De we know what we've been doing? do we know what we are trying to do?

Summary

Pursuit of the word “hospital” and of the continuation and maximization of Federal dollars has led to a distortion in our distribution of skilled resources. If these resources can be redeployed in a manner more nearly matching how the needs are distributed, the entire system can be made more productive. This redeployment, once started, might develop a leverage effect over succeeding years. Certainly, we would be trying to do things more in the way various groups of patients seem to want and that alone should increase the effectiveness of the entire system.