einal medicine (vertical integration). Although expanding their physicians, but
ID: 396877 • Letter: E
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einal medicine (vertical integration). Although expanding their physicians, but most medical staffs sti puchasers of health care. it also frequently put hos. Over the past few decades, hospitals CHAPTER8 Hospitals l onsist primanily have changed from necessary to survive and to provide competitive of independently practicing physicians. of competing for patients with physicians edical staffs, and with other health professionals expanding institutions with little regard for cost to institutions with reduced occupancy and a great interest in cost containment. community health agencies. This situation has changed They are now more businesslike institutions that stress efficiency tients. The changes were caused by the health care purchasers to an-hospital relationship and the hos- and they compete for patients. The chan community health agency relationship. In some cases, efforts of government and other large threatened to offer services on their own that sicians in health care spending. services to a slow the dramatic increases with those offered by the hospital outpatient tment-such as in surgery and radiology, the hospitals changed its method of paying for inpatient prospec- tive payment system based on DRGs, which encourage cost vent into a business partnership with those specialists in their iestanding enterprises. Some of the most successful diversi- as did the number of hospitals and hospital beds. Quality of ation strategies have been freestanding surgical savings. Admissions and lengths of hospital stays decreased ng outpatient surgical care is increasingly important as data collection methods h gervices, substance abuse programs, inpatient rehabilitation units, occupational medicine clinics, sports medicine home health services, and women's health centers n performance records. Hospitals continue to search for ways to maintain or improve their efficiency and effectiveness in a climate of increased competition and cost constraints programs. SUMMARY CTIVITY-BASED Hospitals have undergone dramatic changes from their inception LEARNING as places for poor, sick individuals to spend their final days before Ceath. They have moved from being defined as places to die to Visit the American Hospital Directory website at www eing defined as places to be cured. However, in the last twenty ad.com. Choose a city, and find the number of hospitals ears, hospitals have changed in both form and function-so muchwithin that city. Compare the hospitals for size, services t the term hospital has even become an inappropriate label offered, and financial statement summary. Are you surprised by the differences? Choose another city that is different in size from your first choice, and compare the two. What Community hospitals, with which most of us are familiar..Visit the joint Commission website at www.qualitycheck.org consu %nt Co terestingand c rCity thae you s of the hospitals you found in the previous exercise in some cases. Medical centers, health systems, netuorks, and alli ances are terms used to describe the new face of hospital care. ontinue to serve many communities chain of other hospitals. re some of the interesting facts you have discovered? with short-term acute are. Chances are high, however, that community hospitals ere in some way affiliated with an umbrella corporation or large e consumerlsearchQCR.aspx, and view the accreditation status ar Do any of the hospitals about which you have inquired have their own websites? Can you determine the members of the Nonprofit institutions, governed by a board of trustees, are stillhospital board,if the hospital is for-profit or nonprofit, the bed the largest group of hospital" facilities: however, many of themsize, and other characteristics from visiting the website, or urnaai Susiness functions that operate on a for-profit basis with a for-profit organization or separate from other available literature about the hospital? though teaching hospitals afflited with universities and tech tertiary care still tend to provide the bulk nedical education, physician training takes place in a wide inety of health care settings, including community hospitals cini Care clinics, rural health care settings, and public health growing number of hospitals directly employ some oExplanation / Answer
Answer 1:
We have logged in the American hospital directory.
There we have entered the name Charleston, Detroit, New York& Chicago cities.
We found many hospitals are listed for the Charleston city as below = 44 hospitals
We found many hospitals are listed for the Detroit city as below = 17 hospitals
We found many hospitals are listed for the New York city as below = 263 hospitals
We found many hospitals are listed for the Chicago city as below = 53 hospitals
Comparing the hospitals for size, services offered and financial statements.
Size Comparison: the size comparison of the hospitals in the city is significant. Hospital sizes are ranging from small hospitals to large hospital. Hospitals are ranging from 20 beds, 30 beds, 50bed….500 beds or even larger as 1000 beds hospitals.
Services Offered: the services offered are varies from hospitals to hospitals. It is in the increment order with respect to the size of the hospitals. The hospitals which are large in size are offering most of the health care services including the laboratory services as well. Small hospitals are having lower services offering based on their capabilities and competency levels. The small hospitals are taking help of large hospitals for their special services.
Financial Statement: the financial statements are ranging from hospitals to hospitals. The financial earning of the hospitals is based on the services they are offering and the number of patients they are serving. Large hospitals are having large patient annual turn, as they are offering services to large number of patients. Some of the large hospitals are trust based hospitals.
We see a difference between the hospitals and their size and services offerings. These are hospital specific and based on hospitals sizes.
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