Medicine and Health Sciences Commons^™

What's Happening: February 13, 2002, Maine Medical Center

What's Happening

No abstract provided.

What's Happening: January 30, 2002, Maine Medical Center

What's Happening

No abstract provided.

From Diagnosis To Payment: The Dynamics Of Coding Systems For Hospital, Physician, And Other Health Services, Karen Matherlee

National Health Policy Forum

This background paper reviews the two principal coding systems used to describe health services in the United States: ICD-9-CM and HCPCS, a combination of CPT-4 and national and local codes. It probes the relationships of these coding systems to payment policy, administrative simplification under HIPAA, and other concerns. The paper also addresses four coding issues: governance of CPT; adoption of ICD-10-CM; the appropriateness, accuracy, and responsiveness to change of the codes themselves; and the degree of documentation needed to monitor health services and determine payment.

Who Will Be There To Care? The Growing Gap Between Caregiver Supply And Demand, Nora Super

National Health Policy Forum

This paper examines the increasing demand for long-term care services and the concurrent decrease in the supply of paid and unpaid caregivers. It considers workforce trends for paraprofessionals, such as certified nursing assistants, home health aides, and personal care attendants, as well as several public and private efforts to address staff shortages and quality-of-care. The paper explores the sociodemographic factors that have affected the demand for and supply of informal care provided by family and friends. It also reviewes policy proposals designed to provide support for family caregivers and/or to give choices to consumers.

What's Happening: January 16, 2002, Maine Medical Center

What's Happening

No abstract provided.

Managed Care: As Good As It Gets? (Los Angeles), Lisa Sprague

National Health Policy Forum

This site visit was a return trip to southern California to examine the state of managed care. Between the Forum's last visit (in late 1998) and this one, the marketplace underwent considerable change, including significant movement away from global capitation, the collapse of physician practice management firms, and the development of new insurance products. Site visitors were briefed on managed care trends in the state, and panel discussions focused on issues related to physician group solvency, employer and consumer expectations, managed care regulation, and plan and provider strategies for surviving and prospering in the difficult southern California market. Site visitors …

What's Happening: January 2, 2002, Maine Medical Center

What's Happening

No abstract provided.

Managed Healthcare And Integrated Delivery Systems: A Model For Getting Ahead Of The Change Curve, Philip Sheridan Carney

Theses Digitization Project

Managed care became the dominant model for moderating healthcare costs in the 1990's. The later half of this past decade witnessed early signs of a return to escalating premiums. Providers and consumers have reacted negatively to perceptions of health plan micro-management and restriction of choice.

Children's Mercy Annual Report 2001, Children's Mercy Hospital

Children's Mercy Annual Reports

Annual report for The Children's Mercy Hospital in Kansas City MO, a pediatric medical center.

An Analysis Of Presentation Rates To A Paediatric Emergency Department, Andrew Hiskins

Theses : Honours

The health care industry b a very expensive one, constituting a significant proportion of the government budgets. Princess Margaret Hospital (PMH) for children is the only tertiary paediatric centre in Western Australia. PMH has over 40,000 children aged 0-16 years of age who present to the emergency department each year. PMH is one of many hospitals funded from government sources. The emergency department is a high cost area and an area with limited ability to curtail services due to financial constraints. A busy hospital will over a period of time have a constantly changing number of people presenting to the …

Controlled Software Evaluation Methodology: Case Simulation And Cognitive User Analysis, Kirt Walker, Sridhar Rajappan, Todd R. Johnson

Faculty, Staff and Student Publications

Software for use with patient records is challenging to design and difficult to evaluate because of the tremendous variability of patient circumstances. A method was devised by the authors to overcome a number of difficulties. The method evaluates and compares objectively various software products for use in emergency departments and compares software to conventional methods like dictation and templated chart forms. The technique utilizes oral case simulation and video recording for analysis. The methodology and experiences of executing a study using this case simulation are discussed in this presentation.

Board Members’ Perceptions Of Their Roles And Responsibilities At Centers For Independent Living In Iowa: The Impact Of Demographic And Experiential Variables, Kimberly Jo Hurley

Dissertations and Theses @ UNI

The purpose of this study was to determine if there were any relationships between the demographics and board experience of board members at Centers for Independent Living (CILs) in Iowa and their perceptions of their roles and responsibilities. A survey was administered to board members of five of the seven CILs in Iowa (N = 62, n = 36).

Although the sample was not large enough to determine the proposed relationships, descriptive statistics were used to summarize the demographics and board experience of the subjects as well as their ability to correctly distinguish between the roles the CIL board and …

What's Happening: December 19, 2001, Maine Medical Center

What's Happening

No abstract provided.

What's Happening: December 5, 2001, Maine Medical Center

What's Happening

No abstract provided.

Knowledge Management In The Healthcare Sector, Srinivas Krishna

IIMB Management Review

The healthcare sector across the globe is under going a cultural transformation, as the traditional passive and respectful patient opulation is replaced by an assertive and sceptical group of ‘customers’. As the educated and informed consumer moves through the healthcare system and begins to use more services, s/he is demanding information and choice, engaging in self-care and selfmanagement of diseases, and asserting a voice in making healthcare decisions with providers. The proliferation of clinical data, outcomes management, provider information and pricing transparency will allow consumers to be responsible for their own destinies in a historically anti-consumer healthcare system. In fact, …

What's Happening: November 21, 2001, Maine Medical Center

What's Happening

No abstract provided.

What's Happening: November 7, 2001, Maine Medical Center

What's Happening

No abstract provided.

Meeting Employees' Information Needs In An Evolving Health Care Marketplace, Lise Rybowski

National Health Policy Forum

This background paper explores the role of information in an evolving health care marketplace. It notes that, in a softening economy, many employers seeking relief from escalating health care expenses shift costs onto employees. Some try to make their retreat more palatable by offering employees both more options for how and where they receive health care and more control over how and where the money is spent. This paper discusses the changes that are likely to occur over the next decade in the ways that people make decisions about health plans and providers, the implications for consumers' information needs, and …

The Disappearing State Surpluses: How Come, How Long, And How Will They Affect Social Service Programs?, Randy Desonia

National Health Policy Forum

This issue brief focuses on the impact of budget shortfalls being experienced by many states after several years of strong revenue growth. It describes the structure and sources of state revenues and spending and the causes of the shortfall. It also summarizes the fiscal trends and federal policies that could result in significant budget shortfalls in the future.

What's Happening: October 24, 2001, Maine Medical Center

What's Happening

No abstract provided.

What's Happening: October 10, 2001, Maine Medical Center

What's Happening

No abstract provided.

Primary Care Case Management: Lessons For Medicare?, Lisa Sprague

National Health Policy Forum

This issue brief looks at primary care case management (PCCM) as a tool that states have used to manage the delivery of care to their Medicaid populations, an alternative to contracting with commercial managed care plans. (States had found PCCM a flexible means of advancing state policy goals, including quality improvement, disease management, and coverage of special-needs populations.) The issue brief considers provider and beneficiary perspectives on PCCM as well as state agency objectives and accomplishments. Finally, it raises the question of adapting the PCCM model for Medicare.

The Earnings And Employment Of Nurses In An Era Of Cost Containment, Edward J. Schumacher

Health Care Administration Faculty Research

Previous research has shown that from the 1980s through the early 1990s, nurses enjoyed substantial wage and employment gains that stemmed, to some extent, from increased labor demand. Using individual data for 1988-98 to compare nurses' fortunes with those of college-educated women and other workers in the health care industry, the author documents that nurses experienced a decline in real wages beginning in the early 1990s, at the same time that the skill premium for RNs, as reflected by the return to education and experience, was increasing. Changes in measured characteristics and their returns explain very little of the decline, …

Emergency Preparedness From A Health Perspective: Preparing For Bioterrorism At The Federal, State, And Local Levels, Robin J. Strongin

National Health Policy Forum

Despite the good intentions prior to and in the aftermath of the terrorist attacks of September 11, 2001, the existence of significant gaps in the country's preparedness became increasingly clear in the weeks that followed. This background paper provides an overview of the state of bioterrorism preparedness at all levels of government, identifying both the gaps and the steps being taken to close them. A series of reference materials, including a suggested reading list and Web site addresses, are listed at the end of the paper.

What's Happening: September 26, 2001, Maine Medical Center

What's Happening

No abstract provided.

Health Insurance Family Style: Public Approaches To Reaching The Uninsured, Jennifer Ryan

National Health Policy Forum

This issue brief explores existing and potential opportunities to further expand the availability of health coverage for the uninsured and the underinsured, given downturns in the economy and the resulting state budget shortfalls. It also considers the implications of the Health Insurance Flexibility and Accountability (HIFA) initiative announced in August 2001 by the Centers for Medicare and Medicaid Services. Finally, the issue brief describes legislative options for health care reform being debated in Washington, including tax credit incentives, employer-based coverage subsidies and the potential for additional federal funding for public coverage expansions through Medicaid and the State Children's Health Insurance …

What's Happening: Special Issue, September 20, 2001, Maine Medical Center

What's Happening

No abstract provided.

What's Happening: September 12, 2001, Maine Medical Center

What's Happening

No abstract provided.

What's Happening: August 29, 2001, Maine Medical Center

What's Happening

No abstract provided.

Mission Possible? Maintaining The Safety Net In Urban And Rural Colorado, Karen Matherlee

National Health Policy Forum

This site visit examined urban safety-net concerns in Denver and rural safety-net issues in three communities in the eastern part of Colorado. The Denver segment featured Denver Health, an integrated health system that provides a continuum of services to diverse vulnerable populations. It explored delivery and financing issues for the system itself and in relation to payers, providers, and consumers (particularly through Community Voices) in its catchment area. The eastern Colorado segment focused on delivery and financing issues in Rocky Ford (community health center/migrant health services concerns), Limon (certified rural health center topics), and Hugo (critical-access hospital matters). The visit …