PHILADELPHIA-Philadelphia hospitals eliminated more than 3,000 full-time positions in 1993 and plan to trim at least 1,620 positions this year, a new survey has found. Of the 57 hospitals that responded to the Delaware Valley Hospital Council's survey, one of four was anticipating layoffs this year. Hospital administrators said the staff reductions were tied to cutbacks in Medicare and Medicaid reimbursement, reduced inpatient volume and the expansion of managed care. More than half of the 1993 reductions were made through attrition. Hospitals eliminated 774 jobs through layoffs and 718 positions through hiring freezes. This year, hospitals plan to reduce their work forces mostly through attrition. However, an estimated 305 workers will be laid off. Only 9.3% of the respondents plan to increase staffing in the next two years.
LAKE SUCCESS, N.Y.-Some New York hospitals are performing unnecessary catheterizations of the right side of the hearts of Medicare and Medicaid patients, a new study has found. The unnecessary procedures are costing an estimated $9.4 million for all patients in the state. The study by IPRO, a Long Island-based quality review organization, involved 12,255 hospital claims of Medicare and Medicaid patients who had catheterizations and coronary angiographies of the left side of their hearts in 1992 to evaluate existing or suspected disease. Right-heart catheterizations also were performed on more than 70% of the patients in 10 of the 53 New York hospitals with catheterization labs, while 34 of the catheterization labs performed the procedure on less than 10% of patients. IPRO said right-heart catheterizations are performed too often in some institutions and on patients who show no evidence of needing such treatment.
NEW YORK-Most New York City hospitals are members of at least one hospital network and at least partially integrated with other types of providers, according to survey results released last week by the Greater New York Hospital Association. The survey, based on 56 responses from hospitals' chief executives, found that 82.1% are part of a network and 35.7% are part of two or more networks. Some 46.6% of the respondents said they were part of a system in which they own or have an equity interest in a managed-care organization. In addition, 80.4% have achieved full or partial vertical integration or are part of a vertically integrated system that includes outpatient clinics, one or more long-term-care facilities, physician affiliations or home healthcare programs.