This letter contains a discussion on the proposed survey and the future of the Duval Medical Cente

Michael, Max, Jr., MD

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University of North Florida UNF Digital Commons Documents from the Duval Medical Center, University Hospital Collection Duval Medical Center, University Hospital, Jacksonville, Florida Collection 11-20-1968 Correspondence: From Max Michael, Jr. to G. Dekle Taylor on Jacksonville Hospitals Educational Program, Inc. Letterhead, 1968-11-20 Max Michael Jr., MD Follow this and additional works at: https://digitalcommons.unf.edu/dmcuc  Part of the Business Commons, and the Health and Medical Administration Commons Recommended Citation Michael, Max Jr., MD, "Correspondence: From Max Michael, Jr. to G. Dekle Taylor on Jacksonville Hospitals Educational Program, Inc. Letterhead, 1968-11-20" (1968). Documents from the Duval Medical Center, University Hospital Collection. 25. https://digitalcommons.unf.edu/dmcuc/25 This Archival Material is brought to you for free and open access by the Duval Medical Center, University Hospital, Jacksonville, Florida Collection at UNF Digital Commons. It has been accepted for inclusion in Documents from the Duval Medical Center, University Hospital Collection by an authorized administrator of UNF Digital Commons. For more information, please contact Digital Projects. © 11-20-1968 All Rights Reserved Jacksonville Hospitals Educational Program, Inc. AFFILIATED WITH THE COLLEGE OF MEDICINE OF THE UNIVERSITY OF FLORIDA MAX MICHAEL, JR., M.D. EXECUTIVE DIRECTOR November 20, 1968 2000 JEl''Fl:RSON ST., JACKSONVILLE. FLORIDA 322011 904/3!111-78118 G. Dekle Taylor, M.D. 221 Marshall Taylor Doctors Bldg. Jacksonville, Florida 32207 Dear Dekle: t Joe and I had a curbstone discussion this morning about the future of DMC and about the proposed survey. I read him some notes that I jotted down, which I'd like to pass on to you. This all comes under the title of "what is the aim of our survey?" It seems to me that there are several areas we're concerned with. 1. Financing. This is to include sources other than tax funds, and the ratio of private to ward beds. It is my feeling that in this area, much information is readily available. When we come to the item of the relationship of the private to the ward beds, I think we are faced with a complete question mark. We all know perfectly well that tomorrow we could fill up 500 beds with indi­gent patients, thus this bears careful consideration. 2. The hospital image. How do we go about developing the "pri­vate hospital 'air11? In other words, how can the place be made attractive so that the private patient will willingly come to this institution. We know that in general, patients go where the physician directs. But the physician will not bring his pri­vate patients to an institution where the comforts available in others aren't available and where the physicians help and an­cillary services are not available. Another item in this is to improve the workings between the administration and staff, and this, of course, is a big item for discussion. 3. Type of hospital. It seems to me that there are three general types to be considered. a) A general teaching hospital. This is a costly institution. It requires specialized people, specialized techniques and specia­lized equipment. This is the Massachusetts General or the Johns Hopkins type·, where there is a blending of private and of indigent or semi-indigent patients. MEMBER HOSPITALS: BAPTIST MEMORIAL • DUVAL MEDICAL CENTER • HOPE HAVEN CHILDREN'S • METHODIST • RIVERSIDE ST. LUKE'S • ST. VINCENT'S ASSOCIATE MEMBERS: JACKSONVILLE BLOOD BANK • COLLEGE OF MEDICINE OF THE UNIVERSITY OF FLORIDA Dr. T-:l.:ylor Nov mber 20, 1968 Page 2 / b) A general cornmunit¥ hospital, such as our Baptist or St. Vincent's. These institutions are costly in the window dressing, but by all means, they are the best income producers. Now we do want some window dressing and the window dressing is not only that in facilities, but is window dressing in people and in their attitudes. The attitudes in the "indigent hospital" are absolu­tely unacceptable to the private patient. Our friend Wilbur Cohen is obviously striving, as are many others, to see that the indigent patient gets the window dressing of care that the pri­vate patient gets - do we approach this? c) The indigent hospital. This is obviously the least ex­pensive. This is the current image of the Duval Medical-. Ganter. This is what one sees at Bellevue and the Philadelphia General, and let's look at what's happened to these institutions. New York University has used Bellevue for many years as its major_· teaching unit, but they too have gone to construct their own University Hospital. Cornell has pulled out of Bellevue corn-✓ pletely. Over in Brooklyn, State University of New York used Kings County exclusively. They now have built their own University Hospital. I mention this to point out that the future of the solely indigent oriented hospital is through, not only as a teach­ing hospital, but as a patient care area. These may be rambling thoughts, but I put them down to try and focus on what we're after. With all good wishes. Sincerely yours, Max Michael, Jr., M.D. Executive Director MMjr /sg cc: Joe Lowenthal, M.D. 

Correspondence: From Max Michael, Jr. to G. Dekle Taylor on Jacksonville Hospitals Educational Program, Inc. Letterhead, 1968-11-20

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Correspondence: From Max Michael, Jr. to G. Dekle Taylor on Jacksonville Hospitals Educational Program, Inc. Letterhead, 1968-11-20

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