About 'different types of accounting systems'|...it was a cult. The difference between a cult and a religion is the size of their bank account. If this cult had any less money they wouldn’t have had clout to be...

About 'different types of accounting systems'|...it was a cult. The difference between a cult and a religion is the size of their bank account. If this cult had any less money they wouldn’t have had clout to be...

Ｆｏｃｕｓ               ａｎｄ               Ｆｒａｍｉｎｇ               Ｏｖｅｒｖｉｅｗ                                               Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍｓ,               Ｉｎｃ. ｉｓ               ａ               ｎｏｎｐｒｏｆｉｔ               ｈｅａｌｔｈｃａｒｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｔｈａｔ               ｉｓ               ｃｏｍｍｉｔｔｅｄ               ｔｏ               ｐｒｏｖｉｄｉｎｇ               ｃｏｍｐｒｅｈｅｎｓｉｖｅ               ｐｒｉｍａｒｙ               ｈｅａｌｔｈ               ｃａｒｅ               ｔｏ               ｃｉｔｉｚｅｎｓ               ｏｆ               ｓｏｕｔｈｅｒｎ               Ｗｅｓｔ               Ｖｉｒｇｉｎｉａ. Ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｗａｓ               ｅｓｔａｂｌｉｓｈｅｄ               ｉｎ               1967               ａｓ               ａ               ｄｅｍｏｎｓｔｒａｔｉｏｎ               ｈｅａｌｔｈ               ｃａｒｅ               ｐｒｏｊｅｃｔ. Ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｆｉｒｓｔ               ｗａｓ               ｅｓｔａｂｌｉｓｈｅｄ               ｉｎ               ｌｅａｓｅｄ               ｓｐａｃｅ               ｆｒｏｍ               ａ               ｌｏｃａｌ               ｎｏｎｐｒｏｆｉｔ               ｈｏｓｐｉｔａｌ               ｉｎ               Ｂｅｃｋｌｅｙ,               Ｗｅｓｔ               Ｖｉｒｇｉｎｉａ. Ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｔｈｅｎ               ｍｏｖｅｄ               ｉｔｓ               ｃｏｒｐｏｒａｔｅ               ｏｆｆｉｃｅ               ｉｎ               1977               ｔｏ               252               Ｒｕｒａｌ               Ａｃｒｅｓ               Ｄｒｉｖｅ               ｉｎ               Ｂｅｃｋｌｅｙ,               Ｗｅｓｔ               Ｖｉｒｇｉｎｉａ               ａｎｄ               ｏｐｅｒａｔｅｓ               ｆｒｏｍ               ｔｈａｔ               ｌｏｃａｔｉｏｎ               ｔｏｄａｙ. Ｔｈｅ               ｃｏｍｐａｎｙ               ｈａｓ               ｇｒｏｗｎ               ｏｖｅｒ               ｔｈｅ               ｙｅａｒｓ               ａｎｄ               ｈａｓ               9               ｌｏｃａｔｉｏｎｓ,               33               ｐｒｏｖｉｄｅｒｓ,               ａｎｄ               ｏｖｅｒ               150               ｅｍｐｌｏｙｅｅｓ               Ｏｆ               ｔｈｅ               9               ｌｏｃａｔｉｏｎｓ,               ｔｈｅ               ｍａｊｏｒｉｔｙ               ａｒｅ               ｉｎ               ｔｈｅ               Ｂｅｃｋｌｅｙ               ａｒｅａ               ａｎｄ               ｔｈｅ               ｏｔｈｅｒｓ               ａｒｅ               ｉｎ               ｃｌｏｓｅ               ｐｒｏｘｉｍｉｔｙ. Ｔｈｅ               ｆｏｌｌｏｗｉｎｇ               ｃｌｉｎｉｃｓ               ａｒｅ               ｌｏｃａｔｅｄ               ｉｎ               Ｂｅｃｋｌｅｙ,               Ｗｅｓｔ               Ｖｉｒｇｉｎｉａ:               Ｒｕｒａｌ               Ａｃｒｅｓ               Ｃｌｉｎｉｃ,               Ｃａｒｒｉａｇｅ               Ｄｒｉｖｅ               Ｃｌｉｎｉｃ,               Ａｃｃｅｓｓ               Ｈｅａｌｔｈ               Ｓｔａｎｆｏｒｄ,               ＣＨＳ               Ａｓｓｏｃｉａｔｅｓ,               ａｎｄ               ＣＨＳ               Ｐｒｏｆｅｓｓｉｏｎａｌ               Ｍｅｄｉｃａｌ               Ｕｌｔｒａｓｏｎｉｃ'ｓ. Ｔｈｅ               ｒｅｍａｉｎｉｎｇ               ｌｏｃａｔｉｏｎｓ               ａｒｅ               Ｇｌａｄｅ               Ｃｒｅｓｔ               Ｃｌｉｎｉｃ               ｉｎ               Ｄａｎｉｅｌｓ,               ＷＶ,               Ｃｌｅａｒ               Ｆｏｒｋ               Ｃｌｉｎｉｃ               ｉｎ               Ｃｏｌｃｏｒｄ,               ＷＶ,               Ｍａｒｓｈ               Ｆｏｒｋ               Ｃｌｉｎｉｃ               ｉｎ               Ａｒｎｅｔｔ,               ＷＶ,               ａｎｄ               Ｇｌｅｎ               Ｒｏｇｅｒｓ/Ｒａｖｅｎｃｌｉｆｆ               Ｃｌｉｎｉｃ               ｉｎ               Ｒａｖｅｎｃｌｉｆｆ,               ＷＶ. Ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｏｆｆｅｒｓ               ｐｒｉｍａｒｙ               ｈｅａｌｔｈ               ｃａｒｅ               ｓｅｒｖｉｃｅｓ               ｉｎｃｌｕｄｉｎｇ:                1. Ｆａｍｉｌｙ               Ｐｒａｃｔｉｃｅ                2. Ｐｅｄｉａｔｒｉｃｓ                3. Ｉｎｔｅｒｎａｌ               Ｍｅｄｉｃｉｎｅ                4. ＯＢ/ＧＹＮ                5. Ｕｌｔｒａｓｏｎｉｃ'ｓ                6. Ｌａｂｏｒａｔｏｒｙ                7. Ｐｈａｒｍａｃｙ                8. Ｂｉｌｌｉｎｇ                9. Ａｄｍｉｎｉｓｔｒａｔｉｖｅ                Ｔｈｅ               ｐｈａｒｍａｃｙ               ｉｓ               ａ               340(ｂ)               ｐｒｏｖｉｄｅｒ               ｏｆ               ｐｒｅｓｃｒｉｐｔｉｏｎ               ｄｒｕｇｓ. Ｔｈｉｓ               ｍｅａｎｓ               ｔｈａｔ               ｔｈｅ               ｐｈａｒｍａｃｙ               ｐｒｏｖｉｄｅｓ               ｃｕｓｔｏｍｅｒｓ               ｔｈｅ               ｌｏｗｅｓｔ               ｐｏｓｓｉｂｌｅ               ｐｒｉｃｅ               ｏｎ               ｐｒｅｓｃｒｉｐｔｉｏｎ               ｄｒｕｇｓ               ａｔ               ｔｈｅ               ｓａｍｅ               ｒａｔｅ               ｔｈｅ               ｆｅｄｅｒａｌ               ｇｏｖｅｒｎｍｅｎｔ               ｉｓ               ａｌｌｏｗｅｄ               ｔｏ               ｐｕｒｃｈａｓｅ               ｔｈｅ               ｐｒｏｄｕｃｔｓ. Ａｃｃｏｒｄｉｎｇ               ｔｏ               Ｃｈａｒｌｅｓ               Ｈｕｎｔ               ＣＥＯ               ｏｆ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ,               ｉｎ               2005,               Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍｓ,               Ｉｎｃ               ｒｅｎｄｅｒｅｄ               ｓｅｒｖｉｃｅｓ               ｔｏ               34,998               ｕｓｅｒｓ               ａｃｃｏｕｎｔｉｎｇ               ｆｏｒ               112,467               ｐａｔｉｅｎｔ               ｅｎｃｏｕｎｔｅｒｓ               (Ｃ. Ｈｕｎｔ,               ｐｅｒｓｏｎａｌ               ｃｏｍｍｕｎｉｃａｔｉｏｎ,               Ｍａｙ               28,               2006). Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍｓ,               Ｉｎｃ. ｉｎｓｕｒａｎｃｅ               ａｎｄ               ｐｒｏｇｒａｍｓ               ｏｆｆｅｒｅｄ               ｔｏ               ｃｕｓｔｏｍｅｒｓ               ａｒｅ               Ｍｅｄｉｃａｉｄ,               Ｆａｍｉｌｙ               Ｐｌａｎｎｉｎｇ,               Ｃａｎｃｅｒ               Ｃｏｎｔｒｏｌ,               Ｃｈｉｌｄｒｅｎ'ｓ               Ｈｅａｌｔｈ               Ｉｎｓｕｒａｎｃｅ               Ｐｒｏｇｒａｍ,               Ｍｅｄｉｃａｒｅ,               Ｕｎｉｔｅｄ               Ｍｉｎｅ               Ｗｏｒｋｅｒｓ               Ａｓｓｏｃｉａｔｉｏｎ,               Ｓｌｉｄｉｎｇ               Ｆｅｅ               Ｓｃａｌｅ,               Ｐａｔｉｅｎｔ               ｉｎ               Ｎｅｅｄ,               ａｎｄ               Ｄｉｓｃｏｕｎｔｅｄ               Ｐｈａｒｍａｃｅｕｔｉｃａｌｓ.                Ｉｓｓｕｅｓ                                               Ｔｈｅ               ｉｄｅａ               ｆｏｒ               ｔｈｉｓ               ｐｒｏｊｅｃｔ               ｗａｓ               ｉｎｔｒｏｄｕｃｅｄ               ｂｙ               ｔｈｅ               Ｐｈａｒｍａｃｙ               Ｄｉｒｅｃｔｏｒ               ｉｎ               ａ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｍｅｅｔｉｎｇ. Ｂｅｃａｕｓｅ               ｏｆ               ｔｈｅ               ｐｏｔｅｎｔｉａｌ               ｒｅｖｅｎｕｅ,               ｔｈｅ               Ｃｈｉｅｆ               Ｅｘｅｃｕｔｉｖｅ               Ｏｆｆｉｃｅｒ               ａｓｋｅｄ               ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｔｏ               ｅｘｐｌｏｒｅ               ｔｈｅ               ｐｏｔｅｎｔｉａｌ               ｏｆ               ｃａｒｒｙｉｎｇ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｐｒｏｄｕｃｔｓ. Ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｗａｓ               ｒｅｓｐｏｎｓｉｂｌｅ               ｆｏｒ               ｇａｔｈｅｒｉｎｇ               ｉｎｆｏｒｍａｔｉｏｎ               ｏｎ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ａｎｄ               ｄｅｔｅｒｍｉｎｉｎｇ               ｆｉｎａｎｃｉａｌ               ｐｒｏｊｅｃｔｉｏｎｓ               ｓｏ               ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｃｏｕｌｄ               ｄｅｃｉｄｅ               ｔｈｅ               ｄｉｒｅｃｔｉｏｎ               ｔｈｅｙ               ｗａｎｔ               ｔｏ               ｔａｋｅ               ｏｎ               ｔｈｅ               ｉｓｓｕｅ. Ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｉｓ               ｄｅｓｃｒｉｂｅｄ               ａｓ               ｗｈｅｅｌｃｈａｉｒｓ,               ｃｒｕｔｃｈｅｓ,               ｗｒｉｓｔ               ｓｐｌｉｎｔｓ,               ｇａｕｚｅ,               ｎｅｅｄｌｅｓ,               ａｎｄ               ｏｔｈｅｒ               ｔｙｐｅｓ               ｏｆ               ｓｕｐｐｌｉｅｓ.                Ｃｏｎｔｅｘｔ               ａｎｄ               Ｓｔａｋｅｈｏｌｄｅｒｓ                                               Ｆｉｒｓｔ,               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｉｓ               ｅｓｔａｂｌｉｓｈｅｄ               ａｓ               ａ               Ｆｅｄｅｒａｌｌｙ               Ｑｕａｌｉｆｉｅｄ               Ｈｅａｌｔｈ               Ｃｅｎｔｅｒ               ｔｈａｔ               ｒｅｃｅｉｖｅｓ               ａ               ｇｒａｎｔ               ｆｒｏｍ               ｔｈｅ               Ｄｅｐａｒｔｍｅｎｔ               ｏｆ               Ｈｅａｌｔｈ               ａｎｄ               Ｈｕｍａｎ               Ｒｅｓｏｕｒｃｅｓ               ｉｎ               ｔｈｅ               ａｍｏｕｎｔ               ｏｆ               $1.6               ｍｉｌｌｉｏｎ               ｄｏｌｌａｒｓ               ｅｖｅｒｙ               Ａｐｒｉｌ               1ｓｔ. Ｔｈｅ               ｇｒａｎｔ               ａｌｌｏｗｓ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｔｏ               ｐｒｏｖｉｄｅ               ｈｅａｌｔｈｃａｒｅ               ｓｅｒｖｉｃｅｓ               ｔｏ               ｌｏｗ               ｉｎｃｏｍｅ               ｐｅｏｐｌｅ               ｂａｓｅｄ               ｏｎ               ａ               ｓｌｉｄｉｎｇ               ｓｃａｌｅ               ｆｅｅ               ｉｎ               ｒｅｌａｔｉｏｎ               ｔｏ               ｔｈｅｉｒ               ｍｏｎｔｈｌｙ               ｉｎｃｏｍｅ. Ｓｅｃｏｎｄ,               ｔｈｅ               ｐｒｏｖｉｄｅｒｓ               ｔｈａｔ               ａｒｅ               ｅｍｐｌｏｙｅｄ               ｂｙ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ａｒｅ               ｎｏｔ               ｒｅｓｐｏｎｓｉｂｌｅ               ｆｏｒ               ｍｅｄｉｃａｌ               ｍａｌｐｒａｃｔｉｃｅ               ｉｎｓｕｒａｎｃｅ               ｂｅｃａｕｓｅ               ｔｈｅｙ               ａｒｅ               ｃｏｖｅｒｅｄ               ｂｙ               ｔｈｅ               Ｆｅｄｅｒａｌ               Ｔｏｒｔ               Ｃｏｖｅｒａｇｅ               Ａｃｔ. Ｔｈｅ               ｇｏｖｅｒｎｍｅｎｔ               ｃｏｖｅｒｓ               ａｌｌ               ｌａｗｓｕｉｔｓ               ｉｎ               ｒｅｌａｔｉｏｎ               ｔｏ               ｒｅｃｅｉｖｉｎｇ               ｍｅｄｉｃａｌ               ｃａｒｅ               ａｔ               ａｎｙ               ｏｆ               ｔｈｅ               ｎｉｎｅ               ｌｏｃａｔｉｏｎｓ               ｔｈａｔ               Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍｓ,               Ｉｎｃ. ｏｐｅｒａｔｅｓ.                Ｏｎｅ               ｏｆ               ｔｈｅ               ｓｔａｋｅｈｏｌｄｅｒｓ               ｏｆ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｉｓ               ｔｈｅ               ｇｏｖｅｒｎｍｅｎｔ. Ｉｔ               ｐｒｏｖｉｄｅｓ               ｇｒａｎｔ               ｍｏｎｅｙ               ｔｏ               ｏｆｆｅｒ               ｈｅａｌｔｈｃａｒｅ               ｔｏ               ｔｈｅ               ｕｎｄｅｒｓｅｒｖｅｄ               ｐｏｐｕｌａｔｉｏｎ. Ｓｅｃｏｎｄ,               ｃｉｔｉｚｅｎｓ               ｔｈａｔ               ｎｅｅｄ               ｈｅａｌｔｈｃａｒｅ               ａｒｅ               ｓｔａｋｅｈｏｌｄｅｒｓ               ｂｅｃａｕｓｅ               ｏｆ               ｔｈｅ               ｍａｎｙ               ｄｉｆｆｅｒｅｎｔ               ｐａｙｍｅｎｔ               ｐｌａｎｓ               ｔｈａｔ               ａｒｅ               ａｖａｉｌａｂｌｅ               ｂａｓｅｄ               ｏｎ               ｈｏｕｓｅｈｏｌｄ               ｉｎｃｏｍｅ. Ｔｈｉｒｄ,               ｅｍｐｌｏｙｅｅｓ               ｏｆ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｍａｙ               ｂｅｎｅｆｉｔ               ｆｒｏｍ               ｔｈｉｓ               ｒｅｓｅａｒｃｈ               ｂｅｃａｕｓｅ               ｔｈｅｙ               ｈｅｌｐ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｃａｒｒｙ               ｏｕｔ               ｔｈｅ               ｍｉｓｓｉｏｎ               ａｎｄ               ｔｈｅ               ｖｉｓｉｏｎ. Ｔｈｅ               ｌａｓｔ               ｓｔａｋｅｈｏｌｄｅｒ               ｏｆ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｉｓ               ｔｈｅ               ｃｏｍｍｕｎｉｔｙ               ｉｎ               ｗｈｉｃｈ               ｔｈｅ               ｃｏｍｐａｎｙ               ｏｐｅｒａｔｅｓ               ｂｅｃａｕｓｅ               ｉｔ               ｂｒｉｎｇｓ               ｌｏｗ-ｃｏｓｔ               ｈｅａｌｔｈｃａｒｅ               ａｎｄ               ｊｏｂｓ.                Ａｆｆｅｃｔｉｎｇ               Ｉｓｓｕｅｓ                                               Ｏｒｇａｎｉｚａｔｉｏｎｓ               ｔｈａｔ               ａｒｅ               ａｆｆｅｃｔｅｄ               ｂｙ               ｔｈｅ               ｉｓｓｕｅｓ               ａｒｅ               ｏｔｈｅｒ               ｌｏｃａｌ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｂｕｓｉｎｅｓｓｅｓ               ｗｉｔｈｉｎ               ｔｈｅ               ｌｏｃａｔｉｏｎ               ｔｈａｔ               Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍｓ,               Ｉｎｃ               ｏｐｅｒａｔｅｓ. Ｐａｔｉｅｎｔ               ｓｅｒｖｉｃｅｓ               ａｒｅ               ａｌｓｏ               ａｆｆｅｃｔｅｄ               ｂｙ               ｔｈｅ               ｉｓｓｕｅｓ               ｂｅｃａｕｓｅ               ｔｈｅｉｒ               ｃａｒｅ               ｉｓ               ｃｏｎｔｒｏｌｌｅｄ               ｗｉｔｈｉｎ               ｔｈｅ               Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍｓ,               Ｉｎｃ. ｆｒａｍｅ               ｏｆ               ｂｕｓｉｎｅｓｓ               ａｎｄ               ｔｈｅｉｒ               ｐｒｏｖｉｄｅｒｓ               ａｒｅ               ｗｒｉｔｉｎｇ               ｐｒｅｓｃｒｉｐｔｉｏｎｓ               ｔｏ               ａｎ               ｅｎｔｉｔｙ               ｏｆ               ｔｈｉｓ               ｏｒｇａｎｉｚａｔｉｏｎ               ｉｆ               ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｄｅｃｉｄｅｓ               ｔｏ               ｍｏｖｅ               ｆｏｒｗａｒｄ               ｗｉｔｈ               ｐｕｒｓｕｉｎｇ               ｔｈｅ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｍａｒｋｅｔ. Ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ'ｓ               ｓｔｒａｔｅｇｉｃ               ｐｌａｎ               ｉｓ               ａｆｆｅｃｔｅｄ               ｂｅｃａｕｓｅ               ｔｈｉｓ               ｉｓ               ａ               ｍａｒｋｅｔ               ｔｈａｔ               ｈａｓ               ｎｅｖｅｒ               ｂｅｅｎ               ｉｎ               ｄｉｓｃｕｓｓｉｏｎ               ａｓ               ａ               ｆｕｔｕｒｅ               ｓｅｒｖｉｃｅ               ｏｆ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ.                Ｐｕｒｐｏｓｅ                                               Ｔｈｅ               ｐｕｒｐｏｓｅ               ｏｆ               ｔｈｉｓ               ｒｅｓｅａｒｃｈ               ｉｓ               ｔｏ               ｄｅｔｅｒｍｉｎｅ               ｔｈｅ               ｆｅａｓｉｂｉｌｉｔｙ               ｏｆ               ｅｘｐａｎｄｉｎｇ               ｓｅｒｖｉｃｅｓ               ｉｎｔｏ               ｔｈｅ               ｄｕｒａｂｌｅ               ｅｑｕｉｐｍｅｎｔ               ｍａｒｋｅｔ.                Ｓｉｇｎｉｆｉｃａｎｃｅ                                               Ｔｈｅ               ｉｎｆｏｒｍａｔｉｏｎ               ｇａｖｅ               ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｏｆ               Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍｓ,               Ｉｎｃ. ａ               ｂｒｏａｄ               ｏｖｅｒｖｉｅｗ               ｏｆ               ｔｈｅ               ｐｏｔｅｎｔｉａｌ               ｏｒ               ｅｘｃｌｕｓｉｏｎ               ｏｆ               ｓｕｃｈ               ａ               ｐｒｏｊｅｃｔ. Ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｉｎｖｅｓｔｉｇａｔｅｄ               ａｌｌ               ｐｏｓｓｉｂｌｅ               ｒｅｖｅｎｕｅ               ｓｔｒｅａｍｓ               ｒｅｌａｔｅｄ               ｔｏ               ｔｈｅ               ｄｕｒａｂｌｅ               ｅｑｕｉｐｍｅｎｔ               ｍａｒｋｅｔ. Ｔｈｉｓ               ａｌｌｏｗｅｄ               ｔｈｅ               Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍｓ               ｔｅａｍ               ｔｏ               ｓｅｅ               ｈｏｗ               ｏｔｈｅｒ               ｏｒｇａｎｉｚａｔｉｏｎｓ               ｏｐｅｒａｔｅ               ｗｉｔｈｉｎ               ｔｈｉｓ               ｍａｒｋｅｔ. Ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎａｌ               ｉｍｐａｃｔ               ｏｆ               ｔｈｅ               ｐｒｏｊｅｃｔ               ｈａｄ               ｂｅｅｎ               ｃｒｅａｔｉｎｇ               ａｎ               ａｄｄｉｔｉｏｎａｌ               ｒｅｖｅｎｕｅ               ｓｔｒｅａｍ               ｆｏｒ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ａｎｄ               ｃｒｅａｔｉｎｇ               ｍｏｒｅ               ｊｏｂｓ               ｗｉｔｈｉｎ               ｔｈｅ               ｌｏｃａｌ               ｃｏｍｍｕｎｉｔｙ.                Ｃｏｎｔｅｎｔ                                               Ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｃｏｎｓｔｒｕｃｔｅｄ               ｔｈｅ               ｆｏｌｌｏｗｉｎｇ               ｓｅｃｔｉｏｎｓ               ｏｆ               ｔｈｅ               ｒｅｓｅａｒｃｈ;               ｆｏｃｕｓ               ａｎｄ               ｆｒａｍｉｎｇ,               ｌｉｔｅｒａｔｕｒｅ               ｒｅｖｉｅｗ,               ｍｅｔｈｏｄｏｌｏｇｙ,               ｃｏｎｓｔｒｕｃｔｉｎｇ               ａｃｃｏｕｎｔｓ,               ａｎｄ               ｐｌａｎ               ｏｆ               ａｃｔｉｏｎ. Ｔｈｅ               ｆｏｃｕｓ/ｆｒａｍｉｎｇ               ｓｅｃｔｉｏｎ               ｇａｖｅ               ａ               ｂｒｉｅｆ               ｏｖｅｒｖｉｅｗ               ｏｆ               ｗｈａｔ               Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍｓ,               Ｉｎｃ. ｉｓ               ｍａｄｅ               ｕｐ               ｏｆ               ｉｎ               ｓｔｒｕｃｔｕｒｅ. Ｔｈｅ               ｌｉｔｅｒａｔｕｒｅ               ｅｘｐｌｏｒｅｄ               ｗｈａｔ               ｏｔｈｅｒｓ               ａｒｅ               ｓａｙｉｎｇ               ａｂｏｕｔ               ｔｈｅ               ｄｕｒａｂｌｅ               ｅｑｕｉｐｍｅｎｔ               ｍａｒｋｅｔ,               ｒｅｉｍｂｕｒｓｅｍｅｎｔ               ｒａｔｅｓ,               ｆｏｒｍｓ,               ａｎｄ               ｏｔｈｅｒ               ｐｏｌｉｃｉｅｓ               ｔｈａｔ               ａｒｅ               ｃｏｍｐｒｏｍｉｓｅｄ               ｏｆ               ｔｈｉｓ               ｐａｒｔｉｃｕｌａｒ               ｖｅｎｔｕｒｅ. Ｔｈｅ               ｍｅｔｈｏｄｏｌｏｇｙ               ｓｅｃｔｉｏｎ               ｐｒｏｖｉｄｅｄ               ａ               ｄｅｔａｉｌｅｄ               ｐｌａｎ               ｉｎ               ｈｏｗ               ｔｈｅ               ｒｅｓｅａｒｃｈ               ｐｒｏｊｅｃｔ               ｈａｄ               ｂｅｅｎ               ｃａｒｒｉｅｄ               ｏｕｔ. Ｔｈｅ               ｃｏｎｓｔｒｕｃｔｉｎｇ               ａｃｃｏｕｎｔｓ               ｓｅｃｔｉｏｎ               ｔｏｌｄ               ｔｈｅ               ｓｔｏｒｉｅｓ               ｏｆ               ｔｈｅ               ｓｔａｋｅｈｏｌｄｅｒｓ               ａｎｄ               ｔｈｅｉｒ               ｖｉｅｗｐｏｉｎｔｓ               ｉｎ               ｒｅｌａｔｉｏｎ               ｔｏ               ｔｈｅ               ｓｔｕｄｙ. Ｔｈｅ               ｐｌａｎ               ｏｆ               ａｃｔｉｏｎ               ｓｅｃｔｉｏｎ               ｄｅｍｏｎｓｔｒａｔｅｓ               ｔｈｅ               ｓｔｅｐｓ               ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｔｏｏｋ               ｉｎ               ｔｈｅ               ｐｒｏｊｅｃｔ               ｂａｓｅｄ               ｏｎ               ｒｅｃｏｍｍｅｎｄａｔｉｏｎｓ               ｆｒｏｍ               ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｏｆ               Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍｓ,               Ｉｎｃ. Ｉｎ               ｔｈｅ               ｆｉｎａｎｃｉａｌ               ｓｅｃｔｉｏｎ               ｏｆ               ｔｈｉｓ               ｐｒｏｊｅｃｔ               ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｃｏｎｓｔｒｕｃｔｅｄ               ｄａｔａ               ｂａｓｅｄ               ｏｎ               ｉｎｆｏｒｍａｔｉｏｎ               ｇａｔｈｅｒｅｄ               ｆｒｏｍ               ｖａｒｉｏｕｓ               ｓｏｕｒｃｅｓ               ａｎｄ               ｓｈｏｗｅｄ               ｗｈａｔ               ｔｈｅ               ｐｏｔｅｎｔｉａｌ               ｐｒｏｆｉｔ               ｉｓ               ｂａｓｅｄ               ｏｎ               ｗｈａｔ               ｔｈｅ               ｉｎｓｕｒａｎｃｅ               ｃａｒｒｉｅｒｓ               ｐａｙ.                Ｌｅａｄｅｒｓｈｉｐ               Ｍｏｄｅｌ                                               Ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｕｓｅｄ               ｔｈｅ               ｃｈａｎｇｅ               ｔｈｅｏｒｙ               ｍｅｔｈｏｄ               ｏｆ               ｌｅａｄｅｒｓｈｉｐ               ｉｎ               ｓｈｏｗｉｎｇ               ｏｔｈｅｒｓ               ｔｈｅ               ｐｏｓｓｉｂｉｌｉｔｉｅｓ               ｏｆ               ｏｆｆｅｒｉｎｇ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｗｉｔｈｉｎ               ｔｈｅｉｒ               ｅｓｔａｂｌｉｓｈｅｄ               ｓｃｏｐｅ               ｏｆ               ｂｕｓｉｎｅｓｓ. Ｃｈａｎｇｅ               ｔｈｅｏｒｙ               ｉｓ               ａｂｏｕｔ               ｍｏｔｉｖａｔｉｎｇ               ｏｔｈｅｒｓ               ｔｏ               ｈｅｌｐ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｗｉｔｈ               ｉｔｓ               ｍｉｓｓｉｏｎ               ａｎｄ               ｖｉｓｉｏｎ. Ｓｅｒｖａｎｔ               ｌｅａｄｅｒｓｈｉｐ               ｗａｓ               ａ               ｋｅｙ               ｐａｒｔ               ｏｆ               ｔｈｅ               ｍｏｄｅｌ               ｂｅｃａｕｓｅ               ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｗｏｒｋｅｄ               ｗｉｔｈ               ｏｔｈｅｒｓ               ａｎｄ               ｅｎｃｏｕｒａｇｅｄ               ｅｖｅｒｙｏｎｅ               ｔｏ               ｂｅ               ｐａｒｔｉｃｉｐａｔｉｖｅ               ａｎｄ               ｔｏ               ｇｉｖｅ               ｆｅｅｄｂａｃｋ. Ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ａｃｔｅｄ               ａｓ               ｔｈｅ               ｐｒｏｊｅｃｔ               ｍａｎａｇｅｒ               ａｎｄ               ｍｏｖｅｄ               ｔｈｅ               ｗｈｏｌｅ               ｒｅｓｅａｒｃｈ               ｆｒｏｍ               ｔｈｅ               ｓｔａｒｔ               ｔｏ               ｔｈｅ               ｆｉｎｉｓｈ.                Ｌｉｔｅｒａｔｕｒｅ               Ｒｅｖｉｅｗ                Ｗｈａｔ               ｏｔｈｅｒｓ               ｓａｙ               ｉｓ               ｈａｐｐｅｎｉｎｇ                Ｔｈｅ               Ｄｕｒａｂｌｅ               Ｍｅｄｉｃａｌ               Ｅｑｕｉｐｍｅｎｔ               (ＤＭＥ)               ｍａｒｋｅｔ               ｈａｓ               ｓｅｅｎ               ｄｒａｍａｔｉｃ               ｃｈａｎｇｅｓ               ｙｅａｒ               ａｆｔｅｒ               ｙｅａｒ               ａｎｄ               ｒｅｇｕｌａｔｉｏｎｓ               ｆｒｏｍ               ｉｎｓｕｒａｎｃｅ               ｐｒｏｖｉｄｅｒｓ               ｗｉｌｌ               ｃｏｎｔｉｎｕｅ               ｔｏ               ａｄｄ               ｎｅｗ               ｌａｗｓ               ｔｏ               ｃｕｒｂ               ａｂｕｓｅ               ａｎｄ               ｗａｓｔｅ. Ａｃｃｏｒｄｉｎｇ               ｔｏ               Ｓｅｎａｔｏｒ               Ｃｈｕｃｋ               Ｇｒａｓｓｌｅｙ,               "Ｆｒａｕｄ,               ｗａｓｔｅ,               ａｎｄ               ａｂｕｓｅ               ａｒｅ               ｅｎｅｍｉｅｓ               ｏｆ               ｔｈｅ               ｈｅａｌｔｈ               ｃａｒｅ               ｓｙｓｔｅｍ"               (Ｋｏｚｅｎｙ,               1997,               ｐａｒａ. 6). Ｈｅａｌｔｈｃａｒｅ               ｃｏｓｔｓ               ａｒｅ               ａｌｗａｙｓ               ｒｉｓｉｎｇ               ａｎｄ               ｉｔ               ｄｏｅｓｎ'ｔ               ｈｅｌｐ               ｗｈｅｎ               ｔｈｅ               ｉｎｓｕｒａｎｃｅ               ｃａｒｒｉｅｒｓ               ｈａｖｅ               ｔｏ               ｋｅｅｐ               ｓｔｒｉｃｔ               ｇｕｉｄｅｌｉｎｅｓ               ｆｏｒ               ｒｅｉｍｂｕｒｓｅｍｅｎｔ               ｂｅｃａｕｓｅ               ｏｆ               ａｂｕｓｅ               ａｎｄ               ｆｒａｕｄ. Ｔｈｅ               ｎｅｇａｔｉｖｅ               ｓｉｄｅ               ｏｆ               ｔｈｅ               ｂｕｓｉｎｅｓｓ               ｈａｓ               ｐｕｓｈｅｄ               Ｍｅｄｉｃａｒｅ               ａｎｄ               Ｍｅｄｉｃａｉｄ               ｔｏ               ｔｉｇｈｔｅｎ               ｃｏｎｔｒｏｌｓ               ｏｎ               ｗｈａｔ               ｅｑｕｉｐｍｅｎｔ               ｔｈｅｙ               ｐａｉｄ               ｆｏｒ               ａｓ               ａ               ｒｅｓｕｌｔ               ｏｆ               ｆｒａｕｄｕｌｅｎｔ               ｃｌａｉｍｓ               ｂｙ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｂｕｓｉｎｅｓｓｅｓ. Ｃｉｔｉｚｅｎｓ               Ａｇａｉｎｓｔ               Ｇｏｖｅｒｎｍｅｎｔ               Ｗａｓｔｅ               (1997)               ｇｉｖｅｓ               ｔｈｅ               ｆｏｌｌｏｗｉｎｇ               ｆｒａｕｄ               ｅｘａｍｐｌｅｓ               ａｓ               ｃａｓｅｓ               ａｇａｉｎｓｔ               ＤＭＥ               ｐｒｏｖｉｄｅｒｓ:                Ａｓ               ｐａｒｔ               ｏｆ               ａ               ｐｌｅａ               ｂａｒｇａｉｎ               ａｇｒｅｅｍｅｎｔ,               ａ               Ｔｅｘａｓ               ＤＭＥ               ｃｏｍｐａｎｙ               ｐａｉｄ               ｒｅｓｔｉｔｕｔｉｏｎ               ｏｆ               $450,000               ａｎｄ               ｗａｓ               ｓｅｎｔｅｎｃｅｄ               ｔｏ               ｏｎｅ               ｙｅａｒ               ｐｒｏｂａｔｉｏｎ               ｆｏｒ               ｓｕｐｐｌｙｉｎｇ               ｗｈｅｅｌ               ｃｈａｉｒ               ｐａｄｓ               ｔｏ               ｎｕｒｓｉｎｇ               ｈｏｍｅ               ｐａｔｉｅｎｔｓ               ａｎｄ               ｔｈｅｎ               ｆｒａｕｄｕｌｅｎｔｌｙ               ｂｉｌｌｉｎｇ               Ｍｅｄｉｃａｒｅ               ｆｏｒ               ａ               ｍｏｒｅ               ｅｘｐｅｎｓｉｖｅ               ｌｕｍｂａｒ               ｓａｃｒａｌ               ｓｕｐｐｏｒｔ               ｓｙｓｔｅｍ.                Ａ               Ｐｅｎｎｓｙｌｖａｎｉａ               ＤＭＥ               ｃｏｍｐａｎｙ               ａｇｒｅｅｄ               ｔｏ               ｐａｙ               $110,000               ｔｏ               ｓｅｔｔｌｅ               ｃｒｉｍｉｎａｌ               ａｎｄ               ｃｉｖｉｌ               ｌｉａｂｉｌｉｔｉｅｓ               ｆｏｒ               ｓｕｂｍｉｔｔｉｎｇ               ｆａｌｓｅ               ｃｌａｉｍｓ               ｔｏ               Ｍｅｄｉｃａｒｅ               ｆｏｒ               ｍａｒｋｅｔｉｎｇ               ａｎｄ               ｄｉｓｔｒｉｂｕｔｉｎｇ               ｌｏｗｅｒ-ｑｕａｌｉｔｙ               ｂｏｄｙ               ｊａｃｋｅｔｓ               ｔｏ               ｌｏｎｇ-ｔｅｒｍ               ｃａｒｅ               ｆａｃｉｌｉｔｉｅｓ               ｔｈａｎ               ｔｈｏｓｅ               ａｃｔｕａｌｌｙ               ｄｅｌｉｖｅｒｅｄ. Ｔｈｅ               ｃｏｍｐａｎｙ               ａｎｄ               ｉｔｓ               ｐｒｅｓｉｄｅｎｔ               ｗｅｒｅ               ｂａｒｒｅｄ               ｆｏｒ               ｌｉｆｅ               ｆｒｏｍ               ｐａｒｔｉｃｉｐａｔｉｏｎ               ｉｎ               ａｎｙ               ＨＨＳ               ｐｒｏｇｒａｍｓ.                Ａ               ｐｈｙｓｉｃｉａｎ               ｆｌｅｄ               ｔｏ               ｔｈｅ               Ｄｏｍｉｎｉｃａｎ               Ｒｅｐｕｂｌｉｃ               ａｎｄ               ｈｉｓ               ｃｏｈｏｒｔ               ｉｎ               ｃｒｉｍｅ               ｆｌｅｄ               ｔｏ               Ｓｉｅｒｒａ               Ｌｅｏｎｅ               ｆｏｒ               ｐｒｅｐａｒｉｎｇ               ａｎｄ               ｓｉｇｎｉｎｇ               ｆｒａｕｄｕｌｅｎｔ               ｃｅｒｔｉｆｉｃａｔｅｓ               ｏｆ               ｍｅｄｉｃａｌ               ｎｅｃｅｓｓｉｔｙ               ｆｏｒ               ＤＭＥ. Ａ               Ｎｅｗ               Ｙｏｒｋ               ｊｕｄｇｅ               ｓｅｎｔｅｎｃｅｄ               ｔｈｅ               Ｄｏｍｉｎｉｃａｎ               ｒｅｆｕｇｅｅ               ｉｎ               ａｂｓｅｎｔｉａ               ｔｏ               78               ｍｏｎｔｈｓ               ｉｎ               ｐｒｉｓｏｎ               ａｎｄ               ｏｒｄｅｒｅｄ               ｈｉｍ               ｔｏ               ｐａｙ               $3.5               ｍｉｌｌｉｏｎ. Ｈｉｓ               ｐａｒｔｎｅｒ               ｗａｉｖｅｄ               ｅｘｔｒａｄｉｔｉｏｎ               ｔｏ               ｒｅｔｕｒｎ               ｔｏ               ｔｈｅ               Ｕｎｉｔｅｄ               Ｓｔａｔｅｓ.                Ａ               Ｎｅｗ               Ｙｏｒｋ               ＤＭＥ               ｃｏｍｐａｎｙ               ｕｓｅｄ               ａ               ｓｈａｍ               ｓｕｂｓｉｄｉａｒｙ               ｔｏ               ｓｕｂｍｉｔ               ｃｌａｉｍｓ               ｉｎ               Ｐｅｎｎｓｙｌｖａｎｉａ               ｆｏｒ               ｅｑｕｉｐｍｅｎｔ               ｓｏｌｄ               ｉｎ               Ｗｅｓｔｅｒｎ               Ｎｅｗ               Ｙｏｒｋ. Ｉｎ               ａｄｄｉｔｉｏｎ               ｔｏ               ａ               ｃｒｉｍｉｎａｌ               ｆｉｎｅ               ｏｆ               $300,000,               ｔｈｅ               ｓｕｂｓｉｄｉａｒｙ               ａｌｓｏ               ｐｌｅｄ               ｇｕｉｌｔｙ               ａｎｄ               ａｇｒｅｅｄ               ｔｏ               ｍａｋｅ               ｆｕｌｌ               ｒｅｓｔｉｔｕｔｉｏｎ               ｏｆ               $1.1               ｍｉｌｌｉｏｎ               ａｎｄ               ｔｏ               ｐａｙ               ａ               ｃｉｖｉｌ               ｐｅｎａｌｔｙ               ｏｆ               $2.5               ｍｉｌｌｉｏｎ.                Ｔｈｅｓｅ               ｆｒａｕｄｕｌｅｎｔ               ｓｃｈｅｍｅｓ               ｏｆ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｂｕｓｉｎｅｓｓｅｓ               ｈａｖｅ               ｃｏｎｔｒｉｂｕｔｅｄ               ｔｏ               ｔｈｅ               ｓｔｒｉｃｔ               ｇｕｉｄｅｌｉｎｅｓ               ｆｏｒ               ｒｅｉｍｂｕｒｓｅｍｅｎｔ. Ｉｎｓｕｒａｎｃｅ               ｃｏｍｐａｎｉｅｓ               ａｌｓｏ               ｐｌａｙ               ｉｎｔｏ               ｔｈｅ               ｐｏｌｉｔｉｃａｌ               ｓｉｄｅ               ｏｆ               ｔｈｅ               ｂｕｓｉｎｅｓｓ               ｉｎ               ｄｅｌａｙｉｎｇ               ｃｌａｉｍｓ               ｆｏｒ               ｐａｙｍｅｎｔ               ｂｅｃａｕｓｅ               ａｄｄｉｔｉｏｎａｌ               ｉｎｆｏｒｍａｔｉｏｎ               ｍａｙ               ｂｅ               ｎｅｅｄｅｄ. Ｔｈｅｓｅ               ｅｘａｍｐｌｅｓ               ｓｈｏｗ               ｔｈａｔ               ｅｍｐｌｏｙｅｅｓ               ｗｉｌｌ               ｂｅ               ｒｅｑｕｉｒｅｄ               ｔｏ               ｋｅｅｐ               ｅｖｅｒｙｔｈｉｎｇ               ｄｏｃｕｍｅｎｔｅｄ               ａｎｄ               ｏｒｇａｎｉｚｅｄ               ｉｎ               ｃａｓｅ               ｏｆ               ａｎ               ａｕｄｉｔ               ｂｙ               ａｎ               ｉｎｓｕｒａｎｃｅ               ｃａｒｒｉｅｒ.                Ｉｎｓｕｒａｎｃｅ               ｆｒａｕｄ               ｉｓ               ａ               ｃｏｎｔｉｎｕｏｕｓ               ｂａｔｔｌｅ               ｗｉｔｈ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｂｕｓｉｎｅｓｓｅｓ. Ｆｏｒ               ｅｘａｍｐｌｅ,               Ｓｅｎａｔｏｒ               Ｗｉｌｌｉａｍ               Ｃｏｈｅｎ               ｏｆ               Ｍａｉｎｅ               ｅｘｐｌａｉｎｅｄ               ｈｏｗ               Ｍｅｄｉｃａｒｅ               ｂｅｎｅｆｉｃｉａｒｉｅｓ               ａｒｅ               ｒｅｃｉｐｉｅｎｔｓ               ｏｆ               ｆｒａｕｄ. Ｈｅ               ｓａｉｄ               ｔｈａｔ               ａ               ｓｕｐｐｌｉｅｒ               ｐａｉｄ               $28.57               ｆｏｒ               ａ               ｍａｔｔｒｅｓｓ               ｔｈａｔ               ｗａｓ               ｓｕｐｐｏｓｅｄ               ｔｏ               ｐｒｅｖｅｎｔ               ｓｏｒｅｓ               ａｎｄ               ｂｉｌｌｅｄ               Ｍｅｄｉｃａｒｅ               ｆｏｒ               $1,132. Ｍｅｄｉｃａｒｅ               ｐａｉｄ               $943               ｏｆ               ｔｈｅ               ｐｒｉｃｅ               ａｎｄ               ｔｈｅ               ｒｅｓｔ               ｗａｓ               ｌｅｆｔ               ｆｏｒ               ｔｈｅ               ｃｕｓｔｏｍｅｒ               ｔｏ               ｐａｙ               (Ｔｈｅ               Ｉｎｔｅｌｌｉｇｅｎｃｅｒ,               1991,               ｐ. ｃ-15).                Ａｃｃｏｒｄｉｎｇ               ｔｏ               Ｃｅｎｔｅｒ               ｆｏｒ               Ｍｅｄｉｃａｒｅ               &               Ｍｅｄｉｃａｉｄ               (1998)               ｔｈｅｙ               ｈａｖｅ               ｉｍｐｌｅｍｅｎｔｅｄ               ｎｅｗ               ｇｕｉｄｅｌｉｎｅｓ               ｆｏｒ               ｂｕｓｉｎｅｓｓｅｓ               ｔｈａｔ               ｏｐｅｒａｔｅ               ａｓ               ａ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｓｕｐｐｌｉｅｒ               ｔｈａｔ               ｓｔａｔｅｓ               ｔｈｅ               ｆｏｌｌｏｗｉｎｇ               ｒｅｑｕｉｒｅｍｅｎｔｓ:                Ｕｎｄｅｒ               ｔｈｅ               ｒｅｇｕｌａｔｉｏｎ               ｐｕｂｌｉｓｈｅｄ               ｔｏｄａｙ,               ｓｕｐｐｌｉｅｒｓ               ｏｆ               ＤＭＥ               (ｉｎｃｌｕｄｉｎｇ               ｗｈｅｅｌｃｈａｉｒｓ,               ｃａｎｅｓ,               ａｎｄ               ｏｔｈｅｒ               ｍｅｄｉｃａｌ               ｓｕｐｐｌｉｅｓ)               ｗｏｕｌｄ               ｂｅ               ｒｅｑｕｉｒｅｄ               ｔｏ               ｏｂｔａｉｎ               ｓｕｒｅｔｙ               ｂｏｎｄｓ               ｏｆ               ａｔ               ｌｅａｓｔ               $50,000. Ｉｎ               ａｄｄｉｔｉｏｎ,               ｔｈｅ               ｐｒｏｐｏｓｅｄ               ｒｅｇｕｌａｔｉｏｎ               ｗｏｕｌｄ               ｂａｎ               ＤＭＥ               ｓｕｐｐｌｉｅｒ               ｔｅｌｅｍａｒｋｅｔｉｎｇ;               ｒｅｑｕｉｒｅ               ｓｕｐｐｌｉｅｒｓ               ｔｏ               ｈａｖｅ               ａ               ｐｈｙｓｉｃａｌ               ｏｆｆｉｃｅ               ａｎｄ               ｌｉｓｔｅｄ               ｐｈｏｎｅ               ｎｕｍｂｅｒ;               ｃｏｄｉｆｙ               ａ               ｒｅｑｕｉｒｅｍｅｎｔ               ｔｈａｔ               ｓｕｐｐｌｉｅｒｓ               ｒｅｅｎｒｏｌｌ               ｉｎ               Ｍｅｄｉｃａｒｅ               ｅｖｅｒｙ               ｔｈｒｅｅ               ｙｅａｒｓ;               ｐｒｏｈｉｂｉｔ               ｓｕｐｐｌｉｅｒｓ               ｆｒｏｍ               ｒｅａｓｓｉｇｎｉｎｇ               ａ               ｓｕｐｐｌｉｅｒ               ｎｕｍｂｅｒ;               ａｎｄ               ａｐｐｌｙ               ｃｒｉｍｉｎａｌ               ａｎｄ               ｃｉｖｉｌ               ｓａｎｃｔｉｏｎｓ               ｆｏｒ               ｍｉｓｒｅｐｒｅｓｅｎｔａｔｉｏｎｓ               ｏｎ               ｂｉｌｌｉｎｇ               ｎｕｍｂｅｒ               ａｐｐｌｉｃａｔｉｏｎｓ               (ｐａｒａ. 2).                Ｏｎｅ               ｎｅｗ               ｍａｊｏｒ               ｒｅｆｏｒｍ               ｏｆ               ｔｈｅ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｉｓ               ｔｈａｔ               Ｍｅｄｉｃａｒｅ               ｉｓ               ｐｒｏｐｏｓｉｎｇ               ａ               ｃｏｍｐｅｔｉｔｉｖｅ               ｂｉｄｄｉｎｇ               ｐｒｏｇｒａｍ               ｆｏｒ               ｓｕｐｐｌｉｅｒｓ. Ｓｅｎｉｏｒ               Ｊｏｕｒｎａｌ.Ｃｏｍ               (2006)               ｓｔａｔｅｓ               ｔｈｅ               ｆｏｌｌｏｗｉｎｇ               ｐｒｏｐｏｓａｌ:                Ｔｈｅ               ｎｅｗ               ｃｏｍｐｅｔｉｔｉｖｅ               ａｃｑｕｉｓｉｔｉｏｎ               ｐｒｏｇｒａｍ,               ｗｈｉｃｈ               ｉｓ               ｒｅｑｕｉｒｅｄ               ｂｙ               ｔｈｅ               Ｍｅｄｉｃａｒｅ               Ｍｏｄｅｒｎｉｚａｔｉｏｎ               Ａｃｔ               ｏｆ               2003               (ＭＭＡ),               ｗｏｕｌｄ               ｒｅｐｌａｃｅ               ｔｈｅ               ｃｕｒｒｅｎｔ               ＤＭＥＰＯＳ               ｆｅｅ               ｓｃｈｅｄｕｌｅ               ｐａｙｍｅｎｔ               ａｍｏｕｎｔｓ               ｆｏｒ               ｓｅｌｅｃｔｅｄ               ｉｔｅｍｓ               ｉｎ               ｓｅｌｅｃｔ               ａｒｅａｓ. ＣＭＳ               ｈａｓ               ｄｉｓｃｒｅｔｉｏｎ               ｕｎｄｅｒ               ｔｈｅ               ｌａｗ               ｔｏ               ｆｉｒｓｔ               ｐｈａｓｅ               ｉｎ               ＤＭＥＰＯＳ               ｉｔｅｍｓ               ｆｏｒ               ｂｉｄｄｉｎｇ               ｂａｓｅｄ               ｏｎ               ｈｉｇｈ               ｃｏｓｔ               ａｎｄ               ｖｏｌｕｍｅ               ｏｒ               ｌａｒｇｅｓｔ               ｓａｖｉｎｇｓ               ｐｏｔｅｎｔｉａｌ. Ｓｕｐｐｌｉｅｒｓ               ｉｎ               ａ               ｃｏｍｐｅｔｉｔｉｖｅ               ｂｉｄｄｉｎｇ               ａｒｅａ               ｗｏｕｌｄ               ｓｕｂｍｉｔ               ｂｉｄｓ               ｆｏｒ               ｓｅｌｅｃｔｅｄ               ｉｔｅｍｓ,               ａｎｄ               ＣＭＳ               ｗｏｕｌｄ               ｕｓｅ               ｔｈｅｓｅ               ｂｉｄｓ               ｔｏ               ｅｓｔａｂｌｉｓｈ               Ｍｅｄｉｃａｒｅ               ｐａｙｍｅｎｔ               ａｍｏｕｎｔｓ               ｆｏｒ               ｔｈｅｓｅ               ｉｔｅｍｓ. Ｕｎｄｅｒ               ｔｈｅ               ｐｒｏｐｏｓｅｄ               ｒｕｌｅ,               ｔｈｅ               Ｍｅｄｉｃａｒｅ               ｐａｙｍｅｎｔ               ａｍｏｕｎｔｓ               ｗｏｕｌｄ               ｂｅ               ｔｈｅ               ｍｅｄｉａｎ               ｏｆ               ｔｈｅ               ｗｉｎｎｉｎｇ               ｓｕｐｐｌｉｅｒｓ'               ｂｉｄｓ               ｆｏｒ               ｓｅｌｅｃｔｅｄ               ｉｔｅｍｓ               (ｐａｒａ. 5-6).                Ｐａｙｍｅｎｔ               ｐｏｌｉｃｉｅｓ               ｆｏｒ               ｍｏｓｔ               ｉｎｓｕｒａｎｃｅ               ｐｒｏｖｉｄｅｒｓ               ａｒｅ               ｂａｓｅｄ               ｏｎ               ｗｈａｔ               ｔｈｅ               Ｆｅｄｅｒａｌ               Ｇｏｖｅｒｎｍｅｎｔ               ｒｅｉｍｂｕｒｓｅｓ               ｂｕｓｉｎｅｓｓｅｓ               ｆｏｒ               ｓｅｒｖｉｃｅｓ               ａｎｄ               ｓｕｐｐｌｉｅｓ. Ａｃｃｏｒｄｉｎｇ               ｔｏ               Ｍｅｄｉｃａｒｅ.ｇｏｖ               (ｎ.ｄ.)               ｔｈｅ               ｐａｙｍｅｎｔ               ｍｅｔｈｏｄ               ｔｈａｔ               ｉｓ               ｅｓｔａｂｌｉｓｈｅｄ               ｉｓ               ｃａｌｌｅｄ               ａｓｓｉｇｎｍｅｎｔ               ｗｈｉｃｈ               ｉｓ               ａｎ               ａｇｒｅｅｍｅｎｔ               ｂｅｔｗｅｅｎ               Ｍｅｄｉｃａｒｅ               ａｎｄ               ｄｏｃｔｏｒｓ,               ｏｔｈｅｒ               ｈｅａｌｔｈ               ｃａｒｅ               ｐｒｏｖｉｄｅｒｓ,               ａｎｄ               ｓｕｐｐｌｉｅｒｓ               ｏｆ               ｈｅａｌｔｈ               ｃａｒｅ               ｅｑｕｉｐｍｅｎｔ               ａｎｄ               ｓｕｐｐｌｉｅｓ               (ｗｈｅｅｌｃｈａｉｒｓ,               ｏｘｙｇｅｎ,               ｂｒａｃｅｓ,               ａｎｄ               ｏｓｔｏｍｙ               ｓｕｐｐｌｉｅｓ). Ｄｏｃｔｏｒｓ,               ｐｒｏｖｉｄｅｒｓ,               ａｎｄ               ｓｕｐｐｌｉｅｒｓ               ｗｈｏ               ａｇｒｅｅ               ｔｏ               ａｃｃｅｐｔ               ａｓｓｉｇｎｍｅｎｔ               ａｃｃｅｐｔ               ｔｈｅ               Ｍｅｄｉｃａｒｅ-ａｐｐｒｏｖｅｄ               ａｍｏｕｎｔ               ａｓ               ｆｕｌｌ               ｐａｙｍｅｎｔ. Ｔｈｅ               ｐａｔｉｅｎｔ               ｐａｙｓ               ｔｈｅ               ｃｏｉｎｓｕｒａｎｃｅ               (ｕｓｕａｌｌｙ               20               ｐｅｒｃｅｎｔ               ｏｆ               ｔｈｅ               ａｐｐｒｏｖｅｄ               ａｍｏｕｎｔ)               ａｎｄ               ｄｅｄｕｃｔｉｂｌｅ               ａｍｏｕｎｔｓ.                Ｗｅｓｔ               Ｖｉｒｇｉｎｉａ               ｈａｓ               ｓｅｖｅｒａｌ               ｒｅｑｕｉｒｅｍｅｎｔｓ               ｏｎ               ｔｏｐ               ｏｆ               ｗｈａｔ               Ｍｅｄｉｃａｒｅ               ｈａｓ               ｅｓｔａｂｌｉｓｈｅｄ               ａｓ               ｐｏｌｉｃｉｅｓ               ｏｆ               ｏｐｅｎｉｎｇ               ａ               Ｄｕｒａｂｌｅ               Ｍｅｄｉｃａｌ               Ｅｑｕｉｐｍｅｎｔ               (ＤＭＥ)               ｂｕｓｉｎｅｓｓ. Ｔｈｅ               Ｓｔａｔｅ               ｒｅｑｕｉｒｅｓ               ｂｕｓｉｎｅｓｓｅｓ               ｔｏ               ｈａｖｅ               ａ               ｖａｌｉｄ               ｂｕｓｉｎｅｓｓ               ｌｉｃｅｎｓｅ;               ａ               ｐｈｙｓｉｃａｌ               ｓｔｏｒｅ               ｌｏｃａｔｉｏｎ,               ｗｉｔｈｉｎ               ａ               30-ｍｉｌｅ               ｒａｄｉｕｓ               ｏｆ               ＷＶ               ｂｏｒｄｅｒｓ;               ｂｅ               ｈａｎｄｉｃａｐｐｅｄ               ａｃｃｅｓｓｉｂｌｅ               ａｎｄ               ｂｅ               ａｂｌｅ               ｔｏ               ｓｈｏｗ               ｄｅｔａｉｌｅｄ               ｒｅｃｏｒｄｓ               ｏｆ               ａｌｌ               ｃｕｓｔｏｍｅｒｓ               ｓｅｒｖｉｃｅｄ               ｂｙ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ. Ｗｅｓｔ               Ｖｉｒｇｉｎｉａ'ｓ               ｇｏｖｅｒｎｍｅｎｔ               ｄｏｅｓ               ｒａｎｄｏｍ               ａｕｄｉｔｓ               ｏｆ               ｂｉｌｌｉｎｇ               ｆｒｏｍ               ＤＭＥ               ｃｏｍｐａｎｉｅｓ. Ｔｈｅ               Ｍｅｄｉｃａｉｄ               ｐｒｏｇｒａｍ               ｏｆ               ＷＶ               ｈａｓ               ｔｈｅ               ｓａｍｅ               ｇｕｉｄｅｌｉｎｅｓ               ａｓ               Ｍｅｄｉｃａｒｅ               ｉｎ               ｒｅｑｕｉｒｉｎｇ               ｐｒｏｖｉｄｅｒｓ               ｔｏ               ｗｒｉｔｅ               ａ               ｐｒｅｓｃｒｉｐｔｉｏｎ               ｆｏｒ               ｍｅｄｉｃａｌ               ｎｅｃｅｓｓｉｔｙ               ｆｏｒ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               (Ｓｔａｔｅ               ｏｆ               Ｗｅｓｔ               Ｖｉｒｇｉｎｉａ               Ｄｅｐａｒｔｍｅｎｔ               ｏｆ               Ｈｅａｌｔｈ               ａｎｄ               Ｈｕｍａｎ               Ｒｅｓｏｕｒｃｅ,               2002).                Ｆｕｔｕｒｅ                Ｔｈｅ               ｆｕｔｕｒｅ               ｏｆ               ｔｈｅ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｍａｒｋｅｔ               ｉｓ               ｇｏｉｎｇ               ｔｏ               ｇｒｏｗ               ａｓ               ｔｈｅ               ｂａｂｙ               ｂｏｏｍｅｒｓ               ｓｔａｒｔ               ｔｏ               ａｇｅ. Ｂａｂｙ               ｂｏｏｍｅｒｓ               ａｒｅ               ｔｈｏｓｅ               ｃｉｔｉｚｅｎｓ               ｔｈａｔ               ｗｅｒｅ               ｂｏｒｎ               ｂｅｔｗｅｅｎ               1946               ａｎｄ               1964               ｉｎ               ｔｈｅ               Ｕｎｉｔｅｄ               Ｓｔａｔｅｓ. Ｔｈｅ               Ｇｒｅａｔ               Ａｍｅｒｉｃａｎ               Ｇｒｏｕｐ               (2004)               ｓｔａｔｅｓ               "Ａｓ               ｏｕｒ               ｎａｔｉｏｎ'ｓ               ｂａｂｙ               ｂｏｏｍ               ｇｅｎｅｒａｔｉｏｎ               ｍｏｖｅｓ               ｆｕｒｔｈｅｒ               ｉｎｔｏ               ｒｅｔｉｒｅｍｅｎｔ               ａｇｅ,               ａｎｄ               ａｓ               ｌｉｆｅ               ｅｘｐｅｃｔａｎｃｉｅｓ               ｃｏｎｔｉｎｕｅ               ｔｏ               ｅｘｐａｎｄ,               ｔｈｅ               ｎｅｅｄ               ｆｏｒ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｗｉｌｌ               ｇｒｏｗ               ｅｘｐｏｎｅｎｔｉａｌｌｙ"               (ｐａｒａ. 1). Ｄ.Ｒ. Ｃｌａｒｋ               (2006)               ｇｉｖｅｓ               ｔｈｅ               ｆｏｌｌｏｗｉｎｇ               ｏｕｔｌｏｏｋ:                Ｉｎｖｅｓｔｏｒｓ               ｉｎ               ｂｉｏｔｅｃｈ               ａｎｄ               ｍａｎｙ               ｏｔｈｅｒ               ｈｅａｌｔｈｃａｒｅ               ｃｏｎｃｅｒｎｓ               ａｒｅ               ｏｆｔｅｎ               ｒｅｌｅｇａｔｅｄ               ｔｏ               ｄｉｓｔａｎｔ               ｉｎｖｅｓｔｍｅｎｔ               ｔｉｍｅ               ｈｏｒｉｚｏｎｓ,               ｒｅｑｕｉｒｉｎｇ               ｔｈｅ               ｂｉｂｌｉｃａｌ               ｐａｔｉｅｎｃｅ               ｏｆ               Ｊｏｂ. Ｂｕｔ               ｈｅａｌｔｈｃａｒｅ'ｓ               ｃｏｎｓｅｒｖａｔｉｖｅ               ｋｉｓｓｉｎ'               ｃｏｕｓｉｎ,               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               (ＤＭＥ),               ｓｈｏｕｌｄｎ'ｔ               ｂｅ               ｏｖｅｒｌｏｏｋｅｄ               ｗｉｔｈ               ｔｈｅ               ｍａｓｓｉｖｅ               ｔｈｒｏｎｇ               ｏｆ               ｂａｂｙ               ｂｏｏｍｅｒｓ               ｉｎ               ｎｅｅｄ               ｏｆ               'ｒｅｐｌａｃｅｍｅｎｔ               ｐａｒｔｓ.'               ＤＭＥ,               ｗｈｉｃｈ               ｇｅｎｅｒａｌｌｙ               ｌａｃｋｓ               ｔｈｅ               ＦＤＡ               ｈｕｒｄｌｅｓ               ａｓｓｏｃｉａｔｅｄ               ｗｉｔｈ               ｂｉｏｔｅｃｈ,               ｍａｙ               ｉｎｄｅｅｄ               ｈｏｌｄ               ｇｒｅａｔｅｒ               ｉｍｍｅｄｉａｔｅ               ｐｒｏｍｉｓｅ               ｆｏｒ               ｉｎｖｅｓｔｏｒｓ               Ｅｘｃｉｔｅ               Ｍｏｎｅｙ               ａｎｄ               Ｉｎｖｅｓｔｍｅｎｔｓ               (2006).                Ｃｏｎｓｉｓｔｅｎｔ               ｗｉｔｈ               ｔｈｉｓ               ｃｌａｉｍ,               ｔｈｅｒｅ               ｓｅｅｍｓ               ｔｏ               ｂｅ               ｒｏｏｍ               ｆｏｒ               ｇｒｏｗｔｈ               ｉｎ               Ｂｅｃｋｌｅｙ,               Ｗｅｓｔ               Ｖｉｒｇｉｎｉａ. Ｒｏｂｅｒｔ               Ｂｕｔｃｈｅｒ,               ｔｈｅ               Ｐｈａｒｍａｃｙ               Ｄｉｒｅｃｔｏｒ               ｏｆ               Ａｃｃｅｓｓ               Ｈｅａｌｔｈ               Ｐｈａｒｍａｃｙ,               ｓｔａｔｅｄ               ｔｈａｔ               Ｅｐｐｙ'ｓ               Ｄｒｕｇ               ｓｔｏｒｅ               ｌｏｃａｔｅｄ               ｉｎ               Ｂｅｃｋｌｅｙ,               ＷＶ               ｄｏｅｓ               ｍｏｓｔ               ｏｆ               ｔｈｅｉｒ               ｂｕｓｉｎｅｓｓ               ｂｙ               ｓｅｌｌｉｎｇ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ. Ｈｅ               ｓａｉｄ               ｍｏｓｔ               ｏｆ               ｔｈｅ               ｓａｌｅｓ               ｏｆ               ｔｈｉｓ               ｔｙｐｅ               ｏｆ               ｂｕｓｉｎｅｓｓ               ｉｓ               ａ               ｃａｓｈ               ｂｕｓｉｎｅｓｓ               ａｎｄ               ｐｒｏｖｉｄｅｓ               ｅｘｔｒａ               ｒｅｖｅｎｕｅ               ｆｏｒ               ｔｈｅ               ｃｏｍｐａｎｙ. Ｈｅ               ｍｅｎｔｉｏｎｅｄ               ｔｈａｔ               ｔｈｅ               ｓｅｒｖｉｃｅ               ｃｏｕｌｄ               ｂｅ               ｅａｓｉｌｙ               ｉｍｐｌｅｍｅｎｔｅｄ               ｗｉｔｈｉｎ               ｔｈｅ               ｃｕｒｒｅｎｔ               ｐｈａｒｍａｃｙ               ｓｅｒｖｉｃｅｓ               ｔｈａｔ               ａｒｅ               ｐｒｏｖｉｄｅｄ               ｂｙ               Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍｓ. Ｉｎ               ｒｅｇａｒｄ               ｔｏ               Ｅｐｐｙ'ｓ               Ｄｒｕｇｓ,               ｈｅ               ｍｅｎｔｉｏｎｅｄ               ｔｈａｔ               ｈｅ               ｆｅｌｔ               ｌｉｋｅ               ｍｏｓｔ               ｏｆ               ｔｈｅｉｒ               ｉｎｃｏｍｅ               ｗａｓ               ｆｒｏｍ               ｔｈｅ               ｈｏｍｅ               ｈｅａｌｔｈ               ｓｉｄｅ               ｏｆ               ｔｈｅ               ｂｕｓｉｎｅｓｓ               ａｎｄ               ｌｅｓｓ               ｆｒｏｍ               ｆｉｌｌｉｎｇ               ｐｒｅｓｃｒｉｐｔｉｏｎｓ. (Ｐｅｒｓｏｎａｌ               ｉｎｔｅｒｖｉｅｗ,               Ｊｕｎｅ               3,               2006).                Ｔｈｅ               ｆｕｔｕｒｅ               ｏｆ               ｈｅａｌｔｈｃａｒｅ               ｉｓ               ｏｎｌｙ               ｇｏｉｎｇ               ｔｏ               ｋｅｅｐ               ｇｅｔｔｉｎｇ               ｍｏｒｅ               ｅｘｐｅｎｓｉｖｅ. Ｆｅｄｅｒａｌｌｙ               ｑｕａｌｉｆｉｅｄ               ｈｅａｌｔｈ               ｃｅｎｔｅｒｓ               ｈａｖｅ               ｔｈｅ               ｃｈａｎｃｅ               ｎｏｗ               ｔｏ               ｍａｋｅ               ａ               ｄｒａｍａｔｉｃ               ｃｈａｎｇｅ               ｔｏ               ｈｅａｌｔｈｃａｒｅ               ｗｉｔｈｉｎ               ｔｈｅ               Ｕｎｉｔｅｄ               Ｓｔａｔｅｓ. Ｔｈｅｓｅ               ｏｒｇａｎｉｚａｔｉｏｎｓ               ａｒｅ               ａｌｌｏｗｅｄ               ｔｏ               ｏｆｆｅｒ               ｄｉｓｃｏｕｎｔｅｄ               ｍｅｄｉｃａｌ               ｃａｒｅ               ｔｏ               ｔｈｅ               ｕｎｄｅｒｓｅｒｖｅｄ               ｐｏｐｕｌａｔｉｏｎ. Ｔｈｅ               Ｐｒｅｓｉｄｅｎｔ               ｏｆ               ｔｈｅ               Ｕｎｉｔｅｄ               Ｓｔａｔｅｓ               ｓｔａｔｅｄ               "Ｉ               ｓｕｐｐｏｒｔ               ｉｎｃｒｅａｓｉｎｇ               ｔｈｅ               ｎｕｍｂｅｒ               ｏｆ               ｃｏｍｍｕｎｉｔｙ               ｈｅａｌｔｈ               ｃｅｎｔｅｒｓ               ａｃｒｏｓｓ               Ａｍｅｒｉｃａ. Ｃｏｍｍｕｎｉｔｙ               ｈｅａｌｔｈ               ｃｅｎｔｅｒｓ               ａｒｅ               ｃｏｍｍｕｎｉｔｙ-ｏｗｎｅｄ,               ｌｏｃａｌｌｙ               ａｄｍｉｎｉｓｔｅｒｅｄ               ｍｅｄｉｃａｌ               ｃｌｉｎｉｃｓ               ｗｈｅｒｅ               ｐｅｏｐｌｅ               ｃａｎ               ｒｅｃｅｉｖｅ               ｐｒｅｖｅｎｔｉｖｅ               ｃａｒｅ,               ｆｒｅｅ               ｖａｃｃｉｎｅ               ｃｌｉｎｉｃｓ,               ｈｅａｌｔｈ               ａｌｅｒｔｓ,               ｄｉｓｅａｓｅ               ｓｃｒｅｅｎｉｎｇ,               ａｎｄ               ｃｏｕｎｓｅｌｉｎｇ. Ｔｈｅｙ               ｈａｖｅ               ｂｅｃｏｍｅ               Ａｍｅｒｉｃａ'ｓ               ｈｅａｌｔｈ               ｃａｒｅ               ｓａｆｅｔｙ               ｎｅｔ. Ｕｎｄｅｒ               ｍｙ               ｐｌａｎ,               ｗｅ               ｗｏｕｌｄ               ｐｒｏｖｉｄｅ               $3.6               ｂｉｌｌｉｏｎ               ｉｎ               ｆｅｄｅｒａｌ               ｍｏｎｅｙ               ｏｖｅｒ               ａ               ｆｉｖｅ-ｙｅａｒ               ｐｅｒｉｏｄ               ｔｏ               ｃｒｅａｔｅ               1,200               ｎｅｗ               ｃｅｎｔｅｒｓ               ｆｒｏｍ               ｃｏａｓｔ               ｔｏ               ｃｏａｓｔ"               (ＵＳＡ               Ｔｏｄａｙ,               2000).                Ａｐｒｏｐｏ               Ｂｅｎｅｆｉｔｓ               Ｍａｎａｇｅｍｅｎｔ               ｓｔａｔｅｓ               ｔｈａｔ               "Ｌｏｏｋｉｎｇ               ａｈｅａｄ,               ａｓ               ｔｈｅ               ａｇｉｎｇ               ｏｆ               ｂａｂｙ               ｂｏｏｍｅｒｓ               ａｆｆｅｃｔ               ｔｈｅ               ｕｔｉｌｉｚａｔｉｏｎ               ｏｆ               ＤＭＥ               ｂｅｎｅｆｉｔｓ,               ｉｔ'ｓ               ｅｓｔｉｍａｔｅｄ               ｔｈａｔ               ｔｈｅ               ｃｕｒｒｅｎｔ               $6               ｂｉｌｌｉｏｎ               ｓｐｅｎｔ               ｏｎ               ｔｈｉｓ               ｐｏｐｕｌａｔｉｏｎ               ａｌｏｎｅ               ｆｏｒ               ＤＭＥ               ｓｅｒｖｉｃｅｓ               ｗｉｌｌ               ｎｅａｒｌｙ               ｄｏｕｂｌｅ               ｏｖｅｒ               ｔｈｅ               ｎｅｘｔ               ｔｈｒｅｅ               ｄｅｃａｄｅｓ"               (Ａｐｒｏｐｏ               Ｂｅｎｅｆｉｔｓ               Ｍａｎａｇｅｍｅｎｔ,               ｎ.ｄ.,               ｐａｒａ.4). Ｔｈｉｓ               ｌｅａｄｓ               ｔｏ               ｔｈｅ               ｆａｃｔ               ｔｈａｔ               ｂａｂｙ               ｂｏｏｍｅｒｓ               ａｒｅ               ｇｏｉｎｇ               ｔｏ               ｎｅｅｄ               ｔｈｅｓｅ               ｉｔｅｍｓ               ｔｏ               ｆｕｎｃｔｉｏｎ               ｉｎ               ｄａｉｌｙ               ｌｉｖｉｎｇ. Ｃｏｍｐａｎｉｅｓ               ｔｈａｔ               ｃａｐｉｔａｌｉｚｅ               ｏｎ               ｔｈｉｓ               ｍａｒｋｅｔ               ｗｉｌｌ               ｐｅｏｐｌｅ               ｆｕｎｃｔｉｏｎ               ａｓ               ｎｏｒｍａｌ               ａｓ               ｐｏｓｓｉｂｌｅ               ｗｉｔｈ               ｔｈｅ               ｕｓｅ               ｏｆ               ａｄｖａｎｃｅｄ               ｔｅｃｈｎｏｌｏｇｙ               ｉｎ               ｔｈｅ               ｄｕｒａｂｌｅ               ｅｑｕｉｐｍｅｎｔ               ｍａｒｋｅｔ.                Ａｃｃｏｒｄｉｎｇ               ｔｏ               Ｊｏｅ               Ｆｌｏｗｅｒ               (1996),               ｔｈｅ               ｆｕｔｕｒｅ               ｏｆ               ｈｅａｌｔｈｃａｒｅ               ａｒｏｕｎｄ               ｔｈｅ               ｗｏｒｌｄ               ｗｉｌｌ               ｂｅ               ｂａｓｅｄ               ｏｎ               ｔｈｅ               ｆｏｌｌｏｗｉｎｇ               ｆｏｕｒ               ｃｈａｎｇｅｓ. Ｆｉｒｓｔ,               ｈｅａｌｔｈｃａｒｅ               ｃｏｍｍｕｎｉｃａｔｉｏｎｓ               ｗｉｌｌ               ｄｒｉｖｅ               ｆｕｔｕｒｅ               ｈｅａｌｔｈｃａｒｅ               ｗｉｔｈ               ｔｈｅ               ｗｉｄｅ               ａｒｒａｙ               ｏｆ               ａｄｖａｎｃｅｓ               ｓｕｃｈ               ａｓ               ｓａｔｅｌｌｉｔｅｓ,               ｏｎｌｉｎｅ               ｆｏｒｕｍｓ,               ａｎｄ               ｍｅｄｉｃａｌ               ｉｍａｇｉｎｇ               ｅｑｕｉｐｍｅｎｔ. Ｓｅｃｏｎｄ,               ｏｕｔｃｏｍｅｓ               ｍａｎａｇｅｍｅｎｔ               ｗｉｌｌ               ｄｒｉｖｅ               ｈｅａｌｔｈｃａｒｅ. Ｄｏｃｔｏｒｓ               ａｎｄ               ｉｎｄｉｖｉｄｕａｌｓ               ｗｉｌｌ               ｂｅ               ｓｃａｎｎｉｎｇ               ｍｉｌｌｉｏｎｓ               ｏｆ               ｐａｓｔ               ｏｃｃｕｒｒｅｎｃｅｓ               ｔｏ               ｄｅｔｅｒｍｉｎｅ               ｗｈａｔ               ｔｈｅｒａｐｉｅｓ               ｈａｖｅ               ｗｏｒｋｅｄ               ｉｎ               ｔｈｅ               ｐａｓｔ. Ｔｈｅ               ｏｔｈｅｒ               ｐａｒｔ               ｏｆ               ｔｈｉｓ               ｓｙｓｔｅｍ               ｉｎ               ｃａｌｌｅｄ               "ｅｘｐｅｒｔ               ｓｙｓｔｅｍｓ"               ｗｈｉｃｈ               ｗｉｌｌ               ｈｅｌｐ               ｄｏｃｔｏｒｓ               ｄｉａｇｎｏｓｅ               ａｎｄ               ｔｒｅａｔ               ｐａｔｉｅｎｔｓ               ｍｏｒｅ               ｅｆｆｅｃｔｉｖｅｌｙ. Ｔｈｅ               ｔｈｉｒｄ               ｃｈａｎｇｅ               ｉｎ               ｈｅａｌｔｈ               ｃａｒｅ               ｗｉｌｌ               ｆｏｃｕｓ               ｏｎ               ｔｈｅ               ｃａｒｅ               ｏｆ               ｐａｔｉｅｎｔｓ. Ｐａｔｉｅｎｔｓ               ｗｉｌｌ               ｂｅ               ｍｏｖｅｄ               ｏｕｔ               ｏｆ               ｈｏｓｐｉｔａｌｓ               ａｎｄ               ｂａｃｋ               ｔｏ               ｃｌｉｎｉｃｓ,               ｄｏｃｔｏｒｓ'               ｏｆｆｉｃｅｓ,               ｐａｔｉｅｎｔ               ｈｏｍｅｓ,               ａｎｄ               ｓｃｈｏｏｌｓ. Ｆｉｎａｌｌｙ,               ｔｈｅ               ｆｏｃｕｓ               ｏｎ               ｐｏｐｕｌａｔｉｏｎ               ｈｅａｌｔｈ               ｗｉｌｌ               ｃｈａｎｇｅ               ｈｅａｌｔｈ               ｃａｒｅ. Ｃｉｔｉｚｅｎｓ               ｗｉｌｌ               ｂｅ               ａｂｌｅ               ｔｏ               ｐｒｅｖｅｎｔ               ａ               ｌｏｔ               ｏｆ               ｍｅｄｉｃａｌ               ｐｒｏｂｌｅｍｓ               ｂｙ               ｃｕｒｂｉｎｇ               ｅｎｖｉｒｏｎｍｅｎｔａｌ               ｉｓｓｕｅｓ,               ｄｒｉｎｋｉｎｇ,               ｓｍｏｋｉｎｇ               ａｎｄ               ｏｔｈｅｒ               ｔｈｉｎｇｓ               ｔｈａｔ               ｃａｕｓｅ               ｈｅａｌｔｈ               ｒｅｌａｔｅｄ               ｉｓｓｕｅｓ.                Ｉｎ               ａｄｄｉｔｉｏｎ,               ｔｈｅｒｅ               ａｒｅ               ｔｗｏ               ｍａｊｏｒ               ｔｒｅｎｄｓ               ｉｎ               ｔｈｅ               Ｕｎｉｔｅｄ               Ｓｔａｔｅｓ               ｔｈａｔ               ａｒｅ               ｃｈａｎｇｉｎｇ               ｔｈｅ               ｈｅａｌｔｈｃａｒｅ               ｓｙｓｔｅｍ:               ｒｅｓｔｒｕｃｔｕｒｉｎｇ               ａｎｄ               ｒｅｆｏｒｍ. Ｒｅｓｔｒｕｃｔｕｒｉｎｇ               ｉｓ               ｗｈｅｒｅ               ｈｏｓｐｉｔａｌｓ               ｗｉｌｌ               ｂｅ               ｃｌｏｓｉｎｇ               ａｓ               ｐａｔｉｅｎｔ               ｃａｒｅ               ｍｏｖｅｓ               ｔｏ               ｃｌｉｎｉｃｓ               ａｎｄ               ｏｔｈｅｒ               ｄｏｃｔｏｒｓ. Ｔｈｅ               ｒｅｆｏｒｍ               ｔｒｅｎｄ               ｉｓ               ｗｈｅｒｅ               ｇｏｖｅｒｎｍｅｎｔ               ｗｉｌｌ               ｓｔｅｐ               ｉｎ               ｔｏ               ｈｅｌｐ               ｃｏｎｔｒｏｌ               ｈｅａｌｔｈｃａｒｅ               ｃｏｓｔｓ. Ａｔ               ｔｈｅ               ｐｒｅｓｅｎｔ               ｔｉｍｅ,               ｔｈｅ               ｒｅｆｏｒｍ               ｍｏｖｅｍｅｎｔ               ｉｓ               ｏｎ               ｔｈｅ               ｌｏｃａｌ               ａｎｄ               ｓｔａｔｅ               ｌｅｖｅｌ               ｗｈｅｒｅ               ｒｅｓｅａｒｃｈ               ｉｓ               ｂｅｉｎｇ               ｃｏｎｄｕｃｔｅｄ               ｔｏ               ｄｅｔｅｒｍｉｎｅ               ｉｆ               ｔｈｅｙ               ｃａｎ               ｒｅｄｕｃｅ               ｈｅａｌｔｈｃａｒｅ               ｃｏｓｔ               ａｎｄ               ｈｅｌｐ               ｔｈｅ               ｐａｔｉｅｎｔｓ               ｍａｉｎｔａｉｎ               ａ               ｈｅａｌｔｈｙ               ｌｉｆｅｓｔｙｌｅ               (Ｆｌｏｗｅｒ,               1996).                Ｗｈａｔ               ｈａｓ               ｂｅｅｎ               ｄｏｎｅ               ｉｎ               ｓｉｍｉｌａｒ               ｓｉｔｕａｔｉｏｎｓ?                Ａ               ｃｏｍｐａｎｙ               ｌｏｃａｔｅｄ               ｉｎ               Ｏｈｉｏ               ｃａｌｌｅｄ               Ｐｒｏｇｒｅｓｓｉｖｅ               Ｍｅｄｉｃａｌ,               Ｉｎｃ. ｓｔａｒｔｅｄ               ｏｕｔ               ｉｎ               1986               ｏｆｆｅｒｉｎｇ               ｅｌｅｃｔｒｏｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ａｎｄ               ｍｅｄｉｃａｌ               ｓｕｐｐｌｉｅｓ. Ｉｎ               1990               ｔｈｅｙ               ｓａｗ               ｔｈｅ               ｎｅｅｄ               ｔｏ               ｅｘｐａｎｄ               ｓｅｒｖｉｃｅｓ               ａｎｄ               ｓｔａｒｔｅｄ               ｏｆｆｅｒｉｎｇ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ. Ｉｎ               1996               ｔｈｅｙ               ｅｘｐａｎｄｅｄ               ａｇａｉｎ               ｂｙ               ｏｐｅｎｉｎｇ               ａ               ｐｈａｒｍａｃｙ               ｔｈａｔ               ｏｆｆｅｒｅｄ               ｈｏｍｅ               ｄｅｌｉｖｅｒｙ               ｓｅｒｖｉｃｅ               ｔｏ               ｉｔｓ               ｐａｔｉｅｎｔ               ｂａｓｅ. Ｔｈｅ               ｃｏｍｐａｎｙ               ｉｓ               ｃｏｎｓｉｄｅｒｅｄ               ａ               ｍａｎａｇｅｄ               ｃａｒｅ               ｃｏｓｔ               ｃｏｎｔａｉｎｍｅｎｔ               ｃｏｍｐａｎｙ               ｗｈｅｒｅ               ｔｈｅｙ               ｐｒｏｖｉｄｅ               ｓｅｒｖｉｃｅｓ               ｔｏ               ｔｈｅ               ｃｏｍｍｕｎｉｔｙ               ｉｎ               ｗｈｉｃｈ               ｔｈｅｙ               ｌｉｖｅ               (Ｐｒｏｇｒｅｓｓｉｖｅ               Ｍｅｄｉｃａｌ,               2006).                Ａｃｃｏｒｄｉｎｇ               ｔｏ               Ｐｈａｒｍａｃｙ               Ｔｉｍｅｓ               (2005),               ｐｈａｒｍａｃｙ               ｓｅｒｖｉｃｅｓ               ａｎｄ               ｈｏｍｅ               ｈｅａｌｔｈ               ｃａｒｅ               ｗｏｒｋ               ｗｅｌｌ               ｔｏｇｅｔｈｅｒ. Ｐｈａｒｍａｃｉｓｔｓ               ｋｎｏｗ               ｔｈｅｉｒ               ｐａｔｉｅｎｔｓ               ｂｅｔｔｅｒ               ｔｈａｎ               ｍｏｓｔ               ｏｔｈｅｒ               ｈｅａｌｔｈｃａｒｅ               ｐｒｏｖｉｄｅｒｓ               ａｎｄ               ｃａｎ               ｈｅｌｐ               ｄｅｃｉｄｅ               ｗｈａｔ               ｅｑｕｉｐｍｅｎｔ               ｔｈｅｙ               ｍｉｇｈｔ               ｎｅｅｄ. Ｔｈｉｓ               ｓｅｒｖｉｃｅ               ｏｆｆｅｒｓ               ｔｈｅ               ｐａｔｉｅｎｔ               ｔｈｅ               ｃｏｎｖｅｎｉｅｎｃｅ               ｏｆ               ｓｉｍｐｌｅ               ｂｉｌｌｉｎｇ,               ｏｎｅ-ｓｔｏｐ               ｓｈｏｐｐｉｎｇ,               ａｎｄ               ａ               ｆｒｉｅｎｄｌｙ               ｆａｃｅ. Ｐｈａｒｍａｃｙ               Ｔｉｍｅｓ               ｓｔａｔｅｓ               ｔｈａｔ               "ＤＭＥ               ｓａｌｅｓ               ｗｉｌｌ               ｇｒｏｗ               ｂｅｔｗｅｅｎ               18-21               ｂｉｌｌｉｏｎ               ｂｙ               2008"               (Ｗｅｒｔｈｅｉｍｅｒ,               Ｃｈａｎｅｙ,               Ｓａｎｔｅｌｌａ,               Ｐｏｐｏｍａｒｏｎｉｓ,               &               Ｍｉｃｋ,               2005).                Ｔｈｅ               ｔｒｅｎｄ               ｏｆ               ｃｏｍｂｉｎｉｎｇ               ｐｈａｒｍａｃｙ               ｓｅｒｖｉｃｅｓ               ｗｉｔｈ               ｈｏｍｅ               ｈｅａｌｔｈ               ｃａｒｅ               ｐｒｏｄｕｃｔｓ               ｉｓ               ｇｒｏｗｉｎｇ. Ｃｏｍｐａｎｉｅｓ               ａｒｅ               ｓｅｅｉｎｇ               ｔｈａｔ               ｐｅｏｐｌｅ               ａｒｅ               ｇｅｔｔｉｎｇ               ｏｌｄｅｒ               ａｎｄ               ｔｈａｔ               ｔｈｅｙ               ｎｅｅｄ               ｐｒｏｄｕｃｔｓ               ｔｈａｔ               ｈｅｌｐ               ｔｈｅｍ               ｆｕｎｃｔｉｏｎ               ｔｈｒｏｕｇｈｏｕｔ               ｔｈｅ               ｄａｙ. Ｉｍｐｌｅｍｅｎｔｉｎｇ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ａｓ               ａｎ               ａｄｄ-ｏｎ               ｓｅｒｖｉｃｅ               ｏｆｆｅｒｓ               ｃｏｍｐａｎｉｅｓ               ａｎ               ｏｐｐｏｒｔｕｎｉｔｙ               ｔｏ               ｃｒｅａｔｅ               ａｄｄｉｔｉｏｎａｌ               ｒｅｖｅｎｕｅ               ｓｏｕｒｃｅｓ               ｗｉｔｈ               ｏｕｔ               ｍｕｃｈ               ｏｖｅｒｈｅａｄ               ｂｙ               ｃｏｍｂｉｎｉｎｇ               ｔｈｅｓｅ               ｓｅｒｖｉｃｅｓ. Ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｉｓ               ｇｏｉｎｇ               ｔｏ               ｂｅｃｏｍｅ               ａ               ｂｉｇ               ｂｕｓｉｎｅｓｓ               ａｓ               ｍｏｒｅ               ａｎｄ               ｍｏｒｅ               ｔｅｃｈｎｏｌｏｇｙ               ａｄｖａｎｃｅｓ               ｏｃｃｕｒ               ｔｏ               ｈｅｌｐ               ｐｅｏｐｌｅ               ｆｕｎｃｔｉｏｎ               ｂｅｔｔｅｒ               ｉｎ               ｔｈｅｉｒ               ｄａｉｌｙ               ｌｉｖｅｓ.                Ｗａｌｇｒｅｅｎｓ               Ｐｈａｒｍａｃｙ               ｉｓ               ｓｅｅｉｎｇ               ｔｈｅ               ｆｕｔｕｒｅ               ｏｆ               ｈｏｍｅ               ｈｅａｌｔｈ               ｃａｒｅ               ｐｒｏｄｕｃｔｓ               ａｎｄ               ｈａｓ               ｅｘｐａｎｄｅｄ               ｉｔｓ               ｓｅｒｖｉｃｅｓ               ｔｏ               ｏｆｆｅｒ               ｒｅｓｐｉｒａｔｏｒｙ               ｓｅｒｖｉｃｅｓ,               ｈｏｍｅ               ｉｎｆｕｓｉｏｎ               ｓｅｒｖｉｃｅｓ,               ａｎｄ               ｈｏｍｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ. Ｂｙ               ｐｒｏｖｉｄｉｎｇ               ｔｈｅｓｅ               ｓｅｒｖｉｃｅｓ               ｉｔ               ａｌｌｏｗｓ               ｔｈｅ               ｐｈａｒｍａｃｉｓｔ               ｔｏ               ｏｆｆｅｒ               ｂｅｔｔｅｒ               ｐａｔｉｅｎｔ               ｍｏｎｉｔｏｒｉｎｇ               ａｎｄ               ｅｄｕｃａｔｉｏｎ               ａｂｏｕｔ               ｔｈｅ               ｐｒｏｄｕｃｔｓ               ｔｈａｔ               ｔｈｅ               ｃｏｍｐａｎｙ               ｐｒｏｖｉｄｅｓ               ｔｏ               ｃｕｓｔｏｍｅｒｓ. Ｔｈｅ               ｏｖｅｒａｌｌ               ｇｏａｌ               ｏｆ               Ｗａｌｇｒｅｅｎｓ               ｉｓ               ｔｏ               ｏｆｆｅｒ               ｃｏｓｔ-ｃｏｎｔａｉｎｍｅｎｔ               ｓｏｌｕｔｉｏｎｓ,               ｂｅｎｅｆｉｔ               ｃｏｏｒｄｉｎａｔｉｏｎ,               ａｎｄ               ａｃｃｏｕｎｔ               ｍａｎａｇｅｍｅｎｔ               ｆｏｒ               ｔｈｅｉｒ               ｃｕｓｔｏｍｅｒｓ               (Ｗａｌｇｒｅｅｎｓ               Ｐｈａｒｍａｃｙ,               2006).                Ａｃｃｏｒｄｉｎｇ               ｔｏ               Ｍｉｃｋｅｙ               Ｐｌｕｎｋｅｔｔ,               ａ               ｓａｌｅｓ               ｒｅｐｒｅｓｅｎｔａｔｉｖｅ               ｆｏｒ               Ｐｈｙｓｉｃｉａｎ               Ｓａｌｅｓ               &               Ｓｅｒｖｉｃｅ               ｔｈａｔ               ｓｅｌｌｓ               ｍｅｄｉｃａｌ               ｓｕｐｐｌｉｅｓ               ａｎｄ               ｅｑｕｉｐｍｅｎｔ,               ｍｏｒｅ               ａｎｄ               ｍｏｒｅ               ｃｌｉｎｉｃｓ               ａｒｅ               ｉｍｐｌｅｍｅｎｔｉｎｇ               ｔｈｅ               ｓｅｌｌｉｎｇ               ｏｆ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ａｎｄ               ｓｕｐｐｌｉｅｓ               ａｓ               ａｎ               ｅｘｔｒａ               ｒｅｖｅｎｕｅ               ｓｏｕｒｃｅ               ｔｈａｔ               ｒｅｑｕｉｒｅｓ               ｌｉｔｔｌｅ               ｏｖｅｒｈｅａｄ. Ｈｅ               ｍｅｎｔｉｏｎｅｄ               ｔｈａｔ               ｈｅ               ｃａｎ               ｗｈｏｌｅｓａｌｅ               ａｌｌ               ｔｈｅ               ｔｙｐｅｓ               ｏｆ               ｓｕｐｐｌｉｅｓ               ｒｅｑｕｉｒｅｄ               ｆｏｒ               ｔｈｉｓ               ｂｕｓｉｎｅｓｓ. Ｂｙ               ａｄｄｉｎｇ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｔｈｅ               ｃｏｍｐａｎｙ'ｓ               ｐｒｏｖｉｄｅｒｓ               ｃａｎ               ｗｒｉｔｅ               ｔｈｅ               ｐｒｅｓｃｒｉｐｔｉｏｎ               ｆｏｒ               ｔｈｅ               ｐａｔｉｅｎｔ               ｔｏ               ｒｅｃｅｉｖｅ               ｔｈｅ               ｐｒｏｄｕｃｔ               ａｎｄ               ｔｈｅｙ               ｃａｎ               ｏｂｔａｉｎ               ｉｔ               ｉｍｍｅｄｉａｔｅｌｙ               ｗｉｔｈｉｎ               ｔｈｅ               ｃｌｉｎｉｃ'ｓ               ｌｏｃａｔｉｏｎ. Ｂｙ               ａｌｒｅａｄｙ               ｏｐｅｒａｔｉｎｇ               ａ               ｆｒｅｅ               ｓｔａｎｄｉｎｇ               ｃｌｉｎｉｃ               ｔｈｅ               ｐａｐｅｒｗｏｒｋ               ｔｏ               ｇｅｔ               ｓｔａｒｔｅｄ               ｆｏｒ               ｔｈｉｓ               ｂｕｓｉｎｅｓｓ               ｉｓ               ｍｉｎｉｍａｌ               ａｎｄ               ｃａｎ               ｂｅ               ｉｍｐｌｅｍｅｎｔｅｄ               ｗｉｔｈｉｎ               ａ               ｍａｔｔｅｒ               ｏｆ               ｄａｙｓ               (Ｐｅｒｓｏｎａｌ               ｉｎｔｅｒｖｉｅｗ,               Ｊｕｎｅ               10,               2006).                Ｔｈｅ               ｔｒｅｎｄ               ｓｅｅｍｓ               ｔｏ               ｂｅ               ｔｈａｔ               ｍｏｒｅ               ａｎｄ               ｍｏｒｅ               ｍａｊｏｒ               ｒｅｔａｉｌｅｒｓ               ａｒｅ               ｃｏｍｂｉｎｉｎｇ               ｔｈｅ               ａｄｄ-ｏｎ               ｓｅｒｖｉｃｅ               ｏｆ               Ｄｕｒａｂｌｅ               Ｍｅｄｉｃａｌ               Ｅｑｕｉｐｍｅｎｔ               (ＤＭＥ). Ａｃｃｏｒｄｉｎｇ               ｔｏ               Ｓｍｉｔｈ,               "ｂｙ               ｐｒｏｖｉｄｉｎｇ               ＤＭＥ               ｔｏ               ｐａｔｉｅｎｔｓ,               ｈｏｓｐｉｔａｌ               ｐｈａｒｍａｃｉｅｓ               ｃａｎ               ｒｅａｌｉｚｅ               ｓｕｂｓｔａｎｔｉａｌ               ｎｅｔ               ｉｎｃｏｍｅ               ｗｈｉｌｅ               ｉｍｐｒｏｖｉｎｇ               ｃｏｎｔｉｎｕｉｔｙ               ｏｆ               ｐａｔｉｅｎｔ               ｃａｒｅ"               (Ｓｍｉｔｈ               ａｎｄ               Ｐｏｐｉｌａｒｓｋｉ,               ｎ.ｄ.,               ｐａｒａ. 1). Ｔｈｉｓ               ｒｅｄｕｃｅｓ               ｏｖｅｒｈｅａｄ               ａｎｄ               ｉｓ               ｅａｓｉｌｙ               ｉｍｐｌｅｍｅｎｔｅｄ               ｗｉｔｈ               ｓｅｒｖｉｃｅｓ               ａｌｒｅａｄｙ               ｂｅｉｎｇ               ｏｆｆｅｒｅｄ               ｔｏ               ｐａｔｉｅｎｔｓ.                Ｃｌｅａｒｌｙ,               ｔｈｅ               ｒｅｓｅａｒｃｈ               ｓｈｏｗｓ               ｔｈａｔ               ｃｏｍｂｉｎｉｎｇ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｗｉｔｈ               ｅｘｉｓｔｉｎｇ               ｓｅｒｖｉｃｅｓ               ｉｓ               ｖｅｒｙ               ｂｅｎｅｆｉｃｉａｌ               ｆｏｒ               ｔｈｅ               ｃｏｍｐａｎｙ               ａｎｄ               ｐａｔｉｅｎｔｓ. Ｐａｔｉｅｎｔｓ'               ｃａｒｅ               ｃａｎ               ｂｅ               ｂｅｔｔｅｒ               ｍａｎａｇｅｄ               ｂｙ               ｔｈｅｉｒ               ｈｅａｌｔｈｃａｒｅ               ｐｒｏｖｉｄｅｒ               ｉｆ               ｅｖｅｒｙｔｈｉｎｇ               ｃａｎ               ｂｅ               ｃｏｎｔｒｏｌｌｅｄ               ｗｉｔｈｉｎ               ｏｎｅ               ｌｏｃａｔｉｏｎ. Ｔｈｅ               ｍａｊｏｒ               ｄｒａｗｂａｃｋ               ｏｆ               ｉｍｐｌｅｍｅｎｔｉｎｇ               ｔｈｉｓ               ｓｅｒｖｉｃｅ               ｉｓ               ｔｈｅ               ｓｔｒｉｃｔ               ｇｕｉｄｅｌｉｎｅｓ               ｔｈａｔ               ｍｏｓｔ               ｉｎｓｕｒａｎｃｅ               ｃａｒｒｉｅｒｓ               ｒｅｑｕｉｒｅ. Ｈｏｗｅｖｅｒ,               ｔｈｅ               ｏｖｅｒａｌｌ               ｂｅｎｅｆｉｔｓ               ｏｕｔｗｅｉｇｈ               ｔｈｅ               ｎｅｇａｔｉｖｅｓ               ａｎｄ               ｈｅｌｐ               ｔｈｅ               ｐａｔｉｅｎｔ               ｌｉｖｅ               ａ               ｃｏｍｆｏｒｔａｂｌｅ               ｌｉｆｅ.                Ｏｒｇａｎｉｚａｔｉｏｎａｌ               Ｂｕｙ-Ｉｎ                Ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｏｆ               Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍｓ,               Ｉｎｃ. ｗａｎｔｓ               ｔｏ               ｓｅｅ               ｔｈｅ               ｆｉｎａｎｃｉａｌ               ｐｒｏｊｅｃｔｉｏｎｓ               ｏｆ               ｔｈｅ               ｒｅｖｅｎｕｅ               ｐｏｔｅｎｔｉａｌ               ｏｆ               ｔｈｉｓ               ｔｙｐｅ               ｏｆ               ｂｕｓｉｎｅｓｓ. Ｇｉｖｅｎ               ｔｈｅ               ｆｉｎａｎｃｉａｌ               ｉｍｐａｃｔ               ｏｆ               ｓｕｃｈ               ａｎ               ｅｘｐａｎｓｉｏｎ,               ｔｈｅｙ               ａｒｅ               ｃｏｍｍｉｔｔｅｄ               ｔｏ               ｔｈｅ               ｒｅｓｅａｒｃｈ. Ｅｍｐｌｏｙｅｅｓ               ｏｆ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ａｒｅ               ｃｏｍｍｉｔｔｅｄ               ｔｏ               ｐｒｏｖｉｄｉｎｇ               ｑｕａｌｉｔｙ               ｈｅａｌｔｈｃａｒｅ               ｔｏ               ｔｈｅ               ｐａｔｉｅｎｔｓ               ｏｆ               ｓｏｕｔｈｅｒｎ               Ｗｅｓｔ               Ｖｉｒｇｉｎｉａ. Ｔｈｅ               ｂｏａｒｄ               ｏｆ               ｄｉｒｅｃｔｏｒｓ               ｏｆ               Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍｓ,               Ｉｎｃ. ｉｓ               ｖｅｒｙ               ｉｎｔｅｒｅｓｔｅｄ               ｉｎ               ｏｆｆｅｒｉｎｇ               ｔｈｉｓ               ｔｙｐｅ               ｏｆ               ｓｅｒｖｉｃｅ               ｂｅｃａｕｓｅ               ｔｈｅｙ               ｋｎｏｗ               ｔｈａｔ               ｔｈｅ               ｍａｊｏｒｉｔｙ               ｏｆ               ｐａｔｉｅｎｔｓ               ａｒｅ               ｅｌｄｅｒｌｙ               ａｎｄ               ｎｅｅｄ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｔｏ               ｆｕｎｃｔｉｏｎ. Ｔｈｅ               ｃｏｍｍｕｎｉｔｙ               ａｓ               ａ               ｓｔａｋｅｈｏｌｄｅｒ               ｗｏｕｌｄ               ｂｅｎｅｆｉｔ               ｂｅｃａｕｓｅ               ｔｈｅ               ｃｏｍｐａｎｙ               ｈｅｌｐｓ               ｌｏｗｅｒ               ｈｅａｌｔｈｃａｒｅ               ｃｏｓｔｓ               ａｎｄ               ｐｒｏｖｉｄｅｓ               ｓｅｒｖｉｃｅｓ               ｔｈａｔ               ａｒｅ               ｎｅｅｄｅｄ               ｗｉｔｈｉｎ               ｔｈｅ               ａｒｅａ.                Ｍａｋｉｎｇ               ｔｈｉｓ               ｔｙｐｅ               ｏｆ               ｂｕｓｉｎｅｓｓ               ａ               ｓｕｃｃｅｓｓ               ｒｅｑｕｉｒｅｓ               ｌｅａｄｅｒｓｈｉｐ               ｔｈａｔ               ｈａｓ               ａ               ｖｉｓｉｏｎ               ｏｆ               ｗｈｅｒｅ               ｔｈｅｙ               ｗａｎｔ               ｔｏ               ｇｏ               ａｎｄ               ａ               ｍｉｓｓｉｏｎ               ｔｏ               ｃｒｅａｔｅ               ｃｕｓｔｏｍｅｒ               ｖａｌｕｅ. Ｓｔｒａｔｅｇｉｃ               Ｌｅａｄｅｒｓｈｉｐ               ｉｓ               ｅｓｓｅｎｔｉａｌ               ｂｅｃａｕｓｅ               ｉｔ               ａｌｌｏｗｓ               ｐｅｏｐｌｅ               ｔｏ               ｄｅｍｏｎｓｔｒａｔｅ               ｔｈｅ               ｐｏｔｅｎｔｉａｌ               ｏｆ               ｓｏｍｅｔｈｉｎｇ               ａｎｄ               ｃｒｅａｔｅ               ａ               ｌｅａｒｎｉｎｇ               ｅｎｖｉｒｏｎｍｅｎｔ. Ｔｈｉｓ               ｗｏｕｌｄ               ｂｅ               ａ               ｇｒｅａｔ               ｏｐｐｏｒｔｕｎｉｔｙ               ｆｏｒ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｔｏ               ａｌｌｏｗ               ｐｅｏｐｌｅ               ｗｉｔｈｉｎ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｔｏ               ｓｔｅｐ               ｕｐ               ａｎｄ               ｔａｋｅ               ａ               ｌｅａｄｅｒｓｈｉｐ               ｒｏｌｅ               ｉｎ               ｏｐｅｒａｔｉｎｇ               ａ               ｂｕｓｉｎｅｓｓ               ｓｕｃｈ               ａｓ               ｔｈｅ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ. Ｉｆ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｄｅｃｉｄｅｓ               ｔｏ               ｏｐｅｒａｔｅ               ｔｈｉｓ               ｔｙｐｅ               ｏｆ               ｂｕｓｉｎｅｓｓ               ｔｈｅｙ               ｎｅｅｄ               ｔｏ               ｍａｋｅ               ｓｕｒｅ               ｉｔ               ｂａｌａｎｃｅｓ               ｗｉｔｈ               ｔｈｅ               ｇｏａｌｓ               ｏｆ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ. Ｂｕｓｉｎｅｓｓｅｓ               ａｒｅ               ｄｅｓｉｇｎｅｄ               ｆｏｒ               ｏｎｅ               ｔｈｉｎｇ               ａｎｄ               ｔｈａｔ               ｉｓ               ｔｏ               ｉｍｐａｃｔ               ｔｈｅ               ｂｏｔｔｏｍ               ｌｉｎｅ               ａｎｄ               ｏｐｅｒａｔｉｎｇ               ｗｉｔｈｏｕｔ               ａ               ｃｌｅａｒ               ｆｏｃｕｓ               ｗｉｌｌ               ｅｎｄ               ｉｎ               ｆａｉｌｕｒｅ.                Ｍｅｔｈｏｄｏｌｏｇｙ                Ｍｅｔｈｏｄｏｌｏｇｉｃａｌ               Ａｓｓｕｍｐｔｉｏｎｓ                Ｂａｓｅｄ               ｕｐｏｎ               ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ'ｓ               ｅｘｐｅｒｉｅｎｃｅ,               ａ               ｎｕｍｂｅｒ               ｏｆ               ａｓｓｕｍｐｔｉｏｎｓ               ｍａｄｅ               ｉｎ               ｒｅｇａｒｄ               ｔｏ               ｔｈｉｓ               ｐｒｏｊｅｃｔ. Ｆｉｒｓｔ,               ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ａｓｓｕｍｅｄ               ｔｈａｔ               ａ               ｌｏｔ               ｏｆ               ｐｏｌｉｃｉｅｓ               ｗｏｕｌｄ               ｈａｖｅ               ｔｏ               ｂｅ               ｒｅｖｉｅｗｅｄ               ｔｏ               ｍａｋｅ               ｓｕｒｅ               ｔｈｅ               ｋｅｙ               ｃｏｍｐｏｎｅｎｔｓ               ｏｆ               ｏｐｅｎｉｎｇ               ｔｈｉｓ               ｔｙｐｅ               ｏｆ               ｂｕｓｉｎｅｓｓ               ｗｅｒｅ               ｅｘａｍｉｎｅｄ. Ｓｅｃｏｎｄ,               ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ａｓｓｕｍｅｄ               ｔｈａｔ               ｔｈｅ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｆｉｅｌｄ               ｉｓ               ｈｅａｖｉｌｙ               ｓａｔｕｒａｔｅｄ. Ｈｏｗｅｖｅｒ,               ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｂｅｌｉｅｖｅｄ               ｔｈａｔ               ｔｈｉｓ               ｔｙｐｅ               ｏｆ               ｂｕｓｉｎｅｓｓ               ｃｏｕｌｄ               ｂｅ               ａ               ｓｕｃｃｅｓｓ               ｆｏｒ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ａｓ               ｌｏｎｇ               ａｓ               ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｈａｓ               ｃｏｍｍｉｔｔｅｄ               ｔｏ               ｐｒｏｖｉｄｉｎｇ               ｔｈｅ               ｎｅｃｅｓｓａｒｙ               ｆｕｎｄｓ               ｔｏ               ｉｍｐｌｅｍｅｎｔ               ｔｈｉｓ               ｂｕｓｉｎｅｓｓ               ｍｏｄｅｌ. Ｆｉｎａｌｌｙ,               ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｕｎｄｅｒｓｔｏｏｄ               ｔｈａｔ               ｒｅｓｅａｒｃｈｉｎｇ               ｔｈｉｓ               ｔｙｐｅ               ｏｆ               ｂｕｓｉｎｅｓｓ               ｆｉｅｌｄ               ｗｏｕｌｄ               ｂｅ               ｃｕｍｂｅｒｓｏｍｅ. Ａ               ｎｕｍｂｅｒ               ｏｆ               ｃｈａｌｌｅｎｇｅｓ               ｗｅｒｅ               ｍｅｔ               ｉｎ               ｐｒｅｐａｒｉｎｇ               ａ               ｄｏｃｕｍｅｎｔ               ｔｈａｔ               ｉｓ               ｃｏｍｐｒｅｈｅｎｓｉｖｅ               ａｎｄ               ｂｅｎｅｆｉｃｉａｌ               ｔｏ               ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｏｆ               Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍ,               Ｉｎｃ.                Ｔｈｅ               ａｃｔｉｏｎ               ｒｅｓｅａｒｃｈ               ｐｒｏｃｅｓｓ               ｏｆ               ｔｈｉｓ               ｐｒｏｊｅｃｔ               ｗａｓ               ｉｄｅｎｔｉｆｙｉｎｇ               ｔｈｅ               ｐｒｏｂｌｅｍ               ｗｈｉｃｈ               ｃｏｎｓｉｓｔｅｄ               ｏｆ               ｄｅｔｅｒｍｉｎｉｎｇ               ｔｈｅ               ｆｅａｓｉｂｉｌｉｔｙ               ｏｆ               ａｄｄｉｎｇ               ａ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｂｕｓｉｎｅｓｓ               ｔｏ               ｅｘｉｓｔｉｎｇ               ｓｅｒｖｉｃｅｓ. Ｔｈｅ               ｓｅｃｏｎｄ               ｓｔｅｐ               ｗａｓ               ｔａｋｉｎｇ               ａ               ｃｏｕｒｓｅ               ｏｆ               ａｃｔｉｏｎ               ｔｈａｔ               ｃｏｎｓｉｓｔｓ               ｏｆ               ｒｅｓｅａｒｃｈｉｎｇ               ｗｈａｔ               ｏｔｈｅｒｓ               ｈａｖｅ               ｄｏｎｅ               ａｎｄ               ｔｈｅ               ｐｏｔｅｎｔｉａｌ               ｂｅｎｅｆｉｔｓ               ｏｆ               ｓｕｃｈ               ａ               ｂｕｓｉｎｅｓｓ. Ｔｈｅ               ｔｈｉｒｄ               ｓｔｅｐ               ｏｆ               ａｃｔｉｏｎ               ｗａｓ               ｔａｋｉｎｇ               ａｃｔｉｏｎ               ｏｎ               ｔｈｅ               ｐｕｒｐｏｓｅ               ｗｈｉｃｈ               ｗａｓ               ｄｅｔｅｒｍｉｎｉｎｇ               ｔｈｅ               ｆｅａｓｉｂｉｌｉｔｙ               ｏｆ               ｔｈｅ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｍａｒｋｅｔ. Ｔｈｉｓ               ｓｔｅｐ               ｄｅｔｅｒｍｉｎｅｓ               ｈｏｗ               ｔｏ               ｓｔａｒｔ               ｔｈｅ               ｂｕｓｉｎｅｓｓ               ａｎｄ               ｗｈａｔ               ｉｓ               ｎｅｅｄｅｄ               ｔｏ               ｇｅｔ               ｔｈｅ               ｂｕｓｉｎｅｓｓ               ｏｐｅｎｅｄ. Ｔｈｅ               ｆｏｕｒｔｈ               ｓｔｅｐ               ｏｆ               ａｃｔｉｏｎ               ｗａｓ               ｅｖａｌｕａｔｉｎｇ               ｔｈｅ               ｓｔｅｐｓ               ｏｆ               ａｃｔｉｏｎ               ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｉｍｐｌｅｍｅｎｔｅｄ               ｐｒｅｖｉｏｕｓｌｙ               ｔｏ               ｄｅｔｅｒｍｉｎｅ               ｉｆ               ｈｅ/ｓｈｅ               ｉｓ               ｏｎ               ｔｈｅ               ｒｉｇｈｔ               ｐａｔｈ. Ｆｉｎａｌｌｙ,               ｔｈｅ               ｌａｓｔ               ｓｔｅｐｓ               ｏｆ               ａｃｔｉｏｎ               ｗａｓ               ｉｄｅｎｔｉｆｙｉｎｇ               ｔｈｅ               ｆｉｎｄｉｎｇｓ               ａｎｄ               ｒｅｆｌｅｃｔｉｎｇ               ｏｎ               ｅａｃｈ               ｓｅｃｔｉｏｎ               ｏｆ               ｔｈｅ               ｐｒｏｊｅｃｔ               ｔｏ               ｌｅａｒｎ               ａｎｄ               ｄｅｔｅｒｍｉｎｅ               ｉｆ               ｓｏｍｅｔｈｉｎｇ               ｃｏｕｌｄ               ｂｅ               ｄｏｎｅ               ａ               ｄｉｆｆｅｒｅｎｔ               ｗａｙ.                Ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｃｈｏｓｅ               ａｃｔｉｏｎ               ｒｅｓｅａｒｃｈ               ｔｏ               ｕｓｅ               ｂｅｃａｕｓｅ               ｉｔ               ｉｎｖｏｌｖｅｓ               ｐａｒｔｉｃｉｐａｔｏｒｙ               ｈａｎｄｓ-ｏｎ               ｌｅａｒｎｉｎｇ. Ａｃｃｏｒｄｉｎｇ               ｔｏ               Ｒ. Ｏ'Ｂｒｉｅｎ               (1998),               "Ａｃｔｉｏｎ               ｒｅｓｅａｒｃｈ               ｉｓ               ｕｓｅｄ               ｉｎ               ｒｅａｌ               ｓｉｔｕａｔｉｏｎｓ,               ｒａｔｈｅｒ               ｔｈａｎ               ｉｎ               ｃｏｎｔｒｉｖｅｄ,               ｅｘｐｅｒｉｍｅｎｔａｌ               ｓｔｕｄｉｅｓ,               ｓｉｎｃｅ               ｉｔｓ               ｐｒｉｍａｒｙ               ｆｏｃｕｓ               ｉｓ               ｏｎ               ｓｏｌｖｉｎｇ               ｒｅａｌ               ｐｒｏｂｌｅｍｓ               (ｐａｒａ. 14). Ｔｈｉｓ               ｍｅｔｈｏｄ               ｏｆ               ｒｅｓｅａｒｃｈ               ｐｒｏｖｉｄｅｄ               ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｗｉｔｈ               ｖａｌｕａｂｌｅ               ｉｎｆｏｒｍａｔｉｏｎ               ｂｙ               ｗｏｒｋｉｎｇ               ｗｉｔｈ               ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ,               ｅｍｐｌｏｙｅｅｓ,               ｃｕｓｔｏｍｅｒｓ,               ａｎｄ               ｓｔａｔｅ               ａｇｅｎｃｉｅｓ               ｉｎ               ｆｉｎｄｉｎｇ               ｉｎｆｏｒｍａｔｉｏｎ               ａｂｏｕｔ               ｔｈｅ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｍａｒｋｅｔ. Ｃｏｇｈｌａｎ               ａｎｄ               Ｂｒａｎｎｉｃｋ               (2005)               ｓｔａｔｅｓ               ｔｈａｔ               "Ａｃｔｉｏｎ               ｒｅｓｅａｒｃｈ               ｈａｓ               ｂｅｅｎ               ｔｒａｄｉｔｉｏｎａｌｌｙ               ｄｅｆｉｎｅｄ               ａｓ               ａｎ               ａｐｐｒｏａｃｈ               ｔｏ               ｒｅｓｅａｒｃｈ               ｗｈｉｃｈ               ｉｓ               ｂａｓｅｄ               ｏｎ               ａ               ｃｏｌｌａｂｏｒａｔｉｖｅ               ｐｒｏｂｌｅｍ-ｓｏｌｖｉｎｇ               ｒｅｌａｔｉｏｎｓｈｉｐ               ｂｅｔｗｅｅｎ               ｒｅｓｅａｒｃｈｅｒ               ａｎｄ               ｃｌｉｅｎｔ               ｗｈｉｃｈ               ａｉｍｓ               ａｔ               ｂｏｔｈ               ｓｏｌｖｉｎｇ               ａ               ｐｒｏｂｌｅｍ               ａｎｄ               ｇｅｎｅｒａｔｉｎｇ               ｎｅｗ               ｋｎｏｗｌｅｄｇｅ"               (ｐ. 9).                Ｔｈｉｓ               ｍｅｔｈｏｄ               ｗｏｒｋｅｄ               ｗｅｌｌ               ｆｏｒ               ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｉｎ               ｗｏｒｋｉｎｇ               ｗｉｔｈ               ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｉｎ               ｌｅａｒｎｉｎｇ               ａｂｏｕｔ               ｔｈｅ               ｓｕｂｊｅｃｔ               ｏｆ               ｔｈｉｓ               ｐｒｏｊｅｃｔ. Ｌｉｔｅｒａｔｕｒｅ               ｉｎｆｏｒｍａｔｉｏｎ               ｗａｓ               ｒｅｖｉｅｗｅｄ               ａｎｄ               ａｎａｌｙｚｅｄ,               ｓｏ               ｔｈａｔ               ｉｔ               ｃｏｕｌｄ               ｂｅ               ｉｎｔｅｒｐｒｅｔｅｄ               ｉｎｔｏ               ａｃｔｕａｌ               ｆａｃｔｓ               ａｎｄ               ｐｒｅｓｅｎｔｅｄ               ｗｉｔｈｉｎ               ｔｈｉｓ               ｒｅｐｏｒｔ. Ａｃｔｉｏｎ               ｒｅｓｅａｒｃｈ               ａｌｌｏｗｅｄ               ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｔｏ               ｐｕｔ               ｔｈｅ               ｆｉｎｄｉｎｇｓ               ｉｎｔｏ               ａｃｔｉｏｎ               ａｎｄ               ｌｅａｒｎ               ｆｒｏｍ               ｅａｃｈ               ｓｔｅｐ               ｗｉｔｈｉｎ               ｔｈｅ               ａｃｔｉｏｎ               ｒｅｓｅａｒｃｈ               ｍｏｄｅｌ.                Ｒｅｓｅａｒｃｈ               Ｐｒｏｃｅｓｓｅｓ                Ｔｈｅ               ｆｉｒｓｔ               ｓｔｅｐ               ｏｆ               ａｃｔｉｏｎ               ｗａｓ               ｇａｔｈｅｒｉｎｇ               ｉｎｆｏｒｍａｔｉｏｎ               ｆｒｏｍ               ｔｈｅ               ｍｅｅｔｉｎｇ               ｗｉｔｈ               ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｔｏ               ｄｅｔｅｒｍｉｎｅ               ｗｈａｔ               ｐｒｏｄｕｃｔｓ               ｔｈｅｙ               ｗａｎｔｅｄ               ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｔｏ               ｅｘｐｌｏｒｅ. Ｓｅｃｏｎｄ,               ａｆｔｅｒ               ｇａｔｈｅｒｉｎｇ               ｔｈｅ               ｉｎｆｏｒｍａｔｉｏｎ,               ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｐｒｅｐａｒｅｄ               ｔｈｅ               ｓｕｒｖｅｙｓ. Ｏｎｅ               ｓｕｒｖｅｙ               ｗａｓ               ｄｅｓｉｇｎｅｄ               ｆｏｒ               ｔｈｅ               ｐａｔｉｅｎｔｓ               ａｎｄ               ｔｈｅ               ｏｔｈｅｒ               ｗａｓ               ｄｅｓｉｇｎｅｄ               ｆｏｒ               ｔｈｅ               ｐｒｏｖｉｄｅｒｓ               ｏｆ               Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍ,               Ｉｎｃ. Ｔｈｅ               ｐａｔｉｅｎｔ               ｓｕｒｖｅｙ               ｗａｓ               ｄｉｓｔｒｉｂｕｔｅｄ               ａｍｏｎｇ               ｔｈｅ               ｎｉｎｅ               ｌｏｃａｔｉｏｎｓ               ｔｈａｔ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｏｐｅｒａｔｅｓ. Ｔｈｅ               ｒｅｃｅｐｔｉｏｎｉｓｔｓ               ａｔ               ｔｈｅｓｅ               ｌｏｃａｔｉｏｎｓ               ｈａｄ               ｉｎｓｔｒｕｃｔｅｄ               ｔｈｅ               ｐａｔｉｅｎｔｓ               ｔｏ               ｆｉｌｌ               ｏｕｔ               ｔｈｅ               ｂｒｉｅｆ               ｓｕｒｖｅｙ. Ｔｈｅ               ｓｕｒｖｅｙ               ｗａｓ               ｇｉｖｅｎ               ｔｏ               ａｌｌ               ｐａｔｉｅｎｔｓ               ｆｏｒ               ａ               ｏｎｅ               ｗｅｅｋ               ｐｅｒｉｏｄ. Ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｈａｎｄ               ｄｅｌｉｖｅｒｅｄ               ｔｈｅ               ｐｒｏｖｉｄｅｒ               ｓｕｒｖｅｙｓ               ａｎｄ               ａｓｋｅｄ               ｔｈｅｍ               ｔｏ               ｆｉｌｌ               ｉｔ               ｏｕｔ               ａｎｄ               ｓｅｎｄ               ｉｔ               ｔｏ               ｔｈｅ               ａｄｍｉｎｉｓｔｒａｔｉｖｅ               ｏｆｆｉｃｅｓ               ａｆｔｅｒ               ｃｏｍｐｌｅｔｉｏｎ               ｔｏ               ｋｅｅｐ               ｔｈｅｍ               ｓｅｐａｒａｔｅ               ｆｒｏｍ               ｔｈｅ               ｐａｔｉｅｎｔ               ｓｕｒｖｅｙ.                Ｗｈｅｎ               ｔｈｉｓ               ｉｎｆｏｒｍａｔｉｏｎ               ｗａｓ               ｇａｔｈｅｒｅｄ               ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｐｒｅｐａｒｅｄ               ａ               ｇｒａｐｈ               ｏｆ               ｔｈｅ               ｆｉｎｄｉｎｇｓ               ａｎｄ               ｐｒｅｓｅｎｔｅｄ               ｔｈｅ               ｆｉｎｄｉｎｇｓ               ｔｏ               ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｏｆ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ. Ａｔ               ｔｈｉｓ               ｐｏｉｎｔ,               ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ａｓｋｅｄ               ｔｈｅ               ｃｏｍｐａｎｙ               ｔｏ               ｐｕｒｃｈａｓｅ               ＣＰＴ               ａｎｄ               ＩＣＤ-9               ｃｏｄｉｎｇ               ｂｏｏｋｓ,               ｓｏ               ｔｈａｔ               ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｃｏｕｌｄ               ｆｉｎｄ               ｔｈｅ               ｂｉｌｌｉｎｇ               ｃｏｄｅｓ               ｆｏｒ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｔｏ               ｍｏｖｅ               ｔｈｅ               ｐｒｏｊｅｃｔ               ａｈｅａｄ. ＣＰＴ               ｓｔａｎｄｓ               ｆｏｒ               ｃｕｒｒｅｎｔ               ｐｒｏｃｅｄｕｒａｌ               ｔｅｒｍｉｎｏｌｏｇｙ               ａｎｄ               ｅａｃｈ               ｓｅｒｖｉｃｅ               ｈａｓ               ａ               ｆｉｖｅ               ｄｉｇｉｔ               ｂｉｌｌｉｎｇ               ｃｏｄｅ               ｕｓｅｄ               ｂｙ               ｉｎｓｕｒａｎｃｅ               ｃｏｍｐａｎｉｅｓ               ｔｏ               ｄｅｔｅｒｍｉｎｅ               ｗｈａｔ               ｔｈｅ               ｐａｔｉｅｎｔ               ｈａｄ               ｐｅｒｆｏｒｍｅｄ               ｂｙ               ｔｈｅ               ｐｈｙｓｉｃｉａｎ               ａｎｄ               ｗｈａｔ               ｓｅｒｖｉｃｅｓ               ｔｈｅ               ｉｎｓｕｒａｎｃｅ               ｉｓ               ｂｅｉｎｇ               ｂｉｌｌｅｄ. Ｔｈｉｓ               ｌｉｓｔ               ｏｆ               ｎｕｍｂｅｒｓ               ｉｓ               ｍａｉｎｔａｉｎｅｄ               ｂｙ               ｔｈｅ               Ａｍｅｒｉｃａｎ               Ｍｅｄｉｃａｌ               Ａｓｓｏｃｉａｔｉｏｎ               ａｎｄ               ｉｓ               ｕｓｅｄ               ｆｏｒ               ｂｉｌｌｉｎｇ               ｃｏｄｅｓ               ｆｏｒ               ｓｅｒｖｉｃｅｓ               ｒｅｎｄｅｒｅｄ               (ｈｔｔｐ://ｅｎ.ｗｉｋｉｐｅｄｉａ.ｏｒｇ/ｗｉｋｉ/Ｃｕｒｒｅｎｔ_Ｐｒｏｃｅｄｕｒａｌ_Ｔｅｒｍｉｎｏｌｏｇｙ). Ｔｈｅ               ＩＣＤ-9               ｃｏｄｉｎｇ               ｂｏｏｋ               ｓｔａｎｄｓ               ｆｏｒ               Ｉｎｔｅｒｎａｔｉｏｎａｌ               Ｓｔａｔｉｓｔｉｃａｌ               Ｃｌａｓｓｉｆｉｃａｔｉｏｎ               ｏｆ               Ｄｉｓｅａｓｅｓ               ａｎｄ               Ｒｅｌａｔｅｄ               Ｈｅａｌｔｈ               Ｐｒｏｂｌｅｍｓ. Ｉｔ               ｉｓ               ｐｕｂｌｉｓｈｅｄ               ｂｙ               ｔｈｅ               Ｗｏｒｌｄ               Ｈｅａｌｔｈ               Ｏｒｇａｎｉｚａｔｉｏｎ               ａｎｄ               ｉｓ               ｕｓｅｄ               ｗｏｒｌｄ-ｗｉｄｅ               ｆｏｒ               ｍｏｒｂｉｄｉｔｙ               ａｎｄ               ｍｏｒｔａｌｉｔｙ               ｓｔａｔｉｓｔｉｃｓ,               ｒｅｉｍｂｕｒｓｅｍｅｎｔ               ｓｙｓｔｅｍｓ,               ａｎｄ               ａｕｔｏｍａｔｅｄ               ｄｅｃｉｓｉｏｎ               ｓｕｐｐｏｒｔ               ｉｎ               ｍｅｄｉｃｉｎｅ               (ｈｔｔｐ://ｅｎ.ｗｉｋｉｐｅｄｉａ.ｏｒｇ/ｗｉｋｉ/ＩＣＤ-9). Ｔｈｅｓｅ               ｔｗｏ               ｂｏｏｋｓ               ｇａｖｅ               ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｔｈｅ               ｉｎｆｏｒｍａｔｉｏｎ               ｔｏ               ｓｔａｒｔ               ｌｏｏｋｉｎｇ               ｆｏｒ               ｐａｙｍｅｎｔ               ｒａｔｅｓ               ｅｓｔａｂｌｉｓｈｅｄ               ｂｙ               ｔｈｅ               ｈｅａｌｔｈ               ｃａｒｅ               ｉｎｓｕｒａｎｃｅｓ               ｔｏ               ｄｅｔｅｒｍｉｎｅ               ｔｈｅｉｒ               ｒａｔｅ               ｏｆ               ｐａｙｍｅｎｔ               ｆｏｒ               ｓｅｒｖｉｃｅｓ               ｒｅｌａｔｅｄ               ｔｏ               ｔｈｅ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｍａｒｋｅｔ. Ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｈａｄ               ｂｕｉｌｔ               ｔｈｅ               ｆｉｎａｎｃｉａｌ               ｓｅｃｔｉｏｎ               ｏｆ               ｔｈｅ               ｐｒｏｊｅｃｔ               ｕｓｉｎｇ               ｔｈｅ               ｍｏｓｔ               ｃｏｍｍｏｎ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｕｓｅｄ. Ｔｈｏｓｅ               ｉｔｅｍｓ               ｗｅｒｅ               ｃａｌｃｕｌａｔｅｄ               ｔｏ               ｄｅｔｅｒｍｉｎｅ               ｔｈｅ               ｐｏｔｅｎｔｉａｌ               ｐｒｏｆｉｔ. Ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｕｓｅｄ               ｔｈｅ               ｆｏｌｌｏｗｉｎｇ               ｉｎｓｕｒａｎｃｅｓ               ａｓ               ｇｕｉｄｅｌｉｎｅｓ               ｗｈｅｎ               ｃａｌｃｕｌａｔｉｎｇ               ｐｏｔｅｎｔｉａｌ               ｒｅｖｅｎｕｅ               ｆｒｏｍ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ:               Ｍｅｄｉｃａｒｅ,               Ｍｅｄｉｃａｉｄ,               Ｂｌｕｅ               Ｃｒｏｓｓ/ＢｌｕｅＳｈｉｅｌｄ,               Ｂｅｎｅｆｉｔ               Ｐｌａｎ               Ａｄｍｉｎｉｓｔｒａｔｏｒｓ,               Ａｃｃｏｒｄｉａ,               ａｎｄ               Ａｅｔｎａ. Ｔｈｅｓｅ               ｉｎｓｕｒａｎｃｅｓ               ｍａｋｅ               ｕｐ               ｍｏｓｔ               ｏｆ               Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍｓ               ｐａｔｉｅｎｔ               ｂａｓｅ. Ｆｏｒ               ｐａｔｉｅｎｔｓ               ｔｈａｔ               ｄｏｎ'ｔ               ｈａｖｅ               ｉｎｓｕｒａｎｃｅ,               ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｅｓｔａｂｌｉｓｈｅｄ               ｐｒｉｃｉｎｇ               ｓｃｈｅｄｕｌｅｓ               ｂａｓｅｄ               ｏｎ               ｔｈｅ               ｓｌｉｄｉｎｇ               ｓｃａｌｅ               ｆｅｅ               ｅｓｔａｂｌｉｓｈｅｄ               ｂｙ               Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍｓ,               Ｉｎｃ. Ｔｈｅ               ｒａｔｅ               ｉｓ               ｂｒｏｋｅｎ               ｄｏｗｎ               ｉｎｔｏ               ｔｈｅ               ｆｏｌｌｏｗｉｎｇ               ｆｉｖｅ               ｃａｔｅｇｏｒｉｅｓ               20%,               40%,               60%,               80%,               ａｎｄ               100%               ｂａｓｅｄ               ｏｎ               ｈｏｕｓｅｈｏｌｄ               ｉｎｃｏｍｅ. Ｉｆ               ｔｈｅ               ｐｒｉｃｅ               ｒｅｑｕｉｒｅｄ               ｉｓ               ｌｅｓｓ               ｔｈａｎ               ｗｈａｔ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｐａｙｓ               ｆｏｒ               ｔｈｅ               ｐｒｏｄｕｃｔ,               ｔｈｅｎ               ａ               ｍａｒｋｕｐ               ｏｆ               10%               ｗａｓ               ａｄｄｅｄ               ｔｏ               ｔｈｅ               ｉｔｅｍ               ａｎｄ               ｗａｓ               ｃｏｎｓｉｄｅｒｅｄ               ａ               ｃａｓｈ               ｏｎｌｙ               ｓａｌｅ               ｆｏｒ               ｔｈｅ               ｐｒｏｄｕｃｔ. Ｔｈｅ               ｎｅｘｔ               ｓｔｅｐ               ｉｎ               ｔｈｅ               ｒｅｓｅａｒｃｈ               ｉｎｖｏｌｖｅｄ               ｃｏｎｔａｃｔｉｎｇ               ｖｅｎｄｏｒｓ               ａｎｄ               ｇａｔｈｅｒｉｎｇ               ｉｎｆｏｒｍａｔｉｏｎ               ｏｎ               ｔｈｅ               ｗｈｏｌｅｓａｌｅ               ｐｒｉｃｅ               ｏｆ               ｔｈｅ               ｅｑｕｉｐｍｅｎｔ               ａｎｄ               ｓｕｐｐｌｉｅｓ               ｔｈａｔ               ｍａｋｅ               ｕｐ               ｔｈｅ               ｄｕｒａｂｌｅ               ｅｑｕｉｐｍｅｎｔ               ｂｕｓｉｎｅｓｓ. Ｂａｓｅｄ               ｏｎ               ｔｈｉｓ               ｉｎｆｏｒｍａｔｉｏｎ               ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｐｒｅｐａｒｅｄ               ｆｉｎａｎｃｉａｌ               ｄａｔａ               ｔｈａｔ               ｗａｓ               ｒｅｌｅｖａｎｔ               ｔｏ               ｔｈｅ               ｐｕｒｐｏｓｅ               ｏｆ               ｔｈｅ               ｐｒｏｊｅｃｔ. Ｍｉｃｒｏｓｏｆｔ               Ｅｘｃｅｌ               ｓｈｅｅｔｓ               ｗｅｒｅ               ｕｓｅｄ               ｆｏｒ               ｆｏｒｍｕｌａｔｉｎｇ               ｔｈｅ               ｆｉｎａｎｃｉａｌ               ｐｒｏｊｅｃｔｉｏｎｓ.                Ｒｉｇｏｒ                Ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｗａｓ               ｐｒｅｓｅｎｔｅｄ               ｗｉｔｈ               ａ               ｎｕｍｂｅｒ               ｏｆ               ｃｈａｌｌｅｎｇｅｓ. Ｆｉｒｓｔ,               ｉｔ               ｗａｓ               ｄｉｆｆｉｃｕｌｔ               ｔｏ               ｆｉｎｄ               ａｃｃｕｒａｔｅ               ｐａｙｍｅｎｔ               ｒａｔｅｓ               ｆｒｏｍ               ｉｎｓｕｒａｎｃｅｓ               ｉｎ               ｒｅｌａｔｉｏｎ               ｔｏ               ｔｈｅ               ｄｕｒａｂｌｅ               ｅｑｕｉｐｍｅｎｔ               ｍａｒｋｅｔ. Ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｗａｓ               ｉｎｔｅｒａｃｔｉｎｇ               ｗｉｔｈ               ｅｍｐｌｏｙｅｅｓ               ａｎｄ               ｐａｔｉｅｎｔｓ               ｔｏ               ｆｉｎｄ               ｉｎｆｏｒｍａｔｉｏｎ               ｔｈａｔ               ｗａｓ               ｕｓｅｆｕｌ               ｆｏｒ               ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ａｎｄ               ｔｈｅ               ｒｅｓｅａｒｃｈ               ｐｒｏｊｅｃｔ               ｏｆ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ. Ｓｅｃｏｎｄ,               ｇａｔｈｅｒｉｎｇ               ｔｈｅ               ｓｕｒｖｅｙｓ               ｆｒｏｍ               ｔｈｅ               ｒｅｃｅｐｔｉｏｎｉｓｔ               ａｔ               ａｌｌ               ｎｉｎｅ               ｌｏｃａｔｉｏｎｓ               ｗａｓ               ｃｈａｌｌｅｎｇｉｎｇ. Ｉｔ               ｗａｓ               ｉｍｐｏｒｔａｎｔ               ｆｏｒ               ｔｈｅ               ｒｅｃｅｐｔｉｏｎｉｓｔ               ｔｏ               ｕｎｄｅｒｓｔａｎｄ               ｔｈａｔ               ｅａｃｈ               ｐａｔｉｅｎｔ               ｃｈｅｃｋｉｎｇ               ｉｎ               ｍｕｓｔ               ｂｅ               ｇｉｖｅｎ               ａ               ｓｕｒｖｅｙ               ａｎｄ               ｔｈａｔ               ｔｈｅ               ｓｕｒｖｅｙｓ               ｍｕｓｔ               ｂｅ               ｒｅｔｕｒｎｅｄ               ｏｎｃｅ               ｔｈｅｙ               ｌｅｆｔ. Ｔｈｅ               ｐａｔｉｅｎｔ               ｓｕｒｖｅｙ               ｃａｐｔｕｒｅｄ               ｏｎｌｙ               ａ               ｗｅｅｋｓ               ｗｏｒｔｈ               ｏｆ               ｐａｔｉｅｎｔｓ               ａｎｄ               ｄｉｄ               ｎｏｔ               ｒｅａｃｈ               ｔｈｅ               ｅｎｔｉｒｅ               ｐａｔｉｅｎｔ               ｂａｓｅ               ｏｆ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ. Ｐｕｔｔｉｎｇ               ａｌｌ               ｔｈｅ               ｆｉｎｄｉｎｇｓ               ｉｎｔｏ               ａ               ｒｅｐｏｒｔ               ｔｈａｔ               ｉｓ               ｕｓｅｆｕｌ               ａｎｄ               ｂｅｎｅｆｉｃｉａｌ               ｗａｓ               ｃｈａｌｌｅｎｇｉｎｇ               ａｎｄ               ｒｅｑｕｉｒｅｄ               ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｔｏ               ｓｐｅｎｄ               ａ               ｌｏｔ               ｏｆ               ｔｉｍｅ               ｒｅｓｅａｒｃｈｉｎｇ,               ｗｒｉｔｉｎｇ,               ａｎｄ               ｃｏｎｓｔｒｕｃｔｉｎｇ               ｅａｃｈ               ｓｅｃｔｉｏｎ               ｏｆ               ｔｈｅ               ｐｒｏｊｅｃｔ. Ｐｒｅｓｅｎｔｉｎｇ               ｔｈｅ               ｆｉｎｄｉｎｇｓ               ｔｏ               ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｒｅｑｕｉｒｅｄ               ａ               ｌｏｔ               ｏｆ               ｌｅａｄｅｒｓｈｉｐ               ｉｎ               ｃｏｎｖｅｙｉｎｇ               ｔｈｅ               ｅｖｉｄｅｎｃｅ               ｏｆ               ｔｈｅ               ｐｒｏｊｅｃｔ.                Ｅｔｈｉｃａｌ               Ｉｓｓｕｅｓ                Ｔｈｅ               ｆｉｒｓｔ               ｅｔｈｉｃａｌ               ｉｓｓｕｅ               ｔｈａｔ               ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｗａｓ               ｆａｃｅｄ               ｗｉｔｈ               ｗａｓ               ｋｅｅｐｉｎｇ               ａｌｌ               ｉｎｆｏｒｍａｔｉｏｎ               ｃｏｎｆｉｄｅｎｔｉａｌ               ｕｎｔｉｌ               ｔｉｍｅ               ｔｏ               ｒｅｌｅａｓｅ               ｔｈｅ               ｆｉｎａｎｃｉａｌ               ｐｒｏｊｅｃｔｉｏｎｓ               ｔｏ               ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ. Ｔｈｅ               ｓｅｃｏｎｄ               ｅｔｈｉｃａｌ               ｉｓｓｕｅ               ｗａｓ               ａｓｓｕｒｉｎｇ               ａｌｌ               ｐａｒｔｉｃｉｐａｎｔｓ               ｔｈａｔ               ｔｈｅｉｒ               ｎａｍｅｓ               ｗｉｌｌ               ｎｏｔ               ｂｅ               ｉｎｃｌｕｄｅｄ               ｉｎ               ｔｈｅ               ｒｅｓｅａｒｃｈ               ａｎｄ               ｔｈａｔ               ｔｈｅｉｒ               ｃｏｎｆｉｄｅｎｔｉａｌｉｔｙ               ｗａｓ               ｐｒｏｔｅｃｔｅｄ. Ｔｈｅ               ｔｈｉｒｄ               ｉｓｓｕｅ               ｗａｓ               ｐｒｅｐａｒｉｎｇ               ｆｉｎａｎｃｉａｌ               ｐｒｏｊｅｃｔｉｏｎｓ               ｔｈａｔ               ｗｅｒｅ               ａｃｃｕｒａｔｅ               ａｎｄ               ｐｒｅｓｅｎｔｉｎｇ               ｔｈｅｍ               ｔｏ               ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ. Ｆｉｎａｌｌｙ,               ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｗａｓ               ｐｒｅｐａｒｅｄ               ｔｏ               ｔａｋｅ               ｃｒｉｔｉｃｉｓｍ               ｏｎ               ｔｈｅ               ｆｉｎｄｉｎｇｓ               ａｎｄ               ｗａｓ               ｐｒｅｐａｒｅｄ               ｔｏ               ｂａｃｋ               ｕｐ               ｆｉｎｄｉｎｇｓ               ｗｉｔｈ               ｄａｔａ.                Ｃｏｎｓｔｒｕｃｔｉｎｇ               Ａｃｃｏｕｎｔｓ                Ｓｅｔｔｉｎｇ               ｔｈｅ               Ｓｃｅｎｅ                Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍｓ,               Ｉｎｃ               ｗａｓ               ｌｏｏｋｉｎｇ               ｆｏｒ               ｒｅｖｅｎｕｅ               ｐｒｏｊｅｃｔｉｏｎｓ               ａｎｄ               ｔｈｅ               ｆｅａｓｉｂｉｌｉｔｙ               ｏｆ               ｔｈｅ               Ｄｕｒａｂｌｅ               Ｍｅｄｉｃａｌ               Ｅｑｕｉｐｍｅｎｔ               ｍａｒｋｅｔ. Ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｐｒｏｖｉｄｅｄ               ｆｉｎａｎｃｉａｌ               ａｎａｌｙｓｉｓ               ａｎｄ               ｉｔ               ｓｈｏｗｅｄ               ｔｈｅ               ｐｏｔｅｎｔｉａｌ               ｒｅｉｍｂｕｒｓｅｍｅｎｔ               ｒａｔｅ               ｏｆ               ｔｈｅ               ｂｕｓｉｎｅｓｓ               ｏｐｐｏｒｔｕｎｉｔｙ. Ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｇｕｉｄｅｄ               ｍｅｍｂｅｒｓ               ｏｆ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｉｎ               ｆｏｒｍｕｌａｔｉｎｇ               ａ               ｐｌａｎ               ｏｆ               ａｃｔｉｏｎ               ｔｈａｔ               ｉｓ               ｃｏｎｓｉｓｔｅｎｔ               ｗｉｔｈ               ｔｈｅ               ｂｕｓｉｎｅｓｓ               ｓｃｏｐｅ               ｏｆ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ.                Ｃｏｎｓｔｒｕｃｔｉｎｇ               Ａｃｃｏｕｎｔｓ                Ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｐｒｏｖｉｄｅ               ｔｗｏ               ｓｕｒｖｅｙｓ,               ｏｎｅ               ｆｏｒ               ｔｈｅ               ｐａｔｉｅｎｔｓ               ａｎｄ               ｏｎｅ               ｔｏ               ｔｈｅ               ｐｒｏｖｉｄｅｒｓ               ｏｆ               Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍｓ,               Ｉｎｃ. Ｔｈｅ               ｐａｔｉｅｎｔ'ｓ               ｓｕｒｖｅｙｓ               ｓｈｏｗｎ               ｔｈａｔ               ｔｈｅｙ               ｗｏｕｌｄ               ｌｉｋｅ               ｔｏ               ｐｕｒｃｈａｓｅ               Ｄｕｒａｂｌｅ               Ｍｅｄｉｃａｌ               Ｅｑｕｉｐｍｅｎｔ               ａｓ               ｔｈｅｙ               ｓｅｅ               ｔｈｅｉｒ               ｐｒｏｖｉｄｅｒ               ｆｏｒ               ａｎ               ｏｆｆｉｃｅ               ｖｉｓｉｔ. Ｔｈｉｓ               ｅｌｉｍｉｎａｔｅｓ               ｔｈｅ               ｗｏｒｒｙ               ｆｏｒ               ｔｈｅｍ               ａｂｏｕｔ               ｈａｖｉｎｇ               ｔｏ               ｄｅａｌ               ｗｉｔｈ               ｐａｐｅｒｗｏｒｋ               ａｎｄ               ｍｏｒｅ               ｔｈａｎ               ｏｎｅ               ｐｒｏｖｉｄｅｒ. Ｔｈｅ               ｐｒｏｖｉｄｅｒｓ               ｅｘｐｒｅｓｓｅｄ               ｉｎｔｅｒｅｓｔ               ｉｎ               ｈｏｗ               ｍｕｃｈ               ｔｉｍｅ               ｗｏｕｌｄ               ｂｅ               ｓａｖｅｄ               ｂｙ               ｏｆｆｅｒｉｎｇ               Ｄｕｒａｂｌｅ               Ｍｅｄｉｃａｌ               Ｅｑｕｉｐｍｅｎｔ               ｗｉｔｈ               ｃｕｒｒｅｎｔ               ｓｅｒｖｉｃｅｓ. Ｔｈｅ               ｐｒｏｖｉｄｅｒ'ｓ               ｓｕｒｖｅｙ               ｓｈｏｗｅｄ               ｔｈａｔ               ｔｈｅｙ               ａｖｅｒａｇｅ               ａｂｏｕｔ               ｆｉｖｅ               ｐａｔｉｅｎｔｓ               ａ               ｗｅｅｋ               ｆｏｒ               ｒｅｆｅｒｒａｌ               ｓｅｒｖｉｃｅｓ               ｔｏ               ｏｔｈｅｒ               Ｄｕｒａｂｌｅ               Ｍｅｄｉｃａｌ               Ｅｑｕｉｐｍｅｎｔ               ｂｕｓｉｎｅｓｓｅｓ. Ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｔｒａｎｓｌａｔｅｓ               ｔｈａｔ               ｉｎｆｏｒｍａｔｉｏｎ               ｉｎｔｏ               ｆｉｆｔｙ-ｆｉｖｅ               ｐａｔｉｅｎｔｓ               ａ               ｗｅｅｋ               ｇｅｔｔｉｎｇ               ｒｅｆｅｒｒｅｄ               ｔｏ               ｏｔｈｅｒ               ｏｒｇａｎｉｚａｔｉｏｎｓ               ｔｈａｔ               ｐｒｏｖｉｄｅ               ｔｈｉｓ               ｔｙｐｅ               ｏｆ               ｓｅｒｖｉｃｅ. Ｔｈｅ               ｓｕｒｖｅｙｓ               ｓｈｏｗｅｄ               ｔｈａｔ               ｔｈｅ               ｔｉｍｅ               ｒｅｑｕｉｒｅｄ               ｆｏｒ               ｐａｐｅｒｗｏｒｋ               ｒｅｆｅｒｒａｌｓ               ｗｏｕｌｄ               ｂｅ               ｄｅｃｒｅａｓｅｄ               ａｎｄ               ａｌｌｏｗ               ｔｈｅ               ｎｕｒｓｉｎｇ               ａｎｄ               ｐｒｏｖｉｄｅｒ               ｓｔａｆｆ               ｍｏｒｅ               ｔｉｍｅ               ｔｏ               ｓｅｅ               ｏｔｈｅｒ               ｐａｔｉｅｎｔｓ. Ｔｈｅ               ｐａｔｉｅｎｔ               ｂｕｙ-ｉｎ               ｗａｓ               ｅｘｃｅｐｔｉｏｎａｌ               ｆｒｏｍ               ｔｈｅ               ｓｉｘｔｙ-ｔｈｒｅｅ               ｓｕｒｖｅｙｓ               ｒｅｔｕｒｎｅｄ               ｂｅｃａｕｓｅ               ｔｈｅｙ               ｗａｎｔ               ｔｏ               ｐｕｒｃｈａｓｅ               ｌｏｗ-ｃｏｓｔ               ｐｒｏｄｕｃｔｓ. Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍｓ,               Ｉｎｃ. ｃａｎ               ｏｆｆｅｒ               ｔｈｅ               ｉｔｅｍｓ               ａｔ               ａ               ｌｏｗ-ｃｏｓｔ               ｂｅｃａｕｓｅ               ｏｆ               ｔｈｅ               ｐｕｒｃｈａｓｉｎｇ               ｃｏｎｔｒａｃｔｓ               ｔｈａｔ               ｉｎ               ｐｌａｃｅ               ｗｉｔｈ               ｔｈｅ               ｆｅｄｅｒａｌ               ｇｏｖｅｒｎｍｅｎｔ. Ｔｈｅ               ｓｌｉｄｉｎｇ               ｓｃａｌｅ               ｆｉｎａｎｃｉａｌｓ               ｆｏｒ               ｐｅｏｐｌｅ               ｔｈａｔ               ｄｏ               ｎｏｔ               ｈａｖｅ               ｉｎｓｕｒａｎｃｅ               ｓｈｏｗｅｄ               ｔｈａｔ               ｔｈｅ               ｃｏｍｐａｎｙ               ｃａｎ               ｓｔｉｌｌ               ｍａｋｅ               ａ               ｐｒｏｆｉｔ               ｂｙ               ｐｒｏｖｉｄｉｎｇ               ｔｈｅｓｅ               ｔｙｐｅｓ               ｏｆ               ｐｒｏｄｕｃｔｓ.                Ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｇａｔｈｅｒｅｄ               ｓｔａｔｉｓｔｉｃｓ               ｏｎ               ｔｈｅ               ｓｔａｔｅ               ｏｆ               Ｗｅｓｔ               Ｖｉｒｇｉｎｉａ               ａｎｄ               ｉｔ               ｓｈｏｗｅｄ               ｔｈａｔ               Ｗｅｓｔ               Ｖｉｒｇｉｎｉａ               ｉｓ               ａｎ               ｏｌｄｅｒ               ｇｅｎｅｒａｔｉｏｎ               ｏｆ               ｃｉｔｉｚｅｎｓ. Ａｃｃｏｒｄｉｎｇ               ｔｏ               Ｗｅｓｔ               Ｖｉｒｇｉｎｉａ               Ｈｅａｌｔｈ               Ｓｔａｔｉｓｔｉｃｓ               Ｃｅｎｔｅｒ               (2003),               "Ｔｈｅ               Ｇｒａｙｉｎｇ               ｏｆ               Ａｍｅｒｉｃａ               ｈａｓ               ｂｅｇｕｎ               ｉｎ               Ｗｅｓｔ               Ｖｉｒｇｉｎｉａ. Ｃｏｍｐａｒｅｄ               ｔｏ               343,156               ｐｅｏｐｌｅ               ａｇｅｄ               45-64               ｉｎ               1950,               ｔｈｅｒｅ               ｗｅｒｅ               455,282               ｉｎ               2000. Ｔｈｅ               ｐｏｐｕｌａｔｉｏｎ               ｏｆ               ｒｅｓｉｄｅｎｔｓ               ａｇｅｄ               65-74               ｉｎｃｒｅａｓｅｄ               ｆｒｏｍ               94,833               ｔｏ               148,463. Ｈｏｗｅｖｅｒ,               ｔｈｅ               ｎｕｍｂｅｒ               ｏｆ               ｐｅｏｐｌｅ               ａｇｅｄ               75               ａｎｄ               ｏｌｄｅｒ               ｈａｓ               ｎｅａｒｌｙ               ｔｒｉｐｌｅｄ,               ｆｒｏｍ               42,896               ｔｏ               128,432"               (ｐａｒａ. 4). Ｔｈｉｓ               ｉｓ               ｓｔｒａｔｅｇｉｃ               ｏｐｐｏｒｔｕｎｉｔｙ               ｆｏｒ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｔｏ               ｃａｐｉｔａｌｉｚｅ               ｏｎ               ａｎｄ               ｐｒｏｖｉｄｅ               ｐｒｏｄｕｃｔｓ               ｔｏ               ｔｈｅ               ｐａｔｉｅｎｔｓ.                Ｉｎ               ｔｈｅ               ｓｕｒｖｅｙ               ｐｒｏｃｅｓｓ,               ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｕｓｅｄ               ｔｈｅ               ｓｅｒｖａｎｔ               ｌｅａｄｅｒｓｈｉｐ               ｓｔｙｌｅ               ｍｏｄｅｌ               ｏｆ               ｌｅａｄｅｒｓｈｉｐ               ｔｏ               ａｌｌｏｗ               ｏｔｈｅｒｓ               ｔｏ               ｖｏｉｃｅ               ｔｈｅｉｒ               ｉｄｅａｓ               ａｎｄ               ｓｕｇｇｅｓｔｉｏｎｓ               ｉｎ               ｒｅｌａｔｉｏｎ               ｔｏ               ｔｈｅ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｍａｒｋｅｔ. Ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｐｒｏｖｉｄｅｄ               ｇｕｉｄａｎｃｅ               ａｎｄ               ｗｏｒｋｅｄ               ａｓ               ａ               ｔｅａｍ               ｍｅｍｂｅｒ               ｗｉｔｈ               ｏｔｈｅｒ               ｅｍｐｌｏｙｅｅｓ               ｉｎ               ｄｅｔｅｒｍｉｎｉｎｇ               ｔｈｅ               ｓｃｏｐｅ               ｏｆ               ｔｈｅ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｍａｒｋｅｔ. Ｔｈｉｓ               ｗａｓ               ｈｏｗ               ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｂｕｉｌｔ               ｒｅｌａｔｉｏｎｓｈｉｐｓ               ｗｉｔｈ               ｔｈｅ               ｐａｒｔｉｃｉｐａｎｔｓ,               ｓｏ               ｔｈａｔ               ｔｈｅ               ｓｔｒａｔｅｇｉｃ               ｐｌａｎｓ               ｏｆ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｃａｎ               ｂｅ               ａｃｈｉｅｖｅｄ               ｂｙ               ｈａｖｉｎｇ               ｅｎｅｒｇｉｚｅｄ               ｌｅａｄｅｒｓ               ｔｏ               ｃａｒｒｙ               ｏｕｔ               ｔｈｅ               ｐｏｔｅｎｔｉａｌ               ｏｆ               ａｎ               ｉｄｅａ               ｏｒ               ｓｕｇｇｅｓｔｉｏｎ.                Ｔｈｅ               ｐｅｒｓｏｎａｌ               ｉｎｔｅｒｖｉｅｗｓ               ｒｅｌａｔｅｄ               ｔｏ               ｔｈｅ               ｐｒｏｊｅｃｔ               ｐｒｏｖｉｄｅｄ               ａ               ｇｒｅａｔ               ｄｅａｌ               ｏｆ               ｉｎｆｏｒｍａｔｉｏｎ               ａｂｏｕｔ               ｔｈｅ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｍａｒｋｅｔ. Ｃｈａｒｌｅｓ               Ｈｕｎｔ,               ＣＥＯ               ｏｆ               Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍｓ,               Ｉｎｃ               ｐｒｏｖｉｄｅｄ               ｔｈｅ               ｇｕｉｄａｎｃｅ               ｉｎ               ｗｈａｔ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｗａｓ               ｗａｎｔｉｎｇ               ｏｕｔ               ｏｆ               ｔｈｅ               ｒｅｓｅａｒｃｈ               ｉｎ               ｐｒｅｖｉｏｕｓ               ｃｏｍｍｕｎｉｃａｔｉｏｎｓ. Ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｔｈｅｎ               ｃｏｎｔａｃｔｅｄ               ｐａｔｉｅｎｔｓ               ａｎｄ               ｐｒｏｖｉｄｅｒｓ               ｕｓｉｎｇ               ａ               ｓｕｒｖｅｙ. Ｆｒｏｍ               ｔｈｅ               ｉｎｆｏｒｍａｔｉｏｎ               ｒｅｃｅｉｖｅｄ               ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｒｅｃｏｇｎｉｚｅｄ               ｔｈａｔ               ｔｈｅｒｅ               ｗａｓ               ｏｒｇａｎｉｚａｔｉｏｎａｌ               ｂｕｙ-ｉｎ.                Ｔｈｅ               ｍａｉｎ               ｐｏｒｔｉｏｎ               ｏｆ               ｔｈｅ               ｐｒｏｊｅｃｔ               ｗａｓ               ｅｓｔａｂｌｉｓｈｉｎｇ               Ｍｉｃｒｏｓｏｆｔ               Ｅｘｃｅｌ               ｓｐｒｅａｄｓｈｅｅｔｓ               ｏｆ               ｔｈｅ               ｐｏｔｅｎｔｉａｌ               ｐｒｏｆｉｔ               ｏｆ               ｅａｃｈ               ｉｔｅｍ. Ｔｈｅ               ｆｉｒｓｔ               ｐｒｏｊｅｃｔｉｏｎ               ｗａｓ               ｅｓｔａｂｌｉｓｈｅｄ               ｆｏｒ               ｐｅｏｐｌｅ               ｔｈａｔ               ｈａｄ               ｉｎｓｕｒａｎｃｅ               ｃｏｖｅｒａｇｅ. Ｉｔ               ｓｈｏｗｅｄ               ｔｈｅ               ｐｏｔｅｎｔｉａｌ               ｒｅｉｍｂｕｒｓｅｍｅｎｔ               ｒａｔｅ               ｔｈａｔ               ｔｈｅ               ｉｎｓｕｒａｎｃｅ               ｃａｒｒｉｅｒｓ               ｗｏｕｌｄ               ｒｅｉｍｂｕｒｓｅ               ａｎ               ｏｒｇａｎｉｚａｔｉｏｎ               ｆｏｒ               ｉｎ               ｒｅｇａｒｄ               ｔｏ               ａ               ｃｅｒｔａｉｎ               ｐｒｏｄｕｃｔ. Ｔｈｅ               ｓｅｃｏｎｄ               ｓｅｔ               ｏｆ               ｆｉｎａｎｃｉａｌ               ｐｒｏｊｅｃｔｉｏｎｓ               ｗａｓ               ｅｓｔａｂｌｉｓｈｅｄ               ｆｏｒ               ｐｅｏｐｌｅ               ｔｈａｔ               ｈａｄ               ｎｏ               ｉｎｓｕｒａｎｃｅ               ｃｏｖｅｒａｇｅ,               ｂｕｔ               ｂａｓｅｄ               ｏｎ               ｔｈｅ               ｓｌｉｄｉｎｇ               ｓｃａｌｅ               ｆｅｅ               ｓｔｒｕｃｔｕｒｅ. Ｔｈｉｓ               ｗａｓ               ｔｈｅ               ｋｅｙ               ｐａｒｔ               ｔｈａｔ               ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｏｆ               Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍｓ,               Ｉｎｃ. ｗａｓ               ｌｏｏｋｉｎｇ               ｆｏｒ               ｔｏ               ｓｅｅ               ｗｈａｔ               ｔｙｐｅ               ｏｆ               ｐｒｏｄｕｃｔｓ               ｏｆｆｅｒｅｄ               ｔｈｅ               ｂｉｇｇｅｓｔ               ｒｅｔｕｒｎ               ｏｎ               ｉｎｖｅｓｔｍｅｎｔ.                Ｅｐｉｐｈａｎｉｅｓ                Ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｓｐｅｃｉａｌ               ｍｏｍｅｎｔ               ｉｎ               ｔｈｅ               ｐｒｏｊｅｃｔ               ｃａｍｅ               ａｔ               ｔｈｅ               ｂｅｇｉｎｎｉｎｇ               ｏｆ               ｔｈｅ               ｒｅｓｅａｒｃｈ               ｐｒｏｃｅｓｓ. Ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｗａｓ               ｒｅｓｅａｒｃｈｉｎｇ               ａｎｄ               ｆｉｎｄｉｎｇ               ｎｏｔｈｉｎｇ               ａｂｏｕｔ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｅｘｃｅｐｔ               ｐｏｌｉｃｉｅｓ. Ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｔｈｅｎ               ｓｈｉｆｔｅｄ               ｔｈｅ               ｆｒａｍｅ               ａｎｄ               ｆｏｃｕｓ               ａｎｄ               ｌｏｏｋｅｄ               ｆｏｒ               ｔｒｅｎｄｓ               ｒｅｌａｔｅｄ               ｔｏ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ. Ｔｈｅ               ｔｒｅｎｄｓ               ｓｈｏｗｅｄ               ｈｏｗ               ｔｈｅ               ｂａｂｙ               ｂｏｏｍｅｒ               ｇｅｎｅｒａｔｉｏｎ               ｗａｓ               ｇｒｏｗｉｎｇ               ａｎｄ               ｔｈｅ               ｎｅｅｄｓ               ｔｈａｔ               ｗｅｒｅ               ｇｏｉｎｇ               ｔｏ               ｂｅ               ｎｅｅｄｅｄ               ｉｎ               ｒｅｌａｔｉｏｎ               ｔｏ               ｔｈｅ               ｈｅａｌｔｈｃａｒｅ               ｆｉｅｌｄ. Ｔｈｅ               ｓｔａｔｉｓｔｉｃｓ               ｆｏｒ               ｔｈｉｓ               ｇｅｎｅｒａｔｉｏｎ               ｓｈｏｗ               ｔｈａｔ               ｔｈｅ               ｎｅｅｄｓ               ｆｏｒ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｐｒｏｄｕｃｔｓ               ａｒｅ               ｇｏｉｎｇ               ｔｏ               ｂｅ               ａｔ               ａｎ               ａｌｌ-ｔｉｍｅ               ｈｉｇｈ               ｉｎ               ｔｈｅ               ｆｕｔｕｒｅ. Ｔｈｅ               ｅｖｉｄｅｎｃｅ               ｃｌｅａｒｌｙ               ｓｈｏｗ               ｔｈａｔ               ｐｅｏｐｌｅ               ａｒｅ               ｇｏｉｎｇ               ｔｏ               ｌｉｖｅ               ｌｏｎｇｅｒ               ｌｉｖｅｓ,               ｂｕｔ               ｗｉｌｌ               ｎｅｅｄ               ｐｒｏｄｕｃｔｓ               ｔｏ               ｈｅｌｐ               ｔｈｅｍ               ｆｕｎｃｔｉｏｎ               ａｓ               ｎｏｒｍａｌ               ａｓ               ｐｏｓｓｉｂｌｅ.                Ｃｏｎｓｔｒｕｃｔｉｎｇ               Ｇｅｎｅｒａｌ               Ａｃｃｏｕｎｔｓ                Ｔｈｅ               ｒｅｓｅａｒｃｈｅｒ               ｄｉｓｃｏｖｅｒｅｄ               ｔｒｅｎｄｓ               ｔｈａｔ               ｐｏｉｎｔ               ｔｏ               ｔｈｅ               ｆｕｔｕｒｅ               ｏｆ               ｔｈｅ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｍａｒｋｅｔ. Ｔｈｅ               ｍｏｓｔ               ｎｏｔａｂｌｅ               ｔｒｅｎｄ               ｉｎ               ｒｅｌａｔｉｏｎ               ｔｏ               ｔｈｅ               ｏｖｅｒａｌｌ               ｈｅａｌｔｈｃａｒｅ               ｍａｒｋｅｔ               ｉｓ               ｔｈｅ               ａｇｉｎｇ               ｏｆ               ｂａｂｙ               ｂｏｏｍｅｒｓ. Ｔｈｅ               ｏｌｄｅｒ               ｇｅｎｅｒａｔｉｏｎ               ｏｆ               ａｄｕｌｔｓ               ｉｓ               ｇｏｉｎｇ               ｔｏ               ｎｅｅｄ               ｐｒｏｄｕｃｔｓ               ａｎｄ               ｓｕｐｐｌｉｅｓ               ｔｈａｔ               ａｌｌｏｗ               ｔｈｅｍ               ｔｏ               ｆｕｎｃｔｉｏｎ               ｉｎ               ｓｏｃｉｅｔｙ. Ｔｈｅ               ｒｅｓｅａｒｃｈ               ｓｈｏｗ               ｔｈａｔ               ｍｏｓｔ               ｏｌｄｅｒ               ｃｉｔｉｚｅｎｓ               ａｒｅ               ｇｏｉｎｇ               ｔｏ               ｎｅｅｄ               ｍｏｂｉｌｉｔｙ               ｐｒｏｄｕｃｔｓ               ｔｈａｔ               ａｌｌｏｗ               ｔｈｅｍ               ｔｏ               ｕｓｅ               ｔｈｅｉｒ               ｈｅａｄ,               ａｒｍｓ,               ｂｏｄｙ,               ａｎｄ               ｌｅｇｓ               ｔｏ               ｆｕｎｃｔｉｏｎ               ａｓ               ｂｅｓｔ               ａｓ               ｐｏｓｓｉｂｌｅ.                Ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｗａｓ               ｌｏｏｋｉｎｇ               ａｔ               ｐｒｏｆｉｔ               ｐｏｔｅｎｔｉａｌ               ｏｆ               ｐｒｏｄｕｃｔｓ               ａｎｄ               ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｐｒｏｖｉｄｅｄ               ｆｉｎａｎｃｉａｌ               ｐｒｏｊｅｃｔｉｏｎｓ               ｔｈａｔ               ｓｈｏｗ               ｗｈａｔ               ｔｈｅ               ｐｏｔｅｎｔｉａｌ               ｉｓ               ｆｏｒ               ｅａｃｈ               ｉｔｅｍ. Ｔｈｅ               ｒｅｓｅａｒｃｈ               ｓｈｏｗｓ               ｔｈａｔ               ｓｔａｒｔ-ｕｐ               ｃｏｓｔｓ               ａｒｅ               ｍｉｎｉｍａｌ               ｓｉｎｃｅ               ｔｈｅ               ｓｅｒｖｉｃｅｓ               ｃａｎ               ｂｅ               ａｄｄｅｄ               ｏｎ               ｗｉｔｈ               ｃｕｒｒｅｎｔ               ｐｈａｒｍａｃｙ               ｓｅｒｖｉｃｅｓ. Ｔｈｅ               ｍａｉｎ               ｃｏｓｔ               ｔｏ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｉｓ               ｉｎｉｔｉａｌ               ｉｎｖｅｎｔｏｒｙ               ｃｏｓｔｓ               ａｎｄ               ｔｈｉｓ               ｗａｓ               ｄｉｓｃｕｓｓｅｄ               ｗｉｔｈ               ｐｒｏｖｉｄｅｒｓ               ｉｎ               ｗｈａｔ               ｐｒｏｄｕｃｔｓ               ｒｅｃｅｉｖｅ               ｔｈｅ               ｍｏｓｔ               ｒｅｆｅｒｒａｌｓ.                Ｃｏｎｔｅｘｔｕａｌｉｚｉｎｇ                Ｓｕｍｍａｒｙ               ｏｆ               Ｏｕｔｃｏｍｅｓ                Ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ'ｓ               ｅｘｐｅｒｉｅｎｃｅ               ｗａｓ               ａ               ｌｅａｒｎｉｎｇ               ｏｐｐｏｒｔｕｎｉｔｙ               ｔｈａｔ               ｒｅｑｕｉｒｅｄ               ｉｎｔｅｒａｃｔｉｏｎ               ｗｉｔｈ               ｔｈｅ               ｅｍｐｌｏｙｅｅｓ               ａｎｄ               ｐａｔｉｅｎｔｓ. Ｔｈｅ               ｐｒｏｖｉｄｅｒｓ               ｗｅｒｅ               ｅｘｃｉｔｅｄ               ｔｈａｔ               ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｗａｎｔｅｄ               ｔｈｅｉｒ               ｉｎｐｕｔ               ｏｎ               ｔｈｅ               ｐｏｔｅｎｔｉａｌ               ｏｆ               ｏｆｆｅｒｉｎｇ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ. Ｔｈｅ               ｅｍｐｌｏｙｅｅｓ               ｗｅｒｅ               ｅｘｃｉｔｅｄ               ｂｅｃａｕｓｅ               ｔｈｅｙ               ｆｅｌｔ               ｌｉｋｅ               ｔｈｅｙ               ｗｅｒｅ               ｏｗｎｅｒｓ               ｗｉｔｈｉｎ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ. Ｐａｔｉｅｎｔｓ               ｗｅｒｅ               ｖｅｒｙ               ｅｘｃｉｔｅｄ               ｓｉｎｃｅ               ｔｈｅｙ               ｗｏｕｌｄ               ｂｅ               ａｂｌｅ               ｔｏ               ｐｕｒｃｈａｓｅ               ｉｔｅｍｓ               ａｔ               ａ               ｌｏｗ               ｃｏｓｔ               ａｎｄ               ｎｏｔ               ｈａｖｅ               ｔｏ               ｗｏｒｒｙ               ａｂｏｕｔ               ａｌｌ               ｔｈｅ               ｐａｐｅｒｗｏｒｋ               ｒｅｑｕｉｒｅｍｅｎｔｓ. Ｊｕｓｔ               ｂｙ               ｄｏｉｎｇ               ｔｈｅ               ｓｕｒｖｅｙｓ               ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｎｏｔｅｓ               ｔｈａｔ               ａ               ｌｏｔ               ｏｆ               ｔｉｍｅ               ｗｏｕｌｄ               ｂｅ               ｓａｖｅｄ               ａｎｄ               ｃｏｕｌｄ               ｂｅ               ｕｓｅｄ               ｏｎ               ｍｏｒｅ               ｐｒｏｄｕｃｔｉｖｅ               ａｃｔｉｖｉｔｉｅｓ               ｂｙ               ｎｏｔ               ｆｉｌｌｉｎｇ               ｏｕｔ               ｒｅｆｅｒｒａｌ               ｐａｐｅｒｗｏｒｋ. Ｔｈｉｓ               ｗｏｕｌｄ               ｐｒｏｖｉｄｅ               ｍｏｒｅ               ｔｉｍｅ               ｗｉｔｈ               ｔｈｅ               ｐｒｏｖｉｄｅｒｓ               ｔｏ               ｓｐｅｎｄ               ｗｉｔｈ               ｔｈｅｉｒ               ｐａｔｉｅｎｔｓ. Ｎｕｒｓｉｎｇ               ｓｔａｆｆ               ｗｏｕｌｄ               ｎｏｔ               ｈａｖｅ               ｔｏ               ｇｅｔ               ｅｖｅｒｙｔｈｉｎｇ               ｔｏｇｅｔｈｅｒ               ｔｏ               ｓｅｎｄ               ｗｉｔｈ               ｔｈｅ               ｒｅｆｅｒｒａｌ               ｐａｐｅｒｗｏｒｋ.                Ｔｈｅ               ｅｖｉｄｅｎｃｅ               ｓｈｏｗｓ               ｔｈａｔ               ｔｈｅ               ｍａｒｋｅｔ               ｐｏｔｅｎｔｉａｌ               ｆｏｒ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｍａｒｋｅｔ               ｉｓ               ｔｈｅｒｅ. Ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｉｓ               ｉｎ               ａ               ｐｏｓｉｔｉｏｎ               ｔｏ               ｏｆｆｅｒ               ｔｈｅ               ｓｅｒｖｉｃｅ               ｗｉｔｈｏｕｔ               ｍｕｃｈ               ｕｐ-ｆｒｏｎｔ               ｏｖｅｒｈｅａｄ. Ｔｈｅ               ｓｔａｔｉｓｔｉｃｓ               ｏｎ               Ｗｅｓｔ               Ｖｉｒｇｉｎｉａ               ｓｈｏｗｓ               ｔｈａｔ               ｔｈｅ               ｐｏｐｕｌａｔｉｏｎ               ｉｓ               ｃｏｎｓｉｓｔｅｄ               ｕｐ               ｍｏｓｔｌｙ               ｏｆ               ｏｌｄｅｒ               ｐｅｏｐｌｅ.                Ｔｈｅ               ｓｔａｋｅｈｏｌｄｅｒｓ               ｖｉｅｗｐｏｉｎｔｓ               ｉｓ               ｔｈａｔ               ｔｈｅｒｅ               ｉｓ               ａ               ｍａｒｋｅｔ               ｆｏｒ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｗｉｔｈｉｎ               ｔｈｅ               ｂｕｓｉｎｅｓｓ               ｓｃｏｐｅ               ｏｆ               Ｃｏｍｍｕｎｉｔｙ               Ｈｅａｌｔｈ               Ｓｙｓｔｅｍｓ,               Ｉｎｃ. Ｔｈｅ               ｒｅｓｅａｒｃｈ               ｓｈｏｗｓ               ｔｈｅ               ｍａｊｏｒｉｔｙ               ａｇｅ               ｇｒｏｕｐ               ｏｆ               Ｗｅｓｔ               Ｖｉｒｇｉｎｉａｓ               ｉｓ               ｏｌｄ               ａｎｄ               ｎｅｅｄ               ｔｈｉｓ               ｔｙｐｅ               ｏｆ               ｓｅｒｖｉｃｅ               ａｔ               ａ               ｌｏｗ               ｃｏｓｔ. Ｔｈｅ               ｐｅｒｓｏｎａｌ               ｃｏｍｍｕｎｉｃａｔｉｏｎ               ｔｈａｔ               ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｈａｄ               ｗｉｔｈ               ｔｈｅ               Ｐｈａｒｍａｃｙ               Ｄｉｒｅｃｔｏｒ,               ｓｈｏｗｅｄ               ｔｈａｔ               ｈｅ               ｗａｓ               ｒｉｇｈｔ               ｉｎ               ｓｔａｔｉｎｇ               ｔｈａｔ               ａｄｄｉｎｇ               ｔｈｅ               ｓｅｒｖｉｃｅ               ｗｉｔｈ               ｅｘｉｓｔｉｎｇ               ｐｈａｒｍａｃｙ               ｓｅｒｖｉｃｅｓ               ｗｏｕｌｄ               ｎｏｔ               ｃｏｓｔ               ａ               ｌｏｔ               ａｎｄ               ｃｏｕｌｄ               ｐｒｏｖｉｄｅ               ａｎ               ａｄｄｉｔｉｏｎａｌ               ｒｅｖｅｎｕｅ               ｓｔｒｅａｍ               ｆｏｒ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ. Ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎｓ               ｍａｊｏｒ               ｓｔａｋｅｈｏｌｄｅｒ               ｔｈｅ               Ｕｎｉｔｅｄ               Ｓｔａｔｅｓ               Ｇｏｖｅｒｎｍｅｎｔ               ｗｏｕｌｄ               ｂｅｎｅｆｉｔ               ｔｈｅ               ｍｏｓｔ               ｓｉｎｃｅ               ｔｈｉｓ               ｉｓ               ａ               ｂｉｇ               ｐａｒｔ               ｏｆ               ｔｈｅ               Ｐｒｅｓｉｄｅｎｔｓ               ｐｌａｎ               ｔｏ               ｇｉｖｅ               ｍｏｒｅ               ｇｒａｎｔ               ｍｏｎｅｙ               ｔｏ               ｃｏｍｍｕｎｉｔｙ               ｈｅａｌｔｈ               ｃｅｎｔｅｒｓ. Ｔｈｅ               ｇｏｖｅｒｎｍｅｎｔｓ               ｐｌａｎ               ｉｓ               ｔｏ               ｓｈｉｆｔ               ｍｏｒｅ               ｍｏｎｅｙ               ａｎｄ               ｒｅｓｏｕｒｃｅｓ               ｔｏ               ｔｈｅｓｅ               ｔｙｐｅｓ               ｏｆ               ｂｕｓｉｎｅｓｓｅｓ               ｔｏ               ｈｅｌｐ               ｐｅｏｐｌｅ               ｓａｖｅ               ｏｎ               ｍｏｎｅｙ               ｆｏｒ               ｄｏｃｔｏｒ'ｓ               ｖｉｓｉｔｓ               ａｎｄ               ｐｒｅｓｃｒｉｐｔｉｏｎ               ｄｒｕｇｓ.                Ｔｈｅ               ｉｍｐｌｉｃａｔｉｏｎｓ               ｏｆ               ｔｈｅ               ｓｔｕｄｙ               ｏｎ               ｔｈｅ               ｐｏｌｉｃｉｅｓ               ｗｉｔｈｉｎ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｗｏｕｌｄ               ｒｅｑｕｉｒｅ               ａ               ｓｔｅｐ-ｂｙ-ｓｔｅｐ               ｐｒｏｃｅｄｕｒｅ               ｔｏ               ｂｅ               ｗｒｉｔｔｅｎ               ｔｏ               ｓｈｏｗ               ｔｈｅ               ｐｒｏｖｉｄｅｒｓ               ｈｏｗ               ｔｏ               ｒｅｆｅｒ               ｔｈｅ               ｐａｔｉｅｎｔｓ               ｔｏ               ｔｈｅ               ｐｈａｒｍａｃｙ               ｔｏ               ｒｅｃｅｉｖｅ               ｔｈｅｉｒ               ｐｒｏｄｕｃｔｓ. Ｔｈｅ               ｓｅｒｖｉｃｅｓ               ｔｈａｔ               ｗｏｕｌｄ               ｂｅ               ａｆｆｅｃｔｅｄ               ｗｏｕｌｄ               ｂｅ               ｔｈｅ               ｐｈａｒｍａｃｙ               ｂｅｃａｕｓｅ               ｔｈｅｙ               ｗｏｕｌｄ               ｎｅｅｄ               ｔｏ               ｂｅ               ｔｒａｉｎｉｎｇ               ｏｎ               ｗｈａｔ               ｒｅｑｕｉｒｅｓ               ａ               ｐｒｅｓｃｒｉｐｔｉｏｎ               ａｎｄ               ｗｈａｔ               ｄｏｅｓ               ｎｏｔ               ｒｅｑｕｉｒｅ               ａ               ｐｒｅｓｃｒｉｐｔｉｏｎ. Ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｗｏｕｌｄ               ｈａｖｅ               ｔｏ               ｕｐｄａｔｅ               ｔｈｅｉｒ               ｓｔｒａｔｅｇｉｃ               ｐｌａｎ               ｔｏ               ｉｎｃｌｕｄｅ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｉｎｔｏ               ｔｈｅ               ｃｏｍｐａｎｙ'ｓ               ｒａｎｇｅ               ｏｆ               ｓｅｒｖｉｃｅｓ. Ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｎｏｔｅｓ               ｔｈａｔ               ｔｈｅｒｅ               ａｒｅ               ｎｏ               ｍａｊｏｒ               ｉｍｐｌｉｃａｔｉｏｎｓ               ｂｙ               ｔｈｅ               ｏｕｔｃｏｍｅｓ               ｏｆ               ｔｈｉｓ               ｒｅｓｅａｒｃｈ.                Ｐｌａｎ               ｏｆ               Ａｃｔｉｏｎ                Ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｗｏｕｌｄ               ｒｅｃｏｍｍｅｎｄ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｔｏ               ｅｘｐａｎｄ               ｉｎｔｏ               ｔｈｅ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｍａｒｋｅｔ               ｂｅｃａｕｓｅ               ｏｆ               ｔｈｅ               ｐｏｔｅｎｔｉａｌ               ａｎｄ               ｌｏｗ-ｃｏｓｔ               ｉｎｖｅｓｔｍｅｎｔ. Ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｃａｎ               ｔｅｓｔ               ｔｈｅ               ｍａｒｋｅｔ               ｔｏ               ｓｅｅ               ｉｆ               ｔｈｅ               ｐｏｔｅｎｔｉａｌ               ｉｓ               ｒｅａｌｌｙ               ｔｈｅｒｅ               ａｓ               ｔｈｅ               ｒｅｓｅａｒｃｈ               ｈａｄ               ｓｈｏｗｓ. Ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｗｏｕｌｄ               ｔｈｅｎ               ｒｅｃｏｍｍｅｎｄ               ａｎ               ａｄｖｅｒｔｉｓｉｎｇ               ｃａｍｐａｉｇｎ               ｉｎ               ａｌｌ               ｃｌｉｎｉｃｓ               ａｓｓｏｃｉａｔｅｄ               ｗｉｔｈ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｔｏ               ｉｎｆｏｒｍ               ｐａｔｉｅｎｔｓ               ｏｆ               ｔｈｅ               ｎｅｗ               ｅｘｐａｎｓｉｏｎ               ｏｆ               ｓｅｒｖｉｃｅ. Ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｓｈｏｕｌｄ               ｓｅｌｅｃｔ               ａ               ｐｅｒｓｏｎ               ｔｈａｔ               ｃａｎ               ｌｅａｄ               ｔｈｉｓ               ｐｒｏｊｅｃｔ. Ｔｈｉｓ               ｓｔｅｐ               ｉｓ               ｉｍｐｏｒｔａｎｔ               ｂｅｃａｕｓｅ               ｈｅ/ｓｈｅ               ｗｉｌｌ               ｂｕｉｌｄ               ａ               ｔｅａｍ               ｔｈａｔ               ｈａｓ               ａ               ｃｏｍｍｏｎ               ｇｏａｌ. Ｔｈｉｓ               ｐｅｒｓｏｎ               ｗｏｕｌｄ               ｂｅ               ｔｈｅ               ｃｏｎｔａｃｔ               ｆｏｒ               ｅｍｐｌｏｙｅｅｓ               ａｎｄ               ｐａｔｉｅｎｔｓ               ｉｎ               ｄｅｔｅｒｍｉｎｉｎｇ               ｔｈｅ               ｎｅｅｄｓ               ｏｆ               ｅａｃｈ               ｇｒｏｕｐ. Ｔｈｉｓ               ｐｅｒｓｏｎ               ｗｏｕｌｄ               ｔｈｅｎ               ｗｏｒｋ               ｗｉｔｈ               ｔｈｅ               ｐｈａｒｍａｃｙ               ｓｔａｆｆ               ｔｏ               ｄｅｔｅｒｍｉｎｅ               ｔｈｅ               ａｒｅａ               ｉｎ               ｔｈｅ               ｐｈａｒｍａｃｙ               ｗｈｅｒｅ               ｔｈｅ               ｐｒｏｄｕｃｔｓ               ｗｏｕｌｄ               ｂｅ               ｃａｒｒｉｅｄ. Ｔｈｉｓ               ｔｅａｍ               ｏｆ               ｅｍｐｌｏｙｅｅｓ               ｔｈｅｎ               ｗｏｕｌｄ               ｄｅｔｅｒｍｉｎｅ               ｉｎｖｅｎｔｏｒｙ               ｌｅｖｅｌｓ               ｔｏ               ｅｓｔａｂｌｉｓｈ               ｂｅｆｏｒｅ               ｏｆｆｅｒｉｎｇ               ｔｈｉｓ               ｓｅｒｖｉｃｅ               ｔｏ               ｔｈｅ               ｐａｔｉｅｎｔｓ.                Ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ'ｓ               ｅｖａｌｕａｔｉｏｎ               ｏｆ               ｔｈｅ               ｐｌａｎ               ｗｏｕｌｄ               ｂｅ               ｂｙ               ｍｏｎｉｔｏｒｉｎｇ               ｐｒｏｄｕｃｔｓ               ｓｏｌｄ               ａｎｄ               ａｎａｌｙｚｉｎｇ               ｆｉｎａｎｃｉａｌ               ｓｔａｔｅｍｅｎｔｓ               ｍｏｎｔｈｌｙ. Ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｗｏｕｌｄ               ｍｅｅｔ               ｗｉｔｈ               ｔｈｅ               ｌｅａｄｅｒ               ｔｈａｔ               ｔｈｅｙ               ｓｅｌｅｃｔｅｄ               ｔｏ               ｍａｋｅ               ｓｕｒｅ               ｔｈａｔ               ｐａｔｉｅｎｔｓ               ａｒｅ               ｉｎｆｏｒｍｅｄ               ｏｆ               ｔｈｅ               ｓｅｒｖｉｃｅｓ               ａｎｄ               ｔｈａｔ               ｔｈｅ               ｐｒｏｖｉｄｅｒｓ               ａｒｅ               ｒｅｆｅｒｒｉｎｇ               ｔｈｅｍ               ｔｏ               ｔｈｅ               ｐｈａｒｍａｃｙ               ｆｏｒ               ｓｅｒｖｉｃｅｓ               ｒｅｌａｔｅｄ               ｔｏ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ. Ｂｙ               ｄｏｉｎｇ               ｔｈｉｓ               ｍｅｔｈｏｄ               ｏｆ               ｅｖａｌｕａｔｉｏｎ               ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｗｏｕｌｄ               ｂｅ               ａｂｌｅ               ｔｏ               ｄｅｔｅｒｍｉｎｅ               ｔｏ               ｃｏｎｔｉｎｕｅ               ｔｈｅ               ｂｕｓｉｎｅｓｓ               ｏｒ               ｅｌｉｍｉｎａｔｅ               ｉｔ               ｆｒｏｍ               ｉｔｓ               ｃｕｒｒｅｎｔ               ｏｐｅｒａｔｉｏｎｓ.                Ｔｈｅ               ｐｌａｎ               ｏｆ               ａｃｔｉｏｎ               ｆｒｏｍ               ｔｈｉｓ               ｒｅｓｅａｒｃｈ               ｗｏｕｌｄ               ｈａｖｅ               ｔｏ               ｈａｖｅ               ｄｅｔａｉｌｅｄ               ｇｏａｌｓ. Ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｗｏｕｌｄ               ｈａｖｅ               ｔｏ               ｅｓｔａｂｌｉｓｈ               ｔｈｅｓｅ               ｔｏ               ｔｈｅ               ｂｕｓｉｎｅｓｓ               ｌｅａｄｅｒ               ｔｈａｔ               ｉｓ               ｌｅａｄｉｎｇ               ｔｈｅ               ｐｒｏｊｅｃｔ. Ｂｒａｉｎｓｔｏｒｍｉｎｇ               ｓｅｓｓｉｏｎｓ               ｃｏｕｌｄ               ｂｅ               ｕｓｅｄ               ｔｏ               ｆｏｒｍｕｌａｔｅ               ａｄｖｅｒｔｉｓｉｎｇ               ｐｌａｎｓ               ｔｏ               ｉｎｆｏｒｍ               ｔｈｅ               ｃｏｍｍｕｎｉｔｙ               ａｂｏｕｔ               ｔｈｅ               ｓｅｒｖｉｃｅｓ               ｔｈａｔ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｉｓ               ｏｆｆｅｒｉｎｇ. Ｔｈｅ               ｉｎｆｏｒｍａｔｉｏｎ               ｆｒｏｍ               ｔｈｉｓ               ｐｒｏｊｅｃｔ               ｓｈｏｕｌｄ               ｈａｖｅ               ｓｈｏｗｎ               ｍａｎａｇｅｍｅｎｔ               ｔｏ               ｌｅｔ               ｔｈｅ               ｅｍｐｌｏｙｅｅｓ               ｂｅ               ｃｒｅａｔｉｖｅ               ｉｎ               ｔｈｅｉｒ               ｊｏｂｓ               ａｎｄ               ａｌｌｏｗ               ｅｍｐｌｏｙｅｅｓ               ｔｏ               ｍａｋｅ               ｓｕｇｇｅｓｔｉｏｎｓ               ｏｎ               ｓｅｒｖｉｃｅｓ               ａｎｄ               ｈｏｗ               ｔｈｅｙ               ｃａｎ               ｂｅ               ｄｏｎｅ               ｍｏｒｅ               ｅｆｆｉｃｉｅｎｔｌｙ. Ｔｈｅ               ｂｕｓｉｎｅｓｓ               ｉｓ               ｓｉｍｐｌｅ               ａｎｄ               ｅａｓｉｌｙ               ｉｍｐｌｅｍｅｎｔｅｄ               ｂｅｃａｕｓｅ               ｏｆ               ｔｈｅ               ｌｏｗ               ｏｖｅｒｈｅａｄ               ｃｏｓｔｓ. Ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｓｈｏｕｌｄ               ｎｏｔ               ｍｉｃｒｏｍａｎａｇｅ               ｔｈｅ               ｏｐｐｏｒｔｕｎｉｔｙ,               ｂｕｔ               ｇｉｖｅ               ｔｈｅ               ｐｒｏｊｅｃｔ               ｌｅａｄｅｒ               ｔｈｅ               ｒｅｓｐｏｎｓｉｂｉｌｉｔｙ               ｔｏ               ｍａｋｅ               ｉｔ               ａ               ｓｕｃｃｅｓｓ.                Ｔｈｅ               ｃｏｎｃｌｕｓｉｏｎ               ｏｆ               ｔｈｅ               ｒｅｓｅａｒｃｈ               ｉｓ               ｔｈａｔ               ｔｈｅ               ｉｎｆｏｒｍａｔｉｏｎ               ｆｏｕｎｄ               ｆｒｏｍ               ａｌｌ               ｓｏｕｒｃｅｓ               ｓｈｏｗｓ               ｔｈａｔ               ｐｏｔｅｎｔｉａｌ               ｏｆ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ               ｉｓ               ｅｓｔａｂｌｉｓｈｅｄ               ｉｎ               ｔｈｅ               ｔｒｅｎｄｓ               ｔｈａｔ               ｗｅｒｅ               ｄｉｓｃｏｖｅｒｅｄ               ｉｎ               ｔｈｅ               ｒｅｓｅａｒｃｈ. Ｔｈｅ               ｐａｔｉｅｎｔ               ｂａｓｅ               ｏｆ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｉｓ               ｏｌｄｅｒ               ｐｅｏｐｌｅ               ｔｈａｔ               ｎｅｅｄ               ｔｈｅｓｅ               ｔｙｐｅｓ               ｏｆ               ｐｒｏｄｕｃｔｓ               ｎｏｗ. Ｔｈｅ               ｉｍｐｌｅｍｅｎｔａｔｉｏｎ               ｉｓ               ｒａｔｈｅｒ               ｓｉｍｐｌｅ               ｓｉｎｃｅ               ｉｔ               ｗｏｕｌｄ               ｂｅ               ａｄｄｅｄ               ｏｎｔｏ               ｅｘｉｓｔｉｎｇ               ｓｅｒｖｉｃｅｓ. Ｔｈｅ               ｐｒｏｖｉｄｅｒｓ               ｗｏｕｌｄ               ｐｌａｙ               ａ               ｋｅｙ               ｒｏｌｅ               ｉｎ               ｉｎｆｏｒｍｉｎｇ               ｔｈｅｉｒ               ｐａｔｉｅｎｔｓ               ｔｈａｔ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｏｆｆｅｒｓ               ｔｈｅｓｅ               ｐｒｏｄｕｃｔｓ               ａｎｄ               ａｔ               ａ               ｒｅｄｕｃｅｄ               ｒａｔｅ               ｔｈａｎ               ｔｈｅｉｒ               ｃｏｍｐｅｔｉｔｏｒｓ. Ａｆｔｅｒ               ｔｈｅ               ｉｍｐｌｅｍｅｎｔａｔｉｏｎ               ｏｆ               ｔｈｅ               ｐｒｏｊｅｃｔ               ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｓｈｏｕｌｄ               ｌｏｏｋ               ａｔ               ｍｏｒｅ               ｏｐｐｏｒｔｕｎｉｔｉｅｓ               ｆｏｒ               ｅｘｐａｎｓｉｏｎ               ｔｈａｔ               ｒｅｑｕｉｒｅ               ｌｉｔｔｌｅ               ｏｖｅｒｈｅａｄ               ｂｅｃａｕｓｅ               ｉｔ               ａｄｄｓ               ｔｏ               ｔｈｅ               ｂｏｔｔｏｍ               ｌｉｎｅ               ｏｆ               ｔｈｅ               ｏｒｇａｎｉｚａｔｉｏｎ.                Ｅｖａｌｕａｔｉｏｎ               ｏｆ               Ｒｅｓｕｌｔｓ                Ｔｈｅ               ｅｖａｌｕａｔｉｏｎ               ｏｆ               ｏｐｅｎｉｎｇ               ｔｈｉｓ               ｂｕｓｉｎｅｓｓ               ｗｏｕｌｄ               ｂｅ               ｔｏ               ｍｏｎｉｔｏｒ               ｔｈｅ               ｆｉｎａｎｃｉａｌ               ｓｔａｔｅｍｅｎｔｓ               ｍｏｎｔｈｌｙ. Ｔａｌｋ               ｗｉｔｈ               ｐｒｏｖｉｄｅｒｓ               ａｎｄ               ｄｉｓｃｕｓｓ               ｎｅｗ               ｐｒｏｄｕｃｔｓ               ｔｈａｔ               ｎｅｅｄ               ｔｏ               ｂｅ               ｋｅｐｔ               ｉｎｔｏ               ｉｎｖｅｎｔｏｒｙ. Ｔｈｅ               ｌｅａｄｅｒ               ｏｆ               ｔｈｅ               ｂｕｓｉｎｅｓｓ               ｓｈｏｕｌｄ               ｓｅｎｄ               ｏｕｔ               ｍｏｒｅ               ｓｕｒｖｅｙｓ               ｉｎ               ａｂｏｕｔ               ｓｉｘ               ｍｏｎｔｈｓ               ａｎｄ               ａｓｋ               ｈｏｗ               ｔｈｅｙ               ａｒｅ               ｄｏｉｎｇ               ａｎｄ               ｗｈａｔ               ｃｏｕｌｄ               ｂｅ               ｉｍｐｒｏｖｅｄ               ｔｏ               ｍｅｅｔ               ｔｈｅｉｒ               ｎｅｅｄｓ. Ｔｈｅ               ｍａｎａｇｅｍｅｎｔ               ｔｅａｍ               ｓｈｏｕｌｄ               ｌｏｏｋ               ａｔ               ｔｈｅ               ｂｕｓｉｎｅｓｓ               ｖｏｌｕｍｅ               ｏｎ               ａ               ｍｏｎｔｈｌｙ               ｂａｓｉｓ               ａｎｄ               ｌｏｏｋ               ｆｏｒ               ａｒｅａｓ               ｏｆ               ｉｍｐｒｏｖｅｍｅｎｔ.                Ｌｅａｄｅｒｓｈｉｐ               Ｅｌｅｍｅｎｔｓ                Ｔｈｅ               ｆｏｕｒ               ｋｅｙ               ｌｅａｄｅｒｓｈｉｐ               ｅｌｅｍｅｎｔｓ               ｔｈａｔ               ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｕｓｅｄ               ｗｅｒｅ               ｌｅａｒｎ,               ｄｉｒｅｃｔ,               ａｎａｌｙｚｅ,               ａｎｄ               ｒｅｆｌｅｃｔ. Ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｋｅｐｔ               ａｎ               ｏｐｅｎ               ｅａｒ               ａｎｄ               ｌｉｓｔｅｎｅｄ               ｔｏ               ｗｈａｔ               ｔｈｅ               ｐａｒｔｉｃｉｐａｎｔｓ               ｈａｄ               ｔｏ               ｓａｙ. Ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｗａｓ               ｃｒｅａｔｉｖｅ               ｉｎ               ｄｅｓｉｇｎｉｎｇ               ｔｈｅ               ｐｒｏｊｅｃｔ               ａｎｄ               ｅｎｊｏｙｅｄ               ｔｈｅ               ｒｅｌａｔｉｏｎｓｈｉｐ               ｂｕｉｌｄｉｎｇ               ｔｈａｔ               ｔｈｅ               ｐｒｏｊｅｃｔｅｄ               ａｌｌｏｗｅｄ               ｔｏ               ｆｏｒｍ. Ｓｅｌｌｉｎｇ               ｔｈｅ               ｉｄｅａ               ａｎｄ               ｒｅｓｅａｒｃｈ               ｃｏｎｃｌｕｓｉｏｎ               ｗａｓ               ｔｈｅ               ｍｏｓｔ               ｉｎｔｅｒｅｓｔｉｎｇ               ｐａｒｔ               ｂｅｃａｕｓｅ               ｉｔ               ｔａｕｇｈｔ               ｔｈｅ               ｆａｃｉｌｉｔａｔｏｒ               ｔｈｅ               ｋｅｙ               ｔｏ               ｌｅａｄｅｒｓｈｉｐ. Ｙｏｕ               ｈａｖｅ               ｔｏ               ｓｅｌｌ               ｙｏｕｒｓｅｌｆ               ａｎｄ               ｔａｋｅ               ｔｈｅ               ｓｔａｇｅ               ａｎｄ               ｐｅｒｆｏｒｍ               ｗｈａｔ               ｙｏｕ'ｒｅ               ｒｅｑｕｉｒｅｄ               ｔｏ               ｄｏ.                Ｒｅｆｅｒｅｎｃｅｓ                Ａｐｒｏｐｏ               Ｂｅｎｅｆｉｔｓ               Ｍａｎａｇｅｍｅｎｔ. (). Ｄｕｒａｂｌｅ               Ｍｅｄｉｃａｌ               Ｅｑｕｉｐｍｅｎｔ:               ａ               ｔｏｕｇｈ               ｃｈａｌｌｅｎｇｅ. Ｒｅｔｒｉｅｖｅｄ               Ｊｕｎｅ               15,               2006,               ｆｒｏｍ               ｈｔｔｐ://ａｐｒｏｐｏｂｅｎｅｆｉｔｓ.ｃｏｍ/ＤＭＥｐｅｒｓｐｅｃｔｉｖｅ.ｈｔｍｌ                (Ｃｅｎｔｅｒｆｏｒ               Ｍｅｄｉｃａｒｅ               Ｍｅｄｉｃａｉｄ               20               ＮＥＷ               ＨＨＳ               ＲＥＧＵＬＡＴＩＯＮ               ＦＩＧＨＴＳ               ＭＥＤＩＣＡＲＥ               ＦＲＡＵＤ               ＡＮＤ               ＡＢＵＳＥ               ＡＭＯＮＧ               ＤＵＲＡＢＬＥ               ＭＥＤＩＣＡＬ               ＥＱＵＩＰＭＥＮＴ               ＳＵＰＰＬＩＥＲＳ)Ｃｅｎｔｅｒｓ               ｆｏｒ               Ｍｅｄｉｃａｒｅ               &               Ｍｅｄｉｃａｉｄ. (20). Ｎｅｗ               ＨＨＳ               Ｒｅｇｕｌａｔｉｏｎ               Ｆｉｇｈｔｓ               Ｍｅｄｉｃａｒｅ               Ｆｒａｕｄ               ａｎｄ               Ａｂｕｓｅ               ａｍｏｎｇ               Ｄｕｒａｂｌｅ               Ｍｅｄｉｃａｌ               Ｅｑｕｉｐｍｅｎｔ               Ｓｕｐｐｌｉｅｒｓ. Ｒｅｔｒｉｅｖｅｄ               Ｊｕｎｅ               17,               2006,               ｆｒｏｍ               Ｃｅｎｔｅｒｓ               ｆｏｒ               Ｍｅｄｉｃａｒｅ               ａｎｄ               Ｍｅｄｉｃａｉｄ               Ｓｅｒｖｉｃｅｓ               Ｗｅｂ               Ｓｉｔｅ:               ｈｔｔｐ://ｗｗｗ.ｃｍｓ.ｈｈｓ.ｇｏｖ/ａｐｐｓ/ｍｅｄｉａ/ｐｒｅｓｓ/ｒｅｌｅａｓｅ.ａｓｐ?Ｃｏｕｎｔｅｒ=42                (Ｃｉｔｉｚｅｎｓ               Ａｇａｉｎｓｔ               Ｇｏｖｅｒｎｍｅｎｔ               Ｗａｓｔｅ               Ｗｒｉｇｈｔ               Ｅ               Ｌ               1997               Ｍｅｄｉｃａｒｅ               Ｆｒａｕｄ:               ｔｈｅ               Ｓｙｍｐｔｏｍｓ               ａｎｄ               ｔｈｅ               Ｃｕｒｅ)Ｃｉｔｉｚｅｎｓ               Ａｇａｉｎｓｔ               Ｇｏｖｅｒｎｍｅｎｔ               Ｗａｓｔｅ,               &               Ｗｒｉｇｈｔ,               Ｅ. Ｌ. (1997). Ｍｅｄｉｃａｒｅ               Ｆｒａｕｄ:               ｔｈｅ               Ｓｙｍｐｔｏｍｓ               ａｎｄ               ｔｈｅ               Ｃｕｒｅ. Ｒｅｔｒｉｅｖｅｄ               Ｊｕｎｅ               16,               2006,               ｆｒｏｍ               Ｃｉｔｉｚｅｎｓ               Ａｇａｉｎｓｔ               Ｇｏｖｅｒｎｍｅｎｔ               Ｗａｓｔｅ               Ｗｅｂ               Ｓｉｔｅ:               ｈｔｔｐ://ｗｗｗ.ｃａｇｗ.ｏｒｇ/ｓｉｔｅ/ＰａｇｅＳｅｒｖｅｒ?ｐａｇｅｎａｍｅ=ｒｅｐｏｒｔｓ_ｍｅｄｉｃａｒｅ                (Ｃｏｇｈｌａｎ               Ｄ               Ｂｒａｎｎｉｃｋ               Ｔ               2005               Ｄｏｉｎｇ               Ａｃｔｉｏｎ               Ｒｅｓｅａｒｃｈ               ｉｎ               ｙｏｕｒ               ｏｗｎ               Ｏｒｇａｎｉｚａｔｉｏｎ)Ｃｏｇｈｌａｎ,               Ｄ.,               &               Ｂｒａｎｎｉｃｋ,               Ｔ. (2005). Ｄｏｉｎｇ               Ａｃｔｉｏｎ               Ｒｅｓｅａｒｃｈ               ｉｎ               ｙｏｕｒ               ｏｗｎ               Ｏｒｇａｎｉｚａｔｉｏｎ               (2ｎｄ               ｅｄ.). Ｔｈｏｕｓａｎｄ               Ｏａｋｓ,               ＣＡ:               Ｓａｇｅ               Ｐｕｂｌｉｃａｔｉｏｎｓ.                (Ｅｘｃｉｔｅ               Ｍｏｎｅｙ               Ａｎｄ               Ｉｎｖｅｓｔｍｅｎｔｓ               28               ＳｍａｌｌＣａｐ               Ｓｅｎｔｉｎｅｌ:               Ｃｏｕｌｄ               Ｄｕｒａｂｌｅ               Ｍｅｄｉｃａｌ               Ｅｑｕｉｐｍｅｎｔ               ｂｅ               Ｔｈｅｒａｐｅｕｔｉｃ               ｆｏｒ               Ｙｏｕｒ               Ｐｏｒｔｆｏｌｉｏ?)Ｅｘｃｉｔｅ               Ｍｏｎｅｙ               Ａｎｄ               Ｉｎｖｅｓｔｍｅｎｔｓ. (28). ＳｍａｌｌＣａｐ               Ｓｅｎｔｉｎｅｌ:               Ｃｏｕｌｄ               Ｄｕｒａｂｌｅ               Ｍｅｄｉｃａｌ               Ｅｑｕｉｐｍｅｎｔ               ｂｅ               Ｔｈｅｒａｐｅｕｔｉｃ               ｆｏｒ               Ｙｏｕｒ               Ｐｏｒｔｆｏｌｉｏ? Ｒｅｔｒｉｅｖｅｄ               Ｊｕｎｅ               15,               2006,               ｆｒｏｍ               ｈｔｔｐ://ｍｏｎｅｙ.ｅｘｃｉｔｅ.ｃｏｍ/ｊｓｐ/ｎｗ/ｎｗｄｔ_ｇｅ.ｊｓｐ?ｎｅｗｓ_ｉｄ=ｐｚｎ-96293&ｆｅｅｄ=ｐｚｎ&ｄａｔｅ=20060328                (Ｆｌｏｗｅｒ               Ｊ               1996               Ｆｕｔｕｒｅ               ｏｆ               Ｈｅａｌｔｈｃａｒｅ)Ｆｌｏｗｅｒ,               Ｊ. (1996). Ｔｈｅ               Ｆｕｔｕｒｅ               ｏｆ               Ｈｅａｌｔｈｃａｒｅ. Ｒｅｔｒｉｅｖｅｄ               Ｊｕｎｅ               30,               2006,               ｆｒｏｍ               ｈｔｔｐ://ｗｗｗ.ｗｅｌｌ.ｃｏｍ/~ｂｂｅａｒ/ｈｅａｌｔｈｃａｒｅ_ｆｕｔｕｒｅ.ｈｔｍｌ                (Ｇｒｅａｔ               Ａｍｅｒｉｃａｎ               Ｇｒｏｕｐ               2004               Ｉｎｄｕｓｔｒｙ               ｏｕｔｌｏｏｋ               ｏｎ               Ｈｏｓｐｉｔａｌ               ａｎｄ               Ｍｅｄｉｃａｌ               Ｅｑｕｉｐｍｅｎｔ)Ｇｒｅａｔ               Ａｍｅｒｉｃａｎ               Ｇｒｏｕｐ. (2004). Ｉｎｄｕｓｔｒｙ               ｏｕｔｌｏｏｋ               ｏｎ               Ｈｏｓｐｉｔａｌ               ａｎｄ               Ｍｅｄｉｃａｌ               Ｅｑｕｉｐｍｅｎｔ. Ｒｅｔｒｉｅｖｅｄ               Ｊｕｎｅ               15,               2006,               ｆｒｏｍ               ｈｔｔｐ://ｗｗｗ.ｇｒｅａｔａｍｅｒｉｃａｎ.ｃｏｍ/ＰＤＦ/Ｈｏｓｐｉｔａｌ%20&%20Ｍｅｄｉｃａｌ.ｐｄｆ                (Ｋｏｚｅｎｙ               Ｊｉｌｌ               26               Ｇｒａｓｓｌｅｙ               Ｌｅｇｉｓｌａｔｉｏｎ               ｔｏ               Ｍａｎｄａｔｅ               Ｓｐｅｃｉｆｉｃ               Ｂｉｌｌｉｎｇ               ｆｏｒ               Ｄｕｒａｂｌｅ               Ｍｅｄｉｃａｌ               Ｅｑｕｉｐｍｅｎｔ)Ｋｏｚｅｎｙ,               Ｊｉｌｌ. (26). Ｇｒａｓｓｌｅｙ               Ｌｅｇｉｓｌａｔｉｏｎ               ｔｏ               Ｍａｎｄａｔｅ               Ｓｐｅｃｉｆｉｃ               Ｂｉｌｌｉｎｇ               ｆｏｒ               Ｄｕｒａｂｌｅ               Ｍｅｄｉｃａｌ               Ｅｑｕｉｐｍｅｎｔ. Ｒｅｔｒｉｅｖｅｄ               Ｊｕｎｅ               17,               2006,               ｆｒｏｍ               ｈｔｔｐ://ｗｗｗ.ｓｅｎａｔｅ.ｇｏｖ/~ｇｒａｓｓｌｅｙ/ｒｅｌｅａｓｅｓ/1997/ｐｒ6-26.ｈｔｍ                (Ｍｅｄｉｃａｒｅ               ｂｉｌｋｅｄ               ｉｎｔｏ               ｐａｙｉｎｇ               ｍｉｌｌｉｏｎｓ               ｆｏｒ               ｊｕｎｋｅｄ               ｇｏｏｄｓ               10               )Ｍｅｄｉｃａｒｅ               ｂｉｌｋｅｄ               ｉｎｔｏ               ｐａｙｉｎｇ               ｍｉｌｌｉｏｎｓ               ｆｏｒ               ｊｕｎｋｅｄ               ｇｏｏｄｓ. (10). Ｔｈｅ               Ｉｎｔｅｌｌｉｇｅｎｃｅｒ,               ｐｐ. Ｃ-15.                (ＭｅｄｉｃａｒｅＧｏｖ               Ｍｅｄｉｃａｒｅ               Ｃｏｖｅｒａｇｅ               ｏｆ               Ｄｕｒａｂｌｅ               Ｍｅｄｉｃａｌ               Ｅｑｕｉｐｍｅｎｔ)Ｍｅｄｉｃａｒｅ.Ｇｏｖ. (). Ｍｅｄｉｃａｒｅ               Ｃｏｖｅｒａｇｅ               ｏｆ               Ｄｕｒａｂｌｅ               Ｍｅｄｉｃａｌ               Ｅｑｕｉｐｍｅｎｔ. Ｒｅｔｒｉｅｖｅｄ               Ｊｕｎｅ               29,               2006,               ｆｒｏｍ               Ｍｅｄｉｃａｒｅ               Ｗｅｂ               Ｓｉｔｅ:               ｈｔｔｐ://ｗｗｗ.ｍｅｄｉｃａｒｅ.ｇｏｖ/Ｐｕｂｌｉｃａｔｉｏｎｓ/Ｐｕｂｓ/ｐｄｆ/11045.ｐｄｆ                (Ｏ'Ｂｒｉｅｎ               Ｒ               1998               Ａｎ               Ｏｖｅｒｖｉｅｗ               ｏｆ               ｔｈｅ               Ｍｅｔｈｏｄｏｌｏｇｉｃａｌ               Ａｐｐｒｏａｃｈ               ｏｆ               Ａｃｔｉｏｎ               Ｒｅｓｅａｒｃｈ)Ｏ'Ｂｒｉｅｎ,               Ｒ. (1998). Ａｎ               Ｏｖｅｒｖｉｅｗ               ｏｆ               ｔｈｅ               Ｍｅｔｈｏｄｏｌｏｇｉｃａｌ               Ａｐｐｒｏａｃｈ               ｏｆ               Ａｃｔｉｏｎ               Ｒｅｓｅａｒｃｈ. Ｒｅｔｒｉｅｖｅｄ               Ｊｕｌｙ               19,               2006,               ｆｒｏｍ               Ｕｎｉｖｅｒｓｉｔｙ               ｏｆ               Ｔｏｒｏｎｔｏ               Ｗｅｂ               Ｓｉｔｅ:               ｈｔｔｐ://ｗｗｗ.ｗｅｂ.ｃａ/~ｒｏｂｒｉｅｎ/ｐａｐｅｒｓ/ａｒｆｉｎａｌ.ｈｔｍｌ#_Ｔｏｃ26184655                (Ｐｒｏｇｒｅｓｓｉｖｅ               Ｍｅｄｉｃａｌ               Ｉｎｃ               2006               Ｐｒｏｇｒｅｓｓｉｖｅ               Ｍｅｄｉｃａｌ,               Ｉｎｃ.)Ｐｒｏｇｒｅｓｓｉｖｅ               Ｍｅｄｉｃａｌ,               Ｉｎｃ. (2006). Ｐｒｏｇｒｅｓｓｉｖｅ               Ｍｅｄｉｃａｌ,               Ｉｎｃ. Ｒｅｔｒｉｅｖｅｄ               Ｊｕｎｅ               30,               2006,               ｆｒｏｍ               ｈｔｔｐ://ｗｗｗ.ｐｒｏｇｒｅｓｓｉｖｅ-ｍｅｄｉｃａｌ.ｃｏｍ/12050.ｃｆｍ                (Ｓｅｎｉｏｒ               ＪｏｕｒｎａｌＣｏｍ               26               Ｎｅｗ               Ｍｅｄｉｃａｒｅ               Ｃｏｍｐｅｔｉｔｉｖｅ               Ｂｉｄｄｉｎｇ               Ｒｕｌｅ               Ｃａｎ               Ｓａｖｅ               Ｔａｘｐａｙｅｒｓ               Ｂｉｌｌｉｏｎｓ)Ｓｅｎｉｏｒ               Ｊｏｕｒｎａｌ.Ｃｏｍ. (26). Ｎｅｗ               Ｍｅｄｉｃａｒｅ               Ｃｏｍｐｅｔｉｔｉｖｅ               Ｂｉｄｄｉｎｇ               Ｒｕｌｅ               Ｃａｎ               Ｓａｖｅ               Ｔａｘｐａｙｅｒｓ               Ｂｉｌｌｉｏｎｓ. Ｒｅｔｒｉｅｖｅｄ               Ｊｕｎｅ               17,               2006,               ｆｒｏｍ               ｈｔｔｐ://ｗｗｗ.ｓｅｎｉｏｒｊｏｕｒｎａｌ.ｃｏｍ/ＮＥＷＳ/Ｍｅｄｉｃａｒｅ/6-04-24-ＮｅｗＭｅｄｉｃａｒｅＣｏｍｐｅｔｉｔｉｖｅ.ｈｔｍ                (Ｓｍｉｔｈ               Ｊ               Ｅ               Ｐｏｐｉｅｌａｒｓｋｉ               Ｅ               Ｈｏｓｐｉｔａｌ               Ｏｕｔｐａｔｉｅｎｔ               Ｐｈａｒｍａｃｉｅｓ               ａｎｄ               Ｄｕｒａｂｌｅ               Ｍｅｄｉｃａｌ               Ｅｑｕｉｐｍｅｎｔ)Ｓｍｉｔｈ,               Ｊ. Ｅ.,               &               Ｐｏｐｉｅｌａｒｓｋｉ,               Ｅ. (). Ｈｏｓｐｉｔａｌ               Ｏｕｔｐａｔｉｅｎｔ               Ｐｈａｒｍａｃｉｅｓ               ａｎｄ               Ｄｕｒａｂｌｅ               Ｍｅｄｉｃａｌ               Ｅｑｕｉｐｍｅｎｔ. Ｒｅｔｒｉｅｖｅｄ               Ｊｕｎｅ               14,               2006,               ｆｒｏｍ               ｈｔｔｐ://ｗｗｗ.ａｊｈｐ.ｏｒｇ/ｃｇｉ/ｃｏｎｔｅｎｔ/ａｂｓｔｒａｃｔ/43/4/928                (Ｓｔａｔｅ               Ｏｆ               Ｗｅｓｔ               Ｖｉｒｇｉｎｉａ               Ｄｈｈｒ               1               Ｍｅｄｉｃａｉｄ               Ｐｒｏｇｒａｍ               Ｉｎｓｔｒｕｃｔｉｏｎｓ)Ｓｔａｔｅ               Ｏｆ               Ｗｅｓｔ               Ｖｉｒｇｉｎｉａ               Ｄｅｐａｒｔｍｅｎｔ               ｏｆ               Ｈｅａｌｔｈ               ａｎｄ               Ｈｕｍａｎ               Ｒｅｓｏｕｒｃｅｓ               (1). Ｍｅｄｉｃａｉｄ               Ｐｒｏｇｒａｍ               Ｉｎｓｔｒｕｃｔｉｏｎｓ. Ｒｅｔｒｉｅｖｅｄ               Ｊｕｎｅ               16,               2006,               ｆｒｏｍ               Ｂｕｒｅａｕ               ｆｏｒ               Ｍｅｄｉｃａｌ               Ｓｅｒｖｉｃｅｓ               Ｗｅｂ               Ｓｉｔｅ:               ｈｔｔｐ://ｗｗｗ.ｗｖｄｈｈｒ.ｏｒｇ/ｂｍｓ/ｓｐｒｏｇ_ｉｎｓｔｒ/ｐｉｍａ_ｆｉｌｅｓ/ｂｍｓ_ｐｉｍａ0228.ｐｄｆ                (Ｕｓａ               Ｔｏｄａｙ               13               Ｇｅｏｒｇｅ               Ｗ. Ｂｕｓｈ               ｏｎ               Ｈｅａｌｔｈ               Ｃａｒｅ)ＵＳＡ               Ｔｏｄａｙ. (13). Ｇｅｏｒｇｅ               Ｗ. Ｂｕｓｈ               ｏｎ               Ｈｅａｌｔｈ               Ｃａｒｅ. Ｒｅｔｒｉｅｖｅｄ               Ｊｕｎｅ               28,               2006,               ｆｒｏｍ               Ｇｅｏｒｇｅ               Ｗ. Ｂｕｓｈ               ｏｎ               Ｈｅａｌｔｈ               Ｃａｒｅ               Ｗｅｂ               Ｓｉｔｅ:               ｈｔｔｐ://ｗｗｗ.ｉｓｓｕｅｓ2000.ｏｒｇ/Ｇｅｏｒｇｅ_Ｗ__Ｂｕｓｈ_Ｈｅａｌｔｈ_Ｃａｒｅ.ｈｔｍ                (Ｗａｌｇｒｅｅｎｓ               Ｐｈａｒｍａｃｙ               2006               Ｐｒｏｄｕｃｔｓ               ａｎｄ               Ｓｅｒｖｉｃｅｓ)Ｗａｌｇｒｅｅｎｓ               Ｐｈａｒｍａｃｙ. (2006). Ｐｒｏｄｕｃｔｓ               ａｎｄ               Ｓｅｒｖｉｃｅｓ. Ｒｅｔｒｉｅｖｅｄ               Ｊｕｎｅ               30,               2006,               ｆｒｏｍ               ｈｔｔｐ://ｗｗｗ.ｗａｌｇｒｅｅｎｓｈｅａｌｔｈ.ｃｏｍ/ｗｈｃ//////////////ｃｏｍｍｏｎ/ｊｓｐ/ａｂｏｕｔｕｓ_ｐｒｏｄ_ｓｅｒｖｉｃｅｓ.ｊｓｐ?_ｒｅｑｕｅｓｔｉｄ=234835#ｈｃａｒｅ                (Ｗｅｒｔｈｅｉｍｅｒ               Ａ               Ｉ               Ｃｈａｎｅｙ               Ｎ               Ｍ               Ｓａｎｔｅｌｌａ               Ｔ               Ｍ               Ｐｏｐｏｍａｒｏｎｉｓ               Ｗ               Ｔ               Ｍｉｃｋ               Ｌ               200510               Ｉｎｃｒｅａｓｉｎｇ               Ｐｒｏｆｉｔｓ               ｗｉｔｈ               Ｈｏｍｅ               Ｈｅａｌｔｈ               Ｃａｒｅ               Ｐｒｏｄｕｃｔｓ)Ｗｅｒｔｈｅｉｍｅｒ,               Ａ. Ｉ.,               Ｃｈａｎｅｙ,               Ｎ. Ｍ.,               Ｓａｎｔｅｌｌａ,               Ｔ. Ｍ.,               Ｐｏｐｏｍａｒｏｎｉｓ,               Ｗ. Ｔ.,               &               Ｍｉｃｋ,               Ｌ. (2005,               Ｏｃｔｏｂｅｒ). Ｉｎｃｒｅａｓｉｎｇ               Ｐｒｏｆｉｔｓ               ｗｉｔｈ               Ｈｏｍｅ               Ｈｅａｌｔｈ               Ｃａｒｅ               Ｐｒｏｄｕｃｔｓ. Ｒｅｔｒｉｅｖｅｄ               Ｊｕｎｅ               30,               2006,               ｆｒｏｍ               Ｐｈａｒｍａｃｙ               Ｔｉｍｅｓ               Ｗｅｂ               Ｓｉｔｅ:               ｈｔｔｐ://ｗｗｗ.ｐｈａｒｍａｃｙｔｉｍｅｓ.ｃｏｍ/Ａｒｔｉｃｌｅ.ｃｆｍ?Ｍｅｎｕ=1&ＩＤ=2664                (Ｗｅｓｔ               Ｖｉｒｇｉｎｉａ               Ｈｅａｌｔｈ               Ｓｔａｔｉｓｔｉｃｓ               Ｃｅｎｔｅｒ               200310               ＨＳＣ               Ｓｔａｔｉｓｔｉｃａｌ               Ｂｒｉｅｆ               Ｎｕｍｂｅｒ               10)Ｗｅｓｔ               Ｖｉｒｇｉｎｉａ               Ｈｅａｌｔｈ               Ｓｔａｔｉｓｔｉｃｓ               Ｃｅｎｔｅｒ. (2003,               Ｏｃｔｏｂｅｒ). ＨＳＣ               Ｓｔａｔｉｓｔｉｃａｌ               Ｂｒｉｅｆ               Ｎｕｍｂｅｒ               10. Ｒｅｔｒｉｅｖｅｄ               Ｊｕｌｙ               18,               2006,               ｆｒｏｍ               ｈｔｔｐ://ｗｗｗ.ｗｖｄｈｈｒ.ｏｒｇ/ｂｐｈ/ｏｅｈｐ/ｈｓｃ/ｂｒｉｅｆｓ/ｔｅｎ/ｄｅｆａｕｌｔ.ｈｔｍ                (Ｗｉｋｉｐｅｄｉａ               11               Ｃｕｒｒｅｎｔ               Ｐｒｏｃｅｄｕｒａｌ               Ｔｅｒｍｉｎｏｌｏｇｙ)Ｗｉｋｉｐｅｄｉａ. (11). Ｃｕｒｒｅｎｔ               Ｐｒｏｃｅｄｕｒａｌ               Ｔｅｒｍｉｎｏｌｏｇｙ. Ｒｅｔｒｉｅｖｅｄ               Ｊｕｎｅ               14,               2006,               ｆｒｏｍ               ｈｔｔｐ://ｅｎ.ｗｉｋｉｐｅｄｉａ.ｏｒｇ/ｗｉｋｉ/Ｃｕｒｒｅｎｔ_Ｐｒｏｃｅｄｕｒａｌ_Ｔｅｒｍｉｎｏｌｏｇｙ                (Ｗｉｋｉｐｅｄｉａ               9               ＩＣＤ)Ｗｉｋｉｐｅｄｉａ. (9). ＩＣＤ. Ｒｅｔｒｉｅｖｅｄ               Ｊｕｎｅ               14,               '2006,               ｆｒｏｍ               ｈｔｔｐ://ｅｎ.ｗｉｋｉｐｅｄｉａ.ｏｒｇ/ｗｉｋｉ/ＩＣＤ-9                Ｂｕｔｃｈｅｒ,               Ｒｏｂｅｒｔ. Ｐｅｒｓｏｎａｌ               Ｉｎｔｅｒｖｉｅｗ,               Ｊｕｎｅ               3,               2006.                Ｈｕｎｔ,               Ｃｈａｒｌｅｓ. Ｐｅｒｓｏｎａｌ               Ｉｎｔｅｒｖｉｅｗ,               Ｍａｙ               28,               2006.                Ｐｌｕｎｋｅｔｔ,               Ｍｉｃｋｅｙ. Ｐｅｒｓｏｎａｌ               Ｉｎｔｅｒｖｉｅｗ. Ｊｕｎｅ               10,               2006.

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10. ...addition, Sweet Leaf contains a whole range of amino acids such as L-Tryptophan, L-Glutamine... Maple Sweet, which is a SESE type sugary enhancer. It takes only 77 ...

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    ...addition, Sweet Leaf contains a whole range of amino acids such as L-Tryptophan, L-Glutamine... Maple Sweet, which is a SESE type sugary enhancer. It takes only 77 ...

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3 Types of Bookkeeping Systems Three Types of Bookkeeping Systems Names of Accounting Systems 3 Types of Accounting Different Types of Accounting Software Types of Accounting Information Systems Explain the Different Accounting Systems Accounting Information Systems Software