It's been a while since we've dipped into the H&HN Daily mailbag, so I thought this shortened workweek would be a good time to see what's on our readers' minds.

Donald Bellefeuille, chimed in on yesterday's interview with Huron Healthcare's Curt Whelan, which focused on some of the key issues that are keeping CEOs awake at night:

Excellent summary. These organizations need to build on their strengths and develop execution options from that. If they wander too far from what they are absolutely good at they will only partially succeed and that isn't good enough in the new era of health care.

Regular reader — and letter writer — "Betty" thought that Bill Santamour's blog earlier this week on extending the care continuum was on the mark as well.

You point out what would seem like an obvious need, but [it is] always good to open the discussion again! I would add an agenda topic to the discussion and that is end of life care. The need to respect patient and family choices often entail services other than acute hospitals.

In a recent blog report from a gathering of nonprofit health systems and the investment community, I reported that health system execs are working hard to assess what their organizations will look like in the next few years. As RHunter points out, this is important for the entire field, not just nonprofits.

This is pertinent for for-profits as well! The importance and power of strategic relationships crosses all financial and service delivery models.

Paul Barr's report from the National Patient Safety Foundation conference highlighting a concern that cost pressures could put safety initiatives in jeopardy garnered this response from Terri Green at Atlas Biomechanics:

You are correct; more needs to be done to train physicians on patient safety.

Finally, Marna Holley at Gunderson Health System, responding to Marty Stempniak's report about hospitals going green, boasted about her health system's environmental record:

Our health system is a national leader in energy efficiency and sustainability. Read more about how we've been able to achieve 100 percent energy independence on our Onalaska, Wis., campus — the first multiple building health care campus in the country to achieve that distinction. You can learn more in the attached summary and explore Gundersen Health System's Envision program on our website.
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