Health and Medical Administration Commons^™

Benefits And Barriers: An Exploratory Study Of Nephrology Social Work Field Education, Teri Browne

Teri Browne

No abstract provided.

The Relationship Between Social Networks And Pathways To Kidney Transplant Parity: Evidence From Black Americans In Chicago, Teri Browne

Teri Browne

No abstract provided.

Risk Communication And College Students: The 2009 H1n1 Pandemic Influenza, Francisco Soto Mas, Chiehwen Ed Hsu

Chiehwen Ed Hsu

No abstract provided.

Bringing Studer To The Classroom: Teaching Tools For Graduate Programs, Amer Kaissi

Amer A Kaissi

No abstract provided.

Relating Diagnosis-Related Groups: What Germany And The United States Can Learn From Each Other About Aute-Care Payment Systems, Timothy D. Martin

Timothy D Martin

In recent years, several countries have adopted diagnosis-related group (DRG) payment systems modeled after the system Medicare uses to reimburse providers for acute-care inpatient treatment. This paper compares the Medicare DRG system with the German DRG system and suggests improvements that might help both systems. First, Germany should proceed carefully in its attempt to reduce the length of hospital visits because its universal payment mechanism cannot shift costs to the private sector so inadequate payment could degrade the quality of care. Second, because both countries struggle with incorporating new treatments and technologies into their payment systems, they should both consider …

Technological Iatrogenesis: The Manifestation Of Inadequate Organizational Planning And The Integration Of Health Information Technology., Patrick Albert Palmieri

Patrick Albert Palmieri

The Institute of Medicine (IOM) views Health Information Technology (HIT) as an essential organizational prerequisite for the delivery of safe, reliable, and cost effective health services. However, HIT presents the proverbial double-edged sword in generating solutions to improve system performance while facilitating the genesis of novel iatrogenic problems. Incongruent organizational processes give rise to technological iatrogenesis or the unintended consequences to system integrity and the resulting organizational outcomes potentiated by incongruent organizational–technological interfaces. HIT is a disruptive innovation for health services organizations but remains an overlooked organizational development (OD) concern. Recognizing the technology–organizational misalignments that result from HIT adoption is …

Self-Insurance And The Potential Effects Of Health Reform On The Small-Group Market, Kathryn Linehan

National Health Policy Forum

The Patient Protection and Affordable Care Act (PPACA) as amended by the Health Care Education Reconciliation Act of 2010 makes landmark changes to health insurance markets. Individual and small-group insurance plans and markets will see the biggest changes, but PPACA also affects large employer and self-insured plans by imposing rules for benefit design and health plan practices. Over half of workers—most often those in very large firms—are covered by self-insured health plans in which employers (or employee groups) bear all or some of the risk of providing insurance coverage to a defined population of workers and their dependents. As PPACA …

Finding High Quality Hospitals In Philadelphia., Robert D. Lieberthal, Phd

College of Population Health Lectures, Presentations, Workshops

Guest lecture for PBH609 GIS Mapping. Fall, 2010 session. Philadelphia, PA.

15 PowerPoint slides.

Catch A Near Miss And Prevent A Harmful Error, Georgene Saliba Mba, Cphrm, Leroy Kromis, Kristie Lowery Rn, Bs, Cphq, Cphrm

Administration & Leadership

No abstract provided.

The 4:1 Schedule: A Novel Template For Internal Medicine Residencies, Jennifer Stephens

Jennifer Stephens

No abstract provided.

The Multilevel, Multicultural, And Multi-Temporal Ecosocial Framework Of Population Health : How Neighborhoods, Culture, And History Impact Health Outcomes And Produce Health Disparities, Lawrence Tarves Brown

Theses and Dissertations (ETD)

According to findings in the field of genetics, it has now been established that the impact of race on health is mostly a function of a people's lived experience, not their genetic make-up. Due to this, the role of race in the study of health outcomes and health disparities has traditionally been specified improperly in statistical models due to confounding with ethnicity. Additionally, the role of geography or the impact of neighborhoods on health is often not specified properly.

Thus, the author proposes a multilevel, multicultural, and multi-temporal ecosocial framework that explains the impact of neighborhoods on health and the …

What's Happening: December, 2010, Maine Medical Center

What's Happening

No abstract provided.

The Elder Justice Act: Addressing Elder Abuse, Neglect, And Exploitation, Carol O'Shaughnessy

National Health Policy Forum

Elder abuse, neglect, and exploitation is a social problem that affects older people across all socioeconomic groups and care settings. Although national data on the full extent of the problem are elusive, one study found that 11 percent of older people living in community settings had experienced physical, emotional, or sexual abuse, or potential neglect during one year. Abuse and neglect of residents of nursing facilities and other institutions have been a continuing concern of policymakers and advocates for many years. The Elder Justice Act (EJA), enacted as part of the Patient Protection and Affordable Care Act (PPACA) on March …

Aging And Disability Resource Centers (Adrcs): Federal And State Efforts To Guide Consumers Through The Long-Term Services And Supports Maze, Carol O'Shaughnessy

National Health Policy Forum

Since 2003, the U.S. Administration on Aging (AoA) and the Centers for Medicare & Medicaid Services (CMS) have made a series of grants to states to develop Aging and Disability Resource Centers (ADRCs). The ADRC program’s purpose is to help people of all ages, disabilities, and income levels more easily access long-term services and supports through single points of entry, make more efficient use of care options, and maximize the services available. Almost $111 million in joint AoA-CMS funding has been devoted to the ADRC initiative since its inception in fiscal year 2003. As of October 2010, 325 ADRC sites …

The Effect Of Telehomecare On Heart Failure Self Care, Kathryn H. Bowles, Barbara Riegel, Mark G. Weiner, Henry A. Glick, Mary D. Naylor

School of Nursing Departmental Papers

Heart failure (HF) afflicts nearly 6 million Americans and the prevalence continues to rise as the population ages. Hospital use for HF is high and about half of readmissions are believed to be preventable. Promoting self care through telehomecare is an emerging strategy for managing chronic illness. Hospitalized heart failure patients were randomly assigned at discharge to receive usual home care or telehomecare, nurse visits and daily use of monitoring devices such as blood pressure cuffs, scales, glucometers, and pulse oximetry to monitor their symptoms. Nurses at the home care agency monitored the results and interacted with patients as needed …

The Effects Of Pharmaceutical Marketing And Promotion On Adverse Drug Events And Regulation, Guy David, Sara Markowitz, Seth Richards-Shubik

Health Care Management Papers

This paper analyzes the relationship between postmarketing promotional activity and reporting of adverse drug reactions (ADRs) by modeling the interaction between a regulator (the FDA) and a pharmaceutical firm. Promotion-driven market expansions enhance profitability yet may involve the risk of inappropriate drug prescriptions, leading to regulatory actions against the firm. We empirically test the relationship between drug promotion and reporting of ADRs using an innovative combination of commercial data on pharmaceutical promotion and FDA data on regulatory interventions and ADRs. We provide some evidence that increased levels of promotion and advertising lead to increased reporting of ADRs for certain conditions.

Chhs November E-Newsletter, College Of Health And Human Services, Western Kentucky University, Vashon S. Wells, Editor

College of Health & Human Services Publications

No abstract provided.

What's Happening: November, 2010, Maine Medical Center

What's Happening

No abstract provided.

Median Lethal Dose, Antimalarial Activity, Phytochemical Screening And Radical Scavenging Of Methanolic Languas Galanga Rhizome Extract, Hesham Al-Mekhlafi

Hesham M Al-Mekhlafi

The methanolic extract of Languas galanga rhizomes was investigated for antimalarial activity against Plasmodium berghei (NK65) infections in mice. The median lethal dose was determined to ascertain the safety of the extract in ICR mice of both sexes. The antimalarial activities during early and established infections, as well as the prophylactic activity were evaluated. Phytochemical screening and radical scavenging activity of the extract were also investigated to elucidate the possible mechanism of the antimalarial properties. The acute oral toxicity (LD(50)) of Languas galanga extract in mice was established to be 4,998 mg/kg. The extract of Languas galanga rhizomes demonstrated significant …

Premium Assistance: An Update, Cynthia Shirk

National Health Policy Forum

This background paper explores the use of premium assistance in publicly financed health insurance coverage programs. In Medicaid and the Children’s Health Insurance Program, premium assistance involves using federal and state funds to subsidize premiums for the purchase of private insurance coverage for eligible individuals. This paper reviews the statutory authority for premium assistance, including two new options made available under the Children’s Health Insurance Program Reauthorization Act of 2009. It examines the status of premium assistance programs in the states and offers some insights into how premium assistance programs may fare under the Patient Protection and Affordable Care Act.