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 have an effect on how good these faculties and hospitals do their paintings? during this booklet, John A. Kastor, M.D., makes a speciality of the tutorial clinical facilities of the collage of Pennsylvania and the Johns Hopkins collage, associations that underwent dramatic switch in governance through the overdue 1990s.
Drawing on wide interviews with greater than 300 directors, physicians, and different doctors at Penn, Hopkins, and somewhere else, Kastor identifies the criteria that inspired alterations in governance at those associations. leader between those, he reveals, are constitution, character conflicts, and present occasions. This publication could be of curiosity to directors of educating hospitals in addition to execs in overall healthiness coverage and management.
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Extra resources for Governance of Teaching Hospitals: Turmoil at Penn and Hopkins
A month after Kelley arrived, ‘‘Bud swoops in,’’ as one close observer said. Bud was Wilbur B. Pittinger, Kelley’s new director of HUP and his former chief administrator in the department of internal medicine at Michigan. ∞π ‘‘Bill’s a big picture guy, not a nuts and bolts type of person,’’ says Dr. Tadataka (‘‘Tachi’’) Yamada, Kelley’s chief of gastroenterology at Michigan and subsequent successor as chairman of the department of medicine there. ’’∞π Knowing that he wanted to take Pittinger with him, Kelley asked him what job he wanted at Penn.
Blue Cross is then put under great pressure from the state legislature and public interest groups. S. Healthcare was larger. ‘‘Then,’’ say the Blue Cross executives, ‘‘everybody hated them. ’’π-Ω† Health care costs more in the Philadelphia region than in many other parts of the country. ’’∫,Ω They suggest that one reason for this ﬁnding is the relatively slow invasion of managed care into the Delaware Valley, which has delayed hospital executives’ instituting the administrative and ﬁnancial discipline required by this method of payment.
Starting near the bottom, he rose to the presidency of the Fidelity Bank, one of Philadelphia’s largest. Now he could a√ord to live in one of the high-cost suburbs and devote time to eleemosynary activities such as HUP. ≤Ω § The Main Line, emblematic of the leafy suburbs where Philadelphia wealth and society are presumed to reside, stretches northwest from the city straddling the tracks of the main line of the former Pennsylvania Railroad from Philadelphia to Pittsburgh. As the railroad was building in the middle of the nineteenth century, the company encouraged its executives to live in the new towns created along the line, thereby promoting the commuter business.