The Evolution of Hospital Systems: Unfulfilled Promises and Self-Fulfilling Prophesies

Arthur Andersen and Company, and the American College of Healthcare Executives. The Future of Healthcare: Changes and Choices . Chicago, IL: Arthur Andersen and Company and the American College of Healthcare Executives, 1987.

Alexander, J.A. , and M.A. Morrisey. "Hospital Selection into Multi-Hospital Systems: The Effects of Market, Management, and Mission." Medical Care 26 (February 1988): 159-76.

Alexander, J.A. , and M. Fennell. "Patterns of Decision Making in Multi-Hospital Systems ." Journal of Health and Social Behavior 27, no. 1 (March 1986): 14-28.

Alexander, J.A. , J. Anderson , and B. Lewis. "Toward an Empirical Classification of Hospitals in Multi-Hospital Systems." Medical Care 23 (July 1985): 913-32.

American Hospital Association. Report of the Special Committee on Equity of Payment for Not-for-Profit and Investor-Owned Hospitals. Chicago, IL: American Hospital Association, 1983.

Becker, E.R. , and F.A. Sloan. "Hospital Ownership and Performance." Inquiry 23 (January 1985): 21-36.

Brook, R.H. , and K.N. Lohr. "Monitoring Quality of Care in the Medicare Program: Two Proposed Systems." Journal of the American Medical Association 258 (4 December 1987): 3138-41.

Brown, K.J. , and R.E. Klosterman . "Hospital Acquisitions and Their Effects: Florida, 1979-1982." In For Profit Enterprise in Health Care. Edited by B. Gray. Washington, DC: Institute of Medicine, National Academy of Sciences , 1986, 303-21.

Clement, J.P. "Vertical Integration and Diversification of Acute Care Hospitals: Conceptual Definitions." Hospital and Health Services Administration 33, no. 1 (Spring 1988): 99-110.

." Does Hospital Diversification Improve Financial Outcomes?" Medical Care 25 (October 1987): 988-1001.

Coyne, J.S. "Assessing the Financial Characteristics of Multi-Institutional Organizations ." Health Services Research 19, part I (February 1985): 701-15.

Conrad, D.A. , and S.S. Mick. "Management Education for Vertically Integrated Systems." Journal of Henlth Administration Education 5 (Summer 1987): 441-52.

Conrad, Douglas , Stephen S. Mick , Carolyn Watts Madden , and Geoffrey Hoare. "Vertical Structures and Control in Health Care Markets: A Conceptual Framework and Empirical Review." Medical Care Review 45, no. 1 (Spring 1988): 49-100.

D'Aunno, T.A. , and H.S. Zuckerman. "A Life-Cycle Model of Organizational Federations: A Case of Hospitals" Academy of Management Review 12, no. 3 (July 1987 ): 534-45.

Dowling, W.L. "Multi-Hospital Systems Face Growth Constraints, Unexploited Options ." Hospital Progress 64 (April 1983): 48-53.

DuBois, R.W. , W.H. Rogers , J.H. Moxley , III, et al. "Hospital Inpatient Mortality: Is It a Predictor of Quality ?" The New England Journal of Medicine 317 (24 December 1987): 1674-80.

DuBois, R.W. , R.H. Brook , and W.H. Rogers. "Adjusted Hospital Death Rates: A Potential Screen for Quality of Care." American Journal of Public Health 77 (September 1987): 1162-66.

Ermann, D. , and J. Gabel. "Multi-Hospital Systems: Issues and Empirical Findings ." Health Affairs 3 (Spring 1984): 50-64.

Fennell, M.L. , and J. Alexander. "Organization Boundary Spanning and Institutionalized Environments ." Academy of Management Journal 30 (September 1987): 456-76.

Friedman, Bernard , and Stephen Shortell. "The Financial Performance of Selected Investor-Owned and Not-for-Profit System Hospitals before and after Medicare Prospective Payment." Health Services Research 23, no. 2 (June 1988): 237-68.

Gaumer, G. "Medicare Patient Outcomes and Hospital Organizational Mission." In For Profit Enterprise in Health Care. Edited by B. Gray. Washington, DC: Institute of Medicine, National Academy of Sciences, 1986 , 354-74.

Ghemamat, P. "Building Strategy on the Experience Curve." Harvard Business Review 63 (March-April 1985): 143-49.

Gilbert, X. , and P. Strebel. "Strategies to Outpace the Competition." Journal of Business Strategy 8 (September 1987): 28-36.

Gray, B. , ed. For Profit Enterprise in Health Care. Washington, DC: Institute of Medicine, National Academy of Sciences, 1986.

Grim, Sarah A. "Win/Win: Urban and Rural Hospitals' Network for Survival." Hospital and Health Services Administration 31, no. 1 (January/February): 34-46.

Institute of Medicine. For-Profit Enterprise in Health Care. Edited by B. Gray. Washington, DC: National Academy of Sciences, 1986.

Levitz, G.S. , and P.P. Brooke , Jr. "Independent versus System-Affiliated Hospitals: A Comparative Analysis of Financial Performance, Cost and Productivity." Health Services Research 20, no. 3 (August 1985): 315-39.

Lewin, L.S. , T.J. Eckels , and C.B. Miller. "Setting the Record Straight: The Provision of Uncompensated Care by Not-for-Profit Hospitals." The New England Journal of Medicine 318 (5 May 1988): 1212-15.

Luke, R.D. , D.D. Pointer , and J.W. Begun. "Quasi-Firms: Strategic Interorganizational Networks in the Health Care Industry." Working paper, Department of Health Administration, Medical College of Virginia , Virginia Commonwealth University, November 1987, Richmond, VA.

Manheim, L.M. , S.M. Shortell , and S. McFall. "The Impact of Hospital Acquisition on Expenditures and Staff." Working paper, Center for Health Services and Policy Research, Northwestern University, June 1988, Evanston, IL.

McCue, M.J. , and J.R. Lynch. "Financial Assessment of Small Multi-Hospital Systems." Hospital and Health Services Administration 32 (May 1987): 171-89.

McFall, S.L. , S.M. Shortell , and L.M. Manheim. "HCA's Acquisition Process: The Physician's Role and Perspective " Health Care Management Review 13 (Spring 1988): 23-34.

Montgomery, C.A. "Product Market Diversification and Market Power." Academy of Management Journal 28, no. 4 (December 1985): 789-98.

Pattison, R.V. "Response to Financial Incentives among Investor-Owned and Not-for-Profit Hospitals: An Analysis Based on California Data, 1978-1982." in For Profit Enterprise in Health Care. Edited by B. Gray. Washington, DC: Institute of Medicine, National Academy of Sciences, 1986, 290-302.

Provan, K.G. "Interorganizational Cooperation and Decision Making Autonomy in a Consortium Multi-Hospital System." Academy of Management Review 9, no. 3 (July 1984): 494-504.

Renn, S.C. , C.J. Schramm , J.M. Watt , and R.A. Derzon. "The Effects of Ownership and System Affiliation on the Economic Performance of Hospitals." Inquiry 22 (Fall 1985): 219-36.

Ries, A. , and J. Trout. Marketing Warfare. New York: McGraw-Hill, 1986.

Roberts, E.B. , and C.A. Berry. "Entering New Businesses: Selecting Strategies for Success ." Sloan Management Review 26 (Spring 1985): 3-17.

Rumelt, R. P. Strategy , Structure and Economic Perfonrmance. Boston, MA: Division of Research, Graduate School of Business Administration, Harvard University, 1976.

Rundall, Thomas G. "The Organization of Medical Practices: A Population Ecology Perspective ." Medical Care Review 44, no. 2 (Fall 1987): 375-405.

Schlesinger, M. , J. Bentkover , D. Blumenthal , et al. "Multi-Hospital Systems and Access to Health Care." In Advances in Health Economics and Health Services Research, vol. 7. Edited by R. Scheffler and L. Rossiter. San Francisco, CA: JAI Press, 1987 , 121-40.

Shortell, Stephen. "The Medical Staff of the Future: Replanting the Garden." Frontiers of Health Services Management 1, no. 3 (February 1985): 3-48.

Shortell, Stephen , and E.F.X. Hughes. "The Effects of Regulation, Competition, and Ownership on Mortality Rates among Hospital Inpatients." The New England Journal of Medicine 318 (28 April 1988): 1100-07.

Shortell, Stephen , E.M. Morrison , B.F. Friedman , et al. "The Strategy, Structure and Performance of Multi-Hospital Systems." Final Report to the National Center for Health Services Research and Health Care Technology Assessment, Rockville, MD. Center for Health Services and Policy Research and The J. L. Kellogg Graduate School of Management, Northwestern University, January 1988, Evanston, IL .

Shortell, Stephen, E.M. Morrison , S.L. Hughes , et al. "The Effects of Hospital Ownership on Non-Traditional Services ." Health Affairs 5 (Winter 1986): 97-111.

Sloan, F.A. , M.A. Morrisey , and J. Valvona. "Capital Markets and the Growth of Multi-Hospital Systems ." In Advances in Health Economics and Health Services Research , vol. 7. Edited by R. Scheffler and L. Rossiter. San Francisco, CA: JAI Press, 1987 , 83-109.

Starkweather, David , and James Carman. " The Limits of Power in Hospital Markets." Medical Care Review 45, no. 1 (Spring 1988): 5-45.

." Horizontal and Vertical Concentrations in the Evolution of Hospital Competition ." In Advances in Health Economics and Health Services Research , vol. 7. Edited by R. M. Scheffler and L. F. Rossiter. San Francisco, CA: JAI Press, 1987 , 179-94.

Townsend, J. "Hospitals and Their Communities: A Report on Three Case Studies." In For Profit Enterprise and Health Care. Edited by B. Gray. Washington DC: Institute of Medicine, National Academy of Sciences, 1986 , 458-73.

Wegmiller, D.C. "Management Issues and the Development and Maturation of Multi-Hospital Systems." Health Care Management Review 10 (Spring 1985): 9-16.

Zajac, E. "Organizations, Environments, and Performance: A Study of Contract Management in Hospitals." Ph.D. diss., University of Pennsylvania , 1986.

Zuckerman, H.S. "Multi-Institutional Systems: Their Promise and Performance." In Multi-Institutional Systems. Edited by L. E. Weeks.. Chicago, IL: Hospital Research and Educational Trust, 1979.