Public support for pro-choice abortion policies in the nation and states: changes and stability after the Roe and Doe decisions. In 1973 the United States Supreme Court ruled that abortion could be had practically on request during the first 3 months of pregnancy.  This article discusses whether the decision led to more public support for that position, and where in the U.S. the increase in support has been most drastic.  The most recent public opinion polls indicate about 60% public support legalized abortion, while it was only 45% before 1973.  Support has also increased even if pregnancy is not judged to be detrimental to the mother's health, or if it is not the result of rape and/or incest, but even if it is simply requested for economic or purely personal reasons.  People under 30, with college education, men and Protestants, seem to be the staunchest supporters of abortion on demand.  There has also been an increase in the number of Catholics supporting abortion.  Support for abortion increased in most states between 1969-1973, particularly in the West and in the Northwest.  The fight to deny federal funds for abortion is still raging in Congress; some studies indicate that the religion of the legislators is the most powerful predictor of voting on abortion, and that the decision is a very personal one, and not easily altered by the lobbying of groups on either side.


The politics of abortion in the House of Representatives in 1976. The discussion in the U. S. Congress preceeding the passage of the 1976 Hyde Amendment, prohibiting the use of Medicaid funds for abortions, was described and the results of a multivariate analysis of the factors influencing the votes on the amendment in the House of Representatives were presented.  Between June 24-August 10, 1976 there were 3 roll call votes on the amendment in the House of Representatives and during this period support for the amendment increased from 54%-69%.  Multiple classification analysis was used to analyze the relative influence of 11 independent variables on the voting behavior of the representatives.  The 11 variables included 1) the age, educational level, sex, and religious affliation of the representative; 2) the representative's party affliation, degree of constituent support, and previous voting record on liberal issues; and 3) the average income, racial composition, geographical location, and the % of urban residents in the representative's district.  The factor which served as the best indicator of the representative's vote on the amendment was the representative's previous voting record on liberal issues.  Those with more liberal voting records tended to vote against the amendment and those with more conservative voting records tended to vote for the amendment.  The 2nd best predictor of amendment votes was the religious affliation of the representative.  Catholic representatives, compared to Protestant and Jewish representatives, were more likely to support the amendment.  Geographical location of the representative's district was a moderate indicator of the representative's vote on the amendment.  Representatives from the south were more likely to support the amendment.  The degree of constituent support for the representative in his own district was also a moderate indicator of the representatives vote on the amendment.  The 11 factors together accounted for 1/3 of the votes.


Nosocomial acquisition of aeromonas hydrophila.


Nosocomial bacteremia from intravascular pressure monitoring systems.


Statement on the reuse of disposable items for patient care.


Urges redesign of health care toward preventive system.


Alternative birth centers: assessment of the risks and recommendations for operation.


The Yale General Oncology Clinic: a model for comprehensive cancer care. Interview by Marion E. Prilook.


Inflation, hospitals, and the soaring costs of health care. What's the real story on health care costs? In answering this question, the author examines the role of the hospital, which, he explains, cannot be isolated from the economy as a whole.


New York City's approach to problem-employee counseling. Employee problems such as alcohol and drugs (and the emotional turmoil that leads to them) continue to slow productivity and increase turnover. For nine years, New York City has been an innovator in this area of personnel concern, abandoning the traditional warn-and-terminate method for the centralized and cost-effective outreach program that is outlined here.


Behavioral contingency management: a bottom-line alternative for management development.


Labor union sets drive to halt deinstitutionalization.


How hospital pharmacists prepare agendas for P & T committee meetings.


Comments on doctoral education.

Comments on doctoral education.


Perspectives on doctoral training in health administration.


Ethnicity and clinical care: the Chinese patient.


Openness urged in therapy of adolescent inpatients.


Recruiting psychiatrists seen as vital issue.


Turning employees on with TV.

Turning employees on with TV.


Child Academy issues broad range of positions.


The polls: changing attitudes toward euthanasia.


State services for children: an exploration of who benefits, who governs. In recent years, equity, choice, and efficiency issues in the provision of education have received much attention and analysis. Yet, in the area of other state services for children (health, protective services, day care, etc.), there has been scant concern for equity, efficiency, or choice, despite the fact that out-of-school influences can be crucial in determining in-school performance. This paper reports on work in progress that reaches the following initial conclusions: 1. In the field of children's social services, data compilation is approximately 20 years behind the state of the art for education. Basic data on services provided is not collected for submission to state or federal authorities in any standard format on a recurring basis. 2. From the limited data available, the access of children to quantity and quality in social service programs varies enormously within states. The variations are much larger than those discovered in the public financing of education even before the recent school finance reform movement (1968-1978). 3. Federal allocations to states for social service programs comprise a substantial proportion of state Title XX budgets. For several reasons, the degree of accountability for these funds is less than that for federal education grants. 4. In all three states Title XX state allocations to localities are purported to be based on need. Closer examination of the formulas, and interviews with policy makers, revealed that Title XX allocations are determined primarily by political criteria.


Your x-ray soon may result in much less harmful radiation.


Electromagnetic interference--hazardous to health.


Coordination of client services.

Coordination of client services. Case coordination is an important social work activity with roots in the earlest objectives and functions of the profession. This article outlines the theoretical framework of case coordination and describes the tasks, skills, and knowledge essential to it.


Occupational health management--by objectives.


A perspective on childhood sexual abuse. In 1977, the Cincinnati Children's Hospital treated seventy-eight preadolescent children for symptoms, signs, or complaints of sexual abuse. The alleged abuser was known to the children in 72 percent of the cases. This article describes the hospital's procedure for identifying these children and the follow-up services necessary for their protection and emotional adjustment.


Decision analysis assessment of a national medical study. To decide whether or not to undertake an expensive national survey to determine the effectiveness of infection control, we devised a quantitative decision model to analyze the costs and probabilities of successful study outcomes. The result allowed us to determine whether the proposed study method and design would provide sufficient statistical power to ensure meaningful conclusions from the research. The model was robust in assessing the adequacy of method accuracy and, within the range of assumptions specified, it suggested that the project should be undertaken. The results helped to secure official approval and funding for this large-scale research project. A novel approach to evaluating sensitivity analysis is included. As constructed, the model is applicable to other projects in applied research and, with some modification, to projects in basic research as well.


Making the area agencies on aging work: the role of information.


Reduced energy use occurs despite facility's growth.


The changing dynamics of hospital purchasing.


It must never happen here: a personalized look at Britain's National Health Service and the problems which have befallen it.


The role of the respiratory therapist in adult critical care.


Hospital supply industry review...focus on the hospital pharmacist.


The OR utilization factor: an examination of how the changing nature of the operating room can affect surgical dealers.


Chicago conspiracy trial: NBRT and AART go to court.


Tips for documenting nursing care in the OR.


Respiratory therapists in the NICU.

Respiratory therapists in the NICU. The need for respiratory therapists in a hospital's NICU has not always been apparent, nor has the respiratory therapist's role been entirely understood and adequately defined. Many hospitals do not even recognize the need for respiratory-care services in this specialty area, and among medical staff there is a certain uneasiness in allowing an unfamiliar paramedical profession (such as respiratory therapy) to enter their well-established realm. Training in ICU care for infants and becoming credentialed in this specialty area is still in its beginnings. Loma Linda University Medical Center (LLUMC) is one example of how a respiratory-care department was able to break through the barriers and deliver care to the NICU patients. The background of how this breakthrough actually took place and what role the respiratory therapist first played is discussed, as well as that role's expansion and the progression that has taken place since respiratory care's first involvement.


What to include on your autoclave record.


Stopping the guessing game of patient communication.


The voluntary effort.

The voluntary effort.


The clinical diagnostic reagents and test kit markets.


Cost of hospital care in U.S.--opposing views on major issues.


Computers: how they can help your ambulatory surgery facility.


DoD interest in defensive strategies grows as foreign incidents mount.


VA patient-rating system: test will shape program.


Organized purchasing system saves time, money.


Emergency medical services planning for urban and rural areas--an Egyptian example.


Medic 1--the Seattle System for the management of out-of-hospital medical emergencies.


The role of the EMI scanner in the care of the injured. Can the scanner save lives?


With all deliberate speed: the respiratory therapist and the transportation of critically ill neonates.


The prevention of disability in the child.


The primary school and the teacher: new health care roles in developing countries.


A multi-institutional care delivery system.


Hospital design: a blue print for safety.


Management of health institutions and manpower utilisation in India.


The barangay health worker and the barangay nutrition and health scholar.


Guatemala's rural health technicians: an overview.


Health care staffing in Bahrain.

Health care staffing in Bahrain.


Health care facilities in developing countries: prevailing concerns and possible solutions.


Community health centers--fifteen years later.


Holistic health program for low-income children.


Preventing the 'untreatable epidemic' of teenage pregnancy.


The big count: undercount or overcount?

The big count: undercount or overcount?


What is happening to flexitime, flexitour, gliding time, the variable day? And permanent part-time employment? And the four-day week?


Toward a sane national policy on food safety.


"We kept our fingers crossed!".

"We kept our fingers crossed!".


Food safety: a sensible way to assess the risks.


Food safety: are our laws too lenient? Too strict?


Health care screening: not an end in itself.


Caring for the rural poor: dollars alone won't do the job.


Sociobiology -- a new way of viewing the world.


Italian medicine: the wine is souring.

Italian medicine: the wine is souring.


Health promotion drive held ineffective.


Conditions 'tragic' in adult care homes.


New Cancer Society checkup rules draw criticism of some physicians.


Symptoms are clear, MDs say, that Canada's standard of health care is in trouble.


Soviet medicine seems unsophisticated to physicians treating emigres.


Public education on nuclear risks still needed a year after TMI.


Hospital billing plan upheld.

Hospital billing plan upheld.


Energy use study hikes productivity.

Energy use study hikes productivity.


Complex for the elderly opens to neighborhood.


DOE's energy performance standards: the debate intensifies.


A major new health care facility for Detroit: an efficient machine designed with compassion.


The basics of budgeting.

The basics of budgeting.


Keeping up with ... health policy and women's health. The author compares current data on women's health with men's, in the early and adult years, noting socioeconomic variations and similarly compares variations in their use of health services. Clues to changes in women's health are described and relevant areas of policy which can affect emerging health problems as women alter their position in society are sketched.


Understanding the context for long-range planning in hospitals. Using their own experience in an urban hospital of national reputation, the authors describe and illustrate some of the background issues for long-range planning decisions pointing out that managers must steer a clear course among a number of internal and external pressures. The expectations of trustees, philanthropists, reimbursing agencies, the university, medical staff, patients and the surrounding community may sometimes be at odds. Managers can use long-range planning as a tool to ease the hospital into changing modes of operation and to achieve, over a time, a smoother interaction among their several constituencies.


HCMR interview: Vernon Wilson of Vanderbilt University. Vernon Wilson talks about definitions of health and measures of health, about leadership and credibility, democracy in decision-making, uses of power, and the process of delineating boundaries between managerial roles. He also describes how Vanderbilt Medical School entered the field of primary care medicine, a new direction for a school that has traditionally emphasized tertiary care.


The big payoff: tips on preparing the winning grant proposal.


Hi ho silver! Silver recovery yields high dollar returns.


The Janus principle.

The Janus principle. The leaders who guide health organizations into formal and informal alliances must serve their own organizations while meeting the demands of a larger environment. Those who recognize the need for change in leadership style are most likely to help their organizations to maintain their strengths within new structures. The authors examine several theories of leadership style, describe the developmental stages involved in forming an inter-institutional organization, and discuss the new leadership tasks and skills that collaboration mandates.


Satellite broadcasting, simplified: getting your first satellite program off the ground.


The image of success.

The image of success.


Talent agents: a professional service places and trains nursing talent.


Private cost containment.

Private cost containment.


Rectal cancer patterns of care.

Rectal cancer patterns of care.


National health insurance: the medical profession's perspective.


Holding down practice costs and fees.

Holding down practice costs and fees.


Can personality affect hospital privileges?


Government in health--too much or too little?


National health insurance: government regulation or consumer choice?


National health insurance: the view from Washington.


The importance of knowing your employee's needs.


The problems of perfect employees.

The problems of perfect employees.


The exit interview: why bother?

The exit interview: why bother?


Let's talk: understanding one-to-one communication.


Is intensive care too intensive?

Is intensive care too intensive?


Health Care Financing Administration: adoption of the National Bureau of Standards fire safety evaluation system for health care facilities. Notice of comment period. The Department of Health, Education, and Welfare is proposing to extend use of the new Fire Safety Evaluation System (FSES) to all hospitals participating in the Medicare and Medicaid programs. We are seeking public comment on this proposal and on whether to apply the FSES to intermediate care and skilled nursing facilities. The Fire Safety Evaluation System (FSES) was designed by the National Bureau of Standards. It defines the combinations of widely accepted fire safety systems and structural arrangements which can be used by health care facilities to meet safety standards equal to or exceeding those in the Life Safety Code. The FSES provides a framework which guarantees that the high standards of fire safety necessary to protect patients will be met and which is flexible enough to allow for new advances in safety technology and practice. It is based on our experience, which clearly demonstrates that the Life Safety Code can be implemented more effectively and without waste if certain changes are made in the procedures for achieving these mandated levels of safety.


Office of the Secretary of Defense--Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); clarification of medical indications for head and body CT scans. Guidelines to rule. These are guidelines to Amendment No. 3 of Part 199 of this title. The Purpose of Amendment No. 3 was to expand benefits under CHAMPUS regarding computer tomography (CT) scanning coverage. The purpose of these guidelines is to clarify those medical indications for which CT scan benefits are extended for head and body.


Drug Enforcement Administration--controlled substances in emergency kits for long term care facilities. Statement of policy. The Drug Enforcement Administration has received numerous requests from State licensing and regulatory boards, pharmaceutical associations, and professional organizations concerning this agency's policy for the use and handling of controlled substances in emergency kits for patients in Long Term Care Facilities (LTCF). The Drug Enforcement Administration has determined that an amendment to current regulations is not necessary or desirable, in that LTCF's are not controlled premises under Federal law. However, issuance of a Statement of Policy will provide the individual State licensing and regulatory boards with general guidelines under which they may, in turn, promulgate specific rules for the use and handling of controlled substances in emergency kits in Long Term Care Facilities. Additionally, this course of action should improve health care services to such patients and decrease the quantities of controlled substances which might otherwise accumulate at Long Term Care Facilities which federally are non-registered locations.


Prescriptions for Schedule II controlled substances: Drug Enforcement Administration, Justice. Notice of proposed rulemaking. The proposed amendment of 1306.13 of Title 21 of the Code of Federal Regulations would permit the partial filling of prescriptions for Schedule II controlled substances, beyond the current 72-hour time limit, if the prescriptions are written for patients in Long Term Care Facilities.


Public Health Service--health maintenance organization loans and loan guarantees for acquisition and construction of ambulatory health care facilities. Interim regulations. This notice sets forth the requirements for qualified health maintenance organizations (HMOs) to obtain loans or loan guarantees for the acquisition or construction of ambulatory health care facilities and the acquisition of equipment for those facilities. It also sets forth project requirements and procedures to be followed for repayment of the loan and in the event of a default. These rules implement Section 1305A of the Public Health Service Act, as amended.


Health Care Financing Administration--conditions for coverage of suppliers of ESRD services; revocation of requirements for emergency generator and ground fault interrupters. Final rule. These amendments remove the requirements for emergency generators and ground fault interrupters in end-stage renal dialysis (ESRD) facilities. The purpose is to reduce unnecessary and burdensome requirements which are not necessary to the health and safety of patients.


Immigration and Naturalization Service--nonimmigrant alien (H-1) nurses; state license or examination requirements. Final rule. This final rule requires nonimmigrant nurses to possess a valid state license to practice nursing in the United States or to have successfully passed the screening examination given by the Commission on Graduates of Foreign Nursing Schools in order to qualify for an "H-1" nonimmigrant visa classification. Proof of having met either requirement is necessary before the Service will approve the visa petition. This amendment to the regulations is necessary to ensure that only those nonimmigrant nurses who are fully qualified to perform services of the "exceptional nature" required by section 101(a)(15)(H)(i) of the Act are admitted under this classification.


Public Health Service--Migrant health centers; delegations of authority.


Assistant Secretary for Housing--Federal Housing Commissioner--Revision no. 9, increases of fire safety requirements for HUD minimum property standards (MPS). Final rule. This rule improves and clarifies fire safety requirements for the HUD Minimum Property Standards (MPS) for Multifamily Dwellings Handbook 4910.1 and MPS for Care-Type Housing Handbook 4920.1.


Food and Drug Administration--Delegations of authority and organization, health information and health promotion programs. Final rule. This document amends the regulations for delegations of authority to the Commissioner of Food and Drugs and the redelegation of authority to agency officials. This action is taken because of a new delegation of authority under Title XVII of the Public Health Service Act.


Department of Health and Human Services: statement of organization, functions, and delegations of authority.


Sober diagnosis as once bright market for CAT scanners dims, smaller makers of the X-ray devices fade out.


Even when it's giving out money, HEW can't escape controversy. No one in the medical community argues that the federal government's kidney disease program isn't worthwhile. But the providers of kidney treatment are giving the Health Care Financing Administration a hard time on the issue of federal reimbursement. The agency is moving slowly, because a misstep in the kidney program could endanger the prospects for broader health insurance proposals.


Occupational health: detection program cuts disease incidence, costs.


Borden's stance challenges HMO law.

Borden's stance challenges HMO law.


Occupational therapy and the need to influence delivery of service. This article is an attempt to re-define the role of the occupational therapist in light of numerous concepts and models which have been developed in recent years. The de-emphasis on hospital-based programs is significant and the community role for the occupational therapist, while not necessarily new, is a much expanded one which offers exciting and challenging prospects for the future. The need to influence the system for the delivery of service to embrace this community concept is emphasized.


Research and occupational therapy.

Research and occupational therapy. The quality and quantity of research in occupational therapy remains in its infancy. The following article is based on a study carried out in the spring of 1974, the objectives of which were to examine the role and function of the occupational therapist in clinical research, to identify areas in which occupational therapists have been involved in research and to examine the attitudes of registered therapists towards research.


Could an HMO give you better, cheaper health care?


Summary of a project comparing student performance forms. This paper is a summary of a pilot project designed to provide data which would lead to more effective methods of evaluating field work performance of occupational therapy students in Canada. Three evaluation forms were selected for comparison. A quantitative-descriptive type of research was utilized and a questionnaire to occupational therapy clinicians and students was the method used for data collection. The three major findings were: i) that the American Occupational Therapy Association Field Work Performance Report Form was the most complete form in evaluating student performance in specific skill areas; ii) the Queen's University Occupational Therapy Clinical Training Report Form contained essential components concerning interaction skills; and iii) the Canadian Association of Occupational Therapy Report of Clinical Training was in need of major revisions if its use was to be continued. This paper includes an outline of the results and the major limitations of the pilot project; however, the conclusions and recommendations arising from the project are the main focus of discussion.


Portable swing-away tray for electric wheelchair.


The last resort.

The last resort.


P. A. T. offers new service opportunity for St. Thomas volunteers.


Making your memorials work for the community.


Commitment to service results in gift shop for Obion County General Hospital.


"Pierre the Pelican" delivers at Blount Memorial Hospital.


Quality assurance--coming of age.

Quality assurance--coming of age.


Impact of drug substitution legislation--implications for continuing education for Michigan pharmacists. In June 1974, Michigan Public Law 155 was enacted. This law permits a pharmacist to exercise drug product selection under specified conditions. The intent of the legislation is to achieve savings in prescription drug costs by encouraging pharmacists to dispense less costly, generically equivalent products. For this legislation to be effective, there have to be many substitutable products for a sufficient number of drugs; there has to be minimal interference with pharmacists' judgment; and pharmacists must be aware of the products available. As part of a survey, we attempted to measure physicians' and pharmacists' knowledge of generically equivalent products. Pharmacists demonstrated a higher level of knowledge of drug products. Continuing education must respond to the needs of more complicated societal demands.


Responsibility charting in a consultative pharmacy service. A task-oriented approach to providing an aminoglycoside consultation service was implemented at the University of Maryland Hospital. The interdisciplinary nature of the consultation service required that involved practitioners have a thorough understanding of the responsibility of every other provider involved in the program. The development of a system in which individuals were assigned specific task-oriented responsibilities for the service is described.


Physician-, nurse-, and pharmacist-conducted patient drug histories. A study was conducted in a 99-bed community hospital to determine quantitative differences in medication histories of selected patients conducted by pharmacists, nurses, and physicians. The hospital pharmacist documented more frequent patient medication usage than the nurse or physician. This study reaffirms the results observed by other investigators. The pharmacist, extensively trained and educated in the use and action of medications, should be considered a valuable resource in the documentation of drug use prior to hospital admission.


Community drug information services by telephone. Counseling patients on the use of their medications is a direction the pharmacy profession has taken in recent years. The location of this interaction generally is assumed to be within the confines of a pharmacy or institutional setting. The concept can be expanded in scope and service to the community by encouraging drug information requests by telephone. A representative reference library and a form to document each call are the essential materials needed to begin. Exercising good judgment and a clinical approach to each call ensures the best possible outcome.


Planning for ambulatory pharmacy services. To aid in the planning of patient-oriented pharmacy services in an ambulatory care center, the demographic profile of the patients visiting the pharmacist at the Sunol Health Center (SHC) pharmacy in Los Angeles, California was studied. Analysis of the data collected over a 6-month period revealed that female patient visits were double the number of male patient visits. Ten disease conditions requiring drug therapy accounted for 75% of all problems presented by the patients. The mean number of prescribed medications received per patient was 1.7. The ratio of newly prescribed medications versus refill medications was 2.5 to1 or 70% versus 30%. The proportion of new patient visits versus return patient visits was 55% versus 45%. With this information, the training of the pharmacist and the services of a pharmacy may be designed specifically to meet the needs of the patients in the community or the ambulatory care setting.


Consumer expectations compared to the reported use of pharmacy services in rural areas. Selected households in three northern Mississippi counties were surveyed to assess their primary medical care needs. Consumers' expectations concerning pharmaceutical services were analyzed. The results indicate that the surveyed population expects comprehensive pharmaceutical services. Patient profiles were the most desired service. Consumers were least interested in pharmacist counseling on health matters unrelated to drugs. Most services, however, are sought and/or delivered less frequently than expected. Pharmacists need to make consumers aware of available services.


The great saccharin snafu.

The great saccharin snafu.


New "instant conversion" fluorescent unit helps brighten hospital's energy picture.


TRIS: confusion over another cancer hazard.


Legal and ethical issues in clinical pharmacy research--informed consent, Part II. Preparation of an effective informed consent document presents significant problems to those investigators not familiar with federal and institutional requirements. This article examines a detailed format for preparation of an informed consent instrument. Prepared by the authors and supplied to potential clinical investigators by a university institutional review committee, the guidelines incorporate Department of Health, Education, and Welfare regulations. An example consent form is provided.


Some observations on research methodologies used in drug product selection studies.


Operation crystal ball...a look at national health insurance in Canada and its implications for health care in the U.S.


Clinical team role models are needed within pharmacy.


The economics of short-term leasing.

The economics of short-term leasing. Short-term leasing is an everyday occurrence. Tax savings cannot account for the ubiquity of leasing by temporary users. Monopoly explanations are inconsistent with concurrent leasing and selling markets for perfect substitutes. Leasing economizes upon the costs of detecting, assuring, and maintaining quality, costs of search, and costs of risk-bearing. This view is based on standard economic reasoning and has numerous specific implications.


Cafeteria plans.

Cafeteria plans.


Where do you draw the line?

Where do you draw the line?


Hospital spreads health fitness message to community.


Metropolitan's program stresses employee interests, self-help.


Planning hospital health promotion.

Planning hospital health promotion.


Nashville Memorial shows off...medical services to physicians.


East Tennessee Baptist opens cardio/pulmonary reconditioning center.


Carlson predicts upsurge in corporate health care activity.


Patient care: the health care employee's responsibility.


Life in the hospitals in a new musical revue: Take Care.


Health, risk factor reduction and life-style change.


Prospective medicine: past, present and future.


Competing for acute care dollars: the economics of risk reduction.


Social perspective on risk reduction.

Social perspective on risk reduction.


Pediatric health promotion through risk reduction. The purpose of pediatric risk reduction is to both decrease the force of mortality acting in infancy and childhood and to promote the development of physically and emotionally comfortable adults.  Due to the fact that much of the organism's capacity for optimal growth and development seems to be established during childhood, the ultimate potential of pediatric risk reduction is the improvement of the quality of life throughout its entire course.  In discussing the concern of pediatric health promotion through risk reduction, attention is directed to the risks to children (mortality and morbidity risks), recommendations for pediatric risk reduction (family planning, prenatal care, care at birth, postnatal followup, and child health supervision), and children's life style and society. Risks may be divided into those affecting the child by their impact on the mother and those that affect the child directly.  Maternal mortality represents a loss to any child in the family, as well as being the possible cause of an associated fetal or neonatal death.  Infant mortality is largely due to conditions related to premature birth and congenital anomalies.  True family planning is an essential measure for the reduction of pediatric risk.  Possibly the most helpful approaches include the provision of sex education to adolescents and ensuring the availability of birth control devices.  Research evidence shows that it is in the best interests of the child for parents to space pregnancies 2 or more years apart.  Prenatal care needs to begin before conception occurs; both parents should be in optimal health.  The need for education of parents who are having their 1st child cannot be overemphasized; much self-care and home care is both necessary and desirable.


Wellness promotion on a university campus.


A survey of risk reduction programs.

A survey of risk reduction programs.


Financially-ailing Cook County Hospital trying to solve problems; Hyatt makes study.


Colorado deregulation becomes reality; VE to be strengthened.


Management company buys, replaces government hospitals.


HEW Under Secretary says professional management can assist urban hospitals.


Investor-owned company management of governmental hospitals continues to rise.


Brookwood takes free world health care services to inmates in Alabama prisons.


Health product industry wary of technology center's mission, HIMA president says.


Medical staff hearings: right to counsel and judicial review are still unresolved.


HCFA expected to use tougher regs to limit federal health care spending.


Involuntary conversion gains, losses: no consensus on acceptable accounting procedure.


Human behavior in a nursing home fire.

Human behavior in a nursing home fire.


Marry capital giving cycle with deferred giving cycle. This article suggests a way to transform the future to the present by transferring planned giving techniques into capital campaigning. The author discusses the merits of his case by instilling the needs of the donor first and the success of the institution as a natural second.


Hospital foundation finds ups-and-downs has benefits. Like any brand new venture, this hospital foundation found its first year development effort had successes and failures. The author describes how experience will provide a sure base of steady growth.


Evaluation in a community mental health center: Huntsville, Alabama.


Expert explores avenues of economic alternatives. "Economics focuses on relevant alternatives," asserts this author, and in the context of fund raising management, they can be incorporated into the solicitation process necessary to raise those big dollars. This author discusses three.


New reporting forms attempt to meet common needs. Easing the pain of reporting finances is one blessing non-profits would jump at. Now, a specially designed form has been developed by the National Information Bureau which abolishes scores of governmental report forms and makes the task of reporting much easier.


Accountability, like charity, begins at home.


Enhancing program evaluation in the community mental health centers program.


Mental health evaluation worldwide: an interview with Norman Sartorius. Interview by Susan Salasin.


VE steering panel receives top award from the FAH.


Evaluation in a community mental health center: Hennepin County Mental Health Service.


Certification of need programs: regulation in search of the evaluation process.


Foreign nurse recruitment: group in 'Lone Star State' launches large-scale effort.


Saudi Arabia awards NME $1 billion management contract.


Social service tracking systems: a public-private experience.


Physician-nurse interaction: conflict, compromise or cooperation?


Management engineering: an inpatient technique adapts to the outpatient setting.


Foreign medical graduates in New York City.


Georgia legislature approves delay in DRG experiment.


Supplemental staffing services' goal: trying to help fill void in nurse shortage.


Distribution of social service expenditures: a study. Because this country is providing more social service through public programs, it is important that professionals as well as policymakers understand how the billions of dollars devoted to these services are being spent. This study investigated patterns of distribution of social service expenditures and found a trend toward equalization of expenditures among the states.


The nurse shortage: a national dilemma. Recruitment, retention become key goals in hospitals' quest for more nurses.


Who watches the watchmen?

Who watches the watchmen?


Touring the health bureaucracy.

Touring the health bureaucracy.


Medical conglomerates.

Medical conglomerates.


New AHR proposal fails to make substantial reduction in hospital reporting burden.


Rights for gays in the face of NHS 'homophobia'. Difficulties encountered by gays when they seek help from the NHS for conditions which may not be associated with their homosexuality are discussed in this article by Brian Deer. He looks at ways in which a better understanding of gay people's problems could be promoted but recognises that there are no easy solutions.


Deficiencies in efficiency.

Deficiencies in efficiency. Technical advances in treating acute illness, particularly cardiac arrest, have outstripped the management capability allowed by the existing administrative structure of acute hospitals. Richard Shircore, service planning officer in SE Thames RHA, and Terry Garrison, a lecturer in management, put forward this view and suggest changes which they believe would improve emergency patient care.


How to use that 'low profile' often in industrial relations. When confronted with industrial action the manager's need to act and to be seen to be acting can distort the longer term expedient. Ian Tibbles, deputy unit administrator, West Suffolk Hospital, warns of the pitfalls in a response to the options presented in last week's article.


Health Administration: of fleas and smaller fleas... Monitoring as an official management tool has been a source of discontent since its introduction with reorganisation. Normal pride in a job well done is replaced by tension over monitoring being a negative and censorious act of interference. Drew Clode reports on some schemes that aim to make it a participatory and constructive exercise.


Investor-owned firms use enterprising methods to cope with nurse dilemma.


Historic change marks opening of new Louisville hospital.


Painting a sombre picture of unlawful control. For the past five years, Michael Glorney, now administrator of Barnet Family Practitioner Committee, has followed closely attempts to bring the practitioner service within the provisions of the 1973 NHS Reorganisation Act. Here he looks at the current position on what he calls 'a misuse of executive power' in Barnet.


Energy Tax Act provides hospitals economic incentives to invest in energy saving.


High court's decision in NLRB v. Baptist Hospital updates union solicitation issue. Part 1.


FAH voices viewpoints on competitive approach to health care delivery.


The health budget: deep cuts are on the way.


Georgia DRG delay bill vetoed; review, study set.


Hospitals can improve reimbursement by keeping accurate property records.


Potential uses of microprocessors for home health education.


A dressing down for tariff system.

A dressing down for tariff system. The poor standard of dressing provision in the crucial role of community nursing is discussed by Roy Lukacs, assistant district finance officer, Aylesbury and Milton Keynes Health District and Mike Dormer, product manager, patient care division, Johnson and Johnson. They ask why the drug tariff system is still common to many districts.


Education as a prevention modality for alcohol abuse.


Seed bed of psychiatry.

Seed bed of psychiatry. Mapperley Hospital, Nottingham, is celebrating its centenary. For more than 20 years Mapperley had, as its physician superintendent, Dr Duncan Macmillan, one of the great pioneers of community psychiatry in Britain. In 1952 it became the first British mental hospital to unlock all its wards. Now it looks forward to its second century.


HSSJ guide to managerial salaries and conditions in the NHS.


Forecasting: unknowns and intangibles.

Forecasting: unknowns and intangibles. If the rate at which the patient population of a mental hospital is likely to decline can be predicted with reasonable accuracy, policies and plans can be put on a realistic basis. Len Goldstone, of the University of Manchester Institute of Science and Technology, explains how simulation can give planners and managers a better chance of meeting future needs.


Medical records: a question of confidence. Concern is growing about the number of requests for release of confidential personal information relating to the hospital treatment of patients. Colin Starling, administrator, Watford General Hospital, reviews some of the problems and offers some guidelines towards a general hospital policy.


Medical self-care: a stop on the road to high level wellness.


Pharmacy--health centers: assessing the public's needs. The role of the pharmaceutical officer in the establishment of health centres is explained by Dr Shirley Ellis, regional pharmaceutical officer, East Anglian RHA. She describes the conflicts which may arise for the PhO and stresses the importance of avoiding the impression that pharmacists lose some of their independence by agreeing to practise from a health centre.


The implications of cultural conflict for health care.


Ambulance services: a logical, effective and economic solution. Ambulance services tend to be over-manned and under-productive. Metropolitan services, run by regions, cost more and are less sensitive to local needs than those run by areas. In offering his strictly personal views, Terry Ball, staff officer, West Yorkshire Metropolitan Ambulance Service, suggests that in future DHAs should run the ambulances.


Staff monitoring: a better way to get ahead? William Burrell, area administrator, Jim Haig, area management services officer and Brian Hughes, area personnel officer discuss the thorny subject of staff monitoring and its development in Northamptonshire AHA. They seek to answer questions raised in Andrew Wall's article, 'Bonus schemes--have they a future', published in the November issue of 'Health Service and Manpower Review'.


HSSJ guide to managerial salaries and conditions in the NHS: Clegg and the PSM management grades.


Private medicine: causes of the coming boom. Many different factors have influenced the recent expansion of private medicine. In this article, Suzanne Mollo examines them in detail and looks at the future prospects for both NHS and private health care.


Pharmacy: financial viability and public needs. One of the main aims of the 1974 reorganisation was to provide a uniform service of a good standard, throughout the country. In the latest of our series D. W. Carrington, area pharmaceutical officer, Norfolk AHA, considers how far this has been achieved in relation to pharmacy.


Training: five stars for the White Hart. It is important that NHS staff should be aware of the service offered by the training and studies centre at Harrogate, writes Alex Hart, the centre's principal. Housed in the White Hart, a Georgian style building which was originally a hotel, it has a small staff and a distinctive method of operation.


Computers in construction.

Computers in construction. It is now possible, using computers, to 'build' a hospital without laying a single brick. John Bolton, Chief Works Officer and Director General of Works, DHSS, describes the development of a suite of programs through which architects, engineers, surveyors and planners can co-ordinate their work.


Estate management: when reality stifles ambition. Health service buildings and lands make up an estate which must be managed in such a way that the future does not suffer from the neglect of the present. Looking to the NHS as it is likely to be in the 1980s, Gordon Brooke, regional works officer, Mersey RHA, suggests an end to a system in which capital is a 'free good' and districts under financial pressure have little incentive to preserve the value of their estates.


An important factor in drug usage......and the adoption of a positive role. How can drug use be controlled and what is the most effective way of organising pharmaceutical services? In these two articles P.I. Harrison, BSc, MPhil, MPS, APO, Ealing Hammersmith and Hounslow AHA and J.G. Roberts, FPS, OBE, RPO, Mersey RHA, discuss the answers to these questions.


Health planning: putting the weight where it belongs. With the advent of such far reaching developments as national formulae for revenue and capital allocations, it is becoming increasingly important that full account is taken of the demographic structure of populations creating demands and using services. K. M. Cottrell, regional statistician, North Western RHA, describes the derivation and application of an age-sex index.


A methodology for space evaluation and programming for the materials management function, Part III.


Looking at the 80's--what hospitals should get from suppliers.


What is a health care contract?

What is a health care contract?


Purchasing managers rate distributors "best" or "worst".


Dealing with disaster: making community emergency plans.


Participative management: the Cleveland way.


Newham Nucleus hospital.

Newham Nucleus hospital.


Towards a simpler organisation.

Towards a simpler organisation.


Budgets for clinicians.

Budgets for clinicians.


Out-patient survey of the North Western Region.


41 years at the IHSA.

41 years at the IHSA.


The graphical representation of hospital bed provision.


"Trainers in health care seem to lack clout because they often lack credibility"--Margolis.


Resource allocation: the need for greater attention to efficient utilisation.


An alternative statistic to percentage occupancy.


Finance in the NHS.

Finance in the NHS.


ECHO around the world.

ECHO around the world.


The nursing dilemma: agent of change in disposables switch.


The nursing dilemma: a question of accountability.


Diagnostic related groups: basis for hospital information system.


The nursing dilemma: organizing a research program.


Preventive maintenance--a cure or expensive medicine?


Setting up a volunteer program for teenagers.


Drugs brought in by patients: the need for control.


Nurses need written standards.

Nurses need written standards.


Change is vital if small hospitals are to survive.


Patient care: four steps toward increasing positive interactions between hospital staff and patients.


Implementing a good neighbor policy.

Implementing a good neighbor policy.


50 years of service to the West: an AWH retrospective.


Purchase order convinces administration of epidemic.


Report of NAWR workshop. Correctives for health care injustices: self-reliance, networks.


Advise visitors of risks from isolated patients.


Report of the USCC dialogue on aging: "Graying of the Church"--a problem and an opportunity.


Should pregnant nurse work?

Should pregnant nurse work?


Primary care centers serve inner-city residents.


Budget cuts bound to rejuvenate cost containment bill.


Report of NEHA-NECCHA meetings: technology friend and foe in quality-cost containment struggle.


In-hospital recruitment pool relieves nursing shortage.


A conversation with Jim Heidenreich.

A conversation with Jim Heidenreich.


Home health services reduce inpatient delays.


CHA Evaluative Criteria: strengthening commitment to the apostolate. CHA's Evaluative Criteria helps facilities determine the breadth of their Catholic focus and character. It is the best response Catholic health care facilities can make to the issue of quality of care.


Geothermal energy reduces hospital's heating bill.


Health care marketing needs rational, ethical approach. Health care facilities can avoid service duplication and inefficiency through a more hard-headed marketing approach to consumer need and demand. Rather than assuming that all institutions can and should provide the same service, health care facilities must couple public service obligations with costs, demands, and capabilities.


Health care institutions face issues of justice, need. Health care facilities, although founded to provide important services, should not rest content. Commitment to justice requires continued efforts in furthering cost containment, patients' dignity, equitable compensation, and full participation in decision making and in combating racism and sexism.


The helicopter ambulance: essential medical service. Aeromedical evacuation, adapted from military practice, now enlarges the scope of emergency care. Hospitals nationwide are weighing three different operating options before instituting local services.


The mechanics of cost containment: an administrative point of view.


Psychiatric patient refuses medication.

Psychiatric patient refuses medication.


Hospital-based air ambulance service extends emergency care. St. Louis University Hospitals lease a helicopter ambulance service to reach emergency patients in inaccessible areas quickly, to carry specialized medical personnel and equipment to outlying hospitals, and to transfer patients at risk to appropriate facilities.


Lay volunteers enlarge pastoral care department's scope.


Health planning amendments will add to hospitals' certificate-of-need burdens.


Continuing education for the material manager.


Understanding economic order quantity.

Understanding economic order quantity.


Community group distributes leaflets in clinic lobby, halls.


Mother refuses to pay for children's treatment.


Understanding the principles of supply consignment.


Hospital governance: a dual function served by three power bases.


Forms control: is it possible?

Forms control: is it possible?


Significant savings through decontamination by Pasteurization.


101 ways to contain hospital supply costs.


Hospital consortia: the multi-unit hospital model that preserves multiple management.


Amalgamation of the supply, process and distribution function.


Establishing effective supply maximums and minimums.


Inner city hospitals.

Inner city hospitals.


Participatory management: an executive alternative for human service organizations.


'Helping thyself' to mental health.

'Helping thyself' to mental health.


Pastoral counseling: preachers of prevention.


Aspects of Jewish ministry in the mental health setting.


Neighborhood networks: power in the process.


Rediscovering recovery.

Rediscovering recovery.


GAO releases study on hospital supplies prices.


Your medical record--access in Pennsylvania.


Question: how will health care change in the 1980s?


Residents' gallery--outstanding auxiliary project turns handicrafts into needed medical equipment for hospital.


Consumer caucuses in HSA's: a preliminary study of the nationwide situation.


The American sickness care system: an answer to the views of Drs. Salmon and Berliner on "Why medicine is failing".


Selected community hospital statistics from the National Hospital Panel Survey.


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


Medical care prices.

Medical care prices.


Trustees & administrator: a plan for sharing responsibility.


Hospital information systems: past, present and future.


'The 80's--ready or not!'.

'The 80's--ready or not!'.


The financial impact of materials management.


The 80s--fiscal imperatives for hospitals.


Bad debts: calculating an appropriate reserve.


Bad debts are an operating expense.

Bad debts are an operating expense.


Time: the executive's dilemma.

Time: the executive's dilemma.


HFMA education policy statement. Guidelines for implementation of HFMA education policy.


Kellogg Foundation helps universities to start graduate programs.


HEW answers Hill-Burton questions.

HEW answers Hill-Burton questions.


Complying with the Hill-Burton regulations--a step-by-step guide.


Internal auditing--helping control costs.


Taxation of exempt organizations: tax on unrelated business income.


HIM-15 revisited.

HIM-15 revisited.


Pathologies of place and disorders of mind: "community living" for ex-mental patients in New York City.


Systems developed to aid proper charging of services.


Community clinics in Seattle: a system that works.


Payment patterns: accounts receivable.

Payment patterns: accounts receivable.


Financial forecasts: overcoming the obstacles.


Reader adds input to Davis' article: accounting of PIP.


Working capital management: how strong is it in hospitals?


How to estimate the optimal cash balance.


Use income sensitivity indexes to maximize revenue from rate increases.


GRASP--making the most of nursing budgets.


Issues for legislative effort.

Issues for legislative effort.


Payment patterns: CHAMPUS claims.

Payment patterns: CHAMPUS claims.


3 rules for selecting capital financing options.


Is a report-writer the answer to information retrieval?


Disclosure: who should do what...and why.


How to plan an effective silver recovery program.


Containing costs through operational review.


Collection agencies: guardians of our credit economy.


Computer room disasters--are you prepared?


Variable budgeting: to accurately monitor a hospital's performance.


Payment patterns: the correct way to calculate the age of receivables.


A guide for evaluating purchasing groups.


Stress on stress.

Stress on stress.


Material management: a concept for today.


How to use pattern analysis.

How to use pattern analysis.


Medical staff merger: a follow-up case study. The November 1979 issue of The Hospital Medical Staff contained the article "A Blueprint for Medical Staff Consolidation," in which a mechanism was described for consolidation of the medical staffs of two merging hospitals, Deaconess Hospital of Buffalo and The Buffalo General Hospital. An organizational framework was outlined that included the adoption of common principles of consolidation, common bylaws, a common cross-credentialling mechanism, and a transitional organizational format. The following article describes the implementation of that plan.


Home care needs physicians who care.

Home care needs physicians who care. With home care being looked at as a cost-saving alternative to institutional care, hospitals and home care agencies are developing and expanding their home care services. Physicians need to become better informed about these services and participate in their development, if the proper medical perspective is to be preserved.


A sampling of medical staff cost containment projects. Medical staffs are implementing and participating in a variety of programs designed to lower health care costs in their institutions and communities. This article details a number of these programs ranging from cost awareness to procedural changes within the hospital. These projects are representative of a large selection of projects soon to be published in digest form.


A two-blank system to minimize prescription forgeries.


A model for the management of a hospital pharmacy staffed by specialized pharmacists.


Medication error reports.

Medication error reports.


If you cannot make the sale, move on or move over.


Impact of change on food service department: the pyramid of change.


CDA management evaluation programme: a management tool.


Hospital food service management with computer assistance.


Development of a computerized system for calculating nutrient intakes.


Labor time comparison of a cook-freeze and a cook-serve system of food production.


Present and potential use of computers in dietetics in Canada.


Communicating with the communicatively impaired person.


Multiculturalism and nutrition counselling.


Dietary counselling and the behavioral sciences.


Current outlooks in long-term care: management and community relations.


Waking up!

Waking up!


Current outlooks in long-term care: financial management.


Are concepts of organizational theory and concepts of individualized treatment contradictory?


The concepts of overlays applied to mental hospital administration.


Achieving accountability in community mental health programs: a proposed method.


A multiple entry system for psychiatric clinics.


Certification of clinical engineers.

Certification of clinical engineers. This paper constitutes a review of the certification process for Clinical Engineers, and specifically the nature and activities of the National Certification Commission. It describes written and oral certification examinations, and the working relationship between the Board of Examiners and the National Board of the Commission. This paper discusses BMET Certification and its relationship to the central role of Clinical Engineers. The need for Certification is stressed and its effect on the quality of health care is discussed.


State community mental health services -- a new management perspective.


Empirically based community mental health administrative procedures: a procedure for evaluating accuracy of client information systems.


Setting up a clinical engineering department. The problems of cost, personnel qualifications, task assignment, and productivity involved in establishing a clinical engineering department are addressed in this paper. A basic department consisting of a Clinical Engineer, a Biomedical Equipment Technician, a Testing Technician and a Clerical Assistant can provide a full range of clinical engineering services to a hospital with 225 instruments. The annual cost of such a department, including materials, would be approximately $90,000. The average capital investment in a selection of 225 instruments would be on the order of $860,000. This paper discusses levels of skills within a clinical engineering department, and the services that a hospital could expect from a four-man department.


Selected administrative issues for improved mental health organization.


Political constraints on the mental health budgetary process.


ECG/respiration monitor calibrator.

ECG/respiration monitor calibrator. This paper describes an ECG/Respiration monitor calibrator used by the Biomedical Staff to check such units quickly, inexpensively and accurately. The calibrator can be constructed by the Biomedical Engineering Staff in one day for a parts cost of less than fifty dollars. Once the calibrator is connected to the patient cable of an ECG/Respiration monitor, the calibrator will generate concurrently a calibrated rate and amplitude ECG-pulse and respiration waveform.


Management by objectives for mental health executives.


Device standards: the view from the FDA. This paper constitutes an overview of FDA's functions and activities, offering a brief introduction to the Medical Device Amendments, and performance standard requirements from FDA's point of view. It discusses the agency's voluntary standards policy and the required conditions for deferral of mandatory standards. This paper also describes the Medical Device Standards Survey, and the role of the clinical engineer in standards development. It lists new Problem Definition Studies of the Bureau of Medical Devices which represent the first step in the new standards development process.


Keep alive--or allow to die?

Keep alive--or allow to die?


Healing in Haiti: Albert Schweitzer Hospital in the New World.


New light on the legend that big groups do it better.


Nice work, said the jury. But the patient got $600,000.


Now a temper tantrum can cost you your privileges.


Dealers fear drastic action now unavoidable to brake inflation.


One solution to an age old problem: the generalist and angiographers.


FDA sets standards policy, priorities.

FDA sets standards policy, priorities.


Final device classifications set.

Final device classifications set.


How a hospital maximizes savings through computers.


Collection forms, an analysis: what is illegal, objectionable under P.L. 95-109?


Chiropractors crack the practice barrier...


Keeping the paper beast at bay.

Keeping the paper beast at bay.


Why do we treat cancer patients special?


Forensic medicine: the medicolegal history.


The right to refuse psychiatric medication.


Is big beautiful?

Is big beautiful?


Sisters of Mercy Health Corporation...effective management can be demonstrated in a multi-hospital system.


Detroit Medical Center...on the threshold of a renaissance in Detroit's health care delivery.


St. Clair Health Services Corporation...the corporate committee approach to successfully managing diversified health care activities.


Flexible resources...a tradition of innovation at Henry Ford Hospital is exemplified by a variety of approaches to sharing.


Multi-hospital alliances...participating hospitals retain autonomy in Beaumont's shared service program.


Implementation of a central registration system.


Individualized diabetic education...doing it better.


A quality assurance program that is hospital-wide.


U.P. hospital receives $400,000 from donor.


TV...a special friend.

TV...a special friend.


The super sitter.

The super sitter.


Holistic medicine.

Holistic medicine.


The corporate and securities adviser, the public interest, and professional ethics.


Fairness and unfairness in television product advertising.


Notes: rationalizing administrative searches.


Developments in labor relations.

Developments in labor relations.


A demographic approach to health services.


Delegation of technical procedures to nursing staff.


Teaching hospitals and regionalisation in NSW a more viable alternative.


New venture in hospital administration.

New venture in hospital administration.


The clinical pharmacist -- an educational challenge.


Diagnostic ultrasound in Australian hospitals.


Community health for health professionals.


Evaluation of the health system.

Evaluation of the health system.


AHA study of the 1974 report on hospitals in Australia.


Nursing people: problems, goals and strategies.


Health services in the private sector.

Health services in the private sector.


Criteria for assessment of resident medical officer performance.


The mechanics of accreditation.

The mechanics of accreditation.


The rural area hospital and health services improvement in Australia.


Ward pharmacy program in a 210 bed general hospital.


Health in the world of tomorrow.

Health in the world of tomorrow.


Management by concensus and professional integration.


Pragmatic planning of rural health services.


Planning to maximise staff resources.

Planning to maximise staff resources.


McMaster and beyond.

McMaster and beyond.


Total health planning.

Total health planning.


The hospital's responsibility for graduate medical education.


The value of professional food management service.


Involving dietary with total patient care.


The administrator-resident relationship.


A guide to codes for hospital planning.

A guide to codes for hospital planning.


Unified hospital interiors reflect function and anesthetics.


Philanthropy: the key to solving pressing financial problems.


The capital financing dilemma for non-profit hospitals: examining the role of the contributed dollar.


Employee dishonesty.

Employee dishonesty.


Excess hospital beds.

Excess hospital beds.


Do public relations people really work?

Do public relations people really work?


Problem-oriented hospital communications--a new approach.


Progress report on hospital leasing.

Progress report on hospital leasing.


Medical leasing helps hospitals battle economic woes.


Hospital trustees: benefactors or anachronisms?


Another day at the hospital and my journal is late.


Up and down the organizational ladder.

Up and down the organizational ladder.


Improving productivity in health care.

Improving productivity in health care.


Managing today's modern hospital.

Managing today's modern hospital.


Where are we? Where are we going?

Where are we? Where are we going?


Hospital economics: 19 myths the public holds dear.


The hospital service representative.

The hospital service representative.


How to know when to switch to microfilm.


Executive recruitment. Part I--The planning stage.


The merit plan: the key to productivity.


The political realities of capital formation and capital allocation. Part I--Capital formation.


Executive recruitment. Part II--The interview: intermediate stage.


How temporary help services relieve short-term hospital staffing problems.


Hospitals in the 1980's.

Hospitals in the 1980's.


Are you an effective hospital administrator?


The political realities of capital formation and capital allocation. Part II--Capital allocation.


The health systems President--Odyssey 2001.


For trustees ... an era of great opportunity. But things can get worse. And they will!


Executive recruitment. Part III--Evaluation and selection.


An interview with Congressman Dan Rostenkowski.


Training and motivation: keys to good housekeeping.


Why many hospitals lose NLRB elections.

Why many hospitals lose NLRB elections.


Checkless payroll: an inexpensive employee benefit.


Is your hospital vulnerable to IRS audit?


How hospitals are controlling costs.

How hospitals are controlling costs.


Let the government guarantee your hospital loan.


The changing hospital.

The changing hospital.


Poor press plans compound disaster.

Poor press plans compound disaster.


Holding the CEO accountable.

Holding the CEO accountable.


Holding the CEO accountable. Part II.

Holding the CEO accountable. Part II.


Making MBO work.

Making MBO work.


The wobbly three-legged stool.

The wobbly three-legged stool.


The future of the voluntary hospital system.


CEO performance review: a board responsibility.


Goals of the administrative housekeeper and how to reach them.


Capital report: National Health Resources and Development Act of 1974.


AOHA educational institute focuses on hospital employee relations.


Managing the evolution of a laboratory computer system. The Laboratory Information System (LABIS) of the National Naval Medical Center, Bethesda, Md., was installed in 1974. Since that time, the system has undergone transitions which suggest that its evolution proceeded in three distinct stages. The author details the different management techniques and supervisory qualifications that each stage of growth requires, and he explains how an understanding of these requirements will enable the pathologist to adjust better to the evolution of the system.


Observing overseas medicine: home care for myocardial infarction?


An update on personnel recordkeeping and employee privacy. "Privacy," says the President, "is a permanent public issue." So permanent, in fact, that the federal Privacy Protection Study Commission made 34 recommendations covering employee recordkeeping, all of which deserve personnel's attention. Our author also focuses on General Electric's all-out privacy compliance program, which may well prove a good model for other corporations to follow.


What employees need to know about benefit plans.


Trends and practices in employee benefits.


Communicating with terminal cancer patients. Communication between doctors and terminal cancer patients has been identified as a problem area in medical care. There have been attempts to overcome this problem by establishing new teaching programs; however, the most effective teaching methods are costly. A model is described that requires minimal staff involvement in teaching about communicating with terminal cancer patients.


Is there merit in merit increases?

Is there merit in merit increases?


Needs assessment strategies in working with compliance issues and blood pressure control. This paper addresses the development and effect of health education interventions on compliance behavior and blood pressure control of hypertensive patients. The focus is on two main tactics: 1) the use of a baseline questionnaire to determine the patients' needs in the area of medical regimen management and the translation of that information into education intervention; 2) the development of a group method as a form of internality training providing a needs assessment and simultaneously responding to the assessment. The results supported the study's hypotheses with respect to blood pressure control. Both the theoretical and practical aspects of internality training as a needs assessment process and a skill training process are discussed.


How we operate a useful interdisciplinary teaching program for warfarin patients.


X-rays: the silver mine in your office.

X-rays: the silver mine in your office.


Physicians' inflation fight becomes tougher.


Active patient orientation.

Active patient orientation. The successful treatment of chronic ambulatory illness requires that patients be involved actively in the management of their own conditions. How health providers orient services toward patients is likely to affect the quality of patients' involvement. In the study reported here, three programs of care were evaluated in terms of the extent to which the care provided was oriented toward patients as active participants in the treatment process. Ninety-one hypertensive patients, randomly assigned among the three programs, rated their care in terms of active patient orientation (APO). On the basis of the structural characteristics of the three programs, it was hypothesized that the contingency-contracting approach would afford a stronger APO than either the educational or routine-care approach. The findings conform to expectation. Observed linkages among structure of care, level of APO reported, and patient participation are discussed in addition to the practice implications.


Drug refusal rights set in California.

Drug refusal rights set in California.


Price competition, federal law and the HSA.


Quantifying the human resources function.


Comparability of radiology departments.

Comparability of radiology departments.


Health planning and resources development: Titles XV and XVI of the Public Health Services Act as amended by the Health Planning and Resources Development amendments of 1979 (Public Law 96-79).


Case study: a radiology department management control program.


An introduction to productivity for the radiology manager.


Monitoring financial and productivity performance in radiology departments.


The development and use of personnel specifications.


A comparison of two methods of delivering presurgical instructions. A 2 x 2 factorial design was employed to test the effects on various indicators of postoperative recovery of surgical patients who had received preoperative instructions. A pamphlet and/or a nurse visit were used as delivery methods. The study population consisted of 50 patients who were scheduled for cholecystectomies. Patients were given information on the expected sequence of events on the day of surgery and instructions in postoperative self-care activities. Findings indicate that a differential effect of providing information was dependent on the patient's level of preoperative fear, with high-fear patients benefiting most from information. Patients in the high preoperative-fear group who received either the pamphlet or the pamphlet and a nurse visit had shorter postoperative hospitalizations, switched from injected to oral medication sooner, scored higher on an index of energy and movement, and rated their appetites as better when compared with patients in either the nurse-visit or control groups. However, among those who scored low in preoperative fear, patients in the control group had better recoveries from surgery than patients who received preoperative information. The study points out the need to perform an educational assessment of patients before information is provided.


Coordination and citizen participation.

Coordination and citizen participation. This study investigates the validity of the assumption that coordination and citizen participation are related inversely and, thus, are incompatible as features in the same social service reform strategy. Seventeen social service organizations situated in the same urban area were studied. Data were obtained by structured interview. The concepts of coordination and citizen participation were operationalized by means of scales. The findings support the validity of the assumption noted above. Although interpretations of the findings can be provided, they are post-factum. This implies a need for explanatory research which might be guided by theories of community power structure and of organizational behavior.


Role strain and burnout in child-protective service workers. Social workers in child-protective services have always been called on to fulfill complex and demanding roles. In recent years dramatic increases in public and professional awareness of child neglect and abuse have produced new patterns of service delivery and rapidly expanding expectations for protective-service workers. At the same time, the problem of job dissatisfaction and burnout among these workers has received increased attention and may be becoming more widespread. This article reports on a study which applies the role conflict and ambiguity theory developed by Kahn and others to the problem of job dissatisfaction among protective-service social workers.


Inequality in the social services.

Inequality in the social services. This article analyzes national data on the institutionalized population and shows the different patterns for white and nonwhite children and adults. It considers and refutes explanations based on differential problems and needs and explores organizational mechanisms. It also marshals evidence to show how such proxies as race and class are employed by organizations to induce a rationing of diagnostic categories and of services. The outcome is downward drift, the propelling of minority and poor persons into failure-reinforcing institutions. Directions for change are indicated.


The value of risk management today.

The value of risk management today.


Avoiding malpractice risk through proper maintenance.


Hiding the costs of national health insurance.


Texas hospital insurance exchange: Rx for savings and cost containment.


Quality assurance anecdotes: it's a great life, if you don't weaken.


Risk management: hospital health insurance.


Legal angle: risk exposure in malpractice cases.


The role of the utilization reviewer in risk management.


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


The community cares: older volunteers.

The community cares: older volunteers.


Knowing your equipment: a vital element in risk management.


Risk management education: program development. Part three.


Self-help among the aged.

Self-help among the aged.


Buggin' around TSICP: product evaluation committees.


As I see it: H.R. 2626.

As I see it: H.R. 2626.


Trustee development program: the board's role in health promotion.


Skin banking: a new field fulfills a vital need.


The legal perspective: how hospitals can play politics. A number of federal tax and election laws apply to political activity by charitable hospitals and trade associations, including the formation of political action committees. Trustees of charitable hospitals should approach political activity with an awareness of potential IRS hostility and with the advice of legal counsel.


Trustees: indispensable to hospitals' political thrust. Because of trustees' unique role in the hospital and the community, they are a vital part of health care's political thrust. The American Hospital Association and the allied state and metropolitan hospital associations have responded to trustees' increased commitment to political action by stepping up their own commitment to trustee political involvement.


How the Partnership for Action helps hospitals wield clout. The AHA/state hospital association Partnership for Action provides grass-roots input to members of Congress from hospital representatives throughout the United States. This article describes how the Partnership was instrumental in last year's defeat of the Carter Administration's hospital cost containment legislation.


Tips from a Congressman on being a better lobbyist. Last year's defeat of the Administration's hospital cost containment legislation provides convincing evidence of the potential hospital trustees have for successfully influencing the outcome of major health legislation. A U.S. Representative offers tips to help trustees influence the legislative process more effectively.


Stalking the wild legislator.

Stalking the wild legislator. Lobbying is rapidly becoming an accepted role for trustees, but it is not an easy one. Learning to communicate effectively with elected officials requires thorough knowledge of the issues under discussion, close liaison with hospital administration and hospital associations, and an understanding that diplomacy is critical.


A political action success story.

A political action success story. When the insurance commissioner of North Dakota put on the ballot a proposal to place the costs of all health services under state regulation and control, the North Dakota Hospital Association (NDHA) set in motion an all-out campaign to defeat the measure. The president of the association describes the NDHA's successful grass-roots lobbying effort.


Trustees tell why they're involved.

Trustees tell why they're involved.


As I see it: fence-mending on the home front.


Patient advocacy program links board and patient. The patient advocacy program at Hurley Medical Center, Flint, MI, was developed as part of an administrative effort to make the institution more responsive to the human needs of patients. The program acts as a direct link between the patient and the trustee by bringing to the board's attention specific information on patient problems along with corrective actions that have been implemented.


Board retreat has 'grand rounds' theme.

Board retreat has 'grand rounds' theme. An innovative trustee education program uses a "grand rounds" theme to acquaint board members with the functioning of their specialized facility.


Hospital governance pictured as vital, neglected, with little being done in the way of reform.


Trustee development program: physician recruitment in small and rural hospitals.


As I see it: rising hospital costs.

As I see it: rising hospital costs.


What you need to know about D & O liability insurance. In response to trustees' concerns about a liability insurance crisis and about their own personal liability, many hospitals are purchasing directors and officers (D & O) liability insurance for their board members. This article describes the coverage that D & O policies should provide, lists the kinds of claims that are made against hospital trustees and officers, and suggests the need for preventive measures to reduce liability exposure.


Why neither competition nor regulation is the whole answer. The full potential of competitive marketplace incentives and governmental regulatory incentives in the health field will be achieved only in effective interaction with voluntary incentives. This article examines the relationships among regulation, competition, and voluntary discipline and the implications of a balanced approach in health planning.


Competition: the game everyone's playing. The need of all hospitals to make a profit and the key role of census in the creation of that profit have led to a crisis in census marked by strong competition between hospitals, administrators, and physicians. This article examines how hospitals compete for patients and physicians and the need for the direct participation of the hospital board in the competitive struggle.


Sustaining board trains future trustees. The sustaining board of fellows of Mount Sinai Medical Center, Miami Beach, FL, serves as a training ground for future members of the hospital's board of trustees. The sustaining board also sponsors numerous hospital projects, including a student scholarship program and various community outreach programs.


Hyatt Medical gets contract with Cook County Hospital.


CT seen as costs scapegoat.

CT seen as costs scapegoat.


Community hospitals--a new outreach toward the Veterans Administration.


Retention of the hard-core unemployed.

Retention of the hard-core unemployed. Previous attempts to determine correlates of successful employer experience with the hard core unemployed have been restricted because of their focus upon a limited number of variable sets and lack of follow-up over time. The present study examines the impact of individual, organizational and program variables on the success of 104 manpower program participants over time. Results provide support for the systems approach to the design and evaluation of such programs as well as for expectancy theory in the explanation of results.


National health insurance: now, later, never?


Assessing personal, role, and organizational predictors of managerial commitment. Using a role and exchange theory framework, this study examines the commitment to their organization and to the federal service of 634 managers in 71 federal government organizations. Results indicate that certain role factors such as tenure and work overload and personal factors such as attitude toward change and job involvement are strong influences on commitment. Implications of the findings and the need for further theoretical and methodological refinements are discussed.


Some determinants of compensation decisions. This research investigated the effects of three variables upon compensation decisions. Results indicated that, in a simulated personnel task, both subordinate pay equity and subordinate equity off the job directly affected subjects' decisions. The strength of the subordinate's demand for a raise also influenced compensation decisions through its interaction with each of the other two variables.


Supervisory power as an influence in supervisor-subordinate relations. Ninety subjects were randomly assigned to a supervisory role in either a reward only, penalty only, or reward and penalty power condition. The subjects then supervised both successful and unsuccessful subordinates. Subordinate performance, but not supervisory power, consistently affected a subject's actions. Some interesting effects of supervisory power were noted.


Organizational career stage as a moderator of the satisfaction-performance relationship. The relationship between performance and dimensions of job satisfaction is studied among 132 employees of a public agency located in a large southwestern city. The results of this study indicate that the relationship between performance and a particular dimension of job satisfaction may be a function of an individual's career stage within the organization.


Clinical problems in geriatric medicine: a team approach.


The psychology of aging: implications for health care professionals.


The gerontological nurse as a health assessor.


The development of services for the care of the elderly in Britain.


Health and welfare programs for the aged in Korea.


Health care delivery and health data processing in the United States.


After 65: activities, services, and medical care for seniors in Sweden.


In praise of praise.

In praise of praise.


New focus for young lawbreakers.

New focus for young lawbreakers.


Amigos Del Valle.

Amigos Del Valle.


Training the mentally retarded: a progress report.


Policy issues concerning the Hispanic elderly.


FTC halts hair implant ads by MD.

FTC halts hair implant ads by MD.


Couple lead legal fight against church.

Couple lead legal fight against church.


AMA comments on legislation, regulations.


Iowa physician's cost containment crusade pays off for hospital budget.


Physicians preparing for volcano emergency.


Controversy troubles founders of first test tube baby clinic in United States.


Health economist predicts--no bold health policy expected in 1980s.


Teaching hospitals get grants to establish group practice programs.


Blues plan capitation pay experiment.

Blues plan capitation pay experiment.


A Texas tale of two clinics.

A Texas tale of two clinics.


Cuban exile MDs organize to care for influx of refugees.


Courts, committees, and caring.

Courts, committees, and caring.


Health and nutrition education.

Health and nutrition education.


Keeping healthy--by computer.

Keeping healthy--by computer.


In this GP's practice...the patients help call the shots.


Catching up with the 20th century.

Catching up with the 20th century.


How they turned things around in Tillamook.


Hospital-based specialists affected: MDs' pay held subject to review.


Patient education can make a difference. Relieving the acute physical distress of chronic lung ailments is just one step in rehabilitation. The American Hospital Association and the American Lung Association have developed a manual for health-care teams to teach patients how to help themselves return to a more normal life.


Roots.

Roots.


Hospital marketing: a new tool for cost containment conscious institutions.


Faith's focus: its formation and reformation.


A theological basis for the church delivering health services in the present American society.


Listening revisited.

Listening revisited.


Pulmonary rehabilitation: a model for pastoral care.


Protestantism and the whole person: an historical perspective.


Pastoral care...communicating the love of God.


Whole person health care at Trinity.

Whole person health care at Trinity.


Themes in coping: toward a pastoral assessment.


Living-with-cancer program at a small hospital.


A role for spiritual assessment in diagnosis and treatment of chemically dependent persons: the chaplain's challenge.


Confronting one's own dying: an experiential approach.


The chaplain should wear only one hat.

The chaplain should wear only one hat.


Reducing stress and depression with exercise.


How interested groups have responded to a proposal for economic competition in health services.


Guardian of the milieu: a role for the psychiatric chaplain.


Closed circuit TV and patient care.

Closed circuit TV and patient care.


Praying with the terminally ill.

Praying with the terminally ill.


Personal illness: a creative force in pastoral care.


Healing through hypnosis: an avenue into the subconscious.


Hogan's Heroes or Howards's Helpers.

Hogan's Heroes or Howards's Helpers.


Burnout--occupational hazard: description and prescriptions.


When touch talks.

When touch talks.


If Jesus were chaplain.

If Jesus were chaplain.


Establishing clinical pastoral education for a fundamentalist Bible college.


Hospice: new opportunity for ministry.

Hospice: new opportunity for ministry.


Peer review and competence in ministry.

Peer review and competence in ministry.


Stress management.

Stress management.


Multi-ministry in a small Christian hospital: "It's you and me, Tonto.".


"Nice" as a disease.

"Nice" as a disease.


Management by objectives related to pastoral care programs.


The chaplain as facilitator of reconciliation in the rehabilitation process (treatment) of chemically dependent people.


Visiting the sick: an authentic encounter.


Reducing anxiety of the orthopedic patient.


Application of insights learned in disasters to institutional systems.


The problem of Barr v. United Methodist Church.


Chaplaincy challenges in the 80's.

Chaplaincy challenges in the 80's.


A mandatory continuing education program for chaplains.


Problems affecting urban hospitals.

Problems affecting urban hospitals.


Health planning: ambivalences and ambiguities.


The worst of times for technological innovation.


Medical devices: assuring quality and safety through user education.


Potentiation and the patient.

Potentiation and the patient.


Let's talk: breaking down barriers to effective communication.


Mustard plasters to heart surgery: a revolution in health care that is still being fought.


Dial 03 for speedy emergency aid: on duty with the Soviets' efficient ambulance corps.


Occupational Safety and Health Administration--Access to employee exposure and medical records. Final rule. This final occupational safety and health standard, promulgated today as a revised 29 CFR 1910.20, provides for employee, designated representative, and OSHA access to employer-maintained exposure and medical records relevant to employees exposed to toxic substances and harmful physical agents. Access is also assured to employer analyses using exposure and medical records. The final standard requires long term preservation of these records, contains provisions concerning informing employees of their rights under the standard, and includes provisions protective of trade secret information.


Rules of agency practice and procedure concerning OSHA access to employee medical records. The Occupational Safety and Health Administration of the United States Department of Labor (OSHA). Final rule. These rules of agency practice and procedure, promulgated today as a new 29 CFR 1913.10, govern OSHA access to personally identifiable employee medical information contained in medical records. The rules are structured to protect the substantial personal privacy interests inherent in identifiable medical records, while also permit OSHA to make beneficial use of these records for proper occupational safety and health purposes. The rules regulate the manner in which OSHA will seek access to employee medical records, and how the medical information will be protected once in the agency's possession.


Nursing homes and intermediate care facilities mortgage insurance eligibility requirements definitions: Department of Housing and Urban Development (HUD). Final rule. This final rule amends Part 232 to allow mortgage insurance for additional facilities for nonresident care of elderly individuals and others who are able to live independently but who require care during the day.


Nuclear Regulatory Commission--Alexandria Hospital order imposing civil monetary penalties.


Veterans Administration--Grants to states for construction of state home facilities. Final regulations. These regulations delete the requirements of war service in the determination of veterans' eligibility for State home care and in the determination of the number of State nursing home beds in each State for construction purposes. In addition, [1] the term "construction" has been expanded to include construction of new domiciliary buildings to provide care in State homes, [2] the term "cost of construction" has been expanded to include the amount found necessary for a construction project, [3] the percentage of bed occupancy has been amended to allow no more than 25 percent occupancy by non-veterans in buildings constructed with grant funds, [4] general standards of construction and equipment have been expanded to include domiciliary and hospital facilities, and [5] the recapture period for construction funds, when a facility is no longer operated for the purpose for which the grant was made, is now no greater than 20 nor less than seven years based on the magnitude of the project and the grant amount involved. Also, the number of beds required to provide adequate nursing home care to veterans residing in each State has been adjusted. These regulations implement legislation.


Veterans Administration--VA Consumer Affairs Program. VA consumer program. The Veterans Administration Consumer Affairs Program addresses the ongoing Agency consumer activities and integrates the programs of the Departments of Medicine and Surgery, Veterans Benefits, and Memorial Affairs. The primary goal of this program is to ensure that veterans, their dependents, and their surviving beneficiaries have the opportunity to provide input to the decision making process. The program described complies with the requirements established by Executive Order 12160 on Federal Consumer Programs.


Health Resources Administration--Application announcement for grants for faculty development in family medicine.


Veterans Administration--Medical benefits; readjustment counseling for Vietnam era veterans. Final regulations. The VA [Veterans Administration] has added regulations to comply with the Veterans Health Care Amendments of 1979. This law mandates that the VA provide readjustment counseling and related mental health services to Vietnam era veterans. The law allows for the providing for these services through contract sources. Contractors will be required to meet quality and effectiveness standards established by the Veterans Administration before they can be authorized to provide services.


Office of the Secretary--Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); clarification of home oxygen therapy and physician standby charges. Statement of policy. These are policy statements to Part 199 of this title. The purpose of these policy statements is to clarify the conditions under which CHAMPUS benefits may be considered for physician standby charges and for home oxygen therapy.


Public Health Service--Information regarding requirements for health maintenance organizations. Notice, information regarding requirements for qualified health maintenance organizations. This notice contains information relating to the requirements for federally qualified health maintenance organizations (HMOs) as set out in Title XIII of the Public Health Service Act (the Act), as amended, and its implementing regulations at 42 CFR Part 110. This information, which includes a number of interpretive rulings, is being published in response to significant questions that have been raised regarding those requirements.


Office of the Secretary--Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); double coverage; correction. Correction to final rule. The purpose of this correction to the regulations on implementation of the Civilian and Medical Program of the Uniformed Services (32 CFR Part 199) is to reinsert at section 199.14, Double Coverage, paragraph (d) (3), Title XVIII of the Social Security Act, as Amended: Medicare.


Public Health Service--Grants for construction of teaching facilities, educational improvements, scholarships and student loans; grants for nurse practitioner traineeship programs. Interim-final regulations. These regulations set forth requirements for grants to schools of nursing, medicine, and public health, to public or nonprofit private hospitals, and to other nonprofit entities to meet the costs of traineeships for the training of nurse practitioners. Trainees must reside in health manpower shortage areas and sign a commitment with the Secretary to practice full-time as nurse practitioners in areas having shortages of primary medical care manpower.


Environmental Protection Agency--Hazardous waste and consolidated permit regulations, Parts II-IX. Revisions to final rule and interim final rule and requests for comments. Subtitle C of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act of 1976, as amended (RCRA), directs the Environmental Protection Agency (EPA) to promulgate regulations to protect human health and the environment from the improper management of hazardous waste. The first phase of EPA's regulations implementing this directive are contained in Parts 262 and 263 of this chapter (which were promulgated on February 26, 1980) and Parts 261, 264, 265, 122, 123, and 124 of this chapter (which are being promulgated today). This regulation (Part 260) sets forth definitions of words and phrases which appear in Parts 261 through 265 and contains provisions which are generally applicable to all those regulations. It was originally published on February 26, 1980, concurrent with the promulgation of EPA's Part 262 and 263 regulations. It is now being amended to add new provisions required by today's publication of Parts 261, 264 and 265 and to revise one of the definitions published in February.


Environmental Protection Agency--Hazardous waste and consolidated permit regulations, Parts X-XI. Final rule. This rule establishes consolidated permit program requirements governing the Hazardous Waste Management program under the Resource Conservation and Recovery Act (RCRA), the Underground Injection Control (UIC) program under the Safe Drinking Water Act (SDWA), the National Pollutant Discharge Elimination System (NPDES) program and State Dredge on Fill ("404") programs under the Clean Water Act (CWA), and the Prevention of Significant Deterioration (PSD) program under the Clean Air Act, for three primary purposes: (1) To consolidate program requirements for the RCRA and UIC programs with those already established for the NPDES program. (2) To establish requirements for State programs under the RCRA, UIC, and Section 404 programs. (3) To consolidate permit issuance procedures for EPA-issued Prevention of Significant Deterioration permits under the Clean Air Act with those for the RCRA, UIC, and NPDES programs.


Business, as a health care consumer, is paying heed to the bottom line. It may be spending up to $100 billion a year for health care, and business wants not only to hold down costs but also to forestall the alternative: federal regulation.


Scaring the planners.

Scaring the planners.


A national health problem demands a national effort.