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Analysing Shared Service Contracts: The Case of Food Services for Winnipeg Hospitals

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  • Cyrenne, Philippe

Abstract

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.

Suggested Citation

  • Cyrenne, Philippe, 1999. "Analysing Shared Service Contracts: The Case of Food Services for Winnipeg Hospitals," MPRA Paper 29619, University Library of Munich, Germany.
  • Handle: RePEc:pra:mprapa:29619
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    File URL: https://mpra.ub.uni-muenchen.de/29619/1/MPRA_paper_29619.pdf
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    References listed on IDEAS

    as
    1. B Markham & J Lomas, 1995. "Review of the Multi-hospital Arrangements Literature: Benefits, Disadvantages and Lessons for Implementation," Centre for Health Economics and Policy Analysis Working Paper Series 1995-08, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
    2. Leroy P. Jones & Pankaj Tandon & Ingo Vogelsang, 1990. "Selling Public Enterprises: A Cost/Benefit Methodology," MIT Press Books, The MIT Press, edition 1, volume 1, number 0262600625, January.
    Full references (including those not matched with items on IDEAS)

    More about this item

    Keywords

    Shared Services Contracts; Hospital Food Services; Contractual Issues;

    JEL classification:

    • L14 - Industrial Organization - - Market Structure, Firm Strategy, and Market Performance - - - Transactional Relationships; Contracts and Reputation
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • H0 - Public Economics - - General
    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis

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