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"He's starting to crash " Dr. Hooks had been working in the ER long enough to know that if he didn't act quickly his patient would soon be dead. The blood pressure was dropping, the pulse rising, and all signs pointed to a massive internal hemorrhage. But this time the patient wasn't a person. The patient was the Emergency Department itself, and it was hemorrhaging dollars. The hospital 'family' was at the bedside struggling with the decision that would determine its fate. "Shut it down and save the hospital," was the opinion of Timothy Doyle, the new COO. But the ER was a key element of...

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Dr. Michael Howard, owner and manager of the Healing Solutions Counseling Center in Charlotte, North Carolina, offers marketing and planning strategies that have helped make his business one of the...