Review of day-hospital provision in psychogeriatrics. This paper presents an overview of the current provision of day hospitals for the elderly mentally ill. By reviewing available literature the author attempts to answer a series of questions--Why is there a need for the psychogeriatric day hospital? What are the aims of those who run them? Who attends? What do they do all day? How do they get there? Who works in the day hospital? Is the service fulfilling its function? The paper ends with a consideration of how such day services may best be used in the future, and suggests that day hospitals may offer a most effective service to those elderly people with active support in the community. For this group of patients, maintenance for as long as possible within the community may be achieved through early assessment, diagnosis, treatment and rehabilitation, coupled with regular respite for the caregiver, and the day hospital provides an ideal setting for such a programme.


The implications of managing confused and disabled people in non-specialist residential homes for the elderly. Local Authority residential homes for the elderly are caring for substantial proportions of physically disabled and mentally confused residents in non-specialist settings. The results of an intensive study of six homes caring for varying proportions of disabled and confused residents are summarized. The homes are compared in terms of staff training and attitudes, physical care of residents, social environment, and attitudes of residents. The authors suggest that a "mix" of residents can have advantages over segregation and that most homes can manage around 30% confused residents. If this is to be successful, attention should be given to staffing levels, staff training and the role of health service staff in residential homes.


Career preferences of doctors qualifying in the United Kingdom in 1980.


The pattern of disease in hospital, 1968-1978.


The Bristol Stroke Unit.

The Bristol Stroke Unit. The Bristol Stroke Unit was set up in 1975 in order to provide a service for stroke patients and to undertake both service and biomedical research. During the first 5 years, 472 stroke patients were seen and 388 were treated. Detailed information was kept on most patients and this has been used for studies on prediction and outcome. General principles of management evolved and these are itemized. Important developments include the expansion of the Unit remit to include the management of other disabling disorders such as multiple sclerosis, a greater emphasis on service research, and the development of a voluntary service.


The Department and the National Health Service--a personal retrospect.


Licensure by specialty.

Licensure by specialty.


Using mass media and group instruction for preventive mental health in rural communities.


Licensure standards for the recent medical graduate.


Health statistics and cost containment: data resources, needs, and policy.


Review of capital needs study.

Review of capital needs study.


Humana leases Louisville university hospital: to provide care for needy.


New incentives.

New incentives.


State rate setting reexamined.

State rate setting reexamined.


Another look at the Enthoven proposal.

Another look at the Enthoven proposal.


Health manpower in the medical marketplace.


Technology assessment proposed.

Technology assessment proposed.


Cost containment, rate control are key 1983 legislative issues.


The nurse labor market.

The nurse labor market.


Supplemental nursing agencies.

Supplemental nursing agencies.


The minor emergency center: preview of coming attractions.


Perspectives on the GMENAC Report.

Perspectives on the GMENAC Report.


The future supply of physicians: from pluralism to policy.


The future of the AMA: an interview with James H. Sammons. Interview by John K. Iglehart.


The impact of changes in federal policy on academic health centers.


Developing a marketing attitude throughout the medical institution.


Fund development: overlooked marketing medium for hospitals?


Common pay spines in health care organisations--common sense? An application of job evaluation in a health care setting.


NHS manpower in perspective (2).

NHS manpower in perspective (2).


NHS reorganisation and industrial relations.


The long-term implications of the short report--the time to redesign medical careers.


Nursing manpower requirements: a framework for rational discussion.


Exchange cart vs. PAR stock: which is the best distribution system? Part III.


HPM predicts 5% price inflation and 5% usage gain for 1983.


OR/MM relationships: an analysis.

OR/MM relationships: an analysis.


Contract terms and conditions.

Contract terms and conditions.


Punch out the time clocks.

Punch out the time clocks. Today's work environment is full of contradictions. On the one hand there aren't enough jobs to go around and on the other some people who have jobs would trade pay for time off. Some managers, at least managers of one-fifth of the labor force, are resolving this contradiction with an elegantly simple solution. They are installing some version of alternative work schedules: flexitime, permanent part-time jobs, job sharing, compressed workweeks, and work sharing, which give employees more control over their professional and personal lives and give employers, for instance in an economic downturn, a way, a way to keep experienced workers on the job without straining budgets. The authors of this article, both of whom have helped develop alternative work schedules, describe the five forms and how numerous employers across the country are adapting them to their purposes. They predict that eventually most U.S. employees will be working under some form of the new schedules.


Your right to fire.

Your right to fire.


TEFRA and the hospital-based program.

TEFRA and the hospital-based program.


Growing opportunities in public service contracting.


Studies favor expansion of home health services.


Medical social services offer agencies greater flexibility in the provision of in-home services.


Non-profit tax expert provides insight into home health agency financial situation, restructuring.


State supports options program.

State supports options program.


Attorney warns RNs of potential liability in the EHS (employee health service)


Changing office environment creates new hazards for hospital office staff.


Investing the maintenance safety brings many happy returns.


Do disinfectants need tests for effectiveness?


An orientation program that will start employees out right.


Outlook improves for meningitis: a rare nosocomial infection.


Viruses cause many infections in children's hospitals.


Maintain closed IV system and change sets at 48 hours.


Basic principles for IC in central service cited.


Utilization review may separate winners from losers.


Physician activity profile.

Physician activity profile.


Issues in hospital information system development.


Psychiatric units present special challenges to QA coordinators.


Medical staff appointment decisions: when the anti-competitive spirit surfaces.


Physician involvement in hospital cost control.


Respiratory therapy guidelines issued to cut unnecessary uses.


The formation and destruction of physician/administrator cooperation.


Combined functions ensure patients' continuity of care.


Babysitter training teaches teenagers child care skills.


1983 innovators catalog: compilation of your solutions to hospital management problems.


Carner's codes, Chapter 6: Managing with committees.


Counseling service assists hospital employees with personal problems.


The changing medical practice: implications for hospitals, physicians.


Health care manager's notebook: master four competencies.


Applying Japanese management styles in American hospitals: focus on values.


"Living room" represents oncology unit's focus on total patient care.


Social justice programs target discrimination, employment.


Evaluative criteria: translating words into action.


Couple to Couple League, hospitals cooperate in teaching NFP.


Educational seminar recognizes nursing staff achievements.


Scientific research rooted in concern for human person.


Trends in U.S. Catholic hospitals and all other nonfederal U.S. hospitals, 1970 to 1979: CHA Study Report, Part IV. Changes in full-time equivalent personnel, payroll, and expenses.


Hospital treatment methods weighed against accepted care standards.


General description of surgery's risks suffices in obtaining patient consent.


Hospital topical law: clinical staff privileges.


Reagan science policy: what grants administrators should know.


Public-private partnership in funding programs.


How to keep your grant application from being laughed at by the government.


Metamorphosis: federal support for voluntary organizations.


California Federal District Court invalidates HCFA labor/delivery room reimbursement policy.


State open meeting statutes: how they affect hospitals.


Practical learning in health administration education.


Staffing the intensive care unit.

Staffing the intensive care unit.


AHA seeks to intervene in lawsuit challenging HHS regulations prohibiting discrimination against handicapped infants.


Nurse role conflict and hospital organizational stress.


What's new in hyperbaric oxygen therapy?


Pharmacy Q & As: solving reoccuring systems problems in the department.


"There's a new nurse in town"--a valuable investment for hospitals.


A centralized transport system for inpatient treatments.


Wrappers--a move for cost containment.

Wrappers--a move for cost containment.


Fundamental electrical safety in health care facilities.


Presidential Commission issues report on decisions to forego life-sustaining treatment.


State legislators act on health planning despite Congressional delays.


Central service: inservice instruction material and tests. Part 4.


How to increase revenues through appointment reminders.


FTC advises Illinois hospital that exclusive radiology contract does not violate antitrust law.


Expanding home health services: evaluation of the federal grant program. The federal Home Health Grant Program was initiated in 1976 and is intended to increase the provision of home health services by means of grants for the expansion of existing home health agencies and the development of new ones. The evaluation of the grant program is summarized in this article, emphasizing the visit increases generated by grantees and the factors associated with successful grantee performance. Although the grantees were generally successful in increasing visits, grantee performance varied considerably in terms of certain agency and locational characteristics. In particular, Visiting Nurse Association agencies demonstrated considerably better performance than other types of agencies.


Profile of president. Vickery Stoughton.


Getting arrested: what happens to your job?


Cash flows with good management.

Cash flows with good management.


Sterilization record form.

Sterilization record form.


The key to better patient care.

The key to better patient care.


The doctor should decide.

The doctor should decide.


What if?

What if?


A matter of 'coverage'.

A matter of 'coverage'.


Public education a must.

Public education a must.


For physicians, is it the lady or the tiger?


Some facts about corporate growth.

Some facts about corporate growth.


Some facts about ICU costs.

Some facts about ICU costs.


Collaboration is the key.

Collaboration is the key.


Portland Oregon: a case study.

Portland Oregon: a case study.


What's ahead? An inaugural address.

What's ahead? An inaugural address.


Coping with competition.

Coping with competition.


Community coalitions confront health care costs.


Coming to grips with physician supply and demand.


Why bother?

Why bother?


Seven simple steps to giving better personal care.


Medicine needs a healthy dose of business.


Is it real--or is it TV?

Is it real--or is it TV?


Mega-hospital systems: a look into the future.


A cottage industry no more.

A cottage industry no more.


Centralizing sterilization records.

Centralizing sterilization records.


Monitoring equipment issue.

Monitoring equipment issue.


Change--crisis or challenge?

Change--crisis or challenge?


Small forms change saves time, money.

Small forms change saves time, money.


Hospital security. A study of size, scope and management.


Discrepancy reporting on receipt of damaged goods, shortages, or mis-shipments.


Changes in washer-sterilizers require careful buyer study.


Purchasers divided on groups' job impact.


Bar coding: standardized product codes needed to make it work.


Hospital employees battle high cost of patient care.


What happens next? A look at one of the problems facing the security administrator in his battle to protect assets and prevent losses.


What is the methodology for calculating holding or storage costs for supplies in inventory and why is it important?


Security in healthcare facilities.

Security in healthcare facilities.


Number of hospitals to nosedive by 1990?


Computerized visitor access. The University of Chicago Medical Center.


A document examiner's advice to security management.


'Short order' from expedites ordering of needed supplies.


Heretical musings of a dedicated nurse.

Heretical musings of a dedicated nurse.


Closure or expansion? A marketing perspective on obstetrics.


Regimen for a dinosaur.

Regimen for a dinosaur.


OHA favours 'pro-active' communications strategy.


Surviving the crunch.

Surviving the crunch.


Managing in a stressful situation.

Managing in a stressful situation.


New employee: potential plus.

New employee: potential plus.


$50,000 in the garbage can.

$50,000 in the garbage can.


'Preferred risk' plan charges doctors for high-risk behavior.


Oxygen analyzers create liability if not used consistently.


Prevent patient suicides with early-identification strategy.


Judicial incentive for quality control.

Judicial incentive for quality control.


Attorney warns against bylaws that only satisfy regulators.


Hospitals must begin to credential allied providers, attorney says.


Court scrutinizes hospital's exclusive contract with specialists.


Cut litigation risk by managing suit-prompting factors.


Red wrist bands identify patients with special needs.


Hospitals earn premium discounts for preventive RM efforts.


Tighten medical records' security to reduce incidence of tampering.


Lawsuit against FL fund continues as hospitals protest retro-billing.


3-phase plan speeds hospital recovery after fire.


Polyurethane foam pads: how to manage the risk.


How podiatrists in Maryland won hospital privileges and more.


Prescribing by pharmacists.

Prescribing by pharmacists.


A prospective drug utilization review on the prescribing of oral and parenteral cephalosporins.


Medi-messages.

Medi-messages.


Costs of care.

Costs of care.


The outlook for clinical pharmacy reimbursement.


The phone does not ring at 2 a.m. in the average household.


Experiences in utilizing the quality circle concept. This article describes an experience with using the quality circle concept in a hospital pharmacy environment. The initial experience was positive in that the staff defined productivity standards for themselves. The staff used their productivity standards to evaluate the perceived problem of understaffing in the department.


Computer applications in hospital pharmacy practice.  I. Computer expectations/applications. Following vendor selection of a pharmacy computer system, attention must be directed toward which computerized functions to include. Although most features are uniform among the various systems, a discussion is presented listing those applications considered the minimum acceptable for any hospital pharmacy computer system. The descriptions focus on computerization of those labor-intensive activities necessary to support drug distribution services. Computerized support of an intravenous (I.V.) admixture and unit dose program centers around label production and charging/crediting functions. Label production is used to generate a manual backup profile and unit dose cart fill list. The scope of information to include on I.V. and unit dose labels is described. Charging/crediting functions via computer are also discussed, with mention of free-form capabilities. Other computer applications mentioned include: medication profiling, drug interaction flagging, data confidentiality, census support, and hard copy reports. Feature selection depends on the aspects and unique needs that benefit most from computerization.


Self-medication promotes patient independence in rehabilitative setting. Patients at Sheltering Arms Hospital in Richmond, Virginia, receive instruction about their medication by pharmacists and may progress through three levels of teaching, including monitored self-medication. Pre- and posttests are administered to determine the effectiveness of the program and the percentage of patient improvement in recall as a result. Patients who completed the program demonstrated a significant improvement in scores in four out of five testing categories.


Computer applications in hospital pharmacy practice.  II. Manual backup/support system. The planning phase of a hospital pharmacy computer system usually does not address the issue of a suitable backup should the computer fail. This article describes a backup system centered around a hard-copy patient medication profile. This profile is built through use of computer-generated duplicate labels and exists for both the unit dose and intravenous admixture services. With this approach, the computer initiates its own support system and thereby eliminates the need for a separate, manually maintained backup system.


A health care system in Sweden.

A health care system in Sweden.


NICAD battery discharge device.

NICAD battery discharge device. This Nicad Battery Discharge Device provides a method of automatically discharging a nickel-cadmium battery at a pre-set constant current, and measures the length of time the battery under test can deliver this current. From the timer data, the cell's ampere-hour rating can be confirmed. The remainder of the process includes shorting the battery terminals for a period of time to drain the cell totally, and then reinstalling the cell into the original piece of equipment for recharging. By putting the nicad battery through this process, an important preventive maintenance function is performed which will increase the battery's useful life. Deep discharging erases any "memory" effect the nicad may have developed and brings the cell's power storage capacity back to its original level.


A versatile mobile clinical microcomputer system. A microcomputer system is described that has been incorporated into a custom-designed cart for mobility throughout a clinical setting with consequent increased utilization and cost-effectiveness. A library of clinical profiles has been developed that processes and consolidates quantitative clinical data into a bar-graph format for more convenient interpretation and documentation. It is suggested that even a small hospital can acquire a mobile computer system and hire a senior or graduate student in the physical or computer sciences, on a part-time basis, from a neighboring university or technical college, to develop clinical computer software suitable for that particular institution.


Clinical management by rural nurses using a microcomputer.


The helping community: issues in the evaluation of a preventive intervention to promote informal helping. This report addresses conceptual and practical problems in evaluating the effectiveness of an intervention which used a pyramid training model for improving helping skills for informal helpers in two rural communities. Against a background for a study of help-giving and help-seeking patterns, the transmission of helping skills from professional to community trainers to local helpers was studied. Impacts of the intervention on other aspects of the community are reported.


Planning for disaster: a new community outreach program for mental health centers. Disaster victims typically do not request services from the mental health system. Victims must be contacted through innovative outreach programs linked to the disaster relief network. Advance planning for disaster programs by mental health centers is highly desirable, but barriers may be encountered related to (a) external support, (b) information on victim needs, (c) intervention methods, (d) linkage with disaster agencies, or (d) planning guidelines. Advice and information are offered on how to overcome each potential barrier. A model disaster plan is outlined that is consistent with NIMH guidelines for disaster preparedness planning, and with three criteria considered essential for an effective plan.


Approaches to evaluating the outcome of deinstitutionalization: a reply to Christenfeld.


An ECG/EEG common mode rejection ratio analyzer. An ECG/EEG common-mode rejection ratio analyzer is discussed and its method of operation is analyzed. In addition to easily performed common-mode rejection ratio tests, this instrument also can perform linearity, frequency response and sweep-speed tests. Because of the complexity of the standard method for performing common-mode rejection ratio tests, many hospitals are omitting this test or employing alternative common-mode rejection tests. However, the ease of this new device facilitates its use in performing common-mode rejection tests.


Health technology management in the Department of Health and Human Services.


A pacemaker monitoring system.

A pacemaker monitoring system. The use of cardiac pacemaker technology has greatly decreased the morbidity and mortality caused by certain cardiac arrhythmias. Its use, however, has not been without complications, including broken or dislodged pacemaker leads, failure of the pacemaker to sense the QRS complex, and cardiac arrhythmias. This paper presents a straightforward and inexpensive monitoring system which detects four specific pacemaker failure states.


Symposium: The impact of technology on health care.


Linearizing the thermistory: a reminder that the thermistor can be tamed. The thermistor, a preferred temperature transducer, has a non-linear resistance vs. temperature characteristic. However, the non-linear characteristic of the Wheatstone bridge circuit in which thermistors are usually used can compensate for this, so that, over a selected range, quite accurate linear voltage outputs may be obtained. A selected set of bridge resistor and excitation voltage values are presented together with accuracy data. Comments concerning the application of these circuits include safety considerations.


Regulatory controls on capital-based medical technology.


Rehabilitation engineering education at the University of Virginia. The graduate rehabilitation engineering program of study at the University of Virginia is the first program of its type in the United States. The first students were admitted to the program in the fall of 1979. The program is designed to train students with engineering and clinical science backgrounds in the field of rehabilitation engineering. Emphasis is placed on practical training through internship activities at the University of Virginia Rehabilitation Engineering Center and Medical School Department of Orthopedics and Rehabilitation. Field experience is received at the Woodrow Wilson Rehabilitation Center and the University of Virginia Children's Rehabilitation Center.


Quality assurance, technology assessment, and health management: Proteus reborn.


Utilization of rehabilitation research: implications for applying medical technology.


Biomedical consensus development.

Biomedical consensus development.


Utilizing citation analysis to examine primary dissemination potential of research findings.


Evolution of a hospital-based clinical engineering contract service. Large, centrally-located hospitals can develop Clinical Engineering Services designed to assist other hospitals. These services can be delivered in a cost-effective manner, without extensively disrupting internal services. These services can provide a means of enhancing hospital-to-hospital relationships, while delivering a viable, needed service.


Does it pay? The case of mobile coronary care units.


Preparing anesthesia equipment for suspected malignant hyperthermia episodes. Malignant hyperthermia is a relatively rare condition which strikes susceptible patients undergoing surgery. This disorder is an inherited biochemical defect, triggered by certain anesthetic agents and stress. The patient suffers a rapid and potentially dangerous rise in temperature, brought about by an increase in metabolism. If a patient, by family history or test, is suspected of being susceptible to malignant hyperthermia, special precautions must be taken before proceeding with surgery. The clinical engineer must: 1) prepare special anesthesia equipment which is free of trace gases capable of triggering an episode of malignant hyperthermia; 2) provide special monitoring facilities to detect the onset of an episode; and 3) have treatment facilities on hand in the event that an episode does develop.


Health planning and technology.

Health planning and technology.


Factors affecting representation of minorities and the disadvantaged in health planning agencies.


Cross-boundary power related to interagency relationships between community agencies.


Nursing turnover one more time.

Nursing turnover one more time.


Brooklyn's SAGE program: providing library service to all the elderly.


Law, aging and the elderly.

Law, aging and the elderly.


The patient package insert and its legal implications.


Hard facts about losing your job that will help you to survive.


Villemure v L'Hôpital Notre-Dame et al.

Villemure v L'Hôpital Notre-Dame et al.


Venugopal v Spalding Union Hospital Board.


Withholding treatment from defective newborns: a description of Canadian practices.


Ohio hospital layoffs not expected to affect linen-service operations.


Preventative maintenance is the key to a smooth-running finishing system.


St. Mary's Hospital, Reno to open new off-site laundry in March.


New hospital laundry in India very unusual by U.S. standards.


We've finally made our practice pay off.


Those hospital specialties: alive and very healthy.


Make a personnel manual work overtime.

Make a personnel manual work overtime.


Would a life-care community be right for you?


Contributions to patient satisfaction: a new role for hospital volunteers.


Joint projects: legal and business issues.


Is your office a thieves' paradise?

Is your office a thieves' paradise?


Containing health costs: facts that the government ignores.


Here comes the FTC again.

Here comes the FTC again.


Survey of 1982 Michigan appellate court cases and attorney general opinions.


Wrongful birth: how much is it worth not to be born?


Revocation of staff privileges: due process responsibilities.


Survey of 1982 public acts.

Survey of 1982 public acts.


TEFRA's effect on pensions: a new challenge for hospitals.


Enhancing volunteerism in Ohio.

Enhancing volunteerism in Ohio.


Design and construction. Ribbon cuttings, contract awards.


Hospitals, medical staff privileges, and antitrust.


Yale-New Haven links century-old patient units with high technology.


More sophisticated financings help lifecare centers avert failure.


NYC hospitals try to avert CON moratorium.


Schweiker irks planning's allies, foes.

Schweiker irks planning's allies, foes.


Trustees reach beyond boardrooms through state hospital associations.


Incentives may become a popular way to spur aggressive management.


HCA amasses capital in '82, bringing debt-to-equity ratio down to 54-46.


Court places welfare responsibility ahead of Hill-Burton free-care rule.


'Feisty' Heckler now HHS' protector--but she first must learn the issues.


Hospitals forming PPOs to fend off HMO rivals.


California contracting law sparks PPOs.

California contracting law sparks PPOs.


TEFRA forces hospitals to rethink contract arrangements with doctors.


TEFRA jolts providers into heavy number-crunching strategy setting.


VHA subsidiary guides nonprofits down the road of diversification.


Coalitions adopt aggressive stance.

Coalitions adopt aggressive stance.


Hospitals try to relieve frustration of their baby-boom era managers.


Surgical lasers can generate profit if volume of use can be guaranteed.


ACHA quality assurance program seeks to quiet foes of deregulation.


Design and construction. Healthcare construction leaps a surprising 25% in '82.


Future bright, but rocky: growth in multihospital systems will be largely through consolidation and diversification.


Who, where, and how much: first survey of multihospital systems management salaries.


People who need people: computers are great for systemwide management information.


Rating managers' performance.

Rating managers' performance.


A different drummer. Interview by Kelly F. Guncheon.


Answering the bell again.

Answering the bell again.


This house isn't a home--it's a dealer's showplace.


Alternatives to the conventional in-hospital delivery: the Childbearing Center experience.


The role of patient needs and references for instructional approaches in self-management of diabetes. This study addresses the issue of individualized instruction, viewing preferences for instructional approaches as an instance of aptitude-treatment interaction. In such interaction, diabetic patients' needs were held to affect their preference for either a structured or unstructured approach to instruction for self-management. Forty-six adult diabetic patients completed the Personality Research Form E and ranked four types of instructional approaches as portrayed in descriptive statements. Need levels of patients preferring structured and unstructured instruction were compared by means of t tests. Results indicated that one of the four composite-need scales, the need for control, significantly (P = 0.003) differentiated structured and unstructured groups. Congruence between certain needs and preferred instructional approaches was thus demonstrated.


Teenagers' assessment of reproductive health-care services. Adolescent clients of a Teen Health Clinic were surveyed to determine those aspects of the service that were considered crucial to patient acceptance and program continuance. A simple one-page questionnaire enabled the clients to express their feelings about personnel, services, environment, and educational materials used in the clinic. Eighty-five percent of the clients expressed positive reactions to the clinic, while only 25.5% offered negative statements. Most respondents indicated clinic staff as the feature they liked most about the service and mentioned routine clinical activities as the part they liked least. Of the topics on which teenage clients wanted more information, 68% indicated that they wanted factual data rather than information about feelings, emotions, or relationships.


Analysis of education-support groups for patients with rheumatoid arthritis. A controlled study of education-support groups for patients with rheumatoid arthritis showed that participation increased patients' knowledge about their disease (P less than 0.05) and improved some patients' perceptions of the adequacy of their families' attitudes and behavior. The groups had little effect on the patients' ability to cope with arthritis or on their compliance with prescribed treatment. Some participants felt threatened by the thought of meeting another patient with more severe rheumatoid arthritis than their own. This finding suggests that group leaders should facilitate open discussion of such emotional concerns, eg, fear and depression, that admixtures may generate.


Safety review: a system of program development and evaluation.


Specificity and code enforcement.

Specificity and code enforcement.


Accident investigation and analysis: an evaluative review.


Integration of health professionals: the semiconductor industry connection.


What the IRS looks for in PC audits.

What the IRS looks for in PC audits.


Quiz: what an attorney might tell a patient.


Telephone sampling bias in surveying disability. Results of the California Disability Survey indicate that telephone interviewing is well suited for undertaking disability studies that provide (1) estimates of subgroups of the disabled population, including those that are statistically rare: (2) information on current and anticipated areas of policy concern; and (3) information for geographic areas important in rehabilitation program planning. Although these objectives necessitated a large sample size and a complex instrument, the costs and timeliness of telephone interviewing enabled the survey objectives to be reached. This paper discusses the advantages of telephone interviewing, as well as biases inherent in its use. The magnitude of the bias from the omission of nontelephone households is assessed, and the results confirm that the omission of nontelephone households introduces only minor biases into estimates for the total working-age population. A method of weighting is developed and illustrated.


Health planning and regulation in transition: a status report on local and state activities.


Training to survive the transition: an issue of conflicting values.


Equal Employment Opportunity: are you overlooking the application form? In 1975 the Equal Employment Opportunity Commission (EEOC) listed those subjects and questions on employment application forms that could be considered violations of Title VII of the Civil Rights Act of 1964. Since then, how well have U.S. firms abided by EEOC regulations in this area? Navy Lieutenants Richard S. Lowell and Jay A. DeLoach, graduate students in management and supervision at Central Michigan University, screened the application blanks used by 50 major organizations and found that 48 of them contained violations--most of which occurred in questions concerning military background, education, arrest record, physical handicaps, age, and name. The authors strongly recommend that human resources managers reevaluate their companies' selection processes and check for any violations on their application forms.


Psychiatry and industry: why is collaboration important?


The exit interview: effective tool or meaningless gesture? As a management tool, the exit interviews has generated both acclaim and criticism. Some managers have maintained that it can play a major role in reducing an organization's turnover rate while others contend that it is a worthless gesture. Research conducted by Pamela Garretson, systems and procedures analyst at Hughes Aircraft Company's Ground Systems Group, and Kenneth S. Teel, professor of human resources management at California State University at Long Beach, suggests that (1) such interviews are, for the most part, conducted by personnel department staff members during the employee's last week on the job, (2) too often, organizations fail to make any use of the information obtained during the interview, and (3) little effort is made to compute turnover costs even though turnover is generally recognized as being expensive. The authors recommend that companies conducting exit interviews either use the information obtained as a basis for identifying and alleviating problems or stop conducting them, and that they should begin to compile quantitative data on turnover costs before deciding to set up a turnover-reduction program.


Team development, Part 6: Variations of procedure meetings. In the last issue of Personnel, Part 5 of our series on team development covered basic procedure meetings. In this issue, Part 6 goes into the team interaction variation and the critique variation of procedure meetings. Author Francis X. Mahoney, personnel development advisor for Exxon Company, U.S.A., notes that in the interaction variation the team looks at its own practices for the purpose of improving them. The session usually begins by identifying the five or six high-scoring items and the five or six low-scoring items in an opinion survey on team effectiveness that is taken before the session is held. The team then spends one session discussing the high-scoring items and at least one on the low-scoring items. During the latter discussion, the team aims to come up with suggestions for changes in techniques and ways to implement these changes.


Introduction: perspectives on industrial and occupational psychiatry.


Stress: causes, consequences, and coping strategies. Because of the negative effect stress has on employee health and productivity, ways to manage stress should be of particular concern to human resources managers. Recognizing this, authors Heather R. Sailer, territorial sales representative for American Medical Systems, a division of American Hospital Supply Corporation, John Schlacter, professor of marketing, and Mark Edwards, assistant professor of agriculture--the latter two at Arizona State University--created a model for applying stress-management strategies. Their model integrates seven categories of strategies--two of which are physical maintenance and outside assistance. The model shows at which stage of stress--before, during, or after the stressful event--each strategy can most effectively be used, and in which are of management--self-management, systems management, or organizational management--it is most appropriate.


Improving mental health at work.

Improving mental health at work.


Employee communications.

Employee communications.


A program geared specifically to industry by the private psychiatric hospital.


Psychiatry, industry, and labor--retrospect and prospect.


Health promotion in the workplace: the Sheppard experience.


Psychiatry and industry: a business view.


Working with industry: a challenge to psychiatry.


The Navy: an alternative to private practice.


Advances in perinatology.

Advances in perinatology.


Structure and function of an inhospital cardiac arrest team.


An overview of violence.

An overview of violence.


The current status of insulin pump therapy of diabetes mellitus.


The biological and psychosocial treatment of the violent patient.


A 'wrongful life'.

A 'wrongful life'.


Immobilization as a reaction to sudden death.


Immunization update.

Immunization update.


When you are called upon as an expert witness.


A chief resident's swan song.

A chief resident's swan song.


How to dictate operative notes.

How to dictate operative notes.


Hospital-based intervention in child abuse.


Experts predict continued SDS growth in 1983.


Ambulatory unit finds early patient education beneficial.


Podiatrists are indifferent about possible hospital privileges.


How to set fees for SDS.

How to set fees for SDS.


Expert shares tips on hiring appropriate ambulatory staff.


Centers can function with few administrative staff.


Develop simpler paperwork with research, evaluation.


SDS units can learn from major complications.


Avoid disasters in anesthesia; take appropriate precautions.


Saturday surgery: convenience to some; a hassle to others.


Coping with accountability: guidelines for supervisors.


Sweden's child support system: lessons for the United States.


The skilled social work role in home care.


Good Samaritan laws--who needs them?: The current state of Good Samaritan protection in the United States.


The health planning process and federal antitrust statutes: is there a health planning exemption?


The role of the health record administrator: a hospital administrator's point of view.


Inservice training as a tool in managing the changing environment in the medical record department.


Manage or be managed.

Manage or be managed.


Personnel management and the law.

Personnel management and the law.


Toward better control: a medical record department management reporting system.


Questions and answers on CRPA.

Questions and answers on CRPA.


Professional growth: accent on potential.


The incantations of affirmative action.

The incantations of affirmative action.


Release of and access to minors' medical records.


Management: right-brain vision for left-brain systems.


Simplifying charge forms.

Simplifying charge forms.


Lease-purchase as cash alternative.

Lease-purchase as cash alternative.


Engineering: not just a nuts and bolts operation.


100 percent. Ideas for increasing productivity, efficiency in plant operations.


Hospital marketing: a case history.

Hospital marketing: a case history.


QA in continuity of care.

QA in continuity of care.


Designing on limited budget not an impossible dream.


Leasing: an important element in hospitals' financing.


Biomed, infection control team up.

Biomed, infection control team up.


Trends in remodeling.

Trends in remodeling.


Forum: the state of the hospital engineering art.


Deaf Smith's hand-i-cap. Here's how one hospital is winning the race for safety.


Hospital authority and responsibility for drugs administered to patients.


Make hospital walls, halls art gallery.

Make hospital walls, halls art gallery.


CEO contracts.

CEO contracts.


Putting to rest unwarranted fears about trustee liability. Common concerns about the legal liability of trustees include malpractice, contracts, medical staff discipline, and conflict of interest. Each of these topics is discussed here, as well as the use of directors and officers liability insurance to protect against anticipated risks.


How to get the most out of liability insurance for hospital trustees. The year 1983 brings with it expanded coverage in the directors and officers liability policies offered to hospitals. In this article, the author discusses the impact of this added protection in terms of who and what is now covered.


As I see it: proliferation of multihospital systems and arrangements.


The World Health Alliance. Freedom of choice in medicine.


Hospitals review sponsorship of primary care group practice.


Nation's hospitals consider option of HMO sponsorship.


Family therapy in consultation/liaison psychiatry. Medicine, in its focus on physical illness, has made significant strides in recent decades. New and sophisticated knowledge of disease and techniques of treatment have contributed to sometimes spectacular progress. However, it has been realized that psychiatry, through its consultation and liaison activities, has a most significant contribution to make. The form and content of consultation/liaison activities have been gradually developing. It is from this developmental standpoint that we present the following information relevant to the fusion of Family Therapy and Psychosomatics.


Pediatricians claim adolescent health care in announcing 'new age of pediatrics'. In successive waves of professional self-assertion, the medical associations in primary care fields have laid claim to various segments of the population. Obstetrician-gynecologists have proclaimed themselves primary care physicians for women. Family doctors have asserted their capability to handle some eighty percent of all medical problems coming to their offices and to handle medical problems of all ages and both sexes. Internists have expressed similarly wide-ranging roles in adult medicine and are seeking greater recognition for special diagnostic skills. With this trend as background, the American Academy of Pediatricians has announced its new three-year program to seat the specialty of pediatrics as not "just baby doctors," but as physicians to fill the "health care vacuum" for "young people 12 to 18 years of age and to close the cracks in health care for adolescents who often "pass through these important developmental years without adequate medical counseling or guidance."


Asymptomatic gonorrhea: selective screening and guidelines for identification of high risk patients. As recently as 1980, gonorrhea ranked first among communicable diseases in the U.S.A. More alarming was the fact that 75 to 80 percent of infected females were reported to be asymptomatic. As more of these asymptomatic individuals were discovered, the tendency to do routine gonococcal screening in women increased. Of late, however, the trend to abstain from doing routine gonococcal screening has become more evident because of the low yield of positive cultures in the majority of the population screened. The St. Joseph's Medical Center is a single residency (Family Practice) teaching hospital serving the community of Yonkers, N.Y. The St. Joseph's Family Health Center serves as the model unit where our residents work and is also the main outpatient facility of the hospital. The objective of our study was to determine the incidence of asymptomatic gonorrhea prospectively and randomly, in our female patients, to form guidelines to separate high from low risk patients, and to discuss the question of whether gonococcal screening should be performed routinely in females.


'Clinical epidemiology of hepatitis: what's new?'.


Cancer of the colon and rectum: public misconceptions and a gap in doctor-patient communications. What can doctors do to reduce the death rate among the estimated 126,000 persons who will develop colon-rectum cancer in 1983? At present rates, 29,500 females and 27,600 males will die this year from cancers at these sites. One answer to this question may lie in patient-physician communication, and in the capability of doctors to deal with patient attitudes toward colo-rectal examinations and on their knowledge of what people in this country believe in regard to colon-rectum cancer. This article presents findings from an American Cancer Society survey which examined patient attitudes and knowledge in regard to colon-rectum cancer and provides insights on patient attitudes and beliefs useful to the physician in discussing this subject with patients.


Speaking out on association issues: whose role is it?


It's the press. There's a crisis. What now?


What we should have said was...

What we should have said was...


How to help a troubled employee.

How to help a troubled employee.


Beyond the typewriter: how to develop a newspaper release.


Meals without trauma.

Meals without trauma.


Baulkham Hills Private Hospital. Sydney's 'Little Westmead' becomes big health centre.


Essendon: an on again, off again saga.

Essendon: an on again, off again saga.


"Voluntary organizations will have to face reality.".


Solid construction defies traditional Coober Pedy trends.


Smoking and health don't compute.

Smoking and health don't compute.


Austin becomes computer bureau.

Austin becomes computer bureau.


Unique concept for hospital in the Outback.


Here come the volunteers.

Here come the volunteers.


Queensland. State takes steps to bring costs into line.


Mater is first public hospital to be fully funded by the govt.


A surgeon's view of competition.

A surgeon's view of competition.


Health care under the Reagan administration.


Competition: necessary market reform.

Competition: necessary market reform.


How much psychic income are you paying?

How much psychic income are you paying?


A working model of behavior.

A working model of behavior.


Do you have thieves on your payroll?

Do you have thieves on your payroll?


Write with the active voice.

Write with the active voice.


Upward communication.

Upward communication.


Making the most of writing assignments.

Making the most of writing assignments.


Big Bernie set to make things happen. Interview by Ray Maultsaid.


If you want to be irreplaceable--you will be!


The best ways to motivate.

The best ways to motivate.


Performance appraisals: much more than a once-a-year task.


Blues' cost-control claims stir debate.

Blues' cost-control claims stir debate.


Benefit tax plan would cool costs, its architect says.


Accreditation 'mixed blessing for most'.


Cost control with the Blues. In Rhode Island, the Teamsters get new benefit to promote good health.


Larger employers leading the way in controlling costs.


Illinois firms lauded for fitness programs.


Many cost-containment tools available. Interview by Carol Cain.


Enabling the transition to home health care.


Patching medical costs.

Patching medical costs.


Health education: developing the mind or restricting the viewpoint?


CPJ speaks with pharmacists who have taken innovative action in their practices.


The filing-card label: an economical method to improve drug distribution in the hospital.


Hospice regulations near publication.

Hospice regulations near publication.


Designing and implementing a comprehensive management development program for home health personnel.


What is expected of a hospital trustee?

What is expected of a hospital trustee?


Trusteeship in the 80s--mission impossible?


Tapping human resources in the '80s.

Tapping human resources in the '80s.


Lengthy hospitalization of children: its impact on families.


A futuristic look at medical devices.

A futuristic look at medical devices.


Discharge planning models. Johnson City Medical Center Hospital, Johnson City, TN.


The mismanagement myth.

The mismanagement myth.


The hospital of the future: are we ready?


Implementation of primary nursing tenets for the maternity patient and her newborn(s).


Discharge planning models. Memorial Medical Center, Springfield, IL.


The role of occupational therapy in the discharge planning process from the acute care setting.


Evaluating outcomes of social work intervention.


Discharge planning for the psychiatric client.


Vancouver General copes with financial constraints.


Firearm knowledgeability in ED is crucial: surgeon.


Jersey's new poison control on line 24 hours a day.


Technology: a two-edged sword.

Technology: a two-edged sword.


Eager but inexperienced MD's can be a trial at disaster scene.


The bystander issue: who will help in cardiac arrest?


Attendance: proper management creates positive results.


Initial and long-term competency of citizens trained in CPR.


CPR: who should be trained?

CPR: who should be trained?


From educator to educator-consultant by 1990.


The development of a drug measurement service at St. Paul's Hospital: a pharmacy perspective. Recently, there has been much emphasis on the value of "Therapeutic Drug Monitoring" (TDM). TDM includes clinical attention to the appropriateness, efficacy, side effects and toxicity of drug usage as it relates to the pharmacokinetics of the drug in the patient. The goal of TDM is to optimize drug therapy in each patient through the appropriate choice, dose and monitoring of drug use. The Drug Measurement Service (DMS) at St. Paul's Hospital is a cooperative venture of the departments of medicine, laboratories and pharmacy. The main function of the DMS is TDM. Also, the service educates staff physicians, residents and interns in the proper use and interpretation of serum drug levels. This will make future drug level measurements more beneficial to the patient. This paper outlines the need for a TDM service, the structure and activities of the service, the materials and methods used, and the basic pharmacokinetics and dosing recommendations of the first drug monitored (theophylline). The results of the first six months' experience are presented and discussed.


The 1982 Lilly Lecture. Communication: a key for integrating "clinical" into pharmacy.


Options for ensuring rapid initiation of CPR.


Employee health in the computer age.

Employee health in the computer age.


Michigan community joins striking nurses on patient care issues.


600 RNs gain higher rates in Lenox Hill pact.


Environmental evaluation of the work place.


Work place safety: a hazard recognition approach.


Competition and regulation in health care: issues for consideration.


Multifunction dampers in smoke control systems.


Medical center reduces energy consumption.


Studies in energy retrofit: institutional.


Materials management association trends.


In praise of one-on-one negotiating.

In praise of one-on-one negotiating.


Is it ethical to share price information?


Electronic order entry in hospital purchasing offices.


Making a CPD-based case cart system work.


Home health in position of hospitals a decade ago, says ODR suit lawyer.


'Nurse of the Year' develops home traction for infants. Interview by Neil and Joanna Gilbride.


Security during construction and renovation.


Hospital library standards in New York State.


An interview with: Otto 'Bud' Brexler.

An interview with: Otto 'Bud' Brexler.


Computer Research Network.

Computer Research Network.


Communication with the hospital staff on library services.


Medical Library, Connaught Hospital, Lightfoot-Boston Street, Freetown, Sierra Leone, West Africa.


Saab Medical Library, Beirut, Lebanon, 1980.


One hour per book.

One hour per book.


Marketing on-line searches in the hospital library.


Hospital library consultant--role, function, documentation.


First you take a history...

First you take a history...


Recollections. An interview with Dr. Beatrice Tucker. Interview by Diane Redleaf and Pat Kelleher.


Eagleville Hospital and Rehabilitation Center Library.


Destruction before detonation. The health and social costs of the weapons race.


More on corporatization.

More on corporatization.


Salvation through efficiency?

Salvation through efficiency?


Collapsing hospitals.

Collapsing hospitals.


Is sickness within the NHS controllable?


The practical unit administrator's toolkit.


The hospital caterer--within or without?


Institute of Health Service Administrators. Presidential Address 1982.


The future of Whitley and pay bargaining.


A Social Democratic approach to health care.


Why management development hasn't worked (so far) in the NHS.


What do junior administrators expect of restructuring?


Harnessing the private health sector.

Harnessing the private health sector.


A new catering complex at Torbay Hospital.


A computerised patient administration system in a new Scottish DGH.


Working at team level.

Working at team level.


Efficiency savings in the NHS.

Efficiency savings in the NHS.


Volunteers in the NHS.

Volunteers in the NHS.


Self-help for a healthy society.

Self-help for a healthy society.


New directions for primary health care in the inner city.


Make it safe.

Make it safe.


The NHS--parasitic, paralytic or particularly productive?


Where are community health services going?


The initial and continuing education of hospital administrators.


The developing crisis in medical manpower.


Specialty costs at two general hospitals. "Actual" v "regression" approach--a comparative study.


Going Dutch--opening a new hospital in Lelystad the Netherlands.


Patchwork in health care.

Patchwork in health care.


Chronic pain program expands to provide inpatient services.


NFP Center reaches couples, teens, physicians, parents.


Rehabilitation center helps chronic pain patients.


Multihospital systems face growth, constraints, unexploited options.


Understanding hospital ratings: key to sound management, bond financing.


Implanting artificial heart raises allocation-of-resources issues.


"Wrongful life" litigation outcomes set dangerous precedents.


How to develop and successfully compete for service contracts.


NLRB outlines procedure for investigatory review.


Organizational communication.

Organizational communication.


CHA Task Force on Stewardship survey report, Part IV. Four views of the Catholic health care ministry.


How can medical-moral committees function effectively in Catholic health facilities?


Health care professionals called to examine witness role.


Carner's codes. Consolidate: yes or no?

Carner's codes. Consolidate: yes or no?


Thorough documentation important foundation for successful legal defense.


A conversation with Lowell Palmquist.

A conversation with Lowell Palmquist.


Plaintiff bears burden of proof that physician negligence caused surgical complications.


Fair basis for staff privileges can protect hospitals against restraint-of-trade charges.


The hospital and mega-trends. Part 1.

The hospital and mega-trends. Part 1.


Proposed indirect cost reimbursement reductions.


Health care manager's notebook. Behavior modeling.


Coalitions are defined, data base described by AHA's Office of Health Care Coalitions.


How to involve (the right) physicians in the leadership process.


Ninth Circuit finds Title VII of Civil Rights Act applies to employees of groups which allege discrimination by hospital.


Recent Provider Reimbursement Manual changes will alter funded depreciation provisions.


Supreme Court finds government hospitals not exempt from price discrimination charges.


Medicaid reimbursement developments overshadowed by rate-setting proposals and other state reimbursement trends.


When the medical school comes to town.

When the medical school comes to town.


Togetherness: ASIM, town and gown.

Togetherness: ASIM, town and gown.


The University Health Policy Consortium's Center for Health Policy Analysis and Research. In 1978, the University Health Policy Consortium, composed of Boston University, Brandeis University and the Massachusetts Institute of Technology, established the Center for Health Policy Analysis and Research for the purpose of conducting relevant policy analyses and short-term research projects for the Health Care Financing Administration. The center has completed more than fifty analytical works since its inception and concentrates its research in three major health care areas: the financing and organization of long-term care, medical care quality, and acute care financing. The flexibility of the Center's organizational structure allows the staff of the three cooperating universities to pursue new topics while maintaining an interdisciplinary approach to emerging public policy problems.


The Association for Health Services Research: a new professional organization.


The new health policy: promises and pitfalls. Our past health care policies--policies relating to provision of services, development of medical resources, public financing of care, and regulation--constitute a legacy greatly affecting our future. A new health policy must accommodate the political, social, and economic manifestations of that legacy. In the coming decade, the health care policy debate will be dominated by the reinvigorated champions of "competition." The banner of pro-competitive reform could be used to cloak changes in programs that give at best nominal help to alternative practice forms, and at worst simply force consumers to bear greater proportions of the cost of care.


"Freedom of choice" laws: empirical evidence of their contribution to competition in mental health care delivery. Freedom of Choice laws have been forwarded as laws which enhance consumer choice and efficient functioning of markets for mental health services. The name of these laws constitute a misnomer, because they serve to force consumers to buy a specific type of insurance coverage. Nevertheless, under a specific set of markets conditions, the implementation of Freedom of Choice laws may increase competition and improve efficiency in the market. Empirical estimates are reported of the effect on prices of this legislation.


Tax breaks for not-for-profits.

Tax breaks for not-for-profits.


Designing a quality assurance program: an approach that works.


Making your voice heard.

Making your voice heard.


Environmental forces expand management slots for physicians. Changes in the health care industry and health man-power have had a profound effect on the roles of physicians in hospital and health care management. Modified matrix and team approaches are methods by which physicians can be more effective in a variety of expanded opportunities.


Feds propose medical staff redefinition.


Development of a gentamicin monitoring service.


Measuring adaptation to medical technology.


Union avoidance for hospitals.

Union avoidance for hospitals.


Evaluating the mediating effects of social support upon life events and depressive symptoms. Previous research has yielded inconsistent results regarding the mediating effects of social support upon psychiatric illness. Using data (N = 2029) gathered as part of a major epidemiologic study in the southeastern United States, the authors examine the relationships among depressive symptoms, social support, stressful life events, and socioeconomic status. As anticipated, direct effects were found for social support, stressful life events, and socioeconomic status upon depressive symptoms. However, when the data were analyzed via three-way analysis of variance and multiple regression (including all possible interaction terms) analysis, no statistically significant interactive effects were found. The authors conclude that these findings clearly demonstrate direct effects of social support and stressful life events upon depressive symptoms. Respondents in the lower social support groups experience the greatest impact of stressful life events; in contrast, persons in high social support groups, although evidencing increased symptom scores with increasing numbers of life events, experience the buffering effect of social support by showing less severe distress.


Social indicators and social structure.

Social indicators and social structure. The findings from seven factor analytic studies of social indicators at the subnational level constitute the starting point for this review of the relationship of social indicators, defined as measures of individual and family welfare, and social structure. This definition acknowledges the normative element in social indicators, but it does not specify the direction that they must move in order to be considered "good" or "bad." Three approaches to explaining social indicators are then reviewed: an indicator-specific model as exemplified by Anderson's analysis of infant mortality; an institution-specific model illustrated by Bidwell and Kasarda's study of the effectiveness of Colorado school districts; and a systemic-structural model, embodies in R. Young's studies of the social organization of the 48 states in relationship to social indicators. Although all three approaches have problems, the last is claimed to be the most heuristic.


Social support and psychological disorder: a review. With the rapid growth in the literature on social support and psychological disorder, a review of the area is in order. The present article describes current conceptualizations of social support, and presents a distillation of empirical evidence on the relationships among stress, social support, and psychological disorder. The structure of support links and the quality of the relationships they provide appear to be associated with a range of mental health issues. Methodological problems with current research are assessed, and suggestions for appropriate design and conceptualization are offered.


Private and public health insurance: competition incentives for the control of health care costs.


The meaning of doing a good job: findings from a study of rural and urban mental health centers in the South. This paper describes the development of a conceptual model concerning the relationship between the organization and utilization of staff in mental health centers, job satisfaction, and staff retention. In the rural and urban centers visited during the study, differences were found in the patterns of staff organization and utilization and in the meanings of "doing a good job." It is hypothesized that these meanings provide the framework in which staff members interpret their own job performances or, in other words, come to feel satisfied or dissatisfied with their work. It is further suggested that these meanings mediate any direct relationship between satisfaction and retention. This model has implications for future research of rural/urban differences, job satisfaction, and staff retention in mental health centers.


The helper-therapy principle applied to weight management specialists. One hundred twenty applicants to a weight management specialist training program were studied over a 33-month period. Following a nine-month training period, Specialists (N = 29; those leading at least one posttraining weight management group) were compared to Contact Controls (N = 31; persons participating in the weight management program, but not in the helper role) and No Contact Controls (N = 60; those not accepted into the training program and whose only contact with the program was for data collection purposes) in a test of the helper-therapy principle. The major question was, "What are the long-term physical, psychological, and behavioral effects on overweight and formerly overweight individuals involved in helping other persons manage their weight?" Data gathered at 12 and 24 months post-training revealed few differences between the total group of specialists and persons in the two control groups. However, when the data were analyzed by the amount of commitment to the specialist role, it was found that the Higher Involved Specialists (N = 16; those who led two or more weight management groups in the year posttraining) were significantly more likely to lose additional weight (or maintain earlier weight losses), to be more consistent in their adherence to the eating and activity levels advocated by the program, to feel better about themselves and their bodies, and to maintain their levels of general well-being than control subjects or the Lesser Involved Specialists. These latter individuals (N = 13) were significantly the worse for having gone through specialist training, but not fully carrying out the specialist role.


Independence means involvement with the larger community.


The resident council: a key to independent living. A resident perspective.


Management development in the health care sector: an empirical study.


Legal and ethical issues in resident independence.


The family's role in resident independence.


A clinical internship program in biomedical engineering. Part I: Objectives of the program. The need for, and specific objectives of, a clinical internship for biomedical engineering students are discussed in Part I. Through such an internship, participants can gain an appreciation for the role that engineers can play in quantifying and automating medical procedures. They also learn about the organizational structure of a clinical facility, the regulations, safety standards and accreditation requirements imposed on the health care industry, and the technological needs as envisioned by medical personnel. Finally, students become familiar with information flow in a medical facility, the units, codes and standards used to report diagnostic information, and current technology utilized in health care delivery, especially its limitations.


Assistive devices: aids to functional independence.


Management issues in automating medical systems. The nontechnical aspects of medical computing systems are as important as the technical. In order to understand why, it is important to consider the social context of systems, the human engineering necessary for medical systems to work, and the specifics of the man-machine interface. It is also necessary to plan for the change which comes with any new method. This paper contains a discussion of these topics, concluding with a set of guidelines for change-management which we feel organizes the data of years of experience into a systematic approach.


Learned helplessness: a case for independence.


Mt. Carmel: where we put life into your years, not just years into your life.


Effective design for informal conversation.


Clinical engineering in the southeast.

Clinical engineering in the southeast. A fully developed in-house clinical engineering program has much to offer to a large community hospital. In the southeast U.S., many community hospitals-600 beds or fewer-have implemented partial programs and, as a result, have received only a partial return on their investment. A comprehensive program extends maintenance support to all patient-care devices, is intimately involved in the new device specification, evaluation, and selection process with the medical staff-standardizing whenever appropriate- and significantly involved in the continuing education program for in-house users of devices.


The challenge of ageism.

The challenge of ageism.


The importance of physical therapy in fostering independence.


The food service of the future is knowing when to purchase equipment.


Health care advertising: a comparative analysis.


Something may not be working in the hospital--but is it marketing?


Clinical pharmacy services for the chronically-ill patient in the community practice environment.


Call for middle grounds.

Call for middle grounds.


Marketing in the health care arena: some comments on O'Connor's evaluation of the discipline.


RN recruitment advertisements: an experimental study of nurses' response to ad content.


Hospice in a long-term care facility: an innovative pattern of care.


Administrator's role in prevention and care of decubitus ulcers.


If it acts like a manager, it must be a manager.


Community group leadership.

Community group leadership.


Recruiting Black and Hispanic volunteers: a qualitative study of organizations' experiences.


Utilization of volunteer family advocates in the emergency care unit waiting room.


Self-help mutual aid: an idea whose time has come again.


The use of management information systems in volunteer program management.


Management and the labor of love.

Management and the labor of love.


Unusual weighting system assesses managerial applicants.


How to make corporate identify work harder for the organization.


Responsive managing: getting on with the job.


In offices of the future...the productivity value of environment.


Seven assumptions that block performance improvement.


Why employee benefit programs need a 'performance' review.


What to do about misfit supervisors. Part II: A 7-step solution to a difficult management problem.


Crisis in data processing productivity...how to solve the information backlog.


Controlling marketing research costs.

Controlling marketing research costs.


Assessing the productivity of corporate staff services.


Organizational leadership in turbulent times.


Poor commercial service has forced growth in OPL's, panelist maintains.


Surviving the second industrial revolution. Where we are heading in the age of automation.


Recognition and reward: keys to motivating supervisors.


Getting control of your scrub clothes.

Getting control of your scrub clothes.


The Center is ten years old. The Center for Research in Ambulatory Health Care Administration.


Impact of TEFRA on professional corporations.


We've made a proven patient-pleaser even better.


Do healthcare administrators care less about health? In a recent study conducted by the authors, Seattle-area managers disclosed a high incidence of discrimination against smokers at the hiring point, and expressed strong preferences for further restrictions on smoking in the workplace. Surprisingly, of the six management groups represented in the study, only healthcare administrators were acquiescent toward the presumed rights of smokers as employees. This anomaly, as well as other insights drawn from the research, is discussed in the article. Reader explanations to the apparent contradiction presented here are invited.


Most non-compliance is our fault.

Most non-compliance is our fault.


Zeroing in on write-offs.

Zeroing in on write-offs. Although collection activities had been successful at the Diagnostic Clinic of Houston, the medical group felt the need to maximize the efficiency of the collections department by focusing on the procedures involved in writing off accounts. Once the group had identified problem areas in this procedure, it engaged in an evaluation process that involved establishing goals, appraising the system, and analyzing the elements of the procedure. A recommendation was made to and accepted by the group's board of directors concerning alleviating problem areas. The result was a most favorable cash position and the ability to accurately measure collection effectiveness.


Selecting and installing an in-house computer system. The traumatic experience of selecting and installing an in-house computer system can be eased by this guide through the forest of alternatives and sales claims confronting the prospective buyer. The authors have summarized problems common in the selection/installation process, and perhaps more important, they have detailed specific questions which should be asked in the decision-making process. The various selection criteria discussed include application software suitability, operating system software, equipment and its maintenance, ease of conversion, vendor experience and responsiveness, and cost considerations. By carefully investigating these factors as they relate to the many computer systems available, the buyer can reach a logical decision and anticipate a successful installation.


Who's really pulling the strings on health policy?


Why doctors shun nursing homes.

Why doctors shun nursing homes.


The OBG standoff: more babies vs. more doctors.


Pulling the plug: could you be charged with murder?


Blood banks move to bar AIDs carriers.

Blood banks move to bar AIDs carriers.


Systems sophistication through mutual agreement. While there is ample published material focusing on the concept of shared data processing systems, there has been little documentation of systems actually in use. The experience of the Loma Linda University Medical Center in developing and implementing a shared services system provides evidence that such an arrangement can be successful. Sharing data processing services can provide a level of systems sophistication not attainable by groups individually.


Costs as well as cords are being cut in burgeoning birthing centers.


Beeper-tagged patients roam till summoned.


Developing a patient information brochure. In light of increasing consumer demands for information and the growing complexity of healthcare facilities, the need has arisen to present the public with useful information concerning your medical group. A patient information brochure can be a valuable public relations device as well as a time saver. It can serve as a written record of key policies and procedures and can also be a morale builder for patients and staff. If your medical group has not yet developed a patient information brochure, you will be able to glean many practical tips from this article. Drawing from experience, the author traces through the steps of developing the brochure--from exploring current models and choosing an appropriate team for the project, through production details.


Whatever happened to the nurse shortage?


Hospital allowed to grossly overbill.

Hospital allowed to grossly overbill.


Rights for unconscious patient go before Legislature.


Tough times call for aware volunteers.

Tough times call for aware volunteers.


Treatment decisions and the imperiled newborn.


Fetal versus maternal rights: who is the patient?


Public hospitals may lose some, gain more through restructuring.


Ethics and hospital decision making.

Ethics and hospital decision making.


DC's dilemma: close it or carry it.

DC's dilemma: close it or carry it.


'Austere' but 'attractive' addition takes pressure off crowded clinic.


'Spiritual' orientation gives system an edge in competitive San Antonio.


Both hospitals and businesses must beware of coalitions' antitrust risks.


'Informed consent' for medical care also safeguards retarded patients.


Hospital cash shortfalls spur creativity.


If hospitals and physicians don't grab the PPO market, insurers will.


NME cuts hospital costs 5%; bullish on expansion.


Standardization may save $82 million.

Standardization may save $82 million.


Investor ardor: hot today, but cool wave on the way?


Quality circles save $200,000; might mean edge in new payment schemes.


Tax act speeds automated merging of clinical and financial information.


Ads counter negative headlines.

Ads counter negative headlines.


Hospitals take precautions to guard employees against AIDS.


Public hospitals trim back, branch out to stay alive.


Pooling risks saves Adventists 24 million.


Employer may be able to support age discrimination in pension plan.


General Medical may trim national ambitions.


Refinancings may speed up as IRS lets arbitrage earnings cover fees.


Skyscraper might scratch merger.

Skyscraper might scratch merger.


Unions copy chains' merger strategy.

Unions copy chains' merger strategy.


Energy-managing system switches off up-front investment for hospitals.


Lack of expertise, funding shackles marketing moves.


Help your physician 'brokers' make profits.


Competition getting even hotter.

Competition getting even hotter.


Hospital 'shopper' more crucial in today's competitive market.


Marketing won't solve problems. Interview by Sally Berger.


Risk management. Malpractice reform: NY's ready...


Competition forces hospitals to 'humanize'.


Hospital buyers say groups don't harm seller relations.


Nutritional services not expected to make menu of insurer coverages.


Florida eyes plan to contain health care costs.


Health tax for unemployed could cost $4 billion.


Health care for the '80s.

Health care for the '80s.


Preferred provider organization: a closer look.


Hospitals in the middle.

Hospitals in the middle.


Conducting a wage and salary survey.

Conducting a wage and salary survey.


Why employee motivation has declined in America.


The disappearing right to terminate employees at will.


Let's put appraisal back in performance appraisal: Part 2.


The newest job in personnel: human resources data administrator.


Should you establish a qualified cash or deferred arrangement?


The power of positive management.

The power of positive management.


Career development puts training in its place.


New directions for the Social Security system.


What every manager should know about management consultants.


Implementing a health promotion program.


A critical reevaluation of motivation, management, and productivity.


Alternative work schedules increase employee satisfaction.


Affirmative action goals: acknowledging the employer's interest.


A counseling approach to employee burnout.


Model for a statewide community-centered system.


Finding the least restrictive environment.


System prevents clients' 'falling through cracks'.


Employee assistance programs: from the inside, from the outside.


Safety performance analysis.

Safety performance analysis.


Canadian Physiotherapy Association Congress/1982. The Enid Graham Memorial Lecture.


Consider a safety audit program.

Consider a safety audit program.


Judging the worth of one's work: physiotherapy as a profession in Canada.


Bureaucracy and cutting the cost of medical care.


Constructive discipline.

Constructive discipline.


Identifying and treating suicidal patients in a general medical setting.


Gaining physician support: the problem and some practical solutions.


OSHA told to lower exposure standards. Stricter controls ordered for hospital sterilant.


Beyond the core bibliography: a guide to developing a consumer health library.


The world turned upside down: the contemporary revolution in state and local government capital financing.


Installing management by objectives in a public agency: a comparison of Black and White managers, supervisors, and professionals. This paper explores the prediction of King and Bass (1974) that black managers and supervisors may be more reluctant than whites to accept management programs such as management by objectives. Data were collected from 77 black and 61 white managers and professionals of the City of Detroit transportation system (D-DOT), after they had been involved with MBO for almost one year. Analyses of t-test results indicate that blacks assessed MBO as more helpful in their individual jobs and more positive for the organization than their white counterparts. Explanations derived from the racial demographics of the organization, the MBO installation, and characteristics of MBO as a management process in public agencies are given.


Risk assessment in the policy-making process: environmental health and safety protection. This article examines the extent to which differences exist in the relative degree of discretion permitted by the statutory mandates under which health risk assessments are conducted as a basis for regulatory action. Attention is focused on the Environmental Protection Agency and the Food and Drug Administration, because they are the lead federal regulatory agencies on most environmental health matters. The statutes are found to define risk, consider effects, identify target populations, and use benefit-cost analysis in a flexible way. But the burden of proof of risk typically is assigned in a more direct and stringent fashion. Overall, however, agencies are found to have substantial discretion in the manner in which risk assessments are incorporated into the policy process. A number of examples of efforts to reduce this flexibility are outlined and their implications for the future of the analysis of risks are delineated.


Evaluability assessment: from theory to practice in the Department of Health and Human Services.


The role of the respiratory therapist in the NICU. Neonatal respiratory therapy has emerged as a new specialization in recent years, owing to advances in medical knowledge such as those which have increased the survival rate for premature infants. Various factors define the scope of the neonatal respiratory therapist's role, which varies from one facility to another but can include involvement in delivery, transport, education, and research as well as ventilatory assistance and monitoring.


Licensure, credentialing, or registration? Drawing the lines pro and con. In California, legislation that would give respiratory therapists legal credentialing has a 50-50 chance of enactment, say proponents. Therapists in Michigan are pinning their hopes on title licensure. In Utah a licensing bill for RTs is being rewritten. Arguments by both sides of the issue are presented here.


Respiratory-ECG services department, Memorial Hospital of Union County, Ohio. At the 108-bed hospital in Marysville, Ohio, as at many similar rural medical facilities, the functional of the respiratory therapists extend beyond the traditional bounds of this discipline. They include noninvasive cardiodiagnostic testing, stress testing, Holter monitoring, and pulmonary function testing.


Master file: success and the single operator.


A closer look at oxygen concentrators.

A closer look at oxygen concentrators. In the past ten years, oxygen concentrators have grown in popularity and in the diversity of available models--but not in size. Miniaturization has been the major trend. Important factors in the choice and evaluation of oxygen concentrators are the size of the unit, concentrations and air flows delivered, reliability, and cost.


Hospital had a dream: to build award-winning foodservice facility.


Expert shares tips, formulas for successful expansion.


Communication with offices is important to ambulatory units.


Fiberoptic bronchoscopy. Indications, training, and certification. To assist hospital committees in maintaining high standards of practice in their facilities, the American College of Physicians has prepared a list of cognitive and procedural objectives which may serve as guidelines in evaluating physicians' performance of fiber-optic bronchoscopy. These are outlined here, along with indications, contraindications, and high-risk situations.


Segregation index: an orsametric for measuring discrimination against minorities. Orsametrics, the science of data and measurement appropriate to decision-making models, was proposed by H. M. Wagner in 1971. This paper proposes an orsametric measuring the distance between the current distribution of minorities in the organization and the worst distribution that minorities could have, given a specified proportion of minorities present in the organization. Measurement of this distance via the absolute value norm leads to a constrained model in which a convex, absolute-value functional must be maximized. This is accomplished by means of an algorithm designed to take advantage of the special structural properties of the model. An example is provided to demonstrate how the segregation index can be used to track discrimination levels within an organization through time. (Orsametrics: public sector applications-quantification of discriminatory hiring promotion practices; mathematical modelling-nonlinear, maximizing a convex function subject to linear constraints.


Closed circuit TV uses in patient education.


Nursing home survey.

Nursing home survey.


Subspecialties in respiratory therapy.

Subspecialties in respiratory therapy.


QA and the dietitian.

QA and the dietitian.


An interview with the president of AART. Interview by Catherine A. Reade.


Patient education: how to establish a low-cost program.


Patient education: essential part of GP.


Spinal injury learning series.

Spinal injury learning series.


Prevention: an organized team effort.

Prevention: an organized team effort.


Sick houses, sick offices.

Sick houses, sick offices. The level of air pollution in some homes and offices exceeds the legal outdoor limits. The sources are many, including building materials, furnishings, insulation, gas appliances, cigarette smoking, and fireplaces. Efforts to conserve energy have resulted in the trapping of noxious gases and particulates inside.


Should respiratory therapists prescribe drugs? In their move toward greater professionalism and responsibility, respiratory therapists are considering such issues as licensure, education standards, specialization, and prescribing drugs. In this article, views of both respiratory therapists and physicians on these issues are examined.


Meeting the challenge of cost containment.


Teaching patients via satellite.

Teaching patients via satellite.


Transition: theory to practice.

Transition: theory to practice.


New anti-trust onslaught on the health care industry.


Moderation in hospital expenses cuts industry inflation.


If boards mean business, they'll refocus the governance function. Emulating the business world will require hospitals to examine board structure, size, and composition. It also will require a reexamination of hospital management's structure, especially lines of authority and the relationships among organizational units. This article provides guidelines to facilitate such examinations.


Third Grand Jury impaneled in 'murder by neglect' case.


As I see it: change of hospital administrators.


Respiratory services department at Presbyterian Intercommunity Hospital. In 20 years, this department has grown from a small office with a staff of one to a facility staffed by 44 respiratory therapists and divided into four sections: respiratory therapy, respiratory laboratory, respiratory rehabilitation, and anesthesia. Computer programs complement the department's many services.


Self-help for asthmatic children.

Self-help for asthmatic children. One of the important causes of treatment failure in childhood asthma is poor compliance. The highly structured program to encourage self-help and thus improve compliance described here involves education and behavior modification (patient, parent, and health care team). Children as young as 6 years of age were found to be capable of participating in the program successfully.


Maintaining quality food service in the long-term care facility.


General Accounting Office. Mentally ill elderly underserved, study warns.


The consultant's role in pharmacy practice.


Elderly access to packaging studied.

Elderly access to packaging studied.


Hospital ships remain off schedule.

Hospital ships remain off schedule.


Credentialing policy held in abeyance.

Credentialing policy held in abeyance.


Pertussis vaccine report. Controversy brings into question role, technique of public health.


DoD seeking field material consistency.

DoD seeking field material consistency.


Materiel studies 'mission oriented'.

Materiel studies 'mission oriented'.


Many studies draw on heart registry.

Many studies draw on heart registry.


Unit meets basic research needs.

Unit meets basic research needs.


Overseas research international asset.

Overseas research international asset.


Air Force 'preplacing' in Europe. Interview by Nancy Tomich.


Services urge hospital sizing formula change.


HSA, HRA officially merge into 'leaner' organization.


Supporters of federal involvement in HSA network dwindling steadily.


Teleradiology hailed as technique to conserve military's specialists.


Standards sought for DoD surgeons.

Standards sought for DoD surgeons.


Air Force hospital serves as 'hub'.

Air Force hospital serves as 'hub'.


Pacemaker report. Government costs seen influenced by industry's marketing practices.


'Triangle' hospital at state of art.

'Triangle' hospital at state of art.


ADP plans mirror conflict in VA.

ADP plans mirror conflict in VA.


'Consent' model act developed.

'Consent' model act developed.


Organ retrieval system 'flies'.

Organ retrieval system 'flies'.


GAO urges phasing out IHS inpatient care at 9 hospitals.


DoD plan funding may rise.

DoD plan funding may rise.


FDA chief recommends 'tailored', patient-relevant drug information.


Malpractice, credentialing reporting set.


Tampering report. FDA, industry working to provide safe packages, without guarantee.


Delaying disease 'efficient'.

Delaying disease 'efficient'.


Wartime nursing supply not adequate.

Wartime nursing supply not adequate.


VA defends review of planning efforts.

VA defends review of planning efforts.


State health report. Funding cuts earmark 'new federalism'.


NHSC report. Authorizing statute expires in '84; use of loan programs foreseen.


Baby death prevention called 'cost-effective'.


Program directed at prevention of infant deaths.


19 HHS programs accepted in states.

19 HHS programs accepted in states.


Army total fitness program a success.

Army total fitness program a success.


USUHS hits goal; potential realized.

USUHS hits goal; potential realized.


FDA reforms drug approval system.

FDA reforms drug approval system.


AMA seeks unity within profession.

AMA seeks unity within profession.


Medical readiness marks AF efforts.

Medical readiness marks AF efforts.


NHLBI sets target on disease control.

NHLBI sets target on disease control.


Navy transition brings progress.

Navy transition brings progress.


Cancer prevention NCI's primary goal.

Cancer prevention NCI's primary goal.


NIH will continue current strategies.

NIH will continue current strategies.


Public health challenges addressed.

Public health challenges addressed.


Medical readiness DoD's main goal.

Medical readiness DoD's main goal.


'Squeal rule' may be first Heckler test.


Reauthorization attempt arousing intense emotion from both sides. Ethics Commission report.


Low-cost techniques urged for 'young lives'.


Report says 'general' nursing shortage over.


Psychotropic drug use in the elderly: optimal technique.


The hospital cost impact of health care for illegal aliens.


Treatment and research of the chronic schizophrenic patient, Part III: Behavior therapy in the community treatment of schizophrenics.


An overview of certification by the American Certification Council for Medical Rehabilitation Therapists and Specialists. The American Certification Council (formerly Registry) for Medical Rehabilitation Therapists and Specialists has been concerned with the professional recognition and development of rehabilitation therapists and specialists since 1953. Since 1973, the Council has been working to upgrade its registration process to that of certification including the use of an examination. In 1980, the Council obtained Conditional Membership and national recognition in the National Commission of Health Certifying Agencies. During the past year, the Council has begun administering a certification examination and feels that all criteria for Regular Membership in the Commission has been met. The Council and the members still have much to do to improve and refine the certification and recertification programs in the years to come, but the author feels that a positive committment toward the professional growth and development of the various rehabilitation therapy and specialty occupations have already been accomplished.


National Rehabilitation Hospital.

National Rehabilitation Hospital.


Job sample evaluation methodology.

Job sample evaluation methodology.


A statistical comparison of the emotional status of hospitalized versus nonhospitalized subjects: a pilot study. It has been suggested that the health care system might be best assessed by the patient's own attitudes concerning the quality of service rendered (Wood, 1974). The purpose of this study is to analyze the psychosocial quality of the health service/hospital system in the greater Iowa City, Iowa area, and the relative emotional stability of hospitalized patients in several local hospitals. Specifically, a survey of 20 questions has been developed to assess (1) patient's attitudes and psychosocial outlook, (2) patient's self-perception. (3) situation generated feelings and (4) family/support group generated feelings. The comparative results of this experiment may indicate (1) the overall emotional status of hospitalized patients relative to non-hospitalized individuals and (2) the general psychosocial effectiveness of the hospital system (in the greater Iowa City. Iowa area). This information may be useful to both the medical/allied-health student and the inexperienced clinician, relative to various preconceived notions concerning the emotional state of hospitalized patients, in general.


Myths about the volunteer.

Myths about the volunteer.


1982 National Rehabilitation Conference keynote address.


The VA and the volunteer.

The VA and the volunteer.


Nurses: the most human of professionals.


Residency match-day arrives, to students' joy or despair.


Potential AIDS victims urged not to donate blood.


AMA to file amicus brief in AAP suit.

AMA to file amicus brief in AAP suit.


Group defines society's health role. President's Commission on Ethical Problems in Medicine.


Prepaid plans offered for poor.

Prepaid plans offered for poor.


ACP takes position on the Federal Trade Commission.


MDs glimpse nuclear magnetic resonance in action...and hear about its possible uses.


Communication can be vital to patient's health.


FTC, medicine must cooperate.

FTC, medicine must cooperate.


FTC scrutiny of health care to be debated again...


Multiply your clout with a grassroots lobbying network.


Cancer treatment: clinical trials vs. local teams.


The new cost-control "coalitions": will big business run the show.


Three TV networks will begin beaming programs to hospitals this year.


A regimen for stress reduction.

A regimen for stress reduction.


How to write--and recognize--quality instructor manuals.


The human side of information's converging technology.


Fighting for the user.

Fighting for the user.


Mental models: ways of looking at a system.


What's ahead for secondary services.

What's ahead for secondary services.


Self-service information that works.

Self-service information that works.


The house officer's role as a teacher.

The house officer's role as a teacher.


A hospital's liability for negligence.

A hospital's liability for negligence.


Teaching the house officer to teach.

Teaching the house officer to teach.


Blues lead in policies but lag in premium: study.


Harvard offers hospital risk management course.


Getting the facts on computerized data bases.


Health premium increase worries Illinois officials.


EEOC drafting health plan rules.

EEOC drafting health plan rules.


Non-traditional clinic promotes total health care and patient involvement. The Reach Community Health Centre in Vancouver offers total health care services to its mostly ethnic patient population. Their non-hierarchical administrative structure allows patients to practice self-determination in their care and staff members to share equal decision-making influence.


Emergency medical systems significantly increase patient survival rates. Part 2.


Patients' bills of rights can be legally dangerous to providers of health care services.


A capsule review of the health promotion literature of 1982.


The Visiting Nurse Service of New York.

The Visiting Nurse Service of New York.


Creating the popular will to save 14 lives a minute.


Competence assurance.

Competence assurance.


Regulations with respect to the hospice legislation.


GAO evaluates expanded home care services.


NAHC (National Association for Home Care) appeals to U.S. Supreme Court to preserve ODR (Office of Direct Reimbursement).


An automated pharmacy management system makes a difference.


Pharmacy computerization: a rational step forward. The decision was made and the Travenol computer system was installed and has since assisted the department of pharmacy in capping current labor expenditures, while increasing operating efficiencies. Technicians perform conditional order entry while pharmacists review and validate the orders. The resulting efficiencies have been readily translated into the benefits mentioned above. The enhanced services also include numerous clinical activities and the often neglected distribution responsibility. Another noteworthy benefit is the increase professionalism brought about by computerization of the department.


Drug-drug interaction detection.

Drug-drug interaction detection.


Accounts receivable: credit and collections procedure.


Drug interaction systems. Interview by Bill W. Childs.


A primer on how to use a vectorscope.

A primer on how to use a vectorscope.


Testing for scan linearity.

Testing for scan linearity.


Whither the interactive videodisc?

Whither the interactive videodisc?


An all-purpose reaction form for teleconferencing.


TV production and the bottom line--the video operations audit.


What to cover in a production contract.

What to cover in a production contract.


BC/BS activity in alternate delivery systems.


Historic Supreme Court decisions make clear that health care area is subject to antitrust scrutiny.


Health care cost containment, communication are priorities for benefits managers, says Segal survey.


Private health plans common in Canada.

Private health plans common in Canada.


Forms design helps in administration of drug plan for Retail Clerks.


The 'bottom line' after Connecticut v. Teal.