/ en Sat, 26 Apr 2025 00:12:01 -0500 Tue, 11 Mar 25 09:28:08 -0500 /guidesreports/2025-03-11-improvement-safety-culture-linked-better-patient-and-staff-outcomes <div class="container"> .container h2{ color:#003087; } <div class="row"><div class="col-md-4"><h3>Insights Report</h3><p>Every day, in every hospital across America, care teams work to provide safe, high-quality care to each and every patient. Part of that work includes continually identifying what drives better outcomes, and then implementing changes to improve patient care.</p><p>AHA’s insights report series features learnings gained in collaboration with data partners to better analyze hospital and health system progress on patient safety. In September 2024, AHA partnered with Vizient to release a <a href="/guidesreports/2024-09-12-new-analysis-shows-hospitals-performance-key-patient-safety-measures-surpassing-pre-pandemic-levels" title="View the report: New Analysis Shows Hospitals Improving Performance on Key Patient Safety Measures Surpassing Pre-pandemic Levels">report</a> showing that numerous outcome measures of health care quality and patient safety — including mortality and healthcare-associated infections — are improving while hospitals care for more patients with significant health care needs.</p><p>The latest insights report, created in collaboration with Press Ganey, highlights progress on additional outcome measures of patient safety including some that reflect the ongoing work nurses lead to protect patients. In addition, Press Ganey’s comprehensive data shows clear improvement on the experience of both patients and the health care workforce. It also shows improvements in safety culture, which is a leading indicator of better safety outcomes and better experiences for patients and staff.</p></div><div class="col-md-4"><div class="panel module-typeC"><div class="panel-heading"><h3 class="text-align-center panel-title">Key Insights</h3></div><div class="panel-body"><h4 class="text-align-center">Data in this report show that:</h4> ol.IRolNumBox li { counter-increment: list; list-style-type: none; position: relative; margin-bottom: 15px; } ol.IRolNumBox li:before { color: #fff; content: counter(list); left:-35px; position: absolute; text-align: center; width: 30px; height:30px; background-color:#69b3e7; padding:0px; border-radius: 5px; padding:0px 0px 0px 0px ; font-weight:700; font-size:20px; top:-5px; } <ol class="IRolNumBox"><li>Hospitals are performing at or better than pre-pandemic levels on multiple measures of quality and patient safety, including patient falls and pressure injuries (i.e., bed sores) that reflect work led by nurses to care for patients.</li><li>Millions of patients report that their overall care experience is improving.</li><li>Press Ganey data from more than 1 million members of the health care workforce show a rebound from pandemic lows in engagement, resilience and safety culture.</li><li>Patient safety, patient experience, workforce experience, and well-being are all tied together by a hospital or health system’s culture of safety. Across clinical settings — the single largest driver of a patient’s reported experience of care is how well their care team members work together. Better teamwork has long been shown to drive better outcomes.</li></ol></div></div></div><div class="col-md-4"><div><a class="btn btn-wide btn-primary" href="/system/files/media/file/2025/03/AHA-Insights-Report-Improvement-in-Safety-Culture.pdf" target="_blank" title="Download the print version of the Insights Report: Improvement in Safety Culture Linked to Better Patient and Staff Outcomes">Download the Report PDF</a></div><div><a class="btn btn-wide btn-primary" href="/press-releases/2025-03-12-report-reveals-link-between-health-care-workforce-well-being-patient-experience-and-safety-outcomes" title="View the Press Release: Report Reveals Link Between Health Care Workforce Well-being, Patient Experience and Safety Outcomes in Hospitals">View the Press Release</a></div><div><a class="btn btn-wide btn-primary" href="/aha-patient-safety-initiative" target="_blank" title="Click here to visit the AHA Patient Safety Initiative landing page.">Learn More about the AHA Patient Safety Initiative</a></div><div><a href="/system/files/media/file/2025/03/AHA-Insights-Report-Improvement-in-Safety-Culture.pdf" target="_blank" title="Download the print version of the Insights Report: Improvement in Safety Culture Linked to Better Patient and Staff Outcomes"><img src="/sites/default/files/2025-03/PSW-PG-Report-Cover-352x456.jpg" alt="Cover image of the Insights Report: Improvement in Safety Culture Linked to Better Patient and Staff Outcomes" width="352" height="456"></a></div></div></div><div class="row"><div class="col-md-12"><h2>Evidence in Key Areas Show Care is Getting Safer</h2><p>The Press Ganey National Database of Nursing Quality Indicators (NDNQI) dataset reflects quality measures reported by 25,652 units across 2,430 inpatient acute care hospitals. Analysis of four key measures in NDNQI data includes catheter-associated urinary tract infection (CAUTI), central lineassociated bloodstream infection (CLABSI), patient falls that result in harm, the number of patients who develop hospital-acquired pressure injuries (HAPI), also known as bed sores. The analysis shows the incidence of all measures have declined since their pandemic peaks, with nearly all measures across all units back to or better than pre-pandemic levels.</p><div class="col-md-12"><img src="/sites/default/files/2025-03/PSW-Evidence-in-Key-Areas-img1-1120x372.jpg" alt="Medical-surgical / Critical care; Fall Rate: Rate of Patient Falls from 2019 to 2024 between both | CLABSI: Rate of Infections from 2019 to 2024 between both" width="1120" height="372"></div><div class="col-md-12"><img src="/sites/default/files/2025-03/PSW-Evidence-in-Key-Areas-img2-1120x370.jpg" alt="Medical-surgical / Critical care; CAUTI Rate: Rate of Infections from 2019 to 2024 between both | HAPI: percentage of Patients from 2019 to 2024 between both" width="1120" height="370"></div><p><em><small><strong>Source:</strong> ©2025 Press Ganey. All rights reserved; a PG Forsta company.</small></em></p><p><em><small><strong>Note:</strong> Falls are measured as total patient falls per 1,000 patient days; CLASBI is measured as central line-associated bloodstream infections per 1,000 central line days; CAUTI is measured as catheter-associated urinary tract infections per 1,000 catheter days; and HAPI prevalence is measured as the percentage of surveyed patients with hospital-acquired pressure injuries.</small></em></p></div><div class="col-md-12"><h2>Patients Say Their Care Experience and Perception of Safety are Improving</h2><p>Press Ganey works on behalf of 75% of U.S. acute care hospitals and medical practices across the country to survey patients regarding their care experiences and gain insights into how hospitals are working to deliver safe and effective care. Included in the surveys are questions that explicitly ask patients about their perception of staff’s efforts to keep them safe, along with questions about other facets of care that contribute to greater safety, such as teamwork among staff, attention and responsiveness to patient needs, and communication between patients and members of the clinical care team. Importantly, the data for this report, based on responses from 13 million patients, show steady gains in their perceptions of both experience of care and safety of care after a drop due to the COVID-19 pandemic. Results show hospitals and health systems are on the path to returning to pre-pandemic levels of safety.</p><img src="/sites/default/files/2025-03/PSW-Patients-Say-img1-1120x486.jpg" alt="National trends in patient experience: Likelihood to Recommend | Ambulatory surgery, Medical Practice, Inpatient, Emergency department - data between 64.5 to 85.3 between 2019 and Q1 of 2024" width="1120" height="486"><p><em><small><strong>Source:</strong> ©2025 Press Ganey. All rights reserved; a PG Forsta company.</small></em></p><p>One of the key factors driving improvements in patients’ perceptions of care is the teamwork of their caregivers. Across clinical areas — inpatient and outpatient, surgical and medical, emergency and scheduled — the single largest driver of a patient’s likelihood to recommend a hospital, facility or provider is perception on how well their care team members work together. Better teamwork has long been shown to drive better outcomes.</p> .IRcallOut01 { border: solid 2px #003087; padding:0px; overflow: auto; } .IRcallOut01 h2, .IRcallOut01>p, .IRcallOut01 h3{ text-align:center; } .IRcallOut01 h3{ background-color: #003087; color:#fff; padding:15px; } .IRcallOut01Insert{ background-color:#f6f6f6; padding: 5px 0px; margin-bottom: 15px; } .IRcallOut01 h4{ border-radius: 5px; padding:10px 10px 5px 10px; color:#fff; display: inline-block; margin-top:5px; margin-left: 15px; } .IRcallOut01 h4.IRcallOut01Red{ background-color:#d50032; } .IRcallOut01 h4.IRcallOut01Blue{ background-color:#69b3e7; } .IRcallOut01 h4.IRcallOut01LBlue{ background-color:#307fe2; } .IRcallOut01 h4.IRcallOut01Green{ background-color:#005844; } .IRcallOut01 h4.IRcallOut01Yellow{ background-color:#eaaa00; } .IRcallOut01 h4.IRcallOut01DRed{ background-color:#651d32; } .IRcallOut01 ul li:nth-child(1){ font-weight:700; color:#003087; } <div class="col-md-12 IRcallOut01"><h2>What earns patients’ confidence and loyalty?</h2><p>Patients are attuned to team dynamics and interpersonal competencies.</p><h3>National analysis of key drivers of likely to recommend by setting</h3><div class="col-sm-6 col-md-4"><div class="IRcallOut01Insert"><h4 class="IRcallOut01Red">Emergency</h4><ul><li>Staff worked well together</li><li>Cared about you as a person</li><li>Attention to your needs</li><li>Treat with courtesy/respect</li></ul></div></div><div class="col-sm-6 col-md-4"><div class="IRcallOut01Insert"><h4 class="IRcallOut01LBlue">Inpatient</h4><ul><li>Staff worked well together</li><li>Response to concerns</li><li>Attention to your needs</li><li>Attitudes toward requests</li></ul></div></div><div class="col-sm-6 col-md-4"><div class="IRcallOut01Insert"><h4 class="IRcallOut01Blue">Med Practice</h4><ul><li>Staff worked well together</li><li>Concern for questions/worries</li><li>Explanation of condition/problem</li><li>Include in decisions</li></ul></div></div><div class="col-sm-6 col-md-4"><div class="IRcallOut01Insert"><h4 class="IRcallOut01Green">Clinic</h4><ul><li>Staff worked well together</li><li>Treat with respect/dignity</li><li>Response to concerns</li><li>Trust skill of staff</li></ul></div></div><div class="col-sm-6 col-md-4"><div class="IRcallOut01Insert"><h4 class="IRcallOut01Yellow">Amb. Surgery</h4><ul><li>Staff worked well together</li><li>Response to concerns</li><li>Nurses’ concern for comfort</li><li>Provider response to concerns/questions</li></ul></div></div><div class="col-sm-6 col-md-4"><div class="IRcallOut01Insert"><h4 class="IRcallOut01DRed">Urgent Care</h4><ul><li>Staff worked well together</li><li>Provider listened</li><li>Explanation of condition/problem</li><li>Include in decisions</li></ul></div></div></div><p><em><small><strong>Source:</strong> ©2025 Press Ganey. All rights reserved; a PG Forsta company.</small></em></p><p>Similarly, patients who perceive that their care was safe are 2.5 to 3 times more likely to recommend their hospital to others. Their perceptions of safety are based on their own interactions with hospital team members, their observations regarding practices such as handwashing and cleanliness, and how they see team members interacting with one another to deliver care. Specifically, when asked about their confidence in the care they received and their willingness to recommend a hospital to others, patients ranked hospitals more highly when they perceived the hospital team to be working well together and to be attentive to the patients’ needs and questions.</p></div><div class="col-md-12"><h2>Workforce Experience and Well-being are Improving</h2><p>At its core, health care is a uniquely human experience centered around people caring for other people. This is why hospitals and health systems pay close attention to and invest in the well-being of their workforce. An energized and engaged workforce improves the care provided to patients, the physical and psychological wellbeing of patients, and how patients perceive the work to keep them safe. As the enormous strain of the COVID-19 pandemic recedes, the health care workforce is beginning to rebound as well. Press Ganey data from 1.7 million members of the health care workforce show a rise in their reported experience and resiliency. A resilient workforce is essential in health care, given the complex and high stakes nature of the work.</p><div class="col-md-12"><img src="/sites/default/files/2025-03/PSW-Workforce-Experience-img1-1120x609.jpg" alt="Gaining ground in resilience: Resilience and its sub-components of activation (meaning in work) and decompression (ability to disconnect) are on an upward trend. | 3-year trending: Activation, Resilience, Decompression - Reported Satisfaction Score between 2022 and 2024 & Item-level change vs 2023 benchmark; Activation: Work makes a difference - +.03, Work is meaningful - +.03, Care for all patients equally - +.02, See patient as an indvidual person - .01 / Decompression: Able to free mind when away from work - +.08, Rarely lose slepp over work - +.07, Disconnect from comm's during free time - +.06, Enjoy personal time without focus on work - .05 " width="1120" height="609"></div><p><em><small><strong>Source:</strong> ©2025 Press Ganey. All rights reserved; a PG Forsta company.</small></em></p><p>Hospitals that score higher on team member engagement surveys also see higher patient experience scores reported from patients. This correlation gets more pronounced every year, with the top performing quartile of hospitals on staff engagement in 2023 scoring in the 80th percentile on patients’ likelihood to recommend.</p><div class="col-md-12"><img src="/sites/default/files/2025-03/PSW-Workforce-Experience-img2-1120x485.jpg" alt="Likelihood to recommend is correlated with team engagement and correlation is getting stronger: Inpatient Likelihood to Recommend (percentile rank); 2021 for Engagement Quartile, Engagement Quartile" width="1120" height="485"></div><p><em><small><strong>Source:</strong> ©2025 Press Ganey. All rights reserved; a PG Forsta company.</small></em></p></div><div class="col-md-12"><h2>Safety Culture is Essential</h2><p>A critical factor in generating both better patient outcomes and care teams’ engagement in their work is a strong safety culture. A strong safety culture supports the teams through the demanding tasks associated with care delivery and makes a noticeable difference in how patients experience their care, leading to safer care and a more resilient care delivery system.</p><p>A culture of safety is an environment in which everyone, including patients and families:</p><ul class="arrow"><li class="arrow">Can speak up when they see something that might not be right.</li><li class="arrow">Is confident that improvements occur when issues are reported.</li><li class="arrow">Is dealt with fairly and compassionately when an error occurs.</li><li class="arrow">Experiences effective teamwork and communication.</li></ul><p>An organization’s safety culture is assessed with evidence-based survey tools, such as the instrument Press Ganey developed, which gather responses from over 1 million hospital staff each year. The Press Ganey data show a positive relationship between the level of care team engagement in their work and the hospital scores for patient safety culture. When caregivers feel that they are supported, working with an effective team and doing meaningful work, they are more likely to be deeply engaged in their work.</p><div class="col-md-12"><img src="/sites/default/files/2025-03/PSW-Safety-Culture-img1-1120x322.jpg" alt="Engagement top performers have a strong Culture of Safety: All employees - Engagement 3.99 = path 51.5% with a high Saftey Vulture Score - 4.51 (97th), path 48.5% with a low Saftey Culture Score - 3.44 (2nd) | 95 percentile-rank difference in employee engagement" width="1120" height="322"></div><p><em><small><strong>Source:</strong> ©2025 Press Ganey. All rights reserved; a PG Forsta company.</small></em></p></div><div class="col-md-12"><h2>Opportunities to Enhance Safety Culture</h2><p>In the aftermath of the COVID-19 pandemic, hospitals’ performance in both safety culture and quality and safety metrics have rebounded and begun to plateau. Resources and teamwork remain areas with the greatest potential for growth. While prevention and reporting experienced an increase previously, the recent downward trend highlights the need for ongoing prioritization.</p><div class="col-md-12"><img src="/sites/default/files/2025-03/PSW-Opportunities-to-Enhance-img1-1120x479.jpg" alt="National Safety Culture Scores on the rebound; Saftey Culture Overall: Mean Score between 2019 and 2024 - average 4, Prevention & Reporting - average 4.14, Pride & Reputaion - average 4.15, Resources & Teamwork - average 3.7" width="1120" height="479"></div><p><em><small><strong>Source:</strong> ©2025 Press Ganey. All rights reserved; a PG Forsta company.</small></em></p><p>Press Ganey’s data establish how closely all of these outcomes — patient safety outcomes, patient experience, workforce engagement experience and resilience — are tied together by a hospital or health system’s culture of safety.</p></div><div class="col-md-12"><h2>A Continuous Journey to Improve</h2><p>Improvement is a continuous pursuit, and hospitals have been and will remain deeply committed to advancing the safety and quality of their care, the way in which patients experience care, and the wellbeing of their care teams. By improving the patient and workforce experience, identifying and addressing risks to patient or staff wellbeing, improving communications and understanding of what patients and their families value in their care experience, and implementing innovative strategies, hospitals will continue to demonstrate their commitment to patient safety.</p><p>One of the key goals of the <a href="/aha-patient-safety-initiative" title="Learn more about the AHA Patient Safety Initiative">���������� Association’s Patient Safety Initiative</a> is to help hospitals and health systems improve the culture of safety. Launched in 2023, AHA’s Patient Safety Initiative catalyzes hospitals’ and health systems’ collective expertise and momentum for improvement and focuses on 1) safety culture, 2) identifying and addressing disparities in health care outcomes, and 3) the wellbeing of the workforce.</p><p>Through the work of the Patient Safety Initiative, hospitals and health systems are using safety improvement strategies that have a history of success, as well as trying new and innovative approaches to further enhance their work.</p><p>To help leaders and boards learn from their counterparts in other hospitals and health systems, AHA has produced the Leading for Safety video series hosted by former Chair of the AHA Board of Trustees Mindy Estes, M.D., and featuring leaders from hospitals and health systems that have been recipients of AHA’s Quest for Quality award. The AHA’s Safety Speaks podcast series also features many quality and safety leaders talking about their innovative approaches to safety.</p></div></div></div> Tue, 11 Mar 2025 09:28:08 -0500 Issues & Trends /data-insights/aha-trendwatch-chartbooks-2000-2018 <div class="container"><div class="field_lead"><h2>Trends Affecting Hospitals and Health Systems</h2><p>TrendWatch Chartbook analyzes the latest in hospital and health system trends.</p><p>Chartbook is an <strong>AHA member benefit</strong> and available for <a href="https://ams.aha.org/eweb/DynamicPage.aspx?WebCode=ProdSearch&q=trendwatch">purchase to non-members</a>.</p></div><div class="row"><div class="col-md-9"><div class="row"><div class="col-md-12"> @media (min-width:771px){ .MultiColum{ column-count: 2; } } <ul class="MultiColum"><li><strong>2023:</strong> <a href="/system/files/media/file/2024/11/2023-TrendWatch-Chartbook-Full.pdf" title="Access the Trendwatch Chartbook for Members">Member Access</a> | <a href="https://ams.aha.org/eweb/DynamicPage.aspx?WebCode=ProdDetailAdd&ivd_prc_prd_key=83c45a15-84e3-43ae-8ec7-25bdf974001c" title="Trendwatch Chartbook is vailable for purchase to non-members.">To Purchase</a></li><li><strong>2022:</strong> <a href="/system/files/media/file/2023/10/2022-Trendwatch-Chartbook-PDF-10042023.pdf" title="Access the Trendwatch Chartbook for Members">Member Access</a> | <a href="https://ams.aha.org/eweb/DynamicPage.aspx?WebCode=ProdDetailAdd&ivd_prc_prd_key=115d489a-32f9-4bef-abe6-b4866fec4edb" title="Trendwatch Chartbook is vailable for purchase to non-members.">To Purchase</a></li><li><strong>2021:</strong> <a href="/system/files/media/file/2022/11/2021-Trendwatch-Chartbook-PDF.pdf" title="Access the Trendwatch Chartbook for Members">Member Access</a> | <a href="https://ams.aha.org/eweb/DynamicPage.aspx?WebCode=ProdDetailAdd&ivd_prc_prd_key=405713a5-2d37-49d1-802b-0ba1a3ffd106" title="Trendwatch Chartbook is vailable for purchase to non-members.">To 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href="/system/files/media/file/2022/11/2013-TrendWatch-Chartbook-Full.pdf" title="Access the Trendwatch Chartbook">Access</a></li><li><strong>2012:</strong> <a href="/system/files/media/file/2022/11/2012-TrendWatch-Chartbook-Full.pdf" title="Access the Trendwatch Chartbook">Access</a></li><li><strong>2011:</strong> <a href="/system/files/media/file/2022/11/2011-TrendWatch-Chartbook-Full.pdf" title="Access the Trendwatch Chartbook">Access</a></li><li><strong>2010:</strong> <a href="/system/files/media/file/2022/11/2010-TrendWatch-Chartbook-Full.pdf" title="Access the Trendwatch Chartbook">Access</a></li><li><strong>2009:</strong> <a href="/system/files/media/file/2022/11/2009-TrendWatch-Chartbook%20Full.pdf">Access</a></li><li><strong>2008:</strong> <a href="/system/files/media/file/2022/11/2008-TrendWatch-Chartbook-Full.pdf" title="Access the Trendwatch Chartbook">Access</a></li><li><strong>2007:</strong> <a href="/system/files/media/file/2022/11/2007-TrendWatch-Chartbook-Full.pdf" 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Chartbook">Access</a></li><li><strong>2000:</strong> <a href="/system/files/media/file/2022/11/2000-TrendWatch-Chartbook-Full.pdf" title="Access the Trendwatch Chartbook">Access</a></li></ul><hr><p>TrendWatch Chartbooks are <a href="https://ams.aha.org/eweb/DynamicPage.aspx?WebCode=ProdSearch&q=trendwatch">available to purchase</a>.</p></div></div></div><div class="col-md-3"><div class="panel module-typeC"><h4><a href="/guidesreports/trendwatch-chartbook">TrendWatch Chartbook Home</a></h4><a href="/guidesreports/trendwatch-chartbook"><img src="/sites/default/files/2024-11/Trendwatch-Chartbook-Cover-2023.JPG" alt="Trendwatch Chartbook cover" width="150" height="180"></a><p><a class="btn btn-wide btn-secondary" href="/guidesreports/trendwatch-chartbook">Latest TrendWatch Chartbook</a></p></div></div></div></div> Mon, 25 Nov 2024 10:00:00 -0600 Issues & Trends /guidesreports/trendwatch-chartbook <div class="container"><div class="row"><div class="col-md-8"><h2>Trends Affecting Hospitals and Health Systems</h2><p>TrendWatch Chartbook analyzes the latest in hospital and health system trends. It is produced by the AHA. It combines AHA proprietary data with 3rd party data, such as the Centers for Disease Control and Prevention (CDC), Bureau of Labor Statistics (BLS), and Centers for Medicare and Medicaid Services (CMS) to demonstrate the latest in U.S. hospital, health system, and healthcare industry trends. These data are presented as visualizations that have been bundled together as a PDF and PowerPoint.</p><p>Chartbook is an AHA member benefit and available for purchase to non-members. <a href="https://ams.aha.org/eweb/DynamicPage.aspx?WebCode=ProdDetailAdd&ivd_prc_prd_key=83c45a15-84e3-43ae-8ec7-25bdf974001c" target="_blank" title="Click here to go to the AHA Online Store and purchase a AHA Trendwatch: Chartbook Annual Digital License.">Sign up for access or purchase through the AHA online store.</a></p><h2>Chartbook Topics Include:</h2><div class="row"><div class="col-md-6"><h3>Overall Trends</h3><h3>Organizational Trends</h3><h3>Utilization and Volume Trends</h3></div><div class="col-md-6"><h3>Workforce and Staffing Trends</h3><h3>Economic Contributions</h3><h3>Community Health Indicators</h3></div><div class="col-md-12"><p>. . . and more!</p></div></div> <p>   </p> <div class="tableauPlaceholder"> </div> </div> --></div><div class="col-md-4"><div class="external-link spacer"><a class="btn btn-wide btn-primary" href="https://ams.aha.org/eweb/DynamicPage.aspx?WebCode=ProdDetailAdd&ivd_prc_prd_key=83c45a15-84e3-43ae-8ec7-25bdf974001c" target="_blank" title="Click here to go to the AHA Online Store and purchase a AHA Trendwatch: Chartbook Annual Digital License.">Download the Trendwatch Chartbook PDF</a></div></div></div></div><hr><p class="text-align-center"><a href="/data-insights/aha-trendwatch-chartbooks-2000-2018" title="TrendWatch Chartbook Archives">Visit our TrendWatch Chartbook Archives</a></p> Mon, 25 Nov 2024 10:00:00 -0600 Issues & Trends /trustee-trends-2024-new-twists-familiar-challenges .bannerHero { background-image: /*linear-gradient(rgba(0, 0, 0, 0.5), rgba(0, 0, 0, 0.5)),*/ url("/sites/default/files/2024-01/trustee-trends-2024-banner-1170x250.jpg"); background-position: center; background-repeat: no-repeat; background-size: cover; position: relative; height: 1000px; max-height:250px; max-width: 100%; margin: 0 auto; overflow:hidden; text-align: center; } .bannerHero .contentBottom { position: absolute; bottom: 0; /* background-image: linear-gradient(-180deg, rgba(46,46,46,0), rgba(46,46,46,1));*/ width: 100%; /* left + right + border */ padding: 15px 50px 50px 50px; /*! border: solid 2px green; */ color: #fff; } .bannerHero .contentBottom h1{ font-size:2.8em; } .bannerHero .contentBottom p{ font-size:2em; line-height: 1.2em } @media (max-width:568px){ .bannerHero { max-height:350px; } .bannerHero .contentBottom { padding: 15px 15px 15px 15px; bottom: 50; } .bannerHero .contentBottom h1{ font-size:2.3em; } .bannerHero .contentBottom p{ font-size:1.5em; } } <div><div class="bannerHero"><div class="contentBottom"><h1>Trustee Trends in 2024: <br>New Twists to Familiar Challenges</h1></div></div></div> @media (min-width:768px) { .sp_CTA1b_holder { top: -15px; } } @media (max-width:767px) { .sp_CTA1b_holder { top: 0; /*margin: 0px 50px;*/ } } .row.sp_CTA1b { margin: 0 !important; display: flex; justify-content: center; align-items: center; } .sp_CTA1b_holder { background-color: #fff; /*! padding: 15px 0; */ position: relative; overflow: auto; border: solid 2px #307FE2; text-align: center; float: inline-start; padding: 10px 30px; } .sp_CTA1b h3 { color: #002855; font-size: 1.4em; margin: 0px; /*! float: left; */ /*! padding-top: 17px; */ } .sp_CTA1b img { max-height:60px; display: inline-block; } .sp_CTA1b h3 { color: #002855; font-size: 1.4em; /*! margin: 0 10px 0 0; */ /*! float: left; */ /*! padding-top: 17px; */ display: block; } .sp_CTA1b span { display: block; margin-top: 10px } .sp_CTA1b span a { color: #d50032; } .sp_CTA1b span a:hover { color: #651d32; } <div class="sp_CTA1b_holder"> <h3> Sponsored by: <a href="https://www.relias.com/" target="_blank" rel="noopener nofollow"><img src="https://aha.org/sites/default/files/2022-03/aonl-cta-sponsor-relias.png" alt="Relias Logo"></a> </h3> </div> </div> --><div class="row sp_Resource1"> .sp_Resource1{ padding:25px 0 0px 0 ; } .sp_Resource1 h3{ margin:10px 0 0 0; color:#555; font-size:.7em; text-transform:uppercase; font-weight:400; letter-spacing:3px; } .sp_Resource1 h4{ color:#002855; line-height: 1.2em; font-size:30px; margin: 0 0 15px 0 } .sp_Resource1 p, .sp_Resource1 ul li{ font-size:16px; } .sp_Resource1_holder{ background-color:; padding: 0; overflow: auto } .sp_Resource1 .sp_Resource1_holder img{ margin: auto; display: block } @media (max-width:768px) and (min-width:340px){ .sp_Resource1 .sp_Resource1_holder .col-xs-3{ width: 40%; } .sp_Resource1 .sp_Resource1_holder .col-xs-9{ width: 60%; } } @media (max-width:500px) and (min-width:361px){ .sp_Resource1 .sp_Resource1_holder.col-xs-3{ width: 100%; } .sp_Resource1 .sp_Resource1_holder .col-xs-9{ width: 100%; } } @media (max-width:360px){ .sp_Resource1 .sp_Resource1_holder .col-xs-3{ width: 100%; max-width: 150px; /* margin-left: calc(50% - 75px);*/ margin-right: } .sp_Resource1 .sp_Resource1_holder .col-xs-9{ width: 100%; padding: 0 25px } } @media (max-width:500px){ .sp_Resource1 .sp_Resource1_holder center .btn{ width:250px; right:calc(25% - 115px); } } .sp_Resource1 .btn { margin-top: 20px; } /* center_body */ .center_body { /*margin-top:50px;*/ margin-bottom: 15px; } .center_body h3 {} .center_body p { font-size: 16px } p.center_Intro { color: #002855; line-height: 1.2em; font-size: 30px; margin: 10px 0 25px 0; font-weight: 700; font-size: 2em; } @media (max-width:768px) { p.center_Intro { line-height: 1.2em; font-size: 23px; font-size: 1.45em; } } .center_body .center_Lead { color: #63666A; font-weight: 300; line-height: 1.4; font-size: 21px; } /* center_body // */ <div class="row center_body accThemes"><div class="col-md-9 col-sm-8"><p class="center_Intro">Health care boards and their organizations must adapt to meet new changes and requirements</p><p class="center_Lead">As health care continues changing, how will health care leaders adapt and change with it? What headwinds should board members be aware of? Issues range from the use of AI in health care spaces to health care disruptors to the implementation of the CMS Quality Assessment and Performance Improvement (QAPI) program. Some of these issues overlap: might AI be useful in managing workforce pressure? Could outreach or lack thereof to Gen Z affect a hospital’s quality metrics?</p><p class="center_Lead">This article from AHA’s Trustee Services speaks to the major trends we expect will affect hospital and health system trustees in 2024 and beyond. Each section contains Trustee Discussion Topics that can serve as a way to assess your organization’s readiness for the future. These questions can also be used by boards to serve as a starting point for these vital conversations. Trustee Services will continue this conversation as we look to the future for board members.</p></div><div class="col-sm-4 col-md-3"><img src="/sites/default/files/2024-01/trustee-trends-2024-page-1-500_0.jpg" alt="Trustee Trends 2024" width="500" height="664"> </div></div></div> .SponsorMarketoForm { background-color: ; padding:5px 25px; border: solid 2px #307FE2; margin:50px 15px 0px !important; display:inline-block; width: -webkit-fill-available; margin-bottom:25px; } .SponsorMarketoForm h3{ margin:10x 0 0 0 ; color:#9D2235; font-size:.7em; text-transform:uppercase; font-weight:400; letter-spacing:3px; max-width:200px; /* Custom for the copy length */ background-color:#fff; padding: 5px 15px; position:relative; top:-35px; height: 0px; } .SponsorMarketoForm h2{ color: #002855; } .SponsorMarketoForm .SponsorMarketoFormHolder{ background-color: ; padding:15px; display: inline-block; margin-bottom:25px; } .SponsorMarketoFormHolder form{ margin: auto; } @media (max-width:640px){ .SponsorMarketoForm { padding:5px 0px; 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padding:5px 25px; border: solid 2px #307FE2; margin:50px 15px 0px !important; display:inline-block; width: -webkit-fill-available; margin-bottom:25px; } .SponsorMarketoForm h3{ margin:10x 0 0 0 ; color:#9D2235; font-size:.7em; text-transform:uppercase; font-weight:400; letter-spacing:3px; max-width:200px; /* Custom for the copy length */ background-color:#fff; padding: 5px 15px; position:relative; top:-35px; height: 0px; } .SponsorMarketoForm h2{ color: #002855; } .SponsorMarketoForm .SponsorMarketoFormHolder{ background-color: ; padding:15px; display: inline-block; margin-bottom:25px; } .SponsorMarketoFormHolder form{ margin: auto; } @media (max-width:640px){ .SponsorMarketoForm { padding:5px 0px; } .SponsorMarketoForm .SponsorMarketoFormHolder{ padding:15px 0px; } } /* Marketo Over-ride */ .mktoForm .mktoFormRow:nth-child(3){ float: left; } /*Center the last row .mktoForm .mktoFormRow:nth-child(4){ margin-left:15%; } */ .mktoForm label{ font-size: 0px; width: 0px !important; } .mktoForm input{ height: 30px } .mktoForm .mktoButtonRow{ float: left; } .mktoForm .mktoButtonWrap { margin-left:20px !important; } .mktoForm .mktoButton { background-color: #307FE2 !important; border: 1px solid #307FE2 !important; color: #fff !important; padding: 0.4em 1em; font-size: 1em; background-image: none !important; min-width: 190px; margin: 0 15px; border-radius: 4px; padding: 10px 20px; transition: all .25s ease-in-out; text-shadow: none; white-space: normal; height: 30px; font-weight: 700 } .mktoForm .mktoButton:hover{ background-color: #002855 !important; border: 1px solid #002855 !important; color: #fff !important; } .mktoForm .mktoClear { clear: none; } <div class="row spacer" id="ahaLeadershipScan"><div><div class="col-md-10 col-md-offset-1"><div class="cta--image-container full_width SponsorMarketoForm"><h3>Trustee Trends 2024</h3><div class="col-sm-12"><h2>Download the Trustee Insights Special Edition: Trustee Trends in 2024: New Twists to Familiar Challenges</h2><div class="SponsorMarketoFormHolder">   MktoForms2.loadForm("//sponsors.aha.org", "710-ZLL-651", 3693); MktoForms2.whenReady(function(form){ if(form.getId() == 3693 ) { form.onSuccess(function(values, followUpUrl) { form.getFormElem().hide(); document.getElementById("successAndErrorMessages").innerHTML="<div><p>Thank you.<\/p><br /><p><a class='btn btn-wide btn-primary' data-view-context='top-level-view' href='\/system\/files\/media\/file\/2024\/01\/trustee-trends-2024.pdf' target='_blank' rel='noopener noreferrer nofollow'>Download Trustee Trends 2024<\/a><\/center><\/div>"; return false; }); }; }); <div id="successAndErrorMessages"> </div></div></div></div></div></div></div> Wed, 24 Jan 2024 11:26:44 -0600 Issues & Trends /guidesreports/2023-03-08-member-login-trendwatch-chartbook Wed, 08 Mar 2023 12:56:15 -0600 Issues & Trends /news/headline/2022-12-08-aha-releases-2023-environmental-scan <p>The AHA today released its 2023 Environmental Scan, which provides key data and insights on the current health care landscape and can help organizations explore the pandemic’s ramifications on the health care field for the upcoming year and beyond.  <br />  <br /> “The Environmental Scan helps tell the story of hospitals and health systems,” said AHA President and CEO Rick Pollack. “It allows us to analyze the past, consider the present, and most importantly, imagine our opportunities for the future.” <br />  <br /> The 2023 Environmental Scan covers a variety of topics, including: </p> <ul> <li>The state of hospital and health system financial stability; </li> <li>Workforce shortages, resiliency and technology solutions; </li> <li>The behavioral health crisis and the use of telehealth; and </li> <li>Consumer trends and patient engagement.</li> </ul> <p>The 2023 Environmental Scan is sponsored by B.E. Smith, an AMN Healthcare company. <br />  <br /> <strong>Visit <a href="/environmentalscan" target="_blank">AHA’s website</a> to access the Environmental Scan.</strong></p> Thu, 08 Dec 2022 14:35:41 -0600 Issues & Trends /news/headline/2020-11-24-aha-report-examines-teaching-hospitals-impact-health-care <p><span><span><span><span>A new </span></span><a href="/guidesreports/2020-11-24-trendwatch-teaching-hospitals-impact-transforming-health-care-landscape"><span><span>AHA TrendWatch report</span></span></a><span><span> released today examines teaching hospitals’ impact on a transforming health care landscape. </span></span></span></span></p> <p><span><span><span><span>The document gives an overview of graduate medical education and identifies key issues in training the physician workforce, including: residency caps that limit funding for training programs; a shortage of residents pursuing certain specialties, including primary care; changes in patient demographics; and new challenges brought on by the COVID-19 pandemic. </span></span></span></span></p> <p><span><span><span><span>The document describes how teaching hospitals are essential to building and maintaining a physician workforce that can meet our country’s health care needs today and into the future.</span></span></span></span></p> Tue, 24 Nov 2020 15:32:44 -0600 Issues & Trends /news/headline/2020-11-13-aha-blog-recent-hcci-reports-price-variation-and-growth-mislead <p><span><span>Two recent reports by the Health Care Cost Institute appear to use an oversimplified analytic approach and draw overly broad conclusions about price variation and price growth variation, writes Aaron Wesolowski, AHA’s vice president for policy research, analytics and strategy. He says their analysis does not address many of the key factors that can contribute to price variation and growth, while ignoring broader trends in the health care market. Read <a href="/news/blog/2020-11-13-recent-reports-price-variation-and-growth-mislead">more</a>. </span></span></p> Fri, 13 Nov 2020 14:21:10 -0600 Issues & Trends /news/blog/2020-11-13-recent-reports-price-variation-and-growth-mislead <p><span><span><span><span><span>In two recent reports, the Health Care Cost Institute (HCCI) appears to use an oversimplified analytic approach and draws overly broad conclusions about price variation and price growth variation. Their analysis does not address many of the key factors that can contribute to price variation and growth, while also ignoring broader trends in the health care market.<br /> <br /> To start, there may be a number of valid reasons why price variation occurs across metropolitan areas; among them is that the cost of providing a service can vary among providers. For example, labor costs are among the largest factors in hospital cost growth, and labor costs vary geographically. Another example is a provider’s unique service mix and whether the organization is balancing very costly services.<br /> <br /> Some of the differences within a market could be attributed to the insurance plan type. HMOs, which typically use a more restrictive network to leverage their purchasing power for lower negotiated prices, may pay lower prices for the same service compared to other plan types that have broader networks and less patient volume. HCCI’s analysis lumps all plan types together, despite stark differences between them. Naturally, one would expect to see variation in the prices paid by different plan types. In addition to this, certain insurer practices, such as excessive denials, may play a role as well. For example, if a health plan abuses prior authorization and medical necessity reviews to frequently deny reimbursement for medically necessary care, a provider may need to account for that in its pricing in order to break even.</span></span></span></span></span></p> <p><span><span><span><span><span>In addition, the geographic boundaries HCCI uses are not designed to reflect health care markets, and may not bear any resemblance to patient preferences or the patterns in which people actually seek care. HCCI uses core-based statistical areas, or CBSAs, as the foundation of their work. These are created by the Census to measure population density, and use geographic markers like county lines. Price variation within a CBSA could be accounted for by differences in labor markets, state regulatory environments, and a number of other factors, but HCCI doesn’t control for any of these possible factors.<br /> <br /> Patient acuity — that is, how sick or well a patient is — can also result in price differences. For inpatient services, HCCI focuses on C-section delivery and vaginal deliveries. But even within these services, patients can vary in terms of age and health status. And the clinical care provided can vary as well — complications during delivery can require additional care or result in a longer length of stay. HCCI appears not to have adjusted to control for these factors, which could result in oversimplified and flawed findings.<br /> <br /> Significantly, the report also conspicuously fails to examine the role that insurer concentration plays in driving up health care prices. We know that 75% of health insurance markets are highly concentrated, that in 48% of markets one insurer had a combined market share of 50% or greater, and that the share of markets that are highly concentrated increased from 71% to 75% between 2014 and 2018.</span></span></span></span></span><br /> <br /> <span><span><span>The reality is that hospital price growth is at historic lows.<b> </b>According to the Centers for Medicare & Medicaid Services, price growth for hospital care services was just 2.4% in 2018, and non-price factors such as intensity of services and inpatient bed days grew slowly as well. These factors combined for historic low growth in hospital spending.<a href="https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/index"><sup>[1]</sup></a> More recent data from the U.S. Bureau of Labor Statistics shows hospital prices have consistently grown less than 3% per year over the last decade and have frequently grown by less than the average rate of inflation. In fact, even when excluding the artificially low rates paid to hospitals by Medicare and Medicaid, annual price growth has still been below 3% in recent years.</span></span></span></p> <p><br /> <em><span><span><span>Aaron Wesolowski is AHA’s vice president of policy research, analytics and strategy.</span></span></span></em></p> <div>  <hr align="left" size="1" width="33%" /> <div id="ftn1"> <p class="MsoFootnoteText"><span><span><a href="#_ftnref1" name="_ftn1" title=""><span class="MsoFootnoteReference"><span class="MsoFootnoteReference"><span><span><span>[1]</span></span></span></span></span></a> National Health Expenditure Data, 2018. CMS, Office of the Actuary, National Health Statistics Group. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/index.html</span></span></p> </div> </div> Fri, 13 Nov 2020 13:22:10 -0600 Issues & Trends /education-events/9-biggest-trends-will-transform-future-health-care <div class="webreplay"> .webreplay{ border: solid 2px #777; padding: 15px 5px; margin: 0 0 10px 15px; } @media (min-width:360px){ .webreplay{ min-width: 290px; float: right; } } <h2><small>On-demand Webinar</small></h2> MktoForms2.loadForm("//app-sj20.marketo.com", "734-ZTO-041", 5771); </div> <p><strong>The 9 Biggest Trends That Will Transform the Future of Health Care</strong></p> <p><strong>Wednesday, September 9, 2020</strong><br /> <em>1 - 2 p.m. Eastern; noon - 1 p.m. Central; 10 - 11 a.m. Pacific</em> </p> <p><br /> The COVID-19 pandemic has brought into focus just how critical health care capacity is to our global health and economic prosperity. At the same time, our health care providers face an increasing burden on their ability to perform optimally. Innovation and technology will continue to be key ways to address these issues. Learn about these and the 9 biggest trends that will transform the future of health care for our global system, our health care providers, and the health care technology industry.</p> <p><strong>Attendees Will Learn:</strong></p> <ul> <li>The top 3 market trends that will transform the global health care system.</li> <li>The top 3 market trends that will impact our health care providers.</li> <li>The top 3 market trends that will impact the health care technology industry.</li> </ul> <p><br /> <strong>Speaker:</strong><br /> <br /> Tanuj Gupta<br /> Vice President<br /> Cerner Intelligence</p> Mon, 27 Jul 2020 12:50:50 -0500 Issues & Trends