Medicine and Health Sciences Commons^™

Performance And Accountability In Human Services: Ownership And Responsibility Of Professionals, Anna-Marie Madison

New England Journal of Public Policy

The recent frenzy of grant makers and government agencies in requiring impact evaluations of all grant recipients has created consternation among human service providers. To ensure their agencies' survival and worker job security, the leaders are faced with meeting the demands offunder-driven programming. Agencies seeking funding must comply with funder-defined needs and accountability criteria rather than their public missions. This article describes the use of mission-based performance evaluation rather than funder compliance to demonstrate accountability for mission accomplishment.

Improving Workforce Conditions In Private Human Service Agencies: A Partnership Between A Union And Human Service Providers, James Green

New England Journal of Public Policy

In 1995 the Service Employees International Union Local 509 and four Massachusetts human service providers signed an unusual agreement to forge a partnership in which employers would remain neutral while the union approached its workers with an offer to advocate in the state legislature for greater funding for private human service employees and to promote cooperative relations with their employers. This study examines the context of the agreement and the pressures on public employee unions and small human service providers whose workforce copes with low wages, high turnover, meager benefits, and poor public image as well as the give-and-take between …

Labor's Response To Hospital And Workplace Transformation, Enid Eckstein

New England Journal of Public Policy

The health care industry and the nation's hospitals are in the throes of revolutionary change. The shift to managed care resulted in fundamental changes in the delivery of care and the structure of health care, For the past ten years, hospitals have actively been merging and creating large-scale integrated delivery systems. Employers, eager to expand market share and reduce costs, are engaged in radical reorganization of the hospital and the structure of work from which no group is immune. Physicians, nurses, technicians, and housekeepers are all affected by these changes. Hospitals are reducing their personnel, shifting work outside the hospital, …

What's Happening: September 17, 1997, Maine Medical Center

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What's Happening: September 3, 1997, Maine Medical Center

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What's Happening: August 20, 1997, Maine Medical Center

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What's Happening: August 6, 1997, Maine Medical Center

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An Empirical Study Of Economies Of Scope In Home Healthcare, Theresa I. Gonzales

WCBT Faculty Publications

Objective: To apply the economic theory of economies of scope to the home healthcare industry. Data Sources: Data on 488 observations obtained from the Cost Report (HCFA Form 1728-86) of all Connecticut state-licensed, Medicare-certified home health agencies. Study Design: The Cost Report was the primary source of data for this study. Information on total cost, scope, and other related factors was collected. Logarithmic and nonlinear regression analyses were used to identify factors related to scope and also to test for economies of scope. Data Collection Method: Data collected were both cross-sectional and time series (from 1988-1992). Data accuracy was verified …

What's Happening: July 23, 1997, Maine Medical Center

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What's Happening: July 9, 1997, Maine Medical Center

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Congress Crafts Child Health Insurance Program, George Washington University Medical Center, Center For Health Policy Research

Center for Health Policy Research

No abstract provided.

Compensating Differentials And Unmeasured Ability In The Labor Market For Nurses: Why Do Hospitals Pay More?, Edward J. Schumacher, Barry T. Hirsch

Health Care Administration Faculty Research

Registered nurses (RNs) employed in hospitals realize a large wage advantage relative to RNs employed elsewhere. Cross-sectional estimates indicate a hospital RN wage advantage of roughly 20%. This paper examines possible sources of the hospital premium, a topic of some interest given the current shifting of medical care out of hospitals. Longitudinal analysis of Current Population Survey data for 1979-94 suggests that a third to a half of the advantage is due to unmeasured worker ability, and the authors conclude that the remainder of the advantage probably reflects compensating differentials for hospital disamenities. Supporting these conclusions is evidence that hospital …

What's Happening: June 25, 1997, Maine Medical Center

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What's Happening: June 11, 1997, Maine Medical Center

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What's Happening: May 28, 1997, Maine Medical Center

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What's Happening: May 14, 1997, Maine Medical Center

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What's Happening: April 30, 1997, Maine Medical Center

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What's Happening: April 16, 1997, Maine Medical Center

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What's Happening: April 2, 1997, Maine Medical Center

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What's Happening: March 19, 1997, Maine Medical Center

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What's Happening: March 5, 1997, Maine Medical Center

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What's Happening: February 19, 1997, Maine Medical Center

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What's Happening: February 5, 1997, Maine Medical Center

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What's Happening: January 22, 1997, Maine Medical Center

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What's Happening: January 8, 1997, Maine Medical Center

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Using A Rapid Assessment Approach To Evaluate The Quality Of Care In An Integrated Program: The Experience Of The Family Health Division, Ministry Of Health, Botswana, Lucy Sejo Maribe, Baker Ndugga Maggwa, Ian Askew, Kate Miller

Reproductive Health

To strengthen existing efforts by the Government of Botswana in responding to the HIV/AIDS epidemic, USAID provided financial and technical assistance through the Botswana Population Assistance (BOTSPA) project. BOTSPA’s goal was to improve the quality and availability of family planning (FP) and sexually transmitted infection (STI) services through designing, implementing, and monitoring activities that would lead to the eventual institutionalization and sustainability of high-quality FP and STI/HIV/AIDS services. The Ministry of Health requested assistance from the Africa OR/TA Project II to develop and test an approach for routinely measuring the quality of service delivery and assessing skills retention by staff …

Credit Scoring In A Hospital Setting, Robert M. Frohlich Jr.

UNF Graduate Theses and Dissertations

This is a study of the relationship between consumer credit scoring and the resolution of a patient's account for hospital services. Accounts studied were classified as Good accounts or Bad accounts based upon their final resolution. Bad accounts were those written-off to bad debt with Good accounts being all others.

The probability of predicting a patient's account being either Good or Bad was based upon a consumer credit scoring process. The null hypothesis of this study was that the consumer credit scoring process would not provide any indication about the outcome or resolution of the account. Analysis of the credit …

What's Happening: December 26, 1996, Maine Medical Center

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What's Happening: December 11, 1996, Maine Medical Center

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What's Happening: December 4, 1996, Maine Medical Center

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