Word: nonprofiteers
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Every morning about 1 million Americans wake up in hospitals. By the end of the day they have run up medical bills totaling some $375 million. Until about ten years ago, most hospitals were operated as nonprofit community institutions without much regard for cost-effective management. But now private enterprise has discovered the hospital business. Says U.S. Senator Howard Metzenbaum of Ohio: "There is one business that is growing faster than the computer business-franchised medicine...
...Many nonprofit hospitals are working with the successful hospital corporations to cut costs. Maimonides Medical Center in Brooklyn, a 670-bed public facility, is saving more than $1 million per year using an inventory-control system designed with the cooperation of the American Hospital Supply Corp. Maimonides saved $360,000 last year, for instance, by using A.H.S.C.'s house brand of supplies instead of buying in the open market. Says Maimonides Administrator William Horner: "I gave our medical staff a choice. I told our chief of surgery that if we used the non-name products, we could...
...cream from the patient population. At a hospital industry conference in April, Metzenbaum snapped at a group of private hospital officials: "You and your organizations have taken the side of private greed." According to the Senator, for-profit hospitals in Florida charge an average of 14.3% more than nonprofit ones...
...Some nonprofit hospitals are starting to adopt methods pioneered by private enterprise ones. One example is satellite treatment centers. These are small, independent facilities where the staff can perform minor surgery, deliver babies, treat alcoholism and offer other care that does not require the full resources of a hospital. As a result, costs to the patient can be cut by as much as 50%. In Beverly, Mass., Beverly Hospital has established satellite facilities on its grounds, including a delivery center for mothers who prefer the more intimate setting and a nutrition and weight-loss clinic...
...fill the vacuum. New York Telephone's Collings reports getting "three or four offers a week to conduct relaxation programs." Not all of them are bargains. In an effort to bring some order to the booming and chaotic field, Rosch (whose respected American Institute of Stress is nonprofit) is establishing a data bank with information on the cost and effectiveness of stress-management programs. The result, he hopes, will be "a kind of Who's Who in stress. Right now there's no sense of pedigree...