Hospitals & Health Networks
February 2013 | H&HN Daily

In this video interview from Hospitals & Health Networks, Michael Dowling, CEO of North Shore-Long Island Jewish Health System and chair of the Huron Healthcare CEO Forum, provides insights for hospital executives on how to migrate away from fee-for-service and toward accountability for the care of an entire population.

Among the many perspectives Dowling shares are:

• Systems must be clear their goals, and on their leadership structure for meeting those goals. ”It can’t be everything,” he says. “Just as a soccer game can’t have fifty referees, a health system needs one authority to dictate outcomes and set priorities.”
• Organizations must be prepared to take full risk for payments, which often necessitates financial and operational restructuring
• Accountable care involves far more than medicine. Strategizing for effective care, Dowling counsels, involves not only physicians, but “the whole constellation of services that a person who is in dire need needs.

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