City Said to Reward Inefficient Hospitals
NY Times discloses internal, unpublicized NYC Health & Hosps Corp rept that pattern of financing of 15 munic hosps tends to reward inefficiency, giving less productive more than they should get at expense of more productive insts; study finds there is no relation between hosp's productivity and its budget allotment; recommends that budgeting be changed to reward more productive insts and take funds from less productive; top execs term study âexplosive'; corp acting head Donald Eisenberg rejects idea of redistribution of existing funds to achieve equity; corp dir Alan Craig Leslie attributes inequities to initial overfunding of some insts; says allocation of funds should be determined by productivity; table listing funds given to or taken from 15 hosps; study finds that although some hosps with strong affiliations are productive, they have become dependent on affiliates for routine services; repts corp profited by more than $11âmillion because it paid lowerâthanâavg salaries to physicians of Downstate Med Center and to NYU drs affiliated with Bellevue; calls for creation of Hosp Performance Com to develop system to measure each hosp's productivity (L)