Category: Hospital Closures

Consolidating Surgery: Another Example of Balancing Population-Level Improvements with Poignant Individual Loss

In healthcare quality circles it’s become a truism that high surgical volume is linked to improved outcomes.  If you want to have the best surgical result, the thought goes, find the surgeon who has done the most cases like yours… Harvard’s Ashish Jha outlines the case in a recent JAMA Forum: We have always known that volume ...

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A “Certificate of Not-Needed” Process: The Solution to Hospital Bed Surpluses?

Imagine that you were the “state administrator for hospitals” and were given the unenviable task of shuttering 30% of the hospital beds in your state.  How would you decide which beds to keep, and where?  Would you shutter a handful of hospitals entirely, or would you reduce capacity at every hospital across your state?  Would you be ...