Each institution was asked to provide demographic information, including institution type (eg, voluntary nonprofit, veterans, proprietary hospital
), geographic setting (eg, urban, suburban, rural), and occupied bed size (by increments of 150 beds up to 600 beds, then "over 600 beds").
Economies of scale aided a proprietary hospital
lab that increased its testing for home care agencies and nursing homes, achieving higher volume and less cost per test.
That was the situation I confronted in August 1993, just three months after I took over as chairman and CEO of National Medical Enterprises, a hospital owner and operator, and predecessor of Tenet Healthcare, the second largest proprietary hospital
company in the U.S.
(1) "National statistics show that a married woman over 35 who lives in the Northeast, enjoys a high socioeconomic status, delivers in a large proprietary hospital
, and is insured by Blue Cross stands the greatest chance of having a cesarean birth." Consumer Reports, February 1991.
"We outgrew the capacity of a proprietary hospital
information system we installed eight years ago," explains Mike Martinez, St.
Although the specific causes for this increase were never well documented, researchers attributed them to growing competition among hospitals and the emergence of proprietary hospital
corporations as important actors in American medicine.
A senior technologist working in a nonprofit hospital in New York told MLO, for example, "I have expertise on the LIS and I am a safety officer.", Similarly, a lab section supervisor working in a proprietary hospital
in Illinois explains, I have an M.S.
"Part of our package was a bidirectional interface with one [diagnostic] instrument," explains the administrative director of the lab in a small proprietary hospital
in suburban California.
* Sort of, says the administrative director of the lab in a small, budget-poor proprietary hospital
in suburban California, who notes the best single feature of this laboratory's information system was its low cost.
Mullner and Hadley (1984) found that increases in the market share of proprietary hospital
chains were greatest in States that had the greatest increases in per capita income and in insurance coverage.
According to the chief technologist in a small proprietary hospital
in rural West Virginia, "In the average young, well-educated population, managed care offers the best possible conditions.