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Updated: Aug 12, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Building a regional medical center. Interview by Donald E.L. Johnson
Insights
Community hospitals face challenges retaining patients due to competition from larger medical centers. Strategic opportunities exist for secondary hospitals to adapt and thrive amidst these pressures.
Area of Science:
- Healthcare Management
- Hospital Administration
- Strategic Planning in Healthcare
Background:
- Northeast Alabama Regional Medical Center, a 372-bed facility, experiences significant patient attrition to larger hospitals in Atlanta and Birmingham.
- The hospital maintains an average daily census of 165 patients, with many of its 100 physicians operating with waiting lists due to high demand.
Discussion:
- The interview with hospital president Allen P. Fletcher addresses the competitive landscape for community hospitals.
- Fletcher, with six years of experience and an MHA from Georgia State University, shares insights on the operational status and physician workload at Northeast Alabama Regional Medical Center.
Key Insights:
- Secondary hospitals, like Northeast Alabama Regional Medical Center, face a narrow window of opportunity to maintain and grow their patient base.
- Physician capacity and patient retention are critical factors influencing the viability of community hospitals.
Outlook:
- Strategic initiatives are crucial for secondary hospitals to compete effectively with larger healthcare systems.
- Adapting to market dynamics and optimizing resource allocation can enhance the long-term sustainability of community hospitals.
Abstract:
Allen P. Fletcher is president of a 372-bed community hospital that is between Atlanta and Birmingham and loses patients to hospitals in those cities more frequently than he likes. Northeast Alabama Regional Medical Center, Anniston, Alabama, runs an average daily census of about 165 patients and many of its 100 active physicians are so busy that they have waiting lists. Fletcher has been president of Northeast for six years. He holds an MHA from Georgia State University. In an interview with Donald E.L. Johnson, editor and publisher of Health Care Strategic Management, Fletcher talks about the small window of opportunity he sees for secondary hospitals.
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