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The Cleveland Veterans Affairs Medical Center Firm System

Published online by Cambridge University Press:  14 October 2009

C. Seth Landefeld
Affiliation:
Cleveland Veterans Affairs Medical Center and University Hospitals of Cleveland
Gary E. Rosenthal
Affiliation:
Cleveland Veterans Affairs Medical Center and University Hospitals of Cleveland
John Aucott
Affiliation:
Cleveland Veterans Affairs Medical Center and University Hospitals of Cleveland
Christopher C. Whalen
Affiliation:
Cleveland Veterans Affairs Medical Center and University Hospitals of Cleveland
Jackson T. Wright
Affiliation:
Cleveland Veterans Affairs Medical Center and University Hospitals of Cleveland
Wahoub Hout
Affiliation:
Cleveland Veterans Affairs Medical Center and University Hospitals of Cleveland
Andre Midgette
Affiliation:
Cleveland Veterans Affairs Medical Center and University Hospitals of Cleveland
Jonathan I. Ravdin
Affiliation:
Cleveland Veterans Affairs Medical Center and University Hospitals of Cleveland
David C. Aron
Affiliation:
Cleveland Veterans Affairs Medical Center and University Hospitals of Cleveland

Abstract

Hospital-based “firms” provide a means for combatting the fragmentation experienced by both patients and caregivers in the modern teaching hospital environment. A “firm” is an academic group practice that includes attending physicians, physician trainees, nurses, other staff, and patients. Each person's relationship with a firm lasts throughout his or her association with a particular institution. This article describes the firm system that was recently implemented on the Medical Service of the Cleveland VAMC. This system incorporates both inpatient and outpatient general medical services and provides for unbiased assignment of patients, physicians, and nurses.

Type
General Essays
Copyright
Copyright © Cambridge University Press 1992

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References

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