I attended a meeting of health administrators last week and someone who is regarded as a true leader came up to me to let me know he has been reading my writings and he asked "are RHIO's going to survive?" I was a little taken back by this question, partly because of who was asking this question of me, but also because this is a very strong question. How can we even think they won't survive?
Once I recovered from the initial shock I said, "yes, but they will be different." Then I went on to explain that as in many other areas there will be a period of shakeouts, consolidations and partnerships focused on the pooling resources to maximize efficiencies.
I'm so happy my administrator peers are listening and learning! It only means that we have engaged a very powerful stakeholder!