Physicians and Hospitals


Book Description

Physicians and Hospitals addresses an issue of concern and one of fundamental importance to the American health care system. While the ranks of physicians continue to swell and hospitals continue to expand their facilities, federal, state, and local governments remain determined to control health care expenditures. As a result, checks on the supply of services and facilities have been implemented that strain the physician-hospital relationship, often placing physicians and hospital administrations in conflict. The implications for American health care are the subject of disagreement and vigorous debate.




Selected Papers


Book Description







Predicting Successful Hospital Mergers and Acquisitions


Book Description

As managed care continues to increase in the United States, hospital and system executives consider mergers and acquisitions more frequently for both aggressive and defensive reasons. Predicting Successful Hospital Mergers and Acquisitions can help you learn to analyze data to determine which hospitals are potential candidates for merger and which are risky business ventures. You will learn to take into account not only the marketing and financial elements of mergers and acquisitions, but also the operational factors crucial for success. You will also acquire a set of guidelines and financial analytical approaches that prepare you for forecasting the results of proposed mergers or acquisitions between acute units.Because few new markets are available for hospitals and competition is increasing, performing mergers and acquisitions may be the only route available for organizations wishing to grow. Predicting Successful Hospital Mergers and Acquisitions teaches hospital, system, and other health service industry executives how to keep abreast of their market positions to remain competitive and efficient in the current, intense managed care environment.As you read Predicting Successful Hospital Mergers and Acquisitions, you learn to identify significant financial variables in the market that will differentiate between merger candidates and non-targeted hospitals. The book’s coverage of the following topics is important to your understanding of the health care market and the options available: market penetration product development market development diversification significant variables one year prior to merger use of accounting numbers to predict takeovers managed care staffing issuesPredicting Successful Hospital Mergers and Acquisitions gives you a practical, proven model for predicting the outcome of merger and acquisition maneuvers. This model is developed from accurate, consistent, and complete data from California, a trendsetting market in health care delivery, during the years 1984 to 1992. It can be applied not only to hospital mergers and acquisitions, but also to skilled nursing facilities, psychiatric care centers, and rehabilitation facilities seeking growth. Educators and program directors in health care administration programs and executives and boards of imaging centers, surgi-centers, and home health agencies can also employ this model to stimulate growth and expansion.




Unexpected Crossroads


Book Description

In her new novel, Unexpected Crossroads, Tylia L. Flores takes readers on an emotional journey with Emily Rose Baker, a 17-year-old girl who possesses an extraordinary spirit. Born with cerebral palsy, Emily has faced numerous challenges throughout her life. However, she refuses to let her disability define her. Last summer, Emily embarked on a visit to her father's home in Florida. Little did she know, this week-long trip would forever change her life. A chance encounter with Carter, another teenager living with cerebral palsy, sparked a beautiful and inspiring romance. Their connection was instantaneous, and their bond grew stronger with each passing day. Emily and Carter's love story was nothing short of magical. They understood each other's struggles and shared a deep connection that is rare to find. But as the summer came to an end, Emily faced the reality of returning to her hometown, leaving behind the comfort and familiarity she had found in Carter's arms. Determined to keep their relationship alive, Emily and Carter embark on a long-distance journey. They face numerous obstacles, including the challenges of their CP and the distance between them, but their love for each other knows no boundaries. Through their unwavering determination and unwavering support, they navigate the ups and downs that come with being in a long-distance relationship. Unexpected Crossroads is a story that reminds us that love knows no limits. It is a testament to the power of perseverance and the unwavering strength that can exist in the simplest acts of kindness. Tylia L. Flores' writing beautifully captures the essence of Emily's journey, showcasing the resilience, courage, and love that lies within the hearts of those with special needs. Fans of romance and heartfelt stories will find solace in Unexpected Crossroads. It reminds us that love is a universal language that knows no boundaries, and that sometimes, the most unexpected moments can lead to the most profound love stories.







Emergency Medical Services


Book Description

Emergency Medical Services (EMS) is a critical component of our nation's emergency and trauma care system, providing response and medical transport to millions of sick and injured Americans each year. At its best, EMS is a crucial link to survival in the chain of care, but within the last several years, complex problems facing the emergency care system have emerged. Press coverage has highlighted instances of slow EMS response times, ambulance diversions, trauma center closures, and ground and air medical crashes. This heightened public awareness of problems that have been building over time has underscored the need for a review of the U.S. emergency care system. Emergency Medical Services provides the first comprehensive study on this topic. This new book examines the operational structure of EMS by presenting an in-depth analysis of the current organization, delivery, and financing of these types of services and systems. By addressing its strengths, limitations, and future challenges this book draws upon a range of concerns: • The evolving role of EMS as an integral component of the overall health care system. • EMS system planning, preparedness, and coordination at the federal, state, and local levels. • EMS funding and infrastructure investments. • EMS workforce trends and professional education. • EMS research priorities and funding. Emergency Medical Services is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.







The Role and Function of Community Hospitals


Book Description

The community hospital may answer a new health need - to support locally patients who may be discharged into the community following "care in the community" and "early discharge" initiatives - and this is considered. Those working in community hospitals tend to be defensive and supportive because some hospitals may be under threat of closure. The potential of many community hospitals may not have been fulfilled, mainly because their role has not always been fully understood and, therefore, they have not been used appropriately. A national count was carried out using information given by the regional health authorities. A stratified sample of small community hospitals (under 50 beds) and large (over 50 beds) totalling 92 hospitals was sent a questionnaire requesting information on the services provided. The main findings were that community hospitals are smaller than originally envisaged. Conclusions reached are that the original concept has remained intact, that the problem is that of clearly defining the role and function and ensuring that management arrangements allow for the establishment of a clear direction for community hospitals.