A Proposal for Disclosure of Contractual and Financial Arrangements Between Hospitals and Members of Their Governing Boards, and Hospitals and Their Medical Specialists, Department of Health, Education, and Welfare: Report to the Congress

Front Cover
U.S. General Accounting Office, 1975 - Disclosure in accounting - 66 pages
 

Selected pages

Other editions - View all

Common terms and phrases

Popular passages

Page iv - ... groups who also provided similar services to other hospitals. -One or more pathologists at 4 of the 17 hospitals were affiliated with or had an interest in firms providing services to their hospitals outside the scope of the basic agreement. None of the radiologists at 13 hospitals were affiliated with or had an interest in firms providing services to their hospitals outside the scope of the basic agreement. (See pp. 19 and 24.) Because hospital -based specialists enjoy a virtual monopoly regarding...
Page i - A Proposal for Disclosure of Contractual and Financial Arrangements between Hospitals and Members of their Governing Boards and Hospitals and their Medical Specialists...
Page 1 - Hospitals (JCAH) , consisting of representatives of the American Medical Association (AMA) , the American Hospital Association (AHA) , the American College of Surgeons, and the American College of Physicians.
Page ii - ... arrangements between hospitals and members of their governing boards and hospitals and their medical specialists, representing a Government Accounting Office review of such arrangements at 19 hospitals in Washington, DC, and in Kansas City. Springfield, and St Louis, Missouri, is presented to the US Congress. GAO found arrangements involving overlapping interests at 17 of the 19 hospitals reviewed. The most frequent arrangement with regard to governing and advisory boards involved trustee or...
Page iv - Pathologists stated that neither the types of contractual relationships between hospital-based specialists and hospitals nor the amounts paid contracted specialists should be disclosed. The American Medical Association stated that neither overlapping interests of hospitals and hospital board members nor contractual arrangements between hospitals and medical specialists should be disclosed. Comments of the Department of Health, Education, and Welfare and others and GAO's evaluation are in chapter...
Page iii - Arrangements with hospital-based specialists Many US hospitals retain full- or part-time specialists. 6AO reviewed the arrangements of radiologists and pathologists who are usually retained to direct the hospital's X-ray and laboratory departments, respectively. Ordinarily, hospitals contract their specialists. Specific arrangements between hospitals and specialists and specialists' affiliations with firms serving the hospitals may affect the costs and quality of services the specialists provide....
Page 2 - ... Incestuous relationships, apparent selfdealing, and other conflicts of interest remain widespread at educational institutions mainly because many trustees see nothing wrong with them. In the future, many of these now lawful actions may prove to be grounds for legal challenge as a result of the findings in Stern et al. v. Lucy Webb Hayes National Training School for Deaconesses and Missionaries et al. (381 F. Supp. 1003, DCDC 1974). District Judge Gerhard A. Gesell found that each of the defendants...
Page 34 - AMERICAN MEDICAL ASSOCIATION 535 NORTH DEARBORN STREET • CHICAGO. ILLINOIS 60610 • PHONE (312) 751-6000 • TWX 910-221-03OO JAMES H SAMMONS.
Page iii - ... between hospitals and specialists and specialists' affiliations with firms serving the hospitals may affect the costs and quality of services the specialists provide. GAO's review of contractual arrangements with pathologists at 17 hospitals and radiologists at 13 hospitals to identify features of the arrangements dealing with finances, control, and other issues amenable to public disclosure showed that: --In 27 instances, hospitals provided the specialists with space, equipment, maintenance,...
Page iv - ... hospital permission was required. (See pp. 18, 19, and 24.) In nine instances, specialists' services were provided by specialists or specialists' groups who also provided similar services to other hospitals. --One or more pathologists at 4 of the 17 hospitals were affiliated with or had an interest 1n firms providing services to their hospitals outside the scope of the basic agreement. None of the radiologists at 13 hospitals were affiliated with or had an interest in firms providing services...

Bibliographic information