Biomedical subjects
Publications and source records attributed to J Johnsson.
How do health care CEOs feel about universal health insurance? The time is ripe for universal health insurance funded by both government and business, according to 70 percent of responding hospital CEOs. But the majority are against a Canadian-type program that would be funded exclusively by government.
For hospitals, cutting legal and financial ties with a state or university is no easy thing to do. Just ask Dennis Brimhall, president of the University of Colorado Hospital, Denver. Converting his public hospital to a private not-for-profit corporation took more than two years of planning and four months of intensive lobbying. However, Brimhall and other executives who have fought similar battles say that the hard-won competitive advantage was worth the fight.
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Explore the source record for details and available documents.
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Explore the source record for details and available documents.
This issue's cover story looks at a handful of hospital leaders who appear to be radically redefining their hospital's role, but who are really just returning to the basics of hospital management and the basic hospital mission of community service. These CEOs of innercity hospitals are taking a leadership role in community development programs, ranging from literacy to housing. They bring together community groups to solve problems, work to find funding for projects, and attract new business to the hospital's service area. They also provide community residents with a sense of hope and a sense of stability. But their actions have ramifications that extend beyond their communities. These leaders may also be providing other health care executives with an approach to strategic planning that will add new meaning to the term "community hospital" in the 1990s.
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Closing Leland Memorial Hospital, Riverdale, MD, would end the financial problems that the 120-bed facility faces. But a coalition of local government officials, physicians, and community leaders is successfully using the not-for-profit mission of the system that owns the hospital and its tax-exempt status as weapons to keep the hospital open.
Negotiating hundreds of managed care contracts to protect market share may soon be a thing of the past for large California hospitals, according to an ongoing study by the Rand Corp., Los Angeles. But this doesn't mean that price competition is slowing down in the state, experts say.
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Many hospital executives are turning to hospital collection cooperatives as an alternative to independent collection agencies. Co-ops, which handle only medical accounts, have higher recovery rates and lower fees. But hospital collection co-ops are not trouble free.
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Growing juveniles of the spruce-living spider Pityohyphantes phrygianus were sprayed with water of different acidity--pH approximately 7 (control), 4.0 (acid rain) and 2.2-in a 2.5-month laboratory experiment. The growth rates did not differ between control and pH 4.0, while there was a significant growth reduction at pH 2.2. A low mortality occurred only in the pH 2.2 group. P. phrygianus seems to be resistant against acid rain although negative long-term effects cannot be ruled out.