Rundall, T., Arroyo, L., Oberlin, S., Thygesen, B., & Janus, K. (2010). Success Under Duress How Five Hospitals Thrive Despite Challenging Payer Mix. California Health Care Foundation. Retrieved from: http://www.centerforhealthcaremanagement.com/yahoo_site_admin/assets/docs/SUD_Final_Report_and_Cases_V6.270114446.pdf.
The purpose of the Success Under Duress project was to identify the managerial strategies and practices associated with profitable financial performance among California safety net hospitals: what we call hospitals with a challenging payer mix (CPM hospitals). We selected five CPM hospitals that were profitable over the period 2005 – 2008 to study through site visits and interviews with senior leaders to gain an understanding of the management strategies and practices they believed accounted for their positive financial performance. The group of CPM study hospitals varied with respect to key hospital characteristics including ownership, size, system affiliation, regional location, and market competitiveness.