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Contract management requires strategic planning.

E S Schneller, F G Williams

    Healthcare Financial Management : Journal of the Healthcare Financial Management Association
    |February 8, 1989
    PubMed
    Summary
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    Contract management offers hospitals financial benefits by outsourcing services. However, excessive contracting risks creating "hollow hospitals," diminishing core patient care functions. Strategic review is essential for balancing risks and objectives.

    Area of Science:

    • Healthcare Administration
    • Operations Management

    Background:

    • Contract management allows hospitals to outsource clinical and support services, avoiding significant capital and personnel investments.
    • This strategy can lead to cost savings and improved efficiency by leveraging external expertise.

    Purpose of the Study:

    • To analyze the dual nature of contract management in healthcare, highlighting both its financial advantages and potential risks.
    • To provide guidance for healthcare organizations on strategically evaluating contract management to maintain core patient care.

    Main Methods:

    • Qualitative analysis of contract management principles in healthcare settings.
    • Review of potential organizational impacts, including financial, operational, and strategic considerations.

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    Main Results:

    • Contracting can reduce immediate costs but may lead to a loss of control over essential services.
    • Over-reliance on external providers can result in a "hollow hospital" phenomenon, where patient care is no longer the primary focus.

    Conclusions:

    • Healthcare organizations must carefully weigh the benefits of contract management against the risks to their mission, quality of care, and organizational objectives.
    • A balanced approach to outsourcing is crucial to prevent the erosion of core competencies and maintain patient care as the central activity.