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“HOSPITALS SWITCHING FROM NON-PROFIT TO FOR-PROFIT STATUS IMPROVE FINANCIALLY AND CONTINUE SERVING POOR AND MINORITY PATIENTS”

TEASE RUNS: 05 (hospital exterior)

What changes when a non-profit hospital changes to for-profit status? Find out next.

JAMA 3954

TRT: 1:36

EMBARGO: 4 p.m. (ET) Tuesday, October 21, 2014

INTRO: An increasing number of hospitals in the United States are making the switch from non-profit to for-profit status. These conversions are controversial for many reasons. A new study examined what really happens when non-profit hospitals become for-profit institutions. Catherine Dolf has more in this week’s JAMA Report.

VIDEO

/ AUDIO
B-ROLL
Various hospital exteriors, ambulance driving by hospital / NON-PROFIT HOSPITALS ARE DISAPPEARING FROM THE U-S HEALTH CARE LANDSCAPE. DURING THE PAST DECADE 237 NON-PROFIT HOSPITALS MADE THE SWITCH.
SOT/FULL
Ashish K. Jha, M.D., M.P.H., - Harvard School of Public Health
Super@:08
Runs:12
(Video covering middle of bite: nurse in patient room) / “People worry that for-profit hospitals will skimp on care, that when a hospital becomes for-profit it’s going to avoid poor patients, it’s going to avoid sick patients, it going to avoid minority patients.”
B-ROLL
Dr. Jha walking outside, working at his computer, exterior of hospital / DR. ASHISH (Ah-Sheesh) JHA (JAH) AND HIS COLLEAGUES FROM THE HARVARD SCHOOL OF PUBLIC HEALTH MATCHED THOSE 237 HOSPITALS TO HOSPITALS IN THE SAME REGION THAT DIDN’T SWITCH.
SOT/FULL
Ashish K. Jha, M.D., M.P.H., - Harvard School of Public Health
Super@:36
Runs:19
(Video covering 1st part of bite: hospital exterior, ambulances) / “These non-profit institutions they were usually struggling when they converted to for-profit. They just started getting run better, their costs went down, their revenue stabilized. This conversion really does seem to be helpful to hospitals in terms of making them financially viable institutions.”
GXF FULL
JAMA COVER / THE STUDY APPEARS IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION.
SOT/FULL
Ashish K. Jha, M.D., M.P.H., - Harvard School of Public Health
Super@:52
Runs:11 / “These hospitals don’t seem to be avoiding poor patients, they don’t seem to be avoiding minority patients. The quality of care that they provide seems quite comparable to everybody else in that community.”
B-ROLL
Various shots of doctors and staff in operating room / PATIENT OUTCOMES WEREN’T AFFECTED IN HOSPITALS MAKING THE SWITCH, INCLUDING THE NUMBER OF PATIENTS WHO DIED AND THOSE BEING RE-ADMITTED.
SOT/FULL
Ashish K. Jha, M.D., M.P.H., - Harvard School of Public Health
Super@1:11
Runs:24
(Video covering middle of bite: patient walking in hospital hallway) / “Switching to for-profit status was associated with better financial health but no detrimental effects on patient population, access, quality or patient outcomes. Don’t be distracted by questions like is this a for-profit or non-profit hospital. That’s not what’s important. It’s about priorities around quality and some organizations do it and others don’t.”
B-ROLL
Dr. Jha on camera / CATHERINE DOLF, THE JAMA REPORT.


TAG: STUDY AUTHORS LOOKED AT THESE CONVERSIONS FOR UP TO THREE YEARS AFTER THEY TOOK PLACE.

Please see the complete study for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.

TO CONTACT: Dr. Ashish Jha call: Todd Datz at (617) 432-8413

doi.10.1001/jama.2014.13336

ADDITIONAL SOUNDBITES:

Ashish K. Jha, M.D., M.P.H., - Harvard School of Public Health

QUOTE 1 Runs :16

“We’re seeing a lot of conversions where hospitals that used to be non-profit are switching to for-profit status. These changes are raising concerns among consumers, among policymakers that maybe patients will be left worse off for it.”

1