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Full-Text Articles in Health Policy
Leveling The Field--Ensuring Equity Through National Health Care Reform, Bruce Siegel, Lea Nolan
Leveling The Field--Ensuring Equity Through National Health Care Reform, Bruce Siegel, Lea Nolan
Health Policy and Management Faculty Publications
Members of minority groups have higher rates of disease, poorer health, and more limited access to care than their white counterparts. They account for half of the uninsured population and 58% of the low-income uninsured population. Even when they have coverage, minority patients are at risk for receiving lower-quality medical and surgical care than white patients. The factors underlying these inequities are complex and go far beyond the health care system,but any meaningful reform must, at a minimum, confront disparities in care. Health care reform provides a unique opportunity to reversea legacy of inequality in health and health care. This …
Analysis Of The Extent To Which State Insurance Laws Mandate Coverage And Payment Of Vaccines And Vaccine Administration Fees During Periods Of Declared Public Health Emergencies, Sara J. Rosenbaum, Nancy Lopez, Ross Margulies
Analysis Of The Extent To Which State Insurance Laws Mandate Coverage And Payment Of Vaccines And Vaccine Administration Fees During Periods Of Declared Public Health Emergencies, Sara J. Rosenbaum, Nancy Lopez, Ross Margulies
Health Policy and Management Faculty Publications
This analysis examines whether state insurance laws require health insurers, as a condition of doing business, to pay the costs associated with the administration of immunizations during declared public health emergencies. As is the case with the current H1N1 emergency, a public health emergency triggers nationwide distribution of free vaccine. But even when vaccine is distributed free of charge, its administration poses costs to private physicians and charges can be significant. As a result, the Institute of Medicine has identified vaccine administration as a potential financial barrier to care. Most communities have limited numbers of public health workers and professional …
Emergency Department Operations In Top-Performing Safety-Net Hospitals, Lea Nolan, Marsha Regenstein, Donna Anthony, Bruce Siegel
Emergency Department Operations In Top-Performing Safety-Net Hospitals, Lea Nolan, Marsha Regenstein, Donna Anthony, Bruce Siegel
Health Policy and Management Faculty Publications
This report profiles five safety-net hospitals—Boston Medical Center, Denver Health, Memorial Regional Hospital, Memorial Hospital West, and Virginia Commonwealth University Health System—that made improvements to curb emergency department (ED) crowding, reduce long waits, and lower the number of hours spent on ambulance diversion. Hospitals used a combination of interventions, including: reconfiguring the ED to maximize efficiency; devising a pre-diversion system to alert staff of ED crowding; installing an electronic tracking system; designating staff members to be responsible for tracking patients; and developing meaningful performance metrics. To be successful, such interventions need to take place within a broader improvement strategy that …
Liability Protections For Emergency Volunteer Health Practitioners And Entities, Jennifer Lee, Orriel L. Richardson, Ross Margulies, Sara J. Rosenbaum
Liability Protections For Emergency Volunteer Health Practitioners And Entities, Jennifer Lee, Orriel L. Richardson, Ross Margulies, Sara J. Rosenbaum
Health Policy and Management Faculty Publications
Twenty-four states and D.C. have statutes that extend some level of immunity to groups and/or organizations providing charitable, emergency, or disaster relief services, although these laws varied greatly among states.
Ensuring The Use Of Federal Assets In Public Health Emergencies: The Role Of The Federal Tort Claims Act In Enabling The Responsiveness Of Federally Funded Community Health Centers, Rebecca L. Katz, Melissa M. Goldstein, A. Seiji Hayashi
Ensuring The Use Of Federal Assets In Public Health Emergencies: The Role Of The Federal Tort Claims Act In Enabling The Responsiveness Of Federally Funded Community Health Centers, Rebecca L. Katz, Melissa M. Goldstein, A. Seiji Hayashi
Health Policy and Management Faculty Publications
No abstract provided.
Bursting At The Seams: Improving Patient Flow To Help America's Emergency Departments, Marcia J. Wilson, Khoa Nguyen
Bursting At The Seams: Improving Patient Flow To Help America's Emergency Departments, Marcia J. Wilson, Khoa Nguyen
Health Policy and Management Faculty Publications
From 1992 to 2002, the number of annual ED visits increased 23 percent in the U.S., while the number of EDs decreased by 15 percent. Many EDs are overwhelmed by the number of patients needing their services, with 62 percent of the nation's EDs reporting being "at" or "over" operating capacity. Almost daily, newspaper headlines across the country relay stories about patients waiting for hours in the ED before being seen and tales of ambulances being diverted from one hospital to the next due to overcrowding. But while much of the blame for this situation has been placed on broader …
An Assessment Of The Safety Net In San Diego, California, Khoa Nguyen, Peter Shin, Marsha Regenstein, Marcia J. Wilson, Kyle Kenney, Karen C. Jones
An Assessment Of The Safety Net In San Diego, California, Khoa Nguyen, Peter Shin, Marsha Regenstein, Marcia J. Wilson, Kyle Kenney, Karen C. Jones
Health Policy and Management Faculty Publications
This report examines key issues that shape the health care network available to uninsured and underserved residents in San Diego. It provides background on the San Diego health care safety net and describes key characteristics of the populations served by the safety net. It then outlines the structure of the safety net and funding mechanisms that support health care safety net services. The report also includes an analysis of key challenges facing providers of primary and specialty care services and specific barriers that some populations face in trying to access them.
An Assessment Of The Safety Net In Atlanta, Georgia, Jennel Harvey, Marsha Regenstein, Karen C. Jones
An Assessment Of The Safety Net In Atlanta, Georgia, Jennel Harvey, Marsha Regenstein, Karen C. Jones
Health Policy and Management Faculty Publications
This report examines issues that shape the health care network available to uninsured and underserved residents in Atlanta. It provides background on the Atlanta health care safety net and describes key characteristics of the populations served by the safety net. It then outlines the structure of the safety net and funding mechanisms that support health care safety net services. The report also includes an analysis of challenges facing providers of primary and specialty care services and specific barriers that some populations face in trying to access them.
An Assessment Of The Safety Net In Fairfax County, Virginia, Lea Nolan, Lissette Vaquerano, Karen C. Jones, Marsha Regenstein
An Assessment Of The Safety Net In Fairfax County, Virginia, Lea Nolan, Lissette Vaquerano, Karen C. Jones, Marsha Regenstein
Health Policy and Management Faculty Publications
This report examines key issues that shape the health care network available to uninsured and underserved residents in Fairfax County. It provides background on the health care safety net and describes key characteristics of the populations served by the safety net. It then outlines the structure of the safety net and funding mechanisms that support health care safety net services. The report also includes an analysis of key challenges facing providers of primary and specialty care services and specific barriers that some populations face in trying to access them.
An Assessment Of The Safety Net In Boston, Massachusetts, Holly Mead, Peter Shin, Marsha Regenstein, Kyle Kenney, Karen C. Jones
An Assessment Of The Safety Net In Boston, Massachusetts, Holly Mead, Peter Shin, Marsha Regenstein, Kyle Kenney, Karen C. Jones
Health Policy and Management Faculty Publications
This report examines key issues that shape the health care network available to uninsured and underserved residents in Boston. It provides background on the Boston health care safety net and describes key characteristics of the populations served by the safety net. It then outlines the structure of the safety net and funding mechanisms that support health care safety net services. The report also includes an analysis of key challenges facing providers of primary and specialty care services and specific barriers that some populations face in trying to access them.
An Assessment Of The Safety Net In Phoenix, Arizona, Lea Nolan, Lissette Vaquerano, Marsha Regenstein, Karen C. Jones
An Assessment Of The Safety Net In Phoenix, Arizona, Lea Nolan, Lissette Vaquerano, Marsha Regenstein, Karen C. Jones
Health Policy and Management Faculty Publications
This report examines key issues that shape the health care network available to uninsured and underserved residents in Phoenix. It provides background on the Phoenix health care safety net and describes key characteristics of the populations served by the safety net. It then outlines the structure of the safety net and funding mechanisms that support health care safety net services. The report also includes an analysis of key challenges facing providers of primary and specialty care services and specific barriers that some populations face in trying to access them.
An Assessment Of The Safety Net In San Antonio, Texas, Marcia Wilson, Peter Shin, Marsha Regenstein, Karen C. Jones
An Assessment Of The Safety Net In San Antonio, Texas, Marcia Wilson, Peter Shin, Marsha Regenstein, Karen C. Jones
Health Policy and Management Faculty Publications
This report examines key issues that shape the health care network available to uninsured and underserved residents in San Antonio. It provides background on the San Antonio health care safety net and describes key characteristics of the populations served by the safety net. It then outlines the structure of the safety net and funding mechanisms that support health care safety net services. The report also includes an analysis of key challenges facing providers of primary and specialty care services and specific barriers that some populations face in trying to access them.
An Assessment Of The Safety Net In Memphis, Tennessee, Lea Nolan, Jennel Harvey, Karen C. Jones, Marsha Regenstein
An Assessment Of The Safety Net In Memphis, Tennessee, Lea Nolan, Jennel Harvey, Karen C. Jones, Marsha Regenstein
Health Policy and Management Faculty Publications
This report examines key issues that shape the health care network available to uninsured and underserved residents in Memphis. It provides background on the Memphis health care safety net and describes key characteristics of the population served by the safety net. It then outlines the structure of the safety net and funding mechanisms that support safety net services. The report also includes an analysis of key challenges facing providers of primary and specialty care services and specific barriers that some populations face in trying to access them.
An Assessment Of The Safety Net In Detroit, Michigan, Marsha Regenstein, Khoa Nguyen, Karen C. Jones, Kyle Kenney
An Assessment Of The Safety Net In Detroit, Michigan, Marsha Regenstein, Khoa Nguyen, Karen C. Jones, Kyle Kenney
Health Policy and Management Faculty Publications
This report examines key issues that shape the health care network available to uninsured and underserved residents in Detroit. It provides background on the Detroit health care safety net and describes key characteristics of the populations served by the safety net. It then outlines the structure of the safety net and funding mechanisms that support health care safety net services. The report also includes an analysis of key challenges facing providers of primary and specialty care services and specific barriers that some populations face in trying to access them.
An Assessment Of The Safety Net In Queens, New York, Holly Mead, Marsha Regenstein, Karen C. Jones
An Assessment Of The Safety Net In Queens, New York, Holly Mead, Marsha Regenstein, Karen C. Jones
Health Policy and Management Faculty Publications
This report examines key issues that shape the healthcare network available to uninsured and underserved residents in Queens. It provides background on the Queens health care safety net and describes key characteristics of the populations served by the safety net. It then outlines the structure of the safety net and funding mechanisms that support health care safety net services. The report also includes an analysis of key challenges facing providers of primary and specialty care services and specific barriers that some populations face in trying to access them.
Emtala: Dedicating An Emergency Department Near You, Brian Kamoie
Emtala: Dedicating An Emergency Department Near You, Brian Kamoie
Health Policy and Management Faculty Publications
This article offers a brief history of healthcare civil rights, describes a range of healthcare issues that have a civil rights component, and discusses the need for an expanded civil rights framework to guide the provision of health care. Unequal health care based on race and ethnicity has received renewed attention over the past several years, but healthcare discrimination based on socioeconomic status, disability, age, and gender also deserve careful attention.