ATLANTA-Georgia emergency medical service officials have reduced Grady Memorial Hospital's ambulance service in the Atlanta area and signed a contract with Atlanta South Emergency Medical Services to pick up the slack. The contract came about because state officials said Grady's response time is too slow. Despite the change, Grady Memorial, an 885-bed public hospital, still will operate the state's busiest ambulance service, with more than 55,000 calls a year. But Grady's average response time was 12.9 minutes, compared with 8.3 minutes for Metro Ambulance, which provides service in northern Fulton County, the state said. Grady will be responsible for downtown Atlanta and southern Atlanta neighborhoods. Atlanta South will be responsible for much of southern Fulton County. Grady officials opposed the plan and cited recent county budget cuts as the chief reason for the longer response times.
CARY, N.C.-The North Carolina Hospital Association has jumped on the integrated delivery system bandwagon, calling on its 145 hospital members to take the lead in developing such systems in their communities. In a new 16-page policy report on integrated delivery systems, the NCHA said, "Hospitals should become part of an integrated delivery system, as an integrator or as a partner with other providers, and must move toward capitation and risk-sharing to be viable healthcare entities in the future." The report said hospitals should move quickly because insurance companies have identified North Carolina as a "prime target" for managed-care expansion. Less than 6% of the state's population was enrolled in HMOs last year. By comparison, 12.7% of insured people nationwide were enrolled in HMOs in 1992, according to the latest available data from the Health Insurance Association of America.
OWENSBORO, Ky.-Construction has been completed on the expansion of 331-bed Owensboro-Daviess County Hospital, a project that grew in scope from $22.6 million to $32 million. The project began in September 1991 and included a 58,000-square-foot medical office building, a 158,000-square-foot hospital addition and the renovation of 52,000 square feet of existing space. Plans were expanded to include a dialysis laboratory, a cancer center, a new emergency entrance, a cafeteria and meeting rooms. The project was designed by Gresham & Smith, Nashville, Tenn., and Collingnon & Nunley, Owensboro; St. Louis-based McCarthy served as the construction management team.