Financial effect of a hospital outpatient senior clinic on an academic medical center

Journal of the American Geriatrics Society

Volumn 50, Issue 10, 2002, Pages 1621-1628

  Dang, Stuti ^a   Baker, Glen ^b   Lipschitz, David A ^c  

^a UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES   (United States)

^c UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES   (United States)

Author keywords

Financial effect; Hospital based; Multiplier effect; Senior clinic

Indexed keywords

AGED; ARTICLE; GERIATRIC CARE; GERIATRIC DISORDER; GERIATRIC PATIENT; HOSPITAL BILLING; HOSPITAL COST; HOSPITAL FINANCE; HUMAN; MAJOR CLINICAL STUDY; OUTPATIENT CARE; PATIENT CARE; PATIENT REFERRAL; RETROSPECTIVE STUDY; UNIVERSITY HOSPITAL;

AGED; AMBULATORY CARE FACILITIES; FEE-FOR-SERVICE PLANS; HEALTH SERVICES FOR THE AGED; HOSPITAL CHARGES; HOSPITALIZATION; HOSPITALS, UNIVERSITY; HUMANS; MEDICARE; REFERRAL AND CONSULTATION; RETROSPECTIVE STUDIES; UNITED STATES;

EID: 0036799620     PISSN: 00028614     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1532-5415.2002.50452.x     Document Type: Article

References (21)

1. Falk RH. A nameless obituary: Reflections on the depersonalization of the elderly. Am J Med 1987;83:1134.
2. O'Neil EH. Recreating Health Professional Practice for a New Century - The Fourth Report of the Pew Health Professions Commission. San Francisco, CA: The Pew Health Professions Commission, December 1998, p 5.
3. American Geriatrics Society Health Care Systems and Clinical Practice Committees. Ambulatory geriatric clinical care and services - AGS Position Statement. J Am Geriatr Soc 2000;48:845-846.
4. Woodcock EW. Assessing primary care's contribution to academic health centers. Med Group Manag J 1999;46:15-22.
5. Medicare Program. Prospective Payment System for Hospital Outpatient Services: Proposed Rules. 63 Federal Register 47551-48036 (1998) (codified at 42 CFR Part 409).
6. Schneeweiss R, Ellsbury K, Hart GL et al. The economic impact and multiplier effect of a family practice clinic on an academic medical center. JAMA 1989;262:370-375.
7. Kues JR, Sacks JG, Davis LJ et al. The value of a new family practice center patient to the academic medical center. J Fam Pract 1991;32:571-575.
8. Redelmeier DA, Bell CM, Detsky AS et al. Charges for medical care at different hospitals. Arch Intern Med 2000;160:1417-1421.
9. Moore SH, Martin DP, Richardson WC. Does the primary-care gatekeeper control the costs of health care? Lessons from the SAFECO experience. N Engl J Med 1983;309:1400-1404.
10. Cooper BS, Piro PA. Age differences in medical care spending, fiscal year 1973. Soc Security Bull 1974;37:3-4.
11. Callahan CM, Stump TE, Stroupe KT et al. Cost of health care for a community of older adults in an urban academic healthcare system. J Am Geriatr Soc 1998;46:1371-1377.
12. University Health System Consortium Clinical Data Base, Detailed Analyses, Executive Summary, Version 96.3. Released by the UHC Services Corporation.
13. Health Care Finance Administration. Medicare Provider Analysis and Review (MEDPAR) of Short-Stay Hospitals [On-line]. Available: www.hcfa.gov/stats/medpar/medpar.htm Accessed June 20, 2002.
14. Zweig S, Lawhorne LW, Colwill JM. The financial impact of a nursing home practice on an academic medical center. J Am Geriatr Soc 1991;39:1128-1133.
15. Krakower JY, Williams DJ, Jones RF. Review of U.S. medical school finances, 1997-1998. JAMA 1999;282:847-854.
16. Academic internal medicine: Challenges and opportunities - Part II. Am J Med. 2000;108:601-608.
17. Etten PV. Steering through the real threats to academic medicine. Acad Clin Pract 1999;12:1-6.
18. Glenn JK, Lawler FH, Hoerl MS. Physician referrals in a competitive environment: An estimate of the economic impact of a referral. JAMA 1987;258:1920-1923.
19. Phillips DM, Kruse J. Economic viability of a model rural family practice. Fam Med 1995;27:194-199.
20. Ettinger WH. The Balanced Budget Act of 1997: Implications for the practice of geriatric medicine. J Am Geriatr Soc 1998;46:530-533.
21. Medicare Program, Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2002 Payment Rates. 66 Federal Register 44671-44720 (2001) (codified at 42 CFR Parts 413, 419, 489).