|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Joint VenturesFrom: Don Miller (drmiller@enatal.com)Thu Oct 9 22:24:11 2003
> >Is anybody familiar with a system of two or more hospitals cooperating >in a joint venture Women's Unit/Labor & Delivery? Aside from anti-trust issues (e.g. monopoly of services), a strong case could be made that some joint ventures are actually better for patients. If two hospitals each with 1000 deliveries/year merged it would raise more legal eyebrows than if two hospitals each with 100 deliveries/year proposed the same thing. IMHO, there is not enough nursing resources or patient "material" at two 100-delivery hospitals to sustain the same level of competent care as one hospital with 200 deliveries per year, and this would have nothing to do with economies of scale. I don't know if the same case could be made at hospitals already doing more than one or two thousand a year (i.e. what is the magic number of deliveries that produces 24x7 neonatalogy or anesthesia coverage, or dedicated C/S suites?). In other cities (one where I started my practice) there was no need for a joint venture at all, one benevolent hospital just bowed out of OB for the good of the community (but swapped for exclusive pediatric services). I am curious whether this joint venture was proposed to save money, or to provide better care. And how big are the hospitals involved?
-- Donald W. Miller, Jr., MD, FACOG Founder & Chief Architect eNATAL, LLC http://www.eNATAL.com
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:36:14 2008 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.