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Free Weekly Strategic Value Analysis Newsletter

 

 

March 12, 2004         

 

Changing Times Require A Change In Strategic Direction

by Robert T. Yokl, President

“All Healthcare Organizations Can Benefit From A Strategic Approach To Non-Salary Cost Management To Increase Their Weak Margins”

Dr. Thomas R. Prince of Northwestern University gives us a stern warning when he says that, “an annual return (total margin) of more than 6 percent is necessary to sustain… (a) healthcare entity’s mission” this is necessary for increases in salaries and benefits, to keep up with technology demands, to introduce new procedures and services and for the replacement of old equipment and buildings. Yet, healthcare organizations’ average total margins are running about 5.3% or less nationwide.  More importantly, if a healthcare organization plans only to break-even annually (which many do today), they will surely find that their financial infrastructure will erode to the point that it will be impossible for them to provide needed services for their community or worse yet slowly slide into bankruptcy.

 

Hospitals Must Do Better Than Break-even Or Grind Out A Small Profit Each Year!

Hospitals must do better than break-even or just grind out a few percentage points each year that hit their bottom line if they are to pay for future increases in staffing, equipment and new technology.  It’s not going to come from your patient revenues either in the future because they will be flat or weak at best. This is also true of non-patient revenues such as cafeteria sales, gift shop sales, rentals of buildings, or investments because their growth potential is limited in today’s healthcare marketplace.

Looking to the future, most experts envision even deeper cuts in Medicare and Medicaid reimbursement, continued skyrocketing pharmaceutical and malpractice cost, and increasing demand for new technologies that will further negatively impact hospitals’ margins for years to come.

This leaves only those time honored financial resources of debt bonds, bank financing and accumulated surplus as life preservers, and these have become more impractical, non-existent or difficult to maintain without adequate margins.  So, where does your healthcare organization go from here to survive and thrive in the 21st century?

 

6% to 9% Improvement In Total Margins By Attacking

Your “Invisible Costs”

There is only one area that is left in the vineyard that represents about 45% of a healthcare organization’s operating cost. I’m referring to an area that can easily be harvested to improve a hospital’s total margins by as much as 6% to 9% and within 18-months if you know where to look for these improvements and then become organized and structured to capture them.

What I’m talking about are those “invisible costs” or unnecessary non-salary costs in your healthcare organization’s operating budget that are eating away at your margins. To achieve these huge savings, healthcare organizations have been so challenged with the identification, classification and quantification of these “invisible costs”, that they haven’t been able to decide what can be pruned, trimmed or cut.

What healthcare organizations are missing in their management toolbox to achieve these improvements is a strategic and revolutionary approach to non-salary cost management, which we call Strategic Value Analysis™. This breakthrough approach would create new behaviors, new organizational structures, and other critical adaptations to improve their viability to harness and control their non-salary expenses, so that they can dramatically increase their weak margins as opposed to one time initiatives or the tightening of budget controls.

If you are doing the same things and getting the same results in your quest to reduce your non-salary expenses, then you need to think differently and do differently if you want your healthcare organization to survive and thrive in the 21st century.

 

 

 

About the Author

Robert T. Yokl, President, The HCP Group, Ltd., has over 35 years of experience as a consultant and manager in the field of Supply Value Chain Management and is one of the country's leading healthcare experts in value analysis, value engineering, Non Salary Expense Reduction and materials management. He is the developer and program leader of the award winning Certified Value Analysis Practitioner Training Program™. Mr. Yokl is also the developer of the healthcare industry's leading ValueNetCentral™ Value Analysis Software. Over the past two decades he has trained thousands of healthcare managers in his patented Strategic Value Analysis™ and Team-Based Project Management™ processes and has assisted scores of organizations in developing their own value management programs. He has published six books, videos and audios on supply/value chain management. His latest book being, “ Strategic Value Analysis™: The #1 Smart Strategy for Taking Cost Out of a Healthcare Organizations’ Healthcare Supply Value Chain”.

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