How well are you paying your executives? A well-designed executive compensation program can help to motivate and retain key executives. An executive compensation program should be linked to the hospital's objectives, should be competitive in the marketplace, should minimize the executive's taxes, and should meet executive expectations.


Business coalitions: new tactic in cost control. Although it is too early in their development to evaluate their effectiveness, business coalitions are attempting to play a part in holding down health care costs. Providers, third-party payers, business, and labor have pledged to support the potential contributions of voluntary coalitions and to participate with one another in them.


"Reaganomics' force new national health priorities.


Voluntarism more visible in light of funding cuts.


Pioneer recruitment program works for pioneer hospital.


A tale of two systems.

A tale of two systems.


Volunteers embark on international exchange.


Self-help is coming of age.

Self-help is coming of age.


Workshops shore up library service, expand educational opportunities.


Cross-cultural aspects of physician-patient communications patterns. This article reports findings of a study which utilized audiotapes to examine interaction patterns between ten white Anglo physicians (three of whom spoke Spanish) and 61 Hispanic and non-Hispanic patients. Using a newly developed interaction analysis instrument, the study examined four scales-rapport, patient health beliefs, therapeutic regimen, and patient feedback-and two additional categories-quality of explanation of medical regimen and sensitivity to patient modesty. Findings in the analysis of patient-doctor interactions were compared to variables of patient understanding and physician perception of the interview. Patient charts were also examined to determine diagnosis, prescribed medical regimen, and follow-through on return appointments. In analyzing the patient-doctor interactions, the interview raters perceived physicians as performing significantly better on the dimensions of rapport, quality of medical regimen explanation, and ability to elicit patient feedback with the non-Hispanic and English-language patients than with the Hispanic and Spanish-speaking patients. Also, the interaction of factors of language, translator and ethnicity appeared to have a highly significant influence on whether the medication prescriptions were understood by the patient. There were no significant differences related to ethnicity in terms of patient understanding of their diagnosis, or of the cause of their health condition, or in terms of their return for follow-up appointments.


Controversy engulfs health care project.


In two cases Illinois court upholds confidentiality.


Foundation to back cost containment projects.


Higher reimbursement a goal: New York revamps outpatient policy.


Efficiency is the key reason for lower costs at this central.


Reaganomics are forcing better management techniques.


Society of Hospital Pharmacists of Australia: are you at risk?


The nursing home: weighing investment decisions.


Some issues in health insurance.

Some issues in health insurance.


Reader survey: radiology administrators--future shock in the radiology department.


Multiformat cameras for the production of hard copy from digital radiographic systems.


Rationale for professional institutional chaplaincy.


Trends in federal legislation affecting health insurance.


Nuclear medicine in the 1980s: the outpatient physiology laboratory.


Guidelines for evaluating pastoral services. College of Chaplains, American Protestant Hospital Association.


The Jamison Report ... summary of recommendations.


Enhancing the uniqueness of a Christian health care facility.


The Jamison Report ... hospitals report promise shake-up.


Life, death, and grief: finding hope in despair.


A model for holistic care.

A model for holistic care.


The church and health services ministries.


Hyperbaric oxygen therapy.

Hyperbaric oxygen therapy.


Risk management--a second chance.

Risk management--a second chance.


Church institutions and a litigious society.


Trends in professional liability.

Trends in professional liability.


Charge-back A/V system for a small department.


Ohio professional liability survey, 1981.


Arbitration panels: a viable solution to malpractice problems?


Down and out in America.

Down and out in America.


Ads over the doctor's head.

Ads over the doctor's head.


Aid to Families with Dependent Children: Social Security Administration. Final rule. These final regulations implement changes made in the Aid to Families With Dependent Children [AFDC] program by the Omnibus Budget Reconciliation Act of 1981 [Pub. L. 97-35]. The statutory changes are generally effective October 1, 1981.


Federal old-age, survivors, and disability insurance; earnings test: Social Security Administration. Interim regulations. The Social Security Administration is issuing interim regulations to implement sections 1, 3, and 4 of Pub. L. 96-473 (enacted October 19, 1980) that make a number of changes in the application of the earnings test for retirement purposes. The provisions are designed to eliminate some unintended and harsh effects of the limitations on the use of the monthly earnings test imposed by the Social Security Amendments of 1977. Section 1 permits the use of the monthly earnings test by those beneficiaries entitled to child's benefits, young wife's and young husband's benefits (entitled only by reason of having an entitled child in their care) or mother's and father's benefits, in the year that entitlement terminates, if termination is for a reason other than death and the beneficiary is not entitled to another type of Social Security benefit for the month following the month of termination. Section 3 excludes from gross income, for purposes of the annual earnings test, self-employment income which is received in a year after the initial year of entitlement to insurance benefits under title II (other than disability benefits and childhood disability benefits) and is not attributable to services performed after the month of entitlement. Section 4 provides for all beneficiaries the use of the monthly earnings test in the first taxable year after 1977 in which a beneficiary has a non-service month in or after the month of entitlement to benefits.


Private land mobile radio services; amendment of the Commission's rules concerning general eligibility in the industrial radio services: Federal Communications Commission. Final rule. This document adopts a rule amendment to permit the licensing of non-profit corporations and associations of eligible users in the Business and Special Industrial Radio Services in the bands below 512 MHz. The FCC now permits the licensing of non-profit corporations and associations of eligible users in each of the Industrial Radio Services except the Business and Special Industrial Radio Services below 800 MHz and permits it in all Industrial Radio Services including Business and Special Industrial above 800 MHz. The amendment will eliminate this exception.


Health maintenance organizations; reestablishment of compliance by Kaiser Foundation Health Plan, Inc.: Public Health Service. Notice, continued regulation of health maintenance organizations. On December 4, 1981, the Office of Health Maintenance Organizations (OHMO) notified Kaiser Foundation Health Plan, Inc. that Kaiser-Georgetown Community Health Plan, Inc.), (formerly Georgetown University Community Health Plan, Inc.), 4200 Wisconsin Avenue, NW., Suite 300, Washington, D.C., a federally qualified health maintenance organization (HMO), had successfully reestablished compliance with its assurance to the Secretary that it would maintain a fiscally sound operation. This determination took effect on December 1, 1981.


Deletion of regulations pertaining to certain social services programs under the Social Security act: Office of Human Development Services, HHS. Final rule. Pub. L 97-35, the Omnibus Budget Reconciliation Act of 1981, combined the social services programs administered under title XX of the Social Security Act in the States and in the Territories under titles 1, IV-A, X, XIV and XVI (AABD), into a single block grant known as "The Title XX Block Grant to States for Social Services." The block grant program is effective October 1, 1981. Since existing regulations governing those programs do not apply to the block grant program, this rule deletes both entire Parts and references within a Part that apply to the above grant-in-aid programs. These regulations also remove the Department's day care requirements which were issued under statutory authorities that no longer exist as a result of various changes made by Pub. L 97-35.


Requirements applicable to projects for family planning services: Public Health Service. Proposed rule. The Secretary of Health and Human services proposes to amend the regulations governing the program for family planning services funded under Title X of the Public Health Service Act in order to implement a recent amendment of that Act. The statutory amendment requires family planning projects to encourage family participation in the provision of services by the projects, to the extent practical. The Secretary proposes to implement this amendment by requiring projects to notify the parents of unemancipated minors seeking family planning services when prescription drugs or devices are provided. In addition, where state law requires family planning providers to provide Title X services to unemancipated minors only with notification to or the consent of their parents, projects would be required to comply with that law.


Hazardous waste management system standards for owners and operators of hazardous waste treatment, storage, and disposal facilities and EPA administered permit programs; hazardous waste permit program. Environmental Protection Agency. Interim final amendments to rule. On May 19, 1980, EPA promulgated regulations applicable to owners and operators of hazardous waste treatment, storage, and disposal facilities which prohibited the landfill disposal of most containerized liquid waste or waste containing free liquid on and after November 19, 1981. Further on June 29, 1981, EPA amended its hazardous waste management regulations so as to extend the compliance date of the restriction on the landfill disposal of containerized liquid ignitable wastes to coincide with the compliance data of the general restriction on landfill disposal of liquids. The Agency is today extending the compliance date on both these requirements until May 26, 1982, and, in a separate action, is proposing amendments to these restrictions. This extension of compliance dates is provided for the sole purpose of allowing time to complete the rulemaking action on today's proposed amendments. The Agency is also today exempting from the requirements of the hazardous waste management regulations, the acts of adding absorbent material to hazardous waste in containers and adding hazardous waste to absorbent material in a container, at the time waste is first placed in the container, in order to reduce the free liquids in a container.


Interim status standards for owners and operators of hazardous waste treatment, storage, and disposal facilities: Environmental Protection Agency. Proposed amendments to rule. On May 19, 1980, EPA promulgated regulations, applicable to owners and operators of hazardous waste treatment, storage, and disposal facilities during interim status, which prohibited the landfill disposal of most containerized liquid waste or waste containing free liquid on and after November 19, 1981. As a result of issues raised by the regulated community with respect to this prohibition, the Agency is today proposing an amendment to this regulation to allow some containers holding free liquids to be disposed of in a landfill, in some circumstances. In a separate action in today's federal Register, EPA is providing a 90-day extension (from today's date) of the compliance date for the prohibition of landfill disposal of containerized liquid waste and the restrictions on the landfill disposal of liquid ignitable waste to allow time to complete this rulemaking action and to avoid immediately imposing requirements that might be changed as a result of this rulemaking action.


Delegations of authority and organization; revised organization. Food and Drug Administration. Final rule. The Food and Drug Administration (FDA) is revising the regulation setting forth its organization structure. Several reorganizations have occurred since the structure was last issued. These revised regulations will present FDA's latest organization structure and give the latest addresses for the field organization.


Health Resources Administration: determination of population of health service areas.


Medical devices; various proposed rules for device classification; withdrawal of proposed rules. Food and Drug Administration. Withdrawal of proposed rules. The Food and Drug Administration (FDA) is withdrawing various proposed rules related to classification of general hospital and personal use devices, anesthesiology devices, and immunology and microbiology devices to eliminate unnecessary regulations.


Budget cuts hit chief weapon in war on childhood diseases, say critics.


Nobody's happy over Administration's attempt to change nursing home rules.


Cost containment methods for health care maintenance/engineering depts.


Florida medical malpractice pool wants hospitals to fund big deficit.


Insurer rules leave workers, bills hanging.


Group compiles medical fee data for its members.


Auditors check for hospital billing errors.


Hospital's plan allows operation during hurricane.


Educating the allied health professional in Ontario: the results of a period of philosophical, pedagogical and fiscal change.


Organizational practice.

Organizational practice.


Programming to meet the needs of the elderly in institutions: part I. A survey of 24 institutionalized elderly people was conducted to determine their present interests and activities in the institution and those prior to institutionalization. It was found that elderly women's former interests were maintained for the most part in the institutions except for homemaking, but that less opportunity was provided for elderly men to pursue their former interests. The types of activities and interests described by these subjects tend to correspond with the types of activities commonly included in programs designed by occupational therapists for elderly residents in institutions.


A method of substantiating the projections for a drug budget.


Establishing a poison center: planning and development.


Civil rights and the hospital pharmacist.


The effective committee.

The effective committee.


Emergency medical care in the United States: a new frontier.


Pacemaker programmability.

Pacemaker programmability.


International surgical centers.

International surgical centers.


The new diet pills.

The new diet pills.


Exercise bikes: eighteen ways to build strong bodies, three of them good enough to be check-rated.


Monitoring the financial health of Ontario hospitals.


Psoriasis: which remedies work?

Psoriasis: which remedies work?


Waste-energy recovery systems: more hospitals getting fired up over recovering unused heat.


Family-centered care is a must.

Family-centered care is a must.


West coast specifier firm sets clients free with hospital spec manual.


Trustee development must be a priority.

Trustee development must be a priority.


Vivid graphics, muted tones are natural choice for Alabama child care center.


N.S.A.H.O. develops education program for the Maritimes.


Color scheme helps key entrances, services at newly remodeled midwest hospital facility.


Security-minded design & loss prevention key to hospital safety.


What are the public's attitudes toward fundraising?


Health consumerism grows in the workplace.


Standard seating conforms to patient needs.


Recession, Reaganomics eroding EM services.


Streamlining helped DC General cope with wide patient mix.


TB specialists map prophylaxis to guard ED personnel.


Product evaluation and purchasing.

Product evaluation and purchasing.


Household health fair.

Household health fair.


Incentive programs: do they really work?


Canadians launch fitness project for blue collar workers.


Hospital wellness programs aid employees.


Proposed budget cuts to keep pressure on hospital industry.


42 safely evacuated in New York hospital fire.


Human interest program: from clubs to lobster.


Fire recovery planning in health care institutions.


CEOs see continued business growth, pressures during 1982.


Modeling emergency evacuation from group homes. The goal of this study is to describe a methodology for estimating the necessary time for resident evacuation. A network description of the building together with a simulation model of occupant movement are used to evacuate alternative egress and rescue policies.


HHS extends staffing deadline, but official says half of HSAs may still fold.


Comprehensive qualifying examination (CQE) assessment of readiness to assume responsibility for patient care.


Educators assail Reagan's health professions budget.


Hospital marketing is a survival strategy, industry leader believes.


Establishing community linkages for marketing and neighborhood improvement.


Sports Medicine Center: a new health enterprise.


Hospital marketing program must involve physicians, advocate says.


Mount Sinai invests in quality circles.

Mount Sinai invests in quality circles.


Let ethical approach be guiding force in marketing, teaching hospital head says.


Hospital marketing: the survival option.


Ward design: under observation.

Ward design: under observation.


Health care marketing gains popularity as a needed activity for hospitals.


Ward design: on the nurses' trail.

Ward design: on the nurses' trail.


Nightingale's swan song?

Nightingale's swan song?


Cook County Hospital stabilized two years after critical financial crunch.


Hospital engineering: twenty-four hour service.


Estate management: oasis of tranquillity.


HMOs, doctor groups and antitrust laws: an overview.


HCA devises innovative equipment planning and procurement system.


Rheumatology: planning a caring service.


East German health care: country-wide care.


Deregulation proposals recommended by health care coalition.


Job grading and reorganisation, past and present.


Staff appraisal & performance review--practical perspectives.


Materials management contracts: pro or con?


Can hospitals beat last year's 12% inflation rate?


Communicate--and purchase effectively.

Communicate--and purchase effectively.


Art of negotiations: the team approach.

Art of negotiations: the team approach.


A new look at X-ray film: has the picture changed?


Protecting patients.

Protecting patients.


Management structures and computer policy.


Developing mental handicap services in an English county: lessons from an action research strategy.


Gas scavenging at Queen Alexandra Hospital Portsmouth.


Safety cabinets: testing and maintenance.


The Medicines Act 1968.

The Medicines Act 1968.


Finance cycle analysis applied to agency operations.


Employee surveys can help solve problems as well as identify them.


Germany's Sozialstationen: a preliminary look.


Diversification: viable strategy for the voluntary non-profit home health agency?


Who opposes competition? And why.

Who opposes competition? And why.


Committee improves safety of blood transfusion.


Who supports competition? And why.

Who supports competition? And why.


NAQAP officials give tips for solving QA problems.


Hospital extends services to underserved area.


Interview with C. Everett Koop, MD, the U.S. Surgeon General.


Clinic trains GPs, meets inner city needs.


Sports rehabilitation program emphasizes therapy, prevention.


Proposed Canon Law on temporal goods reflects Vatican II's influence.


Hospital security: an essential operation.


Service workers strikes: a new moral dilemma.


More bishops, health care providers enter nuclear debate.


The National Labor Relations Act: some ethical considerations.


On administration: ministry and management.


Policies and procedures: first line of defense in legal actions.


Hospitals responsible for contract ER services.


Physician liable for procedural error.

Physician liable for procedural error.


Health care forecast: adapt to changing environment.


Improving relations with nursing.

Improving relations with nursing.


Sports care and the hospital.

Sports care and the hospital.


Florida Hospital Association puts out an alert after series of microscope thefts.


Be honest but not cruel: staff/parent communication on a neonatal unit.


Federal Appeals Court rules private nursing home's access refusal to legal services organization does not violate First Amendment.


District Court upholds hospital's rehabilitation unit as a special care unit; limited to cost years prior to Oct. 1, 1981.


Packaging questions and answers: double peel packs.


Planning optimum: more hospital beds or less?


Norfolk General Hospital's new Kaufman Pavilion. A new approach to saving lives--answer to critical need.


Tennessee Federal Court rules Hill-Burton hospital not subject to "community services" obligation.


How to control your linen losses.

How to control your linen losses.


Is your case cart system working?

Is your case cart system working?


Hospital topical law.

Hospital topical law.


The engineering director: a job in evolution.


A comparison of ethylene oxide penetration rates between a non-woven and a muslin wrapper.


How can the hospital purchasing agent get the most from the supplier?


Problems in getting new antimicrobials tested in the laboratory.


FCC's approval of the resale and sharing of WATS could afford hospitals an opportunity to offset communications expenditures.


Administration asks for limits on tax-exempt bonds; AHA testifies against Treasury proposal before Senate Finance Committee.


Two federal district courts make the first awards of attorneys' fees under Equal Access to Justice Act.


How quality circles work: an "inside look" at two different hospitals, with actual meeting notes.


Getting to the PR point.

Getting to the PR point.


Design for the human factor.

Design for the human factor.


Planning for discharge.

Planning for discharge.


The central service supervisor as a department head.


Here comes trouble.

Here comes trouble.


Charging for professional services.

Charging for professional services.


The health education officer--a mythical character?


Comparative assessment of two booklets about rheumatoid arthritis, intended for use by patients. Increases in patient knowledge after reading booklets about rheumatoid arthritis demonstrated the effectiveness of written material as a teaching aid. Two groups of patients (35 and 37 in number) in a specialist hospital acted as their own controls. Group A, after reading a booklet produced by the Arthritis and Rheumatism Council, increased their scores by a mean of 21 per cent. Group B, after reading a booklet produced by the Leeds Health Education Service, and containing substantially more information, achieved a 45 per cent average increase, indicating that this is the more effective of the two. Overall low scores before reading indicate a need for more patient education.


Professionalism: key to success in time of crisis.


Public relations and marketing: the organizational questions.


Evaluate your own PR program--everybody else is doing it.


Tax exempt leases can lower interest charges.


Hospital department manager or president of a service business?


Proqualitivity: your winning edge.

Proqualitivity: your winning edge.


Roof inspection: today's technology.

Roof inspection: today's technology.


Computer bits: purchasing's link to receiving and accounts payable.


Organizational cultures: sensitive managers can improve the working environment.


Federal employees' health insurance: largest competitive health program faces a crisis.


Objective, efficient, effective: selecting a collection agency by RFP approach.


Managing hospital ambulatory receivables.


The officer and aggression: Part III response and responsibility.


To reduce costs hospitals must identify fixed and variable costs.


Tax policy--small influence on complex behavior.


Patient education in practice.

Patient education in practice.


Human relations program ensures better patient care.


Cash discounts.

Cash discounts.


Marketing audits for health organizations: a practical guide.


The impact of alienated attitudes on employee performance.


Administrative success: key ingredients.


Location hierarchy in health planning in Italy.


Trends in hospital unionization since the 1974 amendments to the National Labor Relations Act.


Consolidated safety, security program saves money, cuts loss.


Willful concealment complicates hospitals' liability.


The hospital administrator and organizational change: do we recruit from outside?


A combined leave benefit system for the control of absenteeism in health care organizations.


Formal instrument counts: yes or no?

Formal instrument counts: yes or no?


Granting privileges to perform endoscopies.


Pharmacy-initiated intravenous infusion guidelines.


A center for cooperative care.

A center for cooperative care.


Current status of hospital pharmacy technicians in Michigan. The results of a comprehensive statewide survey of hospital pharmacy technicians are presented. Although this was only a statewide survey, its findings should be of interest to technicians and pharmacists everywhere since very few data of this type are available. In addition, Michigan is a very progressive pharmacy state and has recently implemented a formal technician certification process (described in an appendix) via the Michigan Pharmacists' Association. The survey instrument was mailed to the Directors of Pharmacy at 252 Michigan hospitals. The response rate was 68.7% (173) hospitals). The survey pointed out that Michigan hospitals employ on the average one technician for each pharmacist. Most hospitals required high school graduation and typing skills as a minimum for hiring of a technician. Numerous technician work responsibilities were identified, including the admixture of sterile products. Technicians in this survey had a variable work schedule, and the future job market appeared to be healthy. Most of the technicians were females under the age of 30. Average hourly wages for regular technician position ranged from $5.05 to $6.25 (June 1981). Numerous categories of technicians were noted, and about 20% of the technicians were unionized. Many of the hospitals utilized a formal on-the-job technician training program. The performance of the majority of technicians was evaluated annually, and many opportunities existed for continuing education. The concept of technician certification appeared to be looked upon favorably by most of the pharmacy directors.


Classic adornments.

Classic adornments.


Computer use and educational needs in selected Canadian health care food services. A survey was conducted to assess the computer use in 27 selected Canadian health care food service facilities and the educational needs in computerization of the corresponding foodservice administrators. The foodservices selected were represented by foodservice administrators at a workshop on computer-assisted foodservice managements held in June 1980. Only three facilities used a computer for foodservice functions: seven foodservices planned to use a computer within the next two years. A list of applications in use, being planned and of future interest showed the priority areas for these foodservices. The foodservice administrators identified their educational needs in computerization and demonstrated that a one to two day workshop was their preferred educational program format.


Energy usage for food service infrared heat processing of egg sandwich loaf. Simulating volume demand within hospital food service departments, infrared heat processing conditions were used to heat two similar protein menu items to determine both energy consumption required for heat processing and energy/nutrient rations. A larger, conveyorized infrared oven (CTX-70) and a smaller, infrared unit (Krups 2002) were used to heat process varying sizes of oven loads which ranged from one to 36 slices. Although no significant differences were found for product yield after 12, 24 and 36 slices were heat processed in the CTX-70, the energy usage was significantly different: 637, 798 and 1005 watt hours/load were consumed, respectively. In the Krups 2002, a load of one slice had greater heat processing losses than either two or four slices. Energy consumption was 39, 47 and 50 watt hours/load to heat process one, two and four slices in the Krups 2002, respectively. Significantly more energy was used to heat process turkey-ham than egg sandwich loaf in the Krups 2002. The potential use of energy/nutrient rations by dietitians was discussed.


History on a puppet stage.

History on a puppet stage.


Roles and functions of geriatric nurse practitioners in long term care as viewed by physician, GNP and administrator.


Form follows function: physicians' roles in the health care system.


Inservice education and the nursing home administration.


Design reduces nurses' walking, encourages patients to visit each other.


Food service management: employee training program.


Israel: Magen David Adom, the equivalent of the Red Cross, handles all prehospital care.


Improving the efficiency of the hospital maintenance management system.


Growing organizations-some pitfalls.

Growing organizations-some pitfalls.


Emergency responders at a hazardous materials incident.


Clinical engineering's involvement with a computerized hospital information system. This paper describes a computerized Hospital Information System (HIS) installed in Mount Zion Hospital and Medical Center along with the Clinical Engineering Department's involvement in the minor and major maintenance of the 48 data stations consisting of terminals and printers. This paper also includes a summary of maintenance man-hour distribution, data station repair problems and the type of repair equipment and personnel needed to maintain hospital computer systems.


Ambulance cots. Part 3: is there a better way?


Analysis & recommendations for a medical engineering department. A multi-disciplinary task force convened to examine present and future program needs of the Medical Engineering Department at the North Carolina Memorial Hospital, University of North Carolina School of Medicine. The committee recommended changes that would reduce technician turnover, improve continuing education, increase salaries, improve services for patient care and allow the hospital to comply with the requirements of the Joint Commission on the Accreditation of Hospitals. An important by-product of this study approach led to improved communications and work relations with all departments that receive services from the Medical Engineering Department.


Transcutaneous bilirubin measurement.

Transcutaneous bilirubin measurement. The development of transcutaneous measurements of medically important diagnostic data is a worthy endeavor intended to eliminate the need for invasive procedures. This paper reports success in meeting those ends with a clinical instrument for transcutaneous bilirubin measurement. The need for this device and technologic developments leading to such a device are described. The transcutaneous bilirubin meter exhibits a high degree of correlation with serum bilirubin levels and can be used for screening.


West Germany: "Sanitators" provide prehospital care, with problems familiar to American EMS workers.


Terrorism and EMS: a security issue.

Terrorism and EMS: a security issue.


One hundred fifty minutes: a double tragedy in the Nation's capital.


Hazard analysis critical control point approach: epidemiologic rationale and application to foodservice operations. Operations in foodservice establishments that have contributed to foodborne disease have been identified during investigation of outbreaks. Examination of foodborne disease surveillance data discloses need for a new or modified approach to foodborne disease control. Recommended constituents of a new approach include (a) Hazard analysis to identify operations in which foods could become contaminated, to determine whether or not pathogens survive heat treatment, and to detect opportunities for pathogenic bacteria to multiply to concentrations that are dangerous to the consumer; (b) Identification of critical control points of the operation; (c) Implementation of appropriate control and preventive measures; (d) Monitor, routinely, operations at each critical control point.


Using microcomputer technology in music therapy for analyzing therapist and client behavior. A low-cost microcomputer was used to analyze systematically the behavioral interactions between a music therapist and a 55-year-old mentally retarded female. The microcomputer permitted the authors to determine quickly and cost effectively the effect of music therapy sessions on the client's behavior. The study demonstrates that current microcomputer technology can now be used to collect and analyze process-oriented data for application in both research and training activities. The implications for process-oriented research and training are discussed.


Explanation and social policy: 'the' problem of social inequalities in health. Inequalities in rates of sickness and mortality between social groups has long been a matter of concern and of inquiry in Britain. Disciplinary differentiation has resulted in the problem now being treated within what have become three distinct intellectual traditions. These are social administration, epidemiology, and sociology, and the accounts they provide differ significantly from each other. This is partly because 'the' problem is somewhat differently defined in each; and partly because of their different orientations to theory and to practical amelioration. This article explores the strengths and weaknesses of each approach, and raises the possibility of a more adequate explanation than any one discipline provides. The implications for study of social administration are considered.


Comprehensive community care: the potential of informal helping for boomtowns.


Mental health consequences of rapid community growth: a report from the longitudinal study of boomtown mental health impacts.


Disaster planning: the mental health worker as "victim--by--proxy.".


White-collar and professional unionization.


New central laundry to yield reduced linen losses, costs.


Record keeping and employee relations: two key factors in controlling linen.


New laundry at Chicago hospital will improve operating efficiency.


Nursing home executive calls on-premise processing essential.


Prepaid care: the battle is just beginning.


Our insurance system is self-destructing--and we'll be better off.


Then we put the cast room in frozen foods...


Image processing with array processors.

Image processing with array processors.


Noninvasive monitoring of intracranial pressure.


The misuse and overuse of intensive-care units.


Cost-control efforts get $16-million shot in the arm . . . while AMA launches hospital 'network' to restrain utilization.


Applying program evaluation and review technique (PERT) to hospital insurance billing.


Understanding the letter concept of collections.


An overlooked collection aid.

An overlooked collection aid.


What to do about those scary hospital costs.


NCI slates a computer network providing cancer information fast---PDQ, in fact.


Proper marketing structure is a must for success.


Polish plight grim as U.S. aid resumes.

Polish plight grim as U.S. aid resumes.


Market research (can you afford not to have it?)


No matter how you slice it: a look at market segmentation.


Marketing and promotion: a small hospital's road to success.


Marketing and the auxilian.

Marketing and the auxilian.


It is time for a change.

It is time for a change.


Michigan's cost experience compared to rate regulated states: a re-examination.


Freedom of Information Act fails as hospital's weapon against union.


Medical ethics forum-22: models for a Christian hospital.


Blues chief predicts rosier future for plans.


Rivals scanning growth in CT market.

Rivals scanning growth in CT market.


Give contracts to CEOs.

Give contracts to CEOs.


Equipment planning company offers skills in multimillion-dollar purchasing.


Budget proposal pulls life-support systems from tax-exempt bonds.


Management pacts link rival hospitals.

Management pacts link rival hospitals.


Demand for specialists is keeping physician vacancy ads at high level.


States, out of whack with federal deregulation, consider rate setting.


Planning laws survive cuts, face changes.


Nurses, hospitals clash on bills.

Nurses, hospitals clash on bills.


Changes in hospital management demand "specialist" administrator.


Hospital acquisitions demand caution.

Hospital acquisitions demand caution.


Physician population alters product needs.


Business coalitions gain as cost saving weapon.


Bottom line puts entrepreneur on top.

Bottom line puts entrepreneur on top.


Home care market: selling a concept.

Home care market: selling a concept.


Consider shared services.

Consider shared services.


Energy and health care: are we vulnerable?


FDA's forecast of emerging technologies.


Theory Z--an alternative management style.


The transition to solo pathologist.

The transition to solo pathologist.


Managing laboratory personnel--are you prepared? Part I. Long a neglected subject, management is increasingly recognized as a tool that allows an organization to function optimally. Because medical schools do not stress management training, the pathologist can encounter problems when immersed for the first time into the field of management. In the first of a two-part article, the author explains how a pathologist's administrative role differs from his role as a physician, reviews briefly the different management styles, and discusses important management tools the laboratory director needs to organize and operate a laboratory.


The pregnancy disability amendment: what the law provides: part I.


The pregnancy disability amendment: what the law provides, part II.


OSHA final rule gives employees the right to see their exposure and medical records.


Why home health care is an expanding trend.


Part one: what new Rx services are provided in long-term care facilities?


How we provide poison prevention ideas to new parents.


How pharmacies in rehabilitation hospitals are moving ahead.


565 students have participated in NPC-SAPHA summer internship program.


How to develop aids to professional practice: an information system.


Proper staffing of an occupational safety and health office.


Paperless claims make third-party payments a pleasure.


Patient noncompliance.

Patient noncompliance.


Equipment leasing proves economical option.


Cures that kill.

Cures that kill.


The little hospital that could: a modest success story.


Employment and mental hospitalization: the case of Buffalo, New York, 1914-55. This paper explores the connection between employment trends and state mental hospital admissions first presented by Brenner in Mental Illness and the Economy. The analysis is based on employment data for the Buffalo SMSA and admissions to the SMSAs only major public psychiatric hospital for the years 1914 to 1955. We employ a series of specifications in time-series analyses. Our findings contrast with Brenner's; unlike his analysis, ours indicates that employment is positively related to admissions. Consistent with other previous research, hospital capacity is also found to be important in predicting admissions. We offer a number of interpretations for the results, in particular noting the need for the examination of the stressful effects of work itself, not merely its loss.


Mental health practice in a physical health setting.


The song is ended but the malady lingers on: legal regulation of psychotherapy.


Issues: other views--wellness.

Issues: other views--wellness.


To tell the truth: physicians' duty to disclose medical mistakes.


Moral reconstruction in the hospital: a legal and philosophical perspective on patient rights.


Medical residents and section 117--time for a closer examination.


Hospital's EAP staff perfect the art of packaging services for business clients.


How a building gets built: Duke University Hospital--for the '80s and beyond.


Community Advisory Boards: emerging methods of "interacting" with the community.


Incontinent pads and garments: a specialized market needs special care.


The medical record -- a valuable data base for the hospital.


Computer -based coding of medical data.

Computer -based coding of medical data.


Uses of coded data for hospital planning.


Coded data management: a practical approach to assessing a hospital's data needs.


New law complicates the processing of insurance requests.


Preventing employee needlesticks, puncture wounds.


Clinical data systems: meeting organizational needs.


Health care coalitions watching the bottom line.


Trustee orientation: acquainting your board with your hospital.


The trustee's legal responsibilities.

The trustee's legal responsibilities.


Interview: Peter T. Flawn.

Interview: Peter T. Flawn.


The fine art of communication: an important part of a successful board-administrator relationship.


Orientation important schooling for trustees.


Recruitment campaign draws national attention.


The community relations role of the hospital trustee.


The problem physician: legal threat or legal menace?


TAHGB makes job of 'head honcho' a lot easier.


New tax law hobbles tax-exempt hospitals. The Economic Recovery Tax Act of 1981 left tax-exempt hospitals at a significant disadvantage in the competition for capital. Although the new law's accelerated depreciation schedules and liberalized investment tax credits contain some marginal benefits for tax-exempt hospitals, these benefits are probably more than offset by the impact of the law on charitable giving.


Strategies for surviving the capital shortage. With traditional sources of capital threatened, hospitals are going to have to turn to new sources of capital and new methods of raising capital if they are to meet their facilities and equipment needs during the 1980s. New capital will come primarily from two sources: net income from new health services and health-related ventures operating in less regulated markets, and equity offerings.


Choosing the financing option that's right for your hospital. THe major debt financing options available to hospitals may be evaluated according to two categories of factors: those involving the financing itself and those involving its subsequent operational impact. Structural considerations include the likely trend in interest rates, the time commitment necessary to complete multiple financings, the institutional operating climate, and the likelihood that a preferable vehicle will be available at a later date.


Will the new tax law hurt giving to hospitals? Despite predictions that the Economic Recovery Tax Act of 1981, by diminishing the tax benefits of charitable giving, will have a serious adverse effect on philanthropy to hospitals, many hospital development officers remain optimistic. They recommend that hospitals respond by improving their marketing efforts to their giving publics.


Capital financing tips for small hospitals. Small and rural hospitals that have financed capital projects successfully have built a strong base of public support among the local community and regulators, and they have been willing to risk failure to achieve their goals. An open mind, community involvement, and participation of experienced professionals are essential to a successful financing.


Pros and cons of hospital development foundations.


Teaching nursing home award program outlined.


Problems with cash flow? Look to patient receivables.


Educating the elderly on their legal rights.


Sanitation in the dietetics service.

Sanitation in the dietetics service.


Behind boasts, the grim side of Soviet medicine.


Why cost of health care won't stop rising.


Health planning: the program that wouldn't die.


Expected principal source of payment for hospital discharges: United States, 1979.


Spanish-language TV show planned by hospital.


1980 summary: National Ambulatory Medical Care Survey.


HMOs boom in Twin Cities.

HMOs boom in Twin Cities.


Hospitals, state agency join to save school of nursing.


Project Orbis: up, up, and away.

Project Orbis: up, up, and away.


Private MDs regroup to fight HMO pinch.

Private MDs regroup to fight HMO pinch.


HMOs in Twin Cities feel pressure to advertise.


Is technology worth the cost?

Is technology worth the cost?


Economist on competition: "If it ain't broke ...".


Recommendations for periodic health examinations by the ACP Medical Practice Committee.


Malpractice panels--success or failure?

Malpractice panels--success or failure?


With CARE in Afghanistan--a surgeon reminisces.


ACP Associates starting group for 'dual physician families'.


Multiculturalism and community health services.


A new direction in hospital health promotion.


The different facets of delivering hospice care to terminally ill patients.


Success in rehabilitation: dedication in a backwater of medicine.


Congress' new method of doing business.

Congress' new method of doing business.


Rebel doctors want a trauma-care network, not an aloof mecca.


Hospital life: a downgraded system?

Hospital life: a downgraded system? Author takes a two-stage tour of the labyrinths of hospital regrading. Stage one this week shines a torch into some of the dark corners of a system that can keep a person waiting for a year or more on its decision to upgrade or not and, if he or she is lucky, another two or three months for the result of an appeal. The machinery creaks and a whole range of people are impatient with it.


More hospitals nix bed plan for 'major' war.


Proprietary hospitals' boom: a boon for MDs--or a threat?


Novel antibiotics excel for hospital infections and offer long action.


Staff privileges: barred doctors go before the bar.


NCI expects to enlist community hospitals in cancer trials soon.


Cash-incentive insurance to curb health costs is an idea whose time may be near.


American business is bullish on 'wellness'.


Hospitals strive to survive through marketing.


Threat to Medicare seen: more hospitals quitting Social Security system.


Multidisciplinary effort: clinic aims to understand children's pain.


Interest rate halts hospital's construction.


Health systems agencies a good target.

Health systems agencies a good target.


Price disclosure a part of package: Minnesota repeals certificate-of-need law.


Radiologic microfilming: a technology in transition.


Trials and tribulations of radiology administration. Who is really in charge of the department?


Hospital sues over CAT scanner denial.

Hospital sues over CAT scanner denial.


Non-federal physicians: 1 of 4 MDs has arrangement with hospital.


Reflections on five years in Philadelphia.


Must better diagnosis cost more?

Must better diagnosis cost more?


Effective use of a computer in radiology.


An overview of radiation therapy planning systems.


Management of health-care costs.

Management of health-care costs.


The changing relationship between hospitals and surgeons.


The patient's role in cost containment.

The patient's role in cost containment.


Cost containment in surgery: holding fees in line.


Cost containment in surgery: toward practice productivity.


Reaganomics: cost-shifting in Washington.


Limitation on Federal participation for capital expenditures; policy notice. Public Health Service. Interpretive ruling. This Notice announces a change in an interpretive ruling under section 1122 of the Social Security Act which applies to the requirement under 42 CFR 100.106 that a State notify an applicant of certain actions within a specified period of time. This interpretive ruling is being revised to prevent the possibility that a finding of a Designated Planning Agency (DPA) or hearing officer be invalidated because of untimely delivery of decisions.


Satellite communications: it's cheaper, clearer and broader.


Refugee resettlement program and Cuban/Haitian entrant program: cash and medical assistance policies. Social Security Administration. Interim final rule. This interim final regulation amends the refugee resettlement program regulations (45 CFR Part 400) and establishes new policies on cash and medical assistance available to refugees and Cuban and Haitian entrants who are ineligible for Aid to Families with Dependent Children (AFDC), Supplemental Security Income (SSI), adult assistance (OAA, AB, APTD, and AABD) in the Territories and medicaid. The Refugee Resettlement Program (RRP) provides Federal reimbursement to States for 100 percent of the costs of cash and medical assistance provided, during the first 36 months after entry into the United States, to such refugees in accordance with applicable program rules and requirements and the administrative costs of providing such assistance. Cash assistance provided to such refugees under the RRP is termed "refugee cash assistance" (RCA); and medical assistance provided to such refugees under the RRP is termed "refugee medical assistance" (RMA). This regulation permits 100 percent Federal reimbursement for RCA and RMA for an eligible refugee for the first 18 months that a refugee is in the United States. For a refugee who has been in the U.S. more than 18 months but less than 36 months, the regulation permits a State, at its option, to seek RRP reimbursement for the cost of General Assistance (GA) provided to such a refugee.


Social security in a deep freeze? No way, says Mom.


Health systems agencies and state health planning and development agencies; certificate of need reviews: Health Resources Administration. Notice regarding adjustment of the expenditure minimum for capital expenditures and the expenditure minimum for annual operating costs. This notice provides necessary information for each State which chooses to adjust the capital expenditure and annual operating cost expenditure minimums that are used to determine whether proposals are subject to review under a State's certificate of need program. The notice also provides guidance to assist a State Health Planning and Development Agency (State Agency) in determining the exact minimum dollar figure it will use and in seeking further information.


Schweiker predicts hospitals won't leave: social security dropout doubted.


Twin Cities face nursing surplus.

Twin Cities face nursing surplus.


Picking up block grants--where there's a will, there's not always a way.


YMCA, hospital team up in wellness program.


Medical information exchange via satellite.


Accreditation: our perspective.

Accreditation: our perspective.


Mental retardation in the Province of Manitoba: towards establishing a data base for community planning.


Hospital boards in Saskatchewan S.H.A.P.E. up.


Nursing and computer technology--information overload or structured information?


The HMO approach to health care: are health maintenance organizations finally taking hold?


What is expected of a hospital trustee?

What is expected of a hospital trustee?


Expanding to include nursing home services.


If you have a choice: how to judge an HMO.


Discharge planning: saving a patient a day means saving a hospital more than a dollar.


Nursing involvement in (MIS/HIS) automation decision.


Hospital finds how to keep pace with new lab technology--without outstripping budget.


Cost control at the unit level: decentralization cultivates economy at Johns Hopkins Hospital.


Functional analysis--from industry standby to leading player in hospital cost containment.


Computers: a new tool for nursing.

Computers: a new tool for nursing.


MIS to contain hospital costs.

MIS to contain hospital costs.


Ambulatory services center: a hospital's commitment to community health care.


Hot meals for former patients, warm feelings all around when business and hospital cooperate.


Death anxiety among nursing home residents: a comparison of the young-old and the old-old. The purpose of this research was (a) to determine whether there is a comparative difference in the level of conscious death anxiety between young-old and the old-old nursing home residents and (b) to assess the predictive value of educational attainment, gender, subjective health, functional ability, social support, and length of stay on the conscious death anxiety of the persons in the two age groups. A discriminant analysis of 228 residents from three nursing homes revealed that among the 103 young-old subjects poor subjective health, poor functional ability, poor social support, and extended stays in the facilities were indicative of high death anxiety. Among the 125 old-old subjects, high death anxiety was associated with poor subjective health, poor functional ability, and higher educational attainment. Further, it was found that age was an important variable. A significantly greater proportion of the older residents compared to the younger residents had higher conscious death anxiety. The results may direct practitioners and planners in program development for the elderly nursing home patient.


Death education and attitudes toward euthanasia and terminal illness. The attitudes of a random sample of Cleveland clergy toward the experience of terminal illness and the circumstances justifying euthanasia are presented and analyzed. The clergy response patterns revealed that, although eager to prolong life as long as possible, terminally ill patients fear a prolonged period of illness more than death itself. They also agreed that most patients favor the disclosure of terminal illness. The clergy's response to a questionnaire exhibited a definite ranking (i.e., scaling) in the order of priority of the different circumstances justifying passive euthanasia. Using training in death counseling as a control variable produced sharper division in the response categories for each statement. The controversial nature of euthanasia and the problem of ascertaining the psychological needs of the terminally ill became more apparent with the group who had more training in death counseling. Interpretations of the findings are presented, and a need for a careful reexamination of the effects of death education on attitudes toward controversial subjects in death and dying is stressed.


Health advisory services and the immigrant.


Health indicators: what are they? An approach to efficacy in health care.


Comparing nurse-practitioners and physicians: a stimulation study on processes of care. The question "where is the 'nurse' in the nurse-practitioner" is addressed by comparing processes of care employed by nurse-practitioners (NP) and physicians (MD) in the overall management of commonly occurring problems in primary care practice. Subjects in a nonrandom sample of 15 NPs and 11 MDs independently described their proposed management of two pediatric and two adult hypothetical cases. NP and MD responses were compared to identify differences in the inclusion of explicit process criteria items in the following categories: problem assessment, diagnostic plan, therapeutic plan, health education, follow-up. The differences between NPs and MDs were almost entirely in the NPs' more frequent inclusion of expressive "caring" functions which have traditionally been the focus of nursing practice. The extent to which "care" as well as "cure" process variables affect outcome measures is discussed with regard to testing the effectiveness of the "care" component of health services, regardless of the professional identity of the provider.


Are there safety belts on the bandwagons?


Overcoming design problems in evaluating health behavior programs. The increasing importance of high-quality evaluative research on health lifestyle change programs is established. Failure to ask the right evaluative research questions and problems of research design are identified as two major reasons for the dearth of well-controlled, interpretable evaluations in this area. Thirteen issues of research design that need to be considered if interpretable answers to evaluative research questions are to be obtained are identified and discussed. Solutions to these problems and design recommendations are offered. Discusses successful methodologies for obtaining high quality evaluative research on health lifestyle change programs, an increasingly important research area.  Failure to ask the right evaluative research questions and problems of research design are identified as 2 major reasons for the dearth of well controlled, interpretable evaluations in this area.  13 issues of research design that need to be considered if interpretable answers are to be obtained are identified and discussed.  These include:  1) decisions on whether to use formative or summative evaluation, 2) the nature of the target population, 3) the nature of control conditions, 4) the difficulties of randomization, 5) the unit of selection, assignment and analysis, 6) the breakdown of designs, 7) the problem of individualized versus standardized treatment, 8) complex treatment procedures, 9) the use of intensive assessment (assessment as part of the treatment), 10) the reactive effects of pretests, 11) complex outcomes, 12) the long term effects, and 13) attrition.  Solutions to these problems and design recommendations include:  1) separation of formative and summative research, 2) use of randomized experiments whenever possible, 3) more careful consideration to choice of control or comparison conditions, 4) greater use of preocedures to keep subjects, program providers, and data collectors blind to the condition the subject is in, 5) statistically equivalent or comparable treatment and control groups, 6) use of hierarchial analysis strategies, 7) use of quasi experimental designs when randomization cannot be accomplished, 8) awareness of possible unintended changes to the design, 9) use of standardized treatment or standardized versions, evaluated in a randomized experiment, 10) regarding multiple components in a treatment as interdependent (curriculum package), 11) asking if pretesting and ongoing assessment is regarded as part of the treatment, 12) measurement of outcomes at multiple levels in a hypothesized causal chain of influence, 13) follow up observations over long periods, and 14) use of a blocked design to cope with the attrition likely to occur from control groups at longer follow up periods.


Education staff takes learning to the worksite.


Methodological factors in studying medical graduates: a review of six internship performance studies. This "state of the art" article examines six internship performance studies of medical school graduates that use rating scales as the vehicle for data collection. The methodological decisions investigators faced in designing the studies are described and the range of options used is illustrated. The content and format of rating forms employed are compared. No methodological standards currently exist for internship performance studies. We call for greater attention to methodological issues in study design, including examination of potential sources of bias. How structural aspects of the internship performance study design may influence the results obtained needs careful study.


Maximizing resources: external funding.

Maximizing resources: external funding.


How a disaster differs from an emergency . . . counties should develop systems for dealing with both.


Compensation--Part I: are you getting your fair share from group practice?


Marketing medical services: hot, new, misunderstood topic in health care delivery.


Options & obstacles in the world of business.


Family lodging: a voluntary variation on the McDonald House theme.


How U of M Hospitals coped with a nurses' strike.


How Paul Deignan built a super kitchen.

How Paul Deignan built a super kitchen.


How Joe Roberts found a niche in nursing homes.


Public/private partnerships bring a building to Harlem.


Hospital survey changes outline gift statistics.


How waist watchers can indulge without guilt.


Hospitals take chance in system withdrawal.


The impact of physician compensation on HMO tax exempt status: a legal analysis.


Short-term effects of treating alcoholics for alcoholism: utilization of medical care services by alcoholics in a health maintenance organization.


Health status, utilization, and satisfaction among enrollees in three types of private health insurance plans.


Recent developments in medical licensure.


Emergency departments: putting the stress on structure.


Materials management in adversity: how planners coped with a nurses' strike.


Expanding and marketing hospital mental health services.


Should hospitals opt out of the Social Security system?


Health economics: how economics can help the health service.


Under new hospital management.

Under new hospital management.


Grand rounds for management.

Grand rounds for management.


A and E information: for the record.

A and E information: for the record.


King's Fund beds: designing a standard.

King's Fund beds: designing a standard.


Health in West Germany: the health care explosion.


Health economics: screening test costs.

Health economics: screening test costs.


Health service costing: breaking down the costs.


Evaluation of DIBASE: an online system for storage, processing and retrieval of data from drug information requests.


Arts in hospitals: art and well-being.

Arts in hospitals: art and well-being.


Toxicology laboratory interactive computer-based data acquisition and information systems.


Document delivery: the use of page costs to compare document services.


Health economics: maximising nurse manpower.


Hospitals and vendors working together . . . at the Good Samaritan Hospital of Maryland, Baltimore.


Rx for cost containment committees.

Rx for cost containment committees.


Hospitals and vendors working together . . . at St. Joseph's Hospital and Medical Center, Phoenix.


Cost containment is a hospital-wide affair.


Workshop series for youngsters with diabetes--an interdisciplinary approach to patient education.


Motivational techniques used in building a fire brigade.


Proposal fund-raising. Moving ahead in the alms race.


The changing face of voluntarism.

The changing face of voluntarism.


New directions in giving.

New directions in giving.


A round-up of innovative volunteer programs.


Effective use of emergency room volunteers.


Philanthropy -- getting your piece of the pie. How to set up a hospital development program implemented by a nonprofit foundation.


Health care manager's notebook: managing committees and meetings.


Research in a hospital setting: eleven questions for management to consider in establishing an R&D function.


Quality circles in the hospital.

Quality circles in the hospital.


An R&D system that works! Lutheran Hospital Society shares its step-by-step process in building its high-results program.


Health care manager's notebook: behavior modeling.


Hospital-based child care. California hospitals find innovative ways to ease recruitment, retention problems.


Health care manager's notebook: managing professional development.


A conversation with Dave Jeppson.

A conversation with Dave Jeppson.


The powerful woman.

The powerful woman.


Managing the engineer function: a case for in-house service in small hospitals.


Designing for reduced hospital energy consumption.


Estate management in the reorganised service.


Energy conservation--crisis or conspiracy?


Empowerment: key to effectiveness.

Empowerment: key to effectiveness.


Chester's new Nucleus Hospital.

Chester's new Nucleus Hospital.


An alternative method of heating a laundry ironer.


One hospital's ICU criteria provide basis for comparison.


Hospital trims waste with diagnostic services review.


Cardiovascular, primary care based in mobile units.


Health awareness programs benefit hospital employees, volunteers, public.


Medical records program improves QA, RM, UR and cash flow.


Physician diagnostic test-ordering habits cause unnecessary expense.


On the western front: Stanford University Hospital.


An apology for the value of human lives.


A theology of Christian hope: perspectives for pastoral care.


The Catholic health facility: a sign of hope.


Defense policy attracts support among hospitals, AMA, bishops.


On defending health and human life.

On defending health and human life.


Parallel organization: process and structure for work redesign.


Medical staff records exempt from discovery.


What's in store for hospital associations? Lessons from the banking industry.


Security directors told of prescription fraud, warned on new heroin substitute.


Plaintiff must prove negligence caused injury.


How to handle bomb threats.

How to handle bomb threats.


Effective care of patient-prisoners.

Effective care of patient-prisoners.


What the Hyatt Regency Hotel disaster taught Kansas City hospitals about handling mass casualties.


How to upgrade your security and safety department.


Tax quarterly.

Tax quarterly.


Cardiologists' complaint alleging denial of opportunity to perform procedures at hospital violate Sherman Act and civil rights dismissed by district court.


OSHA examining need for new EtO standard.


Central service catalog aids communication with nursing.


Quality assurance: doing it my way.

Quality assurance: doing it my way.


Buyer-seller computer linkage.

Buyer-seller computer linkage.


An integrated pest management concept for hospitals.


Carner's codes, Chapter 1: your compensation.


Vendors honored at St. Joseph's.

Vendors honored at St. Joseph's.


'Health fair' for seniors.

'Health fair' for seniors.


Tomorrow's political context: technocracy or democracy?


Catholic hospitals in today's Canada.

Catholic hospitals in today's Canada.


Job satisfaction among health professionals in teaching hospitals.


District Health Councils: should their mandate be broadened?


Educational preparation for nursing administration in Canada.


Demand for change comes from the community.


Executive stress and lifestyle.

Executive stress and lifestyle.


For timely decision making a capital equipment acquisition process.


Record rates set tone for bond market in 1981.


Congressional threat? Tax-exempt hospital bonds: key questions and answers.


Sexual harassment: not funny, not legal.


A seven-step guide for hospitals: getting through a debt rating.


Reporting on debt financing: accounting for indentured funds.


How to be a great supervisor.

How to be a great supervisor.


We hope our roles really change.

We hope our roles really change.


Cut risks of radiation exposure with preventive strategies.


Share hospital liability with products' manufacturers, sellers.


Nursing home consultant pharmacists: drug information services, opinions, and activity study.


Who is authorized to consent to the treatment of minors?


Can a hospital require that an applicant for medical staff privileges live or practice within a certain geographic distance from the hospital?


Surveillance of antibiotic utilization in a psychiatric hospital.


Is the open staff on its way out?

Is the open staff on its way out? Rising health care costs, a larger number of physicians competing for staff privileges, and increasing liability for hospitals involved in malpractice cases are changing the relationships between hospitals and medical staffs. In this article, two important changes are discussed: the physician applying for medical staff privileges faces greater scrutiny than in the past, and in the future, more and more hospitals may seek to make physicians employees on closed medical staffs.


The P&T Committee and cancer chemotherapy: Part II. Who should prescribe anticancer drugs.


The critical path.

The critical path.


Patient recall of physician's prescription instructions.


Reducing the number of missing doses with the aid of a computer system. Missing or extra medications in the unit dose drug distribution system have resulted in lost financial charges. At Kingsbrook Jewish Medical Center, the reasons why drugs were returned or missing in the unit dose system were not properly explained nor properly recorded. Enhanced programs in the computerized pharmacy management system were developed to include a mechanism for recording reasons why doses were missing and a method of documenting extra doses dispensed to the patient, while capturing current costs for these drugs. The system permits simple data entry which allows uninterrupted processing. The reports generated by the system are used to inform physicians of dosage problems of patients and to act as an educational aid in correcting a source of medication errors. The computerized reporting system has helped to reduce the number of missing medication doses by 36.8% and to improve pharmacy inventory control.


Voluntary compulsions: the transformation of American health institutions, part II.


Survival of the fattest, Part II.

Survival of the fattest, Part II.


Infection control procedure for scabies in the long-term care facility.


Program evaluators in community mental health centers: results of a national survey. A national survey of CMHC directors and program evaluators yielded responses by both directors and evaluators from 323 CMHCs (60% response rate). The majority of centers reported only one full-time equivalent evaluator or less. Evaluators generally had little or no specific formal education in program evaluation and the majority had a master's degree or less as their highest degree. However, consultants were widely used and evaluators expressed much interest in hearing about conferences, continuing education opportunities, and publications dealing with program evaluation.


A multihospital medication allergy audit: a means to quality assurance. Seventeen community hospitals within the 16 division of the Sisters of Mercy Health Corporation cooperatively participated in a medication allergy audit program. Initial and follow-up audits were conducted at each hospital to determine whether allergy information for penicillin- or aspirin-sensitive patients was appropriately communicated to the pharmacist. A total of 483 patient records were reviewed during each audit which corresponded to 12% of each hospital's average patient census. In the initial audit, the overall acceptance rate for the combined hospitals was 62.3%. Following the first audit, each hospital undertook corrective follow-up measures in an attempt to improve its results. In the second audit, the overall acceptance rate improved significantly to 78.9%. It is concluded that this auditing process followed by corrective follow-up measures was an effective mechanism for improving the communication of patient allergy information and is a means to quality assurance. Future audits will be necessary to determine whether the beneficial effects produced will be sustained or improved.


Assessment of psychological reactions in disaster victims. Through the joint efforts of the area community mental health center and an emergency relief organization, psychological reactions of flood victims were measured. A random sample of 124 adults and 54 children were interviewed, using scales reflecting measures of depression and stress. Results showed that adults perceived themselves to be significantly more depressed and stressed in areas such as adaptation and physical complaints. Children's results were mixed, depending on age, although problems existed with regressive and aggressive behaviors, fears, and in miscellaneous areas such as sleep difficulty. Recommendations are made for further community mental health involvement, as well as emphasizing the need for further empirical work in the assessment of postdisaster emotional sequelae.


Deinstitutionalization and its critics: a commentary on Brown.


The environment as a participant in health care.


Creating culturally supportive environments in long-term care institutions.


Fighting a myth: families in need of support.


Group family counseling: an aid to long-term care.


Survey of current functions of a music therapist. Active music therapists (n = 466) responded to a national survey concerning the role and functions of a music therapist. The survey included demographic information and task inventory in four areas: (a) indirect service and program preparation or planning, (b) evaluation, (c) intervention programs, and (d) adaptive equipment and material. The purpose of the survey was to identify the roles, functions, and competencies performed by music therapy personnel; responses should not be interpreted as tasks that should be practiced. Each of the 157 survey items was analyzed via descriptive statistics, a two-way frequency analysis, and factor analysis. This repeated for the total group (n = 466) and for groups sorted by employment categories. Further analysis of each item investigated response differences between male and female music therapists and individuals whose age was over 35 or under 35. Data analyzed by group, age, and sex characteristics will be presented in subsequent reports.


The interface of pediatric oncology and the family.


Reverence for the humanity of the dying: the hospice prescription.


Hospital in Brooklyn installs unique linen security system.


Humana could change its policy not to build central laundries.


VA to begin building central plant that will serve five NY hospitals.


Queens Medical Center, Honolulu, begins reconstruction of laundry.


North Dakota hospital to expand and renovate in-house laundry.


Could you let an RN take charge of your patients?


Why primary doctors let SAFECO's purse strings slip.


The hospital-bed crackdown that won't go away.


Who closed the hospital door to this doctor?


Royal College of Physicians of Edinburgh Working Group on cooperation between medical and other health professions.


A pet of our own or consult the oracle.

A pet of our own or consult the oracle.


Hospital information systems: micros boost clinical capabilities.


Hospital information systems: micros have power to save energy.


Hospital information systems: computer helps unit justify staffing pattern.


Hospital information systems: four hospitals consider sharing automated patient care system.


Hospital information systems: self-developers eye expansion.


Hospital system's board intertwines professionalism and religious faith.


Think big! But don't belittle 'small'.

Think big! But don't belittle 'small'.


HBI quiets bankruptcy talk by 30% repayment.


Treasury: cutting access back, not off.

Treasury: cutting access back, not off.


Congress builds case to oppose dialysis reimbursement proposals.


Acquisition will aid both firms' growth.


What is the future of prepaid medical practice? Prepaid medical practice, bolstered in its growth over the past eight years by government legislative and financial support, is currently at a unique crossroad. Confronted with a reduction in federal support as a result of the 1981 amendments to the HMO Act, and faced with an undefined investment commitment from the private sector, HMO expansion and future growth rates are subject to some uncertainty. An assessment of the future of HMOs must take into account not only the immediate past, but also how present, evolving marketplace factors will shape trends in the years ahead.


HSAs map strategies to survive end of federal funds; 40% may succeed.


VHA seeks 'viable' role as alternative to for-profit multihospital systems.


Smaller ad agencies taking lead in complex marketing of hospitals.


Security investigating new tactics as violent crime plagues hospitals.


Hospitals forge ahead with building.

Hospitals forge ahead with building.


Feasibility and implementation of a hospital-based group practice. All sectors of the economy have been suffering from the current inflationary environment. In some businesses, such as health care, costs have increased more than thought possible in the past. Since hospitals are labor intensive, they have been drastically affected by the push toward higher pay and the often hidden cost of fringe benefits. It is not surprising, therefore, that in seeking relief from the cost, hospitals will examine a method which removes a large part of the salary burden from their budgets: conversion of hospital-based salaried physicians to private, fee-for-service groups. The first article in this two-part series, which appeared in Medical Group Management, November/December 1981, examined the financial and legal aspects of the conversion. This concluding article presents the operational and organizational issues which must be considered for a successful conversion.


Hospital information systems: time-sharing firms grab for micro market.


Med Card saves time, saves lives.

Med Card saves time, saves lives.


Experience and the base-rate fallacy.

Experience and the base-rate fallacy.


Philosophers in hospitals: are they welcome on the wards?


Removing barriers, Part One: fine tune your communication skills.


Hospitals HITCH on to larger library.

Hospitals HITCH on to larger library.


Dying PNHA finally wins one in court.

Dying PNHA finally wins one in court.


Regulation of quality in the clinical laboratory. Effective regulation of quality is the responsibility of the individual laboratory. In this article, the author explains why coordination and centralization in a quality control program is necessary, that it is a management process, and that regulation begins with a definition of performance standards.


Managing laboratory personnel--are you prepared? Part II. At the center of the hardware in the clinical laboratory are people, and managing these people can be difficult for the resident who has had no management experience or instruction in management skills. Last month, in the first of the two part article, the author explained how a pathologist's administrative role differs from his role as a physician, reviewed management styles, and discussed management tools the laboratory director needs to organize and operate a laboratory. Here, he focuses on the orientation program for new employees, motivational factors, and the importance of personnel policies, job performance evaluation, counseling and disciplinary action, and proper delegation of responsibilities.


The treatment of burns in Britain.

The treatment of burns in Britain.


Speakers bureau: when they say "selective mailing" they mean it.


Road map as an annual report: unveiling a new vehicle for hospital PR.


IdeaBank for cost containment.

IdeaBank for cost containment.


A fellowship program for employees: wherein employees get to know their hospital from inside-out.


Antique annual report: reminiscing through the files in Augusta.


Donor booklet: how to get "our donors and friends" to read their literature.


Give your city a fitness trail: hospital's unique birthday present is off and running.


A class for expectant siblings: prenatal classes for kids reduce fears.


Seniors meal discount tickets: good meals; good press; good PR.


Sports Injury Clinic: is this the start of a trend?


Physician recruiting fair: a new plan invites area hospitals to sell themselves to doctors.


Treatment authorization form.

Treatment authorization form.


Consorting on a newsletter.

Consorting on a newsletter.


Volunteer recruitment.

Volunteer recruitment.


Visitors handbook.

Visitors handbook.


Two approaches to employee handbooks: the unconventional vs. the indepth.


Greeting cards as donor mailings.

Greeting cards as donor mailings.


Health series leads PR effort.

Health series leads PR effort.


Internal market research on a budget.

Internal market research on a budget.


Nurse recruiting poster.

Nurse recruiting poster.


Literature the easy way.

Literature the easy way.


Nurse newsletters.

Nurse newsletters.


Converting your magazine.

Converting your magazine.


Q&A: Your marketing questions answered.

Q&A: Your marketing questions answered.


Jogger's I.D. badge.

Jogger's I.D. badge.


Photo gallery: the elderly.

Photo gallery: the elderly.


Alcoholism treatment campaign.

Alcoholism treatment campaign.


Hospital AV: the 5-minute guest interview wins 20% audience share.


Rolodex referrals: desk top marketing to medical office assistants.


Courting the medical office staff: when they look for a hospital bed, make sure it's yours.


Hospital seminars to make the practice perfect: a bright idea for getting closer to your physicians.


Repelling a union attempt: a picture booklet helps defeat union threat.


Recruiting roundup.

Recruiting roundup.


Hospital reports financial facts of life.


X-ray education: don't take 'em if you don't need 'em.


Maternity patient information: babies that come with instructions for use.


Employee appreciation poster.

Employee appreciation poster.


Employee information tabloid: a snappy employee reference.


Personalized personnel graphics: adding people to personnel literature.


Peddling a health promotion program: does computerized health evaluation really sell?


Emergency call card: Pennsylvania Medical Society's idea could be used everywhere.


External marketing research on a budget: if you can't afford to mail a lot, call a few.


Creative annual report.

Creative annual report.


Wide scope wellness.

Wide scope wellness.


PR campaign: "we've grown" and we're talking about it.


Roundtable: is my hospital ready for marketing?


A variety of billboards: outdoor advertising is being tested with some success.


How to coordinate office and hospital hours efficiently.


Legal forum: a primer on informed consent.


Quality assurance as a positive motivator.


What's your RRQ?

What's your RRQ?


Improving technologists' in-service education programs. An in-service program for Radiologic Technologists is, for some departments, more of a burden than a benefit. Resources and time are limited, as well as interest in many instances. Utilizing some basic steps of coordinating and assessment, in-service sessions can develop into worthwhile learning experiences instead of just a requirement being met.


VE in 1982 and beyond.

VE in 1982 and beyond.


When I asked my administrator to consider using nurses in our marketing, he told me I was crazy. Am I?


The invisible cancer cure.

The invisible cancer cure.


Radiology nursing: a new dimension.

Radiology nursing: a new dimension. Radiology departments all over the country are inundated with new technology being introduced into the radiographic market. This more complex environment has created a new role in many radiology departments. The position of radiology patient advocate is somewhat new, but growing in potential for maintaining the quality of patient care being delivered. The nurse in radiology can assist in humanizing the patient's experience. The nurse can also act as a liaison with other professional departments. Finally, the nurse can assist in maintaining and improving the quality of care provided in a radiology department. The department of radiology now, more than ever, needs to consider complementing their staff with a nurse.


The effects of medical society control of Blue Shield on fees in the physician service market: some preliminary evidence.


Computer assistance for occupational health programs.


Instrument preference vs. cost containment: can the purchaser win?


Need for transfer agreements.

Need for transfer agreements.


Subject heading revision: a system for small libraries.


Health and human services block grants: the state and local dimension.


A system for control of scrub suits.

A system for control of scrub suits.


Immunoprophylaxis in the emergency department.


Training and the law: what you don't know might hurt.


Everything you need to deliver effective delegation training.


Is the wellness movement sick?

Is the wellness movement sick?


Is film dead? Not for most trainers.

Is film dead? Not for most trainers.


Integrate wellness into the learning experience.


When more information leads to less staff development.


Do women managers still need special training?


Making organization development work at the department level.


Performance aids: how to make the most of them.


To troubleshoot your appraisal system, check users first -- then forms.


Choosing an ethylene oxide steriliser in 1982: a Scottish viewpoint.


Fund development: winning friends and influencing people can help you buy that new equipment.


Making H.T.M. 10 sterilizers work.

Making H.T.M. 10 sterilizers work.


The debt capacity study: a guide to determining affordability.


Zero based budgeting.

Zero based budgeting.


Health Facilities Development Act.

Health Facilities Development Act.


Sick leave policies.

Sick leave policies.


Debt financing methods: some ideas for funding major capital projects.


The purchase lease decision: how to choose.


Tax-exempt equipment financing: the pooled approach.


How nurses in one Texas hospital MICU deal with...the pressures of giving.


Why boards should back uniform billing.

Why boards should back uniform billing.


Is the independent hospital an endangered species?


New assessment tool assures appropriate patient placement.


Financing for rural hospitals.

Financing for rural hospitals.


When you need medical care in a hurry.

When you need medical care in a hurry.


Deregulation may help offset budget cuts, but... tight times ahead.


Confidentiality issue magnified in military.


Home health: Congress, the Administration, the states.


Tax exempt bonds: hospital financing threatened.


Assessment of care. The third party interest in cost and care in the U.S.A.


Hospital medicine and quality assurance: the Australian experience.


Systems for surgical audit.

Systems for surgical audit.


Thoughts on the assessment of nursing care.


Performance measurements in clinical care.


A personal experience with healing through art.


Lowering triglyceride values in an occupational setting. Within a multiphasic screening program it was possible to establish an effective industrial counseling program for individuals identified as potential cardiovascular risks by their serum triglyceride values. A significant reduction of serum triglyceride values was obtained even where minimal supervision was used to modify aspects of an employee's life style. A counseled group of 109 male employees, 40 years and older, with serum triglyceride levels of 200 mg. or higher per 100 ml., was matched by location and age with a control group of 135 noncounseled individuals with similarly elevated triglyceride levels. Individuals in both groups showing significant percentage reduction were those whose serum levels began above 250 mg. per 100 ml. The employees who lowered their triglyceride values most significantly were those that had dieted and were periodically counseled and checked by a physician.


Why comprehensive epilepsy programs?

Why comprehensive epilepsy programs? Epilepsy is a common disorder, affecting more than two million people in the United States. For the majority of these people, medications control seizures and permit them to lead nearly normal lives. But the Commission for the Control of Epilepsy and its Consequences estimates that at least 200,000 Americans suffer seizures more than once a month. The National Institute of Neurological and Communicative Disorders and Stroke has established comprehensive Epilepsy Programs to stimulate clinical research on all aspects of epilepsy, including prevention, diagnosis, and more effective management.


The urban epilepsy program at the King/Drew Medical Center.


Bereavement art.

Bereavement art.


Laundry maintenance: some of the problems and how they have been solved.


Building a maintenance program from the ground up.


Nuclear medicine and computers in the 1980s.


Guidelines for purchase of high-technology equipment.


School-aged children's perception of stress in the hospital. This article is based on a research study of hospitalized school-aged children's perception of stress. Forty-two different stimuli were identified through the use of a projective-type game developed by the investigator. The findings of the study did not support the hypotheses that there is a relationship between the stimuli that children perceive as stressful and their preparation for hospitalization nor their length of time in the hospital.


Electronic claims submission: the revolution arrives.


Taking your CON application through the administrative and judicial processes.


Surgical barrier materials: product promotion vs. controlled evidence.


A case for in-house maintenance service.


Tomography 1990: conventional, computed, or a symbiosis.


Experiences with reusable barrier materials, 1976-1980.


Radiology billing by in-house computer.

Radiology billing by in-house computer.


Who should perform cardiologic nuclear imaging, and how should they be trained? Additional training is required.


Environmental health hazards in the operating room.


Ultra-high-speed tomography: scanning electron beam CT systems.


Should there be greater development of neutron therapy centers in the United states now? No.


Irrigation kit for barium enemas.

Irrigation kit for barium enemas.


Unbacked drywall construction: a problem in the operating room.


Clinical evaluation of gown-and-drape barrier performance.


Lifting the stigma of leprosy: a new vaccine offers hope against an ancient disease.


Productivity and accountability are not bad words.


Qualifications and teaching responsibilities of college-based radiologic technology faculty.


Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); Amendment on reimbursement methodology: Office of the Secretary. DOD. Amendment of final rule. This amends the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) Regulation to implement The Department of Defense Authorization Act, 1982 and the Department of Defense Appropriation Act, 1982 (Pub. L. 96-86 and 97-114, respectively). These public laws require CHAMPUS to calculable prevailing charges at the 80th percentile of billed charges made for similar services in the same locality during the base period. It also allows prevailing charges (profiles) to be updated more frequently than once a year. The intent of these changes is to simplify profile development procedures, and make appropriate benefit payments, and make profiles more reflective of all providers' current charges.


Resolution capabilities of large-field gamma camera systems at low energies.


Those amazing antibiotics.

Those amazing antibiotics.


Office mammography: report on 2,621 examinations.


A debt-threatened dream: big deficits for Social Security, small chance for reform.


Standards applicable to owners and operators of hazardous waste treatment, storage, and disposal facilities: liability requirements. Environmental Protection Agency. Revised interim final rule. The Environmental Protection Agency is today revising regulations of January 12, 1981, on liability coverage requirements for hazardous waste facility owners or operators. Under these requirements, owners or operators must demonstrate liability coverage for bodily injury and property damage to third parties resulting from facility operations. The major revisions are: addition of the option of a financial test as a means of demonstrating liability coverage to satisfy the requirements; addition of the option of submitting a certificate of insurance as evidence of insurance; and changes in the requirements for the endorsement and certificate. In a future document, EPA will propose to delete two provisions of the January 12, 1981 regulations. These provisions are: the procedure to obtain a variance for liability coverage requirements; and the provision allowing an owner or operator to use State assumption of legal responsibility for liability coverage to satisfy the liability requirements. The January 12, 1981, regulations were issued under an accelerated schedule imposed by a court order. The revisions that are being made today are necessary to eliminate unworkable aspects of the previous regulations, improve their effectiveness, and allow reasonable flexibility in satisfying the requirements.


Semi-annual agenda of regulations: Health and Human Services Department. Publication of semi-annual agenda of regulations. The President's February 17. 1981, Executive Order (12291) and the Regulatory Flexibility Act of 1980 require the Department to publish an agenda of significant regulations being developed and an indication of those regulatory actions that are being analyzed for their effect on small businesses. The Department published its last agenda on November 10, 1981.


New opportunities in containing education.


Private Land Mobile Radio Services; amendment of the commission's rules concerning mobile station, control point and control system authorization procedures for common user systems for a certain MHz frequency--Federal Communications Commission. Final rule. The Commission is amending its rules and regulations in Part 90--Private Land Mobile Radio Service, by adopting a new temporary licensing procedure for special mobile radio systems (SMRS's) and multiple licensed mobile relay stations operating in the 806-821 and the 851-866 megahertz (MHz) bands. This new system of licensing will benefit radio users by enabling them to begin operations more quickly than in the past, and will not in any way lessen the ability of the Commission to determine whether an applicant is eligible and otherwise possesses the necessary qualifications to be permanently licensed to operate in these bands. This new system is a part of the Commission's on-going program for reviewing its rules and regulations and eliminating unnecessary burdens on licensees to facilitate the administration of the Private Land Mobile Radio Service.


Doing more than filing and suing to get CON approval.


Federal Coal Mine Health and Safety Act of 1969, Title IV, as amended (The Black Lung Benefits Act); payment of benefits--withholding Part B benefits where Part C payments are made for the same period. Social Security Administration. Final rule. This regulation confirms the interim rule authorizing the Social Security Administration to withhold payment of Part B Black Lung benefits where Part C Black Lung benefits administered by the Dept. of Labor are paid for the same period. We are doing this by expanding the definition of "overpayment" in 20 CFR 410.560(a) to include these duplicate payments under Part C. This regulation provides a quick and efficient means of avoiding unjustified duplicate payments.


Expanding horizons.

Expanding horizons.


Health maintenance organizations--Public Health Service. Final regulations. These rules amend the Public Health Service (PHS) regulations on health maintenance organizations (HMOs) by implementing certain changes made by the Health Maintenance Organization Amendments of 1981. The provision governing repayment of grant funds under certain circumstances is also amended. In addition, this rule amends the requirements for the award of loans or loan guarantees to qualified HMOs for the acquisition or construction of ambulatory health care facilities and the acquisition of equipment for those facilities (Subpart J). The amendments to Subpart J are made as a result of public comments on the interim regulations published on April 9, 1980.


Spotlight on microfilming.

Spotlight on microfilming.


Accounting for station connections, optional payment in revenues and related capital costs, customer provided equipment and sale of terminal equipment--Federal Communications Commission. Order on reconsideration and clarification of first report and order. This document sets for the Commissions response to a petition for clarification and a petition for reconsideration of its First Report and Order, Commonly known as "Expensing of Station Connections". The First Report and Order, published in the Federal Register at 456 FR 18481, March 31, 1981, adopted changes to the Commissions Rules in Part 31 on uniform system of accounts for Class A and B telephone companies. Both petitioners raised the question of whether, and to what extent the adoption of th First Report and Order limits the discretion of the State commissions to follow different accounting and depreciation procedures for purposes of computing revenue requirements for intrastate telecommunications services.


Unhealthy tax policy.

Unhealthy tax policy.


Employers say leaving system improves benefits.


Who's afraid of hazardous waste dumps? Not us, say the Reagan administration.


The future of medical care: can technology and cost containment mix?


San Diego firms attack hospital overcharges.


Canadian doctors can help developing countries with health information technology.


Oregon union to hold line on health costs.


Midwest employers join to control health costs.


Rentable surgical space cuts costs for owners, pleases patients.


A five point approach to staff development for quality assurance. The nature of Quality Assurance is outlined, as well as the range of activities encompassed in a Quality Assurance program. The need to provide occupational therapy personnel with an organizational framework within which to develop the skills to implement a Quality Assurance program is given as the rationale for utilizing a model that focuses on five key areas of professional practice. The model is described, and the way it has facilitated the Quality Assurance program in the Occupational Therapy Services Department of the University Hospital, London, Ontario is discussed. Reference material, useful when implementing a program, is included.


Leadership style and approaches in critical care nursing.


Staffing and scheduling options.

Staffing and scheduling options.


Quality assurance and standards of care in the critical care setting.


The clinical nurse specialist in critical care.


Critical care time effectiveness: choices, risks, and payoffs.


Preparing for high-level nursing administration positions.


Dialogues with hospital pharmacists: Marianne F. Ivey.


Delegation--art and science.

Delegation--art and science.


Financial fundamentals for the hospital pharmacist.


Hospital building codes and the consumer interest.


New tests to monitor diabetes at home.

New tests to monitor diabetes at home.


'Committed volume contracts'--convincing hospitals they're in their best interest.


State pharmacy society sets VE goals--a 'first' for health professionals.


Communications department makes banner headlines with cost containment strategies for the year.