Ambulatory Care

Haugh, Richard, Hospitals are feeling 'niched to death', H&HN: Hospitals & Health Networks, 10688838, Apr2002, Vol. 76, Issue 4

This article is about a small Louisiana town where a dispute between the sole hospital and its largest physician group. The hospital is a160-bed facility in and is going to be losing a big part of its surgery business to the Green Clinic, a 35-physician multi-specialty group that is building its own specialty hospital a few miles down the road. The doctors serve the vast majority of patients in the town of 25,000. Independent surgery centers, boutique short-stay hospitals, imaging centers and other physician ventures are popping up all over the country. This is because doctors are looking for facilities where they can schedule surgery and not have to be bothered by emergency cases and unexpected situations. Also these outpatient surgery centers and other niche services can generate a good return for the doctors who own them. According to the article a physician generates on average $1.54 million a year in inpatient and outpatient revenue for his or her affiliated hospital. This money goes to the hospital and by opening a facility outside of the hospital the physicians can make more money for themselves. More money for the doctors means less money for the hospital.

So what can the doctors in theses hospitals do when their business is taken from them? Do they join the outpatient centers at the expense of the hospital?

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