Internal Factors

Buy-in and enthusiasm of physicians

Developing systematic strategies to remind staff of changes in operations

Role of emergency room as indispensable for community

Changing administration

Buy-in for cross training

Successful efforts at maintaining morale

Eliminate commitments that tend to confound efforts

Implementing new revenue generating services

Board support

Community Factors

Open working relationship with community

Increased focus on QA/QI leading to improved community image

Aggressive marketing

Multiple town meetings

Open board meetings

State Agency/Associations

Help from SORH

Support from CAH coalition

Open working relationship with Medicare FI

Network

Integration and economy efforts

Help from support hospital

Working with other organizations with the same vision/views

Professional

Contract management firm

New management team

Close proximity to professional school for PAs