Session 2

Chapter 3

Major Themes

• The evolutionary role of the hospital as the hub of the health care system
• The structure and organization of hospitals
• The rights and responsibilities of both patients and providers
• The discharge planning process
• The forces that shaped the hospital industry with particular emphasis on the inflationary effects of hospitalization insurance and Medicaid and Medicare
• The influence of academic medical centers in promoting specialized clinical practice, high-technology patient care and research, and lack of academic leadership in correcting health care system deficiencies
• The landmark studies of quality of care that revealed the failure of in-house retrospective peer review in maintaining acceptable clinical performance
• How hospitals responded to the dual effects of high-tech advances and burgeoning managed care with organizational changes, patient-focused care, mergers and acquisitions to achieve horizontal and vertical integration, and new physician/hospital relationships 

Power Point Slides