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        40 YEARS OF HEALTHCARE
Hospitals Grapple with Some Significant Trends
 BY JOSEPH BEDNAR
[email protected]
Twenty years ago, in the issue commem- orating BusinessWest’s 20th anniver- sary, area hospital leaders talked about what had changed the most over two decades, and they all mentioned the same thing: a shortening of hospital stays, with procedures that once required a several-night stayover now requiring only one — or none at all.
Today’s hospital leaders are still talk- ing about it — because the trend has only accelerated.
“We have 1,000 hospital beds, but 60% of our revenue comes from the ambulatory side. And even in my career, things that used to land you in the hospital for a week don’t anymore. Now
you’re out in a day.”
   “The time people spend inside the hospital
for various procedures has been shortened
significantly,” Holyoke Medical Center Spiros
Hatiras said. “When I started in healthcare 30 years ago, someone would come in for a gallbladder surgery and spend four days in the hospital. Now it’s the same day, come in and leave.
“The same with other procedures,” he went on. “Peo- ple even get knee replacements and leave the same day. For bariatric surgery, they just stay one night. They used to spend more time in the hospital, so that definitely has changed.”
DR. MARK KEROACK
Dr. Mark Keroack, president of Baystate Health, noted that, around the time BusinessWest ran that story, he started seeing an accelerating shift to more procedures done in the outpatient arena — which has impacted rev- enues across virtually all hospitals.
“We have 1,000 hospital beds, but 60% of our revenue comes from the ambulatory side. And even in my career, things that used to land you in the hospital for a week don’t anymore. Now you’re out in a day. That is an incred-
   Where We Celebrate.
Health New England extends warm congratulations to BusinessWest on reaching the remarkable milestone of 40 years!
As valued partners in our community, we celebrate their commitment to excellence in business journalism and their dedication to fostering growth and innovation.
(413) 787-4000 | healthnewengland.org/community
 SPN 5570-0524
     Agawam Crossing Dental is pleased to welcome
Dr. Colleen Norton to our practice, giving you even more time for care every week.
    New patients always welcome. All insurance plans welcome. We are in-network with most
&   plans.
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