”{M} than 70% of participants reported that they felt their organization was well positioned for future success…. More than three-quarters said they are on a good path to successfully compete in their local markets. Fear of aggressive new competition is minimal, with only 3% of survey participants saying they feel very unprepared relative to their markets.”

One nice quote: The chief strategy officer of a west-coast medical center said “We need to position our enterprise for a post-reform era,”  which means “moving from a tertiary/quaternary care model only to a dual strategy in which we are also a population health manager.”The overwhelming sentiment …. was that the impediments to change are mostly internal. Less than a fifth of respondents said that market competition is the primary challenge ….in the ongoing shift from volume-based to value-based payment. A similar share said that outdated or ineffective IT infrastructure is their major roadblock, and almost two-thirds identified either cultural resistance or misalignment with physicians as their biggest obstacle.”

Apple  was their favorite company,  —  with ”its history of cannibalizing its own products before a competitor does and  promoting disruption before being overtaken by it.”