Do you feel the present system of reimbursement by third party payors is equitable?


Rape: what your hospital can do to help.


A planning process for rural health care.


Case studies in cost containment.

Case studies in cost containment.


What is the most critical element a hospital faces in planning new construction?


Achieving quality in hospital design.

Achieving quality in hospital design.


How can hospital-physician liability in medical malpractice cases be apportioned by agreement with plaintiffs?


Constraints on construction.

Constraints on construction.


As a rural hospital administrator, what do you see as your hospital's greatest need?


Do you need physicians?

Do you need physicians?


"How can I tell my hospital's story?".

"How can I tell my hospital's story?".


Are you really planning your hospital's future?


What are the basic provisions of California's new "Right to Die Bill?".


On planning and design: Environmental Impact Report.


Do you feel a patient should have the "right to die"?


Some opinions on rising health care costs.


Survival planning.

Survival planning.


Dam bursts!

Dam bursts!


Is advertising right?

Is advertising right?


What is the proper procedure to be used in the preparation and further handling of hospital incident reports in order to protect them from discovery in lawsuits?


The marketing game.

The marketing game.


Health fairs: are they worth the effort?


Nursing shortage, turnover and some proposed solutions.


Nursing shortage: a question of numbers or of management?


Family practice residency in a community hospital.


What in your mind needs to be done to alleviate the nursing shortage problem?


At the frontier of management: hospital administration in the 80s.


Surgeon a clue in puzzle of unusual outbreak.


CDC expert gives handwashing tips.

CDC expert gives handwashing tips.


The surgical scrub: why, how, what.

The surgical scrub: why, how, what.


Infection control challenges in the recovery room.


Expert unlocks O.R. doors for infection controllers.


Steam sterilisers.

Steam sterilisers.


The development and training of health care engineers.


Engineering building services for nucleus hospitals.


Industrial relations--putting discipline into perspective.


Technique of safety inspection.

Technique of safety inspection.


Guidance to good boilerhouse practice and management.


The relationship between the design process and maintenance practice.


Multi-professional planning and design teams, problems and possibilities.


Report to Greater New York Hospital Association on the blackout of July 13-14, 1977.


Increasing efficiency in UR.

Increasing efficiency in UR.


A view of hospital engineering from Lisbon.


Education is key to successful audits.

Education is key to successful audits.


Survey leads to antibiotic use audit in pediatric facility.


Death scare stalls X-ray criteria.

Death scare stalls X-ray criteria.


Attitudes toward work, leisure and the four day workweek.


Regression models of emergency medical service demand for different types of emergencies. Second-order statistical regression models are developed for the rates of demand for different types of emergency medical services (EMS) as they relate to various socioeconomic, demographic, and other characteristics of a service area. The model parameters are estimated by the recent technique of ridge regression, which is shown to provide superior estimates to those of the ordinary least squares regression method, because of the presence of substantial multicollinearity (nonorthogonality) in the exogenous data set. The ridge results are also compared with those derived from a related Bayesian approach. The resulting models provide substantial fits to the empirical data for the EMS system of the city of Atlanta, GA.


When 'min' means more.

When 'min' means more.


Not hospital, not home: partial care fills a gap.


Remodeling project brings unexpected results.


Learning to manage assaultive behavior.

Learning to manage assaultive behavior.


Hospice: a new mode of health care.

Hospice: a new mode of health care.


Some key issues in starting a hospice.

Some key issues in starting a hospice.


States moving to allow generic substitution.


The Society's position on generics.

The Society's position on generics.


Generic vs. brand name drugs--patients, pharmacists, physicians: caught in the middle.


Use of generics will mean cost savings.

Use of generics will mean cost savings.


Generic vs. brand name drugs--quality, not cost, is key issue.


Health education with patients in hospital.


Hypothermia in the elderly.

Hypothermia in the elderly.


The role of the general practice pharmacist in health education and health maintenance.


Systems development: trends, issues and implications. Integrated systems are developing and growing in the U.S. health care industry. This phenomenon has many implications for health care institutions, communities and health care consumers across the country.


Marketing by hospitals: myths and realities. Is marketing by hospitals myth or reality? This article explores five myths of marketing as well as examines the perceptions of hospital administrators concerning the appropriateness of a number of marketing techniques. The opinions of these administrators indicate several opportunities for expanding the usefulness of marketing by hospitals.


Legal and financial constraints on the development and growth of multiple hospital arrangements. Health planning legislation strongly encourages a wide variety of multiple hospital arrangements. However, public policy either prohibits or discourages the same multiple hospital arrangements encouraged in the health planning efforts. This article identifies the issues and implications of the seemingly contrary and inconsistent policies.


The health care manager's role in promoting change. In change theory the support of an institution's top management is necessary in order for planned change to be successful. However, there are many forces inhibiting administrators from providing this support. Three options are available to resolve this dilemma.


[Guidelines to productivity bargaining in the health care industry]. A potential conflict exists between the recent growth of unionization in the health care industry and management efforts to increase productivity. One method of managing this conflict is to link employee rewards to employee productivity through productivity bargaining.


HCMR interview: Siegfried Wilfling.

HCMR interview: Siegfried Wilfling.


Mandated long-range planning for hospitals--where is it going and why? Massachusetts has instituted mandated long-range planning for hospitals. The system is helping the state better control program development and hospital costs, and better meet the health needs of Massachusetts residents.


A hospital self-insurance program: employee medical benefits. Many hospitals have explored self-insurance to help keep insurance costs down for medical malpractice and workmen's compensation. Before leaping to adopt this new approach, however, a hospital must analyze its its advantages and disadvantages, variables affecting program costs and ways to quantify the risks.


Computerized cash management: the new frontier. Because cash management in a hospital is more complicated today than it was ten years ago, the finanical manager needs a computerized cash management system to help assess cash resources and control cash demands.


Faculty/staff contracts: an alternative for academic medical centers. Contracts such as those at Rush Medical College can help management set goals and evaluate progress, especially in manpower planning.


Beyond dirty linen: linen use management as an innovative asset. Because linen is an item used by virtually every inpatient in the hospital, hospital administrators will find that if they provide laundry managers an appropriate data base, they can motivate them to a larger role of linen use managers.


Point of view: ring around the rosie.

Point of view: ring around the rosie. While national strategies have been designed to reduce the number of unnecessary health care services and improve the availability of existing ones, the overriding conclusion is that a comprehensive, coordinated national health policy which is effective in improving the health of the population does not exist.


Needed: leadership in health administration...grassroots and national?


Cost reimbursement and price competition in the hospital industry. Examination of price trends from 1935-1966 shows that medical care prices in the United States have not always been disproportionately high. With the enactment of Medicare and Medicaid, however, many health care costs became overpriced.


The hospital census problem: ways to fill hospital beds. Excessive hospital capacity has created a fierce competition in the hospital industry. Any hospital within an area which becomes economically healthier through increase in the number of hospital beds filled, does so only at the expense of another.


Linking physicians, hospital management, cost containment and better medical care. The cure for cost escalation in hospitals may be a lot worse than the disease, not only for patients, but also for hospital staff, managers, legislators and the general public.


HCMR interview: Gary Filerman.

HCMR interview: Gary Filerman.


Cost control challenge for hospitals.

Cost control challenge for hospitals. Future management decisions in hospitals will be made under some cost containment program. Thus many hospital administrators will face the challenge of reducing the rate of increase in hospital expenditures without reducing the quality of care.


Complex move tests hospital.

Complex move tests hospital.


How to fight child abuse.

How to fight child abuse.


The information revolution...

The information revolution...


Guidelines for barrier teams.

Guidelines for barrier teams.


The rationale behind mergers.

The rationale behind mergers.


Doctor fights appointment system.

Doctor fights appointment system.


Electronic fetal monitoring.

Electronic fetal monitoring.


Nurses' Network formed.

Nurses' Network formed.


Maintenance control: it works!

Maintenance control: it works!


Every hospital should have an investment policy.


Negotiate the best price: getting tough with vendors.


Accounting for leases.

Accounting for leases.


Gross A/R: no management measure.

Gross A/R: no management measure.


A modest proposal: containing costs through regional funding.


Paperwork can be cut!

Paperwork can be cut!


Internal control: how do hospitals, industry compare?


Cost counsel: questions about price increases.


Payment patterns: credit and collection activities.


Contract defines provider-based physician payment methods.


User specifications--forgotten first step.


Data & time sharing: ideal environment for small user.


Can you afford not to have replacement cost insurance?


4 cost-finding methods: which one is best?


Forecasting utilization in a merged hospital.


Overbedding: a view close to home.

Overbedding: a view close to home.


Payment patterns: receivables indicators.


Hospital Financial Management Association: constitution.


Cost counsel: Christ Hospital and Good Samaritan Hospital.


Building a career ladder for support personnel.


Net income CAP could contain costs.

Net income CAP could contain costs.


Putting an end to dead-end jobs.

Putting an end to dead-end jobs.


Special program meets special needs.

Special program meets special needs.


Your span of control.

Your span of control.


Beating boredom.

Beating boredom.


They have it their way.

They have it their way.


Be prepared--with a plan.

Be prepared--with a plan.


Night-shift safety.

Night-shift safety.


Savings through simplification.

Savings through simplification.


The care and feeding of your authority.

The care and feeding of your authority.


Turnover or turnaround?

Turnover or turnaround?


A commonsense approach to CME organization. One of the functions of community hospitals is to provide continuing medical education programs for their staff physicians. Variety of purpose, medical staff characteristics, limited funds, and decentralized decision making are all factors that should be taken into consideration as a hospital organizes a CME program. In turn, it is helpful to consider these factors in light of certain principles of organization, such as avoiding duplication and overlap of functions, fixing responsibility and authority, and establishing uniform methods and procedures where appropriate.


TB testing for hospital employees: new recommendations. Addressing a problem that has become apparent as tuberculin skin testing is used more frequently in hospital employee programs, the Tuberculosis Control Division of the Center for Disease Control conducted a study on the booster phenomenon. As a result of this study, a new testing procedure is recommended that will minimize this factor, and thus allow more certainty that a conversion signifies a new infection.


Audit system upgrades performance, downplays discipline. A common problem of medical audit programs is effectively correcting problems identified in an audit. A physician may ignore a letter from the audit committee, and because many of the problems deserve attention but are not life threatening, the medical staff hesitates to use disciplinary actions. This audit program offers a physician educational corrective actions without notation on his record. Disciplinary measures are invoked by the medical staff bylaws only if the physician refuses or fails the educational route.


Cost of cardiopulmonary resuscitation.

Cost of cardiopulmonary resuscitation.


The P&T committee and drug use review.

The P&T committee and drug use review.


Does your committee pass the McNemar test? .


Re-evaluating returned drugs.

Re-evaluating returned drugs.


A protocol for medication error reporting in hospitals.


Quality assurance in I.V. admixture programs.


I.V. admixture profiling: a simple system. The description of an I.V. admixture profile form is presented. Detailed information on the mechanisms of using this form, as well as the advantages of the profiling system, are delineated. Several examples are illustrated for thorough understanding of the system. The authors conclude that the system affords a simple, accurate, and flexible profiling system which can be utilized in hospital I.V. admixture programs of various sizes. The profiling system provides for a mechanism of clinical involvement as well as for quality assurance assessment.


Pharmacy involvement in a multidisciplinary diabetic teaching program. The following article describes a method of developing a workable diabetic teaching program within a hospital setting. Emphasis is placed on involving other health professionals with expertise in their respective areas. Development of behavioral and learning objectives along with learning activities and methods of evaluation are discussed. The purposes of this program are: 1) to reduce the overlap in educational instructions given to patients with diabetes, and 2) to remove the problem of an unorganized patient education effort by placing such patients into a structured learning situation in which they feel comfortable and which is conducive to learning. This program has proved successful and provides a viable means of involving staff pharmacists with patients. It has taken a minimal amount of time and did not necessitate an increase in our staff.


On-line serials collection analysis.

On-line serials collection analysis. A design for an on-line serials decision-making and collection analysis system is proposed. It is composed of four basic components: citation data, conventional serial records data, utility/cost ratio compilation and journal ranking techniques, and user interface software. The system would have the ability to respond specifically to user interest profiles and to integrate locally generated data. It is postulated that such a system is capable of satisfactorily resolving the major criticisms of the use of citation data for selection purposes: that libraries are diverse in their interests and that no aggregate list can be more than generally relevant; that the inclusion of cost data is essential and that citation ranking without regard to cost can be misleading; and that other relevant data should be considered as well.


Implementation of allied health careers for the deaf at the Rochester Institute of Technology. The National Technical Institute for the Deaf (NTID) at the Rochester Institute of Technology (RIT) offers allied health programs for the deaf under the auspices of the School of Health Related Professions at RIT. The educational goals of NTID are achieved through use of a unique curriculum process model. This model analyzes the need/justification of new curricular options, outlines developmental and design stages of the curriculum and ensures the continued viability of the curriculum through ongoing maintenance and evaluation. Extensive training programs for potential employeers and supervisors of deaf graduates are provided each year. Apprehension regarding difficulties in communicating with deaf persons is significantly reduced through these training experiences. Specialized support services such as interpreters, note-takers, tutors and educational specialists assist deaf students who cross-register into integrated deaf/hearing programs in the other colleges of RIT.


Overseas careers in allied health professions. As the allied health services gain recognition in other countries, an increasing number of overseas positions are becoming available to American professionals. There is considerable confusion as to the realities of international employment. This article provides information intended to guide persons who might be interested in careers abroad.


Educational accreditation in medical and other health fields.


An automated admissions system for allied health schools. An automated system for admissions of allied health students was developed to facilitate the progress of admissions for applicants to the programs of study at the State University of New York at Buffalo. The data collection process has removed the tedious clerical functions of admissions from the faculty. Summary information is provided for each applicant in the form and at the time each program requests it. Data will be retained as a base for a student information system. Information retrieval and research capability is enhanced.


Helping a child in the hospital: a father's story.


A career mobility option within a university integrated medical technology program. Career mobility has become an increasingly important movement influencing the education of allied health professionals in recent years. With the advent of intermediate levels of professionals in several allied health fields, career mobility can facilitate the advancement of careers for many of these health professionals.


Hospitalization enhances creativity.

Hospitalization enhances creativity.


Pediatric schoolroom--an oasis of normalcy.


Danish child life specialists organize for common concerns.


Play techniques for helping preschool children under stress.


Home health care: its utilization, costs, and reimbursement.


State deinstitutionalization study.

State deinstitutionalization study.


The Minnesota developmental programming system: its history and application in ICF/MRs & SNFs.


A survey of clinical practice in music therapy. Part II: Clinical practice, educational, and clinical training. Part II of the clinical practice survey is concerned with the amount and quality of equipment available to music therapists, length of activity sessions, accountability procedures, patient or client referral sources, scheduling procedures, communication with other professionals, and the status of music therapy in institutions. Additional data include ratings of music therapy education and clinical training experiences, the master's degree in music therapy, and opinions concerning NAMT registration for music educators working in special education.


Allocation of doctors to health centres in Haryana state of India--a case study. Medical Administrators are usually confronted with the problem of determining the number of doctors to be posted at different health centres within their jurisdiction. In India the number of doctors allocated to a health centre is normally decided without any proper study of the health needs of the area served by the centre. In certain areas the number of doctors posted is considerably different from the requirement of the area. Also, in certain health centres situated in villages lacking in modern amenities, absenteeism among doctors poses a very serious problem in day to day running of the health centres. The problem of allocation is formulated and a heuristic method is suggested for determining the optimum number of doctors to be posted at each health centre in order to maximise the number of patients seen by the doctor per day. The heuristic method is applied to nine health centres of Haryana state of India in order to demonstrate the potential benefits.


Analysis of hospital capital decision alternatives: a priority assignment model. In the not-for-profit sector in general and in the hospital industry in particular, the systematic analysis of capital decision alternatives is often not attempted because those decision making criteria which do not have objective measures, but for which judgments must be rendered, are not explicitly integrated into the analysis of decision alternatives. Rather, judgments on these criteria enter the decision making process in some vague manner after an attempt has been made to develop a quantitative profile for each of the decision alternatives. The purpose of this paper is to examine a priority assignment model which (1) uses judgmental transitivity as a measure of the quality of the judgments rendered, and (2) provides for the mathematical integration of the quality adjusted judgmental information into the development of priority weights. Various operational aspects of the model are examined and illustrated and an example of its application provided.


Pastoral care in breast cancer management.


Art therapy and the hospital chaplaincy: a new partnership.


The place of worship in a therapeutic milieu setting.


From hospital chaplaincy to wholistic health center.


Wholistic health and pastoral counseling.


Pricing, insurance and the National Health Service. Since the birth of the National Health Service in 1948 there have been periodic discussions of the potential role of pricing and insurance in the United Kingdom health care system. This article is concerned with discussing the problems inherent in these mechanisms and it advocates more careful articulation of the cost and benefits of such policies. The first section gives a description of some quite recent proposals to extend the role of the pricing and insurance mechanisms which have been made by the British Medical Association and the McKinsey consultancy company. The second section uses economic analysis to show that both the pricing and the insurance mechanisms have inherent problems which may vitiate their efficiency in many western health care markets. The third section is concerned with the mechanisms by which the efficiency of the health care system can be improved, and radical experimentation is advocated. Without radical experimentation and the implementation of suitable incentive systems, inefficiency and inequality will continue in the National Health Service.


Closing the loop: a critical assessment of the role of evaluation in the federal bureaucracy.


Labor law and nonprofit organizations.

Labor law and nonprofit organizations.


Sex, salaries, and library support.

Sex, salaries, and library support.


Why inservice education.

Why inservice education.


Family decision-making styles and their relationship towards institutionalizing the aged.


Aging in America: the future is now.

Aging in America: the future is now.


The therapeutic impact of listening.

The therapeutic impact of listening.


The day care center: an alternative to institutionalization of the elderly.


Health care as a public utility.

Health care as a public utility.


The geriatric patient is more than an aged person.


Psychological adaptation in old age.

Psychological adaptation in old age.


An introduction to applied gerontology.

An introduction to applied gerontology.


Training of aides to the elderly.

Training of aides to the elderly.


Health/medical reporting in the popular press: reporters and sources.


The effect of three group dynamics treatments on nursing home residents.


Through "caring" and job restructuring older employees obtain excellent record in attendance, safety and health.


Who belongs in a nursing home?

Who belongs in a nursing home?


The role of informal norms in determining institutional totality in homes for the aged.


The elderly's perceptions of old people: implications for practice.


Quality care in institutions for the aged: research and practice perspectives.


Developing work group satisfaction: the influence of teams, team work and the team approach.


Suicide in the elderly: can it be prevented?


Suicide after sixty.

Suicide after sixty.


Protecting your family and friends from suicide.


Ontario's Mental Health (Amendment) Act 1978.


Establishing the cessation of life.

Establishing the cessation of life.


Society and freedom.

Society and freedom.


Note: Saskatchewan Psychiatric Centre.

Note: Saskatchewan Psychiatric Centre.


Involuntary committal: a medico-socio-legal problem.


Laundry manager tells of switch from disposables to reusables.


Consultant: care and concern for employees yield productive plant.


Little tricks your colleagues use to cut health costs.


FPs vs. OBGs: a battle over babies.

FPs vs. OBGs: a battle over babies.


Arizona's patient data system: expanding services with small computers.


Research--whose responsibility is it?

Research--whose responsibility is it?


Review and verification of roles and functions of medical record personnel.


Nigerians travel far to study medical records.


MRA students attack image problem.

MRA students attack image problem.


Financial planning--an organizational commitment.


Combatting the discharge data reliability problem.


ICD, modified: Chapter 11 of ICD-9-CM, Pregnancy, Childbirth and Puerperium.


Time of service, computer-generated statements/insurance forms.


Requisites of primary health worker.

Requisites of primary health worker.


Writing the professional resume.

Writing the professional resume.


The Industrial Disputes Act and hospital management.


The national schemes for rural health services.


Hospital for rural common man.

Hospital for rural common man.


Burns Medical Center, P.C.

Burns Medical Center, P.C.


Instant bill--it's arrived.

Instant bill--it's arrived.


GAO report advises hospitals to capitalize on competition.


A perspective on group practice administration.


Hospitals could be buried under hazardous waste rules.


Forces and direction of drug product selection legislation.


U.S. medical students at foreign schools: coming home.


New HEW loan policy perils 'other' schools.


Women physicians.

Women physicians.


Colorado reprieves cost panel accused of hospital squeeze.


Informing patients about drugs: a wrong way and a right way.


Medical education: state of siege.

Medical education: state of siege.


Physicians bring special talents to trusteeship.


Toward building effective governance in a multi-hospital system.


New Detroit assists--hospital boards should reflect the total community.


Trusteeship: a serious responsibility.

Trusteeship: a serious responsibility.


30 years on ...

30 years on ...


An open letter to Michigan hospital trustees: can we be healthy survivors?


The board of trustees must take positions on the front line.


State of the art...emergency lighting.

State of the art...emergency lighting.


Sidelights to...emergency lighting.

Sidelights to...emergency lighting.


Kennedy NHI sets broad insurer role.

Kennedy NHI sets broad insurer role.


Most satisfied with health care: HII.

Most satisfied with health care: HII.


Main points of Kennedy national health care plan.


Hospital cost control plan the wrong idea: Chase study.


HII survey shows general satisfaction with health care.


Businesses take an active role in health care policy making.


The change-makers.

The change-makers.


Job stress and employee behaviors.

Job stress and employee behaviors. The relationship between four job stresses (role ambiguity, role overload, underutilization of skills, and resource inadequacy) and two employee withdrawal behaviors (absenteeism and turnover) was investigated. The joint prediction of employee withdrawal from measures of job stress and selected backgroundd variables was also investigated. Data were obtained regarding 651 employees in five organizations through personal interviews and company records. Analysis indicated that job stress is related to employee withdrawal behaviors, that prediction of subsequent behaviors is stronger than prediction of prior behaviors, and that the predictive power of job stress and background variables taken together is as strong as, or stronger than, the predictive power of background variables alone. Confidence in the strength of the findings is enhanced by the use of multiple data sources and multiple data points.


Consensus standards: the pathologist's perspective.


Crisis in the big apple.

Crisis in the big apple.


So a laboratory computer system sounds like a good idea?


Contracting for a laboratory computer system.


An economist talks back to the regulators. Interview by Dana S. Wickware.


The hows and whys of team building.

The hows and whys of team building.


Creative decision making and the organization.


Conflict in the work place and how to manage it.


Exit interview: a tool for personnel development.


Dynamics and hazards of MBO application.


Does your MBO program include clear performance contracts?


The irony of the job satisfaction of females.


The troubled employee: whose responsibility?


How much is absenteeism costing your organization?


Guidelines for stress management and life style changes.


Effective use of communication to minimize employee stress.


How practical planning created this functional pharmacy.


Development of randomized patient education experiments with urban poor hypertensives.


Clinical pharmacy: how we can go backward and move ahead.


The health team in primal community: a new context for community medicine.


Improper prescription instructions: a factor in patient compliance.


A psychiatrist analyzes the relationships among doctors, pharmacists, and patients.


How a computer helps 4 pharmacists directly supervise Rx filling in S.C. naval hospital.


Understanding motivation through effective listening.


Patients tell what they think of doctors.


A fresh approach to research at the American Hospital Association: the HRET/AHA operating strategy.


Health services management in the health administration curriculum: implications of using the report of the AUPHA Curriculum Task Force on Administration.


Management development: a new challenge.


Implementing the practitioner/teacher role in graduate education for health administration.


Information given to dying must meet adequacy tests.


A case study: deciding to buy a word processor.


Budgeting: an aid to planning, communication & control.


Administrator calls for hospice evaluation.


Planning: the manager's key to success.

Planning: the manager's key to success.


Trends in attitudes toward abortion: 1972-1976. Trends in attitudes toward abortion are examined over the 1972-1976 period. While an overall tendency of more liberal attitudes is noted, important differences over time are apparent by gender, education, occupational prestige, and religiosity. Analysis of data from the National Opinion Research Center's General Social Survey conducted annually from 1972-76 revealed trends in attitudes toward abortion.  The following 6 questions were asked.  Should a person obtain an abortion if: 1) there is chance of defect in the baby; 2) a woman doesn't want any more and is married; 3) if the woman's health is jeopardized; 4) if the family has a low income and cannot afford any more children; 5) if she becomes pregnant because of rape; or 6) if she is not married and does not want to marry the father.  The overall trend showed an increase in approval for each of the 6 reasons for an abortion.  There was an increase by 3 percentage points for each of the traditionally hard line reasons: health, rape, and defect; and an increase of 3, 6, and 6 percentage points respectively for the soft line reasons: poor, single, and no more.  In 1972 males were more approving of abortion than females; 1976 saw an increase in approval for men.  There was more disparity between the sexes in 1976 than in 1975.  Protestants were consistently more liberal than Catholics.  Protestant increases in approval exceeded Catholic increases for rape and defect for males, and health for females.  The only decrease in approval of abortion for 1972-76 was for male Catholics for rape, -3 percentage points.


Government health policy and hospital labor costs: the effects of wage and price controls on hospital wage rates and employment. This study examines the rapid growth of hospital wage rates and employment levels over the past decade, with particular attention to the period 1971-73, when wage and price controls were in effect throughout the economy. The analysis shows that the hospital regulations under the Economic Stabilization Program reduced real hospital wages below what they would have been in the absence of controls; a similar but smaller effect of the controls on hospital employment levels is also shown. This suggests that if the current HEW proposal for hospital cost containment is enacted, its impact would be a significant decrease in the rate of growth of hospital wages and employment.


Physicians as gatekeepers: illness certification as a rationing device. Illness or disability is often used as an eligibility criterion by public programs that distribute money, services, privileges, and exemptions. Physicians then play a central role in the allocation process. But physicians are caught between a large pool of applicants who want some benefit, on the one hand, and an organization with limited resources to distribute, on the other hand. Three conflicts are engendered in this gatekeeping role: the tension between trusting and mistrusting information provided by the patient, the tension between erring on the false positive side and the false negative side in diagnostic decision-making, and the tension between doing everything possible for each patient and allocating limited resources among several needy clients. Several non-medical factors influence the ultimate outcome of this allocation process, which, in theory, rests on clinical decision-making: the specificity and restrictiveness of the formal definitions of illness and disability used by a program; the structure of the determination process; the overall policy of the organization on distribution of benefits; and the ability of the organization to use administrative review, direct incentives, and written standards to control the certifying behavior of physicians.


Physician response rates to mail and personal interview surveys. This paper reports the outcome of a randomized experiment, sponsored by the Food and Drug Administration, which compares mail and personal administration of a 12-page questionnaire dealing with physician antibiotic prescription practices. To overcome the barrier created by the lack of clearly defined and accepted definitions of survey outcomes, the authors introduce six concepts for describing and comparing survey outcomes. Overall, mail surveys appear to require less time, to be less costly, and to generate higher response rates than equivalent personal contacts. The report describes methods for gaining maximum benefit from the mail technique.


Hazardous wastes disposal.

Hazardous wastes disposal.


The evolution of critical care medicine.


Maintenance hemodialysis: how to help patients cope.


Taking the "social" out of security.

Taking the "social" out of security.


Freestanding facilities list top ten procedures.


Insurance may block recognition of freestanding units.


Cost, attitude point to office surgery.

Cost, attitude point to office surgery.


Where does the responsibility lie for providing postoperative instructions to patients having same-day surgery?


Hospital sponsors freestanding unit.

Hospital sponsors freestanding unit.


Curing hospital costs by decree.

Curing hospital costs by decree.


The influence of parental attitudes on psychiatric treatment outcome.


Generic drug equivalents: opening Pandora's Rx.


Madness and work: short- and long-term effects of mental illness on occupational careers. This study assesses the impact of mental illness on occupational careers. Thirty-six married men who first entered mental hospitals in the 1950s were followed up in 1972 and eighteen men who were first hospitalized in 1973-74 were interviewed. Their histories reveal the importance of the development of competence in the work role prior to the onset of mental illness. Those who were able to develop competence were likely to retain their jobs through the initial episode of illness and to remain occupationally stable in the ensuing years even in the face of persistent symptomatology. The data are interpreted as evidence that the label, "mental patient," does not constitute a master status and in and of itself does not significantly affect occupational careers.


Racial differences in infant mortality rates: United States, 1969. Using multiple regression analyses, we measured the effects of demographic, health, and socioeconomic variables on race-specific neonatal and postneonatal infant mortality rates. The racial difference in rates in 1969 is due to (1) effects of mean differences in black and white population characteristics, (2) differences in the impact of independent variables, and (3) differences from other causes. Higher black than white infant mortality is the result of unfavorable black means on birthweight, age of mothers at birth, education, and marital stability. Black mortality is also higher because mothers' age at birth, marital stability, and education have more favorable impact on mortality for whites than blacks.


Smoke detection: part of complete building system.


Sprinkler standard revisions alter system requirements.


Energy-integrated multi-purpose sprinkler system.


Plastic pipe in sprinkler systems.

Plastic pipe in sprinkler systems.


Life cycle costing: problem solver for engineers.


Criteria for purchasing capital equipment.


SE digs into governmental red tape.

SE digs into governmental red tape.


A calculated guide for selecting stand-by batteries.


Overcoming the criterion problem in the evaluation of library performance.


Mentally retarded people and the law: preface.


Mentally retarded people and the law: introduction.


The new clients: legal services for mentally retarded persons.


The law and mentally retarded people: an uncertain future.


The silent clients: legal and ethical considerations in representing severely and profoundly retarded individuals.


Health planning and deinstitutionalization: advocacy within the administrative process.


Anti-institutionalization: the promise of the Pennhurst case.


Search for ideal equipment for food service led to pellet system.


Unnecessary coercion: an end to involuntary civil commitment of retarded persons.


"A sanctuary for people": strategies for overcoming zoning restrictions on community homes for retarded persons.


Government regulations: no end in sight.


Organizational change: how to understand it and deal with it.


Baylor commended for improvement of neighborhood.


Remember these dos and don'ts of questionnaire design.


It's time you considered pre-retirement training!


National Energy Act--the hospitals program.


Of interest to smaller hospitals: programs to contain the rate of hospital cost increases.


PR ideas worth rustlin': getting your employees out of the doldrums.


Legal angle: medical powers of attorney.


Health issues pending in congress.

Health issues pending in congress.


Patient coordinator program.

Patient coordinator program.


The blind person as a hospital employee.


Educators in action: education in the discharge planning process.


Life flight expansion.

Life flight expansion.


Of interest to smaller hospitals: attracting qualified personnel.


A follow-up analysis: Texas Health Facilities Commission application costs.


Photo ID reassures patients.

Photo ID reassures patients.


Do you know what it is really costing your hospital to furnish copies of medical records to insurance companies, attorneys and other requestors?


What trustees can--and can't--do about hospital costs. There are five major determinants of hospital costs: hospital size, range of services offered, teaching and research activities, cost of production factors, and organizational efficiency. Trustees can have a positive impact on these determinants by seeking to determine the optimal size for their institution; by making more informed equipment purchasing decisions; by entering into cooperative ventures with other hospitals; and by selecting cost-conscious administrators and supporting their efforts.


Quality assurance: the buck stops with the board. Quality assurance is an ongoing process that seeks to measure and evaluate levels of service in light of prevailing standards of professional conduct; its ultimate goal is behavior modification. To ensure effective quality assurance in their institutions, trustees should accept the legal and civic responsibilities of their trusteeship, understand and participate in the quality assurance process, and take steps to ensure that the board's responsibility for the provision of care is not met at the expense of quality.


Six ways to add more space.

Six ways to add more space. In today's cost-conscious climate, hospitals frequently are finding it advantageous to expand an existing facility rather than erect a new one. A number of expansion alternatives are described herein, and the benefits and liabilities of each are delineated. Whatever construction alternative is chosen, the decision should be arrived at through a comprehensive consideration of the alternatives by all members of the building team--hospital, architect, and contractor.


Trustee development program. The board's role in marketing the hospital.


Health care reform must begin with the doctors.


As I see it: trustees' lot today.

As I see it: trustees' lot today.


Legal models for the treatment of the terminally ill. In considering which of several models to adopt with regard to the treatment of terminally ill patients, hospitals should consider their specific needs, the needs of their staffs, and the laws of their state. The involvement of the patient's family should not include an unwarranted creation or imposition of legal rights that do not exist, and the model that is adopted must be workable and followed.


A physician looks at board-medical staff relationships. The hospital that thrives in the short run and survives in the long run is the one that best exploits the forces that tend to unite the board and the medical staff while minimizing the elements that tend to divide them. A strong, effective medical staff is the most important determinant of constructive board-medical staff relations.


As I see it: disruption of the status quo.


Dollarsense: how the VE can work ... and why mandatory cost controls won't.


Hiring a CEO made (almost) easy.

Hiring a CEO made (almost) easy. Selecting a CEO and establishing his compensation and the terms of his employment are among the board's most important functions. This article suggests a series of steps intended to help the board approach the task in an organized and rational manner, from the development of a mission statement and job description through the recruitment of candidates to the development of a compensation package and personnel policies.


Preview of Carter's national health plan.


Battle begins over national health insurance.


Egyptian-Israeli peace: medical implications--Israel's top problem now is reorganizing services.


Hospitals can lead in savings.

Hospitals can lead in savings.


Health care regulation needed.

Health care regulation needed.


MEDIHC: civilian successes.

MEDIHC: civilian successes.


The art of helping: the hospital volunteer.


The Shanti Project.

The Shanti Project.


North Carolina Volunteer-A-Thon.

North Carolina Volunteer-A-Thon.


Dynamics and future of self-help parent groups in mental retardation.


Patient education and medication compliance.


Health systems in America--now and in the future.


Atlanta's Grady Hospital: management of cardiac patients in an urban public hospital.


Genetic services: present and future needs.


Mental health and health education: an emerging partnership.


Blue Cross, Red Cross and a television station present a major health fair in Atlanta.


Health Insurance Plan of New York and its affiliated medical groups.


The Washington Heights Medical Group--an independent group practice affiliated with Health Insurance Plan of New York.


Technology and cost containment: a medical dilemma.


Turnover turned over: an expanded and positive perspective. The negative impact of turnover is well documented in the literature. This paper examines turnover with a unique, positive focus. Turnover is reviewed, not only from the standpoint of the organizational theorist, but with economic, sociological, and psychological/social psychological perspectives. Often ignored benefits of turnover are noted.


Peddling the 'union-free' guarantee.

Peddling the 'union-free' guarantee.


HMOs and health care for all Americans.

HMOs and health care for all Americans.


Women and national health insurance.

Women and national health insurance.


M.D. licensing boards--a new appraisal.

M.D. licensing boards--a new appraisal. This article summarizes the traditional powers and role of state physician licensing Boards. It relates some of the changes in these powers as a result of legal changes in 1975 and Governor Brown's innovative use of gubernatorial appoint powers. In particular, the changes which have resulted from the appointment of women and consumers to the Board are discussed as well as some of the accomplishments of the Board on issues concerning women. This is with a view toward stimulating reappraisal of licensing Boards and their potential role for changes in medicine.


Hazelden: evaluation of a residential family program.


St. Croix: an outpatient family treatment approach.


Independence House: a specialized program.


Nursing students' social acceptance of recovered alcoholics.


Constitution and bylaws of American Society of Electroencephalographic Technologists, Inc.


Skin injury from electrode paste used in electroencephalography.


Court upholds Blues' policy on reimbursing psychologists.


Supplies of medical cocaine improving.

Supplies of medical cocaine improving.


Nursing turmoil continues.

Nursing turmoil continues.


FTC charges MDs control Blue Shield.

FTC charges MDs control Blue Shield.


Discrimination charged at Georgia hospital.


Interest in hospices is growing, along with prospects for federal dollars.


The JSPOA Friendship Center.

The JSPOA Friendship Center.


Massachusetts MDs say Blue Shield plan locks them into unfair contract.


Airline physician defends care: victims' relatives ignored, MD claims.


The AMA in Washington: is it doing its job?


A community-based group training program for work with adolescents.


Where AMA stands on the issues.

Where AMA stands on the issues.


Behavior modification with the severely retarded.


Speak up, speak out!

Speak up, speak out!


The AMA's role in health legislation.

The AMA's role in health legislation.


How physicians fight for their point of view.


"I've been in on the whole show".

"I've been in on the whole show".


Covering the Hill.

Covering the Hill.


Hospital's anesthesiologists agree to changes in policy.


What's different about rural medicine?

What's different about rural medicine?


Blueprint for rural health care: two Illinois towns find a better way.


Put facts at your fingertips.

Put facts at your fingertips.


Hospitals don't have to be big to be good.


Muddled medical news--who's to blame?

Muddled medical news--who's to blame?


Linen suppliers stalk hospitals.

Linen suppliers stalk hospitals.


Maintaining the lung disease patient at home. A pilot home care program for lung disease patients has been set up by a lung association, in conjunction with local hospitals and home care agencies. The emphasis is on long-term care and support of services for which home care agencies would not ordinarily be reimbursed.


Health regulation: who gains?

Health regulation: who gains? "The American health care system is one of the finest in the world, but in recent years, it has been afflicted with uncontrolled cost escalation which amounts to double the overall inflation rate. The question is not whether regulation of spiraling inflation in the hospital industry is called for but, rather, who should do the regulation: the industry or the state or the federal government".


Occupational safety and health.

Occupational safety and health. Work accidents became a matter of societal concern in the Progressive era of Woodrow Wilson. When other contingencies of modern life were brought under social security in the New Deal reforms of the 1930s, work accident legislation remained separate. One possible reason was that work accidents can be controlled within industrial and chance limits. But control does not imply elimination since a risk-free environment would paralyze production. In spite of imperfections caused by low benefits and imperfect insurance arrangements, the workers' compensation legislation does help internalize the costs of accidents, but internalization of costs is only one remedy. Regulation and a much broader community responsibility are others. It is argued that regulation poses greater problems and that broader community responsibility may evade the issues involved in choosing the appropriate tradeoff point between production and health which will maximize social welfare.


Bylaws: Association for Practitioners in Infection Control.


Political action committees: is the PAC parade passing you by?


How the FEC regulates political action committees.


An executive faces up to alcoholism.

An executive faces up to alcoholism.


How medical executives society developed guidelines on alcoholism.


Health management and the art of survival.


The corporate attack on rising medical costs.


Birth of a nation: documentation and education from conception through birth.


Friendly persuasion: that's what patient education is all about.


National health needs a private prescription.


Approved programs of graduate education in surgery and in the surgical specialties in United States government hospitals as of September 1, 1975.


Approved programs of graduate education in surgery and in the surgical specialties in civilian hospitals of the United States and in Canada as of September 1, 1975.


Fundamental requirements for graduate education in surgery.


American College of Surgeons: statement on qualifications for surgical privileges in approved hospitals.


Ways and means of fund raising.

Ways and means of fund raising.


Local government commitment is essential for an emergency medical services system.


An overseas experience.

An overseas experience.


Association appearances at legislative and regulatory hearings.


Recommendations for reports of various air environments: Air Quality Subcommittee, Committee on Operating Room Environment, ACS.


Changing the rules: how to win at supervision.


Managing failure.

Managing failure.


The turnover trap.

The turnover trap.


A primer on performance appraisals.

A primer on performance appraisals.


Tomorrow's employee: the supervisor's greatest challenge.


Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); clarification of CHAMPUS last pay status: addendum to rule.


Health Maintenance Organizations; requirements.


Protection of human subjects; HEW support of human in vitro fertilization and embryo transfer: report of the Ethics Advisory Board.


There may be too many doctors in the house.


Drug industry trying to change FDA's slow but sure policy.


FTC orders a physicians group to allow hospital access to flat-fee plans' doctors.


'80s medical malpractice crisis will break mutuals: attorney. Interview by Joanne Gamlin.


Selecting and caring for the right carpet in hospital patient care areas.


Hospital Bureau's food purchasing program saves time, money.


Pilot sees key CS role on device recall.


Let's be serious about cost containment.


Materials management and the paper tiger.


Dick Beckhard on managing change. Interview by Jules Eitington.


Sun-powered hospitals.

Sun-powered hospitals.


More Pa. hospitals now share services.

More Pa. hospitals now share services.


GAO scores EPA's proposed hazardous waste regulations.


Group purchasing based on beds.

Group purchasing based on beds.


Disposables demand will taper off.

Disposables demand will taper off.


Origins of a national labor policy.

Origins of a national labor policy.


Stability versus employee free choice.

Stability versus employee free choice.


Economic pressure in support of unlawful employment discrimination claims.


Discrimination in employment--remedies--standards governing backpay awards for violations of Title VII of the Civil Rights Act of 1964.


Design defect litigation revisited.

Design defect litigation revisited.


The use and abuse of warnings in products liability--design defect litigation comes of age.


First Amendment and the problem of access to migrant labor camps after Lloyd Corporation v. Tanner.


Constitutional law--freedom of the press--prohibition of abortion referral service advertising held unconstitutional.


Introduction to the welfare law issue.

Introduction to the welfare law issue.


1975 developments in welfare law--Aid to Families with Dependent Children.


Unemployment compensation -- response to a crisis.


ASHET: American Society for Health Manpower Education and Training of the American Hospital Association.


Mandatory continuing education for hospital managers. Because hospital managers and supervisors are more aware of the necessity to regularly upgrade their knowledge and skills, a health care center has created a mandatory management development program that not only fills employee and hospital needs but also provides empirical data for merit reviews. How this highly structured program was developed and organized is presented in this article.


A do-less Congress--what the people want.


In my opinion: development of hospital staff members.


The independent 96th: reflecting reforms of the 1970s, mood of voters back home.


One lobbyist's look at a changed Congress.


A practical adult education tool.

A practical adult education tool. Active involvement of the learner in program development is an important part of the teaching-learning process. Because many programs are designed without the benefit of direct input by participants, an attempt should be made to mesh the learning objectives of the participants with those of the program designers and instructors. This article describes a form that can accomplish this, as well as set a climate of learner involvement.


Mills: some reforms hamper Congress' ability to legislate; review needed.


Rogers favors change in system: full Committees on Health in House, Senate.


Health Policy Forum goal: expedite information as aid to policymakers.


"Power and influence" of congressional staffers: is it truth, fiction--or both?


"Explosion" in growth of professional staffs poses danger to Congress.


New economic study, business group's report gives controls foes more ammo.


Financial disclosure bill approved by Florida Legislature.


Reorganization is the key to economical ambulatory health care. The ambulatory health care program presented here has been created using personnel previously employed in the system. Through planning, reorganization, and an evaluation system, a health care program has been developed that has demonstrated both improved care for clients and professional growth for personnel. Health care services are offered at no increase in cost to the provider.


Stolman asks hospitals to aid C of C cost containment programs.


HCA's total number of hospital beds reaches 20,000 mark.


Join the classroom and the workplace for a unique inhouse training program. Course assignments that link the classroom and the workplace can transform a routine inhouse supervisory training program into one that is tailored specifically to the participants. Besides making the program more relevant to the supervisor, this strategy allows him to continually demonstrate his capabilities to his manager.


HAI reorganizes, sets up separate owned, managed hospital firms.


Community health educators band together in Massachusetts. Begun last year with only six participants, the Massachusetts Consumer Health Educators Association, now 100 members strong, is in the business of sharing experiences to help alleviate its members' feelings of being alone. Meetings are held once a month, and authorities in the health education field are invited to speak. The Consumer Health Educators' first major project is the compilation of an index of hospital-based health education programs in the state.


Making a smooth transition from clinician to educator. Nurses can be very successful in the role of educator. Although the transition from clinician to educator has many real and potential conflicts, practical and effective tools exist to assist individual nurse-educators in this new professional endeavor. The swiftness with which they adjust to these new responsibilities is directly related to how quickly and accurately they can identify their own learning needs, develop an awareness of their role transition, and learn to use available resources.


Problem-solving strategies for management. This article is an excerpt from chapter 11 of Mr. Bennett's book, entitled Improving Management Performance in Health Care Institutions: A Total Systems Approach (Chicago: American Hospital Association, 1978). Both group and individual strategies that not only assist in solving problems but also provide opportunities for upgrading organizational and managerial performance are discussed.


HCFA administrator stresses desire for industry views.


Hospitals ponder role of development foundations in protecting resources.


In my opinion: education is a managerial function.


Special interests--good or evil?

Special interests--good or evil?


Case study discussions contribute to total patient care. When staff attitudes toward patients in a busy radiology department were becoming somewhat depersonalized, the director of education and training and the department's supervisors put together an educational program to reorient staff members to total patient care. The case study approach taken allowed staff to pinpoint problems and then recommend ways to improve the quality of the department.


New supervisors tackle employee relations. By Alan G. Cotzin, director, Office of Human Resources Development, University of Michigan Hospital, Ann Arbor. The University of Michigan Hospital has developed an employee relations training program for newly appointed managers and supervisors. During the 2 1/2-day series, participants learn the hospital's management philosophy and how to apply it in a positive manner to various employee relations problems. Some of the specific topics covered include coaching and counseling, value differences, grievance procedures, and affirmative action.


Colorado becomes first state to abolish rate control commission.


County's only hospital recruits unusual staff.


Appeal court rules for hospital in patients' privacy rights case.


Hospital doesn't need traffic light now.


T.L.C. is delivered in rural area showplace.


Company management keeps hospital open.

Company management keeps hospital open.


Put it all together, it spells 'centralized health education'. The centralized health education department at Lexington County Hospital, a 250-bed community hospital in West Columbia, S.C. started with one full-time and two part-time employees. Today, there are 14 employees, two volunteers, and usually five graduate students from the University of South Carolina who are successfully carrying out the program design presented here.


Idaho story: a state's fight against regulations.


NME aids tax-supported facilities with problems.


Company helps hospital on Mexican border survive.


Hospitals require profits to meet needs.


Mobilizing public support for hospitals.


The rural hospital: blueprints for survival in an era of turmoil and uncertainty.


Hospital industry's new breed: an administrator for all seasons.


Case histories reflect challenges, opportunities for administrators.


New leadership needed for future management systems concept.


What's ahead? Young executives foresee more dramatic changes.


Administrative resident envisions ombudsman role for the new breed.


AID, Inc. expansion helps parent INA keep commitment.


Will controls return to health care industry?


Algebraic cost finding advocated.

Algebraic cost finding advocated.


Health care gets good marks in Roper poll.


The president's message: capital formation program must provide for maintenance, technological advances.


Debt financing emerges as key capital source for hospitals.


Hospital management firms continue to gain momentum in capital market.


Investor-owned hospitals' capital search burdened by policy inequities.


Non-profit hospitals should make a profit, says AHA leader.


Bond financing for hospitals has its advantages and disadvantages.


Need financing for your hospital? Here are some guidelines to follow.


Study shows rate setting has little impact on rising costs.


Voluntary rate review to start in Florida.


The politics of health care.

The politics of health care.


Is quality food enough?

Is quality food enough?


What price will Jacques Bloch pay for quality?. Interview by Donna Boss.


Robert Wood Johnson: assessing success.

Robert Wood Johnson: assessing success.


The 1979 Walter L. Bierring Lecture: clear and hidden dangers.


Credibility is the issue.

Credibility is the issue.


Changing times focus attention on medicine in the workplace.


Problems of health care in the barrio.

Problems of health care in the barrio.


A time tested income distribution system.


Informed consent as respectful communication.


Gasoline shortages: how groups are coping.


Patient relations mistakes groups make most (and how to cure them).


Repression of physicians in Argentina.

Repression of physicians in Argentina.


Health for sale?

Health for sale?


A nurse associate joins a group practice.


Price/volume reports facilitate management by exception.


Administration should raise standards for purchasing.


Reports to management.

Reports to management.


A humanistic strategy for patient teaching.


The sectorisation of a large hospital for the mentally handicapped.


Life-style indicators for interventions to facilitate elderly persons' independence.


A new era for HMOs?

A new era for HMOs?


Industrial action--a learning experience.


Comparability--some of the issues.

Comparability--some of the issues.


Definition and display of clinic statistics.


Normansfield--its implications for health service administrators.


Presidential address 1979.

Presidential address 1979.


Review of the Mental Health Act 1959--1.


The first year at Green Ridge.

The first year at Green Ridge.


Is the company man the answer to food service?


Politics and substance as U.S. battle builds.


Tight money changing the priorities.

Tight money changing the priorities.


Nursing grand rounds.

Nursing grand rounds.


Patient education centers.

Patient education centers.


A community helps shape the future of a hospital.


Electrocardiography study: cost analysis shows fee schedules are deficient.


Newsletter contest: relevance key to HAC prizes.


Taking the pulse of OHA: face to face with politics.


Intravenous: past and present.

Intravenous: past and present.


Caring as well as curing.

Caring as well as curing.


What new approaches might AWH adopt to better meet the educational needs of Western hospitals?


Construction versus project costs.

Construction versus project costs.


Do hospital medical staff bylaws constitute a "contract" between the hospital governing body and the medical staff?


Tele-care.

Tele-care.


Administrators: don't let unions throw you for a loss!


Hospital-home health care.

Hospital-home health care.


Which activities do you look forward to the most at an AWH Convention?


Regulation and rebellion.

Regulation and rebellion.


Should a physician's medical order calling for the withholding of cardiopulmonary resuscitation be entered in writing in the patient's permanent medical records?


Flight for life!

Flight for life!


Hospitals have inventory ranging from $50 per bed to $1,000 per bed. Why the large variance?


On hospital costs: measured in terms of patient days.


On finances: prompt payments of accounts of third party insurance billings.


Announcing a guide for physician recruitment.


Who needs a speaker's bureau? You do!

Who needs a speaker's bureau? You do!


Page one treatment.

Page one treatment.


Should hospitals advertise?

Should hospitals advertise?


What is the proper forum and procedure for the investigation of an alleged breach of professional ethics by a member of a hospital medical staff?


"Here's an ASF you can afford"!

"Here's an ASF you can afford"!


Tax-exempt status: no room for complacency.


Reimbursement, rate and cost review: Uncle Sam wants you!


What is the hospital's responsibility to patients discharged from the hospital?


Should hospitals sell cigarettes in their gift shops or in vending machines located on their premises?


Opinion! The cost of health care.

Opinion! The cost of health care.


Say it ain't so, Joe!

Say it ain't so, Joe!


Government regulations: what they cost your hospital.


Financing construction: a creative approach.


Pet implicated in hospital outbreak.

Pet implicated in hospital outbreak.


Constraints on construction--revisited.

Constraints on construction--revisited.


Recognizing that recent government regulations will greatly affect hospital construction, how do you plan to cope?


What is the functional relationship between the Health System Agency and the designated State Agency?


Handling contaminated hemodialysis equipment.


I.C. risks of the 'man-machine interface'.


The 1977 AWH grant projects.

The 1977 AWH grant projects.


"Our babies shall not die": a community's response to medical neglect. The free neighborhood health center in a Midwest U.S. town was developed in response to a report that indicated that infant mortality rates were higher for the Black community than for the community-at-large. The health center soon took on the full range of health problems brought by clients regardless of client's race, ethnicity, or income. The processes for managing health care problems in an environment where racism was the rule rather than the exception are considered in this study.


Physician's perceptions of the suit-prone patient. The medical profession is experiencing tremendous increases in the number of malpractice claims and suits. The individual physician is confronted with the question of whether he has patients who are prone to sue him. This paper examines physicians' tendencies to label certain patients as suit-prone and identifies the social characteristics of those labeled as such. The findings suggest that physicians may be labeling the wrong patients. Further, the characterization of the suit-prone patient appears to be a stereotype that merely reflects the physician's political and social attitudes. The moral, ethical, and practical consequences of labeling and of mislabeling are discussed.


Planning: your hospital's future may depend on it.


Will the real health educator please stand up!


Home I.V. saves money and frees beds.

Home I.V. saves money and frees beds.


Patient education.

Patient education.


Controlling the cost of staff food...and patient meals.


Room at the top for pharmacy leaders.

Room at the top for pharmacy leaders.


What have been the recent development and trends in the law of "informed consent"?


Health care and political folly.

Health care and political folly.


Hawaii proves therapeutic.

Hawaii proves therapeutic.


The art and science of delegating.

The art and science of delegating.


Job enrichment, an overview.

Job enrichment, an overview.


Accounting, management impact of FAS 13.


Contracting with emergency physician groups.


Captive insurance--still a viable alternative.


Charge control system increases ancillary revenue.


Inside HFMA: individual projects help your chapter earn points.


Sharing the load.

Sharing the load.


Shanti Project: volunteer counseling service for patients and families facing life-threatening illness.


Cost counsel: purchasing a computed tomography scanning unit.


3 management theories and the business office.


"Gross A/R" is less costly and intuitively appealing.


"Autocharge"--closing the wound of lost surgical charges.


Has the health care debate gotten out of hand? Has the struggle between private providers and the government over the control of health care services gotten out of hand? Robert Derzon, former director of the Health Care Financing Administration, thinks that both sides have lost their perspective on the issues and need to regain a sense of balance and recognition of each other's rightful role in the health care delivery system.


Pharmaceutical inserts: legal consequences. Although the legal status of the pharmaceutical package insert is uncertain, a physician who prescribes a drug use or dosage that does not appear on the insert can best protect himself in case of a malpractice suit by documenting the scientific rationale for the FDA-unapproved use and by obtaining the patient's informed consent.


Technology evaluation in the hospital setting: starting from the bottom up.


Unit-of-use packaging and distribution.

Unit-of-use packaging and distribution.


Technology assessment--the Pharmacy and Therapeutics Committee revisited.


Treatment programs for the young adult.

Treatment programs for the young adult.


Violence in the hospitalized patient.

Violence in the hospitalized patient.


Education for the hospitalized adolescent.


Current issues in the hospital treatment of alcoholism: the role of the alcoholism counselor.


The purpose and content of psychiatric records in accreditation procedures.


Present use of clinical engineering in hospitals: a nationwide survey. To determine the present involvement of clinical engineers in hospitals, 1120 hospitals with more than 250 beds were surveyed. Replies were received from 573 inquiries for a 51% return. Sixty percent of the respondents stated that they presently have in-house service, 31% employ clinical engineers, and 29% only employ BMET's. Seven percent showed no interest in clinical engineer-type service. Extrapolating the data to all hospitals with more than 250 beds, there will be a minimum of 345 new clinical engineering positions during the next two to five years.


Profit-minded management in the nonprofit world.


Placements & salaries 1978: new directions.


The nurse, the computer and patient care.


Personal view--by "Recorder".

Personal view--by "Recorder".


Fee guides: ASA triumphs over Feds.

Fee guides: ASA triumphs over Feds.


Review of procedures for investigational device exemptions. This critique of the proposed FDA "Device Exemptions" (1978, Docket 76N-0324) analyses its defects, estimates the magnitude of device injury to patients during past 17 years, provides a prescription for rational FDA regulation under the present law, which is summarized and shown to allow FDA wide latitude in regulatory pressure; emphasizes the urgent need for properly trained engineers, which are not presently in or available to FDA; and estimates and predicts vast cost increases, competition suppression and blockade of new devices. The classification schema is shown to be illogical and capricious; the economic impact assessment faulty; and the law, extant regulations, proposed regulations complicated, confusing, and internally inconsistent.


Medical instrumentation and nosocomial infection. A current major concern of the medical community is the incidence of nosocomial, or hospital-related infection. One of the chief ways a patient may get a nosocomial infection is through medical instrumentation which has been improperly sterilized or incorrectly utilized. The clinical engineer, because of his critical involvement with medical instrumentation, must, in addition to his conventional duties, instruct hospital personnel in the proper sterilization and use of medical instrumentation. In order to accomplish this, the clinical engineer must understand the relationship between nosocomial infection and medical instrumentation, and he must become familiar with basic sterilization procedures as they apply to each class of medical instrumentation.


A low cost medical data handling system. A low-cost Medical Data Handling System (MDHS) has been developed on a Digital Equipment Corporation PDP 11V03 computer system with dual floppy discs using BASIC in a time-shared configuration. The MDHS can be called up by one or more users to collect, update, or store patient data on floppy discs. Various analysis options are available to generate reports for patient management or administrative purposes. All software is written in BASIC to facilitate changes or expansion, and to reduce the costs in transferring the software system to other low-cost microprocessor systems currently available. The MDHS can be used in a variety of hospital departments for data management by simple customization of the I/O software to take advantage of the general purpose routines. The system is currently in use for generating daily patient-summary clinical-laboratory reports for ICU and CCU patients. This is the first part of a two-part article. The second part will follow in the July-September issue of this Journal.


Clinical engineering practicum: a new approach in clinical engineering education. The emerging concept of a clinical engineer is that of a practitioner of engineering science as it applies to hospital medical devices and the technology of health care delivery. Therefore, in addition to the theoretical and scientific aspects of the clinical engineer's education, there must also be some form of experiential education under proper guidance. For most university-based clinical engineering programs, this takes the form of a hospital internship. The transition between the academic environment to the hospital environment is not always a smooth one, as there is a type of "culture shock" brought on by the new and extremely demanding situation encountered in the hospital. In an effort to improve the transition from university to hospital and allow the student to focus more sharply on his or her professional goals, the concept of the clinical engineering practicum was developed. Its function is to be an introductory learning experience and half-way point between the hospital and the university.


Salary surveys--how to make them work for you.


Straining under too much stress?

Straining under too much stress?


Fitness development programs: strengthening the corporate body.


EMS access performance: the relative cost of treatment delay. A quantitatively defined relationship between in-system mortality and treatment delay (the total time delay between traumatic injury and initial care) is developed empirically from an emergency medical services data source. This relationship is described as an approximate indicator of the cost of treatment delay in the system studied which should be useful for resource allocation and planning.


At Hershey: medical system near 'failure' during Three Mile Island.


Housestaff jeopardy.

Housestaff jeopardy.


"A safety equivalency for leakage testing of wall-mounted monitors".


The international standards competition.


A human resource system that lives up to its name.


Planning for the selection interview.

Planning for the selection interview.


The advantages of open communications with employees.


The other half of employee communication.


Organizational communications: a linking process.


Universal marketing concepts for strategic planning.


The change-makers.

The change-makers.


Employee attitude surveys: a valuable motivating tool.


Business roundtable favors less government control.


Integrating behaviorally-based and effectiveness-based methods.


Age discrimination in employment: a guide for employers.


Orientation, inservice: methods for same-day units.


Disposables reduce wound infection rate.


Project: government information and the rights of citizens.


Management forum: staff selection.

Management forum: staff selection.


What makes suggestion systems work?

What makes suggestion systems work?


Money versus merchandise: which is the best motivator--and the best incentive?


The 3Rs of productivity improvement: responsibility, recognition, reward.


Is giving incentives a good idea?

Is giving incentives a good idea?


How awards and incentives can help speed learning.


Cost containment fair.

Cost containment fair.


Public relations and the health care institution.


A picric acid saga.

A picric acid saga.


Counting journal title usage in the health sciences.


. . . of interest to smaller hospitals: the delinquent medical record.


Interlibrary loan of photocopies of articles under the new copyright law.


Educators in action: hospital volunteers.


Hospitals are saving more than lives--the Texas voluntary effort.


The problem physician.

The problem physician.


Hospital liability.

Hospital liability.


As I see it: recent White House meeting.


Multihospital systems are changing the health care landscape. Multihospital systems can be classified according to system structure, ownership, and management structure and geographical coverage. Such systems appear to have several advantages over individual, freestanding hospitals, including the ability to raise capital more easily, the ability to exploit economies of scale, the ability to develop more effective governance structures, and the ability to attract and retain high-quality management talent.


Look at tax questions before you sell services. Among the issues involved in the selling of services to persons other than hospital patients are the effect of such sales on the hospital's tax-exempt status and whether the income derived is taxable as unrelated business income. The IRS's negative position on such sales is not necessarily a view shared by the courts. The use of separate corporations should be explored by hospitals seeking to maximize their net revenues.


Of takeovers, makeovers, and other myths: trustees in multihospital systems. The growth of multihospital systems in recent years has led many trustees to ask whether a hospital board can retain its autonomy and responsibilities if the hospital joins a system. Members of system corporate boards and individual hospital boards are finding that, through careful board work, hospitals and systems alike can benefit from multihospital arrangements.


Trustee development program. The board's role in the planning and acquisition of clinical technology.


Boardroom integrity can't be engineered.


Twin Cities trustees tackle tough planning issues.


Savannah's health care community unites to fight hypertension battle.


Financing treatment for high blood pressure.


Operations management in selected nonmanufacturing organizations.


Lifelong learning within the nursing home.


Keeping a board informed: an administrator's responsibility.


Staff: the crucial factor in developing a constructive nursing home environment.


Fire safety training in an award winning facility.


Types of changes and hospital planning strategies. A major purpose of health planning agencies is to promote constructive changes among health institutions that are in the public interest. The approaches to promoting such changes in hospitals are examined in this article. The focus is on three types of change, the relationship of change to the environment, and three kinds of control mechanisms.


Economic impact analysis: a theoretical approach. Where the traditional focus of local planning has been on access to health services, recent legislation and policy reflect an equally prominent concern for costs. Appropriate methodologies for collection and analysis of financial and economic data have been lacking. A particularly difficult problem, both theoretically and practically, is the economic impact of a capital investment by one provider on the rest of the local service system. In order to focus the attention of health service planners, economists and others on this issue, a preliminary theory of "economic impact analysis" is outlined here. Scope of concern and conditions of application ("ripple" and "spigot" models) are defined. Existing analytical tools are reviewed, and related philosophical issues raised.


Issues in health plan development: a critique of the guidelines for plan development under PL 93-641. The draft guidelines for development of health systems plans and annual implementation plans represent a logical, coherent integration of the best of currently available planning concepts and methods. However, there are at least six major areas in which the current state of the art is clearly inadequate. These are linkages between plan components, synchronization, plan integration, level of detail, cross-impact analyses and policy planning. This article describes each of these issues and identifies some of the projects which seem likely to contribute to their resolution. Finally, it urges each health planning agency to take advantage of the latitude in the guidelines to develop innovative solutions and to share the results with others.


Demand reduction: an alternative approach to the health manpower dilemma. The article emphasizes the importance of health manpower resources in attempting to achieve health systems goals and suggests there are two basic approaches to easing deficiencies in manpower. One approach is by gaining additional manpower, the second is by decreasing demand. After noting some methods for each approach, the article suggests that a preventative approach has not been given adequate priority, and urges a national policy commitment to prevention as the best means for management of manpower resources.


Making the health care system responsive to the needs of the elderly.


Putting it all together.

Putting it all together. Outlines an organizational concept that supports the functions and products required of HSAs. Emphasizes the separation of functions with "controlled stresses" designed to produce interdependence of staff sections. Points out the need for tangible products as a basis for tracking staff performance.


FTC order bans bias against HMO physicians.


Court upholds hospitals' suit against Blue Cross.


Hospital chain begins cost drive.

Hospital chain begins cost drive.


Texas physicians vote to form HMO, IPA for Austin residents.


Regional standards at issue in HSA's battle with HEW.


Productivity is vital at HLS.

Productivity is vital at HLS.


On Lok--the happy, peaceful abode.

On Lok--the happy, peaceful abode.


Health promotion and disease prevention in old age.


Home for supper--the day hospital.

Home for supper--the day hospital.


Poll shows volume decline in hospital laundries.


An RN's views on disposables.

An RN's views on disposables.


Work with other departments in hospital LMs told.


A primer on the postal service.

A primer on the postal service.


Health Manpower Law in Australia.

Health Manpower Law in Australia.


Impatience in casualty?

Impatience in casualty?


UK hospital adopts business management techniques.


Measuring stress levels in health organisations.


A national interlibrary loan network: the OCLC approach.


Laundry system conserves water and heat.


Techniques for tile care.

Techniques for tile care.


How to take the pulse of your department.


Energy-saving maintenance for the laundry.


Getting the equipment you need.

Getting the equipment you need.


Treating hard-surface floors as "individuals".


Nursing home laundry volume up, costs down.


What should you look for in a washer-extractor?


Working with an architect on laundry design.


Two views on carpet care.

Two views on carpet care.


Designing interiors for the elderly.

Designing interiors for the elderly.


Nursing home interior that's homelike, cleanable, economical.


Who should be doing operations?

Who should be doing operations?


The role of the surgeon in the emergency room.


Statement on cost containment.

Statement on cost containment.


Working with health systems agencies.

Working with health systems agencies.


The surgeon, the hospital, and cost containment.


The incompetent surgeon.

The incompetent surgeon.


Changing an ineffective boss into a model manager.


Telling subordinates what to do and how to do it.


Bringing MBO back to basics.

Bringing MBO back to basics.


The supervisor's role in accident prevention.


Rebellion among the 'angels'.

Rebellion among the 'angels'.


Prescription drug products; patient labeling requirements: proposed rule.


Presidential documents: national energy supply shortage.


Maternal and child health and crippled children's services; disclosure of ownership and related information: final regulation.


Health maintenance organizations; relationships between federally qualified health maintenance organizations and other parties: notice of proposed rulemaking.


Requirements for a health maintenance organization: interim regulations.


Health maintenance organizations; federal financial assistance: general--final regulations.


Health maintenance organizations; employees' health benefits plans--final regulation.


FMCS services in health care industry, labor disputes: promulgation of final regulations.


Grants for demonstrating the training of personnel to provide home health services: final rule.


Public contracts and property management; federal standards for federally funded grants and agreements: final rule.


Revised method of filing notice of intent to terminate; proposed rulemaking: proposed rule.


List of health manpower shortage areas designated under section 332 of the Public Health Service Act.


Grants for state and community programs on aging: notice of proposed rulemaking.


Requirements for dispensing containers for prescription drugs; stay of effective date.


Health systems agency reviews of certain proposed uses of Federal health funds: final regulations.


Protection of human research subjects: proposed rule.


One-way radio paging in the special emergency radio service: order suspending conversion date.


Diagnostic x-ray systems amendment of assembly and reassembly provision and performance standard: final rule.


One-way radio paging in the special emergency radio service: notice of proposed rulemaking.


Classification of general hospital and personal use devices; development of general provisions: proposed rule.


Hospices and HEW.

Hospices and HEW.


No recess in hospital costs debate.

No recess in hospital costs debate.


The politics of national health.

The politics of national health.


Cancer insurance concerns are criticized over sales methods and benefits offered.


Skyrocketing costs fuel changes in health care plan design, funding.


Ottawa Parkdale's "Code 4444".

Ottawa Parkdale's "Code 4444".


Medical practice in the land of serendip.


Proposed hospital fire safety system offers choice of protective measures.


Cost containment brings CS productivity reviews.


VA hospital measures energy consumption.


AMI's regional purchasing directors: powers unto themselves, say MM chief.


Multi-unit system develops effective MM, CS programs.


Personal profile: Douglas McDermid, Antigonish, Nova Scotia.


Ether in packaged disaster hospital found hazardous.


Common misconceptions about behavior modeling and supervisory skill training (SST).


The best method to train managers...

The best method to train managers...


Medical computer systems and the law of torts.


Freedom from hospitalization.

Freedom from hospitalization.


Health services for the elderly.

Health services for the elderly.


Health for all by the year 2000: from concern to achievement.


The constructive approach to evaluation of ECG computer programs.


Preventive maintenance: electrocardiographs.


Fee-for-service private practice medicine: problems and contradictions.


The acquisition and maintenance of medical equipment.


Malpractice and quality.

Malpractice and quality.


Clinical pharmacists as allied health care providers to psychiatric patients. The effect of clinical pharmacy services on the quality and economy of health care provided to psychiatric patients at a Veterans Administration outpatient clinic was evaluated. Twenty-one patients were selected from the Day Treatment Center, of these, 19 patients completed the study. In providing health care to these psychiatric patients, the clinical pharmacist used a systemized approach including data gathering, evaluation, plan of action, and follow-up. In addition, medication groups and weekly staff meetings were incorporated into the patient treatment plan. Following a 3-month study period, the impact of clinical pharmacy services was evaluated. The provision of allied health care to psychiatric patients by clinical pharmacists resulted in a decreased incidence and severity of adverse drug effects, fewer drug use problems, a reduction in the total number of drugs prescribed, improved patient drug knowledge, and reduced expenditures for health care without compromising the patient's mental functioning.


Perspectives on humanism in health care.


Nonpharmacy outlets providing prescription medications to ambulatory patients. Nonpharmacy outlets providing prescription medication to ambulatory patients in Alachua County, Florida, were investigated. The sample included 16 ambulatory clinics and 44 dispensing physicians. The types of medications dispensed and dispensing procedures used by these outlets are described. The magnitude of prescription drug dispensing in ambulatory clinics and physicians' offices was far greater than was initially expected. Numerous drug-related problems were identified within these outlets, including a failure to comply with state and federal laws, inadequate drug control and storage, and inadequate patient medication records. Practicing pharmacists should consider the possibility of their patients receiving medication from similar outlets in evaluating therapies for appropriateness and interactions. In addition, such centers have apparent need for pharmacy consultation services to ensure adherence to the principles of responsible pharmaceutical services.


Radiopharmacist profile--baseline 1974-1975. The results of a baseline October 1974 to March 1975 survey are analyzed to describe what constitutes radiopharmacists' education, training, and professional practice. Frequency distributions for the following descriptors are presented: age, location, highest degree earned, major radiopharmaceutical training, years of experience, time devoted to radiopharmacy, principal place of work, salary, and major appointment or responsibility. Preliminary examination of the possible association of some of these descriptors is made; a radiopharmacist profile is presented.


Drug product selection and the law.

Drug product selection and the law. Pharmacists are reported to be concerned about their liability exposure when engaging in drug product selection. A review of the elements of a suit for negligence is presented along with a brief application of those principles to a suit for negligence in drug product selection. The role of the manufacturer in assuring product integrity is emphasized. A liability suit also could be based on contract law principles, which are discussed. A few reasons that may explain why no suit has been successfully maintained in this area to date are presented. Finally, discussion of legislative provisions that attempt to contain the pharmacist's liability exposure are considered.


Discharge medication counseling: a functional model. A system for providing medication counseling to all patients discharged from a large teaching facility is described. After the patient's discharge regimen is reviewed by the pharmacist, the prescriptions' are filled, and the pharmacist counsels the patient at the bedside. In addition to verbal information, the patient is provided with a medication time sheet illustrating the times at which individual medications should be taken and an information sheet for each drug. Documentation is accomplished by a special entry in the progress notes as required in the hospital's audit criteria.


Evaluation of a training program to improve clinical competencies of pharmacists serving skilled nursing facilities. Forty-eight pharmacists from the New York area were selected for specialized training in consultant clinical services to skilled nursing home facilities. A skills curriculum was developed, and the pharmacists participated in 15 training sessions which included lectures by nationally recognized experts, audiovisual presentations, and on-site clinical workshops. Evaluations were based upon clinical preprogram v. clinical postprogram testing, comparisons with clinical pharmacy experts, and attitudinal pre- and postprogram testing. It was found that the training course did improve the skills of the trainees but they still performed at a level below recognized clinical pharmacy experts. Future programs should stress fewer topics, but in more detail, and should focus upon monitoring techniques, laboratory results, and more on-site experiences.


The new pharmacist assistant: is there a computer in your future?


Scenarios for pharmacy manpower in the years ahead. Many of the statistics on the elderly are well-known, but they bear repetition. The steady growth in the number of elderly is both large and striking. Every day, nearly 1600 persons join the group classified as elderly. There may be more than 40 million elderly people in the United States by the year 2020. It is of the utmost importance to realize that the proportion of elders in the 75-year and older group is increasing most sharply. By the year 2000, almost 45% of all elders will be 75 years and older. It is among the frail old that the most serious health problems are encountered, that the most serious adverse drug reactions are encountered, and that even minor health probelms, if left untended, may well develop into major ones. Pharmacists, therefore, need to look toward an increasing involvement in acute as well as chronic care for their elderly patients and must develop expertise in the delivery of preventive care.


Survival prospects for small hospitals.

Survival prospects for small hospitals.


Patient care quality assurance.

Patient care quality assurance.


Fire safety for health care facilities: cutting costs without cutting corners.


Medical leadership in hospitals.

Medical leadership in hospitals.


Massachusetts General Hospital starts own degree programs. Massachusetts General Hospital has established a new Education Division that administers various degree programs in seven professional fields. Major emphasis is on interdisciplinary study and integration of the academic and the clinical components of training.


Lawyer and counselor as an interdisciplinary team serving the terminally ill. Mental health professionals consult with the terminally ill and provide therapy to the client, spouse, and family. Some clients have been forewarned and have a carefully drafted estate plan that incorporates all the nuances of property and personal planning. In addition, the client may have an interest in donating his or her body or its parts as an anatomical gift or may inquire concerning the right to die a natural death. He or she may further be concerned with the appropriateness of a power of attorney or a living trust. Whatever the inquiry, the mental health professional should be ready, willing, and able to offer informed data regarding questions in these areas and then to serve with the attorney as an interdisciplinary team to respond quickly and effectively to these legitimate personal concerns.


Health care, a growing video field.

Health care, a growing video field.


Paperwork and bureaucracy.

Paperwork and bureaucracy. This study explores paperwork as an inherent characteristic of bureaucratic behavior. The magnitude and scope of the federal government paperwork burden on the private sector is given particular emphasis. A theoretical model of bureaucratic behavior is developed which shows that bureaucrats employ paperwork to shift the cost of agency functions to the private sector in order to increase their perquisites of office. The model indicates that, if the private sector were compensated for the federal paperwork burden, agency employment would be smaller, as would agency output and the volume of private-sector labor expended in preparing federal forms.


ASHET: health manpower education.

ASHET: health manpower education.


Helping supervisors step into the educator's role. Supervisors who lack the skills of the educator rarely visualize training as an integral part of their jobs. Consequently, new employees suffer from poor instruction and supervisors miss out on a potentially rewarding aspect of their duties. Seeking to remedy this situation, the University of Texas Medical Branch Department of Sterile Processing and Central Supply and the Personnel Office tailored a train-the-trainer program to meet the specific needs of their supervisors.


An approach to evaluating reports of research studies.


Health promotion: available resources stimulate program development.