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professional fees; and Miss Evelyn M. Hamilton, R.N., director of Nursing Services and Education. Los Angeles County Hospital is one of the largest public health institutions in the country. It has a capacity of 2,105 beds plus 250 bassinets and an average patient population of 1750 to 1800. The hospital admits 300 new patients each day and accomplishes a total of 1.1 million outpatient visits annually. It is a county operated institution, providing medical care for Los Angeles County's 7 million residents. On its staff are 425 full-time staff physicians, 1,422 nurses, 500 resident physicians, 240 interns, 2,300 voluntary or part-time attending physicians and 3,719 non-professional personnel. As a county institution, the hospital is under the jurisdiction of the Department of Hospitals of the County Board of Supervisors. Its immediate supervision is accomplished through an administrative structure headed by the executive director. Professional personnel fall under the supervision of the dean of the affiliated school, i.e., the University of Southern California. The hospital's budget is approved annually by the County Board of Supervisors. In 1972 the budget totalled $150 million for the hospital and the adjoining nursing school. Since 1880 the hospital has had a number of informal university affiliations, including a long-standing affiliation with the University of Southern California (USC). In 1968, however, the affiliation with USC was formally recognized by contract and the institution has been officially renamed the Los Angeles County-University of Southern California Medical Center. Under the terms of the agreement, USC provides specified medical and dental services at the hospital in exchange for a monthly payment, currently $327,100. The county retains the authority to administer the hospital and control the activities of all personnel who work within the hospital, as exercised by the hospital's executive director. A substantial number of physicians serve in dual capacities at the hospital, employed by both the hospital and the university. For example, the department heads, who actually determine much of the hospital's policy, are also department chairmen of the university. Consequently, these men receive salaries from both sources. Dr. Tranquada stated that the single affiliation with USC has proven very successful since its beginning in 1968. The County Board of Supervisors in fact has affiliations with many different medical schools, but the trend has been to limit each affiliation to a single county health institution. Dr. Tranquada explained that in his experience, multiple contractual affiliations with medical schools at a single institution would present formidable administrative difficulties, and he strongly favors the single-affiliation concept. However, he said the multiple affiliation approach might be workable if the institution enjoyed a long period of stability with regard to finances and personnel. Unlike Cook County Hospital, Los Angeles County Hospital has not experienced a significant degree of dissension and turmoil among its professional personnel. Dr. Tranquada said that there are no obstreperous 106
Object Description
Title | Cook County Hospital; report of the Illinois Legislative Investigating Commission |
Creator | Illinois. General Assembly. Legislative Investigating Commission |
Subject [LCSH] | Cook County Hospital (Chicago, Ill.) |
Date Original | 1972 |
Language | eng |
Geographic Coverage | United States--Illinois--Cook County--Chicago |
Contributing Institution | Illinois State Library |
Rights | Materials in this collection are made available by the Illinois State Library. To request reproductions or inquire about permissions, contact: islimg@ilsos.net. Please cite the item title and collection name. |
Identifier | 0758508 |
Type | Text |
Format | Book |
Digital Format | JPEG |
Collection Name | Illinois State Library - General Collection |
Description
Title | Page 106 |
Contributing Institution | Illinois State Library |
Rights | Materials in this collection are made available by the Illinois State Library. To request reproductions or inquire about permissions, contact: islimg@ilsos.net. Please cite the item title and collection name. |
Transcript | professional fees; and Miss Evelyn M. Hamilton, R.N., director of Nursing Services and Education. Los Angeles County Hospital is one of the largest public health institutions in the country. It has a capacity of 2,105 beds plus 250 bassinets and an average patient population of 1750 to 1800. The hospital admits 300 new patients each day and accomplishes a total of 1.1 million outpatient visits annually. It is a county operated institution, providing medical care for Los Angeles County's 7 million residents. On its staff are 425 full-time staff physicians, 1,422 nurses, 500 resident physicians, 240 interns, 2,300 voluntary or part-time attending physicians and 3,719 non-professional personnel. As a county institution, the hospital is under the jurisdiction of the Department of Hospitals of the County Board of Supervisors. Its immediate supervision is accomplished through an administrative structure headed by the executive director. Professional personnel fall under the supervision of the dean of the affiliated school, i.e., the University of Southern California. The hospital's budget is approved annually by the County Board of Supervisors. In 1972 the budget totalled $150 million for the hospital and the adjoining nursing school. Since 1880 the hospital has had a number of informal university affiliations, including a long-standing affiliation with the University of Southern California (USC). In 1968, however, the affiliation with USC was formally recognized by contract and the institution has been officially renamed the Los Angeles County-University of Southern California Medical Center. Under the terms of the agreement, USC provides specified medical and dental services at the hospital in exchange for a monthly payment, currently $327,100. The county retains the authority to administer the hospital and control the activities of all personnel who work within the hospital, as exercised by the hospital's executive director. A substantial number of physicians serve in dual capacities at the hospital, employed by both the hospital and the university. For example, the department heads, who actually determine much of the hospital's policy, are also department chairmen of the university. Consequently, these men receive salaries from both sources. Dr. Tranquada stated that the single affiliation with USC has proven very successful since its beginning in 1968. The County Board of Supervisors in fact has affiliations with many different medical schools, but the trend has been to limit each affiliation to a single county health institution. Dr. Tranquada explained that in his experience, multiple contractual affiliations with medical schools at a single institution would present formidable administrative difficulties, and he strongly favors the single-affiliation concept. However, he said the multiple affiliation approach might be workable if the institution enjoyed a long period of stability with regard to finances and personnel. Unlike Cook County Hospital, Los Angeles County Hospital has not experienced a significant degree of dissension and turmoil among its professional personnel. Dr. Tranquada said that there are no obstreperous 106 |
Collection Name | Illinois State Library - General Collection |