectiveness studies that took aim at answering the question, “How effective is digital advertising today?” gets boiled down to 7 concise findings.

I’m pretty interested in a new book written by Thomas Goetz, editor of Wired Magazine.  He also happens to hold a Masters in Public Health and the title of his book is The Decision Tree: Taking Control of Your Health in the New Era of Personalized Medicine.

According to the publisher notes on Amazon.com,

“Goetz proposes a new strategy for thinking about health, one that applies cutting-edge technology and sound science to put us at the center of the equation. An individual’s Decision Tree begins with genomics, where $400 and a test tube of spit provides a peek at how your DNA influences your health. It taps self-monitoring and collaborative health tools, where iPhone applications and next-generation monitoring gadgets can help individuals successfully change their behavior, once and for all.  Full of thoughtful, groundbreaking reporting on the impact personalized medicine will have on the average patient, The Decision Tree will show you how to take advantage of this new frontier in health care.”

I’ve pre-ordered my copy from Amazon.  Interesting?  Or weird and scary?

For you health policy wonks, read this blog post at the journal, Health Affairs called Why Wellness Incentives Belong in the Workplace.  The blog also published a counter-point, Workplace Wellness Programs: The Real Issues.  Read these for the policy, or because this issue could affect you, especially if smoke or are overweight.  If the carrot/stick approach to changing your behaviors hasn’t yet hit your health insurance premium you can count on it happening soon.  Is it discrimination? Or, is it preventing others from having to pay the cost of your “risky” health behaviors?

Lastly, The Washington Post published a story in its On Faith column entitled, Pope Benedict Urges Priests to Blog.  I think blogging is here to stay.

-posted by Joanne Cirillo

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Roundup Version 1.22.10 – Resources
January 22nd, 2010

Perhaps like all the world many bloggers and online communities were focused on Haiti this week.  I didn’t find too many compelling topics out there to link you up with.

Instead I have opted to provide you with a few recommendations of blogs to follow on your own via an RSS feed reader (such as Google Reader).  And in case you are a bit overwhelmed by Twitter, I’m also including a few people you might try following.

Lastly, I’ll provide a link to another Twitter-related topic – an explanation of hashtags and how they can enrich your Twitter experience exponentially.

Blogs I Get Value From

SocialMediaToday.com – This site bills itself as The Web’s Best Thinking on Social Media.  They are not health care specific but they always have something worth reading.

Newfangled Web Developers – Under the banner of “full disclosure” HTK has a close working relationship with Newfangled but they’ve recently refreshed their web site and you won’t find a developer who gives away more thought leadership and tactical tool information than these guys and gals.

Infosysblogs.com/healthcare – If you are interested in all things relating to the progress on and potential of electronic communication in health care such as clinical data systems, EMR news, and even electronic patient-centered disease management, this is a very readable site for us non-techies.

Smartbrief.com/socialmedia – For very broad, out-of-industry news about business successes and failures using social media.

Try following these folks for a while on Twitter

I’m not going to justify why you should follow these people.  Take a walk on the wild side and check out their thoughts for a while.  You can always ditch them later if they are not your cup of tea.

@mashable

@RWJF

@pamelamoore

@leonpalmer

And if you want to follow a hospital that is doing more than using their Twitter account for press releases and health tips, try @HunterdonHealth (this is something I heard about from Leon Palmer by the way).

My feature blog post for this week can be found at SocialMediaToday.com and was written by Donna Payne. Decoding the Social Networking Hashtag Mystery.  Good stuff.

I’ll end this with a FREE OFFER.  If you are still perplexed (as I was for a good long time) about how to set up an RSS feed so you can go to one central place to read the blogs you are interested in, call me. I can walk you through it over the phone.  My number is 218-728-3651 Ext. 123

- posted by Joanne Cirillo

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Lists Lists Lists: Weekly Roundup for January 15
January 15th, 2010

There was a lot of good stuff floating around in the Cloud this week.  When I was done choosing what to include the Roundup I realized, “They’re all lists!”  I don’t know what that says about me but here they are.  Let me know which ones you found most valuable.

I’ll begin with a book about lists.  The Checklist Manifesto: How to get things right was a Best Book of December on Amazon.  Written by Atul Gawande who happens to be a surgeon, the book promises to reveal what it takes to work successfully and with a personal sense of satisfaction.  The book includes examples from the medical world but includes examples from all of life’s endeavors.

I meant to include this link last week but it is a short and sweet newsletter story entitled Ten Questions to Ask Before You Start a New Web Project by our friends at Newfangled.  Use this as an opportunity to sign up to receive their newsletter regularly.

You will learn a lot from this post from Social Media Today’s blog, The Top Ten Twitter Statistics and Analytic Tools.  This was heavily circulated out in the Twitter-shere this week.

My last list was written by Edward Boches at Creativity_Unbound, Five Questions Every CMO Should Ask A Prospective Ad Agency.

Just to break the pattern I thought I’d include something relating to Super Bowl Advertising because every marketer likes to read about that.  The Forrester Blog for Interactive Marketing Professionals posted, Social Media is the New Super Bowl.

–posted by Joanne Cirillo

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