Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-15T13:41:09.244Z Has data issue: false hasContentIssue false
  • English
  • Français

The Cleveland Veterans Affairs Medical Center Firm System

Published online by Cambridge University Press:  14 October 2009

C. Seth Landefeld ,
Gary E. Rosenthal ,
John Aucott ,
Christopher C. Whalen ,
Jackson T. Wright ,
Wahoub Hout ,
Andre Midgette ,
Jonathan I. Ravdin  and
David C. Aron
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
Get access Rights & Permissions [Opens in a new window]

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
Information
International Journal of Technology Assessment in Health Care , Volume 8 , Issue 2 , Spring 1992 , pp. 325 - 334
Copyright
Copyright © Cambridge University Press 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Cebul, R. D.Randomized controlled trials using the Metro Firm System. Medical Care, 1991, 29(suppl.), JS9–JS18.Google ScholarPubMed
2.Cohen, D. I., Breslau, D., Porter, D. K., et al. Academic group practice: The patient's perspective. Medical Care, 1986, 24, 990–98.CrossRefGoogle ScholarPubMed
3.Cohen, D. I., Littenberg, B., Wetzel, C., & Neuhauser, D.Improving physician compliance with preventive medicine guidelines. Medical Care, 1982, 20, 1040–45.CrossRefGoogle ScholarPubMed
4.Goldberg, H. I., Cohen, D. I., Hershey, C. O., et al. A randomized controlled trial of academic group practice: Improving the operation of the medicine clinic. Journal of the American Medical Association, 1987, 257, 2051–55.CrossRefGoogle ScholarPubMed
5.Hershey, C. O., Cohen, D. I., Goldberg, H. I., et al. Effect of an academic group practice on patient show rates: A randomized controlled trial. Medical Care, 1987, 25, 72–77.CrossRefGoogle ScholarPubMed
6.Hershey, C. O., Porter, D. K., Breslau, D., & Cohen, D. I.Influence of simple computerized feedback on prescription charges in an ambulatory clinic: A randomized clinical trial. Medical Care, 1986, 24, 472–81.CrossRefGoogle Scholar
7.Hershey, C. O., Tomford, J. W., McLaren, C. E., Porter, D. K., & Cohen, D. I.The natural history of intravenous catheter-associated phlebitis. Archives of Internal Medicine, 1984, 144, 1373–75.CrossRefGoogle ScholarPubMed
8.Tomford, J. W., Hershey, C. O., McLaren, C. E., et al. Intravenous therapy team and peripheral venous catheter-associated complications: A prospective controlled study. Archives of Internal Medicine, 1984, 144, 1191–94.CrossRefGoogle ScholarPubMed
9.Waggoner, D. M., Frengley, J. D., Griggs, R. C., & Rammelkamp, C. H.A “firm” system for graduate training in general internal medicine. Journal of Medical Education, 1979, 54, 556–61.Google Scholar