The No Outcome-No Income Tsunami is Here: Are You a Surfer, Swimmer, or Sinker?
Charles R. Denham MD

$7.95
JONA's Healthcare Law, Ethics, and Regulation
June 2009 
Volume 11  Number 2
Pages 57 - 69
 
  PDF Version Available!

ABSTRACT

Denham, Charles R. MD

Issue: Volume 11(2), April/June 2009, pp 57-69 Publication Type: [ARTICLES] Publisher: © 2009 Lippincott Williams & Wilkins, Inc. Institution(s): Author Affiliations: Texas Medical Institute of Technology, Austin, Texas. Funding support for this session was provided by Texas Medical Institute of Technology (TMIT). Corresponding author: Charles R. Denham, MD, TMIT, 3011 North Inter-regional Highway 35, Austin, TX 78722 (Charles_Denham@tmit1.org).

A perfect storm is developing as this decade closes. Hospital investment revenue is in a free fall, self-pay revenue streams are at risk, and capital acquisition is challenging against a backdrop of a global financial collapse.

However, just when it could not get any worse, a tsunami that has been quietly building offshore for years in a climate of stakeholder unrest now threatens all but the best prepared. New cresting workforce issues, transparency pressure, strained hospital-physician relations, ...

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