Regionalization of ACS to TCs is a viable option from a business perspective. Access to care is preserved during an approaching crisis in emergency general surgical coverage. The referring hospital is relieved of an unfavorable payer mix and surgeon call problems. The TC receives a new revenue stream with limited impact on resources by absorbing these patients under its fixed costs, saving the CH variable costs.

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Mortality. The mlortality in 200 cases observed durina tlhree months was 2 per cent.; these four cases died of bronchlopneuuinonia, and two of them terminate' in severe convulsions.