New solar energy system lets the sun shine through--even when it doesn't.


The cost-conscious physician.

The cost-conscious physician.


Tax compliance and reporting.

Tax compliance and reporting.


Hospital and vendor work in tandem.

Hospital and vendor work in tandem.


Financial management: a key element in the hospital information system.


HISSG aggressively pursues sharing of ideas and information.


UB-82 and the ubiquitous health insurance claim form.


Planning for a new patient accounting system.


The nursing system--a computer challenge of the 80's!


Current developments in disability and rehabilitation programs.


Consent and consultation are best anti-suit guards.


The pediatric emergency patient.

The pediatric emergency patient.


Health care horror stories: pest control needs & standards. Even the most modern facility can have insect & rodent pests.


Cooperative education program meets management needs citywide.


Self inspection in housekeeping.

Self inspection in housekeeping.


What motivates housekeepers?

What motivates housekeepers?


Training methodology.

Training methodology.


Thorough planning precedes fitness center debut.


Hospitals warned against Social Security pull-out.


Market your mission by stating your case.


Microwave thawing of frozen minibag admixtures. An efficient system is described for the preparation of high volume minibag admixtures e.g. cefazolin. The system includes use of bulk reconstitution, freezing and microwave thawing techniques; special admixture dosage forms; and, the use of technical staff. The system can be utilized in any centralized, intravenous, admixture service where the workload is demanding for existing staff.


Hospital, library, and community link forces to build CCTV system.


Corporate survey discloses solicitation priorities.


Medical student to resident controversies over a rite of passage.


Large building air conditioning: a case for central systems.


How to make hospitals hospitable: one way would be to create a new kind of "medical hotel".


Networking for nurses.

Networking for nurses.


Disaster! Planning for the worst.

Disaster! Planning for the worst.


Making ambulatory surgery easy.

Making ambulatory surgery easy.


The Cramond experiment.

The Cramond experiment.


Computers in management: living with the VDU.


Computers in control.

Computers in control.


Computers in management: computer control for ambulances.


House of quality control.

House of quality control.


Hospital design: split in the nucleus.

Hospital design: split in the nucleus.


Interpreter service: breaking the language barrier.


Specialty workload: stand by your beds.

Specialty workload: stand by your beds.


Remedial professions: lines of accountability.


Increase in hospital merger activity expected to intensify antitrust scrutiny.


Primary care: Mexico's first aides.

Primary care: Mexico's first aides.


Health planning wins surprising support on Capitol Hill.


Advocate presents case for continuation of federal involvement in health planning.


A continuum of care: St. James' Hospital Portsmouth.


Nurse staffing: targets for quality.

Nurse staffing: targets for quality.


Home sweet hospital.

Home sweet hospital.


Increase vendor efficiency by measuring it?


Competition of high-priced new drugs holds down prices of older drugs.


The voluntary sector.

The voluntary sector.


Cost analysis is key to sound decision-making.


Rating the med/surg supply distributors: an HPM update.


Federal health planning system hanging in balance as Congress considers issue.


Peter F. Drucker and Karl D. Bays discuss the toughest job--running a hospital. Part I.


Hospitals face challenge keeping pace with new advances in imaging.


Hospital reorganization, if done properly, can be a modest proposal. Part 1.


Health planning changes and pro-competitive system would influence investor thinking.


How to clean thermometers.

How to clean thermometers.


When should surveillance methods be changed?


Middle managers evaluate the management firm.


Medical center recruits college to equip adult learning center.


ICU utilization should be carefully monitored.


Center helps patients cope with family problems.


Cost-efficient use of CAT scans could save $30 million.


Hospital's noon lecture series attracts working women.


The pastoral letter on health and health care: a roundtable.


Health care facility: platform for social justice.


Integration, affirmation: focus of treatment for priests, religious.


Treatment and management of the impaired physician.


Effective hospital corporation bylaws provide due process procedures.


Divorced parents both liable for child's hospital bill despite decree's provisions.


Hospital obligation for tenants' security limited to reasonable safety measures.


Choosing less costly care is individual's right.


Setting objectives for central service.

Setting objectives for central service.


Communication and conflict between unit managers and nurses.


Royal Hampshire County Hospital, Winchester: enabling works.


Renovation enhances patient care at Chicago's Michael Reese psychiatric clinic.


In defense of supervisory training.

In defense of supervisory training.


Central service: outline of recommendations for a quality assurance program.


Maintenance agreements and service contracts: legal loopholes for the seller and lost dollars for the buyer.


Cutting energy costs: a case study.

Cutting energy costs: a case study.


Maintenance standards.

Maintenance standards.


Patient drug education.

Patient drug education.


A moving orientation.

A moving orientation.


Training supervisors--through behavior modeling: an approach used at North Carolina Memorial Hospital for four years.


What do people think about their hospitals?


AHA's response to HHS letter on newborn handicapped infant medical denial.


Federal courts review scope of antitrust immunity.


Improving communication skills.

Improving communication skills.


ICD-9-GM notes: coding of hematomas.

ICD-9-GM notes: coding of hematomas.


Legal resources.

Legal resources.


Effective communication: key to successful computerization of medical records.


Self-instructional units: a nontraditional approach to continuing education for medical record practitioners.


Work sampling in medical record departments.


Overview of recent national health planning proposals.


Professional recommendations for long-term care placement: a comparison of two groups of institutionally vulnerable elderly. This paper investigates client and service characteristics that differentiate placement recommendations in two groups of elderly who are vulnerable to institutionalization--community residents who have applied for nursing homes and acute care patients who were viewed as likely candidates for long term care facilities. The two groups differ considerably on measures of physical and mental well-being as well as service need and availability. The community applicants were in poorer overall condition except with respect to medical requirements. A separate discriminant analysis of placement recommendations (long term care institution versus community) was carried out for each group using the client and service need characteristics as the discriminating factors. The results suggested that some factors such as family care and ADL skills and requirements are important predictors of placement recommendations in both groups, but there were also a number of unique elements in each function. The authors stress the importance of population differences in institutional decisions.


Measuring productivity for home health nurses. Home health managers are under increasing pressure to look at the operations of their agencies with critical eyes to determine whether they are providing the best quality services in the most efficient manner. A primary objective in this agency review is to increase the visit time available while satisfactorily performing the necessary maintenance and administrative services. Because nurses comprise a large portion of agency budgets, a useful starting point is nurses' productivity. An approach is presented which sequentially breaks down nursing time into a number of components. At each step, the resulting figures can be examined to evaluate the existence and nature of problems. Within an agency, this approach allows agencies to identify problems and suggest options for change. In inter-agency comparisons, differences in agency policy which affect productivity are made explicit, making the comparisons more useful. Three measures are also presented to evaluate aspects of overall agency productivity.


The stand-alone system that will come together.


Computers: the focus is on the patient.

Computers: the focus is on the patient.


Your job--it's a matter of degree.

Your job--it's a matter of degree.


How to fight media fear.

How to fight media fear.


Managers on the firing line.

Managers on the firing line.


Bowen theory and pastoral care.

Bowen theory and pastoral care.


Health care prices.

Health care prices.


Community hospital statistics.

Community hospital statistics.


Legislative currents: the Federal Register.


Employment, hours, and earnings in the private health sector.


National economic indicators.

National economic indicators.


Marketing forum: pocket-size personal health record.


How to handle the first months at a new hospital.


Is your hospital ready for word processing.


Refugees tax Florida center.

Refugees tax Florida center.


More authority seen for materials manager.


Education: key to quality in new case cart system.


Charter Medical's purchasing chief stresses role of product evaluation panels. Interview by Dan Dildine.


You've got to be better than you think you are: stalking the mythical leader.


The first step in applied hospital marketing--the marketing audit.


Off-site warehouse ends space problem.

Off-site warehouse ends space problem.


Computer bits: software Part II.

Computer bits: software Part II.


Equipment purchasing: an interdepartmental affair.


Materials management: an ethics role model.


Word processing: a centralized approach to hospital typing needs.


Word processing in hospitals: improve information handling while holding down costs.


Word processing cuts transcription costs.


Personalized collection letters: word processors use lasers to convert receivables to cash.


The integrated system: small clinic blends word, data processing.


Incentive program for administrators: adopting big business attitudes in health care?


A modified time study: measuring medical records production.


Expanding contracting: private management of public hospitals in California.


Journal of the plague years--the fiscal year 1983 health budget.


Payment patterns: 1981 results.

Payment patterns: 1981 results.


Let's not waste our investment.

Let's not waste our investment.


Updating affirmative action.

Updating affirmative action.


The 'invisible' staff.

The 'invisible' staff.


Are fire drills enough?

Are fire drills enough?


Continuing education for hospital management: trends and issues.


Interdisciplinary management group design.


The diffusion of unit management among U.S. hospitals.


Basic management science techniques for decision analysis.


Involving the medical staff in budgeting. Involvement of the medical staff in the capital budgeting process at one facility resulted in greater commitment by the staff to the organization and the incorporation of 60 percent of the programs and equipment requested in the final budget. This article discusses the process used to secure that involvement.


Management skills: where to get them.

Management skills: where to get them. To discover the prevalence of physicians seeking health care management skills, The Hospital Medical Staff polled 28 U.S. graduate schools and several professional organizations. The results of this survey are reported here, along with a geographically arranged directory of where to write for more information.


How to make committees work for you.

How to make committees work for you. The forum for many hospital managerial concerns is the medical staff committee meeting. This article focuses on the misuses and abuses of committees and offers suggestions for improving their effectiveness. The issues of composition, size, tenure, and formats are discussed, and guidelines for chairman are recommended.


A curriculum for physicians in management. To help physicians operate at the interface between medicine and management, the University of Wisconsin began a program in administrative medicine in 1973 with support from the W.K. Kellogg Foundation. In this profile of that program, the following topics are emphasized: values in medical care, budgeting, epidemiology and data skills, decision analysis, planning, health economics, health law, and organizational and human behavior.


The foremost dilemma in managing a hospital formulary.


Restricted formulary drugs: an exploratory study.


Education needs of rural hospital administrators in Arizona.


24-hour unit dose dispensing of class III-V controlled substances. Methods of controlling controlled substance (CS) inventories in unit dose dispensing systems vary. The two extremes are total floor stock of all CS drugs by the use of declining inventory signout sheets on the nursing unit to controlling only Class II and a few selected class III-V items. The method described herein outlines a systematic approach to controlling items on an individual patient basis consistant with the benefits of unit dose dispensing. A CS card assigned to each patient for each of his required controlled substance medications serves as an audit trail for doses consumed by the patient and provides a declining inventory receipt when returned to the pharmacy.


The shaping of pharmacy practice: a look to the future.


Feasibility of using Travenol sets in an IVAC 230 controller. The feasibility of using Travenol regular and minidrip sets to deliver intravenous solution with IVAC 230 controllers was investigated. Intravariability within Travenol regular sets proved to be negligible. Likewise, intervariability among IVAC controllers is negligible. The least squares fit obtained from drops per minute (dpm) versus flow rate (ml/hr) for Travenol regular sets using dextrose 5% in water was y = 4.50x + 0.8 (r greater than 0.99). Similarly, the least squares fit for sodium chloride 0.9% was y = 4.50x - 0.6 (r greater than 0.99). Therefore, the calculated dpm for the required flow rate for both solutions is similar using Travenol regular sets. Also, no significant difference is found between the drip rate of dextrose 5% in water and sodium chloride 0.9% with Travenol minidrip at 5, 30, and 60 dpms. This study shows that interchangeability of IVAC administration sets with Travenol regular and minidrip sets is possible for dextrose 5% in water and sodium chloride 0.9% solutions.


Pharmacy policy and procedure for processing an order for a nonapproved use of a marketed drug.


HMO marketing: determining the importance of facility location in consumer choice.


Proposed information system for management of electromedical equipment. The equipment investment in modern health care facilities warrants management attention to selection, maintenance, operation, and retirement requirements. An equipment information system is described that has been working for seven years, and a total system using modern hardware and data base technology is proposed to supplement the present system.


Organizational factors and performance of individual practice associations.


The analysis of clinic no-show rates to establish optimal outpatient scheduling quotas.


Nondoctoral therapist in psychiatric outpatient care.


Reorganization of ambulatory care in an academic medical center.


Systems report: the Navy health care delivery system.


Biomedical equipment management using a microcomputer. A low cost microcomputer system is described that manages PM and test scheduling, provides lists of selected equipment, prints labels, and calculates management data. The files for 2800 devices fit on a standard mini-diskette and are easily updated.


Clinical engineering strategies for career development. In the continuing development of clinical engineering, new problem areas are beginning to emerge. Issues related to career development are gaining prominence, and job satisfaction, career advancement, and "burnout" are becoming increasingly important. To address these issues, clinical engineers must assume personal responsibility for their own careers. They must broaden their perception of clinical engineering to include a managerial perspective. The extent to which they assume managerial responsibilities is a function of their personal interests and talents. This involvement can range from a consultative role in decisions involving high technology to a position in the institution's top management staff. This broader definition will significantly benefit not only the field of clinical engineering but individual practitioners as well.


ACHA Annual Report -- 1981.

ACHA Annual Report -- 1981.


Importance of nursing home design: opinions of nurses and architects.


Meeting the challenge of high employee turnover.


Safety devices for neonatal intensive care. Three relatively simple devices for improving safety in neonatal intensive care are described. When umbilical artery catheters are used, an inexpensive pressure switch is utilized to detect abnormally low pressures associated with catheter withdrawal or excessive fluid leakage from the catheter system. A capacitive, intravenous-line air bubble detector, consisting of a section of the intravenous line as the dielectric of a capacitor, is used to alert the clinical staff when air bubbles pass between the capacitor plates. An electronic temperature controller maintains the temperature of neonatal breathing gases to avoid temperature variations which occur with presently used techniques. These are relatively simple and inexpensive devices which can be fabricated by most hospital clinical engineering services.


How to survive a fire.

How to survive a fire.


Are computers for you?

Are computers for you?


American Health Care Association--reducing energy costs in nursing homes.


Protecting residents' rights.

Protecting residents' rights.


The teaching nursing home: a review of two models proposed.


Clinical engineering and hospital accreditation in Canada. In response to the growing concern over the management of medical technology in hospitals, and in view of recent changes pertaining to medical technology that have been made by the Joint Commission on Accreditation of Hospitals in the United States, the Canadian Council on Hospital Accreditation recently asked the Canadian Medical & Biological Engineering Society (CMBES) to prepare a brief on the proper role of clinical engineering in Canadian hospitals. The brief prepared by the CMBES outlines seven basic principles associated with clinical engineering, hospital accreditation, and the proper management of medical technology in hospitals. It appears that these principles may form the initial basis for changes to the Canadian Hospital Accreditation Guide and Questionnaires. A comparative assessment of the Canadian and American approaches by clinical engineers may help to advance the cause of better health care in both countries.


Nursing homes as a public utility?

Nursing homes as a public utility?


Attitudes in action.

Attitudes in action.


Illegal aliens: facts you should know.

Illegal aliens: facts you should know.


HCFA releases indicators to assess drug reviews.


New role for hands-on caregivers: part-time mental health technicians.


Life-care communities: private sector involvement in housing alternatives for the elderly.


The public relations message.

The public relations message.


The challenge to long term care.

The challenge to long term care.


How to properly evaluate, select, use a supplemental nursing service.


The nursing home voice in Washington.

The nursing home voice in Washington.


The marketing of pharmaceuticals in the 1980's in light of consumerism.


Planning models for outpatient care: a marketing approach.


High-level wellness for corporate executives: a program design.


England: EMS.

England: EMS.


Microfiche and automated indexing applications for regulatory submissions to the Food and Drug Administration. In today's conservative climate, with cost-cutting consciousness, gradual steps should be taken to "marry" micrographics with new technologies. When managers have thorough knowledge and understanding of the regulatory requirements of the federal government, they can proceed to review, analyze and update documentation with indexing and decide the appropriate format of data, as well as the vehicles best suited for the user's needs, integrating micrographics and automated indexing. It is important that industry and regulatory agencies work together. For five years, Merck has been involved in refining microfiche specifications for submissions to various Bureaus at the Food and Drug Administration, originally for the Bureau of Drugs and currently for the Bureau of Foods and the Bureau of Veterinary Medicine. In these pilot projects, Merck has shared its know-how with other pharmaceutical companies in published articles, one-day seminars and several speeches at conferences of national organizations such as the Pharmaceutical Manufacturers Association (PMA) and the Association of Records Managers and Administrators (ARMA). In April 1979, a presentation was made before the Garden State Chapter of the National Micrographics Association (NMA).


Block grants for the needy: the case of AFDC.


Communications breakdown: games EMTs and nurses play.


Cricothyroctomy: practice makes perfect.


Public policy toward life saving: should consumer preferences rule?


Inferences from alarming events.

Inferences from alarming events. An extreme event, such as a nuclear accident, an earthquake, a cluster of adverse reactions to a particular drug, or excessive breakdowns of some class of equipment, frequently focuses attention for the first time on an important issue. By then, however, data on the incidence and magnitudes of relevant past events may be unavailable or too costly to reconstruct. Using a simple probability model, we derive methods for drawing statistical inferences based only on the magnitude of the first event noticed and the amount of exposure before this event occurred. We assume that an event is noticed only when its magnitude exceeds some threshold, and we develop methods of inference that are valid even when this threshold is unknown. One tempting but incorrect approach is to treat the magnitude of the observed event as if it were the threshold, forgetting that smaller magnitudes might have been noticed as well. The biases that arise when this mistake is made turn out to be substantial; risks can easily be overstated by a factor of 3.


The judge as manager: the case of Judge Frank Johnson. Judge Johnson's remarkable role in the reform of Alabama's mental health and prison facilities suggests that judges may have greater control over the agendas of policymaking than is normally assumed. In omnibus cases, the judge may be more interested in pushing state officials in the "right" direction than in securing full compliance with any specific set of absolute standards. The tenor and pace of implementation, moreover, may depend largely on the relationship of participants, the judge's personality, and related factors not susceptible to precise measurements.


A hospital's role in training biomedical electronics technicians. The need for hospital participation in the undergraduate training of Biomedical Electronics Technicians is discussed in this paper, along with methodology for the training program. The cooperation of a technology school and a hospital in BMET training provides benefits to both with additional unique benefits for the students. The need for continuing education and training of the employed Biomedical Electronics Technician through hospital and technical societies is presented.


The plight of universal social services. In the early 1960s, the motivating theme of social services in the American welfare state was reduction of economic dependency. At that time services were highly selective, aimed mainly at poor people. Between 1960 and 1980 there was a drift toward univeralism, as the welfare state expanded to serve an increasing number of middle-class groups. This expansion of the welfare state was related to several social and demographic trends, and was accompanied by basic changes in the scope and purpose of social services. As the welfare state has moved toward universal entitlement to social services, a number of contradictions between the theory and practice of universalism in a capitalist society have surfaced. These contradictions lend a degree of support to the resurgence of selectivity which the welfare state is currently experiencing.


Designating the resources hospital: a success story.


Making employee surveys work for your organization.


Effective linen management depends om good relations with nursing.


Work on VA central laundry in Augusta 'one-fifth complete'.


The family support system and nursing home or geriatric day care placement.


An empirical analysis: variables affecting physicians' hospice care adoption.


Storage system helps to improve efficiency at Columbus hospital.


Health in Russia: a special report.

Health in Russia: a special report.


New Jersey hospital returns to in-house laundry service.


How--and what--feminist health clinics are doing.


Biomedicine and industry.

Biomedicine and industry.


Hospital jobs vs. private practice.

Hospital jobs vs. private practice.


The 26th Albany Rx survey: Tylenol with Codeine leads the way.


BCBSM evaluates psychiatric planning in Michigan.


Physical surroundings serve as therapeutic catalyst for patients.


Civil, environmental and treatment rights.


Alcoholism treatment: a welcome service if planning is right.


Cooperative efforts keep patients close to home.


Michigan's rate setting dilemma: is there a good model to follow?


Mental Health Department accelerates public-to-private shift.


Malpractice insurance: should it be compulsory for physicians?


Mental Health services: the environment for Michigan's hospitals.


Corporate attitudes toward health care costs.


Community responsibility. Interview by Louis Graff.


Why is Michigan different?

Why is Michigan different?


Multihospital systems survey: psychiatric hospitals snapped up.


They've done their internship.

They've done their internship.


Another theory of nonprofit corporations.


Trustee profiles.

Trustee profiles.


General Medical to take on AHSC -- in 20 years.


Multihospital systems survey: DC reps -- low profile, but strategic roles.


Highland Park fights its way out of community hospital 'box' with ads.


Multihospital systems survey: chains shy from equity financing.


Architects' energies are directed toward conservation at Allegheny.


Ordering system dries up flow of paperwork.


Administrators tap CFO to be 'right-hand man'.


Employers prefer negotiating fees.

Employers prefer negotiating fees.


New parent company means business. Interview by Sally Berger.


Ambulatory care centers take up downtown market.


Scrutiny will slack off even though rules deregulating industry scrapped.


Multihospital systems survey: systems scoop up nursing homes.


Opposition to health planning softens.

Opposition to health planning softens.


Future of tax-free bonds rests more on defense budget than bonds' merits.


Firm attaches performance strings to $150,000 contribution to hospital.


Incontinence products.

Incontinence products.


Multihospital systems survey: buyers picky in growing market.


Multihospital systems survey: strong showing despite economy.


Multihospital systems survey: nonprofits setting up for-profit divisions; may even sell stock.


Multihospital systems survey: largest chains aggressively increase market share in '81.


The thrust in antitrust at FTC: an interview with Bureau of Competition chief Thomas Campbell.


A pre-admission program that works.

A pre-admission program that works.


Swing-bed concept in Utah . . . a decade of experience 1982.


Pharmacists find antitrust laws can't cure their reimbursement headaches.


Assessing your burnout potential.

Assessing your burnout potential.


Disposable pads reign; reusables still demanded.


Diaper market up; attitudes change, products improve.


Alternatives to fixed scheduling.

Alternatives to fixed scheduling.


IRS' new liberalized regulation on charitable contributions of inventory.


Tax exempt leases can lower interest charges.


Dealers win on two counts vs. AHSC.

Dealers win on two counts vs. AHSC.


Distinguishing between your home health agency customers.


Check fire exit plans with these guidelines.


Business coalitions: a new approach to health care cost containment.


Cafeteria-style benefits programs: defining, designing, implementing and evaluating a plan.


Focus on management effectiveness: new form enhances information system, cuts paperwork.


Directing the future of health care costs: high vs low style procedures.


Breaking tradition: changing to a cafeteria-style benefit plan.


Unions target RNs: dollars and common sense deflect them.


Directing the future of health care costs: developing a competitive market.


Comprehensive survey: facilities and services--osteopathic hospitals.


Health administration practice and education in Europe.


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


Hospital utilization planning in Kupat Holim Health Institution - Israel.


Experimenting on humans: tough questions for physicians.


Quality assurance: Dr. Jessee talks about patterns of care.


Quality assurance: Lawyer Brenner talks about quality standards.


Quality assurance: Dr. Jessee talks about hazards.


Quality assurance: Jessee and Brenner talk about their work.


Is your hospital taking patients away from you?


How computerized unit doses help to upgrade our pharmacy services.


A look at a new alliance.

A look at a new alliance.


Pardes sees drama in decade ahead.

Pardes sees drama in decade ahead.


Court says MD not immune from confidentiality suit.


The corruption of hospice. What price is hospice paying for survival?


Vacations that can change your life.

Vacations that can change your life.


You and the bare physician.

You and the bare physician.


Traditional and modern medicine in Africa.


Protecting the rights of clients: Michigan sets a model for other states.


Vocational rehabilitation--therapeutic group: a cooperative venture.


How hospitals allocate laundry utility costs.


Low-temp washing for hospital linen.

Low-temp washing for hospital linen.


As I see it: should the hospital chief executive officer (CEO) have a contract?


Classroom on wheels can take health education wherever people gather.


Volunteers add hands, hours, and an extra dimension to patient education program.


The limits of benevolence.

The limits of benevolence.


Discontent over health costs colors congressional choices. Drastic action on specific health issues this year may be less important than the growing discontent in Congress over health care costs. Even if economic trends moderate, hospitals will be confronted with the task of changing incentives in the system that fuel the rate of increase in costs.


Toward a fourth generation of health planning. With federal funding for health planning on the decline, local efforts are under way to replace the health planning structure being dismantled at the federal level. The next generation of health planning will be shaped by the federal government's desire for homogeneity in planning efforts, the inseparability of planning and regulation, the likely diminution of the current anti-regulatory fervor, and the need for individual institutions and their leadership to bear more risk than they have in the past.


Will funding cutbacks force hospitals to abandon care for the needy? Cutbacks in funding for health care services are forcing hospitals to reexamine their traditional mission of caring for those in need. Hospitals will have to cooperate with local community service agencies, funding agencies, and churches and congregations to meet the needs of their communities.


Health lawyers faulted as advocates for status quo.


Financing life care communities for the elderly.


The attraction of nursing home investment.


Health trust fund founders; 5,000 temporarily uninsured.


The director of nursing and the consultant dietician.


Illinois straightening out reimbursement payment lag.


Beverly Enterprises, Upjohn begin joint interim care.


Nursing home regulations here to stay, HHS decides.


Generations share the arts in 'Project touch'.


Those high hospital bills aren't always right.


The pureed diet for long-term care residents.


Federal reimbursement incentives to reward hospital conservation.


Lewisburg: a dichotomy of tradition, progress.


Burial situation again near crisis; incineration option hits opposition.


Law simplifies sharing between military, VA.


Volunteers survey patient opinion.

Volunteers survey patient opinion.


Auxiliary House opens for business.

Auxiliary House opens for business.


IRS audits of the hospital auxiliary: a management tool.


Junior volunteers assume leadership roles.


On satisfying the volunteer and the paid employee: any differences?


A master's degree emphasizing volunteer administration.


Living history program records rich heritage.


Building volunteer/paid staff teamwork from the top.


Education for volunteer program management: one model in Canada.


Manage your measurements, don't let them manage you!


New perils for planning.

New perils for planning.


Beyond expectancy theory: an integrative motivational model from health care. Expectancy theory has been criticized for its omission of normative, habitual, and other motivational elements. This paper describes the sources and features of an integrative motivational model from the field of preventive health care that combines expectancy/valence factors with habitual, normative, and conative motivational elements. The model is viewed as having implications for work motivation as well.


Clinics of the urban epilepsy program.

Clinics of the urban epilepsy program.


Nimmo questions value of affiliations.

Nimmo questions value of affiliations.


Another look at why Reaganomics are hard to digest.


Linen security--a key factor in cost control.


A linen control program that reduced pilferage.


Canadian central claims greater efficiency than in-house plants.


Using disposables in a good linen program.


A review by your peers.

A review by your peers.


Excess beds and hospital costs.

Excess beds and hospital costs.


Childhood lead toxicity: a paradox of modern technology. Lead toxicity, a man-made disease of young children, has only recently come to the focus of professional and public awareness. Lead has become increasingly bioavailable to humans as a direct result of industrial processing and manufacturing. While lead-based paint in older dwellings is the primary cause of lead toxicity among young children, airborne lead from gasoline fumes and factory emissions, plus dirt and dust into which high concentrations of lead have settled, are also significant sources of undue exposure. A variety of consumer products, including kitchen utensils, newsprint, and cosmetics are likewise potentially hazardous because of their high lead content. Exposure to excessive amounts of lead is especially harmful for young children: they are biologically and developmentally more vulnerable to its toxic effects. Even at levels of absorption that produce no medical symptoms, lead may impede children's overall developmental progress by interfering with their performance in serveral crucial areas. Although the United States has been reluctant to assume an aggressive regulatory position toward lead, the federal government currently supports comprehensive lead poisoning control programs in 60 American cities.


A review of hospital menus and the effect on patient food intake.


Energy management: Royal Alexandra Hospital for Children, Sydney.


Sex and sandshoes: a blueprint for district hospital health promotion.


International perspectives.

International perspectives.


Video teleconferencing techniques: part I.


Solving medical malpractice problems.

Solving medical malpractice problems.


Economic analysis of outpatient digital angiography.


What to look for when buying CT equipment.


Spotlight on silver recovery.

Spotlight on silver recovery.


No-nonsense use of computers in nuclear medicine.


Preparing the department budget: the trials and tribulations of the radiology administrator.


Action on the NMR front.

Action on the NMR front.


Government and health outcomes.

Government and health outcomes.


Government and the regulation of hospital care.


Following the patient home: a hospital improves its community service with cable TV programming.


Microsurgery in trauma: its evolution and future.


'Musical medicine'.

'Musical medicine'.


Allocation of spectrum in a certain MHz band and to establish other rules, policies, and procedures for one-way paging stations in the Domestic Public Land Mobile Radio Service--Federal Communications Commission. Final rule. This First Report and Order allocates 3 MHz of spectrum for paging services in the 929-932 MHz band. Private paging services will use frequency band 929-930 MHz, common carrier services will use frequency band 931-932 MHz, with a flexible boundary between the two bands effective after five years. The 930-931 MHz band will be reserved for advanced technology paging systems. This allocation was made in response to petitions filed by the Ad Hoc Private Paging Committee and Telocator Network of America. These new paging frequencies will allow for substantial growth of the paging industry, which has been restricted by a shortage of frequencies.


Amendment of the Commission's rules and establishment of a joint board--Federal Communications Commission. Decision and order amending separations manual. The Commission is adopting the Joint Board's recommendation with minor changes in order to allow interested states to proceed with plans for the sale of customer-premises equipment (CPE) prior to the previously adopted cap date of January 1, 1983. This will facilitate the Commission goal of a competitive market for CPE set out in the Second Computer Inquiry.


Video teleconferencing techniques: Part II.


Deep discount industrial development bonds; proposed rulemaking--Internal Revenue Service, Treasury. Notice of proposed rulemaking. This document contains proposed regulations relating to the determination of the amount of proceeds of issues of industrial development bonds sold by the issuer at a substantial discount. This amount is used in determining whether "substantially all" of the bond proceeds are used for an "exempt purpose", i.e. those described in section 103(b) (4), (5), (6), or (7) of the Internal Revenue Code, and for purposes of the "major portion" test in section 103(b)(2). The regulations would affect issuers, holders, and recipients of the proceeds of industrial development bonds of the type described above.


The American Medical Association, et al.; prohibited trade practices, and affirmative corrective actions--Federal Trade Commission. Modifying order. The FTC, in accordance with a decision and judgment rendered by the Court of Appeals for the Second Circuit on October 7, 1980, has modified its Final Order In the Matter of The American Medical Association issued on October 12, 1979 (44 FR 64803, 94 F.T.C 701). The modified order, effective May 19, 1982, narrows the scope of the order so as not to encroach upon the valid activities of the AMA.


Federal Old-Age, Survivors, and Disability insurance benefits; limitations on benefit payments to prisoners; restrictions on disability determinations for felony-related and prison-related impairments--Social Security Administration. Proposed rules. These proposed regulations, which are based on Pub. L. 96-473, place certain restrictions on the payment of benefits based on disability and student status to persons who have been convicted of a felony and are imprisoned and restrict the use of certain impairments in determining disability. These proposed rules specify the conditions under which benefits will not be paid to these individuals and how a finding of disability may be affected when an impairment, or the aggravation of a preexisting impairment, arises during the commission of a felony or imprisonment. Before the enactment of Pub. L. 96-473, there were no restrictions upon the payment of benefits or the making of disability determinations for these persons.


Federal Employees Health Benefits Program; benefits for medically underserved areas--Office of Personnel Management. Final rule. The Office of Personnel Management (OPM) is amending its regulations pertaining to benefits under the Federal Employees Health Benefits (FEHB) Program for individuals in medically underserved areas. These regulations are necessary to implement the FEHB law, as amended, which mandates special consideration for enrollees of certain FEHB plans who receive covered health service in States with critical shortages of primary care physicians.


List of primary care and dental health manpower shortage areas designated under section 332 of the Public Health Service Act. This notice provides a list, updated as of March 31, 1982, of primary care and dental health manpower shortage areas designated by the Secretary of Health and Human Services under the authority of section 332 of the Public Health Service Act. (At a later date, an update of the lists of psychiatric, vision care, podiatric, pharmacy, and veterinary health manpower shortage areas will be published).


Interconnection of private land mobile radio systems with the public switched telephone network in certain MHz bands--Federal Communications Commission. Final rule. This document adopts new rules to enable private radio communication systems licensed under Part 90 in the 800 MHz bands to interconnect with the facilities of the public switched telephone network. These rules are necessary to enable private licensees to better utilize their radio systems by allowing interconnected operation under certain conditions. An accompanying petition for rulemaking is dismissed as moot.


Cost allocation plans for public assistance programs--Health and Human Services Department. Interim final rule with comment period. This rule revises existing regulations concerning the preparation, submission and approval of State agency cost allocation plans used in computing claims for Federal Financial Participation under public assistance programs. It also reflects the transfer of responsibility for review and approval of the plans to the Division of Cost Allocation (DCA) in the Department's regional offices. This responsibility was previously assigned to the Social and Rehabilitation Service which was abolished by Secretarial Order published on March 9, 1977 (42 FR 13262). The current rule has been rewritten so that it is clearer, easier to understand and more specific. The Department's Informal Grant Appeals regulation relative to cost allocation plans and indirect cost rates (45 CFR Part 75) is also being updated and revised to make it consistent with Supart E, Cost allocation plans, of 45 CFR Part 95, General administration--grant programs (public assistance and medical assistance). Although these regulations are final, the Department has decided to invite public comments for the reasons described in the Supplementary Information below. Comments may be submitted in the manner described below. If changes are needed as a result of the comments received, those changes will be published in the Federal Register along with the comments received and the Department's responses to those comments.


Interconnection arrangements between and among the domestic and international record carriers--Federal Communications Commission. Interim guidelines and temporary waiver of rules. This Interim Order, issued pursuant to the Record Carrier Competition Act of 1981 (RCCA), establishes interconnection guidelines for the domestic and international record carriers. This action is taken within the time period established by RCCA and as a result of the parties' failure to reach a negotiated settlement. Parties are directed to file technical agreement and revise tariffs so as to implement interconnection of separate systems. The interconnection establishes a "universal" network for both domestic and international record communications.


Cooperative use and multiple licensing of stations in the private land mobile radio services--Federal Communications Commission. Final rule; report and order. The Federal Communications Commission is adopting rules to govern the cooperative sharing and multiple licensing of facilities in its private land mobile radio services. The rules which are adopted define the types of arrangements which will and will not be allowed. These rules have been adopted: (1) To remove certain procedural burdens heretofore required ot licensees and user eligibles; (2) To assure adequate licensee control; and (3) To codify permissible licensee and user practices relating to multiple licensed and cooperatively shared systems.


Federal Old-Age, Survivors, and Disability Insurance; revised medical criteria for the determination of disability--Social Security Administration. Proposed rules. These proposed amendments revise the medical evaluation criteria for both the title II and title XVI disability programs. These criteria were last revised in 1979. The proposed revisions reflect advances in the medical treatment of some conditions and in the methods of evaluating certain impairments. These proposals will provide up-to-date medical criteria for use in the evaluation of disability claims.


Hazardous waste management programs; Florida: authorization for interim authorization phase I--Environmental Protection Agency. Notice of final determination. The State of Florida has applied for interim Authorization Phase I. EPA has reviewed Florida's application for Phase I and has determined that Florida's hazardous waste program is substantially equivalent to the Federal program covered by Phase I. The State of Florida is, hereby, granted Interim Authorization for Phase I to operate the State 's hazardous waste program, in lieu of the Federal program.


Exemption of antibiotic drugs and antibiotic susceptibility medical devices from certification--Food and Drug Administration. Proposed rule.


Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); amendment on electric-powered, cart-type vehicles--Office of the Secretary of Defense. Final rule. This amends language in the CHAMPUS Regulation to allow benefit consideration for electric-powered, cart-type vehicles. This revised language will allow benefit consideration for these vehicles which may be appropriately used as alternatives to electric wheelchairs, when they are medically necessary and certified by a physician to best meet the patient's medical care needs based on the patient's physical condition and which can be operated safely by the patient.


Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); amendment on elimination of nonavailability statement where primary insurance covers 75 percent of the cost--Office of the Secretary of Defense. Final rule. This amends the CHAMPUS Regulation to implement section 741 of Pub. L. 97-114. This public law eliminates the requirement for a nonavailability statement where the beneficiary has other insurance which will pay for at least 75 percent of the services. The intent of these changes is to encourage the use of other insurance to pay for necessary medical care, thus reducing the Government's expense through the direct care system. It also gives beneficiaries with other insurance greater freedom of choice as to where they obtain medical services.


Availability of information to the public under the Freedom of Information Act; redelegation of authority--Office of the Secretary, HHS. Final regulation. The Department of Health and Human Services hereby amends its regulation implementing the Freedom of Information Act. This revision designates officials who shall have responsibilities for determining whether records must be withheld from disclosure, or released, under provisions of the Act (5 U.S.C. 552).


Privacy Act of 1974; new system of records--Public Health Service. Notification of establishment of a new Privacy Act system of records, 09-25-0151. In accordance with the requirements of the Privacy Act, the Public Health Service (PHS) is publishing notice of a proposal to establish a new Privacy Act system of records, 09-25-0151, "Administration: Alert Records Concerning Investigations or Determinations of Misconduct by Current or Potential Recipients of Funds for Biomedical Research," HHS/NIH/OD. We are also proposing routine uses for this system. The National Institutes of Health (NIH) will use this system to make informed decisions on appropriate actions regarding awards of research funds to individuals who are or have been subjects of investigations or determinations of misconduct. PHS invites interested persons to submit comments on the proposed routine uses on or before June 11, 1982.


National guidelines for health planning--rescission of computed tomographic scanner standards--Public Health Service. Notice of proposed rulemaking. This document proposes to recind the standards for computed tomographic (CT) scanners with respect to the appropriate supply, distribution and organization of health resources. Concern has been expressed that the standards are to rigid and inflexible, and that they don't take into account recent advances in the state-of-the-art in scanning technology. This action will give states and local communities the fullest possible discretion and flexibility in health systems planning. Non-regulatory technical information materials concerning CT scanners are being made available to the public.


FTC about-face under Miller may not be enough for congressional critics.


Hazardous waste management program: phase I interim authorization for Nebraska--Environmental Protection Agency, region VII. Phase I interim authorization. The State of Nebraska has applied for interim authorization of its hazardous waste program under Subtitle C of the Resource Conservation and Recovery Act and EPA guidelines for the approval of State hazardous waste programs [40 CFR Part 123]. EPA has determined that the State's program meets all applicable statutory and regulatory requirements and is granting Phase I interim authorization to Nebraska to operate in its jurisdiction a hazardous waste program in lieu of Phase I of the Federal hazardous waste program.


Compulsory license for cable systems--Copyright Office, Library of Congress. Interim regulations. This notice is issued to inform the public that the Copyright Office of the Library of Congress is adopting interim amendments to 201.11 and 201.17 as amended on June 27, 1978 and July 3, 1980 respectively. These regulations implement portions of section 111 of the Copyright Act of 1976, title 17 of the United States Code. That section prescribes conditions under which cable systems may obtain a compulsory license to retransmit copyrighted works, including the filing of Notices of Identity and Signal Carriage Complement and Statements of Account, and the submission of statutory royalty fees. The effect of the amendments is to modify the filing requirements and royalty fee calculations necessitated by changes in the rules and regulations of the Federal Communications Commission. The amendments are issued on an interim basis in order to permit their immediate application while allowing full public comment.


Unexpected costs force HMO to hike rates.


3M settles pregnancy dispute.

3M settles pregnancy dispute.


Computerized electrocardiography: where do we stand?


No relief from rate hikes: health plan insurers factor in runaway medical care costs.


Regional drug information in the Ottawa valley.


Most employers don't plan to offer drug plans.


The role of the technologist.

The role of the technologist.


Streamlining the board of trustees.

Streamlining the board of trustees.


Evaluation of double contrast barium enemas performed by radiographic technologists.


Make early decisions for policy and procedure manuals.


What is a board of trustees?

What is a board of trustees?


What is the source of trustee authority?


Tapping society's resources.

Tapping society's resources.


Employee assistance programs--where hospital expertise meets business and worker needs.


Carpooling--an energy-saving project that can help in postponing capital expenditures for parking facilities.


The opting-out debate: an actuarial review.


Recommendations for choosing an administrator and a consultant for a dental insurance plan.


'Mass casualty picture is EMS at its worst'.


New security system installed after Tenn. hospital shootout.


New legal standards are emerging for ED practice.


Alabama F-S clinic seen as threat to hospital ED viability.


Survey based needs assessment: a paradigm for planning the decentralization of continuing health professional education.


The certainty of judgments in health evaluations.


The process and results of an evaluation of a nurse-managed, family-oriented health care center.


The expanded role of the pregnancy counselor. Discusses the expansion of the pregnancy counselor's role in response to expanded options available to women today.  Key aspects of an effective client-counselor association are identified and discussed.  These include:  limited duration of the client-counselor interaction; multiplicity of emotions; breadth of available choices; contradictory personal preferences; sensitivity to male perspectives; access to knowledge; decision making expertise.  The importance of the counselor's nonjudgmental capacity is stressed.


Reproductive health care: delivery of services and organizational structure. Delivery of reproductive health care is discussed with respect to accessibility, competence, effectiveness, accountability and evaluation of services.  4 essential components of service organization are identified (organization, administration, staff and community) and discussed.  Evaluation objectives and responsibilities are also discussed.


The epidemiology of abortion services.

The epidemiology of abortion services. The incidence of abortion and general characteristics of women obtaining legal abortions in the US, and the trends and effects of abortion during the 1970s are described.  Statistics on the abortion ratio and abortion rate for the US by year from 1969 to 1978 are presented.  Sociodemographic characteristics of women obtaining abortions (age, marital status, parity, gestational age and previous abortions) are described.  The availability of abortion services and facilities and the types of procedures used and their safety are discussed.  Factors which have contributed to the increasing number of legal abortions are discussed.  The benefits of epidemiological data on abortion are noted.


Nursing: why can't we be friends?

Nursing: why can't we be friends?


Transportation of the high risk infant.

Transportation of the high risk infant.


Issues in family planning clinic management. Describes the use of a patient flow analysis (PFA) technique for improving the efficiency of family planning clinic sessions.  Using the PFA technique, 883 clinic sessions were studied.  The most common problems identified were long patient waits and inefficient use of staff.  The causes of these problems were identified, and included inadequate patient scheduling, failed appointment rates and inadequate sequencing of clients through the clinic.  Solutions to the problems are discussed.


EMS communications funding.

EMS communications funding.


The stepfamily in the emergency department.


ESLAB: emergency help for California's Spanish-speaking telephone users.


The trauma drama.

The trauma drama.


Emergency medical care and transportation of spinal cord injured patients in Connecticut, 1973-1977.


Crisis intervention: the Cowley County chaplaincy program.


A national standard of prehospital health care--an alternative to legislation.


Raising funds requires skill and creativity.


RTSS--a closer look at a cost-cutting concept, Part I.


The "payback period": a tool for making straight decisions on lab equipment.


Fund raising tool explained ... catalog's influence on giving grows according to new study.


Hospital catalog uses market information to target appeal.


Christmas gift catalog educates public to needs.


Hospital wish book appeals to heart and mind.


State licensing procedures: how "open" should they be?


Respite from "new federalism" needed, state and local officials say.


Small rural hospitals cope with the '80s.


Giving the hospitalized elderly the best nursing care possible.


Making computerization work.

Making computerization work.


Nurse retention: how concerned should you be?


Involving department managers.

Involving department managers.


Personnel management: it's not what you do, it's the way you do it.


Personnel management: an overdue review.


Personnel management: a stepping stone to the middle.


Hospital gardens: hospitals with a view.


Scottish Air Ambulance: destination outer limits.


A little focus goes a long way.

A little focus goes a long way.


Compensation--Part II: How important is your happiness?


Community care: Canadian way of caring.

Community care: Canadian way of caring.


Who killed Rebecca Smith?

Who killed Rebecca Smith?


GP obstetrics: better than expected.

GP obstetrics: better than expected.


Ambulance involvement in road accidents.


The introduction of a hospital management team in a district general hospital.


Change in the in-patient's day: can it be done?


Marketing at Lovelace. Step 1: Building internal credibility with physicians.


Race relations in the NHS.

Race relations in the NHS.


The cost of nurses.

The cost of nurses.


Staying on the mark: a review of grant evaluation.


District computer services in practice.

District computer services in practice.


The NHS incentive scheme revisited.

The NHS incentive scheme revisited.


Who's afraid of incentive bonus schemes? 1. Implementing bonus schemes.


Project co-ordination within the NHS.

Project co-ordination within the NHS.


Needlestick guidelines clarify immune globulin use.


Hospital rubella outbreak sparks policies at nearby facility.


Grassroots planning approach yields effective EH dept.


EO exposure limits remain same; agencies debate jurisdiction.


The new regulators--a summary.

The new regulators--a summary.


Prevent legal problems with preemployment screening.


Nonprofits: check your attention to customers. Nonprofit organizations chronically face financial difficulties. Now the situation has worsened because they are being squeezed between the uncertain economic climate and cutbacks in government support. While the managers of these institutions may think that they have already tried everything possible, more than ever they must be innovative in developing additional funding sources. As Mr. Andreasen argues, most nonprofits have failed to exploit marketing techniques which can build support from users or customers that leads to improved cash flow. The author contends that managers of nonprofit organizations focus too closely on their products or services; he admonishes them to give more attention to the needs and wants of their consumers.


MD suggests workable solutions for common employee infections.


EH policies tailored to specific needs are effective, easier to enforce.


Variety of HEH groups provide members information, support.


Hospital changes needle disposal, reduces employee needlesticks.


Radiation hazards: identify sources, be prepared for accidents.


Pediatric informary cuts absentee costs, eases employees' minds.


Collaboration eases burden of EH records management.


EO: how much is too much?

EO: how much is too much?


Training, safety inspections help reduce employee injuries, costs.


AOMA unveils minimum EH standards for hospitals.


Limit to hospital's duty to reassure anxious employee?


Sale of HB vaccine set for July; initial shortages still expected.


Radioactive implants can be a hazard; admissions, safety tips protect staff.


Urine test identifies Legionella.

Urine test identifies Legionella.


Whidden Memorial Hospital medical staff policy manual.


Minimal use of physician advisors improves utilization review process.


CHA Board's analysis of civilian-military contingency hospital system.


Hospitals collaborate to offer acute care in underserved area.


Hospitals will be forced to assess patient satisfaction.


An interview with Sr. Generose Gervais, OSF, Chairman, CHA Board of Trustees.


Health corporation committee guides programs for the poor.


Productivity monitoring: effective management tool.


Pastoral care in Catholic hospitals and long term care facilities, 1981.


Radiology services' study improves productivity, care.


Knowledge of federal labor laws essential to health facilities' defense in wage disputes.


Hospitals, courts responsible for maintaining orderly services during strikes.


New newborn intensive care unit decreases infections but not risks.


Labor/delivery/recovery suite serves OB patients.


Locus of illness control: a cross-cultural study. A comparative study of rural Haitian and southern Appalachian health beliefs revealed significant differences both within and between groups regarding perceived control over illness. Data consisted of scores (N = 293) on the Locus of Illness Control Scale, a 15-item forced-choice instrument designed to include two subscales, one focused on illness prevention, the other on cure. Both cultural groups scored more externally on the cure dimension than they did on prevention. Group differences, however, were reversed for the subscales. While Appalachians apparently expect greater success in preventing illness, interestingly, Haitians show greater perceived ability to cure illness. The findings have implications for traditional views of "fatalistic" cultures, for the refinement of concepts related to health locus of control, and for the practical utility of standardized instruments among populations that vary in health problems and therapeutic resources.


Electronic pilferage system slashes hospital's linen losses.


IC nurse details steps to build small hospital program.


The checkerboard area health system: delivering comprehensive care in a remote region of New Mexico. A comprehensive health center is defined as the synergistic coupling of a medical and administrative structure designed to provide inpatient, outpatient, and public health services. While health centers have been widely established in other countries, only limited implementation has occurred in rural areas of the United States. The successful implementation of the health center concept in a sparsely populated area of northwestern New Mexico, which is predominately inhabited by Navajo Indians and Spanish Americans, is descriptively analyzed. The physical environment and the socioeconomic characteristics of the catchment area residents are related to dominant conditions in underdeveloped countries. The evolution of the delivery system with its network of satellite clinics staffed by mid-level primary care providers is documented. The funding and provision of a wide range of preventive and curative health services supported by communication, transportation, outreach, education, public health, and administration components are described. Several problems thought to impede the application of the health center concept to other regions in the United States are identified and discussed relative to this New Mexican experience. Innovative and persevering systems designers who are strongly committed to delivering a balance between preventive and curative services are considered to be absolutely necessary for successful implementation of the health center concept in the United States. This article describes the development of a comprehensive health center in a rural area of New Mexico that is inhabited predominantly by indigenous Navajo Indians and Spanish Americans.  1st the physical environment and the population of the catchment area is described in relation to the characteristics of an underdeveloped rural area.  The authors then describe the development of the health center in regard to system planning, service implementation, and system maturation.  In order to overcome distance and isolation, a system of satellite clinics supported by a central health center was designed and became operational in 1972.  The central health center provided a full range of outpatient services, including specialty clinics staffed by physicians, emergency area, and a small inpatient unit.  An important step toward coordinating all public health services took place in 1976 when the state health agency awarded a public health contract to the center.  Financial stability for the center was achieved in 1975 with the receipt of a 5 year federal grant from the Health for Underserved Rural Areas program.  Other important sources of aid included the Indian Health Service and the Robert Wood Johnson Foundation.  The authors cite several possible causes for the lack of support for comprehensive health centers in the U.S., including a predominant value system for both providers and patients that emphasizes curative services over preventive measures.  The article includes tables demonstrating population by community, spatial relation between system center and satellite clinics, sources of funding, personnel and facility resources, and utilization of the health center.


Dealing with on-premises rape and sexual abuse.


How to prevent falls by patients, employees, and visitors.


Safety on wheels: a new approach to employee safety education.


Medical center's 'get tough' policy on employee theft gets results.


Dealing with labor violence and other strike security problems.


Marketing forum: tools available to medical record practitioners.


Current trends in the delivery of health care services and their influence on the medical record practitioner.


Successful computer applications in a medical record department.


Development of a resource document for medical record education.


The use of posters and leaflets in a specialist health education department.


Response to rubella immunisation education in health authority family planning clinics: a controlled clinical trial. The response of women attending family planning clinics run by the Area Health Authority providing health education on protection against rubella (cases), was compared with those attending clinics with no specific educational provision (controls). The effectiveness of the intervention was determined by studying the number of women approaching their General Practitioner in the ensuing four months for serological testing to determine their immune-status. Of 174 cases and 170 controls registered with a General Practitioner, follow-up information was obtained on 164 (94%) cases and 155 (91%) controls. General Practitioners' records revealed pre-existing knowledge of serologically confirmed immunity or previous rubella immunisation in only 35 (21%) cases and 29 (19%) controls. In response to health education, 12 (7%) cases approached their GP on the subject compared with 3 (2%) controls - a small but significant difference (P less than 0.05) which was confined to women aged 25-29 years. This suggests that such a programme would fail to make a significant contribution to the prevention of congenital rubella.


Development of health education services in the northern region of the National Health Service.


Consumers' views of antenatal education.


An experiment in changing attitudes to mental disorder.


25 health promotion centers win committee approval but Reagan administration, Congress will deny money.


Data collection: a process for healthcare security.


Healthcare security: law enforcement and then some.


The four alternative approaches to employment candidate "honesty" screening.


'Matrix' buying saves Sun money.

'Matrix' buying saves Sun money.


Address correction: can your hospital afford not to have it?


Corporate clout, specialization seen molding group buying in the '80s. Interview by Robert F. Hickox and Daniel Dildine..


The IAHS credentialing program.

The IAHS credentialing program.


Computer bits: measuring cost savings.

Computer bits: measuring cost savings.


Purchasers see paper products differently.


Integral.

Integral.


Quality seen as key to paper product purchasing.


Hospitals--1990.


The future of the teaching hospital.

The future of the teaching hospital.


Health care policy and politics: does the past tell us anything about the future?


Finding the cost of clinical education.

Finding the cost of clinical education.


New responsibilities for the architect in the next decade: a response to change.


Above and beyond cost consciousness: planning for a regulated society.


How to use management information from the medical record.


Access control: a most important basic.

Access control: a most important basic.


Trends in long-term care.

Trends in long-term care.


Individual practice association (IPA) model health maintenance organization (HMOs).


The lifecare community: a new direction.


Coping with the 80s.

Coping with the 80s.


The hospice movement.

The hospice movement.


Entrepreneurial challenges--fads or survival?


Competition--the first anniversary.

Competition--the first anniversary.


Balancing social policy and market demand.


Health services management education and access to medical care.


Antitrust--a deregulation prospect.

Antitrust--a deregulation prospect.


Stay well incentive plan--a new concept in health care.


A physicians' forum.

A physicians' forum.


Grantmaking in health--setting priorities in the 1980s.


Stop loss--reinsurance.

Stop loss--reinsurance.


New dimensions in general hospital psychiatry.


Governance responsibilities.

Governance responsibilities.


Challenges in the new era of competition.


Research gives tips on prevention of accidental anesthesia mix-up.


Special group requires special treatment.


No policy without persuasion.

No policy without persuasion.


Risk financing alternatives open competitive insurance market.


To report or not to report: that is the question.


Risk management components.

Risk management components.


Hospital and medical staff liability for infection control.


Putting the pressure on shock: a look at the antishock fashions.


Developing a quality assurance program for clinical services.


A first-phase quality assurance program for intravenous admixture aseptic technique. Results of initial departmental quality assurance audits revealed noncompliance with the intravenous admixture service criteria concerning aseptic technique. In order to better assess this problem, a quality assurance program for aseptic technique was developed. The criteria consisted of 16 characteristics and/or functions that are indicative of aseptic technique. An audit of 13 technicians revealed a number of problems (noncompliance) related to aseptic technique. An educational program was developed and implemented on an individual basis. A reaudit two to four weeks later revealed compliance with the aseptic technique criteria. This study indicates that the audit method is effective in determining compliance to the aseptic technique criteria and standards.


A journey ends: reflections on emergency care around the world.


The positive contribution of black cultural values to pastoral counseling. Argues that pastoral counseling with black persons requires cultural adaptations at several crucial points. Understanding of the positive contribution of black persons' collective identity, family life, work orientation, and improvisation as a life style is essential for an adequate pastoral counseling method. Pastoral counseling demands a commitment to understanding and sharing the struggles of individuals within the context of their culture and community.


Heresy and pastoral counseling.

Heresy and pastoral counseling. Relates four of the classical Christian heresies--ebionism, adoptionism, docetism, and gnosticism--to the practice of pastoral counseling. Each of these heresies distorted the attempts to relate the divine and human nature of Christ. Variations of these heresies can be seen similarly distorting the practice of pastoral counseling. Reacquaintance with these traditional theological problems can help avoid parallel problems in the modern practice of Christian ministry.


Stages in the role cycle of pastoral counseling. Contends that there is a role of pastoral counseling which moves through a cycle with discernable stages. These role cycle stages are independent of any particular life stage the individual pastoral counselor may be passing through and may be traversed at any age of adulthood. The stages identified are: pastoral counselor role acquisition; pastoral counseling role performance; pastoral counselor's role assessment; and pastoral counseling role restructuring or rejection. Concludes with a brief statement of implications of a role stage theory.


A look at equal employment opportunity.

A look at equal employment opportunity.


Hospital handbook. Admitting: policies and procedures.


The admitting office: making first impressions work for you.


The need for written collection procedure.


How not to collect money.

How not to collect money.


Online public access catalogs: assessing the potential.


Business coalitions putting a crimp on health care costs.


Financial class receivables form.

Financial class receivables form.


From strikes to natural disasters, N.Y.C. crisis managers are ready.


How to get what you want through influential communication.


The manager's memo as a strategic tool.

The manager's memo as a strategic tool.


Study circles: personal and professional fulfillment for employees.


How to make OD work better for your organization.


Incentive program is one key to central plant's success.


'Shortage' of adequate service in Detroit leads to renovation.


Bioethics: to teach or not to teach.

Bioethics: to teach or not to teach.


How to avoid collector burnout.

How to avoid collector burnout.


Automated circulation control systems.

Automated circulation control systems.


Fraud in scientific research: of forging, cooking, and trimming.


Physicians treat, God heals: here's an inside look at Whole Person medicine.


How tightly will big business control your practice?


An HMO that doesn't lock patients in.

An HMO that doesn't lock patients in.


Medicare: more traumas ahead.

Medicare: more traumas ahead.


A $300 million monument to cockeyed health planning.


Another malpractice reform starts to fall apart.


Why five soloists are suing a big group.


On asking the right questions.

On asking the right questions.


Employers and HMOs: a nationwide survey of corporate employees served by health maintenance organizations.


What happens when there's a doctor glut?


An approach to idle fund babysitting.

An approach to idle fund babysitting. Cash investing isn't just for large clinics. Smaller clinics can enhance profitability through a positive, well-informed approach to excess funds utilization. For some medical groups, a whole new mind-set is necessary--the need to "think yield." This means not only invest, but also not being satisfied with a modest return. Without risk, the clinic manager can significantly improve the clinic's bottom line. To paraphrase, an oft-used saying. "A day without interest income is like a day without sunshine."


With fair utility charges for all.

With fair utility charges for all.


Five challenges to the churches in health work.


A patient is a person.

A patient is a person.


Pharmaceutical advertising: a strong start for 1982.


Hospital cost hikes hurt even Harvard HMO.


Puppy-love Rx: laughter and licks twice a week.


The "new surgery" means a broader drug market.


Youth health projects get $12 million.

Youth health projects get $12 million.


Surgeons' opinion of second opinions: they're of questionable worth.


AMA readies its version of the PPI.

AMA readies its version of the PPI.


Beginning of a trend? Three Blue Cross plans get tough on hospital admissions.


A CEO discusses the 1982 elections: opportunity or obligation?


Beset UC-Davis hospital is due for state scrutiny--and maybe a reprieve.


Learning from experience: clinic management under government health insurance.


Forever may you prosper.

Forever may you prosper.


A relationship of space and purpose.

A relationship of space and purpose.


What happens when communications break down?


Lobbying: it's common sense and courtesy.


Auxilians' legislative options are a matter of choice.


Advisory council keeps hospitals on alert.


Indy 500 tests well-tuned trauma team.

Indy 500 tests well-tuned trauma team.


How a hospital builds community consensus.


HAPAC is money plus people.

HAPAC is money plus people.


Nurses' careers promoted at bedside.

Nurses' careers promoted at bedside.


How's your legislative savvy?

How's your legislative savvy?


Do's and don'ts for hospitals engaged in political activities.


Short-to-long-term financing eyed.

Short-to-long-term financing eyed.


Congress may dilute bond limits.

Congress may dilute bond limits.


Ending arbitrage profits on bonds would jack up construction costs.


High rates spark innovations.

High rates spark innovations.


Invent the future with insight from past.


Don't restrict tax-exempt bonds that serve the public good: Florida court.


'Global' view more than subsidiary concern for new holding company.


AHSC antitrust decision may curb group buying.


Firms compete with M.D.s, hospitals.

Firms compete with M.D.s, hospitals.


Teaching hospital learns to compete.

Teaching hospital learns to compete.


For-profits hook hospitals as church groups bail out.


Technicians do some nursing chores.

Technicians do some nursing chores.


Multihospital affiliation in hand, Beverly aims to double its size.


Two hospitals share same building to help their individual operations.


Government policies force nonprofits to go for-profit.


Nursing home survey: for-profit nursing home systems consolidate; beds grow by 18%.


Nonprofit rehabs get tax break.

Nonprofit rehabs get tax break.


Feasibility studies up 30% in '81; even more action seen for '82.


AHSC appeals decision.

AHSC appeals decision.


VNA rates dealers' responsiveness, inventory.


The family physician market.

The family physician market.


Job medical records--who can see them?

Job medical records--who can see them?


Innovations speed emergency response.

Innovations speed emergency response.


Value of keeping HMOs competitive.

Value of keeping HMOs competitive.


CG has "REMEDI' for soaring health costs.


U.K.'s sick pay proposals stir controversy.


Blue Cross program targets on health risks.


New health claim system ready.

New health claim system ready.


Top court rulings could affect health costs.


Improving the commercial insurance receivables picture.


A case study: collecting self-pay accounts.


World Health Organization: health for all by the year 2000. The World Health Organization plans and coordinates health action on a global basis. It joins hands with its member governments, at their request, to fight disease and build health services so as to ensure that health care reaches the maximum number of people. Its work covers a wide spectrum of activities, ranging from the fight against most of the world's diseases to the training of health personnel to multifaceted research endeavors. In a single article, it would be impossible, and therefore no attempt is made, to summarize the full range of the work of WHO. Provided in the following pages is an overview of what WHO is, what is does, the structure of the organization, and the activities relevant to pathology.


Compensation and benefits.

Compensation and benefits.


Appointment-keeping behavior and patient satisfaction: implications for health professionals. This study examines patient satisfaction with care received in a subspecialty clinic, appointment-keeping behavior in that clinic, and the interrelationships between satisfaction and appointment-keeping compliance. The implications for health education and patient counselling are also discussed. The setting is an outpatient clinic of a large university hospital that serves both an urban and rural population. A mailed questionnaire was returned by 150/270 (56%) patients. While satisfaction and compliance were not significantly related, satisfaction was significantly related to the patient's perception of benefit received as a result of care provided by the clinic.


Developing a policy manual.

Developing a policy manual.


How clinical pharmacy is practiced at 2 Mayo-affiliated hospitals.


The occupational hazards of a medical education: hospitals and medical school laboratories are very complex places to work.


Evaluation of a self-teaching program.

Evaluation of a self-teaching program. A self-teaching booklet on hypertension was evaluated in two populations: clients attending public health screening clinics and inpatients at a Veterans Administration hospital. Participants were randomized into an education or a control group. Evaluation consisted of measuring knowledge gained from the booklet immediately after reading it and retention of key concepts two weeks later. Men did better than women, and VA education participants did better than VA controls. No differences were detected between the public health education and control groups or the combined VA and public health) education and control groups. The self-teaching booklet alone did not appear to yield a measurable amount of new knowledge. Health professionals, when educating patients and evaluating programs, should consider combinations of educational methods when using self-teaching programs.


The selection and training of volunteers for a rural, home-based hospice program. Volunteers are essential to smaller hospice care programs. These volunteers must be selected and trained to provide these services. The training program has several goals: content acquisition, experimental learning, mutual screening and selection, team building, and public relations. Selection processes avoid persons who have rigid beliefs, unresolved grief, or negative personalities as well as those who talk too much. The training uses many teaching methods to emphasize hospice philosophy, team building, communication skills, death awareness, empathy skills, basic nursing skills, impact of death on family, cancer information, pain control, and physician-care factors. Concrete examples of how each of these themes is accomplished are included in the paper. This program has worked well in preparing a group of volunteers for a rural, home-based hospice program in northern Michigan and represents one example of an effective approach.


Neonatal circumcision.

Neonatal circumcision. Circumcision is an elective surgical procedure performed on male neonates, but a procedure that may be elected by parents and medical personnel on less than adequate information. In this review paper, the authors explore the history of circumcision as a practice, as well ad the arguments for and against its continuation as a "routine" practice. The authors conclude that the health and social or personal reasons for circumcision may not be based on sound judgments, nor applicable to the general public. Thus there is a strong case made for careful counseling of parents by health education and professional medical staff members of clinics, hospitals, and other health-care settings.


Diabetes self-care: knowledge, beliefs, motivation, and action.


Educational needs of hysterectomy patients. This exploratory study determined specific educational needs of hysterectomy patients. The study population consisted of patients who had successfully undergone hysterectomies performed by four gynecologists within the two years prior to the study. A questionnaire was developed, tested, revised, and subsequently returned by 146 women. Most questions were designed to elicit information on (1) what patients wanted to know, (2) when they wanted the information, and (3) whether this information was obtained. Data regarding the first two questions were examined in relation to the demographic variables of age, education, occupation, pregnancy outcomes, and employment. Results showed that hysterectomy patients wanted more explanation of all topics. The topic most often (92%) rated very important was physical effects of the surgery. Women between 31 and 40 years of age valued as most important was the sexuality topics. Ninety-four percent indicated they most wanted the information before hospitalization. Twenty percent reported receiving no information about possible psychological or sexual problems. Conclusions drawn from this study are that there is an urgent need for structured patient education about hysterectomy; that patients have a need for information on the physical, psychological, and sexual aspects of hysterectomy; and that this information is needed before entering the hospital, pre- and postsurgery, and after returning home.


How pharmacists' salaries & fringe benefits compare by type of practice.


Fall accident patterns: characterization of most frequent work surface-related injuries.


What to do when confronted with a violent patient.


How physicians can help troubled colleagues.


Debate over physician advertising continues.


Blue Cross tackles fraud by physicians and patients.


Need for psychiatrists in hospital ERs increasing.


Mentally ill face cuts in disability payments.


Prepaid practice--will it work?

Prepaid practice--will it work?


Villages for the handicapped.

Villages for the handicapped.


IPAs and psychiatry: bumpy road?

IPAs and psychiatry: bumpy road?


IPAs and psychiatry--trouble in the west.


New model proposed for inpatient group therapy.


You can produce effective PSAs.

You can produce effective PSAs.


"There wasn't time to scream": anatomy of a hotel disaster.


House officers and referring physicians.


The adult with cancer: in preparation for death.


Data on U.S. hospitals: a comparison of the two principal sources. Rapid changes in the nation's health-care requirements and systems of health-care delivery are making detailed and reliable information about the nation's hospitals increasingly important to researchers. This article compares the two principal sources of regular data about the utilization, finances, and staffing of U.S. hospitals--the American Hospital Association's Annual Survey of Hospitals and the National Hospital Panel Survey. It describes the kinds of data collected by the surveys and the methods by which they are processed and verified; and it shows how the surveys complement one another in providing a picture of the nation's hospital industry. The Annual, a yearly survey of all U.S. hospitals, obtains a data set suitable for detailed cross-sectional analyses. The Panel, a monthly survey of a sample of U.S. community hospitals, obtains a data set from which estimated projections suitable for broad longitudinal analysis are derived.


The physical environment and social welfare. Besides providing shelter and space for organized work and play, the physical environment symbolically communicates important information about the attributes and tasks of social systems and about the dynamics of individuals operating within those systems. The environment also influences the behavior of system participants.


Einstein on wheels: what ignites innovation? For inventor of the year Donald Ausmus, a paraplegic, it's talent and necessity.


Parsons's voluntarism and his analysis of 'the case of modern medical practice'.


Social health concepts for family practice. Social health concepts require that the central focus of assessment and intervention be the development of familial social health, not the elimination of pathology. The social energy generated by a effective relationship with the worker assists the family in making the changes necessary for healthy functioning.


Preserving the consultation: medical record cards and professional conduct.


Psychiatric emergency: concepts and problems of organizational structure.


A framework for designing an MIS for health delivery system in rural India. A framework for designing an information system for planning and monitoring of rural health services is proposed in the Indian context. For effective monitoring the framework emphasises selection of a set of programmed and non-programme indicators on inputs, activities, efficiency and impact and their integration at the district level. For planning, a village level data base is proposed which will integrate environmental data with health programme data. Illustrative examples are provided for key features of the MIS and finally those elements of the information system which are either too complex or too voluminous to be handled manually are identified and the possibility of using computers for such analysis is explored.


Facilitating the pediatric cancer patient's return to school.


Creating an efficient market for nursing home care. This paper reviews the theoretical foundations of the common Medicaid nursing home reimbursement systems: Reasonable cost related, fixed rate and negotiated rate reimbursement. Each reimbursement system is examined in terms of the four reimbursement system design goals: allocative efficiency, appropriateness of care, quality of care and equity of economic rewards. None of the reimbursement approaches are found to be deficient on the theoretical level, but practical problems of implementation are shown to be very difficult. As an alternative, a competitive binding system is proposed which would bring competitive market efficiency to the allocation of Medicaid funds for nursing home care. A mathematical programming model is developed to process the bidding information and to allocate Medicaid funds to nursing homes.


A multiple regression model to look into the possible consequences of organizing a National Health Service in Italy.


Controlling hospital garments.

Controlling hospital garments.


Food processing and pharmaceuticals: prospecting the employment figures.


Servicing a specialized market.

Servicing a specialized market.


Infection control: facts, fads, fables, & fantasies.


Consumer access to medical market information.


The medical record as a data source: use and abuse.


Could you defend the accuracy of your discharge abstract data?


Higher quality, lower cost.

Higher quality, lower cost.


Regulations--higher cost.

Regulations--higher cost.


Major problems in data accuracy remain unsolved.


Soviet sojourn: an interview with Ann Staifer, CST.


Improving the quality of discharge data.


Hospitals support self-help groups.

Hospitals support self-help groups.


Data uses and techniques for monitoring patient referral patterns.


Health care will suffer.

Health care will suffer.


Data management: computer time sharing as an alternative.


Data: let the user beware.

Data: let the user beware.


The quality assurance network.

The quality assurance network.


The medical staff's role in planning and budgeting.


Raising physicians' cost consciousness.

Raising physicians' cost consciousness.


Informed consent update.

Informed consent update.


The evolving role of the medical staff coordinator.


Physician recruitment: problems and solutions.


A successful triad.

A successful triad.


For media exposure, don't forget radio.

For media exposure, don't forget radio.


Marketing ambulatory services to physicians.


Are financial worries causing boards to turn their backs on medical staffs?. Interview by Emily Friedman.


Meeting the press.

Meeting the press.


Safety and comfort in wheelchair selection.


The role of the psychiatrist in the long-term care facility: Part II.


Cane, walker purchases should meet patient need.


New health hazard: being out of work.

New health hazard: being out of work.


The dietitian--documentation in the management of clinical services.


Interview with Dr. C. Everett Koop, U. S. Surgeon General: Why you're healthier--and paying more for it.


The $4-billion-a-year disability mess.

The $4-billion-a-year disability mess.


If the new federalism gets off the ground.


Getting the Blues out of the red.

Getting the Blues out of the red.


New nursing home regs: flexible or flimsy?


Providing essential health services: responding to federal cuts and block grants.


Whatever happened to national health insurance?


Five-year trend shows urban community hospitals at risk for closure. Examination of the distributional patterns and frequencies of the closings and resulting bed losses that occurred in 1977-1981 among urban community hospitals shows that these hospitals are more subject to closure than their non-urban counterparts. Small hospitals, investor-owned hospitals, and hospitals located in very large urban areas in the Pacific and Middle Atlantic regions are especially vulnerable.


Urban public general hospitals: the past and the future.


Drugs most frequently used in office-based practice: National Ambulatory Medical Care Survey, 1980.


Occupational stress, Type A behavior, and physical well being. In the context of a person-environment fit framework, organizational level and the Type A behavior pattern of managers were found to moderate the stressor, satisfaction, and physiology associations. For nurses, Type A behavior pattern was a much more significant moderator of the person-environment fit than were the nurses' specialty work activities.


BLood lead levels for persons 6 months-74 years of age: United States, 1976-80.


A national survey of pharmacy continuing education programs offered in 1980.


How the national medical journal can help.


Malpractice claims, German style.

Malpractice claims, German style.


Health indexes for medico-economics.

Health indexes for medico-economics.


New York City Home Care Project: a coordinated health and social service approach.


Elders respond to the humanities: the Chicago Public Library program.


Community hospital model for postgraduate clinical education.


Cooperative education: a unique approach to practice-oriented pharmacy experience.


Training of pharmacy assistants in Bulgaria.


Technique of polysomnography.

Technique of polysomnography.


An exploratory study of pharmacist and physician publication patterns in selected journals, 1961-1979.


RNs' role debated: MDs take a look at nursing issues.


On informed consent: new form aims to lessen liability risks.


Housestaff group's union rights upheld by U.S. labor panel.


Tennessee physicians oppose hospitals' freestanding ER units.


'Paperless' system: computer expands nurse practitioner role.


Hospital-associated MDs not employees, AMA tells Congress.


IRS claims IPAs are out for profit.

IRS claims IPAs are out for profit.


E/R: realistic view of hospital emergency rooms creates a black-humor hit.


Bay area rehearses earthquake disaster.

Bay area rehearses earthquake disaster.


Don't withhold infant care, hospitals told.


Infant mortality may be affected: community clinics face loss in funding.


Health pavilion covers broad range of topics.


New phonocardiography recommendation.

New phonocardiography recommendation.


15 years later, free clinic still thriving: Haight-Ashbury Free Clinic still alive and well.


Hospital board to rule on privileges.

Hospital board to rule on privileges.


Health fair produces business for area physicians.


Neonatal gains are threatened by liability problems.


To aid small hospitals 'swing-bed' project funded by foundation.


Preserving the quietude: Cold Spring Harbor Laboratory.


More hospitals add self-help care programs.


Utilization review effort gaining ground.


The 'squeal rule': government and confidentiality.


The Carroll Center for the Blind: Newton, Massachusetts.


Get ready for decentralized government.

Get ready for decentralized government.


Competition in health care: who wins?

Competition in health care: who wins?


The whole person in medical care.

The whole person in medical care.


Two challenges to courage in caring.

Two challenges to courage in caring.


New frontiers of pastoral care.

New frontiers of pastoral care.


Reflections on the past.

Reflections on the past.


Ethics of a professional surgeon.

Ethics of a professional surgeon.


Ethics and surgery: bedside teaching and learning.


The surgeon's liability as a Good Samaritan.


Dilemmas of informed consent for surgery.


Young surgeons discuss controversies involved in surgical practice.


The changing role of the manager.

The changing role of the manager.


When family stress affects worker productivity.


Those sky-high health costs.

Those sky-high health costs.


Building the bionic man.

Building the bionic man.


Standards for determining coal miner's total disability or death due to pneumoconiosis; claims for benefits under Part C of Title IV of the Federal Mine Safety and Health Act, as amended--Employment Standards Administration, Labor. Notice of proposed rulemaking; request for comment. On January 1, 1982, the Black Lung Benefits Revenue Act of 1981 and the Black Lung Benefits Amendments of 1981 became effective. This legislation made numerous substantive changes in the Black Lung Benefits Act, Title IV of the Federal Mine Safety and Health Act. Those changes affect both the criteria for establishing eligibility for benefits on claims filed on and after January 1, 1982, under the Black lung Benefits Act and the procedures for the payment of such benefits. These proposed rules are intended to implement those changes in the law and to make certain technical corrections in the implementing regulations previously promulgated in 1978 and 1980.


Federal Old-Age, Survivors, and Disability Insurance benefits annual earnings test--Social Security Administration. Proposed rule. These proposed regulations reflect recent statutory amendments which delay for one year (from January 1982 until January 1983), for all except a very small number of individuals who file their tax returns on a fiscal year basis, full-implementation of section 302, Pub. L. 95-216, the Social Security Amendments of 1977. Section 302 reduced from 72 to 70 the age at which social security beneficiaries are no longer subject to an earnings test.