Excerpted with permission from next generation of community health a report from the american hospital association 2016 committee on research eugene a woods fache chair baptist memorial health care memphis tenn. Theres a low patient volume extender for instance a rural ambulance service extender a medicare dependent hospitals extender the payments that flow from the childrens health insurance . The national discussion of quality and patient safety has only recently begun to identify and understand the unique quality and patient safety issues facing rural hospitals as opposed to those of their much larger and far more complex urban counterparts. Rural hospitals cant employ 6 7 docs for call so we struggle to recruit we overpay which threatens the bottom line we hire locums after locums and retreads and pray nothing bad happens we get residents a few times a year and im shocked by how little they know and how little theyve done. Next generation in thinking about a new hospital dutch hospital design is very aware that it will be used by the next generation that is why we conceive many future scenarios and the new building must accommodate them all
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