title: Financial viability, medical technology, and hospital closures.
abstract: Informed investments in medical technology and information systems are associated with the financial viability of community hospitals. Financially distressed facilities are 3 to 4 years behind proactive hospitals in supporting high-speed data, voice, and image transmissions to physicians in various locations. Impact of the Balanced Budget Act of 1997, fraud and abuse activities, Y2K issues, and lack of information systems support for physicians will result in 800 hospital closures and mergers of distressed hospitals over the next 60 months. These findings are based on the application of an eight-step framework for classifying information systems in health care entities. This framework is validated by survey instruments, site visits, interviews with senior management in 44 health care entities containing 576 hospitals, and judgments on the financial status of the health care entities.
authors.affiliation: J.L. Kellogg Graduate School of Management, Northwestern University, Evanston, Illinois, USA.
authors.forename: T R
authors.initials: TR
authors.lastname: Prince
authors.forename: J A
authors.initials: JA
authors.lastname: Sullivan
mesh_terms: D003199:Computer Systems; D003625:Data Collection; D003659:Decision Making, Organizational; D003953:Diagnosis-Related Groups; D006271:Health Facility Closure; D006740:Hospital Administrators; D006751:Hospital Information Systems / Q000706:statistics & numerical data*; D006752:Hospital Planning; D006764:Hospitals, Community / Q000191:economics* / Q000458:organization & administration; D007449:Investments / Q000706:statistics & numerical data*; D013677:Medical Laboratory Science / Q000191:economics / Q000706:statistics & numerical data; D018511:Systems Integration; D018581:Technology Transfer; D014481:United States