PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Hospital Restructuring”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,603 records · Page 89Linked to original sources

Hospital outpatient pharmacies and durable medical equipment.

Factors to consider when planning and implementing a durable medical equipment (DME) business are discussed. Although hospital pharmacists have begun to provide home health-care and other outpatient-care services, few hospital pharmacies have implemented DME businesses in conjunction with those services. By providing DME to patients, hospital pharmacies can realize substantial net income while improving continuity of patient care. Before establishing a DME business, pharmacists should consider where the showroom will be located, who will deliver and set up the equipment and train patients to use the equipment, and how the business will be promoted within the hospital; they must also become familiar with methods of reimbursement for DME. It is also important for pharmacists to decide whether the hospital should enter into a joint-venture relationship with an established community-based DME dealer or act as sole owner of the DME business. As hospitals search for ways to generate income from sources other than inpatient care and to encourage patients to use hospital services, hospital pharmacists should not overlook the possibility of establishing a DME business in conjunction with other outpatient-care programs.

Ambulatory Care↗

Financial impact of home health care on the hospital.

A method for analyzing the financial impact of new home health-care (HHC) programs on the hospital is presented. Clinical service objectives and long-term goals for new programs must match patient needs with institutional opportunities and constraints. Planning and evaluating new HHC programs require an accurate analysis of the financial impact of the proposed program on the hospital. A method for financial program analysis is presented through three different hypothetical scenarios based on realistic situations of hospitals considering HHC alternatives. Marginal analysis is presented as a microeconomic tool, and the calculation of marginal cost from a linear total cost function is described. Pro forma spread sheets of revenue and expense are used to assess three different HHC program alternatives--an independent HHC agency, a hospital-based agency, and a joint venture between a vendor and a hospital. Net present-value calculations are explained and applied to one case. It is important to use realistic assumptions in estimating the financial performance of HHC programs.

Cost-Benefit Analysis↗

Using benchmarking to identify standards for restructuring.

Benchmarking is a process of comparing an organization's performance to that of a selected standard. Because the standard is one selected from other organizations for their "best" performance, benchmarking establishes a vision or goal for restructuring. This author, who is experienced in helping organizations restructure using the benchmarking process describes the steps and how to use it to guide an organization to successful restructuring.

Hospital Administration↗

Moving beyond survival after downsizing.

Caregivers experience many losses during downsizing. Four specific approaches can help resolve its adverse effects: making conscious decisions; grieving to completion; trusting alternative approaches; and connecting with others. A chaos model of grief helps caregivers recognize each stage of the recovery and complete the grieving process.

Adaptation, Psychological↗

The tactical made practical.

Mergers are great--until they push past someone's safety zone, until they force tough choices about combining services and business lines. Here's a checklist for maneuvering the dangerous postmerger waters.

Catchment Area, Health↗

Hospitals in integrated delivery systems.

With inpatient use plummeting and HMOs demanding deep discounts, hospitals are restructuring themselves to run more efficiently and promote health as part of integrated delivery systems. This installment of HSL's continuing series discusses major strategies hospital directors can establish to support their institutions.

Cost Control↗

Restructuring military health care: the winds of change blow stronger.

The Military Health Services System is an enormously complex enterprise, consisting of more than 400,000 personnel in the active, reserve, and civilian workforce, operating 148 hospitals and over 800 medical and dental clinics worldwide, and serving nearly 9 million beneficiaries. Expenditures on military health care activities will exceed $15 billion in 1993. Yet many people in leadership positions in government--both inside and outside the Department of Defense--question whether the current organization of the Military Health Services System is appropriate to accomplish the Department's medical missions. Some insiders have observed that having three military medical services is having two too many--that a single "purple" medical service, or at least a single management structure such as a Defense Health Agency, would better meet military mission requirements as the Defense Department undergoes post-Cold War downsizing. One of the most pressing challenges facing military health care managers is how to best organize resources to provide timely access to quality care and achieve economies at a time when civilian health care is itself in turmoil. This article provides a long-awaited update on the spirited debate over the need to reorganize the Military Health Services System--and the prescriptions ordered so far to cure the system's perceived organizational ills.

Government Agencies↗

Strategies for improving job security: decreasing anxiety from restructuring.

Nurses are worried about the future of nursing and, more specifically, about the future of their own job. This author who is experienced in working with nurses on job security issues and clarifying layoff policies suggests strategies that can help improve nurses' feelings of job security even during this time of restructuring.

Anxiety↗