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Himmelfarb Health Sciences Library, The George Washington University

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Articles 3361 - 3390 of 3650

Full-Text Articles in Medicine and Health Sciences

Fundamentals Of Community Health Centers, Jessamyn Taylor Aug 2004

Fundamentals Of Community Health Centers, Jessamyn Taylor

National Health Policy Forum

This background paper examines the dominant model of federal grant funding for primary care in the health care safety net: the community health center. It describes the history of the health center program and highlights key policy issues influencing health centers, such as Medicaid payment policies and medically underserved area designations. The paper also examines the recent presidential initiative to expand health centers, including a review of the process used to identify new grantees, an assessment of remaining gaps in capacity, an exploration of continuing challenges, and a discussion of unresolved policy questions.

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A Report From The Forum Session "Implementing The New Medicare Drug Benefit: Challenges And Opportunities For States", Judith D. Moore Aug 2004

A Report From The Forum Session "Implementing The New Medicare Drug Benefit: Challenges And Opportunities For States", Judith D. Moore

National Health Policy Forum

The National Health Policy Forum convened a meeting on July 22, 2004 to discuss state-based challenges associated with implementing the Medicare Prescription Drug, Improvement, and Modernization Act (MMA). The meeting brought together an extremely insightful and experienced group of current and former state officials and other experts to discuss key issues. In keeping with its tradition of promoting a frank, off-the-record exchange on health policy issues, NHPF does not normally prepare written summaries or reports of meetings. However, because this meeting provided vivid illustrations of the importance of state-federal collaboration for the successful implementation of the new Medicare drug benefit, …

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Fundamentals Of The Prescription Drug Market, Christie Provost Peters Aug 2004

Fundamentals Of The Prescription Drug Market, Christie Provost Peters

National Health Policy Forum

This background paper is a primer on the prescription drug market. It provides information on the fundamentals of the pharmaceutical industry and various marketplace stakeholders, including manufacturers, retailers, consumers, regulators, researchers, and purchasers. This paper also examines the various ways the federal government interacts with the pharmaceutical market. Due to the breadth of material addressed, some complex issues and relationships are presented in broad conceptual terms without extensive technical detail.

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Tick-Tock: Preparing For The Next Influenza Pandemic, Eileen Salinsky Aug 2004

Tick-Tock: Preparing For The Next Influenza Pandemic, Eileen Salinsky

National Health Policy Forum

This paper describes the nature of pandemic influenza and highlights key challenges for responding to this disease threat. It explains how an influenza pandemic would differ from annual influenza outbreaks and examines how a pandemic virus could emerge. It also explores important issues involved in pandemic preparedness capabilities, including disease surveillance, vaccine production and distribution, antiviral stockpiling, health care system readiness, and public health containment measures. The national pandemic preparedness plan is briefly reviewed, and unresolved policy issues related to the plan’s implementation are identified.

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Information Interface - Volume 32, Issue 3 - August/September 2004, George Washington University, Himmelfarb Health Sciences Library Aug 2004

Information Interface - Volume 32, Issue 3 - August/September 2004, George Washington University, Himmelfarb Health Sciences Library

Information Interface (1976 - 2009)

News and information about Himmelfarb Health Sciences Library of interest to users. Includes articles on digital microscopes, Ovid OpenLinks and PubMed Linkout, library liaisons, and database search tips.

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The Promise And The Reality Of Long-Term Care Insurance, Randy Desonia Jul 2004

The Promise And The Reality Of Long-Term Care Insurance, Randy Desonia

National Health Policy Forum

The aging of the nation’s population will create a surge in the need for long-term care services, putting pressure on existing funding sources and fueling demand for more. This paper examines one financing option—private long-term care insurance—and summarizes its brief history and the several critical precedents that have influenced the products as currently sold. Other topics discussed include the challenges to encouraging sales growth as well as increasing the role of this type of insurance in paying for long-term care.

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Medicaid Prescription Drug Spending And Use, Brian Bruen, Arunabh Ghosh Jun 2004

Medicaid Prescription Drug Spending And Use, Brian Bruen, Arunabh Ghosh

Health Policy and Management Issue Briefs

No abstract provided.

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The Economics Of Quality: Changing Incentives In Cincinnati, Lisa Sprague, Nora Super May 2004

The Economics Of Quality: Changing Incentives In Cincinnati, Lisa Sprague, Nora Super

National Health Policy Forum

This site visit focused on private market dynamics and quality improvement initiatives. Cincinnati is characterized by strong players in all sectors of the market: employers such as Procter and Gamble and General Electric, hospital systems, health plans, and physician groups with the power to “push back” in contract negotiations. The city is a pilot site for Bridges to Excellence, a pay-for-performance initiative spearheaded by GE. Cincinnati Children’s Hospital Medical Center is a grantee under the Robert Wood Johnson Foundation’s Pursuing Perfection program. Among the issues explored were physician supply, incentive structures, specialty hospitals, and information technology.

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Consumer Cost Sharing In Private Health Insurance: On The Threshold Of Change, Veronica V. Goff May 2004

Consumer Cost Sharing In Private Health Insurance: On The Threshold Of Change, Veronica V. Goff

National Health Policy Forum

Employers are asking employees to pay more for health care through higher premium contributions, share of contribution, and out-of-pocket maximums, along with variations in deductibles, copays, and coinsurance based on choice of providers, networks, drugs, and other services. This issue brief examines consumer cost-sharing trends in private insurance, discusses the outlook for cost sharing in employment-based benefits, and considers public policies to support health care markets for consumers.

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Medicare's Chronic Care Improvement Pilot Program: What Is Its Potential?, Nora Super May 2004

Medicare's Chronic Care Improvement Pilot Program: What Is Its Potential?, Nora Super

National Health Policy Forum

This paper describes the voluntary chronic care improvement program under traditional fee-for-service Medicare as authorized by the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 (Public Law 108-173; section 721). This brief analyzes the emerging issues raised by this new program, including which chronic conditions and regional areas will be targeted, the types of entities that may participate, the physician’s role in care management, and the adoption and use of health information technology and evidence-based clinical guidelines.

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Information Interface - Volume 32, Issue 2 - May/June 2004, George Washington University, Himmelfarb Health Sciences Library May 2004

Information Interface - Volume 32, Issue 2 - May/June 2004, George Washington University, Himmelfarb Health Sciences Library

Information Interface (1976 - 2009)

News and information about Himmelfarb Health Sciences Library of interest to users. Includes articles on medical publishing, AHEC summer program, a journals shift project, and database search tips.

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Integration Of Medical Informatics Curriculum Into Problem-Based Learning (Pbl) Course For 1st Year Medical Students, Laura E. Abate, Anne Linton, Patricia Wilson May 2004

Integration Of Medical Informatics Curriculum Into Problem-Based Learning (Pbl) Course For 1st Year Medical Students, Laura E. Abate, Anne Linton, Patricia Wilson

Himmelfarb Library Faculty Posters and Presentations

Himmelfarb Health Sciences Library librarians developed and taught "Introduction to Medical Informatics" to first-year medical students through the 2002/03 school year. In 2003/04, this course was restructured and integrated into the "Problem-Based Learning" (PBL) course taken by all first-year medical students. The goal was to improve resource selection and search skills, provide point-of-use learning and instruction, and to enhance the student experience. Librarians were assigned to individual PBL groups to act as advisors and guided the students through the informatics-related curriculum.

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Pda Power At The Bedside, Patricia Wilson, Richard Billingsley, Leah Pellegrino May 2004

Pda Power At The Bedside, Patricia Wilson, Richard Billingsley, Leah Pellegrino

Himmelfarb Library Faculty Posters and Presentations

Himmelfarb Health Sciences Library developed a pilot project to evaluate PDA use in medical education. A grant was secured to fund the purchase of medical reference software. The objective of the pilot project was to analyze usage of PDA software by medical students, residents, and physician assistant students in a clinical setting.

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Seize The Power: Librarian Roles In Developing And Implementing Enterprise-Wide Hipaa Training, Shelley Bader, Alexandra Gomes May 2004

Seize The Power: Librarian Roles In Developing And Implementing Enterprise-Wide Hipaa Training, Shelley Bader, Alexandra Gomes

Himmelfarb Library Faculty Posters and Presentations

Himmelfarb Health Sciences Library librarians collaborated to develop a web-based HIPAA training module for the medical center. Content was based on materials from an outside legal expert. Special attention was given to clinical scenarios illustrating key issues in HIPAA regulations. Librarians drafted the module which was then reviewed by legal consul, the George Washington University School of Medicine and Health Sciences, and the Graduate Medical Office. The final module was disseminated via the university's course management system. A corresponding module was developed for CME credit.

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Empowering Faculty To Choose: Open Access And Alternative Publishing, Laura E. Abate, Leah Pellegrino, Anne Linton, Patricia Wilson May 2004

Empowering Faculty To Choose: Open Access And Alternative Publishing, Laura E. Abate, Leah Pellegrino, Anne Linton, Patricia Wilson

Himmelfarb Library Faculty Posters and Presentations

Himmelfarb Health Sciences Library librarians initiated an effort to increase awareness of alternative publishing venues which exist outside the commercial arena; to encourage faculty to investigate electronic publishing alternatives; and to provide a connection to open access initiatives. George Washington University now participates in four open access initiatives and interest is growing among GWU faculty.

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Veterans' Health Care: Balancing Resources And Responsibilities, Lisa Sprague Apr 2004

Veterans' Health Care: Balancing Resources And Responsibilities, Lisa Sprague

National Health Policy Forum

This paper looks at the health care benefits and services administered by the U.S. Department of Veterans Affairs. It examines management strategies adopted within the department to allocate resources, structure benefits, and improve quality. Some recommendations made by the General Accounting Office and the President’s Task Force to Improve Health Care Delivery for Our Nation’s Veterans are reviewed, in particular the emphasis of the latter on increased collaboration with the Department of Defense. Long-term proposals to balance service commitments and financing also are considered.

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Necessary But Not Sufficient? Physician Volunteerism And The Health Care Safety Net, Eileen Salinsky Mar 2004

Necessary But Not Sufficient? Physician Volunteerism And The Health Care Safety Net, Eileen Salinsky

National Health Policy Forum

This paper examines the role of physician-sponsored charity care in meeting the health care needs of the uninsured. The paper provides an overview of current charity care levels by medical specialties and geographic regions, discusses limitations in available data, and describes the settings in which charity care is provided. The paper also summarizes the factors that motivate physicians to provide volunteer services, as well as the barriers that hinder volunteer activities, including malpractice insurance concerns. Also discussed are a range of public policies, both existing and considered, that support volunteer activities, with a particular emphasis on the expansion of Federal …

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Consortia Purchasing: The Himmelfarb Experience, Patricia Wilson, Anne Linton Mar 2004

Consortia Purchasing: The Himmelfarb Experience, Patricia Wilson, Anne Linton

Himmelfarb Library Faculty Posters and Presentations

Most academic health sciences libraries are faced with either zero growth or shrinking budgets. At the same time, faculty, staff, and students are demanding access to more and more resources, and libraries are expected to support students in new and expanding programs in areas such as public health and genetics. The format of choice is electronic, and 24/7 service from any location is the expectation. The Himmelfarb Health Sciences Library found it was necessary to build a series of strategic alliances to meet these new demands in difficult financial times. Alliances have been formed with campus libraries, campus academic support …

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The Health Care Safety Net In South Carolina: A Test Of Tenacity, Jennifer Ryan, Randy Desonia Feb 2004

The Health Care Safety Net In South Carolina: A Test Of Tenacity, Jennifer Ryan, Randy Desonia

National Health Policy Forum

This site visit to the state of South Carolina provided an opportunity to experience and understand the unique makeup of the health care safety net in a southern state. Site visitors had the opportunity to interact with health care providers, state officials, faith-based organizations and leaders of provider-driven volunteer initiatives. They also learned about the challenges of access to care in rural areas and among diverse population groups. The group visited the Sea Island Medical Center and Our Lady of Mercy Community Outreach and Wellness House; a migrant farm worker camp on Johns Island; and a “medical home” site, Medical …

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Democratic Ideas To Address The Problem Of Americans Without Health Insurance, Jeanne Lambrew Jan 2004

Democratic Ideas To Address The Problem Of Americans Without Health Insurance, Jeanne Lambrew

Health Policy and Management Congressional Testimonies

No abstract provided.

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Information Interface - Volume 32, Issue 1 - January/February 2004, George Washington University, Himmelfarb Health Sciences Library Jan 2004

Information Interface - Volume 32, Issue 1 - January/February 2004, George Washington University, Himmelfarb Health Sciences Library

Information Interface (1976 - 2009)

News and information about Himmelfarb Health Sciences Library of interest to users. Includes articles on offsite journals, added features to MEDLINE/PubMed, new journal titles, and database search tips.

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Environmental Risk Factors In Hospital Suicide., Daniel Z Lieberman, Harvey L P Resnik, Vicenzio Holder-Perkins Jan 2004

Environmental Risk Factors In Hospital Suicide., Daniel Z Lieberman, Harvey L P Resnik, Vicenzio Holder-Perkins

Psychiatry and Behavioral Sciences Faculty Publications

Suicide of hospitalized patients is the most common sentinel event reviewed by The Joint Commission on Accreditation of Healthcare Organizations. Shorter lengths of stay, sicker patients, and higher patient to staff ratios challenge the ability of the hospital to maintain safety. Risk factors associated with the physical environment of the inpatient psychiatric unit, cited as the most common root cause of inpatient suicide, may be neglected because evaluation of these factors is generally not included in medical education and training. Minimization of fixtures that can facilitate strangulation and other high risk aspects within the hospital environment is an important element …

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2004 Mla Poster, Himmelfarb Staff Jan 2004

2004 Mla Poster, Himmelfarb Staff

Himmelfarb Library Faculty Posters and Presentations

No abstract provided.

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Determinants Of Satisfaction With An Automated Alcohol Evaluation Program., Daniel Z Lieberman Dec 2003

Determinants Of Satisfaction With An Automated Alcohol Evaluation Program., Daniel Z Lieberman

Psychiatry and Behavioral Sciences Faculty Publications

High rates of untreated mental illness cause serious health problems in the United States and worldwide. The use of computer-administered therapy has the potential to increase access to mental health care for certain patient populations. An online version of an alcohol check-up was developed that guided subjects through a series of standardized questionnaires, and provided them with feedback designed to enhance their appreciation of the negative aspects of their alcohol use. Ratings of the helpfulness of the questionnaires were evaluated in order to determine the characteristics of individuals who would potentially benefit from an automated substance abuse intervention, and to …

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Bridging Silos, Part Ii: Di, Ssi, Medicare, And Medicaid Issues And Initiatives, Karen Matherlee Nov 2003

Bridging Silos, Part Ii: Di, Ssi, Medicare, And Medicaid Issues And Initiatives, Karen Matherlee

National Health Policy Forum

The second of two papers on the general topic of public disability and health benefits, this background paper lays out some key issues confronting the Social Security Disability Insurance, Supplemental Security Income, Medicare, and Medicaid programs. It also discusses major initiatives to address those issues, in light of growing administrative, fiscal, and other problems.

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Bridging Silos, Part I: Linkages Among The Di, Ssi, Medicare, And Medicaid Programs, Karen Matherlee Nov 2003

Bridging Silos, Part I: Linkages Among The Di, Ssi, Medicare, And Medicaid Programs, Karen Matherlee

National Health Policy Forum

This paper, the first of two on the general topic of public disability and health benefits, centers on the fundamentals of the Disability Insurance and Supplemental Security Income programs and their relationships with Medicare and Medicaid. In addition to looking at the programs’ definitions, distinctions, and overlaps, it reviews the effects on them of the Ticket to Work and Work Incentives Improvement Act of 1999 and, to a lesser extent, the Personal Responsibility and Work Opportunity Reconciliation Act of 1996.

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Sailing Schip Through Troubled Waters, Jennifer Ryan Nov 2003

Sailing Schip Through Troubled Waters, Jennifer Ryan

National Health Policy Forum

As the State Children’s Health Insurance Program (SCHIP) enters its sixth year of operation, states have continued their commitment to children’s coverage and to reaching out to the uninsured. This issue brief explores the current status of SCHIP in light of fiscal pressures that have been created by the state budget crisis. It highlights some of the key successes in the program thus far and notes several examples of state initiatives to serve particularly vulnerable populations and collect outcomes data and information about access to care.

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Rural Health Care In The Electronic Age (Danville, Pa), Lisa Sprague, Nora Super Nov 2003

Rural Health Care In The Electronic Age (Danville, Pa), Lisa Sprague, Nora Super

National Health Policy Forum

This site visit to the Geisinger Health System in central Pennsylvania explored the use of technology in providing health care to an aging, rural population with a high index of chronic-care needs. The agenda included an in-depth examination of Geisinger’s electronic medical record and its use in various domains of care, including outpatient clinics, disease management, and non-Geisinger medical practices and community hospitals. The program also highlighted specific care management initiatives in the areas of radiology, stroke, and obesity. Geisinger’s advantages as an integrated system dominant in its market, with the resources to invest in technology were weighed in considering …

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Dually Eligible For Medicare And Medicaid: Two For One Or Double Jeopardy?, Jennifer Ryan, Nora Super Sep 2003

Dually Eligible For Medicare And Medicaid: Two For One Or Double Jeopardy?, Jennifer Ryan, Nora Super

National Health Policy Forum

This issue brief describes the characteristics of the population of individuals known as “dual eligibles,” who are eligible for health insurance coverage through both Medicare and Medicaid. It also looks at the differences between “full Medicaid” and “supplemental Medicaid” dual eligibles and the ongoing challenges associated with enrollment and eligibility, integration and coordination, and managed care. The paper presents several examples of integrated care programs designed to better serve the dual-eligible population, including the Program of All-Inclusive Care for the Elderly, Evercare, social health maintenance organizations, and state/federal initiatives such as the Wisconsin Partnership Program, Texas STAR+PLUS, and others. Finally, …

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Medical Response For Terrorist And Public Health Threats: One Region's Experience (Pittsburgh), Eileen Salinsky, Lisa Sprague Sep 2003

Medical Response For Terrorist And Public Health Threats: One Region's Experience (Pittsburgh), Eileen Salinsky, Lisa Sprague

National Health Policy Forum

This site visit, planned and convened in conjunction with the Agency for Healthcare Research and Quality’s User Liaison Program, examined the efforts underway in the greater Pittsburgh area to develop emergency medical response capabilities for mass causality events. The site visit explored efforts to improve infectious disease surveillance capabilities and looked at the Region 13 collaborative’s development of a regionalized approach to emergency management planning and response. Hospital preparedness activities were also studied, including a discussion of lessons learned from a recent drill to test response to a radiological event and an exploration of conceptual frameworks to guide hospital planning …

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