Donna Peters, a noted expert in outcomes and data management in home h ealth care, and Tad McKeon, author of Home Health Financial Management, team up to assess the current home health care environment in light of quality, cost, and data collection issues. The most prevalent sourc es of data including outcomes measurement, professional standards, reg ulatory requirements, consumer expectations, care guidelines, and acti vity-based costing are examined. The book addresses how one uses data to derive information that can be used to improve performance and exam ines how to use data to achieve excellence, not just to satisfy regula tors.

In recent years women's issues have begun to move higher up the health services agenda. However, there have been few attempts to set out the rationale for this, or to document the good practice initiatives that have resulted. This unique book undertakes both these tasks. The first part examines the theoretical, conceptual and empirical underpinning of current arguments for greater gender awareness in health planning; while the second explores a variety of schemes designed to put these new ideas into practice. The aim of these case studies is to show what can be done, but also to identify the many challenges and pitfalls involved. As the first book of its kind, Women and Health Services will be useful to teachers and students on a wide range of both professional and academic courses. It will also be an important resource for policy makers and practitioners, offering a rationale for change as well as concrete examples of what has been achieved within the current structure of health services. Features * two-part structure provides a combination of theory and practice in one volume * tackles key issues of central concern to target audience * each section features an introductory overview by Lesley Doyal * topic-based approach makes it ideal for use on courses with students * written and edited by leading authorities in the field

In this authoritative book, the dean of health care analysts discusses the future of American hospitals in the rice of downsizings, mergers, and closings. Eli Ginzberg assesses the different approaches hospitals and their physician staffs have made toward becoming part of an integrated health network, and he explores such trends as the growth of managed-care plans, development of alternative treatment sites for long-term patients, cooperation among community hospitals, and health service management by primary care physicians.

"Ginzberg has codified the conventional wisdom regarding all the problems -- organizational, structural, financial, and managerial -- currently besetting our hospitals. He has provided a concise description, both broad and specific, of the roots of these problems. He also spreads the responsibility among the external environment and the changes occurring there and the hospitals themselves". -- Bernard S. Bloom, Journal of the American Medical Association

"This well-written book provides a general overview of the past (beginning with the post-World War II years) and a forecast of the future of acute care hospitals. Ginzberg manages to compress much information into a slender volume". -- Health Affairs

"For any American interested in understanding the nature of the health care crisis into which we are plunging headlong, this book should be required reading". -- Mitchell T. Rabkin, M.D., president, Beth Israel Hospital, Boston

There is a growing trend for investigators to adopt a more formal approach to the procedures applied to various stages of clinical trials. Most environments employ some form of standard operating procedures which are designed to be used as ‘working tools’ within that particular field, e.g. standard operating procedures in hospitals for doctors and nurses. With rigorous standards of good clinical practice being applied to all areas, optimizing the design and use of standard operating procedures is more in demand every day. Topics covered include:

• A brief description of the history and development of clinical research and good clinical practice
• An explanation of what standard operating procedures are and how they work
• A selection of actual standard operating procedures and checklists

One Of The Major Trends In Health Care Is The Consolidation Of Physician Practices. To Compete Effectively For Patients And Control Costs, Physicians Are Either Combining Into Larger Groups Or Deciding To Sell Their Practices To Hospitals. The Valuation Of Physician Practices And Clinics Provides Buyers With A Basic How To Approach To The Valuation Of Physician Practices And Outlines How Sellers Can Get The Most For Their Money.

Health care in the United States at the end of the 20th century occupies a completely different place in the economy, in the public consciousness, and in its impact on government, than it did at the beginning of the century, or even in the early years of the Clinton Administration. Health care is now a multi-billion dollar industry; one that consumes more than 15 percent of the nation's GNP. Citizens now regard health care as essential to the quality of their lives, and a steady stream of new medications and procedures point to ways to extend the lives of our aging population and restore those injured on or off the job. At the same time, the changing patterns of health care have stirred a national debate over the growth of managed care and the role that government can play in providing solid health care standards--a medical safety net--within tightening budgetary restraints. This book explores the role of the federal government in health care policy development from the years of the Founding Fathers to the present.

Kronenfeld reviews the key features of the American health care system, its infrastructure, and federal legislative process and outcomes in the health care arena. The current situation in health care is examined, with particular attention given to the attempt at major reform in the first Clinton administration, and to the modest changes that were ultimately passed. She closes with an examination of the future of health care and the role of government, emphasizing how current health care issues and concerns may set the stage for a changed federal role in funding and delivery of health care services in the next century. This comprehensive examination of the role of government in the health care system will be of great interest to students and researchers of public policy and the social aspects of American health care.

Effective communication is the key to encouraging healthy behavior. Documenting a revolution in both theory and practice, Johns Hopkins University experts show that communication leads the way to healthy reproductive health and family planning behavior. They explain why communication makes so much difference and how communication programs can be made to work.

This book presents a compilation of lessons learned by the Johns Hopkins Center for Communication Programs and its partners over 15 years of developing and implementing family planning communication projects campaigns in Africa, Asia, Latin America, and the Near East. An introductory essay provides an overview of family planning and communication worldwide and outlines the role of theory-based communication programs. The main part of the book presents lessons learned in the field about the process of designing and carrying out family planning communication projects. More than 60 lessons are presented, with descriptions and analysis of projects illustrating each lesson. A final essay explores the current and future challenges confronting family planning educators and other public health communicators.

This guidebook addresses the three major financial centers in every ph ysician's life--the medical practice, the pension plan, and personal f inances. Listing cases and examples, the author addresses these three interrelated financial centers in a two-phase process: how to conduct practice management review and then how to use this process to establi sh an ongoing system for successful total financial management. Plus, the second edition has new material on capitation, integrated delivery systems, mergers & acquisitions and practice valuation, pensions, and dealing with managed care companies.

The problem of how to treat the mentally handicapped attracted much attention from American reformers in the first half of the twentieth century. In this book, Steven Noll traces the history and development of institutions for the 'feeble-minded' in the South between 1900 and 1940. He examines the influences of gender, race, and class in the institutionalization process and relates policies in the South to those in the North and Midwest, regions that had established similar institutions much earlier. At the center of the story is the debate between the humanitarians, who advocated institutionalization as a way of protecting and ministering to the mentally deficient, and public policy adherents, who were primarily interested in controlling and isolating perceived deviants. According to Noll, these conflicting ideologies meant that most southern institutions were founded without a clear mission or an understanding of their relationship to southern society at large. Noll creates a vivid portrait of life and work within institutions throughout the South and the impact of institutionalization on patients and their families. He also examines the composition of the population labeled feeble-minded and demonstrates a relationship between demographic variables and institutional placement, including their effect on the determination of a patient's degree of disability.
Originally published in 1995.
A UNC Press Enduring Edition -- UNC Press Enduring Editions use the latest in digital technology to make available again books from our distinguished backlist that were previously out of print. These editions are published unaltered from the original, and are presented in affordable paperback formats, bringing readers both historical and cultural value.

Assessing the needs of populations is a prerequisite for the planning and delivery of effective health services. This text presents the Life Cycle Framework as a means of organizing thought about this task from health district down to neighbourhood levels. The framework brings together in a coherent manner the diverse influences (e.g. biological, social, ethnic, environmental and geographical) on people's propensity for good health and their ability to avail themselves of services. It also identifies routinely available sources of information. The book is self-contained in that no prior knowledge of epidemiology is demanded of the reader. The intended readership includes a wide range of health professionals, managers and policy makers and those in other public sectors (e.g. local government) whose actions influence health. The Life Cycle Framework can also be used to assist in teaching social medicine to medical and nursing undergraduates and will be a valuable aid to trainees in public health medicine.

Puts forward a theoretical framework for understanding consumerism in health care and its relation to professionalism. This book explains why consumers and professionals may intuitively perceive some standards as lower or higher than others and goes on to discuss many examples of professional good and bad practice.

Home Health Financial Management is the only comprehensive financial r esource written specifically for home health providers. In six parts, each containing three chapters, it addresses the full range of financi al issues that confront home health providers. Diagrams, charts, forms, and a glossary of relevant terms make it understandable and useful.

Health services are set on an inexorable drive for more and better information, and are spending millions of pounds on information technology in an effort to obtain it. But as the need for information becomes ever more pressing, serious problems have come into focus, ranging from the difficulties of collecting accurate routine data to understanding the role of information in management and clinical practice. This book sets out to clarify the nature of the problems surrounding information and IT, and point the way to practical solutions. It is divided into three sections: policy overview; views from within the health service; and the views of academic researchers.

If you've been worried about how health care reform will affect your specialty and your future prospects - worry no more. In this timely report from cardiovascular specialists John O. Goodman and Conrad Vernon, you will learn what's coming in the future of cardiovascular care delivery. You will learn a step-by-step plan that will enable your program to greet the change with confidence and optimism. Use these authors' years of experience in cardiovascular health care to create a successful future! With the demand for cardiovascular services increasing every day and with an aging population, NOW is the time to begin! Cardiovascular Transformation gives you all the tools you need to immediately develop your cardiovascular delivery system, define your mission, meet your long-term goals and objectives, and guide your program or practice toward progressive, constructive growth. High-Level Strategic Guidance and Practical Tools You Need To: *Prepare yourself for changes in cardiovascular delivery *Develop a creative, flexible, long-term strategic business plan *Initiate a formal planning process *Conduct a market assessment to design a cardiology program free of access barriers *Evaluate your delivery system *Conduct a feasibility study to decide on a plan that can be successfully implemented *Emerge on the winning end of the reimbursement process *Design an action plan for marketing cardiovascular services *Use long-term capital planning to avoid running short on facilities, equipment, and human resources *Meet the real needs of the marketplace? Succeed long after health care reform *Much, much more!

This text argues that private contracts would allow for more and genuine consumer choice, based on real differences between competing health plans in content, mixture and cost of services. It further argues that contracts would establish set standards and obligations for all parties.

Why is the United States the only advanced industrial democracy today without a national health insurance program? Laham aptly examines the reasons for the current health crisis and assesses the prospects for long-term solutions. Students, teachers, policymakers, activists, and citizens at-large will learn from this comprehensive historical analysis of the political and economic problems that have blocked needed reforms and of the debates and proposals through 1993 which argue for positive change.

The seriousness, potential dimensions, and likely victims of the AIDS epidemic were known as early as 1981, yet the reaction of public and private organizations was shockingly slow and feeble and is even now woefully inadequate. Basing their analysis largely on the hardest hit city, New York, Charles Perrow and Mauro Guillen deliver a passionate, yet well-documented indictment of governmental and private groups for failing to provide the necessary education and care in response to this disaster. In this controversial book the authors describe the patterns of denial, avoidance, and segregation that various organizations exhibited toward the AIDS crisis and its victims. In so doing they extend our theories of organizational dynamics. It is well known that society has an aversion to the major groups threatened or afflicted with AIDS-male homosexuals and, more recently, intravenous drug users and their sexual partners-and that the poor and members of the minorities contribute most heavily to the ranks of the drug users. This situation, Perrow and Guillen argue, results in a stigma that makes AIDS unique among epidemics and contaminates the response of most organizations involved. Society's hostility toward the urban poor bears even more responsibility for the organizational mishandling of the crisis than the economic and ideological preoccupations of the Reagan era and the homophobia of lawmakers and establishment organizations. The second wave of the epidemic, affecting intravenous drug users, and through them, crack users, interacts fatally with growing problems of poverty in the inner cities, where homelessness, joblessness, rising tuberculosis and syphilis rates, crime, and the paucity of strong indigenous community agencies all foster the rapid spread of the disease. What is needed, the authors contend, is an all-out war on AIDS that attacks both sexual discrimination and poverty. The AIDS epidemic, they claim, presents an occasion for redressing long-standing social injustices.

All royalties, a minimum of GBP2.50 from the sale of each book, will be paid to NHS Charities Together (registered charity no. 1186569) to fund vital projects. When the UK went into lockdown in March 2020 to contain the spread of the Covid-19 virus, artist Tom Croft offered to paint an NHS key worker's portrait for free. Unsure how to help and offer his support, he wanted to capture and record the bravery and heroism of frontline workers who were risking their physical and mental health for our wellbeing. Tom suggested that other artists might want to do the same. He made his offer via video message on Instagram and was immediately contacted by Harriet Durkin, a nurse at the Manchester Royal Infirmary, who had contracted Covid-19 and, now recovered, was about to return to the frontline. Tom's portrait of Harriet, wearing PPE, was the first in what became a global art project. The response to the initiative was staggering and Tom personally paired up 500 artists and NHS workers in the first two weeks. When numbers reached the thousands, Tom set up a traffic light system so that artists and frontline workers could match themselves. Portraits in all mediums followed, from oils to pencil, sculpture to ceramic, mosaic to mural. This book presents a selection of these remarkable images. Some are by leading artists such as Alastair Adams and Mary Jane Ansell, and they are showcased here as both a celebration and a remembrance, in physical form, of the dedication of our NHS key workers. 'I just couldn't imagine what it must be like to have to put on your PPE and head into the frontline of the pandemic, so I wanted to try and thank NHS workers in some small way. We are indebted to them, so to be able to commemorate, celebrate and record their experiences through portraiture felt fitting. This collection will stand as a permanent record of their bravery in a time of national crisis.' Tom Croft

Fire And Emergency Services Administration: Management And Leadership Practices, Second Edition Covers The Latest Course Objectives From The Fire And Emergency Services Higher Education'S (FESHE) Bachelor'S Core Level Fire And Emergency Services Administration Model Curriculum. To Effectively Lead Modern Public Safety Organizations And The Various Components Within Them, Individuals Must Possess A Solid Understanding Of The Always-Changing Issues That Face The Fire And Emergency Medical Services. The Second Edition Of Fire And Emergency Services Administration: Management And Leadership Practices Has Been Completely Updated To Deliver The Very Latest Information Needed To Understand These Challenges And Will Assist Managers In Making The Proper Decisions That Can Impact All Aspects Of Their Organization. The Second Edition Features: Expanded Emphasis On Management And Leadership Of EMS Operations. Updated Budgeting Financial Strategies, Including Advice On How To Overcome Shrinking Budgets And Economic Downturn. New Guidance On Hiring And Diversity. Expanded Coverage On Training, Education, And Fire Fighter Safety. The Following Features Are Incorporated Throughout The Second Edition: Chapter Objectives: FESHE Objectives And Knowledge Objectives Are Listed At The Beginning Of Each Chapter, Including Page References. Case Studies: Real-Life Incidents Help Stimulate Student Discussion And Highlight Important Concepts. Facts And Figures: Provides Useful And Interesting History, Facts, And Other Research Relating To The Fire And Emergency Services. Words Of Wisdom: Presents Powerful And Informative Quotes From Organizational Leaders And Experts In Their Fields. Chief Officer Tips: Targeted Advice To Deal With Common Administrative Issues And Introduce Techniques To Implement Change. Chapter Activities: End-Of-Chapter Fire And EMS Activities Reinforce Important Concepts And Improve Students' Comprehension.

The Oxford Manual of Major Incident Management brings together and integrates the key facts for all those involved in major incident planning and response. This will be an invaluable resource for a wide range of professionals, from doctors across emergency medicine, public health, general practice, pre-hospital care, and communicable disease control, to nurses, emergency services, administrators and planners. Transport, industrial, and natural disasters have always necessitated a coordinated interagency, multi-professional response, and with the rising threat in terrorist incidents, that need has never been greater. The information base required to plan for and manage this response has now been collected together into a single user friendly volume, clearly describing the hazards and their management at all stages. This manual will be useful in planning for all types of major incident, acting as the basis for training, and as an aide-memoir during an event. Authoritative, comprehensive, and concise, this quick-reference guide will be of use to both established experts and to novices in the field.

The federal government plays a significant role in emergency management, which generally refers to activities associated with avoiding and responding to natural and human-caused hazards. Emergency management in the United States is highly decentralised and contextual in nature: activities often involve multiple jurisdictions as well as a vast number of agencies, non-governmental organisations, and private sector entities. In addition, the number and type of actors involved in an incident will vary tremendously depending on the context and severity of the event. Similarly, the legal framework through which emergency management functions and activities are authorised is also decentralised and stems from multiple authorities. This book describes the process for requesting federal assistance for major disasters, emergencies, and fire suppression, with a focus on Presidential Policy Directive 8 and the National Preparedness System; the Federal Stafford Act Disaster Assistance; and federal disaster recovery programs.

Children represent nearly 25 percent of our population. Consider that on any given weekday, 6.7 million children are in schools and child care, a time when children are most vulnerable because they are away from their families. Yet, only a handful of States require basic school evacuation and family reunification plans. The Strategic National Stockpile, intended to provide the public with medicine and medical supplies in the event of a public health emergency, is woefully under-stocked with medical countermeasures for children. This book examines existing capabilities that can and should be built upon to integrate children into preparedness, planning, response, and recovery. Meeting the needs of children in disaster planning and management is a national responsibility lacking not only sufficient funding, but also a pervasive concern, a sustained will to act, and a unifying force.

"Chronic Condition" provides a compelling analysis of the causes of the current health care crisis and of the shortcomings of reform proposals. It also offers an ingenious new framework for reform that, while minimizing government interference, would provide a means for financing care for the less affluent.

Sherry Glied shows that rising health care spending is consistent with a rising standard of living. Since we can, as a nation, afford more health care, reform must address not the overall level of health care costs but the distribution of health care spending.

Prior reform proposals, Glied argues, have failed to account for the tension between the clearly manifested desire for improving the quality of health care and the equally widespread interest in assuring that the less fortunate share in these improvements. After careful analysis of the ill-fated Clinton plan, Glied proposes a new solution that would make the willingness to pay for innovation the means of financing health care improvements for the less affluent. While rejecting the idea that the distribution of health care should be perfectly equal, Glied's proposal would enable all Americans to benefit from the dynamics of the free market.

Emergency Services Leadership: A Contemporary Approach Offers A Comprehensive View Of The Historical Developments Of Leadership Models, Presents A Variety Of Leadership Theories, And Explores How Various Theories Apply To Current Emergency Services Leadership Roles. The Authors Address How Leadership Has Evolved From The Theories Of "Position And Authority" To More Contemporary Approaches In Which Leadership Is Expressed In Terms Of Influence Relations, Servitude, Risk Agencies, And Transformational Change Agents. Best Practices For Making Ethical, Compassionate, And Competent Leadership Decisions Are Also Discussed. The Ideal Introduction To Leadership Concepts In Modern-Day Emergency Services Agencies, Emergency Services Leadership: A Contemporary Approach Is Appropriate For EMS, Fire Services, Law Enforcement, Emergency Management, And Military Courses And Is An Ideal Resource For Department-Specific Training Programs, Especially For Officer Development. The Authors Weave Personal Experiences, Interviews With Current Emergency Services Leaders, And Leadership Points To Ponder Throughout The Chapters. End-Of-Chapter Activities Allow Readers To Explore Their Leadership Capabilities And Apply Concepts Presented In The Text. The Author Team Brings Their Extensive Experience In Emergency Services, Military Application, And Leadership Research To This Text. All Of The Authors Are Involved In Higher Education Levels And Serve In Leadership Capacities In Various Arenas.