The short-term effects of merger on hospital operations

J. A. Alexander, Michael Halpern, S. Y D Lee

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Objective. The short-term effect of merger on three areas of hospital operations-scale of activity, personnel/staffing practices, and operating efficiency-is examined. Data Sources. Secondary data obtained from the AHA Annual Surveys (1980-1990) were applied to analyze 92 hospital mergers over the period 1982-1989. Study Design. The study employed a multiple time- series design involving a six-year longitudinal assessment of change in hospital operating characteristics before and after merger, and a parallel analysis of change in a randomly selected group of nonmerging hospitals. Data Collection. Pooled, cross-sectional data files were constructed. Comparisons were evaluated using paired and two sample t-tests. Principal Findings. General merger effects occurred primarily in areas related to operating efficiency. Merger resulted in slowing rates of preexisting trends, rather than dramatic improvements in operating practices. Conclusions. The short- term impact of merger was generally modest but differed by the conditions under which the merger occurred. Specifically, mergers occurring later in the study period and mergers between similarly sized hospitals displayed greater change in operating characteristics than those occurring earlier in the study period and those between hospitals of dissimilar size. Such differences are attributed respectively to increased competitive pressures after PPS and to greater opportunities for consolidation and efficiencies in mergers involving similarly sized hospitals.

Original languageEnglish (US)
Pages (from-to)827-846
Number of pages20
JournalHealth Services Research
Volume30
Issue number6
StatePublished - 1996
Externally publishedYes

Fingerprint

Health Facility Merger
merger
Information Storage and Retrieval
Personnel Staffing and Scheduling
Health Facility Size
efficiency
Pressure
staffing
consolidation
time series

Keywords

  • hospital operations
  • Merger

ASJC Scopus subject areas

  • Nursing(all)
  • Health(social science)
  • Health Professions(all)
  • Health Policy

Cite this

Alexander, J. A., Halpern, M., & Lee, S. Y. D. (1996). The short-term effects of merger on hospital operations. Health Services Research, 30(6), 827-846.

The short-term effects of merger on hospital operations. / Alexander, J. A.; Halpern, Michael; Lee, S. Y D.

In: Health Services Research, Vol. 30, No. 6, 1996, p. 827-846.

Research output: Contribution to journalArticle

Alexander, JA, Halpern, M & Lee, SYD 1996, 'The short-term effects of merger on hospital operations', Health Services Research, vol. 30, no. 6, pp. 827-846.
Alexander, J. A. ; Halpern, Michael ; Lee, S. Y D. / The short-term effects of merger on hospital operations. In: Health Services Research. 1996 ; Vol. 30, No. 6. pp. 827-846.
@article{e4fb7e4b2fda4bf9b691120eaaa66a18,
title = "The short-term effects of merger on hospital operations",
abstract = "Objective. The short-term effect of merger on three areas of hospital operations-scale of activity, personnel/staffing practices, and operating efficiency-is examined. Data Sources. Secondary data obtained from the AHA Annual Surveys (1980-1990) were applied to analyze 92 hospital mergers over the period 1982-1989. Study Design. The study employed a multiple time- series design involving a six-year longitudinal assessment of change in hospital operating characteristics before and after merger, and a parallel analysis of change in a randomly selected group of nonmerging hospitals. Data Collection. Pooled, cross-sectional data files were constructed. Comparisons were evaluated using paired and two sample t-tests. Principal Findings. General merger effects occurred primarily in areas related to operating efficiency. Merger resulted in slowing rates of preexisting trends, rather than dramatic improvements in operating practices. Conclusions. The short- term impact of merger was generally modest but differed by the conditions under which the merger occurred. Specifically, mergers occurring later in the study period and mergers between similarly sized hospitals displayed greater change in operating characteristics than those occurring earlier in the study period and those between hospitals of dissimilar size. Such differences are attributed respectively to increased competitive pressures after PPS and to greater opportunities for consolidation and efficiencies in mergers involving similarly sized hospitals.",
keywords = "hospital operations, Merger",
author = "Alexander, {J. A.} and Michael Halpern and Lee, {S. Y D}",
year = "1996",
language = "English (US)",
volume = "30",
pages = "827--846",
journal = "Health Services Research",
issn = "0017-9124",
publisher = "Wiley-Blackwell",
number = "6",

}

TY - JOUR

T1 - The short-term effects of merger on hospital operations

AU - Alexander, J. A.

AU - Halpern, Michael

AU - Lee, S. Y D

PY - 1996

Y1 - 1996

N2 - Objective. The short-term effect of merger on three areas of hospital operations-scale of activity, personnel/staffing practices, and operating efficiency-is examined. Data Sources. Secondary data obtained from the AHA Annual Surveys (1980-1990) were applied to analyze 92 hospital mergers over the period 1982-1989. Study Design. The study employed a multiple time- series design involving a six-year longitudinal assessment of change in hospital operating characteristics before and after merger, and a parallel analysis of change in a randomly selected group of nonmerging hospitals. Data Collection. Pooled, cross-sectional data files were constructed. Comparisons were evaluated using paired and two sample t-tests. Principal Findings. General merger effects occurred primarily in areas related to operating efficiency. Merger resulted in slowing rates of preexisting trends, rather than dramatic improvements in operating practices. Conclusions. The short- term impact of merger was generally modest but differed by the conditions under which the merger occurred. Specifically, mergers occurring later in the study period and mergers between similarly sized hospitals displayed greater change in operating characteristics than those occurring earlier in the study period and those between hospitals of dissimilar size. Such differences are attributed respectively to increased competitive pressures after PPS and to greater opportunities for consolidation and efficiencies in mergers involving similarly sized hospitals.

AB - Objective. The short-term effect of merger on three areas of hospital operations-scale of activity, personnel/staffing practices, and operating efficiency-is examined. Data Sources. Secondary data obtained from the AHA Annual Surveys (1980-1990) were applied to analyze 92 hospital mergers over the period 1982-1989. Study Design. The study employed a multiple time- series design involving a six-year longitudinal assessment of change in hospital operating characteristics before and after merger, and a parallel analysis of change in a randomly selected group of nonmerging hospitals. Data Collection. Pooled, cross-sectional data files were constructed. Comparisons were evaluated using paired and two sample t-tests. Principal Findings. General merger effects occurred primarily in areas related to operating efficiency. Merger resulted in slowing rates of preexisting trends, rather than dramatic improvements in operating practices. Conclusions. The short- term impact of merger was generally modest but differed by the conditions under which the merger occurred. Specifically, mergers occurring later in the study period and mergers between similarly sized hospitals displayed greater change in operating characteristics than those occurring earlier in the study period and those between hospitals of dissimilar size. Such differences are attributed respectively to increased competitive pressures after PPS and to greater opportunities for consolidation and efficiencies in mergers involving similarly sized hospitals.

KW - hospital operations

KW - Merger

UR - http://www.scopus.com/inward/record.url?scp=0030064521&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030064521&partnerID=8YFLogxK

M3 - Article

C2 - 8591932

AN - SCOPUS:0030064521

VL - 30

SP - 827

EP - 846

JO - Health Services Research

JF - Health Services Research

SN - 0017-9124

IS - 6

ER -