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
Hauptverfasser: Trooskin, Stanley Z., Faucher, Michael B., Santora, Thomas A., Talucci, Raymond C.
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container_end_page 493
container_issue 3
container_start_page 488
container_title The Journal of Trauma: Injury, Infection, and Critical Care
container_volume 46
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
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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. 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identifier ISSN: 0022-5282
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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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