Doing what doctors do.
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This is the second part of a two-part article reporting the results of the 1982 Medical Staff Organization Survey conducted by the American Hospital Association. Part 1, which appeared in the December 1983 issue of Trustee, discussed the size and specialty composition of the medical staff, its role in hospital governance and administration, and the nature of medical staff committees. This part addresses staff credentialing, compensation arrangements, physician multiple-hospital appointments, and the dependence of hospitals on the top five admitting physicians.
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Hospital CEOs are mandated to ensure services of high quality at the same time that they control costs and limit malpractice exposure. Especially in resource-intensive specialties such as anesthesia and diagnostic imaging, use of exclusive contracts with physician groups may increase the CEO's ability to realize these objectives. However, exclusive contracts carry some risk; CEOs should know what these are and how to minimize them.
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