Cyrenne, Philippe (1999): Analysing Shared Service Contracts: The Case of Food Services for Winnipeg Hospitals.
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In November 1994, Winnipeg’s nine urban hospitals announced that they agreed to pursue opportunities to share four common support services - food services, material management, biomedical waste disposal and laundry to determine the potential for improving efficiency, reducing duplication and increasing buying power. A new non-profit organization called the Urban Shared Services Corporation (USSC)was created to manage the shared functions. Given that a majority of hospitals have chosen to retain their cafeteria services for non-patients, the proposed savings from Shared Food Service system depends on the number of hospital cafeterias that need renovating, the cost of refurbishment, as well as the expected economies of scale of the single plant operation. Given the range in estimates on the respective costs of renovation versus the cost of the central facility, savings on financing costs may not be realized. Evidence of economies of scale for central food services remains unclear, implying that additional savings from the central facility might not materialize. The Shared Food Service contract also brings with a number of contractual issues that might undermine the goals that are sought in the contract. Finally, the central issue of the respective quality of meals in the two systems remains unresolved. Given all these factors, there is considerable doubt whether the proposed change in hospital food service delivery will yield real benefits to Manitobans.
|Item Type:||MPRA Paper|
|Original Title:||Analysing Shared Service Contracts: The Case of Food Services for Winnipeg Hospitals|
|Keywords:||Shared Services Contracts; Hospital Food Services; Contractual Issues|
|Subjects:||L - Industrial Organization > L1 - Market Structure, Firm Strategy, and Market Performance > L14 - Transactional Relationships ; Contracts and Reputation ; Networks
I - Health, Education, and Welfare > I1 - Health > I11 - Analysis of Health Care Markets
H - Public Economics > H0 - General
D - Microeconomics > D6 - Welfare Economics > D61 - Allocative Efficiency ; Cost-Benefit Analysis
|Depositing User:||Philippe Cyrenne|
|Date Deposited:||18. Mar 2011 13:32|
|Last Modified:||02. Jan 2016 07:22|
Canadian Union of Public Employees (CUPE) Cooking Up a Storm, CUPE Research Branch, November 1995, Updated March 1996.
Canadian Union of Public Employees (CUPE) Cooking Up a Storm: Part II, CUPE Research, June 1998.
Demsetz, Harold (1968) “Why Regulate Utilities?” Journal of Law and Economics, 11: 55-66.
Food Service Directors Report, (submitted to the Urban Shared Services Corporation Board of Directors), June 1993.
HayGroup Consultants, 1997 Benchmarking Comparison of Canadian Teaching Hospitals, report prepared for ACTH, the Association of Canadian Teaching Hospitals.
KPMG Canada Request for Proposal Urban Shared Services Corporation, Winnipeg Manitoba, June 25, 1996.
Lauzon, Leon-Paul and Martin Poirier (1995) “Streamlining Food Services in the Quebec Hospital System” Original Study carried out at the request of the Centrale des professionnelles et professionnels de la sante CPS)
Manitoba Health, Next Steps: Pathway to a Healthy Manitoba.
Markham, Barbara and Jonathan Lomas, “Review of the Multi-Hospital Arrangements Literature: Benefits, Disadvantages, and Lessons for Implementation” CHEPA Working Paper Series No. 95-8, September 1995.
Matheson Food Management Consultants Ltd. Feasibility of a Shared Food Services System for Manitoba Health Services Providers, Volume 1, June 1993.
Urban Shared Services Corporation, Frequently Asked Questions about Hospital Food Services, November/December 1998.
Williamson, Oliver (1976) “Franchise Bidding for Natural Monopoly - In General and with respect to CATV” Bell Journal of Economics, 7: 73-107.
Leroy P. Jones, Pankaj Tandon and Ingo Vogelsang (1990) Selling Public Enterprises: A Cost Benefit Methodology, Cambridge: MIT Press.