Background: A publicly funded Health Authority embraced a Hospitalist service in 2000 as a quality improvement initiative. This relationship turned contentious over several contract renegotiations. With each successive contract, trust declined and the working environment became adversarial. Failed negotiations lead to a contract termination in 2015, ultimately affecting the stability of this medical service. Purpose: [...]

Background: The Cost Savings Reinvestment Program (CSRP) was created to benefit both the School of Medicine (SoM) and Stanford Health Care by incentivizing physicians to develop and assist with the implementation of initiatives that reduce hospital costs while maintaining or enhancing the quality of care provided to hospital patients. Cost savings realized from successful initiatives [...]