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https://www.readbyqxmd.com/read/29767763/commentary-impact-of-hospital-and-health-system-mergers-and-acquisitions-on-the-practicing-neurosurgeon-survey-and-analysis-from-the-council-of-state-neurosurgical-societies-medical-director-s-ad-hoc-representative-section
#1
Richard Menger, Brenton Pennicooke, Todd Barnes, Sarah Fouke, Phillip Kissel, Thomas Origitano, Ramin Rak, Edie Zusman, Jeffrey Cozzens, Andrew Grande, Steven Toms, Sharon Webb, Sherry Taylor
No abstract text is available yet for this article.
June 1, 2018: Neurosurgery
https://www.readbyqxmd.com/read/29527054/historical-aspects-of-the-institute-of-psychiatry-and-human-behavior-goa
#2
Ashish Srivastava, Bramhanand Cuncoliencar, Yvonne Da Silva Pereira
Organized delivery of mental health services in Goa had its origin during the Portuguese regime. From the inception of a mental asylum in the 1500s, mental health services have come a long way. In post liberation period, after 1961, under the guidance of a WHO Consultant, Dr. Govindaswamy, a new mental hospital was built at Panaji, Goa and it was named as the Abbe de Faria Institute. The Department of Psychiatry in Goa Medical College was established in 1968, and unlike in most parts of the country, where Psychiatry was a part of Medicine; here in Goa, it enjoyed an independent departmental status...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29452560/health-care-efficiencies-consolidation-and-alternative-models-vs-health-care-and-antitrust-regulation-irreconcilable-differences
#3
Michael W King
Despite the U.S. substantially outspending peer high income nations with almost 18% of GDP dedicated to health care, on any number of statistical measurements from life expectancy to birth rates to chronic disease, 1 the U.S. achieves inferior health outcomes. In short, Americans receive a very disappointing return on investment on their health care dollars, causing economic and social strain. 2 Accordingly, the debates rage on: what is the top driver of health care spending? Among the culprits: poor communication and coordination among disparate providers, paperwork required by payors and regulations, well-intentioned physicians overprescribing treatments, drugs and devices, outright fraud and abuse, and medical malpractice litigation...
November 2017: American Journal of Law & Medicine
https://www.readbyqxmd.com/read/29433576/barriers-and-facilitators-to-the-implementation-of-a-paediatric-palliative-care-team
#4
Lisa M Verberne, Marijke C Kars, Sasja A Schepers, Antoinette Y N Schouten-van Meeteren, Martha A Grootenhuis, Johannes J M van Delden
BACKGROUND: Over the last decade, paediatric palliative care teams (PPCTs) have been introduced to support children with life-limiting diseases and their families and to ensure continuity, coordination and quality of paediatric palliative care (PPC). However, implementing a PPCT into an organisation is a challenge. The objective of this study was to identify barriers and facilitators reported by healthcare professionals (HCPs) in primary, secondary or tertiary care for implementing a newly initiated multidisciplinary PPCT to bridge the gap between hospital and home...
February 12, 2018: BMC Palliative Care
https://www.readbyqxmd.com/read/29427617/single-versus-multicenter-surgeons-risk-adjusted-coronary-artery-bypass-graft-procedural-outcomes
#5
A Laurie W Shroyer, William E Gioia, Muath Bishawi, Amelia S Wallace, Brian C Gulack, Ying Xian, Sean M O'Brien, Vinod H Thourani, Thomas V Bilfinger
BACKGROUND: Since 2010, 460+ hospital mergers have occurred in the United States, rerouting historical coronary artery bypass graft (CABG) referral patterns. The goals of this study were: (1) to compare risk-adjusted CABG outcomes between single-center versus multicenter surgeons; and (2) for multicenter surgeons, to evaluate the risk-adjusted outcomes between their home (primary) versus satellite (secondary) hospitals. METHODS: Using The Society of Thoracic Surgeons Adult Cardiac Surgery Database, nonemergent, first-time CABG procedures (n = 543,403) performed in the US between 2011 and 2014 were extracted across 1,120 centers and for 2,676 surgeons...
May 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29419582/resilience-and-coping-after-hospital-mergers
#6
Cynthia Russo, Oriana Calo, Georgia Harrison, Kathleen Mahoney, Kathleen Evanovich Zavotsky
OBJECTIVE: The aim of this study was to explore the relationship between resilience and coping in frontline nurses working in a healthcare system that has recently undergone a merger. BACKGROUND: Hospital mergers are common in the current healthcare environment. Mergers can provide hospital nurses the opportunity to use and develop positive coping strategies to help remain resilient during times of change. METHODS: An anonymous-survey, quantitative, exploratory, descriptive study design was used...
March 2018: Clinical Nurse Specialist CNS
https://www.readbyqxmd.com/read/29285867/quality-competition-and-hospital-mergers-an-experiment
#7
Johann Han, Nadja Kairies-Schwarz, Markus Vomhof
On the basis of a Salop model with regulated prices, we investigate quality provision behaviour of competing hospitals before and after a merger. For this, we use a controlled laboratory experiment where subjects decided on the level of treatment quality as head of a hospital. We find that the post-merger average quality is significantly lower than the average pre-merger quality. However, for merger insiders and outsiders, average quality choices are significantly higher than predicted for pure profit-maximising hospitals...
December 2017: Health Economics
https://www.readbyqxmd.com/read/28874483/beyond-antitrust-health-care-and-health-insurance-market-trends-and-the-future-of-competition
#8
Sherry A Glied, Stuart H Altman
The United States relies on competition to balance costs and quality in the health care system. But concentration is increasing throughout the hospital, physician, and insurer markets. Midsize community hospitals face declining demand and growing competition from both larger hospitals and smaller freestanding diagnostic and surgical centers, leaving the midsize hospitals vulnerable to closure or merger with other facilities. Competition among insurers has been limited by the development of hospital systems that extend the bargaining power of "must-have" hospitals (those perceived to provide the best care for complex and less common conditions) across local health care markets...
September 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28869147/challenges-and-factors-likely-to-promote-coping-as-anticipated-by-nurses-preparing-for-a-merger-of-intensive-and-intermediate-care-units
#9
Mari Salminen-Tuomaala, Liisa Ala-Hynnilä, Kati Hämäläinen, Heikki Ruohomäki
OBJECTIVE: To describe challenges and factors that support coping as anticipated by nursing staff preparing for a merger of intensive and intermediate care units. RESEARCH METHODOLOGY: The method of empathy-based stories was employed to collect data from staff. The stories (n=20) were analysed using inductive content analysis. SETTING: Nursing staff from the cardiac observation and evaluation, intensive care and surgical observation units in a central hospital in Finland...
December 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28857974/the-strategic-value-of-affiliation-partnerships-in-securing-future-relevance
#10
Ninfa M Saunders
Finding the best route to navigate the changing landscape of healthcare has become an obsession for many organizations. Their quest to stay competitive, significant, and ultimately relevant is a continuous discovery process. Many hospitals and health systems have considered affiliations and partnerships as important tactical options. Partnerships can range from loose arrangements, such as nonequity collaborations and management agreements, to total affiliation, as in a merger and acquisition. Whichever option an organization decides to pursue, a comprehensive assessment is necessary to find the best partner-the right fit...
October 2017: Frontiers of Health Services Management
https://www.readbyqxmd.com/read/28586565/pov-the-effect-of-hospital-mergers-on-healthcare
#11
R Bruce Crelin
No abstract text is available yet for this article.
2017: MD Advisor: a Journal for New Jersey Medical Community
https://www.readbyqxmd.com/read/28493481/hospital-and-health-insurance-markets-concentration-and-inpatient-hospital-transaction-prices-in-the-u-s-health-care-market
#12
Seidu Dauda
OBJECTIVE: To examine the effects of hospital and insurer markets concentration on transaction prices for inpatient hospital services. DATA SOURCES: Measures of hospital and insurer markets concentration derived from American Hospital Association and HealthLeaders-InterStudy data are linked to 2005-2008 inpatient administrative data from Truven Health MarketScan Databases. STUDY DESIGN: Uses a reduced-form price equation, controlling for cost and demand shifters and accounting for possible endogeneity of market concentration using instrumental variables (IV) technique...
May 11, 2017: Health Services Research
https://www.readbyqxmd.com/read/28482766/size-does-matter-span-of-control-in-hospitals
#13
Christina Holm-Petersen, Sussanne Østergaard, Per Bo Noergaard Andersen
Purpose Centralization, mergers and cost reductions have generally led to increasing levels of span of control (SOC), and thus potentially to lower leadership capacity. The purpose of this paper is to explore how a large SOC impacts hospital staff and their leaders. Design/methodology/approach The study is based on a qualitative explorative case study of three large inpatient wards. Findings The study finds that the nursing staff and their frontline leaders experience challenges in regard to visibility and role of the leader, e...
April 10, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28425692/antitrust-law-hospital-mergers-third-circuit-clarifies-geographic-market-definition-and-raises-bar-for-efficiencies-defense
#14
(no author information available yet)
No abstract text is available yet for this article.
April 2017: Harvard Law Review
https://www.readbyqxmd.com/read/28355255/efficiency-and-optimal-size-of-hospitals-results-of-a-systematic-search
#15
REVIEW
Monica Giancotti, Annamaria Guglielmo, Marianna Mauro
BACKGROUND: National Health Systems managers have been subject in recent years to considerable pressure to increase concentration and allow mergers. This pressure has been justified by a belief that larger hospitals lead to lower average costs and better clinical outcomes through the exploitation of economies of scale. In this context, the opportunity to measure scale efficiency is crucial to address the question of optimal productive size and to manage a fair allocation of resources...
2017: PloS One
https://www.readbyqxmd.com/read/28342561/a-strategic-document-as-a-tool-for-implementing-change-lessons-from-the-merger-creating-the-south-east-health-region-in-norway
#16
Tarald Rohde, Hans Torvatn
In 2007, the Norwegian Parliament decided to merge the two largest health regions in the country: the South and East Health Regions became the South-East Health Region (SEHR). In its resolution, the Parliament formulated strong expectations for the merger: these included more effective hospital services in the Oslo metropolitan area, freeing personnel to work in other parts of the country, and making treatment of patients more coherent. The Parliamentary resolution provided no specific instructions regarding how this should be achieved...
May 2017: Health Policy
https://www.readbyqxmd.com/read/28264758/merging-outpatient-addiction-and-opioid-maintenance-programs-during-a-disaster-lessons-from-hurricane-sandy
#17
Vishal K Gupta, Helena Hansen, Sonia Mendoza, Xinlin Linda Chen, Ronnie G Swift
OBJECTIVE: After Hurricane Sandy flooded Bellevue Hospital in New York City, its opiate maintenance patients were displaced and Bellevue's outpatient program was temporarily merged with the program at Metropolitan Hospital for continuation of care. The merger forced Metropolitan to accommodate a program twice as large as its own and required special staff coordination and adjustments in clinical care. METHODS: Physicians, clinicians, and administrators from both institutions participated in interviews regarding the merger...
October 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28236720/do-hospital-mergers-reduce-costs
#18
Matt Schmitt
Proponents of hospital consolidation claim that mergers lead to significant cost savings, but there is little systematic evidence backing these claims. For a large sample of hospital mergers between 2000 and 2010, I estimate difference-in-differences models that compare cost trends at acquired hospitals to cost trends at hospitals whose ownership did not change. I find evidence of economically and statistically significant cost reductions at acquired hospitals. On average, acquired hospitals realize cost savings between 4 and 7 percent in the years following the acquisition...
March 2017: Journal of Health Economics
https://www.readbyqxmd.com/read/28214046/productivity-growth-case-mix-and-optimal-size-of-hospitals-a-16-year-study-of-the-norwegian-hospital-sector
#19
Kjartan Sarheim Anthun, Sverre Andreas Campbell Kittelsen, Jon Magnussen
BACKGROUND AND OBJECTIVES: This paper analyses productivity growth in the Norwegian hospital sector over a period of 16 years, 1999-2014. This period was characterized by a large ownership reform with subsequent hospital reorganizations and mergers. We describe how technological change, technical productivity, scale efficiency and the estimated optimal size of hospitals have evolved during this period. MATERIAL AND METHODS: Hospital admissions were grouped into diagnosis-related groups using a fixed-grouper logic...
April 2017: Health Policy
https://www.readbyqxmd.com/read/28190508/navigating-the-clinical-trial-pathway-conception-design-execution-and-results-dissemination
#20
John S Sampalis, Joanne Watson, Stella Boukas, Marianna Boukas, Natalie Harvey, Sanjay Machado, Michel Bordeleau, Emmanouil Rampakakis
Dr Sampalis is founder, Chief Executive Officer, and Chief Scientific Officer of JSS Medical Research Inc, founded in 1997. He is a tenured professor of Surgery and Epidemiology & Biostatistics of McGill University, the University of Montreal and University of Laval. Recognized as a leading clinical epidemiologist and one of the top trauma researchers in Canada, he possesses extensive expertise in health services research, clinical trials, and offers services as a Research and Epidemiological Consultant for numerous pharmaceutical companies, hospitals and government organizations and agencies...
March 2017: Surgery
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