<p class="MsoNormal" style="text-align: justify; margin: 0in 0.5in 0pt; mso-pagination: none;"><span style="color: #0d0d0d; font-size: 10pt;"><span style="font-family: Times New Roman;">Fifty New York hospitals, 25 urban facilities and 25 rural facilities, were chosen at random for analysis.<span style="mso-spacerun: yes;"> </span>They were examined to determine whether non-operating revenue – contributions, gifts, grants (as defined by IRS, Form 990) – plays an important role in fiscal viability .<span style="mso-spacerun: yes;"> </span>Three years of data, 2005 – 2007, for each hospital was selected, and several financial variables were used to construct a fiscal viability index. The purpose of this study was to determine whether there is a positive difference in the fiscal health of hospitals when the hospitals can solicit more income from non-healthcare/non-operating activities in the form of outside gifts and grants.<span style="mso-spacerun: yes;"> </span>Another main purpose of this study was to determine which hospital sector, if any – urban vs. rural – is more dependent upon non-operating revenues for their fiscal viability.</span></span></p>
Through the use of inquiry-based learning methods, students gained real life experience in applied principles of health statistics, epidemiology, community organization, health risk communication, health education planning and program implementation. Outcomes of the project included a measurable reduction in automobile-related fatalities and the initiation by the state department of transportation of a series of investigations expected to pave the way for physical improvements to the roadway.
<p class="MsoNormal" style="margin: 0in 0.5in 0pt;"><span style="font-size: 10pt;"><span style="font-family: Times New Roman;">Seventy-three New York hospitals were examined to determine if a difference existed between hospitals with nursing unions versus those without as it pertains to fiscal viability and quality of care.<span style="mso-spacerun: yes;"> </span>Several financial variables were used to construct a fiscal viability index; and a quality index was created from selected mortality and procedural measures that may be used to measure specific aspects of institutional care.<span style="mso-spacerun: yes;"> </span>The premise that the union status of a hospital’s nursing staff will influence fiscal viability and quality is based on the impact that unionization may have on staffing and cost per patient.<span style="mso-spacerun: yes;"> </span>The literature is replete with studies that assess the relationship between nurse staffing levels and quality.<span style="mso-spacerun: yes;"> </span>In some cases there is a clear and compelling relationship, but in others, it is indeterminate. <span style="mso-spacerun: yes;"> </span>Utilizing union status, selected employee variables, and financial and quality of care indices, four statistical models were prepared to explain these the interaction of these variables <span style="mso-spacerun: yes;"> </span></span></span></p>
Five upstate New York hospitals were examined to identify a common pattern that might portend future financial distress, bankruptcy, or even closure. A four year period was examined for each of the hospitals selected that had either closed, declared bankruptcy or experienced financial distress during the period. Various financial variables were studied, including liquidity, leverage, profitability and efficiency. Utilizing previous studies on predicting financial failure and the findings of this study, various models are developed to determine if such prediction was possible for the five hospitals in this study. This study presents (1) the key indicators that were consistent in rendering the facilities financially distressed, and (2) the four year pattern of financial indicators.
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