Subject(s)
Attitude of Health Personnel , Chief Executive Officers, Hospital/psychology , Cooperative Behavior , Interinstitutional Relations , Chief Executive Officers, Hospital/statistics & numerical data , Economic Competition , Humans , Interviews as Topic , Models, Organizational , United StatesABSTRACT
Hospitals, besieged by new competitors and pressured to cut costs, are entering a new and unfamiliar environment. As usage declines and the government's new prospective payment system makes itself felt, hospitals are feeling the pinch. Nonprofit hospitals face competition from newer, for-profit providers of health care. These authors discuss the factors that have led some hospitals to close and forced most others to consider how they can lower costs while maintaining high-quality care. Several strategies exist to help hospitals cope with their new problems. The authors point out the advantages and disadvantages of downsizing, diversification, and joint ventures, among other practical measures that hospitals can take.
Subject(s)
Economic Competition/trends , Economics, Hospital/trends , Economics/trends , Hospital Administration , Hospital Restructuring , Cost Control , Planning Techniques , United StatesABSTRACT
Five major issues that hospital administrators and strategic planners will face during this decade are outlined in this article. They include: health care costs, regulation, reimbursement, capitalization, and competition. Differences between investor-owned and not-for-profit systems are explored, as well as the extension of hospitals into the traditional medical practice. The author suggests that within the challenges to the health industry in the 1980s are numerous opportunities, particularly for hospitals and physicians, to form meaningful partnerships not only to survive but to succeed. This article is based in part on a presentation to the CAP Board of Governors on Nov. 12, 1982.
Subject(s)
Hospital Administration/trends , Planning Techniques , United StatesABSTRACT
Swedish Medical Center's pioneering wellness program grew out of a long-standing commitment by its trustees to improving the health of their community. This article describes the genesis of the program and offers advice to boards considering such a move.
Subject(s)
Health Promotion , Hospital Planning , Preventive Health Services/organization & administration , Aged , Colorado , Governing Board/organization & administration , Health Services for the Aged , Hospital Bed Capacity, 300 to 499 , HumansABSTRACT
A community hospital's "wellness" center provides programs in health assessment, health education, and preventive health care.
