Consolidation of Trauma Programs in the Era of Large Health Care Delivery Networks
OBJECTIVETo review the development of an integrated trauma program at two separate campuses brought about by the merger of two medical-affiliated hospitals, each with an integrated program and a common trauma administrator, medical director, and educational coordinator. Each campus has an associate...
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Veröffentlicht in: | The Journal of Trauma: Injury, Infection, and Critical Care Infection, and Critical Care, 1999-03, Vol.46 (3), p.488-493 |
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container_start_page | 488 |
container_title | The Journal of Trauma: Injury, Infection, and Critical Care |
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creator | Trooskin, Stanley Z. Faucher, Michael B. Santora, Thomas A. Talucci, Raymond C. |
description | OBJECTIVETo review the development of an integrated trauma program at two separate campuses brought about by the merger of two medical-affiliated hospitals, each with an integrated program and a common trauma administrator, medical director, and educational coordinator. Each campus has an associate trauma medical director for on-site administrative management, a nurse coordinator, and a registrar. The integration resulted in a reduction of 1.5 full-time equivalents and "cost" savings by consolidated use of the helicopter, outreach, prevention, research, and educational programs. Regular "integration meetings," ad hoc committees, and video-linked conferences were used to institute common quality improvement programs, morbidity and mortality discussions, policies, and clinical management protocols. Reaccreditation by an outside agency, elimination of duplicated services, and maintenance of pre-merger clinical volume results.
CONCLUSIONThis integrated trauma program may serve as a model in this era of individual hospitals merging into large health care delivery networks. |
doi_str_mv | 10.1097/00005373-199903000-00026 |
format | Article |
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CONCLUSIONThis integrated trauma program may serve as a model in this era of individual hospitals merging into large health care delivery networks.</description><identifier>ISSN: 0022-5282</identifier><identifier>EISSN: 1529-8809</identifier><identifier>DOI: 10.1097/00005373-199903000-00026</identifier><identifier>PMID: 10088857</identifier><identifier>CODEN: JOTRA5</identifier><language>eng</language><publisher>Baltimore, MD: Lippincott Williams & Wilkins, Inc</publisher><subject><![CDATA[Accreditation - organization & administration ; Biological and medical sciences ; Cost Savings ; Decision Making, Organizational ; Delivery of Health Care, Integrated - organization & administration ; Health and social institutions ; Health Facility Merger - organization & administration ; Health Services Research ; Humans ; Medical sciences ; Models, Organizational ; Organization ; Philadelphia ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Regional Medical Programs - organization & administration ; Retrospective Studies ; Schools, Medical - organization & administration ; Total Quality Management - organization & administration ; Trauma Centers - organization & administration]]></subject><ispartof>The Journal of Trauma: Injury, Infection, and Critical Care, 1999-03, Vol.46 (3), p.488-493</ispartof><rights>1999 Lippincott Williams & Wilkins, Inc.</rights><rights>1999 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3856-3298b30bb3dc78dc56f1f5b5e4d9d7e124a462d70ef8be2a7944d2292920ac383</citedby><cites>FETCH-LOGICAL-c3856-3298b30bb3dc78dc56f1f5b5e4d9d7e124a462d70ef8be2a7944d2292920ac383</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27928,27929</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1729430$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10088857$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Trooskin, Stanley Z.</creatorcontrib><creatorcontrib>Faucher, Michael B.</creatorcontrib><creatorcontrib>Santora, Thomas A.</creatorcontrib><creatorcontrib>Talucci, Raymond C.</creatorcontrib><title>Consolidation of Trauma Programs in the Era of Large Health Care Delivery Networks</title><title>The Journal of Trauma: Injury, Infection, and Critical Care</title><addtitle>J Trauma</addtitle><description>OBJECTIVETo review the development of an integrated trauma program at two separate campuses brought about by the merger of two medical-affiliated hospitals, each with an integrated program and a common trauma administrator, medical director, and educational coordinator. Each campus has an associate trauma medical director for on-site administrative management, a nurse coordinator, and a registrar. The integration resulted in a reduction of 1.5 full-time equivalents and "cost" savings by consolidated use of the helicopter, outreach, prevention, research, and educational programs. Regular "integration meetings," ad hoc committees, and video-linked conferences were used to institute common quality improvement programs, morbidity and mortality discussions, policies, and clinical management protocols. Reaccreditation by an outside agency, elimination of duplicated services, and maintenance of pre-merger clinical volume results.
CONCLUSIONThis integrated trauma program may serve as a model in this era of individual hospitals merging into large health care delivery networks.</description><subject>Accreditation - organization & administration</subject><subject>Biological and medical sciences</subject><subject>Cost Savings</subject><subject>Decision Making, Organizational</subject><subject>Delivery of Health Care, Integrated - organization & administration</subject><subject>Health and social institutions</subject><subject>Health Facility Merger - organization & administration</subject><subject>Health Services Research</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Models, Organizational</subject><subject>Organization</subject><subject>Philadelphia</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Regional Medical Programs - organization & administration</subject><subject>Retrospective Studies</subject><subject>Schools, Medical - organization & administration</subject><subject>Total Quality Management - organization & administration</subject><subject>Trauma Centers - organization & administration</subject><issn>0022-5282</issn><issn>1529-8809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1P3DAQQC3UClaUv4B8QL2l-COO7WO1pVBpBQjB2ZokEzbCiamddMW_x8supZfaskYev5mRngmhnH3jzOpzlpeSWhbcWstkvhX5iOqALLgStjCG2U9kkVOiUMKII3KSUl9vGaWtMIfkiDNmjFF6Qe6WYUzB9y1MfRhp6Oh9hHkAehvDY4Qh0X6k0xrpRYTt6wriI9IrBD-t6RIi0h_o-z8YX-g1TpsQn9IX8rkDn_BkH4_Jw8-L--VVsbq5_LX8vioaaVRVSGFNLVldy7bRpm1U1fFO1QrL1rYauSihrESrGXamRgHalmUrhM2bQW4hj8nXXd_nGH7PmCY39KlB72HEMCdX2apkhqsMmh3YxJBSxM49x36A-OI4c1ul7l2p-6vUvSnNpaf7GXM9YPtP4U5gBs72AKQGfBdhbPr0wWlhS8kyVu6wTfATxvTk5w1Gt37z6P73o_IVA-aMew</recordid><startdate>199903</startdate><enddate>199903</enddate><creator>Trooskin, Stanley Z.</creator><creator>Faucher, Michael B.</creator><creator>Santora, Thomas A.</creator><creator>Talucci, Raymond C.</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199903</creationdate><title>Consolidation of Trauma Programs in the Era of Large Health Care Delivery Networks</title><author>Trooskin, Stanley Z. ; Faucher, Michael B. ; Santora, Thomas A. ; Talucci, Raymond C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3856-3298b30bb3dc78dc56f1f5b5e4d9d7e124a462d70ef8be2a7944d2292920ac383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Accreditation - organization & administration</topic><topic>Biological and medical sciences</topic><topic>Cost Savings</topic><topic>Decision Making, Organizational</topic><topic>Delivery of Health Care, Integrated - organization & administration</topic><topic>Health and social institutions</topic><topic>Health Facility Merger - organization & administration</topic><topic>Health Services Research</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Models, Organizational</topic><topic>Organization</topic><topic>Philadelphia</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Regional Medical Programs - organization & administration</topic><topic>Retrospective Studies</topic><topic>Schools, Medical - organization & administration</topic><topic>Total Quality Management - organization & administration</topic><topic>Trauma Centers - organization & administration</topic><toplevel>online_resources</toplevel><creatorcontrib>Trooskin, Stanley Z.</creatorcontrib><creatorcontrib>Faucher, Michael B.</creatorcontrib><creatorcontrib>Santora, Thomas A.</creatorcontrib><creatorcontrib>Talucci, Raymond C.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of Trauma: Injury, Infection, and Critical Care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Trooskin, Stanley Z.</au><au>Faucher, Michael B.</au><au>Santora, Thomas A.</au><au>Talucci, Raymond C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Consolidation of Trauma Programs in the Era of Large Health Care Delivery Networks</atitle><jtitle>The Journal of Trauma: Injury, Infection, and Critical Care</jtitle><addtitle>J Trauma</addtitle><date>1999-03</date><risdate>1999</risdate><volume>46</volume><issue>3</issue><spage>488</spage><epage>493</epage><pages>488-493</pages><issn>0022-5282</issn><eissn>1529-8809</eissn><coden>JOTRA5</coden><abstract>OBJECTIVETo review the development of an integrated trauma program at two separate campuses brought about by the merger of two medical-affiliated hospitals, each with an integrated program and a common trauma administrator, medical director, and educational coordinator. 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identifier | ISSN: 0022-5282 |
ispartof | The Journal of Trauma: Injury, Infection, and Critical Care, 1999-03, Vol.46 (3), p.488-493 |
issn | 0022-5282 1529-8809 |
language | eng |
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source | MEDLINE; Journals@Ovid Complete |
subjects | Accreditation - organization & administration Biological and medical sciences Cost Savings Decision Making, Organizational Delivery of Health Care, Integrated - organization & administration Health and social institutions Health Facility Merger - organization & administration Health Services Research Humans Medical sciences Models, Organizational Organization Philadelphia Public health. Hygiene Public health. Hygiene-occupational medicine Regional Medical Programs - organization & administration Retrospective Studies Schools, Medical - organization & administration Total Quality Management - organization & administration Trauma Centers - organization & administration |
title | Consolidation of Trauma Programs in the Era of Large Health Care Delivery Networks |
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