Research, Business Intelligence, and Market Analysis

Introduction

The knowledge emerging from our research and demonstration initiatives provides the healthcare industry with innovative ways to think about improving leadership, enhancing organizational performance, understanding international market trends, and more. The result is a new generation of healthcare leaders equipped with the knowledge and management tools, insights, and expertise to achieve new standards of excellence.

National Healthcare Leadership Survey

The goal of the NCHL’s National Health Leadership Survey is to enable hospitals and healthcare systems to compare their leadership development efforts with evidence‐based best practices, to benchmarks their leadership practices in twelve different leadership dimensions, and to monitor improvements over time. It also enables NCHL to evaluate the rate of adoption of evidence‐based leadership best practices in the field and to study the relationship of adoption of specific leadership practices to organizational performance.

NCHL rolled out its Leadership Survey in 2007, 2010, 2014, and most recently in 2016. We used the 2014 results from a total of 103 hospitals and health systems to recognize 19 Best Organizations in Leadership Development (BOLD). With support from Cielo Healthcare in 2016, a new group of hospitals and health systems will be recognized at the 2016 BOLD organizations. Our hope is to stimulate national awareness of leadership best practices and the importance of leadership development in achievement of organizational performance goals, stimulate the adoption of leadership best practices in the field, and build recognition of those that are adopting best practices as role model organizations.

NCHL Health Leadership Competency Model 3.0™

The NCHL Health Leadership Competency Model™ was developed to provide the field with a comprehensive, validated competency model that will be suitable as the foundation for a breadth of leadership assessment and development applications. To ensure relevance to leaders from across disciplines, the Model was developed and validated utilizing interdisciplinary subject matter experts, and was refined in collaboration with industrial and educational psychologists. The resulting model has been adapted for use extensively in healthcare settings, and is now the leading model in use by accredited graduate programs in healthcare management, according to research conducted by CAHME.

We are pleased to provide you with a revised and revalidated version of our signature interprofessional Health Leadership Competency Model. This new version 3.0 represents the work and input of hundreds of healthcare leaders who volunteered their time to participate in interviews, focus groups, and survey responses as part of the revision and validation process.

The revised model is organized around four “action” domains and three “enabling” domains, which were derived from the current state-of-the-science in leadership development and performance research.

The “action” domains contain competencies relevant to the direct work of leaders on the job. These include: Execution, Relations, and Transformation, which parallel domains from the 2.1 model. Boundary Spanning was added to incorporate recent research in applied settings underscoring the critical importance of leaders’ management interdepartmental and interorganizational relationships. The “enabling” domains involve core professional knowledge and self-awareness competencies that strengthen the effectiveness of the “action” domains. These include: Health System Awareness & Business Literacy, Self-Awareness & Self-Development, and Values. These domains represent the leader in the context of their preparation and development to effectively lead in their organization.

Collectively the model includes 28 core competencies, each with accompanying behavioral descriptions at multiple levels of proficiency. The domain structure is designed to provide a user-friendly guide that can help practitioners first set high-level development priorities, and then select specific competencies to focus on to strengthen their capabilities within that domain.

To request a copy of our competency model, please click here.

USCIPP Business Intelligence and Market Analysis

USCIPP’s business intelligence (BI) offering evolved from the initiative formerly known as the Sponsored Projects Fund (SPF), a set of activities first established in 2014 with the support of 15 USCIPP members. SPF was initially designed to act as a vehicle for interested members to sponsor an expanded portfolio of in-depth research, such as an evaluation of remote second opinion and telemedicine services and a comparison study of job descriptions and compensation for international program positions. Over time, USCIPP members identified the need for an alternate model that could more flexibly support requests for information and analysis throughout the year.

Beginning in January 2017, SPF was fully replaced by a new structure, USCIPP Premium membership. USCIPP entered 2017 with one-third of the membership at the Premium level, and this number has since continued to grow. Currently, two-thirds of the organizations in USCIPP are Premium members.

USCIPP is uniquely positioned to combine its annual benchmarking data with up-to-date economic, healthcare, and political information to provide comprehensive analyses on a range of topics. The portfolio and direction of USCIPP’s BI work constantly evolve as Premium members strategically look to the future and make critical decisions for their programs. Premium members have expressed that USCIPP’s BI work products have been used to inform specific business plans and international marketing, staffing, and business development decisions.

In-depth Country Reports

To date, USCIPP has released long-form market reports for Brazil, Canada, China, Colombia, the Dominican Republic, India, Kuwait, Mexico, Qatar, Saudi Arabia, and the UAE. The market reports provide a comprehensive and deep analysis of each country’s economic, political, and healthcare environment through the lens of opportunities for international healthcare collaborations and outbound medical travel.


Monthly Market Insights Newsletters

The goal of the monthly market insights newsletter is to provide a broad understanding of the current international healthcare market. Each newsletter provides recent updates on shifting international market dynamics, with a focus on new global collaborations, international travel trends, political and economic developments in key countries, international insurance news, developments in cross-border telemedicine and remote second opinions, and more.

Interactive Online Maps

The international collaborations map, which is updated on a monthly basis, is an interactive representation of known international healthcare collaborations. This project enables Premium members to better understand current players in markets of interest. The international accreditations map is created using publicly available data gathered by the USCIPP BI team and shows the locations of accredited organizations from Accreditation Canada, JCI, the Australian Council on Healthcare Standards International, and the World Directory of Medical Schools.

Ad Hoc Original Research

USCIPP also conducts research projects on an ad hoc basis at the directive of its Premium members. These may be custom reports that draw data from disparate sources to independent research initiatives involving operational data collection and analysis. Some recent examples of the resultant reports from this type of work are below.

• Analysis of Benchmarking Data Requested by a Pediatric Hospital (September 2017)
• Mini-Analysis of India (September 2017)
• Longitudinal Inbound International Patient Analysis: Mexico, South America, and Central America & the Caribbean Region (September 2017)
• Global Competitor Analysis: United Kingdom (October 2017)
• Self-pay Analysis (December 2017)
• Emerging Markets and International Collaborations (March 2018)
• Longitudinal Analysis of Small and New Programs Reporting Both Volumes and Revenues (Charges) in the USCIPP Annual Benchmarking Survey & China Subanalysis (March 2018)
• Benchmarking International Program/Department Structures (September 2018)
• Latin America Insurance Market Snapshot (September 2018)
• Domestic Care Coordination (July 2019)

Benchmarking and International Market Insights Dashboards

The self-service Qlik Sense dashboards are the result of member feedback and requests for interactive applications that house data from USCIPP’s annual benchmarking survey and provide members with tools that allow for comparative international market analytics. The USCIPP team is continuously updating the applications’ functionality as well as the underlying data. Some screenshots are included below. Note that the benchmarking apps in the following images contain dummy patient volume and international collaborations data and are for demonstrative purposes only.

USCIPP Annual Benchmarking Survey of International Programs in the US

The US Cooperative for International Patient Programs (USCIPP)—an organizational membership program of NCHL—is a consortium of American hospitals and health systems that share a focus on providing care to international patients, cross-border education and training programs, management and consulting services to hospitals and governments abroad, and various other forms of international collaboration in healthcare.

USCIPP’s Annual Benchmarking Survey of International Programs in the US surveys USCIPP’s member hospitals and health systems with established international programs. Recognizing our members comprise most, but not all, US hospital and health systems with established international health programs, this benchmarking survey is best considered as a lower bound for the actual size of the US market. The goal of this survey is to allow respondents to benchmark their international program operations against those at peer institutions through the data and insights garnered from this report. Due to the diverse group of member organizations, USCIPP’s survey is also able to distinguish pediatric versus adult services, which permits even stronger benchmarking capabilities.

The annual USCIPP member survey collected information about services offered, financial metrics, operational metrics, and patient volumes. Additionally, the survey results provided insights into international program structures and geographic regions of home residence for patients traveling to the US for care. Click here to see our latest publicly available data release. More in-depth data and our full benchmarking reports are available to USCIPP’s member organizations.

USCIPP International Patient Experience Initiative ©

Made possible by

In 2016, USCIPP members identified the development of standardized metrics to measure international patient experience and satisfaction that can be benchmarked across organizations as a high-priority need for association. USCIPP partnered with Rush University’s Center for the Advancement of Healthcare Value (CAHV) to develop the survey instrument, methodology, administration platform, and database necessary to launch this initiative with the generous support of Flywire. In April 2019, USCIPP formally launched the second year of the initiative with additional support from Sodexo Healthcare. The 19 participating USCIPP member organizations have since collectively surveyed over 1,000 international patients.

The benefits members gain through the initiative are operational insights through collecting feedback from international patients and families, data that can be analyzed longitudinally within their organizations, results that can be benchmarked against other organizations, peer discussions via monthly committee meetings, and methodologies specifically designed for international patients.

Cost and Scope of Project

The International Patient Experience Initiative © participation fee is $3,000 annually per USCIPP member. A Qlik Sense license will be necessary for participants to have access to the project’s patient experience data dashboard. This environment allows for members to generate customized reports—including cross-organizational benchmarking analyses of survey results—as well as integration with USCIPP’s annual benchmarking survey data.

Participating organizations will send the survey to their respective international patients who meet the criteria of eligibility. The administration protocol calls for three attempts to collect a response from the patient once the patient has completed medical care at the respective organization. Data are uploaded monthly into a custom-built dashboard that allows USCIPP members to run customized reports based on filterable criteria. A screenshot of part of the USCIPP International Patient Experience Initiative © Data Dashboard is below. Note that the app in the following image contains dummy international patient survey data and is for demonstrative purposes only.

The survey is administered in REDCap, a HIPAA-compliant software that organizations maintain on their own networks. Members will be required to purchase a Qlik Sense license if they have not already purchased or requested one as a Premium member. The purchase of the Qlik Sense license will be required for the first year only and is a one-time fee.

In order to participate, USCIPP members must agree to:

• Secure institutional access to REDCap, as REDCap will be required to conduct patient satisfaction surveys through members’ own institutional REDCap accounts
• Commit a primary representative from their organization to participate in the International Patient Experience Committee, including monthly calls and ongoing related activities
• Maintain accurate records and administer the survey according to the guidelines and protocols set forth by the International Patient Experience Committee
• Send an de-identified, individual-level results data to USCIPP on a monthly basis
• Acquire a license to Qlik Sense through USCIPP to have access to the dashboard if one has not already been requested
• Support the International Patient Experience Initiative with timely payment of the project participation fee, which is due to USCIPP/NCHL within 30 days of receipt of the invoice

USCIPP’s role:

• Advise on design and collection of survey data
• Program REDCap in four languages in addition to English (Spanish, Arabic, Portuguese, and Simplified Chinese)
• Program individual members’ REDCap data dictionaries with a customized cover letter
• Quality test REDCap to ensure functionality
• Provide ongoing support to members with REDCap, survey administration, and methodology, as needed
• Research, test, and sort out alternative methodologies to survey patients using REDCap according to practices and general hospital requirements regarding the use of communication apps to survey patients
• Organize monthly conference calls for committee members
• Arrange for an outside service to translate the questionnaire into Spanish, Arabic, Portuguese, and Simplified Chinese
• Hire a project intern to support the initiative
• Collect, inspect, clean, and compile data (not to include any protected health information) from USCIPP members for use in Qlik Sense
• Upload data on a monthly basis to the Qlik Sense dashboard
• Provide an annual year-in-review report in conjunction with USCIPP’s annual meeting

Use of Data and Confidentiality

Participants in the USCIPP International Patient Experience Initiative © engage in the sharing of materials, best practices, and data across peer organizations. Participants mutually agree to hold entirely confidential the data or information received by them in connection with participation in the USCIPP International Patient Experience Initiative ©. If requested, USCIPP/NCHL agrees to execute and be bound by a business associate agreement.

Data collected through the USCIPP International Patient Experience Initiative © will be stored on a secure drive at Rush University and the Qlik Sense data dashboard platform (data protection statement available here). Raw data are only available to internal USCIPP/NCHL and CAHV staff. USCIPP agrees that:

(i) it will keep and maintain all member information in strict confidence, using such degree of care as is appropriate to avoid unauthorized access, use, or disclosure;
(ii) it will not report individual member information and that only aggregated information will be reported without members’ prior written consent;
(iii) it will not directly or indirectly disclose member information to any person other than its authorized employees/authorized persons (including any subcontractors, agents, outsourcers, or auditors) without express written consent from the member.

All USCIPP/NCHL and CAHV staff who will have access to the patient experience data will sign a legal confidentiality agreement, a copy of which will be provided upon request.

To learn more, contact the USCIPP team at uscipp@nchl.org.

USCIPP International Telemedicine & RSO Due Diligence Initiative

In 2019, USCIPP launched an initiative focused on conducting legal due diligence related to the cross-border delivery of international telemedicine and remote second opinions (RSOs). The cost of having local counsel evaluate legal issues related to the delivery of telemedicine and RSOs in a new country/jurisdiction can be very high – sometimes $20,000 or more for a single market. Given the significant fees required to commission this kind of work, USCIPP’s members have encouraged the development of a mechanism that would allow for hospitals to share in the costs of conducting legal assessments regarding the delivery of telemedicine and RSOs in countries/jurisdictions of high interest to the general membership. The goal of collaborating in this fashion is, of course, to enable USCIPP members to complete a large amount of their legal due diligence process for numerous countries/jurisdictions at a substantial discount vs. what it would cost for a single institution to do the work alone.

After polling the broader membership and consulting with experts in law, telemedicine, and international business at several prominent member organizations, USCIPP developed a request for proposal (RFP) to contract for legal services to evaluate cross-border telemedicine and RSO services in a number of different markets chosen by USCIPP members. The RFP was sent to multiple international law firms, and USCIPP’s members were given an opportunity to evaluate the responding firms’ proposals. Hogan Lovells—a large, global law firm with deep experience in this area—was ultimately selected as the organization that submitted the strongest proposal.

Work Products

USCIPP and its member hospitals developed a standardized matrix (below) that is used to analyze each market’s cross-border telemedicine and RSO legal/regulatory landscape.

The final deliverables address legal issues related to the provision of telemedicine and RSOs in these markets. The resultant documents are meant to inform and empower individual institutions’ business and legal teams to develop tailored models of care with appropriate legal documentation. To date, USCIPP has commissioned reports for the following markets:

Phase I
• Canada: Province of Ontario (December 2019)
• Canada: Province of Alberta (February 2020)
• Hong Kong (December 2019)
• Macau (December 2019)
• Mexico (December 2019)
• People’s Republic of China (Mainland China) (UPDATED September 2021)
• Republic of China (Taiwan) (January 2020)
• Saudi Arabia (UPDATED August 2021)
• United Arab Emirates (UPDATED March 2021)
• United Kingdom (UPDATED April 2021)

Phase II
• Bahrain (April 2020)
• Bermuda (May 2020)
• Brazil (April 2020)
• Canada: Province of British Columbia (July 2020)
• Canada: Province of Québec (July 2020)
• Colombia (May 2020)
• Dominican Republic (May 2020)
• Ecuador (May 2020)
• Kuwait (UPDATED September 2021)
• Qatar (UPDATED September 2021)

Phase III
• Costa Rica (December 2020)
• India (November 2020)
• Panama (November 2020)
• Peru (December 2020)

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