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Biomedical subjects

M T Koska

Publications and source records attributed to M T Koska.

At least 19 recordsLinked to original sources
PubMed1992

12 cost-cutting measures. Hospitals use creative ideas to gain control of expenses.

With operating costs ever rising and reimbursements ever tightening, hospitals are looking for ways to cut costs at every turn. The good news is that there are a lot of innovative, imaginative approaches being tried in every area of hospital operations--approaches that don't require massive financial investment, organizational restructuring, or teams of outside consultants. The examples we've found through talking with hospitals across the country are a fair sample of the types of opportunities out there. They range across the entire hospital, from the laboratory to the pharmacy to nursing to waste management to the medical staff to the operating suite. In other words, something for everyone.

Cost Control↗
PubMed1992

Hospitals and medical staffs: the concept of planning takes on new meaning.

Broad trends in health care are redefining medical staff planning. Hospital CEOs are recognizing the critical need to involve their physicians in hospital strategic planning at many levels. Gone are the days when it was sufficient to invite medical staff members to annual planning retreats and add individual physicians to boards; hospitals that thrive in the 1990s will be those that have created strong strategic links with their physicians. At the same time, medical staff development planning is changing in important ways. Recent federal government alerts on fraud and abuse and inurement in physician-recruiting activities are leading hospitals to document community benefit in their recruitment efforts. And hospital executives now realize that changes in the physician market will require them to plan carefully in order to ensure a strong base of primary care and other much-needed physicians. These two trends present CEOs with multilayered challenges. Following are reports on what leading-edge hospitals are doing in both areas.

Community-Institutional Relations↗
PubMed1992

Making mandatory medical staff meetings more physician-friendly.

In an effort to improve hospital-medical staff relations, a number of hospitals are making changes in their medical staff meetings structures--putting time limits on meetings, modifying attendance requirements, even timing comments. One California hospital even uses an egg timer to facilitate the monthly meetings of its medical staff executive committee.

Decision Making, Organizational↗
PubMed1992

JCAHO introduces three new areas of survey concentration.

The Joint Commission has released a new and improved 1993 Accreditation Manual for Hospitals. New to the manual are three chapters of standards that will be used to survey areas that include patient and family education and staff training and orientation. The manual is also shorter.

Accreditation↗
PubMed1992

Is new OIG physician fraud alert precursor to enforcement action?

A recent fraud alert published by the OIG listing "suspect hospital incentive arrangements" in physician recruitment practices is compelling hospital executives to review their recruitment strategies. "What is new about this fraud alert," says an attorney, "is that the OIG has put them into one document as an indication of its enforcement priorities."

Fraud↗
PubMed1992

Review exclusive contracts in light of recent challenges.

Many hospitals hold exclusive physician contracts, primarily with hospital-based specialists such as pathologists, radiologists, emergency physicians and anesthesiologists. But some physicians are beginning to view exclusive contracting as a form of economic credentialing, and have begun challenging such contracts in the courts in a number of states.

Constitution and Bylaws↗