Poised for growth, subacute care gains a clearer identity

Article Abstract:

Subacute care units are being developed by hospitals to care for an aging population with extended life expectancy. Care costs for the average patient, who is usually a Medicare recipient, are about 30% to 60% less at subacute units than at acute-care hospitals. Some nurses and doctors are hesitant to work in such units because patients often need close observation or skilled therapy, but subacute care units can provide care for cardiopulmonary or postsurgical patients as part of an integrated delivery network that fits the federal health care reform vision.

Management, Medical protocols

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Constructive change: strong strategic plans can help hospitals keep facility plans in line

Article Abstract:

The currently uncertain economy has changed the way that hospitals plan their facilities from the development of concrete plans to ones that incorporate the capability to adapt to the constant changes taking place in the healthcare industry. Hospitals must be able to revise their plans according to the changing focus of their particular communities. The emphasis is now on developing outpatient services, leaving the inpatient facilities for the seriously ill. Long-term strategic planning will help avoid future problems.

Planning, Buildings and facilities, Facility management, Facilities management

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Technology's next test: regional systems laying groundwork for post-reform technology planning

Article Abstract:

Hospitals planning for medical technology must stop competing and instead cooperate to share expensive equipment. Employers and insurers now evaluate the use of invasive, high-cost procedures. In multihospital systems, a capital priority committee of physicians can set priorities. Also, mobile equipment may offer a solution for rural communities. Some states, like Maine, for example, propose laws to fund technology sharing and to exempt hospitals from federal antitrust laws.

Forecasts and trends, Equipment and supplies, Medical technology

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