Health care innovators and entrepreneurs, 1991. Pat Fenlon's rural Georgia medical center thrives on diversification.
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Biomedical subjects
Publications and source records attributed to H J Anderson.
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Thanks to the rapid growth in outpatient AIDS care, many people with AIDS are living longer and improving their quality of life, experts agree. But these successes come with a high price tag. And growing demand, inadequate reimbursement, and tougher competition for federal and foundation funds have put the squeeze on hospitals with large caseloads. These hospitals are hoping to get some financial relief from the Ryan White Care Act, targeted at areas hardest hit by AIDS.
One of the nation's largest academic medical centers is taking steps to ensure that when its new ambulatory care center opens next year, patients will spend very little time in waiting rooms or registration areas. Johns Hopkins' new $140 million ambulatory care center will consolidate outpatient services now scattered in six buildings.
The business office accounts for a major portion of hospitals' administrative and financial expenses. And, in the current shaky economic climate, hospitals faced with slowdowns and cutbacks in payments from a variety of sources are scrambling to come up with innovative ways to improve cash flow. "The hospital that has good cash flow will be the one able to survive," says George Arges, a senior policy analyst at the American Hospital Association's Division of Policy and Capital Finance in Chicago.
A new survey by the American Hospital Association finds ambulatory care professionals earning higher pay raises than they did three years ago. Among the factors in ambulatory care professionals' raises: the sizes of the budgets for which they are responsible, their job titles and their academic training.
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Women's health centers are opening across the country, fueled by clinical, cultural, consumer and marketing factors. But before opening a women's center, it's important to consider all the elements that can make such a venture a success--or not. Experts say it's important to carry out a philosophy of women's health, including a strong patient education component, to complete physician recruiting before the center is to open, to hire a director, and to consider the gender issues related to staffing. In a related phenomenon, breast health centers are gaining attention as a new marketing focus in ambulatory care.
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CEOs say it makes good business sense to require patients to make cash deposits toward their bills prior to admission, because improved cash flow is vital to financially strapped hospitals. But hospitals that require cash deposits should also be aware of the sensitive public relations issues involved, experts caution.
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