blog post Mounting Concerns about Safety Net Hospital Closures By Shannon McConville Jun 12, 2023 Safety net hospitals were hit hard by the pandemic, and in its wake some are struggling financially despite a large influx of federal COVID relief funds.
Report How Hospital Discharge Data Can Inform State Homelessness Policy By Shannon McConville, Hemal Kanzaria, Renee Hsia, Maria Raven Sep 19, 2022 Discharge data from emergency departments provide information on where people experiencing homelessness go for hospital care and on the conditions for which they are treated. If linked with data from homeless assistance programs and safety net services, this information can help policymakers make targeted investments and evaluate outcomes.
Fact Sheet California’s Health Care Safety Net By Shannon McConville, Shalini Mustala May 26, 2023 Millions of low-income Californians rely on the health care safety net. More than 15 million are enrolled in Medi-Cal, the state’s Medicaid program; about 3 million are uninsured. Core providers—including county hospitals, health clinics, and emergency departments—treat patients regardless of their ability to pay or their immigration status.
Report Changes in Hospital Ownership in California By Joanne Spetz, Jean Ann Seago, Shannon Mitchell Oct 1, 1999 Despite public concern about the effects of hospital mergers, no one has conducted a systematic study of hospital ownership in California. This study tracks ownership changes in the state’s short-term general hospitals from 1986 to 1996, describes the major hospital corporations in California, examines regional patterns of hospital ownership, and discusses the salient differences between nonprofit and for-profit hospitals. After a decade of mergers and consolidations, at least half of California’s hospitals are now affiliated with multi-site hospital corporations, and six organizations operate over one-third of the state’s hospitals. These consolidations may prove to have important policy implications, especially in California’s urban areas, where the concentration of ownership is most pronounced.
Report Nursing Staff Trends in California Hospitals: 1977 through 1995 By Joanne Spetz Oct 1, 1996 The cost-containment efforts of managed care have led to growing concern among policymakers and the public about the availability and quality of medical services. The author investigates one aspect of this concern: whether there has been a change in the number of hours worked by hospital nursing personnel. She shows how nursing resources have changed over time by calculating the average number of hours worked by nursing personnel per hospital, per discharge, and per patient day. She also examines how the nursing staff mix has changed and how the change has affected hospital expenditures.
press release Majority Of California Hospitals Now Owned By Large Multihospital Corporations Nov 13, 2000
press release Minimum Nurse Staffing Requirements Could Cost California Hospitals Between $200,000 And $2.3 Million Annually, Review Says Jul 27, 2001
blog post Video: How Hospital Discharge Data Can Inform State Homelessness Policy By Mary Severance Oct 7, 2022 Understanding the size and needs of the state’s homeless population is more important than ever. Discharge data from emergency departments—frontline providers for homeless Californians—can help.
