title: Multiple facilities multiply challenges.
mesh_terms: D002497:Centralized Hospital Services / Q000639:trends*; D006279:Health Maintenance Organizations / Q000458:organization & administration; D006739:Hospital Administration / Q000639:trends*; D008421:Materials Management, Hospital / Q000458:organization & administration*; D009096:Multi-Institutional Systems / Q000458:organization & administration*; D014481:United States