The managerial growth selector.

The managerial growth selector.


St. Michael wages war on price hikes.

St. Michael wages war on price hikes.


Congress and biomedical research: new faces and strategy for 1980.


The IRB as deputy sheriff: proposed FDA regulation of the institutional review board.


Position statement of the AFCR on the issue of regulation of institutional review boards by the FDA.


"Conservation" is a key word at St. Joseph Hospital.


Gym class is in session at Loudon Hospital.


National Health Service Corps practice opportunities offered in Appalachia.


New York's underserved getting boost from NHSC assignees.


Nursing professors take sabbatical to provide primary care to migrants.


A student looks at Rosebud . . . summer 1978.


Answers to most often asked questions about NHSC scholarships.


The myth of excess beds.

The myth of excess beds.


Reducing beds: a gainsharing option.

Reducing beds: a gainsharing option.


The development of the coalition for a rational health policy for New York City.


Perspective on evaluation: readmission rates to community mental health centers as a measure of program effectiveness. The noncritical utilization of readmission figures as presently collected to evaluate community mental health centers is questioned in this report. Several issues are raised concerning the validity and reliability of readmission rate figures collected at the community mental health center level. The paper argues that these issues must be addressed prior to the utilization of readmission rates as an indicator of success or failure for community mental health centers.


Evaluating emergency medical services: Quasi-experimental outcome studies. The need to evaluate expensive, dramatic, and politically sensitive emergency medical services programs when classical controlled trials are neither ethically nor practically possible can be satisfied by quasi-experimental designs. The sequential implementation of paramedic services in several suburban areas provided a natural experimental situation in which to evaluate whether addition of the service could significantly alter the outcome of cardiac emergencies compared to the basic emergency medical technician program previously available. Before measurements and after measurements were made in a study area plus two control areas: one with paramedic services in both time periods and the other with emergency medical technician service throughout. Preliminary results indicate successful resuscitation increased from 20% to 32% (p less than .05) and discharge from the hospital went from 8% to 18% (p less than .01). The implications for program and policy decisions are noted. Development of studies that evolved from this work are outlined.


A child psychiatric hospital's first and second admissions: comparative studies. This article compares first and second admissions (readmissions) to a Child Psychiatric Hospital to identify some demographic factors related to readmissions. Male children and children who were younger at the time of the initial (first) admission were more predominant in readmissions. Interestingly, the most common denominator in readmissions, irrespective of gender, race and psychiatric diagnosis, is the length of hospitalization at the time of the initial admission. Initial hospital stay was shorter in second admissions than in first admissions. This finding raises questions as to the value of early discharge of the child psychiatric patient from a hospital without providing a continuum of psychiatric care.


The user satisfaction survey: consumer evaluation of an inner city community mental health center. The consumer movement has become a recognized force in American society. Yet consumer evaluation of community mental health services has largely been ignored or avoided particularly when users lack political or social power. As a first step toward increasing the accountability of providers to community users, a User Satisfaction Survey was developed. The 30-item scale is straightforward and requires 15 to 20 minutes to complete. The scale was field tested by 114 users of the adult outpatient services of an inner city community mental health center in Washington, D.C.


The nurse practitioner and hypertension control: a pilot study. Hypertension is the major health problem affecting blacks today. Socioecological stress is implicated in areas in which excess mortality exists. The nurse practitioner, whose role has been established in providing medical treatment for hypertension, also has a role in alleviating social stressors. The objective in this study was to determine the nurse practitioner's effectiveness in reducing stress and whether stress reduction resulted in blood pressure reduction. The results indicate that the nurse practitioner's intervention was effective--when patients complied with her suggestions both socioecological stress and blood pressure were significantly reduced.


The treatment of alcoholism in a community setting.


Malpractice insurance: what can be done to resolve the dilemma?


Empty beds: serious surplus or just a problem? Issue ignites health care industry.


Congressman James F. Hastings.

Congressman James F. Hastings.


The 100,000th bed: a milestone for the investor-owned hospital industry.


Too many beds? Viewpoints from the rank and file.


NHI? Maybe in the 94th.

NHI? Maybe in the 94th.


Rostenkowski on malpractice: let the states try first.


More advantages than disadvantages: group purchasing.


Hospitals abroad.

Hospitals abroad.


The malpractice crisis: time for the health industry to take stock, plan remedial action.


The malpractice impact on hospitals.

The malpractice impact on hospitals.


16-point program: a plan of action for the FAH in 1975.


A grass roots look at the health care industry: the malpractice crisis.


The governors: chief executives tell their viewpoints on the malpractice issue at the state level.


The Indiana law.

The Indiana law.


Congressman Henry A. Waxman.

Congressman Henry A. Waxman.


Alcoholism and the increasing role of the hospital.


The malpractice muddle: how does it affect the hospital?


Dr. "H" OF HEW.

Dr. "H" OF HEW.


The CHAMPUS program.

The CHAMPUS program.


Overregulation: former "price czar" expresses fear.


Regulation advocate: Stuart Altman tells why he is for.


Wilbur D. Mills: recovering alcoholic.

Wilbur D. Mills: recovering alcoholic.


Public awareness.

Public awareness.


The study of alcohol.

The study of alcohol.


Industry's multi-billion dollar hangover.


Regulation foe: Milton Friedman tells why he is against.


Blue Cross view: control facilities and services.


"Drink responsibly".

"Drink responsibly".


Pennsylvania: from support to opposition.


Massachusetts: regulator tells his side of story.


Hospitals take new look at old problem.

Hospitals take new look at old problem.


HSAs: the groundwork begins.

HSAs: the groundwork begins.


Florida: hospitals against legislation.

Florida: hospitals against legislation.


Human behavior in a hospital fire.

Human behavior in a hospital fire.


New Jersey: changeover sparks controversy.


The consumer and his hospital credit.

The consumer and his hospital credit.


State rate controls: do we really need another layer of regulation?


A picture of health.

A picture of health.


State rate control: hospitals must rise to the challenge.


National health insurance problems abroad: a report on socialized medicine in Britain, Sweden, Soviet Union.


The states: rate control survey analyzed.


New York cadavers found in Kentucky.

New York cadavers found in Kentucky.


Physicians' lib.

Physicians' lib.


Tube cleaning improves chiller operation.


Operational auditing: a key to cost containment.


Spotlight on . . .the push for preventive healthcare.


Matrix organization: is it a sensible approach for hospitals?


Management: a hospital's number two priority.


Legal planning constraints on new capital expenditures.


Selecting criteria for measuring and controlling hospital costs.


Why can't Johnny manage? You may be promoting the wrong people.


Management development.

Management development. This paper is the account of one area health authority's attempt to give its managers some positive help with their own, and their subordinates', development and to provide a focus for the discussion of ideas on the development of the organisation. The last three years have seen an attempt to conceive and give birth to a management development philosophy which despite its hybrid nature (being the product of both theory and circumstances) seems to meet the needs of one health authority.


Annual telethon meets needs of hospital, local cable TV. For the past five years, this New Jersey private hospital and the local cable TV station have teamed up to produce a successful telethon--complete with handsome stars, dancing girls, clowns and kiddies, busy phones and a toteboard that climbed to the $26,000 mark last September.


Public awareness and interest in community health councils. Community health councils were set up four years ago. They were an institutional innovation, with a remit to represent local community interests in the health services to those responsible for managing them and to facilitate communication between management and (potential) users of the health service. The cover of one CHC's annual report explains the service offered: 'We can make sure that the consumer's point of view is heard. We can help people who need information about the NHS and those who have a complaint about something which has gone wrong'. They might have added, as a caveat, that to do all this effectively, 'we need you'. This paper presents some information, from a recent national study of general practice (Cartwright and Anderson), about public awareness of an interest in community health councils.


The service's ambivalence towards want and need of high flyers.


Put responsibility where it belongs.

Put responsibility where it belongs.


The future of fund raising: developments in the 1980s. Those institutions that survive the "combined onslaught" of inflation, taxes and other stubborn foes that will continue to beset them in the decade to come can only be strengthened by their tribulations, the author claims. With the aid of his "crystal ball", he views what the 1980s have in store for philanthropy.


Age of consent except when over-ridden.

Age of consent except when over-ridden.


The student perception.

The student perception.


Turning critics into allies.

Turning critics into allies. The siting of psychiatric intensive care units can rouse unreasonable hostility among local communities. Most of the opposition results from fears based on misinformation which can be calmed by a public relations exercise aimed directly at the community concerned.


Hospital caring without walls...

Hospital caring without walls...


Private lives on record.

Private lives on record.


Electrodes: set a 30 cents target price.


EDP cuts lost charges by 93%.

EDP cuts lost charges by 93%.


What happens when what you buy is not "fit for use intended?".


15-item market basket shows trend of purchase prices.


Simple system features physical counts for prime vendors.


Group buying program brings top quality electrodes at bottom $.


How to make your standardization committee more effective.


A contract may be binding even when you don't know what you're buying.


9 ways to cut copy costs.

9 ways to cut copy costs.


One key barometer is best measure of materials management workload.


Price monitor: spread narrows between big two and also-rans for x-ray film.


Materials management for the radiology department.


Fire prevention and safety in health care facilities.


Service counters for libraries.

Service counters for libraries.


Six steps to easier record-keeping.

Six steps to easier record-keeping.


Management by objectives in Baptist Medical Center Library, Oklahoma City.


Operation Amigos.

Operation Amigos.


The Canadian College moves ahead.

The Canadian College moves ahead.


'Exercise London'--a community disaster plan.


The new graduate in the O.R.

The new graduate in the O.R.


Training the new grad nurse in the O.R.

Training the new grad nurse in the O.R.


How to select surgical instruments.

How to select surgical instruments.


National Health Grant 602-21-3.

National Health Grant 602-21-3.


Extended work day--two years later.

Extended work day--two years later.


As designer and contractor you can cut costs.


On-site computer proves itself.

On-site computer proves itself.


Hospital minutes--can yours stand improvement?


Child life programs: an essential ingredient to good patient care.


Developing a common performance evaluation system for all employees of a hospital.


Are hospitals operating as efficiently as private corporations?


Wanted: a new pharmacist-consumer relationship.


The case of the missing phalanx.

The case of the missing phalanx.


Taking another look at environmental analysis.


Microwave cooking--way of the future?

Microwave cooking--way of the future?


How New Brunswick hospitals developed a province-wide collective bargaining system.


The age of organization.

The age of organization.


New wheelchair design aids spinal therapy.


Delivering dental care in the Canadian North.


Planning for comprehensive health care.

Planning for comprehensive health care.


What's ahead in purchasing?

What's ahead in purchasing?


What method of nursing is best for you?

What method of nursing is best for you?


Hospital administrators as community leaders.


Some incongruous results.

Some incongruous results.


Tomorrow's purchasing men.

Tomorrow's purchasing men.


Who buys for maintenance?

Who buys for maintenance?


Meeting future emergency needs.

Meeting future emergency needs.


How are hospital beds being used by doctors?


What feeding system for your hospital?

What feeding system for your hospital?


Information and reporting: the basis of infection control.


TRIDEC--a pioneer in shared medical services in Canada.


Matrix management: a system approach to program evaluation.


Regional health planning in Sweden: a comparison.


Centralized OBS services.

Centralized OBS services.


Courses for upgrading laundry service staff now available.


Economizing in housekeeping without reducing standards.


Textiles in hospitals: the flammability problem.


Hospital pharmacists: how well do you communicate?


Let's have more executive involvement.

Let's have more executive involvement.


Planned, professional approach needed for nurse recruitment.


Computer-assisted patient data system.

Computer-assisted patient data system.


Sunnybrook's new acute stroke unit.

Sunnybrook's new acute stroke unit.


British health service takes a new approach to management.


Medical audit--a contagious idea.

Medical audit--a contagious idea.


Investigating unit dose feasibility.

Investigating unit dose feasibility.


Staffing patterns and mobility of nursing personnel.


The problems and challenges facing food service administrators.


The use of standards in the planning process.


Hospital studies commercially supplied surgical dressings.


When the bigger crunch comes...

When the bigger crunch comes...


Ties, photo-finishes feature 1974 hospital newsletter contest.


The hospital newsletter.

The hospital newsletter.


A few hints to help you make your newsletter look better.


The effects of financial restraint on hospital care.


Implementing a management development program.


Evaluation of a treatment centre by its clients.


An in-depth look at primary care.

An in-depth look at primary care.


Nurses' professional image and collective bargaining.


Why social services in general hospitals?


Frustrations slowing down pace of metric conversion.


When recipes go metric...

When recipes go metric...


A training program for central service.

A training program for central service.


Hospital engineering--beyond the hospital.


Changing concepts of health for Canadians.


Survival in a lawsuit-prone society.

Survival in a lawsuit-prone society.


Quality food service to staff and visitors.


Catering and public relations.

Catering and public relations.


'Team patient care' room design.

'Team patient care' room design.


Recruit ... retrain ... retain...

Recruit ... retrain ... retain...


Monitoring professional development.

Monitoring professional development.


VTR adds new dimension to health care training.


Hospitals mirror problems of society.

Hospitals mirror problems of society.


Making the hospital a people-place.

Making the hospital a people-place.


Positive deviance and organizational health.


Psoriasis day care.

Psoriasis day care.


A computer moves into the O.R.

A computer moves into the O.R.


Preventive maintenance of laboratory equipment.


Does an all-R.N. staff provide better quality care?


Broadening health care horizons.

Broadening health care horizons.


The changing roles and goals of respiratory technologists.


Respiratory technology advancing in Quebec.


Evaluating frozen food service in a hospital.


Using permanent part-time nursing personnel effectively.


Primary care: assessing a community's needs.


Primary care: the hospital perspective.

Primary care: the hospital perspective.


Ambulance personnel playing wider role in their community.


An approach to patient classification...and some results.


A systematic approach to the organization of a clinical department.


Patient education given new dimension by unique TV system.


The dilemma facing critical care nursing.


Carded dosage system streamlines drug handling in chronic care institutions.


What price austerity?

What price austerity?


Modern hospital inventory management: how modern?


Nutrition for today's lifestyle.

Nutrition for today's lifestyle.


Centralized processing and supply of anaesthetic equipment.


Patient care auditing in the O.R. suite.


For Canada Hospital Day: why not a town meeting?


Hospital spurs dialogue with local clergy.


Health care by objectives.

Health care by objectives.


Hospitals and new perspectives in health care.


Seeking alternatives to institutional care.


Patient administration services: organization for patient management.


Decentralization of decision-making to improve patient care.


The dilemma of psychiatric hospitals: patients' rights vs. public safety.


Business equipment can help cut costs.

Business equipment can help cut costs.


Expectations and realities--engineering style.


On managing: administrators should be expected to provide informed support to middle managers.


On planning and design: utilization patterns of health care facilities.


An economist looks at health care.

An economist looks at health care.


May a hospital deny medical staff privileges to an applicant on the basis of "temperament" or "inability to get along with others?".


Herpes simplex isolation.

Herpes simplex isolation.


Blue Cross plan funds infection-cutting project.


Health care engineering for burns hospitals.


Helping the alcoholic into treatment.

Helping the alcoholic into treatment.


Keeping track of patients: a growing responsibility for physicians.


The temporal organization of continuity: the case of medical and nursing coverage.


Keeping track of patients: setting up an efficient recall system.


Keeping track of patients: practice profiling and diagnosis indexing.


A climatology of health care.

A climatology of health care.


Strategic planning and control in small health organizations. It is the end of the second quarter, and the controller announces that the fiscal year's funds for equipment and supplies are fully expended. The executive director hits the roof--he has promised the radiology department a new piece of x-ray apparatus. An ongoing planning-and-control procedure would have foreseen and prevented this shortfall.


A conversation with Don Shropshire. Interview by James Keough.


The communications revolution.

The communications revolution.


Breaking the tradition barrier: managing integration in health care facilities. A critically ill patient needs immediate resuscitation. The physician looks for the right chest tube in the specialty unit's supplies--it is out of stock. The patient dies before a tube can be located elsewhere in the hospital. Under a different organizational structure, this death could have been prevented.


Strategic modelling for health care managers. The Medical Director of a new HMO thinks the patient load warrants hiring three new internists. What additional factors should he consider? How will this move affect the other needs and plans of the HMO? What effect will it have on the organization's financial condition? Here's the way a large corporation would tackle these questions.


What do you think health care delivery will be like in the year 2000?


The changing role of the hospital administrator. Law and the professional standards of doctors, nurses and aides control the performance of their jobs and their response to directives of the institution's chief administrative officer. They might be surprised if he asked them to sit down together and discuss how a particular problem should be handled--but it's a big step toward creating a trustworthy internal system to which the staff feels it can belong.


Capturing the 80s . . . and beyond.

Capturing the 80s . . . and beyond.


HCMR interview: the way Dick Wittrup sees it.


Why organization development hasn't worked (so far) in medical centers. An exasperated corporation executive recently summed up what was, to him, the paramount problem of any business: It's full of people. Organization Development, born in industry, has done much good in that setting, but it often multiples the problems of a health care system rather than solving them. Here are some of the reasons--many of them people.


Linking health needs and facility location: the HCPM's challenge. How many people in your area have health needs? What are their needs? Are the right services reaching them? How should facilities be located so that their needs can be met? The author discusses how these questions often are addressed in a way that produces accurate answers + and offers some organized ways to find them.


Which way for health services? Four scenarios of the future.


From state hospital to integrated human service system: managing the transition. If a human service facility can treat a mental patient at one-fifth the cost incurred at a parallel state mental hospital, and do it better, there is compelling reason for mental health care managers to consider the benefits of matrix organization.


Management uses of the Delphi.

Management uses of the Delphi. In addition to its simplicity, the Delphi approach to planning and problem solving invites candor and uninhibited response from participants. It may also serve as a bridge to team building within the health care institution.


What legislation being considered by Congress this year would have a major impact on the health system?


Collective bargaining with professionals: conflict, containment or accomodation? The prospect of a collective bargaining unit in his institution sends shivers down the spine of the health care facility manager. What are the concerns--and are they warranted? This study of an actual situation at "Central Hospital" identifies those concerns and follows them over 10 years to point up some implications of the collective bargaining agreement for managers, the bargaining unit--and other professionals in the institution who might be affected.


Management noninformation systems in health care organizations. The health care manager is often an unwitting accomplice in the creation of noninformation systems because he fails to assume leadership in designing, installing and operating the system. There's also strong evidence that many managers could use a good course in basic accounting.


HCMR interview: Mr. Inside and Mr. Outside.


The organization of effective hospitals. An analysis of 32 hospitals for effectiveness, organization structure, integrative mechanisms, and coordinative aspects reveals some common characteristics that can guide managers in structuring their own organizations.


Workshop: improving worker coordination in health care delivery. Patient management teams are able to diagnose and begin to solve their own problems with the help of a self-instructional health team development (HTD) program. In this case, the focus is on those task-related issues which limit team effectiveness.


The demise of the hospital.

The demise of the hospital. We observe a mounting strain between the consumer's demand for increasing amounts of health care, and a network of hospital services that becomes increasingly difficult to maintain. Can adjustments be initiated short of crisis to break the present cycle and prevent the derailment of the entire clinical system?


Valuation as a criterion in not-for-profit decision-making. Viable management decisions, in health care just as in industry, must be based on many inputs--including financial valuation, which has not traditionally been applied in the health sector. Financial valuation helps to insure both continued service to the community and economic survival of the institution.


Ambulatory care protocols as management tools. While a protocol is generally used by a physician, it is important for the manager to understand its use in monitoring costs and in assuring conformance with defined optimal standards of care.


Economic viability of community-operated prepaid health plans. This analysis of economic viability of 30 family health centers reveals that the best strategy to insure survival is for the new organizations to perform only the insurance company functions. As enrollment increases, some services "made" more cheaply within the organization than by contractors can be offered; all other services should continue to be "bought".


Tax-exempt hospital financing: revenue bonds. When a hospital must issue a tax-exempt bond, it can influence the net interest cost by instituting in advance both risk reduction methods and cash flow adequacy measures. Hospital managers should consider when initiating projects that will impact on cash flow and revenue as well as in creating the accompanying financing package.


Identity crisis: financial management in health. Financial management is something quite different from the "bean-counting" image of the traditional "finance man". It is proactive and is closely tied to the broader range of organizational strategy and environmental constraints. What are the interrelationships that must be recognized in order to make the transition to the central role of financial decision making and management?


Workshop: manpower planning to meet needs. Ms. Holland describes the building of a data base which can be updated and used to plan for manpower needs. She includes an analysis of the present work force, of the organizational structure and of the demand situation as well as productivity trends. Her skills inventory can be applied to a large variety of institutions.


Productivity and human services.

Productivity and human services. Human services organizations often are coalitions of many elements in the community. They have vague goals, intangible output, and the "needle" of professionalism all to make the operating manager's job a difficult and challenging one. The manager can control, however--if he understands some of the particular problems and characteristics of organizations in this industry.


Keeping up with...new roles in health care: the clinical engineer. Most managers are well aware of the costs related to purchasing, installing and maintaining sophisticated medical instrumentation. Can these costs be reduced by hiring an in-house clinical engineer? The authors consider a number of alternatives in addressing this one area of soaring medical costs.


Hospital managers need management information systems. A new hospital director seeking to bring his institution to the brink of solvency found himself with ten pounds of data but no "information"--at least, not the kind of information he could use as a basis for management decisions. What he needed was a system that would not only present data, but the meaning of the data. Such a system is the integrated MIS.


Medical self-care programs.

Medical self-care programs. Self-care has its roots outside of the traditional or formal medical delivery system. However, as potential advantages of such efforts are considered, self-care projects are increasingly being integrated within the delivery system. The authors comment on the rationale behind the self-care movement, report examples of successful models and discuss planning, organization and implementation issues pertinent to the development of a cost-effective, targeted program.


HCMR interview: NYC's Lowell Bellin.

HCMR interview: NYC's Lowell Bellin.


Systems intervention: new help for hospitals. Systems intervention is a dynamic approach to dynamic problems. By illustrating evolution and change in the nature of the problems--and the solutions--it provides a structure that encourages healthy interchange, discourages debilitating conflict, and ensures continuing commitment.


Regionalization of national health insurance in Italy.


The facsimile solution...

The facsimile solution...


Crisis of age requires bluprint.

Crisis of age requires bluprint.


Hospital opens operating room doors to public.


Health care by consensus.

Health care by consensus.


O.R. gas hazard can be minimized.

O.R. gas hazard can be minimized.


Editorial: newest affiliate of the American Hospital Association.


Dealing with a militant union.

Dealing with a militant union.


Catholic hospitals.

Catholic hospitals.


Health education: a neglected role?

Health education: a neglected role?


How to choose a consultant.

How to choose a consultant.


Infection control: devices...and dangers.


Health care in China.

Health care in China.


Weight clinic aims to prevent disease.

Weight clinic aims to prevent disease.


Does nobody want to use this agency?

Does nobody want to use this agency?


The growing role of the hospice.

The growing role of the hospice.


The case for group purchasing.

The case for group purchasing.


Success story in psychiatry.

Success story in psychiatry.


Surgical suite treats 10,000.

Surgical suite treats 10,000.


Modular look for hospital.

Modular look for hospital.


On shrinking the hospital system.

On shrinking the hospital system.


Team PR.

Team PR.


Manage each step for quality software.

Manage each step for quality software.


Project management teams smooth organizational change.


How a training manual got us educated.

How a training manual got us educated.


Social auditing: is it next for hospitals?


How the materials manager affects cash flow.


Charge control is not the answer to containing hospital costs.


Payment patterns: receivables indicators.


Employee discounts--viable self-insurance option.


Are you reacting or responding?

Are you reacting or responding?


Keeping it to a dull roar.

Keeping it to a dull roar.


Ever so briefly.

Ever so briefly.


The hospice concept.

The hospice concept.


The supervisor's role in employee health.


Everyone's different.

Everyone's different.


Power and the hospital executive.

Power and the hospital executive.


Zera base budgeting.

Zera base budgeting.


The management of disruptive conflicts.

The management of disruptive conflicts.


The impact of possible financial reporting changes.


Consumer charge: key to hospital autonomy and consumer responsibility.


Incomplete medical records: three case solutions. The medical record is the wellspring of data for countless medical staff and administrative decisions. Even though the ancillary activities that depend on the medical record have received most of the attention in recent years, the most common problem encountered by medical and hospital staffs is probably as old as the concept of the medical record itself--completing it in a timely and accurate manner. This article details how three hospitals keep the number of incomplete charts in check.


No compromise reached on CON extension.

No compromise reached on CON extension. With the federal law requiring state certificate of need laws for expensive medical equipment up for renewal, the 95th Congress debated whether or not to extend the law to cover equipment used in noninstitutional settings. The AHA contended that the exemption for physicians' offices was a loophole that had to be filled; the AMA argued that each state should make its own choice; and Congress couldn't reach a decision. This controversial issue is likely to come up in the 96th Congress.


Rationing health care services through regulation.


The capital budget: a case study in physician involvement. The Capital Budget Committee of a community general hospital in New Jersey includes three physician members (along with six trustees and an administrative staff member) and is headed by a physician chairman. How this successful multidisciplinary approach to capital budgeting works is summarized in practical detail.


The physician's stake in hospital financial planning. In the current regulatory and cost-conscious environment there is no longer any margin for error in the hospital budget. This means that the medical staff must join administrators in the budgeting process to create a tight, effective budget--by submitting accurate data, informing administrators of future plans, determining priorities to fit financial constraints, participating in long-range capital planning, and strictly keeping to the final budget.


How many beds are enough?

How many beds are enough?


Specialty groups give cost containment support, advice. A number of medical and health care specialty organizations have either given direct support to the Voluntary Effort or have sanctioned cost containment as a principle. Some have drawn upon their professional expertise and developed cost containment recommendations for their constituencies. A sampling of these recommendations is included.


The Voluntary Effort gears up for a tough year. The success of the Voluntary Effort can be credited to the movement's broad-based coalition and the commitment shown at the grass roots level. But, much remains to be done, and the VE is gearing up to meet the challenge. In 1979 emphasis will be placed on: a greater role and involvement for hospital trustees, increased efforts by hospitals to develop better ways to inform physicians about the costs of tests and services, and the need to create an even greater awareness and commitment to the VE at the grass roots level.


The medical staff's contribution to cost containment.


Safe equipment: a matter of selection and detection. Medical diagnostic and therapeutic equipment is a staple of all hospitals. Unfortunately, these devices are also the source of a number of legal problems, including the need for "keeping up with the Joneses" in purchasing equipment, proper selection, and detecting and reporting malfunctions. The medical staff's role in regard to these issues is discussed.


Defective devices--who's liable?

Defective devices--who's liable? Biomedical engineering know-how and ingenuity have created numerous new implanted and externally used products that have considerably advanced patient care. However, some devices have developed unanticipated problems, leading to complex medicolegal situations.


Checking the impulse to x-ray.

Checking the impulse to x-ray. A radiologist discusses the overuse of x-ray examinations in light of their risk and cost. He lists the more and the less defensible reasons for these examinations and suggests practices that would encourage more selectivity in their use.


How change is achieved--hospitals as a model.


Reevaluating the need for discharge summaries.


Coping with resistance to child life programming.


American studies in English hospitals.

American studies in English hospitals.


Criteria for evaluating infant environments in hospitals.


Group dynamics in community health teams. The work of community mental health centers is typically organized into heterogeneous groups of professionals and nonprofessionals. These groups suffer from numerous strains and conflicts and infrequently achieve group cohesiveness or a sense of community. This paper analyzes the source of this problem from the points of view of group dynamics and social organization. Implications for promoting group cohesiveness through group design are discussed.


Evaluation of outpatient client progress: time-series telephone interview data. A cost-efficient information system that allows for the continual monitoring of the verbal reports of mental health outpatient behavior was designed and implemented. Verbal descriptions of patients' problem behaviors were collected during baseline, therapy, and post-therapy periods using a telephone interview procedure. Descriptive data were presented for 25 patients, demonstrating that: (a) adequate baseline measures can be taken to evaluate therapy interventions, (b) there are wide differences among patients' reports as to the change in frequency of problems that occurs, and (c) patients' reported satisfaction with therapeutic services may be inconsistent with their verbal reports of behavioral change.


Psychiatric impairment in rural communities. This household survey of 713 adults residing in nine rural Middle Tennessee counties was conducted to estimate the prevalence of psychiatric impairment in the rural population, to determine which groups in the population are characterized by higher levels of impairment, and to assess the validity of three indices of psychiatric impairment (HOS, CES-D, and GWB). The data indicate that approximately 12% of the rural population may be impaired and that impairment is most likely among females, the divorced, widowed, or separated, and those in lower socioeconomic strata. While depression was more common among the young, physical and psychosomatic complaints were more common among older respondents. Further, respondents classified as impaired by the indices tended to view themselves as having "substantial" or "major" problems and were likely to feel that they might require professional help. While the GWB appeared to discriminate between users and non-users of services, the other indices were less effective as predictors of service utilization.


A computer-assisted preventive maintenance system. With the growing number of hospitals developing in-house preventive maintenance capabilities, and the increasing number of pieces of equipment and instruments needing preventive maintenance, automatic data processing has emerged as a tool to aid the clinical engineer and hospital in planning preventive maintenance programs. Such a system is CAPMS, or Computer Assisted Preventive Maintenance System. Through the use of CAPMS, the department in charge of Preventive Maintenance can keep accurate records of PM history, safety testing, and year-to-year maintenance costs. Some of the special features of CAPMS include: information of availability of equipment for servicing, priorities, and a text file that can be used to print out the procedure form for use during the PM. These additional features make CAPMS a useful tool to the clinical engineer.


Designing special test instruments for preventive maintenance. Periodic performance testing of biomedical equipment can be made considerably more efficient by careful design of test procedures and by fabrication of special test instruments which are designed for those procedures. The design philosophy behind such procedures and instruments and its applicability to a wide variety of biomedical devices is discussed. As a practical example, an ECG machine/patient monitor test system is described and construction details are given.


The realities of rural primary care.

The realities of rural primary care.


Primary care in a tertiary care center: its impact on hospitalization.


Development of an in-house clinical engineering shared service. Within the Greenville, South Carolina, Hospital System, an in-house Clinical Engineering Department is being developed as a shared service. This paper discusses the background for this program in a multihospital system. Several aspects of the program, including staffing, equipment needs, scheduling, participation in system activities, and some future possibilities for department expansion are also presented.


Medical group practice in a teaching hospital.


A neighborhood health center ten years later.


An overview of medical group practice.

An overview of medical group practice.


An automated electrical safety and preventive maintenance program. The Miami Heart Institute's Electrical Safety and Preventive Maintenance Program has been designed as a stand-alone component of a large-scale, computer-based hospital information system. It ensures regularly scheduled routine inspections, preventive maintenance and, where applicable, calibration of the institution's diagnostic, therapeutic and other electrical equipment used in patient care. The program also schedules and documents inspection of buildings, service equipment and grounding systems. The software consists of a single program which permits on-line entry, editing and display of information as well as automatic, unattended generation of printed forms. This program has been in continuous use since May, 1974.


Goals and experiences.

Goals and experiences.


Valentine Lane Family Practice, Yonkers, New York: focus on health.


The family practice team: the role of the family nurse practitioner.


Job forecasting in the biomedical engineering disciplines.


Patient evaluation.

Patient evaluation.


The pediatrician and family practice.

The pediatrician and family practice.


ECG data compression for the emergency setting. A low-cost system for digital transmission of the electrocardiogram (ECG) from a remote location to a medical facility under emergency conditions is developed. Delta threshold, Aztec and a hybrid combination of these two data compression techniques are evaluated to determine their ability to accomplish real time transmission of the ECG over a telephone system. The evaluations are performed using ten electrocardiograms representing arrhythmias commonly encountered in the emergency setting. It is shown that the delta threshold technique may cause data expansion under certain conditions. The hybrid technique is the optimum choice and real-time transmission can be accomplished over a 2400 BAUD system.


A nurse screening intake system to improve clinic efficiency.


Different models of delivery care: a panel discussion.


Reducing broken appointments in a primary care clinic.


Development of a primary care program for medical students.


Entry strategies for marketing in ambulatory and other health delivery systems.


A department of medicine moves toward primary care training.


Residency program in social medicine and family practice.


A resident's perspective on a social medicine program.


Education for primary care in the center for Biomedical Education.


Primary care and medical education: a panel discussion.


The RN consultant to an ICF.

The RN consultant to an ICF.


A possible solution to admission trauma.


Communicating with your employees (it may be the key to remaining union free).


Early intervention through occupational therapy.


Being a pro.

Being a pro.


When a nursing home is the answer.

When a nursing home is the answer.


Tax exempt interest--opportunities and problems.


Salvaging a disaster!

Salvaging a disaster!


Receivership: a remedy for patient abuse cases.


Friendship! The important dimension.

Friendship! The important dimension.


A survey of clinical practice in music therapy. Part 1: The institutions in which music therapists work and personal data. In the spring of 1978, 1,064 questionnaires were mailed to registered music therapists working in clinical settings. Part 1 of this paper reports on the types of institutions in which music therapists work, who employs them, and the salaries they earn. This section also deals with age, sex, religion, job satisfaction, job security, types of handicapped persons with whom music therapists prefer to work, work experience, and longevity.


Factors related to accidental poisoning in preschool children.


The privacy implications of insurers' information practices. Insurers and their support organizations are among the largest collectors and users of personally identifiable information in the United States, yet little attention has been focused historically on the implications of insurers' information practices to individuals' privacy. Moreover, these practices are virtually opaque from the subject individual's point of view--in other words, individuals do not realize the full implications to their privacy when they enter into relationships with insurers. Thus, individuals may be at a disadvantage from a privacy protection standpoint in dealing with insurers. This paper analyzes insurers' information practices from a privacy protection perspective and suggests several areas that need improvement.


An empirical analysis of the capacity crisis in medical malpractice insurance.


"New" sources of data on adulthood and later life.


Nutrition facts and fallacies.

Nutrition facts and fallacies.


Coordinating work in the nursing home: methods and outcomes.


Texas laundry manager trims monthly expenses by over $250.


Bringing program evaluation and clinical practice together.


Health and mental health care of the 1980s.


What should be done about disposables in surgery?


From cards to microfilm.

From cards to microfilm.


Strategic planning in the Scottish health service--a mixed-scanning approach. A programme of research into the development of effective planning processes for the Scottish health service has been undertaken. This has led to proposals that a mixed-scanning approach be developed with the aim of introducing more systematic and rational thinking in a way which is technically and politically realistic. This paper discusses these general proposals in outline and the basis on which they were designed; it also focuses on one of the key components--the concept of a scanning or review process--which will provide an overall appreciation of what has been happening within the health service and what the future could hold. The research is continuing but even at this stage the emerging concepts could be of wide relevance and interest.


Even a phony lawyer gets top care--need it or not.


Psychological testing and inpatient treatment: dual anachronisms or clinical necessities?


How far can you go in fighting an H.M.O.?


Components and requirements of a QA program for the medical record service.


A quality assurance program in action.

A quality assurance program in action.


Changing perspectives in credentialing: facing new challenges.


Is cost containment a myth?

Is cost containment a myth?


AMRA bylaws and code of ethics (amended October 1978).


Epidemiology: does it have value for the RRA?


How one group grapples with purchasing--and saves $2 million in the process.


Survey shows shared services momentum.

Survey shows shared services momentum.


Aspects of training in medical records.

Aspects of training in medical records.


A modified terminal digit filing system enabling the use of double colour coding.


Annual Albany College of Pharmacy prescription survey.


Detailing in the hospital market.

Detailing in the hospital market.


Pushing productivity: look who's talking.


Hawaii health plan: a model way to fill gaps in insurance?


What is unique about Catholic hospitals.


Rx for physicians: educate while we medicate.


Hospitals cut fuel needs or go solar in model program.


A lawyer takes a practical look at the state health plan.


Radiologists and the SHCC's plan and policy committee settle on bilaterally rewarding agreement.


Planning must integrate with decision making.


SHCC at a crossroad: does it go political?


Sprinkler systems.

Sprinkler systems.


Special fire extinguishing systems.

Special fire extinguishing systems.


How to conduct a realistic mock disaster program.


Preventive medicine for employers.

Preventive medicine for employers.


Systematic assets management: body building for the financial statement.


Rules for regulators.

Rules for regulators.


Leaving against medical advice.

Leaving against medical advice.


A different approach to merit increases.


When the traditional job description is not enough.


A legal perspective on the Bakke decision.


Calculating sick leave and vacation with an hourly accrual system.


An Rx for performance appraisals.

An Rx for performance appraisals.


Put-down techniques: are you guilty of them?


What to expect from your first survey of employee morale.


Nurses' management problems and their training implications.


Over 65 health-related agencies participate in Pharmacy Fair in Ohio.


Diabetes mellitus: a multidisciplinary approach to patient education.


1978: top 200 drugs--total number of prescriptions declines by 1.1%, but generics rise by 8.7%.


Who's to blame for rising medical costs?


Malpractice screening panels: are they worth the cost?


Supreme Court rules on commitment.

Supreme Court rules on commitment.


Impressions of South Africa.

Impressions of South Africa.


The CAT scan debate.

The CAT scan debate.


The problem of non-compliance.

The problem of non-compliance.


Military medicine--an option worth considering.


Toward solving medical malpractice problems.


Banking on health.

Banking on health.


Static AC power supplies for emergency lighting systems.


Staff evaluation of supervisors.

Staff evaluation of supervisors.


Library services for forensic psychiatrists.


Hospital cost containment: view from the states.


Hospital cost containment: Round 2.

Hospital cost containment: Round 2.


Risk management: no task for the timid.

Risk management: no task for the timid.


Regulation and the paradox of freedom.

Regulation and the paradox of freedom.


Open membership.

Open membership.


As I see it: managing a service institution.


Blood pressure screening: a gift that kept on giving.


Giving credit where it's due.

Giving credit where it's due.


One order of toast.

One order of toast.


What do volunteers have to do with health care planning, anyway? An American perspective...


A joyful noise.

A joyful noise.


A different kind of intern.

A different kind of intern.


Think children!

Think children!


What do volunteers have to do with health care planning, anyway? A British perspective.


Drop-in child care: sandcastles and sensitivity.


Women and health statistics: areas of deficient data collection and integration. Improved data on women's health should be based on a definition of health capital for women that takes into account reproductive efficiency and the life experience of women in relation to fertility, general health, employment, and household responsibilities. More information is needed about the conduct of household roles related to investment in health capital for family members. Definitions of health are pragmatic and are related to social systems, including health care providers, for which the definitions serve as signals for certain actions. Women can seek to modify these definitions, which have expressed historical biases about women. Data collection should include information about the extent to which privacy as a dimension of access to health care is achieved. Longitudinal and other approaches to health history data should be explored. Fertility and general health data statistics in federal data systems need to be integrated. Insurance adequacy must be determined in relation to benefit scope, relation to prices, employment requirements, and family contracts. Data that will be helpful in adapting industrial environment to health goals are needed. Provider characteristics relevant to women as patients and workers, and qualities of residential environments pertaining to health, need to be studied. Future research should include evaluation of women's health capital and opportunities for programmatic investment to improve household efficiency in conduct of health-related affairs.


Female illness rates and illness behavior: testing hypotheses about sex differences in health. Health surveys repeatedly show that females have higher rates of illness, disability days, and health services utilization than do males. Numerous reasons for these sex differences have been hypothesized, based on four general factors thought to differ by sex and to influence self-reported health: genetic characteristics, physical risks, illness behavior, and reporting behavior. This paper briefly reviews these hypotheses, then discusses research strategies to test them. The strategies vary in the type of dependent variables used (medical vs. sociomedical health indicators) and the main method of controlling predictor factors (elimination vs. statistical control). A study was completed in 1978 in the Detroit metropolitan area to (a) explore reasons for sex differences in health and (b) reveal how strongly illness behavior (perception and evaluation of symptoms, propensities to take curative actions or disability days) affects common health indicators, particularly those for the national Health Interview Survey. The study's research design (use of a health diary, and focus on hypotheses about illness behavior) is described.


Ninth conference on hospital services in Europe: report--Part II.


Services for the elderly: World Health Organization.


Services for the elderly: Belgium.

Services for the elderly: Belgium.


Services for the elderly: Denmark.

Services for the elderly: Denmark.


Services for the elderly: Finland.

Services for the elderly: Finland.


Services for the elderly: France.

Services for the elderly: France.


Services for the elderly: German Democratic Republic.


Services for the elderly: German Federal Republic.


Services for the elderly: Italy.

Services for the elderly: Italy.


Services for the elderly: Ireland.

Services for the elderly: Ireland.


Services for the elderly: Netherlands.

Services for the elderly: Netherlands.


Services for the elderly: Norway.

Services for the elderly: Norway.


Services for the elderly: Sweden.

Services for the elderly: Sweden.


Services for the elderly: Portugal.

Services for the elderly: Portugal.


Services for the elderly: Switzerland.

Services for the elderly: Switzerland.


Services for the elderly: United Kingdom.


Health care and the asymptomatic population.


Services for the elderly: Yugoslavia.

Services for the elderly: Yugoslavia.


Family physicians and the mental health system.


Maternal nutrition: the Montreal Diet Dispensary.


The medicolegal significance of the package insert.


D.C. General Hospital: the nurse specialist hypertension clinic.


Employee alcoholism programs in hospitals.


Some problems of bedside EEG recording.

Some problems of bedside EEG recording.


MDs stood on brink of nuclear disaster.

MDs stood on brink of nuclear disaster.


Assignment: Arabia.

Assignment: Arabia.


'Make sure your contract spells out everything'.


The Jonestown autopsies: bungled aftermath of tragedy.


Hospitals well prepared for tornado's aftermath.


Nursing group reports staff shortages.

Nursing group reports staff shortages.


Reed's laundry is growth oriented.

Reed's laundry is growth oriented.


Free equipment? Well, almost . . .

Free equipment? Well, almost . . .


Guidelines to the ethical practice of anesthesiology.


Prefabricated modules speed hospital construction.


Amendments to ASA by laws.

Amendments to ASA by laws.


Statement of policy.

Statement of policy.


Association salaries: equal pay for equal work?


Successful self-development program takes education into the field.


American Pharmaceutical Association.

American Pharmaceutical Association.


The money in curing hospitals.

The money in curing hospitals.


Information science contributions to health information.


As the world turns: the saga of satellite communications.


A secluded rendezvous: rural isolationism is a thing of the past.


How a paramedic nurse coordinator expedites education and review.


Structuring a sound dental insurance program.


Painting a picture of the housekeeping department.


5th annual salary survey.

5th annual salary survey.


Controlling fungus.

Controlling fungus.


Beware of the hidden costs!

Beware of the hidden costs!


Your infection control committee needs you!


Infection control: does your program measure up?


The status of recertification.

The status of recertification.


Patient safety programs: a possible solution.


'Lack of proper hospital facilities'--labor man.


Hospital production--can costs be contained?


Graduate medical education and international relations.


FMGs in transition.

FMGs in transition.


FMGs: the issue--a view from abroad.

FMGs: the issue--a view from abroad.


FMGs: the issue--an echo in other countries.


Medical school admission policies and the demand for higher education.


Meeting the needs of surgical training around the world.


How U.S. law affects FMGs.

How U.S. law affects FMGs.


Preserving our international role in postgraduate medical education.


Talking pay policy pays off.

Talking pay policy pays off.


The supervisor's survival guide: the great balancing act.


Those expensive new toys.

Those expensive new toys.


Private lives: protecting patient records.


On who will whip whom: Carter and Kennedy duel over competing health plans.


Califano answers back. Interview by Mary Hager.


Diagnostic X-ray systems and their major components; amendments to performance standard: final rule.


Prepaid medical service plans; revocation of part.


Protection of human subjects of biomedical and behavioral research: notice of report and recommendations for public comments.


Health maintenance organizations; procedures for enforcement of employer compliance.


Federal Employees Health Benefits Program; benefits for members of medically underserved populations: proposed rulemaking.


Medical devices--establishment of procedures to make a device a banned device: final rule.


Medical facility construction and modernization; requirements for provision of services to persons unable to pay and community service by assisted health facilities: final rule.


HMOs--an idea whose time has come?

HMOs--an idea whose time has come?


The Blues' blitz on health care costs.

The Blues' blitz on health care costs.


Health care costs: why regulation fails, why competition works, how to get there from here.


Controlling hospital costs: government rationing or the voluntary effort.


A prescription for drug reform.

A prescription for drug reform.


Rethinking federal health policy: unshackle the health care consumer.


Conscription for doctors.

Conscription for doctors.


Health care should match your needs for peak efficiency.


Law reform and you: introduction and overview.


Euthanasia.

Euthanasia.


Human experimentation.

Human experimentation.


Behavior modification.

Behavior modification.


Treatment.

Treatment.


Sanctity and quality of life.

Sanctity and quality of life.


Sterilization.

Sterilization. The history of sterilization in North America has included enactment of laws in 37 U. S. states and 2 Canadian provinces allowing the procedure to be performed to eliminate undesirable, genetically-transmitted traits.  These eugenic laws applied to any of the following categories of persons: mentally regarded, mentally ill, epileptic, criminal, alcoholic, or poor people.  Pressure from geneticists, lawyers, and others concerned with the implications of such laws, led to their repeal in many places.  Noneugenic and nontherapeutic sterilization is today a recognized medical practice.  Legally, such procedures must meet the following criteria: 1) informed consent; 2) individual benefit; and 3) performance with reasonable care and skill.  If these criteria are met, doctors are protected from legal liability.  The most legal, social, and ethical ambiguities arise in cases where nontherapeutic sterilization is performed on individuals unable to give consent, e.g., minors or mentally handicapped persons.


Informed consent.

Informed consent.


In search of the ethical man.

In search of the ethical man.


Mental health in Saskatchewan: a look at the past, present and future.


"Caregivers": a study design.

"Caregivers": a study design.


Setting creative goals.

Setting creative goals.


A national policy for biomedical and behavioral research: position of the Association of American Medical Colleges.


Public opinion on subject participation in biomedical research: new views on altruism, perception of risk, and proxy consent.


Continuing education for employed clinical engineers: review of education and requirements.


Clinical engineering practices: noise--the new hospital contaminate.


Clinical engineering practices: maintenance and safety testing of common electromedical devices.


Harry Levinson on management development and appraisal of performance. Interview by Jules E. Eitington.


B.C.H.A. trustee orientation program.

B.C.H.A. trustee orientation program.


Trends and issues in health services.

Trends and issues in health services.


A regional model for a hospital-based clinical engineering internship program.


The case against medical appeal boards.

The case against medical appeal boards.


Grim future for health care.

Grim future for health care.


From one reform to another.

From one reform to another.


Determinants of equity of rewards for managers.


Madison Hospital has new service--"The Stork Club".


They said it couldn't be done!

They said it couldn't be done!


The impossibility of group decisions.

The impossibility of group decisions.


The auxiliary and the cancer patient.

The auxiliary and the cancer patient.


Methodist Hospital Auxiliary sponsors Hospital Day at Lowenstein's Department Store.


Health professional manpower: shaping public policy?


Effect of pharmacist consultation on medication compliance.


Rutherford Hospital auxiliary adds new service.


Le Bonheur Twigs plan first annual miniature show.


Shocking pink garters.

Shocking pink garters.


A fun approach to making $$.

A fun approach to making $$.


A new training vehicle for Nashville's health care volunteers.


Why a professional society for directors of volunteer services?


Just what's so special?

Just what's so special?


The added ingredient.

The added ingredient.


Combining geriatrics with pediatrics: a volunteer's "prescription" for getting better--not older.


"The Lodge"--to fill a special need.

"The Lodge"--to fill a special need.


Auditing antiparkinsonism drugs: guidelines for appropriate medication use.


Disease conditions and drug usage by ambulatory geriatric Mexican-American patients.


Clinical pharmacy practice in an allergy clinic.


Developing pharmacy services in a therapeutic community.


Selection of pharmacists for assignment to patient care areas.


National health manpower policy: implications for pharmacy.


Use of auxiliary labels to improve patient compliance.


Patient package inserts: a study of communication techniques.


Pharmaceutical care through a nontraditional outlet.


Pharmacy and pharmacology: importance of collaboration at the clinical level.


Clinical pharmacy service: contributions on a part-time basis. Staffing a majority of hospitals with full-time clinical pharmacists is an aim that will not be attainable for many years. In an effort to demonstrate an interim approach to clinical practice that could be applied to a large percentage of hospitals, a part-time clinical pharmacist's services were documented. Serving a teaching hospital with an average census of 97 patients, the pharmacist, with a 50 percent time allotment for clinical services, monitored 229 total admissions during an eleven week period. The majority of patients were on either a pulmonary medicine or urology service. The total number of actions taken as a result of pharmacy consultations was 106, with 70 percent of these being related to dosing problems. It was concluded that a pharmacist providing clinical services to a large patient population on a less than full-time basis can have a positive impact on drug therapy.


A national survey finding. Medicines in medical care--the clinical pharmacist's role.


The utilization of a clinical pharmacist--a way of decreasing medications in a community hospital. This article summarizes the results of a study designed to evaluate clinical pharmacy services as a means of reducing drug usage in a 170-bed community hospital. A total of 591 medication orders for 93 hospitalized patients were evaluated. A pharmacy resident made recommendations regarding the appropriateness of the medication order to the attending physicians. A team of reviewing physicians later evaluated these recommendations. The resident's suggestions were also monitored by a university-affiliated and experienced clinical pharmacist. The number of medications ordered which the pharmacy resident would have prescribed during consultation with physicians was 312 (53 percent), while the overseeing clinical pharmacist would have prescribed 352 (60 percent). Two hundred and fifteen therapeutic recommendations were provided by the pharmacy resident, of which 38 (17.6 percent) were carried out by the attending physician. The reviewing physicians did not agree with 37 of these recommendations. Twenty-two drug interactions were detected, of which eleven were thought to be of definite clinical significance by the pharmacy resident. The study demonstrated that a 40 percent reduction in medication utilization could result in a community hospital, while the same level of therapeutic effectiveness was maintained, by using the services of a properly trained clinical pharmacist. The patient care appraisal committee which was appointed to evaluate the study reviewed the results and agreed that, based on the cost factor and improvement of patient care, clinical pharmacy services would be beneficial.


Clinical pharmacist or clinical pharmacologist?


The supply of physicians' services.

The supply of physicians' services. This paper presents a model of the supply of physicians' services based upon the assumption that physicians are price-taking utility maximizers. Assuming physicians' services are produced using physicians' labor and purchased inputs, the paper shows that the impact of changes in final product or input prices on the supply of physicians' services depends on the physicians' labor-leisure choice and on the degree of substitutability between physicians' labor and purchased inputs. The empirical results presented indicate that the physicians' labor supply curve is backward-bending, but that the supply curve of physicians' services is positively sloped.


Telemedicine by satellite in Newfoundland.


Interact--a microwave medical network.

Interact--a microwave medical network.


Patient education network begins operation.


A ward stock exchange cart system.

A ward stock exchange cart system.


An introduction to selected elements of research. The purpose of this paper, the first in a two-part series, is to provide an introduction to selected elements of research for the practising pharmacist. It is not intended to provide the reader with all the tools necessary to plan, conduct and report a research study. One paper cannot achieve this since entire books have been devoted to single components of research. Through the examination and discussion of the structure of a research report as presented in this paper, the reader should derive a basic understanding of selected aspects of research. A subsequent paper will present an approach to evaluating reports of research studies. The background provided by both papers should make it possible for pharmacists to review more objectively the increasing number of journal articles reporting research studies. Readers should also gain an appreciation of the complexity of the research process and the time required to prepare a paper acceptable for publication. They will not be in a position to evaluate all the details in the research report.


Only the EMT can define the real opportunities of the multichannels of UHF mobile radio trunking.


Organization: who does what when.

Organization: who does what when.


A prototype perinatal transport system.

A prototype perinatal transport system.


On becoming an effective supervisor.

On becoming an effective supervisor.


Use of the public telephone system as an adjunct in advanced life support communications: the Trinity EMS system.


Council adopts new logo.

Council adopts new logo.


Use and abuse of communications.

Use and abuse of communications.


Podiatry: its role in medicine in the United States.


Research designs appropriate for service agencies. The intent of research is to inform co-workers in similar environments of new or varied approaches to problems assumed to be shared. However, narratives of reported studies neglect to identify variables necessary for reproducing environmental contigencies. If the proposition is accepted that service agencies occupy unique environments, then single organism research designs such as ABAB and multiple baseline designs may provide more valuable information than currently accepted research methodologies.


Services for mentally retarded persons: the viability of a short-term residential service setting in Pennsylvania's system. Data regarding client discharge and client developmental growth were examined in an attempt to assess the viability of a short-term residential facility within the context of Pennsylvania's service delivery system for mentally retarded persons. While developmental growth was evidenced by all levels of retardation, discharge was notably absent for the profoundly retarded group. A closer examination of the findings highlighted the restraints imposed on the evaluation of a single component of a service system by the larger system in which it operates.


SHUR changeover cost still unsure after study of 47 hospitals.


Physicians' cost containment checklist.

Physicians' cost containment checklist.


Nesbitt: Rationing "inevitable" if controls approved.


Sammons: Controversy covers inflation, regulation, demands.


The Boston emergency medical services project: an exercise in cooperation.


Training to add new twist to Hawaiian efforts.


Governor, legislature laud Illinois VE accomplishments.


Quality control or, what's going on out there?


Physicians in Utah to scrutinize hospital charges.


The latest survey of state EMS offices has produced some surprising results.


Physician involvement: a critical factor in the development of community emergency medical services.


Emergency department move.

Emergency department move.


New cost awareness plan to involve 9,000 physicians on staffs of HCA hospitals.


Companies encourage doctors to aid in cost programs.


Catastrophic insurance looms as hot topic, gets Carter's priority in phase 1 of NHI.


Hospitals preparing for state rate control struggle in North Carolina.


AMI to develop health care system for new city in Brazil.


Financial disclosure bill approved in West Virginia.


More response needed from hospitals on proposed regulations.


Clarity and doubt: the aftermath of court rulings on union solicitation in hospitals.


Audubon is name of new hospital; St. Joseph site to be city park.


A time to advertise.

A time to advertise.


A noted economist critiques the "cap".

A noted economist critiques the "cap".


The administrator: a moving force in quality assurance.


Try this plan of action to mitigate more oppressive health care regulation.


Public utility approach to rate regulation won't work in hospitals.


The regulatory process: where is it headed?


Hospitals rank high in Louis Harris poll.


Hospitals must educate public on how health dollars are spent.


The public's advocate.

The public's advocate.


Consumerism in health care.

Consumerism in health care.


Ghetto hospital: community service earns Prospect respect, protection in slum area.


Hospitals need public education program.


Consumer interest makes hospitals more responsive.


Should hospitals turn to media advertising?


Consumer advocates voice viewpoints on health care.


The A to Z of zero base budgeting.

The A to Z of zero base budgeting.


Fundamentals of survival & success.

Fundamentals of survival & success.


The hassles & happiness of buying.

The hassles & happiness of buying.


Methods & ethics of buying.

Methods & ethics of buying.


How a consultant earns his fee.

How a consultant earns his fee.


TRA '69: coming up on 10 years.

TRA '69: coming up on 10 years.


Lobbying and nonprofits: what's the experience so far?


A limited license?

A limited license?


Individual physician performance evaluation: could it lead to specialty licensure?


Reregistration of the license: the Nebraska experience.


The board of medical examiners: a changing role.


California bureaucrats propose control of excess physicians.


In the face of sunset, a survival kit for licensing boards.


A note on the gentle art of cost prediction: HEW computer model generates cost estimates for national health insurance plans.


Physician attitude toward rural practice: answers to questions that were not asked.


Industrial health education: a model.

Industrial health education: a model.


Do credit cards work for group practice?


Summer health fair--filling the gap.

Summer health fair--filling the gap.


Patient education: a beginning.

Patient education: a beginning.


Medical ethics: quo vadis?

Medical ethics: quo vadis?


The other Mexican connection.

The other Mexican connection.


Who's the customer?

Who's the customer?


When is a satellite not a satellite?

When is a satellite not a satellite?


National League for Nursing ends convention without deciding on entry into practice.


Developing a regional health educational program.


HEW gives surprise word on "non-renewal" to Illinois HSA.


A group division converts to objective accounting.


AHA plans to sue to stop implementation of Hill-Burton charity care regulations.


Smoothing the way to staff acceptance of management engineering.


Becoming a nurse manager.

Becoming a nurse manager.


Taking control of the hiring interview.

Taking control of the hiring interview.


Using TA for better staff-patient relations.


Signs from the mountain as the faithful wait and pray.


A phoenix from the ashes.

A phoenix from the ashes.


In the bold footsteps of Jay--the professions now reply.


Poor beast burdened by too many administrators.


Bringing a little colour to brighten our lives: art projects in hospitals.


Time to do some tub thumping: the ward nurse as manager.


Battling for pastures new.

Battling for pastures new.


Testing the waters at Bath.

Testing the waters at Bath.


Why we are failing to keep up with employees' social needs.


Ambulance stations.

Ambulance stations.


The key to the growth of social work in Broadmoor. Social work is a relatively new discipline at Broadmoor. Author examines the role of social work in special hospitals and contends that its intervention with patients is influenced not only by the limitation of the institutions but also by the need to educate outside agencies about the special problems involved.


Building an ambulance station.

Building an ambulance station.


The pleading and the bleeding.

The pleading and the bleeding.


How to forecast staff needs.

How to forecast staff needs. The cost of providing pharmaceutical services to wards is often omitted when hospital development schemes are discussed. Author looks at the revenue consequences of ward dispensing and provides a framework for such calculations.


A job worthy of a fair salary.

A job worthy of a fair salary.


Building a care service on rock foundations. A more comprehensive home care service is to receive the largest portion of Bromley AHA's joint financing allocation. Author looks at the scope of the home care system and Bromley's success in extending the service.


To have and have not in the land of plenty.


How to break the strife.

How to break the strife. What can be done to stem the growing use of industrial 'muscle' in the NHS? RHA personnel officer looks at the inadequacies of the present disputes procedures and puts the case for setting up an anomalies board or pay review bodies with powers to award binding agreements to public sector organisations which forego the right to industrial action.


A special kind of patient care.

A special kind of patient care. The community hospital is seen as a bridge between the district general hospital and primary care, but is not yet wholly accepted by GPs.


Health administration: no room for revolt at the top. The 'revolt' by members of Lambeth, Southwark and Lewisham AHA(T), as well as the dilemmas posed by the Normansfield report, have recently done more than anything to disturb the calm of the RHAs. Author investigates what officers at the regional tier expect and hope of the Royal Commission in the aftermath.


Where hospitals shoulder the doctor's burden: accident and emergency services.


A touch of the exotic in England: high security for infectious diseases.


Mecca and the unbelievers.

Mecca and the unbelievers. Wallingford Community Hospital was an experiment by the then Oxford Regional Hospital Board to make available to general practitioners the facilities and skills which a community hospital could provide. It included many additional responsibilities for the GP.


Health administration: the shape of things to come if the doctors had their way.


Joint care: creation of inner city desert areas in the rural communities.


Joint care: weakness of consultation.

Joint care: weakness of consultation.


Removing the veils that surround women's health.


Going down under for good.

Going down under for good.


Opinion survey gets to the heart of the matter: local views on health needs.


Keeping the home fires burning: staffing problems threaten Polish hospital.


Can we afford the high price of consulting? The massive amount of consultation which is involved in the planning of a hospital is a factor which, it is said, contributes heavily to the costs. So should the system become more autocratic or should we continue to pay the price of democracy?


Uniformity vies with soul of the architect.


Some representations from the black hole: what Wales needs.


Away from the workhouse.

Away from the workhouse.


Togetherness is the keynote: what Northern Ireland needs. Signs that various health and social care disciplines are working more closely together in Northern Ireland since reorganisation under health and social services boards are discussed by author.


Morale sapping bureaucracy: what Scotland needs.


Why we are the harlot in reverse.

Why we are the harlot in reverse. What does nurse management stand for and where is it going? Author looks at the question in the light of the Salmon Report, reviews the progress made in ten years following the report and puts forward her views on what is required in the future.


Room in the waiting room but not in the car park.


Decontamination of gastroscopes.

Decontamination of gastroscopes.


Opening doors to meet the neeeds of the people served. Does the patient have an effective say in health service decisions that directly affect him? Community health councils have been with us since 1974 but how representative are they and how much influence can they exert on health authorities? Concluding our series on the Royal Commission, author examines these questions and outlines the views of patient organisations and health administrators on the proposal for electing rather than appointing members to AHAs.


An uphill struggle for even the most gregarious CHC.


Juniors at the sharp end.

Juniors at the sharp end.


Updating Greek legends.

Updating Greek legends. Having obtained expert advice on a problem how do you go about applying it? Author describes a technique being tried in the health service which enables expertise to be both tapped and used.


Analysing how the managers react to industrial problems...


Fingers on the red button.

Fingers on the red button. General practitioners are sometimes reluctant to pass information about patients to social workers. Author looks at communication between doctors and social workers.


Materials management and maintenance: partners in cost containment.


Purchase law--equipment maintenance and service: must the buyer always be wrong?


Can you believe it? 2 to 4 per cent inflation?


Who should manage materials for maintenance?


It's good business to train health care personnel.


Smoking can be a problem in health care institutions.


Rochester Rotary Club and the 6-pack mini-medical library.


Communicating with clinicians.

Communicating with clinicians.


The standard accounting system.

The standard accounting system.


CPR drills: assessment and teaching.

CPR drills: assessment and teaching.


Play's the thing.

Play's the thing.


Measuring the accessibility of health services.


A hospital information room at the Ipswich District General Hospital.


Ten years on--a strategic plan.

Ten years on--a strategic plan.


Less than angels.

Less than angels.


Health service building in Scotland.

Health service building in Scotland.


Scotland's health problems and health resources.


Aspects of health centre provision in Scotland.


Planning for health--the role of the Scottish Health Service Planning Council.


Local health councils--representatives of the consumer?


Care for the mentally handicapped in Scotland.


Law studies and the health service administrator.


Implementing the 12-hour shift: a case history.


The 12-hour shift: 'it's good for nurses, but is it good for the patients?'.


Home care programs in B.C.

Home care programs in B.C.


Developing methodologies for the regional/institutional programming of ambulatory care facilities.


Hospital projects: how to do them in 20 easy steps.


The ups and downs of elevator courtesy.

The ups and downs of elevator courtesy.


No smoking in patient rooms--please!

No smoking in patient rooms--please!


Better PR vital to better health care.

Better PR vital to better health care.


NACHRI study quantifies children's hospitals uniqueness.


Managerial obsolescence--a diagnostic and prognostic approach.


The District Health Council: action centre in Ontario's health care delivery.


Physical fitness--for a hospital staff.

Physical fitness--for a hospital staff.


Dr. Lawrence Ranta: after 25 years' service 'retires' to new post.


Hospital-wide education--getting started.


Hospital bed closures: a review of the Canadian experience and a report on the Ontario situation.


Developing regional programs for ambulatory care facilities.


The dilemma of the unit-dose pharmacy system.


Developing a nursing service department.


Vocational development of health professionals.


Health care for the aged.

Health care for the aged.


Canadian pharmacists--moving ahead with continuing education.


The role of physiotherapy in nursing homes.


Meeting the challenge of change.

Meeting the challenge of change.


Word processing: it's for everyone.

Word processing: it's for everyone.


Are nursing homes the Third World of health care?


Human rights and employee relations.

Human rights and employee relations.


Unionized department heads: a portent of change in hospital management?


Infection control recommendations.

Infection control recommendations.


Diet and food service in an extended care facility.


Oldest hospital adopts modern intercom system.


The true image of our health services.

The true image of our health services.


Controlling inflation on major renovation projects.


Small computer speeds up management info reports.


Whom do hospitals serve?

Whom do hospitals serve?


New APGL system is time saver.

New APGL system is time saver.


Quality assurance in the central service department.


Is a registered nurse justified in today's central supply department?


Remotivation-therapy: what is it?

Remotivation-therapy: what is it?


New group inspires input of fresh ideas.


A unique approach to the co-ordination of nursing supplies.


Newfoundland association charts its future role.


Medical devices: how should they be controlled?


Facing up to reality.

Facing up to reality.


The fifth dimension.

The fifth dimension.


'But, sir, I cleaned my boots!'--priorities for continuing education.


The imprinting dilemma.

The imprinting dilemma.


Contemporary patient handling systems.

Contemporary patient handling systems.


More action needed on tropical diseases.


I.V. nurses accept a challenge.

I.V. nurses accept a challenge.


The I.V. nurse.

The I.V. nurse.


Did I hear someone say: 'We have a bed bug?'.


Consensus taking in a Delphi study.

Consensus taking in a Delphi study.


Health care in China.

Health care in China.


Obsolete hospital organization structures--and their effects on patient care.


A co-operative method of internal supply requisitioning.


How clinical pharmacy practice benefits hospital and patient.


Sterilization standards for hospitals ready soon.


Work sampling--can it help you?

Work sampling--can it help you?


Hospital annual reports contest winners chosen.


Needed: a more rational method for collecting and using data.


Who is responsible for quality control in the C.S.R.?


Social and financial effects of health care programs.


Practical ways of reducing costs in the dietary department.


Public areas: which areas should be included?


Rapid resoil: a health care carpet appearance problem.


Regular management development program pays extra dividends.


Appropriate utilization of hospital resources: a major factor in controlling costs.


Time for more plain speaking.

Time for more plain speaking.


Quebec residents get new health insurance care.


Unique program uses prison inmates for geriatric care.


Materials management: getting back to basics.


Health care: the growing dilemma.

Health care: the growing dilemma.


(S.E.L.F.) staff evaluation for learning through feedback.


How old are you?

How old are you?


On behalf of some of our patients.

On behalf of some of our patients.


The care and feeding of the Joint Conference Committee.


Wider perspectives on hospital constraints.


Helping them back to a normal lifestyle: a practical and effective coronary teaching and rehabilitation program.


Respiratory technology: is it a profession?


Control of infection in laundry and linen.


Hospital opens diet food store.

Hospital opens diet food store.


Is Ontario paying too much?

Is Ontario paying too much?


Speaking to their condition...

Speaking to their condition...


Community clinics.

Community clinics.


Why a regional trauma unit?

Why a regional trauma unit?


The impact of bed planning standards.

The impact of bed planning standards.


University Hospital, London, Ontario: a successful beginning...


Hospital closings and community involvement.


Administrative perspectives regarding computer installations.


Microprocessor technology adds new dimension to patient monitoring systems.


Staff in/out register system is quiet, efficient, economical.


More entries than ever in newsletter contest.


Insulated servers ease dietary department concerns.


CCHSE--a valuable medium for international exchange.


Will O.R. experience be part of nurses' undergraduate program?


Relationship of the chief executive officer to the hospital board.


Pastoral care in community hospitals.

Pastoral care in community hospitals.


Medical manpower: consider this approach.


What patterns for Canada's health care?

What patterns for Canada's health care?


Hillcrest Hospital stroke unit.

Hillcrest Hospital stroke unit.


Pitfalls to be avoided in hospital construction.


A nursing practice committee can enhance the management efficiency of a nursing department.


The community and its health resources.

The community and its health resources.


Engineering--and small hospitals.

Engineering--and small hospitals.


The effects of selected demographic and clinical variables on the length of hospital stay.


Newsletters: to publish--or not to publish?


Hospital pharmacy records important advances.


Labor legislation and collective agreements: acceptance of the changing scene.


What organized nursing expects.

What organized nursing expects.


Management of change in the health care environment.


Pre-retirement counselling programs.

Pre-retirement counselling programs.


Bringing the 'quality of life' to nursing home residents.


Diabetic Education Centre offers several types of programs.


Salary survey 1976.

Salary survey 1976.


A preventive concept for the care of the elderly (geriatric medicine)


Ottawa hospitals may pool bulk-purchasing services.


Central dispatch: should it include the patients?


How effectively do you use your incident/accident report?


Organizing a respiratory technology department and how to keep it functioning.


What's with disposables?

What's with disposables?


A maintenance consumers' group?

A maintenance consumers' group?


How microfilming eases handling of medical records.


A stamp of obsolescence.

A stamp of obsolescence.


Vancouver hospital conducts social services survey.


Governments and long-range planning.

Governments and long-range planning.


Two opposing tendencies.

Two opposing tendencies.


How to work less and accomplish more.

How to work less and accomplish more.


Hospital pharmacy: where do we go from here?


For a reasoned approach to cost constraints.


Senior VIP service.

Senior VIP service.


Does your food service department have garbage problem?


Quebec's health services in a state of dynamic change.


Telemedicine by satellite.

Telemedicine by satellite.


How do health administrators spend their time?


Self-medication: a developing concept in future hospital pharmacy service.


Problem solving and 'others'.

Problem solving and 'others'.


On looking ahead.

On looking ahead.


Prime vendor benefits.

Prime vendor benefits.


Expectations and realities--purchasing style.


Health care research--where do we go from here?


What changes ahead in responsibilities of administrators?


Ensuring quality care in emergency.

Ensuring quality care in emergency.


Employee attendance control: an integrated approach.


Small accounting computers in the hospital environment.


Anomie.

Anomie.


Health minister replies to John Boyd's editorial on tropical diseases.


Pre-operative assessment unit takes fear out of patient care.


Nurses need to focus attention on expertise in operating room.


The operating room door is open.

The operating room door is open.


Effective staff hiring calls for special skills.


Put the health train back on the rails.

Put the health train back on the rails.


Mathematical model used in forecasting maternity facilities needs.


Newest engineering problem--specify silence.


Financial impact studies: indicators of past three years can serve as development guide.


Controlling food costs.

Controlling food costs.


Geriatrics and the health care system.

Geriatrics and the health care system.


Hospital debt: don't be trapped.

Hospital debt: don't be trapped.


Thoughts on the CAT.

Thoughts on the CAT.


Old habits are hard to break.

Old habits are hard to break.


The G.I. procedures unit.

The G.I. procedures unit.


Effective administrative hiring.

Effective administrative hiring.


Practical ways of handling paperwork.

Practical ways of handling paperwork.


Planning for ambulatory care.

Planning for ambulatory care.


Who says there are no more pioneers?

Who says there are no more pioneers?


In-service education and the use of consultants.


New legislation--and the unattended steam plant.


Hospitals must live with continuing constraint.


Brockville hospital honors volunteers.

Brockville hospital honors volunteers.


Drug information--the pharmacist's contribution.


Cash on the line.

Cash on the line.


The effects of nursing home size and food on elderly residents.


Women in management.

Women in management.


Performance appraisal--a participative approach.


Statements of intent in nursing service departments--how creditable are yours?


Ontario launches hospital air ambulance service.


Dated rituals don't check infection.

Dated rituals don't check infection.


Lalonde: time to change talk to action.

Lalonde: time to change talk to action.


A hospital that cares--in any language.

A hospital that cares--in any language.


When to hire a consultant.

When to hire a consultant.


The role of a chaplain in crisis.

The role of a chaplain in crisis.


The Tokyo congress: the global challenge.


Is science killing compassion?

Is science killing compassion?


Plan ahead for good material management.


Taking the mystique out of M.M.: what it is...


Computers in future of material management.


How many beds is enough?

How many beds is enough?


Your hospital and drugs: a point by point guide to safety.


The patient as therapist.

The patient as therapist.


Health council buffer not bureaucracy.

Health council buffer not bureaucracy.


Open your door--and let the poor p.r. man in.


The provinces and capital equipment: Saskatchewan.


The provinces and capital equipment: Ontario.


The provinces and capital equipment: Nova Scotia.


Quebec: how regional councils took over equipment purchases.


Is there a case for leasing?

Is there a case for leasing?


Auditing your way to efficiency.

Auditing your way to efficiency.


Energy saving is a full-time job.

Energy saving is a full-time job.


Nurses need a high profile boss.

Nurses need a high profile boss.


Psychiatry and sensationalism.

Psychiatry and sensationalism.


Aftermath of a shooting.

Aftermath of a shooting.


Emergency procedures criticized as citizens group urges change.


File those misguided nursing complaints--under "b" for baloney.


Using computer output microfilm to advantage.


Affecting the quality of life in America.


Formal liaison between governing board and medical staff.


Of counsel.

Of counsel.


Employee orientation is a whole new ball game.


A clinical pharmacy program for the community hospital.


Project C-E-A-S-E.

Project C-E-A-S-E.


On managing: committees can be effective.


May hospital shared laundry services qualify for an exemption from the federal income tax?


Do you feel a merit system of granting pay raises is feasible or desirable in today's economy and labor movement atmosphere?


Memorial goes metric.

Memorial goes metric.


Quiet hospital zone.

Quiet hospital zone.


A Montana hospital implements roving admissions.


What hospital planning is not!

What hospital planning is not!


Developing a hospital planning strategy.


On planning and design.

On planning and design.


Energetics.

Energetics.


What legislative steps are being taken to limit the size of damage recoveries against physicians for medical malpractice?


Get out and speak!

Get out and speak!


Valdez solves its pipeline influx.

Valdez solves its pipeline influx.


Get the most from your hospital publication.


A unique plan for health education.

A unique plan for health education.


Maximizing a company's service, training and technical capabilities.


Must a hospital which does not extend "open end" credit comply with the new billing error provisions of the Fair Credit Billing Act?


Planning a communications system.

Planning a communications system.


Managers can evaluate their own performance.


On planning and design: the hospital's market.


Computerized scanners: can shared facilities help cut costs?


What is the best way for the Association of Western Hospitals to serve the hospitals in your state?


Hospital pressure groups.

Hospital pressure groups.


On managing: every hospital has a "climate".


On planning and design: how institutions can match their individual role to the new market for health care services.


A hall of health.

A hall of health.


Developing a labor relations program.

Developing a labor relations program.


A case for hospital action.

A case for hospital action.


Western hospitals help "Operation Babylift".


How good is your hospital security?

How good is your hospital security?


Total security: a "safe prescription" for hospitals.


The change in nurse education.

The change in nurse education.


Earthquake regulations: what do they mean to your hospital?


A critical look at the motives for hospital mergers.


How well are you watching your construction dollar?


The project team one year later finds a hidden asset.


The hospital engineer on the construction planning team.


Hospital labor turnover: separating myth from fact.


May hospitals legally require members of their medical staffs to carry professional liability insurance?


Women vs. breast cancer.

Women vs. breast cancer.


The Alaska pipeline.

The Alaska pipeline.


How Portland hospitals get their message to the public.


The hospital-physician relationship: who has the responsibility?


How might a hospital obtain evidence of professional liability insurance coverage from applicants or members of its medical staff when such coverage is a condition of membership?


"A spoonful of humor ...".

"A spoonful of humor ...".


Warning! If you think your hospital will have enough fuel this winter ... you may be wrong.


One of the world's great photographers talks about hospital photography.


Presbyterian survives its malpractice crisis.


The special world of health care economics.


Group purchasing brings meat costs ... down.


This hospital has an answer for people who can't drink.


Is a physician who contracts with a hospital to provide administrative or professional services an employee of the hospital or an independent contractor?


The hospital's future.

The hospital's future.


A desperate struggle for a better life.

A desperate struggle for a better life.


Administrative crunch--what can hospitals do about it?


On managing: what are your management information needs?


What are the basic rules concerning disclosure of privileged medical information about patients?


On planning and design: the emergency department market.


Dealing with death.

Dealing with death.


Damn the planners ... full speed ahead??


Hiring a consultant.

Hiring a consultant.


On planning and design: new nursing units.


Should hospitals enter into prepaid health plans (HMO's)?


What types of services are conducive to lower pharmacy costs for non-profit hospitals?


On managing: allocation of effort is necessary to solve a hospital's management problems.


Alternative birth center gives parents a new option.


Is health care a right?

Is health care a right?


Rural health care: problems and solutions.


Hospital-based primary care group practice.


What are the basic provisions of the National Health Planning and Resources Act?