InfographicBeyond the Tipping Point: Hospital Resilience Revisited

Challenges have intensified for U.S. hospitals. Rising costs, talent shortages and an unclear legislative agenda, along with increased partnerships, continue to roil the sector.

Tipping Point: Hospital Resilience in a Perfect Storm

U.S. hospitals are at a tipping point. Fallout from the Affordable Care Act, a shift from fee-based to value-based business models, talent shortages and the need to put data to work to improve care are significant challenges.

Hospitals are focusing on three areas:
  • Business model innovation
  • Putting data to work
  • Focus on talent

Business model innovation

[In healthcare] to change the business model, everything has to change in unison.
-- Clayton Christensen, Kim B. Clark Professor of Business Administration, Harvard Business School


  • The most critical challenge is the shift from fee-based to value-based payments, say 71% of EIU survey respondents.
  • 61% say the shift has exacerbated pressures on the hospital value proposition.
  • 54% agree that cuts in reimbursements/fees have made it more important than ever to find efficiencies to optimize every dollar.


  • Only one in five of respondents expect their business model to remain the same in the next three years.
  • Only one-half say they are well prepared to address the challenges facing hospitals.
  • It took 10-13 years to embed the cultural changes needed for Montefiore Hospital System’s shift from fee-based to value-based healthcare.

(Source: EIU in-depth interview with Steven Safyer, CEO, Montefiore Medical Center.)

Putting data to work

By 2020, the hope is that a doctor can take your personal attributes—age, co-morbidity, biomarkers—and combine that with what we know about management at scale to figure out exactly how to take care of you in a completely customized, instantaneous fashion.
--Amy Abernethy, Chief Medical Officer, Flatiron Health


  • 60% say Big Data is transforming patient-related opportunities.
  • 57% call it a potential game changer for operational performance.


  • 63% say the value of data which hospitals hold remains largely untapped.
Over the next three years, respondents will use analytics in:
  • 46% in long-term individual patient disease prevention and care
  • 41% finding and demonstrating value added from processes and procedures
  • 41% monitoring performance of individual medical personnel

Focus on talent

"High pay alone is a short-lived strategy. You have to get beyond that: what kind of culture do you have? How do you value employees? How do you get employees engaged in helping chart what they do?" --Lloyd Dean, CEO, Dignity Health


  • 69% say strategic talent management will be key to staying competitive.
  • 74% say their organization needs to pay more attention to retaining and attracting the best talent.
  • Two-thirds (65%) see an aging workforce presenting a problem in the long term, driven by talent costs and the need for newer areas of expertise.


  • Leading strategies for talent management:
    • 51% linking performance/quality-of-care metrics with retention decisions
    • 48% improved pay
    • 46% ensuring that the organization has market-leading total compensation packages
  • One in 3 practicing U.S. physicians is over the age of 65. By 2025, the shortfall in medical, surgical and other healthcare specialists could reach between 28,200 and 63,700.

Source: American Association of Medical Colleges.

This article was written by The Economist Intelligence Unit and sponsored by Prudential. For more information call Prudential Retirement at 800-353-2847



This article was written by The Economist Intelligence Unit and sponsored by Prudential. For more information call Prudential Retirement® at 800-353-2847 or visit

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