Established in 1988, the University of New Hampshire InterOperability Laboratory (UNH-IOL) is a non-profit organization delivering uncompromised and comprehensive interoperability and conformance-based testing.more
Dr. Martin Merry, a professor of health management and health policy at the University of New Hampshire in Durham, says that throughout the U.S., economic pressures are driving a wedge between physicians and hospitals.
"Poor community hospitals, which is still where most medicine is being practiced, are extraordinarily vulnerable in the current environment," he says.
Central Oregon, he says, may be one of the few remaining communities where hospitals have not employed physicians.
He says the trend is also being driven by a new generation of doctors who have less interest in working marathon hours to build their own practices.
"They aren't business people.
They want to practice medicine," Merry says.
"So they're much more amenable to employment arrangements."
Many also face massive debt loads coming out of medical school and need the security of a stable income to pay off those loans.
Merry now runs a consulting business that helps hospitals and physicians build bridges and work together.
He is not currently working with any clients in Central Oregon.
"Left to their own devices, the natural tendency is to drive these wedges between hospitals and physicians, get people really angry, and create polarization, us versus them.
And it's really tragic," he says.
Merry, of the University of New Hampshire, says when hospitals and doctors can't agree, it's often the patients who suffer.
"Anything that is draining energy from doctors and hospitals from their primary focus of their community and patient care reduces the quality of care," he says.
Martin Merry, MD, Associate Professor of Health Management and Policy, University of New Hampshire
An early proponent of scientific approaches to health care quality, Martin Merry has been on the national stage as a speaker in this area for decades.He has published and lectured widely, working as a consultant with hospitals, integrated systems, and group practices to devise approaches to care delivery that import the lessons of quality science.In addition, Dr. Merry has been at the forefront of adapting the insights of complexity science to health care delivery.This focus on quality has naturally evolved into extensive work in the field of leadership - at the physician, executive, and Board levels.Dr. Merry mines the "Six Sigma" approach of industry to suggest ways in which today's healthcare leaders can lead substantive and lasting change in care delivery. Martin Merry, MD is the Associate Professor of Health Management and Policy at the University of New Hampshire and Senior Advisor for Medical Affairs at the N.H. Hospital Association and Foundation for Healthy Communities.
Martin Merry, MD, Senior Advisor for Medical Affairs.With a background in industrial relations and internal medicine, Martin is a nationally known consultant, specializing in quality management, organizational leadership and systems integration.Martin graduated from Cornell, earned his MD from McGill University, and completed his residency at Dartmouth-Hitchcock Medical Center.He serves as Associate Professor of Health Management and Policy at UNH.
Martin Merry, MD, Senior Advisor for Medical Affairs, is the Association's consulting physician.With a background in industrial relations and internal medicine, Martin is a nationally known consultant, specializing in quality management, organizational leadership and systems integration.Martin graduated from Cornell, earned his MD from McGill University, and completed his residency at Dartmouth-Hitchcock Medical Center.He serves as Associate Professor of Health Management and Policy at UNH.