Can Physicians Learn To Lead From Other Physicians?

Reduce Lighting Energy Costs Up to 50 Percent

CMS Releases Proposed Physician Fee Schedule Rule for CY 2019

Let’s face it! Physicians were never taught how to lead. Those who do it well pretty much learned on their own, through their own successes and failures, and their ability to understand that working with others in an organization where you don’t have total control presents challenges that demand a different sort of skill.

While some physicians have learned what it takes to lead within an organization, they often aren’t the best teachers. Yet, we need to capture, draw upon, and convey the wisdom they have gained through living the tough lessons of leadership. At MHEI we have convened a Physician Leadership Faculty that consists of an ex-CEO/CMO, a current CMO and an Ed.D, who bring a combined more than 100 years in health care/hospital experience to create and present a solid, “Here’s how you can lead to get results” curriculum.  The program, "The Practice of Leadership" will begin in September. Registration for the fall cohort is now open.

Contact: Alison Burrows

Lighting accounts for 30 to 60 percent of annual electric costs for many facilities, and many new advances in lighting technology can help your organization conserve energy and save money.

Prime, a subsidiary of the Maryland Hospital Association, suggests that you consider Shepherd Electric Supply to help you reduce maintenance and operating costs. A lighting retrofit can cut lighting energy costs up to 50 percent and energy-efficient lamps, ballasts and lighting controls produce immediate and long-term energy and operational cost savings over their 10- to 20-year product life cycles.

Depending upon hours of operation, a typical lighting upgrade delivers an average payback of two years. Recognizing the value of reducing energy demand, many electric utilities, state and municipal governments offer rebates and tax incentives for energy-efficient lighting. Hospitals can undertake a retrofit with little or no up-front capital through financing that pays for the retrofit over time through a portion of the energy cost savings achieved.


The Centers for Medicare & Medicaid Services this week proposed to update physician fee schedule rates by 0.25 percent in calendar year 2019, as required under the Medicare Access and CHIP Reauthorization Act of 2015.

After this update and the budget-neutrality adjustment required by law, the proposed 2019 conversion factor is $36.05, an increase from $35.99. The rule proposes no changes to site-neutral payment policies under Section 603 of the Bipartisan Budget Act of 2015. Specifically, CMS proposes to continue to allow nonexcepted provider-based departments (PBD) to bill for nonexcepted services on the institutional claim and would maintain payment for nonexcepted services at 40 percent of the outpatient prospective payment system amount for calendar year 2019. Section 603 requires that, with the exception of dedicated emergency department services, services furnished in off-campus PBDs that began billing under the OPPS on or after Nov. 2, 2015 no longer be paid under the OPPS, but under another applicable Part B payment system. Among other changes, the rule also proposes to reduce payment for new Part B drugs from the rate of Wholesale Acquisition Cost plus 6 percent to WAC plus 3 percent. "Today's proposed policies from CMS will provide opportunities and challenges for hospitals and health systems and the patients and communities they are proud to serve each day," said AHA Executive Vice President Tom Nickels. Specifically, AHA applauded CMS for reducing the regulatory burden physicians face and expanding the ability of physicians to serve patients through telehealth, but expressed continued disappointment with CMS's policies regarding the relocation of existing off-campus outpatient departments and site-neutral payment. Comments on the proposed rule are due Sept. 10.