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Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

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At least 1,351 records · Page 75Linked to original sources
PubMed1993

Constituting management requires more than creating hierarchy and providing information.

Current efforts to realign authority relationships within hospitals are important, but not sufficient. The rules which underpin the autonomy of medicine and those which are required for constituting management in clinical settings are not 'things' which can be decreed in and out of existence either by altering the lines on a hospital organisation chart, or by improving hospital information systems and allocating managerial responsibility to some clinicians. Accordingly, the ultimate success of the current hospital reform program will depend on the willingness of players in health policy circles to broaden their reform agenda to encompass issues which go well beyond factors internal to the organisation of hospitals. Included here are initiatives in areas such as hospital casemix funding and budgeting; clinical protocols; establishing linkages between the managerial and clinical roles of clinician managers; and recasting the employment of hospital medical staff.

Australia↗
PubMed1996

A partnership to affect real cost reduction: a guaranteed savings of $20 million.

In 1994 Brigham and Women's Hospital and Massachusetts General Hospital joined forces to form Partners HealthCare System, Inc. (Boston, MA), an integrated healthcare delivery system. Both teaching affiliates of Harvard Medical School, the two hospitals comprise approximately 1,750 beds with 80,000 inpatient admissions and 1.3 million outpatient visits annually. The two campuses have over 16,000 employees in facilities covering 6.5 million square feet. The key goals of their partnership were to reduce cost and improve quality. Partners HealthCare System (PHS) set a goal to save $240 million in the first three years. These savings were to be achieved through consolidating departments and programs, adopting best practices between institutions, and wise purchasing. This article looks at the supplier partnering process followed by PHS to affect a guaranteed savings of $20 million.

Boston↗
PubMedDate not supplied

Worker classifications: the redefined role of the independent contractor.

Five factors to be used in determining whether a physician is subject to the requisite level of control to be classified as a hospital employee: 1. integration of the physician's services into the hospital's operations. 2. the regularity and continuity of the physician's services 3. the authority reserved by the hospital to require the physician to comply with its operating procedures 4. whether the benefits provided to regular hospital employees are available to the physician 5. whether the physician is permitted to provide services to the general public.

Contract Services↗
PubMed1997

Inpatient specialists help cut costs, reduce LOS. Hospitalists partner with case managers.

Inpatient specialists, or hospitalists, represent a valuable resource in helping case managers reduce costs and lower lengths of stay. At Mercy Hospital in Springfield, MA, and Park Nicollet in Minneapolis, hospitalists have largely been responsible for a 20% reduction in costs across the board for hospital stays. Because they work full time in the hospital, these physicians tend to develop stronger professional relationships with case managers than other physicians do. They're also generally more open to quality improvement efforts, experts say. Due to their greater familiarity with "hospital illnesses," hospitalists have established a strong track record for cost-efficiency in treating patients in the acute care setting.

Case Management↗
PubMed1997

Hospital-based physicians--independent contractor or ?

The attack by the Internal Revenue Service on the classification of workers who operate as independent contractors has continued unabated over the last nine years, and despite increased congressional concern regarding the Internal Revenue Service's handling of independent contractor audits, every business that utilizes the services of independent contractors should assume that they, in time, will be audited by the Internal Revenue Service.

Contract Services↗
PubMedDate not supplied

Taxes. Contract hits.

Explore the source record for details and available documents.

Contract Services↗