Download Governance of Teaching Hospitals: Turmoil at Penn and by John A. Kastor MD PDF

By John A. Kastor MD

What forces result in adjustments in governance between scientific colleges and their linked educating hospitals? To what quantity do such alterations impact how good these faculties and hospitals do their paintings? during this booklet, John A. Kastor, M.D., specializes in the tutorial scientific facilities of the college of Pennsylvania and the Johns Hopkins college, associations that underwent dramatic swap in governance throughout the overdue 1990s.

Drawing on broad interviews with greater than 300 directors, physicians, and different doctors at Penn, Hopkins, and in other places, Kastor identifies the criteria that encouraged alterations in governance at those associations. leader between those, he reveals, are constitution, character conflicts, and present occasions. This publication should be of curiosity to directors of training hospitals in addition to pros in overall healthiness coverage and management.

Show description

Read Online or Download Governance of Teaching Hospitals: Turmoil at Penn and Hopkins PDF

Best health policy books

Priceless: Curing the Healthcare Crisis (Independent Studies in Political Economy)

Within the groundbreaking publication valuable, well known healthcare economist John Goodman unearths how sufferers, healthcare companies, employers, and staff are all trapped in a dysfunctional, bureaucratic, healthcare method fraught with perverse incentives that bring up expenses, decrease caliber, and make care much less available.

Responsible Tax Credits for Health Insurance

The authors chronicle alterations in U. S. attitudes approximately future health care and examine coverage trade-offs and difficulties of a tax credit/voucher approach to finance medical health insurance.

Infectious disease in aquaculture: Prevention and control

With an ever expanding call for for seafood that can not be met by means of catch fisheries on my own, growing to be strain is being put on aquaculture creation. even though, infectious ailments are an incredible constraint.  Infectious affliction in aquaculture: prevention and regulate brings jointly a wealth of modern examine in this challenge and its potent administration.

Abortion Free: Your Manual for Building a Pro-Life America One Community at a Time

Abortion is homicide. there's no manner round it. you could attempt to justify it via claiming the wellbeing and fitness of the mummy, however the fact is just a small percent (less than one-tenth of one percentage by means of a few counts) of the 1 million infants killed every year are to save lots of the mother's lifestyles. as an alternative facts recommend that eighty five percentage of all abortions are played as a method of contraception and are thrice prone to be via a lady on Medicaid.

Additional info for Governance of Teaching Hospitals: Turmoil at Penn and Hopkins

Example text

William Peck of Washington University in St. Louis, visited twice. He found ‘‘Penn at a crossroads. The medical school was ready for new leadership. ’’∂≤ Peck did not require being both dean and head of the hospital so long as HUP was well managed. ∞∏ His resignation accepted, Stemmler, after a sabbatical leave, joined the American Association of Medical Colleges (AAMC) in Washington as executive vice-president. ’’∂≥ The combined job, Hackney concluded, required someone willing to make the tough decisions necessary to reverse the hospital’s losses, someone who was, in Hackney’s words, ‘‘a good administrator, ambitious, and hard-working,’’≤∫ an apt, although measured, description of the man who would soon fill the position.

The medical school’s educational programs were seen as doing well, but the research programs were mediocre when compared with those of the leading centers, and the hospital was in trouble. The trustees had become alarmed about the potential e√ect on the university of continuing red ink from the medical center, although the amount in the late 1980s would pale in comparison with the losses generated ten years later. At the behest of several members of the clinical faculty, two o≈cers, one from the faculty senate∂Ω and one from the medical sta√,∂∑ told Hackney that the school needed a dynamic person and that he would almost certainly have to come from the outside.

We were resting on our laurels,’’ remembers Dr. Alfred Fishman, a member of the faculty for more than thirty years. ’’∂∫ The medical school’s educational programs were seen as doing well, but the research programs were mediocre when compared with those of the leading centers, and the hospital was in trouble. The trustees had become alarmed about the potential e√ect on the university of continuing red ink from the medical center, although the amount in the late 1980s would pale in comparison with the losses generated ten years later.

Download PDF sample

Rated 4.50 of 5 – based on 43 votes