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Purchasing power.

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Hospital Shared Services↗

Can a hospital compel physicians to sell?

Officially, physicians in Springfield, Mo., were free to take or leave a local hospital's purchase offer. But to some doctors, the hospital's proposal--and its urgent decision deadline--left them little choice.

Attitude of Health Personnel↗

Hospital materials managers need to be aware of liability for equipment shipped to hospitals.

A contract for the purchase of hospital equipment provided for shipment free-on-board destination. The equipment arrived via common carrier and was signed for at the unloading dock. When uncrated, concealed damage was discovered and the supplier was notified. The supplier offered to repair the equipment at its expense. The hospital would rather have a replacement unit. The hospital notified the supplier that the equipment was being returned at the supplier's expense. The supplier contended that this couldn't be done as title passed to the hospital upon shipment and that it had been accepted by the hospital when signed for at the unloading dock. In this dialogue, Dr. Decker discusses the legal issues raised in this query from a reader.

Commerce↗

Creating an endoscopy capability in Army community hospitals.

The purchase of gastrointestinal endoscopic services can be a fiscal drain on the Army Community Hospital. We describe a method whereby a quality endoscopic service can be created at the Army Community Hospital level.

Education, Medical, Continuing↗

Hospitals may be bound by terms added in supplier's acceptance of an offer.

A hospital materials manager reports that a supplier is attempting to hold the hospital to new terms that the supplier added in the acceptance of an offer to buy. The offer to buy was made in the hospital's purchase order. In this dialogue, Dr. Decker develops the law relating to such a transaction.

Contract Services↗

Radiologic purchase patterns tracked.

A recent report of hospitals' radiology purchasing processes and buying plans for the future shows they're generally happy with the equipment they have and would replace it with the same brand. The report looks at what types diagnostic imaging equipment, who decides what to buy and what improvements hospitals would like to see in their imaging equipment.

Data Collection↗

Purchasing practices in a hospital environment: an ethical analysis.

The critical state of the hospital industry, as previously described, generates a difficult decision environment for the materiel manager and those in the purchasing function. The unique life- and death circumstances of hospitals impose a further onus on those who manage them. In the name of saving lives, they can find a convenient excuse to disregard all moral principles, forgetting the Socratic dictum "it is not enough that one lives, but that one lives well." Without the moral "right stuff," they can easily give in to the seductions of momentary gains and glory through ethical short-cuts. There is wisdom and consolation in the words that "nice guys may appear to finish last, but usually they're running in a different race." Studies have established a direct relationship between corporate excellence and ethical values. The reality of competition in the hospital industry dictates that the integration of ethics into the life of the organization should happen by design and not by accident. This is what is meant by strategy. If hospitals would strive for excellence to survive and grow, they should have a strategy with a mission statement that also embodies its moral values and moral agenda. Such an approach does not guarantee that an organization will become immune to moral contamination, but it does provide an antidote.

Civil Rights↗

Group purchasing.

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Cost Control↗