Perspectives from tomorrow's therapists: the occupational therapists's role in assisting elderly people adjust to retirement. The occupational therapist has historically been associated with assisting the individual function maximally within his environment. Retirement is a change of lifestyle to which most people must adjust. This paper outlines various aspects of retirement and examines possible future roles of the occupational therapist in helping elderly people adjust to retirement.


Accountability, efficiency, and the "bottom line" in non-profit organizations. Financial reporting by non-profit organizations deals only with accountability for propriety and regularity, and ignores output measurement. The development of output measures of a physical or index nature offers a means of relating dollar costs to output in the form of cost-efficiency or cost-effectiveness measures, but does not provide any measure of the absolute value or worthwhileness of such programs. This fundamental absolute value question should be asked of all non-profit programs and documented to the greatest possible extent in budgetary submissions, and subsequent control and audit. In public sector non-profit programs, the posing of this question requires information on consumer demand other than in aggregative and imprecise form through the political process, and much improved information on the cost side. Eliciting demand information is feasible in the case of public programs with separable benefits by the use of a variety of pricing techniques, direct or imputed, whether or not the service in question is ultimately financed on a user-pay basis. The problem of eliciting demand is more difficult in the case of public goods, but improved demand information can be obtained, ideally by an approach such as the use of a Clarke tax. The argument can be extended to encompass questions of income distribution, stabilization, regulation and tax policy. Recent developments in program evaluation in the federal government are important, but remain deficient in failing to address the question of absolute value.


Regulation and the paramedical professions: an interest group study. This article examines the relationship between government regulation and interest group activity of two paramedical groups in Ontario: chiropractors and physioptherapists. These disciplines occupy positions vis-à-vis the provincial medical insurance plan opposite to those which their relationships with the medical profession would suggest. It will be argued that the employment of sophisticated pressure group tactics can be highly effective as a surrogate for medical recognition. This, in conjunction with the difficulties inherent in the exercise of lay judgment in the development of public policy toward the professions, can lead to controversial policy outputs. It will also become apparent that a close and legitimate association with the medical profession is not necessarily of benefit in the pursuit of professional recognition.


Harnessing stress in the hospital pharmacy.


Is there life after work? How to survive and thrive with stress.


Characterization of pharmacy workload and pharmacist activities in a Canadian community pharmacy. The present study was undertaken to obtain data which would characterize pharmacist activities and prescription workload in a community pharmacy. Data on pharmacist activities were obtained by using a work sampling methodology. The proportion of time spent on each of 44 activities was obtained, and it was found that the proportion of time spent on professional activities (17.6 percent) was notably less than the time spent on nonprofessional activities (82.4 percent). Data on prescription workload were obtained by the design of a data sheet which was to be completed by each pharmacist for every prescription dispensed. The collected data characterized the number of prescriptions dispensed, which were related to the time of day and day of the week; they also provided information on the types of prescriptions dispensed, the age of patients (e.g., pediatric, geriatric), and the methods of payment.


Monitoring patient care in the long-term care facility: the coordinated patient care conference as a method for interacting with the primary care physician. A systematic approach for monitoring patient care in the long-term care facility is presented. The value of long-term care facilities having coordinated patient care conferences is discussed, and a structured format for these conferences is presented. A case example is utilized to demonstrate the importance of interaction between the personnel providing direct patient care and the primary care physician. Effective use of this system provides better patient monitoring and a method for improving the quality of patient care.


Pharmacists' perceptions of their patient counseling activities. The counseling of patients regarding their drug therapy has been advocated as an important part of pharmacy practice. Both the need and potential for this counseling have been demonstrated. Yet, studies generally have been critical to the extent and quality of the counseling provided. This report describes counseling as it is perceived by community pharmacists who perform this activity. A mail survey, developed from interviews with pharmacists, was distributed to a random sample of Ohio community pharmacists. A net response of 76.8 percent (506 usable questionnaires) was achieved. Respondents have strong positive beliefs about counseling. When the service is provided by pharmacists, counseling sessions are usually brief, pharmacist-initiated, and one-way conversations to the patient. Although there is considerable variation as to the classes of drugs for which counseling is provided and the types of people who receive it, the components of counseling appear to be constant. Attempts to change or expand counseling activities may be compromised unless there is a common understanding among all parties involved of what counseling is. This report is one step toward achieving that understanding. It may be used by community pharmacists to measure and compare their counseling behaviors and beliefs with those of their peers and as a means of identifying possible areas for change in their own practices.


Considerations when proposing consultant pharmacist services to hospice programs. Hospice programs attempt to provide a better quality of life by controlling the symptoms of dying patients. Pharmacist involvement with hospices has been limited and varies with each setting. This study identified opportunities where community pharmacists may provide services to the hospice patient and the hospice program. The routine functions of the visiting nurse included solving the drug therapy-related problems of hospice patients. Although pharmacists were relied upon for some assistance, their perceived role had been predominantly that of drug distributor. In addition, pharmacists were not aware of hospice programs and most offered very little help in meeting the needs of the terminally ill patient. Nurses stated that drug information was necessary when caring for hospice patients. After reviewing what the pharmacist could do for hospice patients, nurses indicated that they would request pharmacists' advice and assistance when drug therapy problems occurred.


Discretionary justice and state boards of pharmacy.


New micrographics center's productivity soars past quarter million mark, shrinks unit cost.


Competition and the antitrust laws: restraint of trade in a competitive market.


Changing concepts of death: clinical care.


New fantasies in the American death system.


Death in contemporary America. Discussion.


Employer remedies for work stoppages that violate no-strike provisions. An employer faced with a work stoppage that violates a contractual no-strike provision has several alternatives: the employer can seek an injunction against the strike, discipline employees involved in the strike, or attempt to recover damages for violations of the collective bargaining agreement. Each of these remedies, however, presents practical problems in terms of employer-employee relations as well as legal questions regarding the extent of relief available. In the following article, the author examines the remedies available to an employer when employees engage in activity that violates a no-strike provision. He also examines the impact of recent cases on an employer's ability to enforce a no-strike pledge.


Achieving equal pay for comparable worth through arbitration. Traditional "women's jobs" often pay relatively low wages because of the effects of institutionalized stereotypes concerning women and their role in the work place. One way of dealing with sex discrimination that results in job segregation is to narrow the existing wage differential between "men's jobs" and "women's jobs." Where the jobs are dissimilar on their face, this narrowing of pay differences involves implementing the concept of "equal pay for jobs of comparable worth." Some time in the future, far-reaching, perhaps even industrywide, reductions in male-female pay differentials may be achieved by pursuing legal remedies based on equal pay for comparable worth. However, as the author demonstrates, immediate, albeit more limited, relief for sex-based pay inequities found in specific work places can be obtained by implementing equal pay for jobs of comparable worth through the collective bargaining and arbitration processes.


Legal obstacles to alternative work-force designs. GIven the changing industrial realities we now face, more and more employers and their employees are becoming involved in cooperative work ventures such as work teams, quality circles, and joint employer-employee committees. Successful ventures of ths sort minimize the adversary nature of the relationship between management and labor and enhance employees' sense of responsibility and authority. The result is better working relationships and increased productivity. In both union and nonunion settings, however, employers face legal obstacles to work-force redesign. In the following article, the author discusses these obstacles and offers some suggestions on how they may be avoided.


EM teacher's salary varies wildly by location.


National origin harassment in the work place: recent guideline developments from the EEOC. In December 1980 the EEOC published its revised "Guidelines on Discrimination Because of National Origin." The revised guidelines expand the definition of national origin harassment and declare it a violation of Title Vii. According to the EEOC, the guidelines reaffirm the position the Commission has taken in earlier decisions. In the following article, the authors examine the EEOC's position on national origin harassment. Using the guidelines as a frame of reference, they look at both EEOC decisions issued prior to the guidelines and court decisions that may offer employers guidance regarding impermissible conduct and liability in this area.


EDN's survey of contract ED hospital practice (Part II).


Slicing ED fees brings patient boom in Illinois.


Cancelling ED 'abuse': would it help or hurt hospitals?


X-rays and lab tests under scrutiny in cost downhold.


Linen security: a key factor in cost control.


Methods of hospital linen control.

Methods of hospital linen control.


Chalktalk.

Chalktalk.


Evacuation and the life safety code.

Evacuation and the life safety code.


Canadian hospital fire reports: an incomplete record?


Designs don't fail, managers do.

Designs don't fail, managers do.


Who's in control? We must learn the limits of our tools (computer technology).


High tech in Indianapolis.

High tech in Indianapolis.


A close call.

A close call.


How to encourage nursing home residents to eat in the dining room.


How to increase patient meal acceptance.


Foodservice in the hospital corporation.


Joint ventures raising some complex tax questions for hospitals.


Physicians' involvement is a key ingredient in peer review program.


Contract foodservice 1982-83. Reaching out: a break from convention.


Limited block grant battles threaten even best planning.


Expansion by companies enables industry to continue health growth.


Velocity effects in domestic water systems.


Pressure and flow control in hot and chilled water piping.


Pump energy and flow balance analysis.

Pump energy and flow balance analysis.


Size safety valve discharge piping with a programmable calculator.


Wellness: a holistic concept.

Wellness: a holistic concept.


The construction of a relationship.

The construction of a relationship.


The "new federalism" and public health.

The "new federalism" and public health.


A decision making model used to evaluate a smoking cessation program.


The concepts of health and disease: a relativistic perspective.


Health planning at the crossroads: change imminent.


NorthCare: life and death of a community-based HMO. II. The political potential.


Jeff Goldsmith on: The shape of corporate medicine. Interview by Quentin D. Young.


NorthCare: life and death of a community-based HMO. III. The corporate context.


Informed consent.

Informed consent.


The competitive health strategy: fighting for your health.


NorthCare: life and death of a community-based HMO. I. The History.


Computer quiz: the path to running efficient purchasing operation is paved with computer printouts.


The marketing of a drug.

The marketing of a drug.


Group purchasing: a view from the inside.


Everything you need to know about contracts ... without being a lawyer.


Drug price inflation continues at 12% pace.


Cooperative laundries for nonprofit hospitals.


Implementing the change process.

Implementing the change process.


An over the shoulder look at materials management.


The problems with solutions.

The problems with solutions.


Integrating SPD proves effective.

Integrating SPD proves effective.


Health awareness program makes lifestyle changes its goal.


Canadian hospital survey finds costly, unnecessary screening.


Offering total employee health care pays off for Cleveland hospital.


Experts cite elements of identifying, managing stress.


Hospital union fears VDTs affected six pregnancies.


Link between VDT use, pregnancy problems not yet made, NIOSH says.


Education protects hospital workers who handle toxic cancer drugs.


Rubella: infection perspective.

Rubella: infection perspective.


The preferred provider organization -- pro-competitive alternative or antitrust problem?


Preferred provider organizations: a market approach to health care competition.


Utilization review for the PPO.

Utilization review for the PPO.


COMPASS--ductwork design and manufacturing system.


The quality control of medical gases.

The quality control of medical gases.


The buck stops where? Accountability and control in the National Health Service.


A review of progress on system hospital building--Nucleus.


Mobile radio communications.

Mobile radio communications.


Picking promotable people.

Picking promotable people.


Health care manager's notebook: problem people.


Senior companion volunteers provide home care for discharged elderly.


The case for the prefabricated building.


Minimal risk: an issue for research with vulnerable subjects.


Labor-management conflicts pose dilemmas in health care setting.


Brazilian hospital's ministry hampered by insufficient resources.


Charism and identity: signs of hope in Catholic health care.


Uniform "Determination of Death" Act would guide legal/medical decisions.


CHA Task Force on Stewardship Survey Report, Part I. Bishops' perception of the Catholic health care ministry.


Matrix organizational model broadens clinical nurse specialist's practice.


Summary suspension of physician privileges warranted if conduct endangers patients.


Medical records important defense in suit filed many years after alleged negligence.


Ethics and economics: making "lifeboat" decisions.


Research project examines hospital inventory management.


Hospital inventory management and control: an overview.


Carner's codes: managing change.

Carner's codes: managing change.


Applications of perpetual inventory systems.


Inventory reduction: back to the fundamentals.


Cost recovery from used equipment.

Cost recovery from used equipment.


The vendor's role in inventory reduction.


Forecasting for inventory control.

Forecasting for inventory control.


The need for effective inventory control.


Rx for inventories.

Rx for inventories.


Automated pharmacy systems: avoiding the pitfalls.


Operating room inventory management: a collaborative effort.


Texas medical center finds solution for scrub suit loss problem.


The basics of a good electrical safety program.


The Supreme Court, antitrust and the health care field.


Antitrust and the new health care delivery environment.


Fourth Circuit requires limited rule of reason to be applied in hospital antitrust planning case.


Full-time consulting: the business of starting a business.


Solving a late final diagnosis problem.

Solving a late final diagnosis problem.


Computed tomographic scanning of the brain.


Counseling the marginal performer.

Counseling the marginal performer.


The advantages and disadvantages of teaching: results of a survey of medical record educators.


Quality assurance: the effects of a prehospital data system on patient care.


The rules aren't everything.

The rules aren't everything.


These shoes are made for working.

These shoes are made for working.


Risk management and the medical record professional.


Are newsletters really worth it?

Are newsletters really worth it?


Developing a better elderly housing mix.


Units make room for mom.

Units make room for mom.


Hospitals and high tech industries share the office imperative.


Black health inequities and the American health care system. This paper examines the health care status of blacks in the American health care system and points out that blacks are burdened by a number of health inequities when compared to their white counterparts. The paper's central theme is that the degree of governmental commitment in a liberal, pluralistic society is at the foundation of inadequate health care for black Americans. Blacks lack input in the health care politics and decision/policy-making processes. This lack of input has resulted in a health care system that appears to be unresponsive to the health care needs of black Americans. This is most acute in the areas of health manpower planning and health planning. The conclusion suggests that an increase in the number of blacks in the health professions along with more black participation in health decision/policy-making could lead to a substantial improvement in the overall health care of blacks.


Some challenges in the management of community health education. Health Educators are often expected to fill managerial roles yet are not always trained in management skills. The Health Educator's role is constantly changing but training has not always kept up, especially in the area of management. Job descriptions are often less than adequate and coordination between the jobs and the training institution could be better. Health Educators, due to frustration caused by inadequate role definition, may choose administration as a career as it is easier identified. Barriers to successful management can also be frustrating for the Health Educator, i.e., political constraints, lack of skills, etc. Planning should be a major activity of any Health Education program in order to ensure a successfully managed Health Education project.


Relationship between accreditation status and hourly wages of medical record technicians. Using data from a 1975 hospital wage survey conducted by the Industry Wage Division of the U.S. Bureau of Labor Statistics, the relationship between accreditation status and hourly wages of 590 female full-time medical record technicians (MRTs) in four metropolitan areas was examined. Through multiple regression analysis, the hourly wages of Accredited Record Technicians were found to be $0.62 greater than those not accredited. Job location and hospital funding source also were related strongly to MRT hourly wages. Only 35 percent of the MRT's studied were accredited. These data reveal the willingness of employers to hire MRT's not accredited, while being willing to pay a premium for accreditation.


Improving the selection of family medicine residents through development of multi-dimensional policy models. The annual cost of training a single family medicine resident may now exceed $50,000. This, together with the fact that normally only a small fraction of those applying for family medicine residency is selected for admission, creates a decision problem of enormous import to affected institutions. Despite these considerations, the applicant evaluation and selection process remains relatively subjective, with results often disappointing. In the current paper, a preference-based approach is proposed that first models the evaluation/selection process on the basis of well-defined cognitive and noncognitive criteria. It is suggested that validation of this model be based on future performance levels of both the accepted and rejected cohorts during and following their residencies. Discrepancies between future success levels and predicted outcomes may then be translated into appropriate control actions designed: (1) improve the definition/measurement of selection criteria; (2) enhance the evaluation/selection policies and decisions of the admissions committee; and (3) better inform potential applicants of the department's program and selection philosophies. The approach is applied to two recent, accepted cohorts of the University of North Carolina Department of Family Medicine. Preliminary results indicate that the procedure is capable of improving the in-residency success levels of selected applicants, and that these levels can be better predicted than when no formal, i.e., analytic, process is followed.


Postgraduate and continuing medical education in Finland. In this paper, postgraduate and continuing medical education in Finland is described and analyzed. Especially, the contacts with health care policy of Finland are analyzed and presented. First, the roots of CME in basic medical education and its goals are shown. Secondly, the advanced professional medical education (specialization) is presented. Thirdly, the scientific postgraduate system of studies is analyzed. Finally, the system of continuing, complementary medical education and its organization is presented. It is stressed that the CME has close connections with the health care policy in a country. Some problems in this respect are presented.


House adds nutrition to health promotion, disease prevention concerns as it directs every NIH institute to broaden prevention research.


Product report: decubitus ulcer treatment.


Hospital group purchasing is not always the answer.


Intergovernmental relations in physician education and health planning: state adoption decisions and the impact of federal programs. This study seeks to explain states' adoptions of programs in health planning and in physician education. It also seeks to further understanding of the impact of federal health planning and education programs on the states. Several theories and models are employed in analyzing the actions of state decision-makers. These include incremental theory, models of the diffusion of innovations, economic resources theory, and a theory of competitive partisanship. The data utilized in this research were principally derived from intensive interviews with "key" state actors and from historical, documentary materials. Only minimal federal impact appears on states' goals in physician education and health planning. Rather, there is evidence of considerable innovativeness among the states prior to Federal program initiatives. A problem-generated search for solutions seems to be a major source of this innovation. Finally, federal program implementation requirements appear to be a major source of federal--state conflict and opposition.


Building a new central service department? Get involved in basics.


Leave purchasing to the purchasing department.


Removing motivation blocks.

Removing motivation blocks.


Computer bits: the consultant.

Computer bits: the consultant.


How to choose a telephone vendor.

How to choose a telephone vendor.


Supervision is key factor in quality.

Supervision is key factor in quality.


Gordon Friesen: materials management pioneer.


Keep favors to a minimum.

Keep favors to a minimum.


Exclusive contracts under antitrust attack. Physicians excluded from hospitals by reason of exclusive contracts are increasingly challenging these arrangements under the antitrust laws. With the exception of the recent case of Hyde v. Jefferson Parish Hospital District No. 2, the cases reject antitrust attacks on exclusive contracts between hospitals and physicians.


Medical staff committees benefit from job descriptions. When new medical staff officers and committees begin their terms, the confusion potential runs high. Job descriptions a la industry have helped facilitate the orientation of officers and the smooth running of committees.


Hospice care: science follows practice.

Hospice care: science follows practice.


Pharmacy services in hospice organizations.


A pragmatic typology of hospitals based on their internal complexity dimension.


Designing with light: tools of the trade.


A comprehensive program to increase job satisfaction among pharmacy technicians. A multifaceted personnel management and continuing education program specifically designed to provide job satisfaction for the pharmacy technician is described. Turnover among technicians is often higher than for other personnel categories. One interpretation of a high turnover rate is that it is a direct indication of job dissatisfaction and disillusionment on the part of technicians towards their career potential. Several approaches were initiated at the Rhode Island Hospital to increase job satisfaction among pharmacy technicians and to assist the pharmacy department in stabilizing this category to reflect a more satisfactory turnover rate. These were: (1) initiating a comprehensive continuing education program; (2) establishing a "career ladder" by developing an advanced level of pharmacy technicians; (3) incorporating technicians in a concept of participative management within the department; (4) increasing job responsibilities as new programs are developed; (5) rotating assignments and responsibilities to foster flexibility and interest. The programs enumerated have made a significant contribution toward increasing the stability and job satisfaction of the technician category. The success of the measures described is reflected in the average tenure of an individual in the technician category, which is 41.9 months.


The structured decision conference: a case study.


After fifty years of graduate education: a return to the practitioner/teacher model.


Minimizing price exposure risk through the commodities markets.


What to do about capital?

What to do about capital?


Developing a strategy for reducing hospital expenditures.


Performance of a computerized CCU arrhythmia monitor system. Experience gained during clinical trials at Johns Hopkins University Hospital has led to refinements in a commercial arrhythmia monitoring system. The performance capabilities and limitations are described for normal Coronary Care Unit use. The system evaluation spanned a time period of over 16 months and included 3,176 monitored patient days. The majority of both false and true arrhythmia alarms was found to be produced by two small, statistically independent segments of the patient population.


The "grand rounds" method: a different approach to clinical equipment management.


A disposable blood pressure transducer system. A unique disposable invasive hemodynamic blood pressure transducer system has been developed. The system consists of a disposable piezoresistive flow-through transducer with twelve-inch pigtail, a reusable extension cable, an electronic interface module and a custom interconnect cable to attach to most monitors. The transducer has Linden Luer fittings and replaces the dome and reusable transducer in monitoring systems. The cost of the transducer is kept low so that it can be disposable through efficient modern, high-volume semiconductor technology and the fact that additional electrical isolation is accomplished in the interface module. Besides providing electrical isolation, the interface module provides a universal output which will accommodate all common AC, DC, and pulsed excitation signals from monitors.


Evaluation of alarm systems for medical equipment. The provision of automatic alarm systems on medical equipment is generally designed to supplement the user's ability to monitor a variety of device and patient variables simultaneously. The potential value of such systems in improving the safety and efficacy of medical care is accompanied by the potential for false reliance on or other misuse of the alarm systems. Therefore the alarm provisions become an important aspect of clinical engineering assessment of equipment with respect to selection, user training, hazard analysis, and the provision of effective and appropriate preventive maintenance programs.


Microprocessor-controlled automatic safety testers. Two safety test units were developed using microprocessor technology to identify automatically the equipment under test, to test the safety parameters, and to record the test results. A program written on the IBM/360 computer is used to input, analyze and store these results. The purpose of this program is to provide accurate and reliable test data and better documentation, so that detection and even prediction of safety hazards within the hospital can be accomplished.


A proposed computer-assisted preventive maintenance system. This paper describes a proposed Computerized Documentation System for effectively controlling all biomedical equipment preventive maintenance (PM) and repair functions to be effected by hospitals. There is a critical need for such a system to strengthen the management tools of hospital-based Biomedical/Clinical Engineering programs. The system's design objectives, implementation, and evaluation method are explained and the benefits attributable to such a computerized control system are summarized.


Work together to protect our health and our environment.


Chlorine emissions from a medical waste incinerator. Chloride/chlorine emissions from a hospital's medical waste incinerator were quantified in conjunction with a particulate emission stack test. Chlorine emissions averaged 100.5 mg/m3 with a standard deviation of 72 mg/m3 for five sample runs. It was estimated that the plastic content of the waste burned varied up to about 30%. Since, in general, emission standards for chlorine from medical waste incinerators do not exist, a simple diffusion model technique is suggested to estimate a safe distance to locate a medical waste incinerator from occupied buildings.


The nursing home as a teaching and research center.


O.R. workers, information systems analysts and the challenge of the micro. An assessment of the effects of microcomputing on O.R. should take account of the impact of micros on other professional groups involved in the provision of information and analysis to managers. The paper examines the likely changes in the role of information systems analysts associated with present trends in computer-based information systems and, by concentrating on the decision support systems area, argues that O.R. workers and systems analysts may find themselves competing for new roles in ways which make if difficult to set out the contribution of each in terms of what they do at present. A modest proposal is made for a new form of team for the development of decision support systems. This incorporates a division of skills which cuts across existing lines of differentiation and foresees an increased contribution on the part of user-managers.


Cost containment practices among nursing home administrators.


Organizational philosophy and nurse staffing: three-step decision process.


Veterans Administration Medical Center plans renovation of in-house laundry.


Brooklyn hospital to double size of on-premise laundry.


AHA Chairman Stanley Nelson speaks on national issues.


Nursing: the art, science and vocation in evolution.


A well-equipped tool box for political action.


Legislative workshops: the first step to action.


It's up to us to help shape change.

It's up to us to help shape change.


M.D. surplus could incite opposition to nurse-midwives' market intrusion.


Hospitals won't compete on price until spurred by buyers' shopping.


Critical M.D.'s bid for privileges fails.


Hospitals try to equitably spread care for jobless.


Dramatic plunge in interest rates brings postponed issues to market.


For-profits put stock in bullish market after strong recovery on Wall Street.


Gap closes between prices paid for I.V.s: '82 survey.


"Love-life" program sparks distributorships.


Physicians tap into AMA/NET.

Physicians tap into AMA/NET.


Rural, tertiary hospitals join forces to compete with encroaching chains.


Hospitals rally to develop stronger, more productive management teams.


Inexpensive micro diskettes plug hospitals into census data.


HCA distributing minis systemwide.

HCA distributing minis systemwide.


The humanities and the notion of "health.".


It's growth pain that challenges TENS market.


Ethics as immunotherapy.

Ethics as immunotherapy.


Philosophy, health care, and public policy.


Bar code scanning.

Bar code scanning.


Ergonomics--what is it?

Ergonomics--what is it?


Polyurethane foam pad banned in Boston. ECRI asks: "Where's the fire?".


Electrical safety in health care facilities.


Produced by lasers, personalized letters inject new life into collections.


Bad-debt analysis can improve cash flow.


Photography for pathologists.

Photography for pathologists.


Consolidation in the clinical laboratory industry.


How effective are medicines in containing health-care costs?


Nearly 75% of all active pharmacists now practice in community pharmacies.


Multimethod study of clinical judgment.

Multimethod study of clinical judgment. Expert and novice clinicians judged the likelihood of disease alternatives and gave thinking-aloud protocols as they evaluated simulated cases of congenital heart disease. Specific combinations of cues in the patient data were manipulated to create alternate versions of a single case so that the use of critical cues could be identified. Analyses of variance of subjects' disease judgments revealed differences between expert and novice clinicians in their use of critical cues and cue combinations. Analyses of the thinking-aloud protocols revealed that clinicians with different degrees of expertise employed different interpretations of patient data cues as well as qualitatively distinct "lines of reasoning" in reaching clinical judgments.


New brochure tells public: 'Your good health begins with you'.


CAP to FDA: Class II unnecessary for most of 175 devices.


How women in pharmacy can benefit the profession & the public.


How we operate a successful department which features sickroom & convalescent aids.


Why & how we constantly update our system for controlled substances.


Emblematic honoraria: stepping up from T-shirts.


Poison plant poster.

Poison plant poster.


Selling word processing to your doctors.


Special event: camels in Dixie?

Special event: camels in Dixie?


Responsathon: a hospital radiotelethon makes money and friends.


Love-life: wellness along the Wabash.

Love-life: wellness along the Wabash.


Hospital identity package.

Hospital identity package.


Promoting an expanded maternity program.


A look at newsletters: survey dictates whole body lift.


A look at newsletters: when a monthly doesn't work, consider a weekly!


Health screenings: the traveling medicine show.


A look at newsletters: newsy and newsworthy.


TV documentary: another "General Hospital" makes debut.


Reaching out to children: cultivating your future consumers at an early age.


Image study: mirror, mirror on the wall ....


Photo gallery: age exchange.

Photo gallery: age exchange.


Bank-hospital cooperation: making hospitals "bear-able".


Patient TV: and a profile of the patients' communicator.


Annual report survey.

Annual report survey.


New dimensions in the tortious failure to warn.


Social programs and social obligations.

Social programs and social obligations.


Recognize and control conflict.

Recognize and control conflict.


Some possibilities in the specification of outcomes criteria for graduate education in health services administration.


Market definition, market power, and potential competition.


Effects of regulation on the hospital industry.


Employee discrimination liability: an insurable risk.


The cost of risk: a summary of the 1981 survey.


LRDC begins legislative quest for tax equality.


A political perspective in problem solving.


Quality assurance for social service programs: lessons from health care.


Defining the worker-client relationship.


The public interest and governing boards of nonprofit health care institutions.


Hospice: the legal ramifications of a place to die.


The self-help ethos.

The self-help ethos.


Automated dosage system improves patient care.


Health service via self-service.

Health service via self-service.


The financial exchange: before diversifying, ask six questions.


The trustee's guide to vendors of hospital information systems. Hospital information systems (HISs) vary in their breadth of application, in the depth of support their vendors will provide, and in their costs and benefits. Included here in clear, succinct tables is a guide to the leading HIS vendors that highlights some of these differences.


Attention, finance committee members: are you asking the right questions?


Rosencrantz and Guildenstern are alive! But confused as hell. The public relations dilemma of our hospitals.


Block grants: a mid-term report card.

Block grants: a mid-term report card.


Time running out for health planning bills.


Can HMOs attract private investors?

Can HMOs attract private investors?


Utilization of short-stay hospitals in the treatment of mental disorders: 1974-1978.


Deliveries in short-stay hospitals: United States, 1980. During 1980 3.8 million women with deliveries were discharged from short-stay non-Federal hospitals in the United States. These women made up a sizable portion--9.9 percent--of all the discharges (excluding newborn infants) during that year. Women with deliveries remained hospitalized an average of 3.8 days and used 14.2 million days of inpatient hospital care. This was only 5.2 percent of the total days spent in hospitals by all patients discharged during the year. Most of the women who had a delivery were in their twenties, were white, and were married. The largest percent of deliveries occurred in the South Region, followed by the North Central, Northeast, and West Regions. The percent of women with deliveries was lowest in the smallest hospitals and highest in the largest hospitals. Most of the women with deliveries were discharged from nonprofit hospitals. About half of the women had a normal delivery and about half had some sort of complication. Women more likely to have a complicated delivery were older, were races other than white, had an unknown marital status, and had delivered in the South Region. These women also stayed in the hospital longer, on the average, than did women with normal delivery. The most frequently occurring complications were forceps or vacuum extraction without mention of indication and obstetrical trauma. Episiotomy was the most common procedure. Other frequently performed procedures were low forceps or vacuum extraction with or without episiotomy, cesarean section, repair of obstetric laceration, and bilateral destruction or occlusion of fallopian tubes.


Blood pressure levels and hypertension in persons ages 6-74 years: United States, 1976-80.


Summary data from the National Inventory of Pharmacists: United States, 1978-79.


Drug utilization in office visits to primary care physicians: National Ambulatory Medical Care Survey, 1980.


Ten myths about criterion reference performance appraisal.


Questionnaire on surgical technology certification format.


S.W.A.T.: Service Workers Action Team.

S.W.A.T.: Service Workers Action Team.


Geriatric day care: the options reconsidered.


The senior center: an ideal milieu for psychotherapy.


Reaching into board and care homes through "outreach".


Committee starts to develop healthcare laundry practices.


Laundry and linen costs still holding the line.


Continuous flow system keeps Sinai's production high and labor costs down.


A senior citizen Olympics.

A senior citizen Olympics.


Computers: under estimated and under utilized.


Diary of a laundry.

Diary of a laundry.


Audit and scientific management of drug use in an Australian teaching hospital.


Hospital budgeting and resource allocation--an alternative strategy.


3rd National Hospital Data Activity Study.


Accident & health premiums 1981.

Accident & health premiums 1981.


Early intervention in potential child abuse.


Unity of purpose.

Unity of purpose.


Excess marks the spot: the FDA blows the whistle on abuses in new-drug ads.


An incredible affair of the heart.

An incredible affair of the heart.


Mental health services are a part of health service delivery.


If you're poor, hospital doors may be shut because of federal aid cuts.


Questions of life and death weighed by medical ethics watchdog commission.


Florida hospitals desert state insurance fund.


Quaker Oats is cooking up health incentives.


Benefit costs rise $543 per employee.

Benefit costs rise $543 per employee.


Sealed buildings do save energy, but watch out for air pollution.


Medical staff organisation: an update.

Medical staff organisation: an update.


Malpractice premiums rise in Britain.

Malpractice premiums rise in Britain.


Comprehensive regional trauma and emergency medical service delivery systems: a goal of the 1980s.


Transport of multisystem trauma patients from rural to urban health care facilities.


Trauma indices: a critical analysis.

Trauma indices: a critical analysis.


Cultural concepts in critical care.

Cultural concepts in critical care.


Childhood trauma: its developmental aspects and nursing interventions.


New structure, new paradigm.

New structure, new paradigm.


Ambulatory care--a new research frontier.


Cutbacks in regulation: how a local union can maintain safety and health at the workplace.


The parking lot squeeze: coping with a major non-clinical problem.


Eliminating accounts receivable: how one hospital is gaining on that elusive goal.


Improving food services: tips from a master chef on keeping patients satisfied.


Staff appointments: an entrepreneurial venture?


Strategies for effectiveness for the board-C.E.O. team.


Long-run maintenance costs vital client factor in live plant specs.


Trustee input: a potential dilemma.

Trustee input: a potential dilemma.


Disposables in food service.

Disposables in food service.


New antimicrobial carpet treatments extend textile life & cut cleaning costs.


How to develop trustee skills and expertise.


Implications of proposed and current federal budget cuts for discharge planning.


Discharge planning models. Silver Cross Hospital, Joliet, IL.


Information management in discharge planning: future directions.


A comprehensive model for hospital discharge planning.


Health care trustees: roles and responsibilities.


Cutbacks in B.C.--a deadly game.

Cutbacks in B.C.--a deadly game.


Board effectiveness--measuring performance.


Discharge planning in the progressive era.


Preparing for a nursing home transfer.

Preparing for a nursing home transfer.


Discharge planning models. Oakwood Hospital, Dearborn, MI.


The nurse's impact on effective discharge planning.


Lab downhold may cut ED costs, but not by much.


Know patient rights, keep records, you'll be OK, EP's told.


Community-based alternatives for discharge planning.


Using behavior modeling for supervisory development in health care settings. Behavior modeling is one training method found effective in helping health care managers deal with their day-to-day management problems. This article defines and explains the five basic steps of behavior modeling training, suggests the workshop format as its most effective mode of instruction, and presents examples of successful use of the method.


Soviet EM at turn-of-century level, nurse team reports.


EM administrator--one-man band, diplomat, bridge-builder.


Waterborne ambulance covers 150 square miles in L.I. Sound.


Simplifying cleaning chemicals.

Simplifying cleaning chemicals.


Is the use of phenolics essential in hospital cleaning?


The management education imperative: an opinion. This article presents an opinion on the need for middle-management education in the four basic functions of management: planning, organizing, directing, and controlling. Using nursing management as an example, the author describes the role of middle management in complex organizations and states that the job of management is to ensure the efficiency and effectiveness of work performed by others.


Health/fitness evaluation: six steps to make it easy.


Pharmacist involvement in a diabetic education centre. During the past two years, a multi-discipline health team has been meeting with selected diabetic "problem" patients on a regular basis at the North York General Hospital (NYGH). The patients are referred to the programme by their physicians when they appear to be having difficulty handling or coping with their diabetes. The participants in the programme attend the Diabetic Education Centre (DEC) for one week as day patients in the hospital and are exposed to various types of counselling from members of the Diabetic Education Centre Team (DECT), one of which is the pharmacist. Follow-up from this week of intensive education is made at annual intervals. The main purpose of the pharmacist in the clinic is to provide information for the patients regarding their prescriptions and over the counter (OTC) medication. This is achieved by means of individual patient interviews and informal group discussions, as well as rounds with other team members and contact with patients' families. This programme provides a forum for the patient and the patient's family to obtain valid information about diabetes, as well as problems associated with the disease, and aids in coping with these problems. The team concept enables the patient to be analyzed by all disciplines in order to assess his teaching needs and fulfill them. The pharmacist is continually involved in this information system and plays a valuable role on the team.


Tap employees' resources, advises self-care expert.


St. Joseph Hospital offers extensive 'menu' of OHS services.


Aging trend presents challenge to corporate health programs.


Business coalitions go slow on wellness.


Proctor & Gamble strategy: start small, coordinate resources.


Standard setting: the crucial issues. A case study of accounting & auditing. A study of standard-setting efforts in accounting and auditing is reported. The study reveals four major areas of concern in a professional standard-setting effort: (1) issues related to the rationale for setting standards, (2) issues related to the standard-setting board and its support structure, (3) issues related to the content of standards and rules for generating them, and (4) issues that deal with how standards are put to use. Principles derived from the study of accounting and auditing are provided to illuminate and assess standard-setting efforts in evaluation.


Accountability revisited: the arrival of client outcome evaluation. In the past few years, "accountability" for public mental health programs has become differentiated in the minds of not only program evaluators, but also program managers and funders, including state and local-level legislators. Increasingly, these officials are becoming concerned with more than just the numbers and targets of services delivered, and the cost involved, and are looking for evidence of positive outcome or impact on clients to justify program implementation and maintenance. This represents a significant move beyond the two accountability models that most recently seemed to be the focus of most formal accountability efforts--performance measurement and quality assurance. Pressures for implementing these two alternatives seem to have been reduced somewhat by the new federal Administration, but even prior to its advent there had been a rapid escalation in awareness of and concern for client outcome measurement among important audiences, including state and local mental health policy-makers and the U.S. Congress. This presents a major new opportunity and challenge for program evaluators at this new accountability focus continues to gather momentum.


Enhancing program review for evaluation and management. Program review has not received the attention it warrants as a program evaluation tool despite its wide use for evaluation and management purposes. The use of the program review will probably endure on the strength of its face validity and irrespective of other developments in the field of program evaluation. Evaluators should realize this and, accordingly, attempt to improve its effectiveness. This paper presents one organization's approach to achieving this objective through the explication of development principles, implementation guidelines and review items. This paper also discusses benefits that can be expected from a systematic development of this tool and presents various research directions and potentials in this area.


The evaluation and selection of adequate causal models: a compensatory education example. Procedures for ascertaining relative model adequacy in latent variable structural relations models are discussed. Under diverse methods of estimation, this determination may be assessed using the chi square goodness of fit statistic, incremental fit indices for covariance structure models, and latent variable coefficients of determination. An example from evaluation research is taken (cf. Magidson, 1977; Bentler & Woodward, 1978). Numerical sensitivity of parameter estimates under alternative model specifications is demonstrated. Interpretive implications based on these procedures are discussed in terms of parameter sensitivity to alternative model specifications.


Behavioral evaluation of a state program of deinstitutionalization of the developmentally disabled. The purpose of this study was to evaluate one phase of a statewide program of deinstitutionalizing developmentally disabled individuals. Forty adults who had spent a minimum of six months in community placements were evaluated with respect to changes in behavior associated with movement out of state institutions and into community settings such as group homes and day activity centers. Pre- and post-deinstitutionalization measures were taken with the Behavior Development Survey. Post-deinstitutionalization measures on Cataldo and Risley's Resident Activity Manifest were compared to the same measures obtained on 159 developmentally disabled individuals scheduled for deinstitutionalization. A consistent pattern of positive changes on both instruments favored deinstitutionalization, but changes could not be unequivocally attributed to movement out of the institutions per se.


Quality of life in the evaluation of community support systems. As a result of the authors' experience in conducting an evaluation of the community support system (CSS) program in New York State, they have identified five reasons for focusing on quality of life (QOL) as a desired outcome for programs for the chronically ill. These reasons are presented and problems in QOL evaluative research are discussed. Psychological indicators are distinguished from social indicators of QOL, and two methods of operationalizing perceived QOL, the psychological well-being and life domains methods, are examined. A conceptual model is presented and the results of an exploratory study of the QOL of 118 chronic psychiatric patients receiving CSS services are presented.


Hospital fund raising: smooth sailing ahead.


15 ways to measure fund raising program effectiveness.


Competition--Part I: what part will you play in the medical care "firms" of the future?


How to budget the fund raising process.

How to budget the fund raising process.


Fair share formula: a direct expense profit center-based plan.


Non-profits must consider ethics in soliciting gifts.


More hospitals will use marketing techniques.


Competition--Part II: What part will you play in the medical 'firms' of the future?


Board must recruit, push for effective staff.


Use anniversary year to full advantage.

Use anniversary year to full advantage.


Managing time: pointers to help your lab manager do it better.


Hospital promotions should use consumer motivators.


Collection assertiveness: new role for center's medical receptionists.


Surgicenter: a hospital bypass operation.


The medical building: here's a way to turn it into pure investment.


The balancing act: two techniques for controlling investment risk.


Union asks Congress to prevent hospital withdrawals from Social Security.


The computing physician.

The computing physician.


How non-profit mailers won political victory.


Instant access: patient information is just a keystroke away.


Energy conservation economics for a hospital.


Nation's hospitals face severe financing crisis.


Teaching hospitals must help inner city hospitals survive, Rangel says.


Government regulation necessary under competition proposals, OTA says.


FTC stands to lose jurisdiction over health professions.


Health Corps survives criticism: undergoes change.


Senate appropriations cuts loans and scholarships, defers health planning.


Property management: one hospital's approach.


Hospital supplies prices top general inflation rate by 50%.


Materials budgeting techniques on the move.


Asset recovery: an often neglected materials management function.


Hospital supplies prices continue to outpace general inflation rate.


Financial considerations in making capital investments.


Renting biomedical equipment to patients: what is the hospital's liability?


Marketing traps, marketing tips.

Marketing traps, marketing tips.


The marketing of purchasing.

The marketing of purchasing.


Survey can show how vendors regard purchasing department.


Crime up, budgets tightening, security directors report.


Color coding, 'bus bucks' help solve employee parking problems.


Hospital cleared in negligence suit filed by doctor mugged in parking lot.


An interview with: Tom Kramer.

An interview with: Tom Kramer.


An interview with: Robert Louden. Chief, New York City Police Department Hostage Negotiation Team.


Sharing security: something in it for everybody?


Hospital adds 'hostage recovery' to list of disaster plans.


Industrial hygienist shares EtO monitoring strategies.


Restricting employees with herpes; who and for how long?


Protecting medical records and other proprietary information.


Reusing disposables: examining the risks and benefits.


Ethylene oxide health risks tallied; prevention still called best medicine.


Emergency of antibiotic resistance needs to be prevented, controlled,.


Impoverishment.

Impoverishment.


Methods developed to determine serum levels of antibiotics.


Self-care: boot straps or hangman's noose?


Laundry distribution.

Laundry distribution.


Maintenance of laundry processing plant.


Use of x-ray criteria could save millions by eliminating unneeded tests.


Safety in medical instrumentation.

Safety in medical instrumentation.


Physicians must show reasons for x-rays on requisition forms.


Effective QA program can net prompt claims response.


Specific criteria promote QA at psychiatric facility.


Take credentialing seriously to preserve optimal standards.


Decision analysis comes of age.

Decision analysis comes of age. Ten years ago, decision analysis was still an experimental management technique. But even then supporters claimed that eventually it would become for the manager what calculus is to the engineer. According to the authors of this article, decision analysis that incorporates personal judgment has not yet become what some expected, but it has, nonetheless, gained acceptance in many large corporations and government departments. One of the reasons for this acceptance is the greater flexibility and sensitivity of decision analysis to managers' needs than earlier forms had. In other words, today's decision analysis techniques can better take into account the people, the politics, the time pressures, and all the messy but critical factors that managers have to contend with. In this article, the authors describe three major forms of decision analysis and show how real managers have used decision tree analysis, probabilistic forecasting, and multiattribute analysis to solve real business problems.


Aim for excellence in medical records approach.


CLN eases transition to computer system.


Consulting is more than giving advice.

Consulting is more than giving advice. Of all the relationships that executives enter into with outsiders, perhaps none is so tainted by misunderstanding as the engagement of management consultants. To executives, consultants may seem concerned mainly with prolonging their assignments and unable to appreciate the practicalities of managerial issues. Conversely, consultants may see their clients as short-sighted and lacking the backbone necessary to make important decisions. How can such stereotypes be done away with? By starting at the beginning of the assignment. Mr. Turner maintains that if managers and outside advisers work out in advance what is expected of each party during their work together, the chances of solving problems are improved. He suggests that managers and consultants structure the engagement according to a hierarchy of goals--which proceeds from the most basic objective, providing information, to the most sophisticated, permanent improvement of organizational effectiveness. The best way to move up that hierarchy is for executives and advisers to work together to identify needs and develop solutions.


Michigan, Ohio Blues revive preadmission certification.


Community awareness key to home care program's success.


1973-1983: value impacts of a decade.

1973-1983: value impacts of a decade.


Are pacemakers being overutilized in your hospital?


Recovery room staffing demands accordance with JCAH standards.


Nurse screening of death charts makes procedure more fruitful.


Hospital health education/promotion programs: long-range planning and marketing strategies.


Systematic follow-up aids discharge planners and nurses.


The hospital capital crisis: issues for trustees. The erosion of the capital position in the hospital industry--one of the most complex and overregulated industries in the United States--is a major challenge to trustees. Hospital trustees have often neglected to examine their hospitals' capital needs on more than a project-by-project basis. In dealing with their hospitals' capital needs, trustees, most of whom are successful business people, too often take off their "business" hats and put on their "social worker" hats. In doing so they not only neglect to subject their hospitals' capital and operating programs to searching cost-benefit review, but they also overlook much useful knowledge about how to use corporate organization to shelter new ventures and strengthen their hospitals' market position and solvency. In this article, the authors discuss how hospitals can adopt successful corporate restructurings and strategies to respond to the adverse financial developments they will have to face in the coming years.


State statutes regulating abortion leave unresolved issues.


Abortion laws will bend under new medical, social pressures.


America's widening infant death gap.

America's widening infant death gap.


Public opinion reflects secularization, rationalization.


Sustaining the prolife momentum: legal and political strategies.


Hospitals' ethical responsibilities as technology, regulation grow.


Medical-moral committee: guarding values in an ambivalent society.


Trends in U.S. Catholic hospitals and all other nonfederal U.S. hospitals, 1970 to 1979: CHA study report, Part I. Changes in numbers of hospitals and beds.


CHA Task Force on Stewardship survey report. Part II: Interviews with major superiors.


Hospital monitoring prevents too liberal interpretation of consent forms.


The Hawthorne study revisited.

The Hawthorne study revisited.


A multidisciplinary approach to initiating a marketing program.


The management job of the hospital administrator: incentive! Dilemma, contradiction and negative.


Alternative cost containment programs and the survival of the health care delivery system.


Maximizing benefits, limiting costs in hospital benefit plans.


Subterranean building aids in the conservation of energy and related costs.


The ecological & economical interrelationship of the environmental systems for the Mostellar Medical Center.


Labor relations in the health care industry: a view of the effects of unionization of professional registered nurses on hospitals.


Sterilization quality assurance procedures: positive cultures--action!


How supervisors can prevent or minimize employee dissatisfaction.


Consumer health information: a joint project sponsored by the Health Science Library and the Department of Nursing.


How York Hospital simplified respiratory therapy billing procedures.


Cogeneration: a proven means to reduce hospital operating costs--how to take advantage of it!


Some problems of funded medical malpractice: self-insurance on a single hospital basis.


Becoming aware of hospital P.A. burnout.


HHS requests comments on compensation of human subjects for research injuries.


Documentation in the medical record--withholding treatment from defective newborns.


Tug of war between work and leisure for health care managers.


Use of human subjects in experimentation: informed consent.


Implementation of a data release policy.


Sharing computerized data benefits cancer registry and radiation therapy division.


What's fair: financing health services raises ethical questions.


Forecast '83.

Forecast '83.


Is the public still willing to give?

Is the public still willing to give?


Disaster plans--they work!

Disaster plans--they work!


Set the table with style--it doesn't have to cost a lot.


Handling a coroner's inquest.

Handling a coroner's inquest.


Are you sitting on a potential crisis?

Are you sitting on a potential crisis?


Bilingualism of a different order.

Bilingualism of a different order.


Physicians' prescribing practices: how big is government's impact?


PPI victory--ASIM leads the charge.

PPI victory--ASIM leads the charge.


How a hospital E.R. can deal with radiation.


Are we an over-medicated society?

Are we an over-medicated society?


Mis-prescribing: causes and remedies.

Mis-prescribing: causes and remedies.


The care and handling of instruments.

The care and handling of instruments.


Taking stock of new ideas.

Taking stock of new ideas.


How appropriate is office care?

How appropriate is office care?


The mystery of the broken aeration cycles at Mad River Community Hospital.


Acute care: a challenge of diversity.

Acute care: a challenge of diversity.


The difficulty of quality evaluation.

The difficulty of quality evaluation.


Acute care: implications for internists.


The mixed-blessing of technology.

The mixed-blessing of technology.


In support of federal involvement.

In support of federal involvement.


No time for apathy.

No time for apathy.


A California retrospective.

A California retrospective.


Great danger, great opportunity.

Great danger, great opportunity.


Toward competition, consumer choice.

Toward competition, consumer choice.


Treating physical symptoms with psychological techniques.


Caring for the elderly: the Swedish alternative.


Pleading the patient's case.

Pleading the patient's case.


Schizophrenia and the American legal system.


Facing reality.

Facing reality.


Internists and nursing homes: results of a survey.


Risk management in practice.

Risk management in practice.


What listening can do.

What listening can do.


Unlearning patients' habits.

Unlearning patients' habits.


What business expects from the nonprofit sector.


Challenges and opportunities for philanthropy.


Overlook Hospital in Summit, N.J., opens health information library and invites public to browse, borrow; community needs being reached.


More than 1,000 U.S. businesses have employee wellness programs.


Understanding TENS purchasing.

Understanding TENS purchasing.


Does health administration represent a new form of professionalism?


Increase nursing morale? Move to shared power.


Attendance awareness--a formula for success.


Marketing health care: what's in it for Canadian hospitals?


Education for managers of accelerating change.


A patient satisfaction survey in a hospital-based ambulatory care setting.


Organization is key to rapport.

Organization is key to rapport.


The introduction of automated office technology in health care.


The third technical revolution.

The third technical revolution.


Healthy competition.

Healthy competition.


Physician input crucial to successful generic screening.


Anonymity system boosts high risk occurrence reporting.


Professional negligence awards increase 450% research shows.


Florida hospitals advocate more aggressive RM.


A primer on mailing lists.

A primer on mailing lists.


Cooperation or collusion? Issues in grant-maker collaboration.


Involve medical staff in RM through incident, claim review.


Reusing disposables: examining the risks and benefits.


Repairing the competitive wedge between physicians and hospitals.


What legal guidelines must medical staff members consider in advising hospital administration on programs to lay off nurses and other patient care personnel?


Donor option: there's less to it than meets the eye.


Regional poison control services.

Regional poison control services.


Indexing and abstracting services to the primary drug literature.


Oh, yes, Dr. Smith: the eyes of business are upon you. With health care costs affecting their bottom lines, business and industry have entered the battle to reduce health case cost increases by forming health care coalitions. Coalitions have often barred physicians and hospital administrators from membership. Yet all segments of the health care field have a stake in joining together to effect change.


The tax implications of profit-making ventures.


The use of computers/data processing in staff development.


The feminization of poverty: a "workhouse without walls".


Side effects and lack of complaint in psychiatric outpatients.


Cost-containment programs: an approach through education.


Standard administration labels for drugs administered by continuous infusion.


Formularies: principles, problems, and prognosis.


Superior hospital formularies: a critical analysis. The drug monograph section of eight superior hospital formularies was examined to (1) determine the type of pharmaceuticals, including dosage forms, listed, (2) delineate patterns of concurrence and divergence in drug acceptance, and (3) ascertain quantitative benchmarks by therapeutic category that may suggest optimum formulary size. The survey also undertook a comparative analysis of marginal drugs and reviewed the role of pharmacy personnel in supporting formulary administration. The critique of pharmaceutical preparations revealed significant patterns of similarity, heterogeneity, perplexity, and redundancy. The investigation also documented problems in dosage form selection and formulary publication. The report concludes that there is a need for more comprehensive studies that incorporate alternative quality assurance methods and focus on the more intangible factors of professional leadership and integrity.


Improved nutrition support services that are patient-oriented and revenue-generating.


Designing with light.

Designing with light.


Communicating: another dimension.

Communicating: another dimension.


A comparison of the utilization of general purpose computers in hospitals of the United States of America and England.


Physicians, phones and laboratory computers.


Ambulatory health care centers: image and preference among consumers.


Ambulatory care centers in Kentucky: a survey of pharmacy services.


Development of an ambulatory care space utilization reporting system.


High versus low utilization of ambulatory care.


Medical care in Japan: the political context.


Testing of clinical thermometers.

Testing of clinical thermometers. The results of a study undertaken to indicate the degree to which clinical thermometers conform to the requirements of voluntary standard ANSI/ASTM E 667-79 are presented. This study was one of several performed by the Food and Drug Administration to determine the applicability of voluntary medical device standards, with respect to the feasibility of their test methods and the reasonableness of their application to currently marketed devices. 149 clinical thermometers (maximum self-registering, mercury-in-glass) from eight domestic manufacturers were tested following the requirements and test methods specified in ANSI/ASTM E 667-79. 42% of the fever and 100% of the basal thermometer samples tested failed to meet one or more of the requirements of the standard. However, if the requirements for temperature scale graduation marks and identification are excluded, the failure rate is reduced to 14% of the fever and 8% of the basal thermometers. Those that did fail the accuracy requirement were only .1F degree out of compliance.


Cost-effective methodology for work order records. Confusion and inefficiency in the medical electronics laboratory can be reduced with the implementation of a good recordkeeping system. One such orderly process includes a work order form, a device record card, and a status indication form. With consistent use, this system has met with success. It is anticipated that, with further development, the system can grow into a solid data base.


A portable ECG simulator.

A portable ECG simulator. A simple and low cost ECG simulator is described. The output waveform is a narrow pulse followed by a T-wave which extends to about one-half of the period. This waveform is acceptable by the medical staff and provides to the BMET a simple, calibrated waveform. Four switches control the simulator; (1) power on or off; (2) fixed rates of 60 or 120 BPM; (3) filtered or normal; (4) square wave or pulse. The amplitude is calibrated to 1 mv for a three-lead cable and 0.5 mv steps for use with a five-lead cable. An output of 1.8 volts is available for driving auxiliary equipment. An external light-emitting diode provides visual indication in all modes. A push button switch provides manual testing of respiration modules.


The Japanese health service--an overview.


The effects and resolution of conflict in hospital purchasing management.


The satisfied consumer: service return behavior in the hospital obstetrics market.


Improving and expanding dental patient care: a market research perspective.


Has marketing been oversold to hospital administrators?


The demise of an HMO: a marketing perspective.


EMS public information: how well does your community really know your service?


The fight against fraud and abuse: analyzing constituent support. Most efforts to combat fraud and abuse have relied on a punitive-deterrent approach, assuming that higher penalties and stricter enforcement will both punish present offenders and deter potential ones. Social science perspectives, particularly that of systems theory, suggest that a more effective approach is prevention grounded in an understanding of the constituencies involved. Constituency analysis can identify the constellations of social and political power that sustain existing opportunities for fraud and abuse, and those that will support countermeasures. Illustrations are drawn from the author's experience with New York State's attempt at reform in nursing homes and with efforts by the General Accounting Office and the Office of Management and Budget to combat fraud and abuse in federal programs.


Formulating disaster relief when needs are unknown. As in most cases of natural disasters, relief needs arising out of the Mount St. Helens volcanic eruptions in May 1980 were greatly overestimated. Technical, bureaucratic, and political considerations all contribute to the upward bias in such cases. The errors in early estimates of relief needs can be reduced by systematic means. But more important than obtaining good early estimates is maintaining an effective control over actual disaster relief expenditures. As it turns out, the more effective systems of control usually go hand in hand with poorer early estimates, creating a dilemma for the management for disaster relief.


Crisis management: how to turn disasters into advantages.


Burdine: sex discrimination, promotion, and arbitration.


The value of assertiveness in interpersonal communication.


Warning: traditional employee attitude surveys don't work.


Federal Trade Commission brings suit against Hospital Corporation of America.


St. Luke's in Jacksonville, Florida constructing replacement hospital.


There is no motivational magic.

There is no motivational magic.


Assigning dollar figure to linen costs is best way to reach administrators.


Blended uniforms need special care.

Blended uniforms need special care.


Planning for hazardous waste management. Various responsibilities and issues must be considered when becoming involved in the management of hazardous wastes. A basic understanding of the problem and control methodologies including the regulatory provisions of the Resource Conservation and Recovery act (RCRA) is necessary in order to begin the initial phase of the planning process. The roles of industry, the public and the federal government are discussed as well as various management options which can be pursued by state and local authorities. Special attention is focused on the issues of site selection, existing and abandoned sites and the application of "Superfund," disposition of exempt waste quantities and emergency response.


Buffalo hospital to increase linen output after renovation.


Laundry renovation nearing completion at St. John's Hospital in Anderson, IN.


Cost-control idea reduces expenses, improves employee safety at hospital.


New Canadian regional laundry to replace individual facilities.


Good record-keeping is the key to making management decisions.


Weighing reusables vs. disposables? Examine all the evidence carefully.


New shared-service laundry built by Oklahoma Hospital Association.


Financial officer talks about role of a laundry manager in budgeting.


New laundry under construction at North Dakota medical center.


Life or death? Patient's decision, doctor's dilemma.


Laundry renovation boosts morale, reduces manpower requirements.


Enigma in medicine: Munchausen syndrome.


Medical Electronics Buyers Guide 1982, Part 2: Blood flow, blood pressure, cardiac output, ECG, EEG, EMG, pacemakers, scanning, imaging.


Programmable stimulator.

Programmable stimulator.


Cardiac output by electrical impedance.

Cardiac output by electrical impedance.


Cardiovascular arrest. Do we need an ECG at the accident site?


Dr. Hayes on the new FDA.

Dr. Hayes on the new FDA.


Analysis probes risk of antitrust suit.

Analysis probes risk of antitrust suit.


Wanted: fresh, creative ad agency.

Wanted: fresh, creative ad agency.


Manufacturer, not hospital or M.D., responsible in product liability case.


Can 'Davids' take group purchasing contracts from 'Goliath' American?


Cost shifting: it's a taxing problem.

Cost shifting: it's a taxing problem.


Industry seeks standardized bar codes.

Industry seeks standardized bar codes.


Compensation: top hospital managers win 11.4% salary increase.


Trustees merge their national, local perspectives to hospitals' benefit.


Continuing education in nutrition for health professionals.


Components of a successful learning resource center for health professionals.


Medical self-care instruction for laypersons: a new agenda for health science continuing education.


Toward the year 2000: an overview of probable communication futures.


An evaluation approach for continuing education programs in the health professions.


Information transfer: past, present and future.


What television teaches about physicians and health.


Needs assessment: an overview for health educators.


What is the status of continuing education for health professions?


Blues foresee savings.

Blues foresee savings.


Texas DME dealers find safety in numbers.


The growth of health care.

The growth of health care.


Ob/Gyns see new challenges to reputations and incomes.


Hospital's safety fair involves employees, community.


Govt. plan hurts private sector.

Govt. plan hurts private sector.


GA. orders fast-pay on health claims.

GA. orders fast-pay on health claims.


Report says federal workers pay more, get less from health plans.


Estimating health risks a plus.

Estimating health risks a plus.


AMA hits FTC intrusion.

AMA hits FTC intrusion.


Emphasizes ergonomics of office automation.


Health care pricing seen as nonsensical.


Health competition could curb costs: report.


FEHB premiums to leap.

FEHB premiums to leap.


N.Y. tells employees: 'We can't pay for it all".


PSRs add a personal touch to accounts receivable.


Critical job events, acute stress, and strain: a multiple interrupted time series. A critical job event (CJE) is defined as a time-bounded peak of performance demand made on the individual as an integral part of his job. Though such events are an important source of acute job stress and are amenable to longitudinal study, relevant research has been scant. In the present study, the effects of acute objective stress on subjective stress and on psychological and physiological strain were assessed among 39 first-year nursing students in an interrupted time series with multiple replications. Strain was measured five times, twice in anticipation of CJE interspersed by three low-stress occasions. The CJEs were providing the first comprehensive patient care and the final exam in nursing. A consistently confirmatory pattern of significantly rising and falling strain was found for anxiety, systolic blood pressure, and pulse rate: qualitative overload and serum uric acid changed as predicted four times out of five. CJE research can redress past overemphasis on chronic organizational stress and strengthen causal interpretation.


The health care industry PACs congress away.


Home vs. hospital: where are baby, mother (and doctor) safer?


How AMA's new PMI program also helps physicians and pharmacists.


The Society of FDA Pharmacists: what is it?


What is the Medical Device and Lab Product Problem Reporting Program?


10 ways to improve the quality of patient communications.


How our hospital pharmacy maintains control of controlled substances.


How pharmacists can play a key role on the ostomy rehabilitation team.


Hospital/physician relationships: meeting tomorrow's challenges.


Osteopathic hospital administration: there is a difference!


Patient counseling spurs our specialty of geriatric pharmacy.


Who's at high risk for a malpractice suit?


Evaluation in prevention: implications from a general model. Evaluation is a many faceted, rapidly developing process which is held together by a common theme: A practical orientation toward using social programs. That practical orientation can be understood in three ways: as a total evaluation system, as a technological endeavor, or as a social research effort that has the intent of being useful as evaluation. There are three basic elements to good evaluation: validity, utility, and theory. Validity and utility must be understood in terms of specific threats to their integrity. The salience of those threats shifts with the context of evaluation activity. Theory is important because powerful evaluation designs cannot be developed, nor can results be interpreted, without an understanding of the dynamics of program action. Each aspect of evaluation--validity, utility and theory--must be considered relative to four aspects of prevention which pose particular impediments to the conduct of evaluation. Those special characteristics are: the need to mass target prevention programs, the problem of treating people who have not yet manifested symptoms, difficulties in ascertaining when prevention will be most useful, and the need to evaluate prevention programs with long term observation.


Communicate better with your patients.

Communicate better with your patients.


Federal regulations and the lives of children in day care. The National Day Care Study investigated relationships between regulatable characteristics of day care centers--in particular, staff/child ratios, group size, and staff qualifications--and the costs and quality of care experienced by preschool children, especially children from low-income families in federally subsidized care. The study found that group size, the total number of children in a classroom, was associated with several measures of the quality of the social environment and of children's development. In small groups, as opposed to large, children were more cooperative, more likely to engage in spontaneous verbalization and creative/intellectual activities, and less likely to wander aimlessly or be uninvolved in activities. They also made more rapid gains on standardized tests of cognitive and linguistic growth. The study further found that caregivers with education or training specifically related to young children showed a relatively high degree of social interaction with children (praising, comforting, responding, questioning, and instructing) and that children in their care made relatively rapid gains on standardized tests. Staff/child ratios were related to some aspects of caregiver behavior, but these relationships were less consistently indicative of quality than those exhibited by group size or caregiver education/training. Because the latter characteristics are relatively low-cost components of day care, the study concluded that the federal government could buy better care at lower cost by giving them greater emphasis in its purchasing standards.


Are high fees denying people health care?


Gerontology, geriatrics and the physiotherapist.


A doctor uses videotapes to educate patients.


Health care facilities certification: "a review & interpretation".


Picking the best malpractice coverage.

Picking the best malpractice coverage.


Community health centers: making health care less expensive and more accessible.


Private management of California county hospitals: expectations and performance.


The post-hospital adjustment of psychiatric patients: a six-month follow-up survey.


Outcome evaluation: measuring change over time.


Suicide in a psychiatric population.

Suicide in a psychiatric population.


Duration of hospitalization as a variable in outcome.


Prevention in mental health: organizational and ideological perspectives.


Medical care, living conditions, and children's well-being. We examine the effect of medical care and living conditions on children's physical and psychological well-being. We develop a causal model in which living conditions (including the socioeconomic status of the family and the social-psychological aspects of family functioning) may affect well-being both directly, and indirectly through medical care. We find that families in the higher social classes and families that function well tend to go to large prepaid groups where they receive good medical care. High quality technical care of illness, in turn, improves physical health. The quality of psychotherapeutic care, on the other hand, has no effect on psychological well-being. For this aspect of health, the effect of living conditions is largely direct, rather than indirect by way of medical care. Families characterized by high levels of functioning have children who are psychologically healthy. In addition, physical health affects psychological well-being, but not vice versa.


Lessons for social work from the medical model: a viewpoint for practice.


Self-help groups and professional involvement.


Water heaters: the several types of water heaters have individual characteristics and benefits. Here's how to design the best system.


Guidelines to follow to monitor and control electrical energy losses.


In the battle between self-generated and canned packaged, it's all "self" generated.


Cost control through...maximization of hospital benefit plans.


Important issues in hospital nursing? It depends on whom you ask.


The law game: what you don't know about the rules can hurt you.


The tools to do the job.

The tools to do the job.


Therapeutic recreation project in social services in Nottinghamshire, United Kingdom.


Recertification--what form shall it take?


The value of need assessment techniques for inservice education.


A training program for medical records personnel--a cooperative effort.


Assuring continued competence.

Assuring continued competence.


Developing supervisors: the importance of interpersonal skills.


Orientation: what do you do after saying hello?


Inservice program development as applied to confidentiality.


Approaching competency-based education in medical record science.


Inservice education at George Washington University Medical Center.


How to set up a training program.

How to set up a training program.


Government access to medical records: is a search warrant required?


Local control: choices for the smaller hospital.


The smaller hospital through an educator's eyes.


Diversification: one hospital's successful approach to facing the future.


Health fitness center: getting stronger every day.


Infection control in the smaller hospital.


Is low bidding the best method for...choosing a landscape maintenance company.


Contract hospital pharmacy services: the prescription for your needs?


Multi-function systems of information management are "harbingers of the paperless hospital".


"Human touch" the smaller hospital's best medicine.


Computer applications for the smaller hospital: how to choose the right system for you.


A whispered beginning.

A whispered beginning.


Health care coalitions: update.

Health care coalitions: update.


The role of the surgical technologist.

The role of the surgical technologist.


Current nursing shortage could lead to increased supplementary nurse staffing.


Developing the smaller hospital's QA program.


Cancer registry program: how it's benefitting hospitals and their patients.


Denial of privileges: anti-trust implications.


Daily problem solving with quality assurance.


Protecting patients' privacy rights.

Protecting patients' privacy rights.


Feasibility studies: instruments for charting the path ahead.


Leadership in infection control.

Leadership in infection control.


Neonatal reunion party.

Neonatal reunion party.


Drive-in blood pressure screening.

Drive-in blood pressure screening.


The selling of a hospital: a must for continued public support.


13 steps to better media relations.

13 steps to better media relations.


The administrator's role in media relations. That's not my job ... or is it?


Civilian-military contingency hospital system: a cooperative effort to provide medical care in the case of sudden military conflict.


The challenge of continuing education.

The challenge of continuing education.


Making the most of your hospital's human interest potential.


Getting into print.

Getting into print.


The risk of surplus lines insurance: health care providers who anticipate purchasing surplus lines insurance must exercise caution.


Pricing for hospital success.

Pricing for hospital success.


Quality assurance in daily problem solving.


Coordinating a strong media plan.

Coordinating a strong media plan.


QA's role in informed consent.

QA's role in informed consent.


Learn to stay one step ahead of T.E.D.s.


The Texas Hospital Association: a look at the Association's staff and services.


Sterilization of the mentally retarded.

Sterilization of the mentally retarded.


Sharing ideas important benefit of TSICP membership.


Narrowing the gap between the health administrator and the educator.


Educational requirements for medical record professionals: what it takes to get (and keep) accreditation.


Guest relations growing aspect of PR.

Guest relations growing aspect of PR.


Quality assurance and the patient.

Quality assurance and the patient.


One hospital's successful experience: computerization in the smaller hospital.


Word processing: a key to increased productivity in medical record departments.


Documentation of medical record data.

Documentation of medical record data.


How it's working in one Texas hospital.

How it's working in one Texas hospital.


Unrelated business income.

Unrelated business income.


Retention and release of medical records.


Employee benefits: how hospitals can provide high quality packages at less cost.


Turning expectations into performance: administration's goals for medical record department influence productivity and effectiveness.


Levels of practice: a career ladder and clinical ladder system.


The new nurse manager.

The new nurse manager.


Nurse retention revisited.

Nurse retention revisited.


Graduate nurse traineeship programs.

Graduate nurse traineeship programs.


QA in transfusion services.

QA in transfusion services.


Infection control in the Soviet Union.

Infection control in the Soviet Union.


Nursing staff management systems.

Nursing staff management systems.


Nurse counselors: nurses helping nurses.


The challenge of education for nurses.

The challenge of education for nurses.


Liability for police-ordered, unconsented blood tests.


"Operation Interpreter" translates into better communication.


"Weigh In" helps employees be real losers.


Texas Department of Health.

Texas Department of Health.


The educator's role with external agencies, situations.


Communicable disease reporting.

Communicable disease reporting.


Texas State Board of Pharmacy.

Texas State Board of Pharmacy.


Trustee's survey of board chairmen: who they are and what concerns them.


Hospitals may charge interest on patients' unpaid bills.


Reconciling ethical and marketplace values in service program design. Traditionally, the provision of hospital services has been based on a set of values very different from those associated with the free market process. Without denying the import of sound financial support and performance, the authors suggest that to maintain "legitimacy", hospitals must examine their values and the relevance of those values to the communities they serve.


Guidelines for more informative quality assurance reports.


Users' perspectives on bathing equipment.


Executive compensation committees: an idea whose time has come? Because executive and managerial talent is a hospital's most valuable asset in a highly competitive climate, boards should be concerned with matters of executive compensation. The major responsibilities of an executive compensation committee are outlined here, including evaluation of the CEO's performance, determination of his compensation level, and establishment of the institution's basic compensation philosophy.


Films spark interest in current events.

Films spark interest in current events.


A renaissance in transplant surgery.

A renaissance in transplant surgery.


Doctor's dilemma: treat or let die?

Doctor's dilemma: treat or let die?


Recruiting the corporate volunteer: it don't come easy.


Auxiliary growth must meet new needs of hospital, community.


Child passenger safety: a call for auxilian involvement.


Who will care for the uninsured?

Who will care for the uninsured?


Coalitions get down to business.

Coalitions get down to business.


Poverty: a major deterrent to America's good health. Poverty has a major impact on the nation's state of health. Although its effects are difficult to separate from that of old age and the problems of minorities, there are definite correlations between indicators of economic well being and mortality/morbidity rates United States vital statistics and extensive health interview surveys provide ample documentation of the role of poverty as a health determinant. The success the Indian Health Service has had in lowering mortality rates mirrors the nation's as a whole and demonstrates what can be done if socioeconomic conditions, as well as health care delivery, is improved. The message should not be lost sight of it this era of cutbacks in social programs.


Effects of leader contingent and noncontingent reward and punishment behaviors on subordinate performance and satisfaction. This study investigated the nature of the relationships between leader reward and punishment behaviors and subordinate performance and satisfaction. Only performance-contingent reward behavior was found to affect subordinate performance significantly. Positive relationships were found between leader contingent reward behavior and employee satisfaction. Contingent punishment had no effects on subordinate performance or satisfaction.


A management science approach to contingency models of organizational structure. This study demonstrates the applicability of a quantitative modeling approach, specifically goal programming, in operationalizing the relationship between environmental variables and specific organizational structural variables for optimal goal attainment. A goal programming model is developed to analyze and determine the optimal relationships for goal attainment.


Ethnic group response to preventive health education. Using the ratio of preventive visits to episodic visits as an index of health care utilization in response to an education campaign which emphasized the value of prevention, we analyzed the response of white, Mexican-American, and black subjects in a community health center. We found that: (1) whites make a relatively larger proportion of preventive care visits than Mexican-Americans, who made proportionately more preventive health care visits than blacks. The difference between whites and blacks was statistically significant (p less than .05). (2) When socioeconomic levels were held constant, as measured by insurance categories, no ethnic differences in preventive vs episodic health care visits were found. (3) On the other hand significant differences in such health care behavior emerged when indices of family structure and employment were isolated. Mexican-Americans seek proportionately less preventive care in families in which one parent is absent and no adult is employed. In contrast, blacks seek proportionately less preventive care in families in which both parents are present at at least one adult is employed.


Blood carbon monoxide levels in persons 3-74 years of age: United States, 1976-80.


Adapting to environmental jolts.

Adapting to environmental jolts. This paper examines organizational adaptations to an environmental jolt--a sudden and unprecedented event (in this case, a doctors' strike)-- that created a natural experiment within a group of hospitals. Although adaptations were diverse and appeared anomalous, they are elucidated by considering the hospitals' antecedent strategies, structures, ideologies, and stockpiles of slack resources. Assessments of the primacy of the antecedents suggest that ideological and strategic variables are better predictors of adaptations to jolts than are structural variables or measures of organizational slack. Although abrupt changes in environments are commonly thought to jeopardize organizations, environmental jolts are found to be ambiguous events that offer propitious opportunities for organizational learning, administrative drama, and introducing unrelated changes.


Hospital characteristics and physician productivity and fee levels.


Occupational licensure and the utilization of nursing labor: an economic analysis.


The market for retail pharmacies: a duopoly model.


Distribution of medical inputs across standard metropolitan statistical areas and implications for health.


Short-term illness and labor supply: the impact of sick leave.


Health manpower credit subsidies.

Health manpower credit subsidies.


Hospital wage inflation.

Hospital wage inflation.


AMA's Washington office--its legend and its legacy.


Insurers' slump may aid HMOs.

Insurers' slump may aid HMOs.


Culture a factor in treating Latino patients.


Hospitals' viewpoint: staff privileges--the substantive issues.


Physicians foresee trend toward closed staffs in hospitals.


Hospitals try varied tactics in battle for patient dollars.


Canada's medicare defended: Part 2.

Canada's medicare defended: Part 2.


Liability premium surplus stirs debate in Wisconsin.


AHA hits two-tier medical care.

AHA hits two-tier medical care.


Of educators: making MDs, administrators 'partners' is goal.


AMA, GTE open network.

AMA, GTE open network.


Rationing care called dilemma for the '80s.


Hospital, MD insurers are urged to cooperate.


Meharry Medical College fights back.

Meharry Medical College fights back.


Liability premiums not up substantially: study.


Maryland MDs drop support of admission review plan.


Twin Cities pharmacists claiming squeeze by HMOs.


Delegating responsibility effectively.

Delegating responsibility effectively.


ACP: public and profession need better education about medical consequences of nuclear hazards.


A new way of teaching medical students about the law: Wright State combines law, ethics.


Reducing radiography costs.

Reducing radiography costs.


Modern wiring systems: an innovative and maturing technology.


Health care--and woe: the Medibank man speaks out.


Emergency medicine winning acceptance.

Emergency medicine winning acceptance.


In hospital program many cooks don't spoil the broth.


Health cuts spark storm of protest.

Health cuts spark storm of protest.


Northern Ireland emergency room a tale of terrorism.


Improve hospital food operations.

Improve hospital food operations.


PANCH shows the way to modern radiology.


Victorian hospitals and the smoker.

Victorian hospitals and the smoker.


States face more tough decisions. Interview by Ray Maultsaid.


Accreditation slammed by GPs.

Accreditation slammed by GPs.


Impact of technology on medicine.

Impact of technology on medicine.