title: Hospital compliance with a state unfunded mandate: the case of California's Earthquake Safety Law.
abstract: Abstract   In recent years, community hospitals have experienced heightened regulation with many unfunded mandates. The authors assessed the market, organizational, operational, and financial characteristics of general acute care hospitals in California that have a main acute care hospital building that is noncompliant with state requirements and at risk of major structural collapse from earthquakes. Using California hospital data from 2007 to 2009, and employing logistic regression analysis, the authors found that hospitals having buildings that are at the highest risk of collapse are located in larger population markets, possess smaller market share, have a higher percentage of Medicaid patients, and have less liquidity.
authors.affiliation: Department of Health Administration, Virginia Commonwealth University Medical College of Virginia, Richmond, VA, USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: McCue
authors.forename: Jon M
authors.initials: JM
authors.lastname: Thompson
mesh_terms: D000704:Analysis of Variance; D002028:Building Codes / Q000331:legislation & jurisprudence*; D002140:California; D055866:Earthquakes; D019983:Guideline Adherence; D006764:Hospitals, Community / Q000331:legislation & jurisprudence* / Q000592:standards; D037141:Mandatory Programs; D017751:Safety Management / Q000331:legislation & jurisprudence*; D055883:Structure Collapse