The development of an integrative healthcare model in the Salt Lake City Veterans Affairs Healthcare System.
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How much oversight of fiduciary duty is enough? The stakes are higher than ever for trustees to make certain they know what the term truly means.
Some for-profit hospital chains have decided to take a new tack to stay competitive by reorganizing their goals and management structures. Darren Lehrich, left, a healthcare services stock analyst, points to recent executive staffing changes at Health Management Associates as a good example of a sweeping industry trend. "They've created (more) divisional structures than before," he says.
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A cross-sectional study is used to determine how rural New Mexico hospitals altered service diversification, inpatient service emphasis, and service promotion during Medicare's prospective payment system (PPS) transition and posttransition phases. Results suggest that the hospitals implemented distinct strategies in response to PPS. The posttransition strategies were examined for their association with improved revenue and utilization indicators. Few of the service diversification and promotional strategies were consistent predictors of performance. Emphasis on fine-tuning inpatient services was the most promising predictor of higher utilization and revenue measures. The implications for other rural hospitals are discussed.
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