Acknowledgements

We would like to thank the following members of our Advisory Board for their willingness to lend their time and talent in both helping with the design of the research and reviewing this guide. Their advice and insights were extremely valuable.

Hospital Conversion Study Advisory Board

Ron Aycock Executive Director NC Association of County Commissioners Raleigh, NC Jim Bernstein Director North Carolina Office of Rural Health Raleigh, NC Gordon Bonnyman Attorney at Law Tennessee Justice Center Nashville, TN Charles Bussey Treasurer, Board of Trustees Newberry Hospital Authority Newberry, SC Joe Cabaniss Commissioner Cleveland County Board of Commissioners Shelby, NC Michael Cone Executive Director SC Association of County Commissioners Columbia, SC James C. Hardin III Attorney at Law Kennedy, Covington, Lobdell & Hickman Rock Hill, SC Jim Hauge Vice-President North Carolina Hospital Association Raleigh, NC

Jim Head Vice-President South Carolina Hospital Association Columbia, SC R. Duren Johnson Jr., MD Medical Staff Member Carolinas Medical Center Charlotte, NC Dave Murday Research Associate Center for Health Services and Policy Research University of South Carolina Charleston, SC Kathleen O'Connell Ernst & Young Charlotte, NC Jim Rose Chairman, Board of Trustees Cleveland Hospital Shelby, NC Jeffery Runge, MD Medical Staff Member Carolinas Medical Center Charlotte, NC Hugh Young Chairman, Board of Trustees Columbia Heritage Hospital Tarboro, NC

Thanks also to individuals who served as occasional substitutes at Advisory Board meetings, including Ed Regan (NC Association of County Commissioners), Jim Gearhart and Beth Heaton (Ernst and Young), Darlene Menscar, MD, and Kathy Williams (SC Association of County Commisioners).

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We also owe thanks to the members of our Triangle area expert advisory board, who met in April 1997 at Duke University and later provided comments on the manual:

Charles Clotfelter, Ph.D. Professor of Public Policy Studies and Professor of Economics Duke University Clark C. Havighurst, J.D. William Neal Reynolds Professor School of Law, Duke University

Pam Silberman, J.D., Dr.Ph. Former Deputy Director NC Health Planning Commission Duncan Yaggy, Ph.D. Chief Planing Officer, Duke Health Network Duke University Medical Center

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We likewise are grateful to the members of our national expert board, who met in Washington, D.C. in May of 1997 to provide initial guidance for this project:

Deborah Chollet, Ph.D. Vice-President Alpha Center Bradford Gray, Ph.D. Director, Division of Health and Science Policy New York Academy of Medicine Regina Herzlinger, Ph.D. Nancy R. McPherson Professor of Business Harvard Business School

Robert Kuttner Co-editor The American Prospect David Schactman, Ph.D. Director, Council on Economic Impact of Health System Change Brandeis University Burton Weisbrod, Ph.D. John Evans Professor of Economics Northwestern University

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Additional individuals provided very helpful expert assistance in the review of the guide:

James R. Burkhard Associate Professor of Law University of South Carolina School of Law Deborah DeMott, J.D. Professor of Law Duke University School of Law C. Havird Jones, Jr. Senior Assistant Attorney General South Carolina Office of the Attorney General

Vandana Shah Associate Attorney General North Carolina Office of the Attorney General Sondra Stevenson HRSA Division of Facilities Compliance and Recovery

Throughout the project we have benefited from the encouragement and helpful advice of Eugene W. Cochrane, Jr. (Vice President, The Duke Endowment), Walter E. Cavell (Executive Director, The Fullerton Foundation) and Frank J. Wideman, Jr. (President, The Self Foundation).

Thanks also for capable support provided by other staff at the Center for Health Policy, Law and Management, including Sandy Thomas, Haven Umstead and Susan Daniel.

Introduction

A Guide to Communities Considering Hospital Conversion
Durham, NC: Duke University, Center for Health Policy, Law and Management, May 1998.