Conflict Res General Hosp

Conflict Res General Hosp - General H o spital was founded...

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Unformatted text preview: General H o spital was founded i n 1968 as a nonprofit communit y hospital in the N orthe as t . In 1981 , the facility was expanded from 175 beds to 2 7 5 be ds, and the emergency room was upgraded. A lso, General Hos p it a l signed an agreement with a nearby medi ca l cente r to provi d e patient ser v ices that it w a sn ' t able to pro vi d e itself . Dur i n g t he 19 8 s, a ppro x i ma tel y 90 p e rcent of Gen e ral Hospital ' s b eds w ere oc cupied . How e v er , a fe w y ear s a g o, t he nearb y medic a l center under we nt reno va tions a nd obtained st a te- of- the- a rt equipment . A s a. r es ult, General Hospital ' s patient occupancy rate had dropped to 65 percent recently . It had to eliminate ser v ices in a re a s in which it couldn ' t compete. Gener a l Hospit a l a lso e x p erie nced a 3 5 percent incr ea se in M edicare a nd M edi c aid p a t ie nts durin g this time. These g o v ernm e nt he a l t h in s ur a nce pl a n s g enerate si gnific a ntl y le s s re v enue th a n m a ny pri va te heal t h in s urance plans. hos pi ta l was in a nose d iv e a n d t h at a l ong- t e r m, high- sp e e d f i x w as in or d e r . With o ut i t , th e h os pital wo uld s oon be g in to face sur v i va bil i t y i s su es a nd po ss ibl y los e its accre dit at i o n . A n e x pe rie nce d h e alth- car e ex ecut ive, Ha m mer kne , : 0a t h e had to c ut cos t s an d in crease reve n ues so th a t proll ll s m g curre n t s e r v i ces cou l d b e e xpande d a n d new s er v i ces a dded in a r e as i n w h i ch Ge n era l H osp i tal co ul d s uccessfull y com p ete a g a inst th e m e d i ca l ce nt e r . Ha mm er fe lt t h a t un de r hi s l ea d ers hi p t h e c u r rent m a n age ment t ea m c o ul d ge t t h e j ob d o n e w i t h o n e e x c e ption : cos t contr o l . . In M i ke Hamm er's ex per ie n ce , ph ys i c i ans w e re a majo r facto r in t h e in a bilit y of hos pi ta l s to reg u la t e cos t s . He be li e v ed th a t p h ys ic i ans in the ma in didn't u nd er s t a nd , n or w er e the y i n teres t ed i n , t he role of cos t s in d e termin i ng th e v i a b i lit y of h osp it a l s. He f e lt th at t hi s l ack of con ce rn s te mm ed f r om t h e phys ici a n s' s tr ong a l l eg i a n c e to the ir p r o fess i on as o pp osed to t h e hospit a l s in whi c h t h ey had p a t ient pr ivi l eg es . In th e p as t , Ham mer had t r i e d t w o a p p r oac hes t o con trollin g p h ys i c i a n-dri ve n cos t s, e ac h of w hi ch h ad fai l e d. Ea r l y i n h i s te nu re as Ge ne ra l Ho s pi t a l's CEO , h e h a d t r ied to c on v i n ce Direc to r of Med ic i n e Dr . Mark Wil l iams t o ge t the sta f f ph y s i ci a ns to become co st sens i t i ve in their decision making. Ev en w he n H a m mer s p o tt e d a was t efu l prac ti ce , p h y sic ian s defende d t h e ir a cti ons as " the pr a cti c e o f goo d m edi ci n e." He rare l y won any of th ese b attles. A l so, in 1 993 , h e hir e d a co...
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This note was uploaded on 04/26/2011 for the course MAC 1106 taught by Professor Petruska during the Spring '08 term at Pensacola Junior College.

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Conflict Res General Hosp - General H o spital was founded...

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