Battle Ready: Community vs. Specialty Hospitals

  1. As the numbers of specialty hospitals multiply nationwide, full-service facilities are feeling vulnerable, and a backlash is under way. While specialty proponents say they are merely meeting a demand for needed services, critics contend these hospitals are carving out profitable service lines and are threatening to tear apart facilities burdened by providing costly ER care. Is this a tense situation in need of legislative remedy, or merely the free market at work?
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    About NRSKarenRN, BSN, RN Moderator

    Joined: Oct '00; Posts: 27,548; Likes: 13,755
    Utilization Review, prior Intake Mgr Home Care; from PA , US
    Specialty: 40 year(s) of experience in Home Care, Vents, Telemetry, Home infusion


    Heart hospitals are springing up all over the place. I know of a few right off hand. The Drs want the entire pie instead of just a piece. One of the hospitals that I just left, had a split right down the middle of the hospital and Cardiologists and Heart Surgeons. Half of them are now in the process of building thier own Hospital that specializes in just Hearts. From a 23 hr heart monitoring area, caths on site, and surgery on stable patients to keep costs down. They are on thier way to doing what they want to do and making the decisions they want to make without having to answer to anyone but themselves for it. They have recruited the best of the best CVICU, ICU,CATHand OR nurses, and made a table offer, which the hospital tried to counter offer to retain thier nurses, but it was a little too late. The nurses seeing an way to move forward and do it being paid a deserving amount. Its going to happen.
  4. by   sjoe
    From the article: "They fear that the proliferation of for-profit specialty services could spell the end for general acute-care facilities."

    Given the inadequate level of healthcare these facilities have been providing (would YOU want to be a patient?); the unnecessary problems they create among their nurses, docs, and other staff by treating these people as commodities; the harm done to patients because of medication errors; etc. etc. etc., as Zoe wrote, "Its going to happen."

    Just as FedEx and UPS took over much of the high-profit business from the dysfunctional USPS (and they and others will take more of it as time passes) the only real solution to this problem is for present healthcare facilities to get their acts together, as nurses have been demanding for many, many years, rather than trying to restrict the trade by making themselves local healthcare monopolies (and thus, limiting options for patients and providers). Otherwise, they will, rightly, be put out of business.

    It can't happen too soon, IMHO.
    Last edit by sjoe on Dec 28, '02