Sample records for healthcare financial management

  1. Laboratory manager's financial handbook. The laboratory's importance to the financial stability of a health-care organization.

    PubMed

    Travers, E M

    1996-01-01

    From a financial standpoint, one of the most valuable assets in the survival of a health-care organization is the clinical laboratory. Laboratory directors, managers, and supervisors have indicated their overwhelming need to understand finance, especially cost management, to CLMA and to the author at national meetings and workshops, Tremendous financial pressures are being applied in health-care organizations across the country. Two strategic factors in their successful move into the 21st century are more appropriate test utilization and cost control in the laboratory. PMID:10154382

  2. Healthcare MBA Prepare to Find Healthcare Management Solutions

    E-print Network

    Vertes, Akos

    .5 Macroeconomics for the Global Economy 1.5 International Management 1.5 Management of Information Systems 1 and Healthcare 1.5 Disaster Management in Healthcare Organizations 1.5 Quality and Performance Improvement 1Healthcare MBA onLine #12;Prepare to Find Healthcare Management Solutions Healthcare is changing

  3. Healthcare waste management: Current practices in selected healthcare facilities, Botswana

    Microsoft Academic Search

    Bontle Mbongwe; Baagi T. Mmereki; Andrew Magashula

    2008-01-01

    Healthcare waste management continues to present an array of challenges for developing countries, and Botswana is no exception. The possible impact of healthcare waste on public health and the environment has received a lot of attention such that Waste Management dedicated a special issue to the management of healthcare waste (Healthcare Wastes Management, 2005. Waste Management 25(6) 567–665). As the

  4. Healthcare waste management in India

    Microsoft Academic Search

    A. D. Patil; A. V. Shekdar

    2001-01-01

    Health-care waste management in India is receiving greater attention due to recent regulations (the Biomedical Wastes (Management & Handling) Rules, 1998). The prevailing situation is analysed covering various issues like quantities and proportion of different constituents of wastes, handling, treatment and disposal methods in various health-care units (HCUs). The waste generation rate ranges between 0·5 and 2·0kg bed?1day?1. It is

  5. [Knowledge management and healthcare organizations].

    PubMed

    Favaretti, Carlo

    2013-10-01

    The present scenario is characterized by a high "environmental turbulence". Healthcare professionals and organizations must increase their knowledge, skills and attitudes for choosing wisely. Healthcare organizations are complex adaptive systems which should use integrated governance systems: knowledge management should be a strategic goal. These organizations should become learning organizations: they should build and renovate their knowledge in a systematic, explicit and definite way. PMID:24326705

  6. Healthcare waste management in Asia

    SciTech Connect

    Prem Ananth, A.; Prashanthini, V. [Environmental Engineering and Management Program, School of Environment, Resources and Development, Asian Institute of Technology, P.O. Box 4, Klong Luang, Pathumthani 12120 (Thailand); Visvanathan, C., E-mail: visu@ait.ac.t [Environmental Engineering and Management Program, School of Environment, Resources and Development, Asian Institute of Technology, P.O. Box 4, Klong Luang, Pathumthani 12120 (Thailand)

    2010-01-15

    The risks associated with healthcare waste and its management has gained attention across the world in various events, local and international forums and summits. However, the need for proper healthcare waste management has been gaining recognition slowly due to the substantial disease burdens associated with poor practices, including exposure to infectious agents and toxic substances. Despite the magnitude of the problem, practices, capacities and policies in many countries in dealing with healthcare waste disposal, especially developing nations, is inadequate and requires intensification. This paper looks upon aspects to drive improvements to the existing healthcare waste management situation. The paper places recommendation based on a 12 country study reflecting the current status. The paper does not advocate for any complex technology but calls for changes in mindset of all concerned stakeholders and identifies five important aspects for serious consideration. Understanding the role of governments and healthcare facilities, the paper also outlines three key areas for prioritized action for both parties - budget support, developing policies and legislation and technology and knowledge management.

  7. Global Financial Management

    NSDL National Science Digital Library

    Harvey, Campbell R.

    1969-12-31

    Campbell Harvey, Professor of International Business in the Fuqua School of Business at Duke University, has created this web site as a supplement to his course in Global Financial Management. The course introduces students to the "fundamental principles of asset valuation and financing in competitive global financial market." Visitors will find a syllabus for the course, a short introduction to Financial Mathematics, and supplementary notes on topics covered in the course. Assignments and learning modules for the course can also be found at the site.

  8. Financial Management: An Organic Approach

    ERIC Educational Resources Information Center

    Laux, Judy

    2013-01-01

    Although textbooks present corporate finance using a topical approach, good financial management requires an organic approach that integrates the various assignments financial managers confront every day. Breaking the tasks into meaningful subcategories, the current article offers one approach.

  9. Information Security Management within Australian Healthcare Organisations

    Microsoft Academic Search

    W. J. Brooks; M. J. Warren

    Information security is now recognised as critical factor within the healthcare industry, with the gradual move from paper-based to electronic information there is an even greater need for protection. However, financial and operational constraints often exist which influence the practicality of developing a secure system. A new baseline security standard has been drafted which applies specifically to the unique information

  10. Integrated Financial Management Program

    NASA Technical Reports Server (NTRS)

    Pho, Susan

    2004-01-01

    Having worked in the Employees and Commercial Payments Branch of the Financial Management Division for the past 3 summers, I have seen the many changes that have occurred within the NASA organization. As I return each summer, I find that new programs and systems have been adapted to better serve the needs of the Center and of the Agency. The NASA Agency has transformed itself the past couple years with the implementation of the Integrated Financial Management Program (IFMP). IFMP is designed to allow the Agency to improve its management of its Financial, Physical, and Human Resources through the use of multiple enterprise module applications. With my mentor, Joseph Kan, being the branch chief of the Employees and Commercial Payments Branch, I have been exposed to several modules, such as Travel Manager, WebTads, and Core Financial/SAP, which were implemented in the last couple of years under the IFMP. The implementation of these agency-wide systems has sometimes proven to be troublesome. Prior to IFMP, each NASA Center utilizes their own systems for Payroll, Travel, Accounts Payable, etc. But with the implementation of the Integrated Financial Management Program, all the "legacy" systems had to be eliminated. As a result, a great deal of enhancement and preparation work is necessary to ease the transformation from the old systems to the new. All this work occurs simultaneously; for example, e-Payroll will "go live" in several months, but a system like Travel Manager will need to have information upgraded within the system to meet the requirements set by Headquarters. My assignments this summer have given me the opportunity to become involved with such work. So far, I have been given the opportunity to participate in projects resulting from a congressional request, several bankcard reconciliations, updating routing lists for Travel Manager, updating the majordomo list for Travel Manager approvers and point of contacts, and a NASA Headquarters project involving improper payments on firm fixed price contracts. Each of the projects that I have worked on this summer presents a different aspect of the work performed on a regular basis by members of this branch. Not only do I get to see the "big picture" of what occurs within the organization, but I also get to experience the "little stuff" that goes on here and throughout the NASA Agency.

  11. CMs should understand financial side as well as clinical side of healthcare, experts recommend.

    PubMed

    2015-05-01

    To do their job effectively, case managers must understand the financial side of healthcare and the impact that their actions can have on patient care, the patient's out- of-pocket expenses, and the hospital's bottom line. Recommendations from experts include the following: Communicate and meet regularly with the financial department to identify areas for improvement, and provide input on contracts with payers. Know what benefits each patient's coverage provides and use the information to coordinate care while the patient is in the hospital and to develop a treatment plan. Be aware of payer requirements and be sure that they are followed to avoid denials. PMID:25915999

  12. Healthcare waste management in Algeria and Mostaganem department

    Microsoft Academic Search

    Z. Bendjoudi; F. Taleb; F. Abdelmalek; A. Addou

    2009-01-01

    Algeria as other developing countries faces an array of challenges for healthcare waste management. The management of healthcare waste is of major importance due to its public health risks and potential environmental hazards. Many efforts have been made by the government authorities in order to better manage the waste from healthcare facilities. However most healthcare facilities do not comply with

  13. Crew resource management: applications in healthcare organizations.

    PubMed

    Oriol, Mary David

    2006-09-01

    Healthcare organizations continue their struggle to establish a culture of open communication and collaboration. Lessons are learned from the aviation industry, which long ago acknowledged that most errors were the result of poor communication and coordination rather than individual mistakes. The author presents a review of how some healthcare organizations have successfully adopted aviation's curriculum called Crew Resource Management, which promotes and reinforces the conscious, learned team behaviors of cooperation, coordination, and sharing. PMID:16969251

  14. Managed Behavioral Healthcare in the Public Sector

    Microsoft Academic Search

    Colette Croze

    2000-01-01

    For over 10 years states and counties have been adding commercially developed managed care products to community-based systems of care. These programs have dramatically altered the landscape in many public systems across the country. Results have varied from modest success to major failure with some managed behavioral healthcare organizations no longer viewing public contracts as desirable commodities. This article examines

  15. Beware the Managed Health-Care Companies.

    ERIC Educational Resources Information Center

    Ashbaugh, John; Smith, Gary

    1996-01-01

    This article discusses implications of the movement toward managed health care models for long-term health care services for people with disabilities, especially people with developmental disabilities. It notes possible advantages of managed care but raises issues concerning consumer choice, management and financial capacity of managed care…

  16. User Oriented Financial Management System.

    ERIC Educational Resources Information Center

    Hess, Larry G.; Waters, James M.

    1979-01-01

    The School of Chemical Sciences at the University of Illinois has developed a user-oriented financial management system to meet the needs of project managers for financial reporting that were not met by the central accounting system. The system presents detailed budget obligations and expenditures data needed to plan and monitor daily research…

  17. Solid Medical Waste Management in Healthcare Centers in Palestine

    Microsoft Academic Search

    Issam A. Al-Khatib; Mohamed Abu-Dayah; Hussein Hajjeh; Tayseer Al-Shanbleh

    \\u000a This chapter discusses the current situation of solid waste management in healthcare centers in Palestine. The monthly estimated\\u000a quantity of solid waste produced by the healthcare centers in Palestine was 472.9 tons. There is very little separation of\\u000a solid waste in primary healthcare centers (38.1%) as compared to secondary healthcare centers (71%). Only 17.3% of the healthcare\\u000a centers in Palestine

  18. An Analysis of Knowledge Management Mechanisms in Healthcare Portals

    ERIC Educational Resources Information Center

    Lee, Chei Sian; Goh, Dion Hoe-Lian; Chua, Alton Y. K.

    2010-01-01

    Healthcare portals are becoming increasingly popular with Internet users since they play an important role in supporting interaction between individuals and healthcare organizations with a Web presence. Additionally, many of these organizations make use of knowledge management mechanisms on their healthcare portals to manage the abundance of…

  19. Sustainable management measures for healthcare waste in China

    SciTech Connect

    Chen Yang [Institute of Applied Ecology, Chinese Academy of Sciences, Shenyang 110016 (China) and Graduate School of Chinese Academy of Sciences, Beijing 100049 (China) and Institute of High Energy Physics, Chinese Academy of Sciences, Beijing 100049 (China)], E-mail: chenyang.hky@126.com; Li Peijun [Institute of Applied Ecology, Chinese Academy of Sciences, Shenyang 110016 (China); Graduate School of Chinese Academy of Sciences, Beijing 100049 (China); Lupi, Carlo [PricewaterhouseCoopers Advisory, Roma 00154 (Italy); Sun Yangzhao [Ministry of Environmental Protection, Beijing 100035 (China); Xu Diandou [Institute of High Energy Physics, Chinese Academy of Sciences, Beijing 100049 (China); Feng Qian; Fu Shasha [Institute of Applied Ecology, Chinese Academy of Sciences, Shenyang 110016 (China); Graduate School of Chinese Academy of Sciences, Beijing 100049 (China)

    2009-06-15

    This paper discusses actions aimed at sustainable management of healthcare wastes (HCW) in China, taking into account the current national situation in this field, as well as the requirements deriving from the Stockholm Convention on Persistent Organic Pollutants and the WHO recommendations. By the end of 2005, there were 149 low-standard HCW disposal facilities in operation in China, distributed throughout different areas. According to the National Hazardous Waste and Healthcare Waste Disposal Facility Construction Plan, 331 modern, high-standard, centralized facilities will be built up in China in municipal level cities. Although incineration is still the main technical option for HCW disposal in China, it is expected that, especially for medium and small size facilities, non-incineration technologies will develop quickly and will soon become the main technical option. The basic management needs - both from the point of view of pollution control and final disposal - have been defined, and a system of technical and environmental standards has been formulated and implemented; however, there are still some shortages. This is particularly true when considering the best available techniques and best environmental practices developed under the Stockholm Convention, with which the present technological and managing situations are not completely compliant. In this framework, the lifecycle (from generation to final disposal of wastes) of HCW and holistic approaches (technology verification, facilities operation, environmental supervision, environmental monitoring, training system, financial mechanism, etc.) towards HCW management are the most important criteria for the sustainable and reliable management of HCW in China.

  20. 7 CFR 250.15 - Financial management.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...2010-01-01 false Financial management. 250...Provisions § 250.15 Financial management. (a...at the Department's option: (1) Replace the...Department may, at its option, require assignment...Interest and other financial costs; (viii)...

  1. 2 CFR 200.302 - Financial management.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...non-Federal entity's financial management systems, including records documenting... (b) The financial management system...requirements for records, 200.334...200.327 Financial reporting and...maintains its records on...

  2. Determination of the best appropriate management methods for the health-care wastes in ?stanbul

    Microsoft Academic Search

    Aylin Zeren Alagoez; Guenay Kocasoy

    2008-01-01

    Health-care waste management has been a significant problem in most economically developing countries as it is in Turkey. Most of the time, the main reason for the mismanagement of these wastes is the lack of appropriate legislation and effective control; other reasons are: financial strains and a lack of awareness. Being aware of the significance of the subject, in this

  3. Privacy and Security in E-Healthcare Information Management

    Microsoft Academic Search

    H. Joseph Wen; J. Michael Tarn

    2001-01-01

    The E-healthcare operating environment is defined as a cybernetic medical setting where healthcare or medical information is processed, manipulated, transmitted, or distributed in electronic forms via computer-based systems, networks, or the Internet. E-technology has changed healthcare in the management of how care is delivered and in the transformation of the infrastructure that supports the healthcare delivery system. The traditional paradigm

  4. Design and Implementation of Web-Based Healthcare Management System for Home Healthcare

    Microsoft Academic Search

    S. Tsujimura; N. Shiraishi; A. Saito; H. Koba; S. Oshima; T. Sato; F. Ichihashi; Y. Sankai

    For safe and effective home healthcare, a network system monitoring one’s vital signs and evaluating one’s health conditions\\u000a is highly desirable. In our laboratory, we have developed a vital sensing system for home healthcare. The purpose of this\\u000a study is to design and implement a prototype web-based healthcare management system (WBHMS) to make effective use of the data\\u000a that are

  5. Intelligent Healthcare Information Assistant: Towards Agent-Based Healthcare Knowledge Management

    Microsoft Academic Search

    Zafar Iqbal HASHMI; Syed Sibte; Raza ABIDI; Yu-N CHEAH

    2002-01-01

    Initiatives in healthcare knowledge management have provided some interesting solutions for the implementation of large-scale information repositories vis-à-vis the implementation of Healthcare Enterprise Memories (HEM). In this paper, we present an agent-based Intelligent Healthcare Information Assistant (IHIA) for dynamic information gathering, filtering and adaptation from a HEM comprising an amalgamation of (i) databases storing empirical knowledge, (ii) case- bases storing

  6. Healthcare Reforms in Germany: Managed Care, An Opportunity?

    Microsoft Academic Search

    Reinhard Rychlik; Karin Guntertgomann; Anne Kilburg; Jeffrey B. Frazier

    2000-01-01

    Increasing healthcare expenditures and other economic pressures mandate fundamental reforms of the healthcare system in Germany. The overall goal is restraint of costs while at the same time maintaining a high standard of medical care. Among all options, managed care represents a potential solution, since it combines financing mechanisms and a care delivery system under the control and direction of

  7. Healthcare information management: the integration of patients’ data

    Microsoft Academic Search

    Sarmad Alshawi; Farouk Missi; Tillal Eldabi

    2003-01-01

    In a dynamic and uncertain business environment, with increasingly intense competition and vibrant globalisation, there is a growing demand by healthcare businesses for both internal and external information, to analyse patients’ information quickly and efficiently, which has led healthcare organisations to embrace customer relationship management (CRM) systems. Data quality and data integration issues facilitate the achievement of CRM business objectives.

  8. Graduate Career Management Center from the dean

    E-print Network

    Reisslein, Martin

    and Business · Financial Reporting Issues · Global Business Environment · Healthcare Economics · Healthcare Supply Chain · Investment Fundamentals and Portfolio Management · Leading with Authenticity · Management

  9. An Exploration of Healthcare Inventory and Lean Management in Minimizing Medical Supply Waste in Healthcare Organizations

    ERIC Educational Resources Information Center

    Hicks, Rodney

    2013-01-01

    The purpose of this study was to understand how lean thinking and inventory management technology minimize expired medical supply waste in healthcare organizations. This study was guided by Toyota's theory of lean and Mintzberg's theory of management development to explain why the problem of medical supply waste exists. Government…

  10. Determination of the best appropriate management methods for the health-care wastes in Istanbul

    SciTech Connect

    Alagoez, Aylin Zeren [Bogazici University, Institute of Environmental Sciences, Hisar Campus, 34342 Bebek, Istanbul (Turkey)], E-mail: aylin.zeren@boun.edu.tr; Kocasoy, Guenay [Bogazici University, Institute of Environmental Sciences, Hisar Campus, 34342 Bebek, Istanbul (Turkey)

    2008-07-01

    Health-care waste management has been a significant problem in most economically developing countries as it is in Turkey. Most of the time, the main reason for the mismanagement of these wastes is the lack of appropriate legislation and effective control; other reasons are: financial strains and a lack of awareness. Being aware of the significance of the subject, in this paper the management of the health-care wastes in Istanbul, as a Metropolitan City of Turkey, was analyzed to create an integrated health-care waste management system in the city. Within the scope of the study, the existing situation and management practices such as the amount of the health-care wastes generated, segregation procedures, collection, temporary storage and transportation of the wastes within and outside of the institution were examined. Deficiencies, inconsistencies and improper applications were revealed. The existing Turkish Medical Wastes Control Regulation and institutional structure of the health-care waste management body were reviewed. After the evaluation and comparison with the requirements of other national and international organizations, items to be changed/added in the Regulation were identified. At the end of the study, the best management methods for the Istanbul City were determined and started to be applied at the institutions. After this study, the existing Regulation has been changed. The modified Regulation was published in 2005 and implementation has started. It is expected that by the application and implementation of the research outcomes, the management of health-care wastes in Istanbul and then in all over Turkey will be improved. The results obtained can also be used in most economically developing countries where there are similar environmental problems and strict budgets.

  11. Financial Management for Transit: A Handbook.

    ERIC Educational Resources Information Center

    Heaselden, Mark; And Others

    This handbook is primarily intended to serve as a primer for transit system managers who have not had any formal financial education through college classes, professional development programs, or extensive on-the-job programs. The following topics are covered: financial planning techniques for transit (beginning the financial planning process,…

  12. Training Behavioral Healthcare Professionals: Higher Learning in the Era of Managed Care. Jossey-Bass Managed Behavioral Healthcare Library.

    ERIC Educational Resources Information Center

    Schuster, James M., Ed.; Lovell, Mark R., Ed.; Trachta, Anthony M., Ed.

    How can clinicians receive the necessary training and information to take on the challenges and opportunities of working in the real world of today's managed healthcare? Focusing on working within the realities of managed care, this volume provides resources and ideas for integrating training on the practicalities of managed care into mental…

  13. Healthcare

    MedlinePLUS

    ... birthing centers, emergency medical care, home healthcare, and nursing homes. What types of hazards do workers face? Healthcare ... 2014). Safe Patient Handling -- Preventing Musculoskeletal Disorders in Nursing Homes (PDF * ). OSHA Publication 3108, (2014, February). Worker Safety ...

  14. Networked Appliances for Home Healthcare and Lifestyle Management

    Microsoft Academic Search

    Paul Fergus; David Llewellyn-Jones; Madjid Merabti; Arshad Haroon

    Advances in technology and the increased use of home medical devices, will revolutionise the way public healthcare is administered.\\u000a Homes and their associated networks in conjunction with such devices will take over many mundane healthcare tasks and manage\\u000a new and enriched lifestyle choices that affect our overall quality of life. Through the combination of wireless and fixed\\u000a networking infrastructures explicit

  15. MANAGING JOB LOSS and FINANCIAL STRESS

    E-print Network

    MANAGING JOB LOSS and FINANCIAL STRESS a Personal and Family Guide CENTER ON THE FAMILY #12;2 Managing Job Loss and Financial Stress The issues associated with losing one's job or having hours cut of income can be stressful and traumatic. If you find yourself in this situation, you should know

  16. Waste management in healthcare establishments within Jos Metropolis, Nigeria

    Microsoft Academic Search

    Ngwuluka Ndidi; Ochekpe Nelson; Odumosu Patricia

    Poor management of healthcare waste exposes health workers and the public to the toxic effects of wastes generated from health establishments. The disposal of these wastes could also lead to environmental problems if not done properly. This study has assessed the waste management practices in hospitals and compared same with international standards. A survey was carried out in six major

  17. Outsourcing inventory management decisions in healthcare: Models and application

    Microsoft Academic Search

    Lawrence Nicholson; Asoo J. Vakharia; S. Selçuk Erengüç

    2004-01-01

    Traditionally healthcare systems have paid little attention to the management of inventories. However, with the implementation of diagnostic related groups by the United States government (which resulted in a pre-fixed level of compensation for specific medical services), these systems have turned their attention to cost containment as a means of increased profitability. This research addresses the issue of managing inventory

  18. Assessment of Quality Management Practices Within the Healthcare Industry

    Microsoft Academic Search

    William J. Miller; Andrew T. Sumner; Richard H. Deane

    2009-01-01

    Problem Statement: Considerable effort has been devoted over the years by many organizations to adopt quality management practices , but few studies have assessed critical factors th at affect quality practices in healthcare organization s. The problem addressed in this study was to asses s the critical factors influencing the quality manage ment practices in a single important industry (i.e.

  19. [Methods and tools for risk management in healthcare organisations].

    PubMed

    Roussel, P; Guez, P; Moll, M-C

    2008-11-01

    Risk management is a major stake for healthcare organisations. In a systemic approach, the process is based on methods and tools, of which the main ones are mentioned, for general application by clinical or technical teams, for some of them with quality and risk management support. PMID:18930687

  20. Healthcare managers' roles, competencies, and outputs in organizational performance improvement.

    PubMed

    Wallick, William G

    2002-01-01

    Healthcare CEOs recognize that managers are under increasing pressure to work smarter and more efficiently with fewer available resources. Jobs in the healthcare industry are in a constant state of change, requiring a workforce that is not only prepared to adjust quickly to the changing environment but to simultaneously maintain or improve overall organizational performance. Traditionally, trainers were viewed as the people with the primary responsibility for improving organizational performance. Today some CEOs believe healthcare managers should own that responsibility, and other CEOs believe the responsibility should be shared among healthcare managers and trainers. This shift in how accountability is viewed poses at least two important questions. Are managers aware of the various roles they need to enact to achieve successful organizational performance improvement? Do managers possess the competencies associated with those roles? The seven most contemporary trainer roles, now referred to as workplace learning and performance roles, are examined in this article to help managers increase their knowledge of the roles, competencies, and outputs expected of them. Based on findings of a study conducted to examine CEO's perceptions of managers' roles in the performance improvement process, this article provides theoretical backgrounds, includes verbatim study comments, and offers practical recommendations or tips for managers. PMID:12469573

  1. Managing mobile provision for community healthcare support: issues and challenges

    Microsoft Academic Search

    C. J. Fitch; C. Adams

    2006-01-01

    Purpose – This paper addresses some key management issues relating to developing mobile support for community healthcare (CHC) provision, such as support structures, service management and organization. Design\\/methodology\\/approach – The paper presents three generic examples that draw out the heterogeneous nature of CHC support and the issues and challenges involved. The research is mostly qualitative, based on interviews with key

  2. Managing credit risks with knowledge management for financial banks

    Microsoft Academic Search

    Pan Jin

    2010-01-01

    Nowadays, financial banks are operating in a knowledge society and there are more and more credit risks breaking out in banks. So, this paper first discusses the implications of knowledge and knowledge management, and then analyzes credit risks of financial banks with knowledge management. Finally, the paper studies ways for banks to manage credit risks with knowledge management. With the

  3. 42 CFR 441.484 - Financial management services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...may choose to provide financial management services...participants utilizing the cash option who directly perform...functions, utilizing a financial management entity...participants utilizing the cash option who directly perform...reimbursed for the cost of financial management...

  4. 42 CFR 441.484 - Financial management services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...may choose to provide financial management services...participants utilizing the cash option who directly perform...functions, utilizing a financial management entity...participants utilizing the cash option who directly perform...reimbursed for the cost of financial management...

  5. 42 CFR 441.484 - Financial management services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...may choose to provide financial management services...participants utilizing the cash option who directly perform...functions, utilizing a financial management entity...participants utilizing the cash option who directly perform...reimbursed for the cost of financial management...

  6. 42 CFR 441.484 - Financial management services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...may choose to provide financial management services...participants utilizing the cash option who directly perform...functions, utilizing a financial management entity...participants utilizing the cash option who directly perform...reimbursed for the cost of financial management...

  7. 42 CFR 441.484 - Financial management services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...may choose to provide financial management services...participants utilizing the cash option who directly perform...functions, utilizing a financial management entity...participants utilizing the cash option who directly perform...reimbursed for the cost of financial management...

  8. 20 CFR 638.808 - Center financial management and reporting.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...2010-04-01 false Center financial management and reporting. 638.808 Section... § 638.808 Center financial management and reporting. The Job Corps Director...subcontractor maintain a financial management system...

  9. 14 CFR 152.303 - Financial management system.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 2012-01-01 false Financial management system. 152...CONTINUED) AIRPORTS AIRPORT AID PROGRAM Accounting and Reporting...Requirements § 152.303 Financial management system. Each...shall establish and maintain a financial management system that...

  10. 14 CFR 152.303 - Financial management system.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 2014-01-01 false Financial management system. 152...CONTINUED) AIRPORTS AIRPORT AID PROGRAM Accounting and Reporting...Requirements § 152.303 Financial management system. Each...shall establish and maintain a financial management system that...

  11. 14 CFR 152.303 - Financial management system.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 2013-01-01 false Financial management system. 152...CONTINUED) AIRPORTS AIRPORT AID PROGRAM Accounting and Reporting...Requirements § 152.303 Financial management system. Each...shall establish and maintain a financial management system that...

  12. 14 CFR 152.303 - Financial management system.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 2011-01-01 false Financial management system. 152...CONTINUED) AIRPORTS AIRPORT AID PROGRAM Accounting and Reporting...Requirements § 152.303 Financial management system. Each...shall establish and maintain a financial management system that...

  13. Ten financial management principles for survival.

    PubMed

    Cleverley, W O

    1988-03-01

    Financial insolvency is the primary cause of hospital failure. Managers may analyze a hospital's financial statements to anticipate and prevent fiscal problems. Ten measures of fiscal status may be used to evaluate the following: operating profitability nonoperating income equity growth liquidity debt capacity age of facilities revenue generation replacement funds receivables survivability Based on data from the Financial Analysis Service, Catholic hospitals are doing better than other U.S. hospitals in some areas of financial preparedness. In most areas, however, all hospitals suffer by comparison with manufacturers. The 10 principles of solvent and successful operations can help hospitals improve financial resiliency. PMID:10286245

  14. Financial News Analysis for Intelligent Portfolio Management

    E-print Network

    Financial News Analysis for Intelligent Portfolio Management Young-Woo Seo Joseph Giampapa Katia in teams within the do- main of Distributed Artificial Intelligence (DAI) and TextMiner which takes of a company. There is a positive correlation between news reports on a company's financial outlook and its

  15. Library of Michigan: Financial Management Reference Guide.

    ERIC Educational Resources Information Center

    Michigan Library, Lansing.

    Developed to provide library directors, staff, and board members with information for performing accounting and financial management functions, this guide answers frequently asked questions, describes common practices and processes, provides examples and suggested formats for selected financial reports, and identifies issues that may require…

  16. Building a data foundation for tomorrow's healthcare information management systems

    Microsoft Academic Search

    William W. Stead; Dean F. Sittig

    1995-01-01

    Accurate, timely data are a necessary foundation for an effective healthcare information management system. Today's systems do not achieve their potential because they lack this essential ingredient. Technology can reduce the problem by making the data entry task easier, but a complete solution will require new strategies for system implementation and use. Functions must be implemented in a sequence that

  17. Health Advisor An Online Game for Managing Healthcare Delivery

    E-print Network

    As with most games, Health Advisor players compete to achieve the highest score. They can employ various health benefit functions in enterprises to student education in medical, nursing, public healthHealth Advisor An Online Game for Managing Healthcare Delivery Tennenbaum Institute Georgia

  18. Challenges facing independent multihospital healthcare technology management systems

    Microsoft Academic Search

    J. TOBEY CLARK

    2004-01-01

    Independent, multihospital clinical engineering organizations have existed for 30 years. The clinical engineering profession has changed its focus over this time from equipment safety and control to healthcare technology management. Challenges faced by the professional have included cost pressures, outsourcing, and medical device industry changes. This paper describes an enduring independent, nonprofit, multihospital clinical engineering organization, the Technical Services Program

  19. Options for Healthcare Waste Management and Treatment in China

    Microsoft Academic Search

    LI Run-dong; NIE Yong-feng; Bernhard Raninger; WANG Lei

    Healthcare waste management and treatment is one of the national priority tasks of China's Tenth Five-Year Plan. Numerous installations disposing medical waste have already operated the project or under construction to the operation in 2006. This paper focuses on the assessment of existing and future options to handle medical waste (MW). Internationally available and so far in China applied technologies

  20. Effectiveness of healthcare waste management interventions in developing countries

    Microsoft Academic Search

    Ayika I Emenike

    2010-01-01

    Inefficiencies during the management of healthcare waste can give rise to undesirable health effects such as transmission of infections and environmental pollution within and beyond the health facilities generating these wastes. Factors such as prevalence of diseases, conflicts, and the efflux of intellectual capacity make low income countries more susceptible to these adverse health effects. The purpose of this systematic

  1. Best Practice Financial Management Policy Category: Finance

    E-print Network

    Best Practice Financial Management Policy Category: Finance 1. PURPOSE Define the principles is the responsibility of all managers, and in particular Business and Finance Managers. Supporting procedures include: Provides guidance on ethical behaviour. Conflict of Interest Policy and Procedures Register of Functions

  2. Financial Reporting Transparency and Earnings Management

    Microsoft Academic Search

    James E. Hunton; Robert Libby; Cheri L. Mazza

    2006-01-01

    Prior research indicates that greater transparency in reporting formats facilitates the detection of earnings management. The current study hypothesizes and demonstrates that greater transparency in comprehensive income reporting also re- duces the likelihood that managers will engage in earnings management in the area of increased transparency. In our experiment, 62 financial executives and chief executive officers decide which available-for-sale security

  3. Assessing the management of healthcare waste in Hawassa city, Ethiopia.

    PubMed

    Israel Deneke Haylamicheal; Mohamed Aqiel Dalvie; Biruck Desalegn Yirsaw; Hanibale Atsbeha Zegeye

    2011-08-01

    Inadequate management of healthcare waste is a serious concern in many developing countries due to the risks posed to human health and the environment. This study aimed to evaluate healthcare waste management in Hawassa city, Ethiopia. The study was conducted in nine healthcare facilities (HCFs) including hospitals (four), health centres (two) and higher clinics (three) in two phases, first to assess the waste management aspect and second to determine daily waste generation rate. The result showed that the median quantity of waste generated at the facilities was 3.46 kg bed(-1) day(-1) (range: 1.48-8.19 kg bed(-1) day(-1)). The quantity of waste per day generated at a HCF increased as occupancy increased (p < 0.001). The percentage hazardous waste generated at government HCFs was more than at private HCFs (p < 0.05). The proportion of hazardous waste (20-63.1%) generated at the different HCFs was much higher than the WHO recommendation (10-25%). There was no waste segregation in most HCFs and only one used a complete color coding system. Solid waste and wastewater were stored, transported, treated and disposed inappropriately at all HCFs. Needle-stick injuries were prevalent in 25-100% of waste handlers employed at these HCFs. Additionally, low levels of training and awareness of waste legislation was prevalent amongst staff. The study showed that management of healthcare waste at HCFs to be poor. Waste management practices need to be improved through improved legislation and enforcement, and training of staff in the healthcare facilities in Hawassa. PMID:20686051

  4. Consumerism in the financial services industry: lessons for managed care.

    PubMed

    Peyser, N; Wong, A

    2000-01-01

    Managed care today is being shaped by the emergence of a savvier, better informed health care consumer. Facing a strikingly similar consumer movement over the past two decades, the banking industry experienced a market transformation that holds important lessons for managed care. Nontraditional entrants in the financial services industry, offering focused "monoline" products and services closely analogous to "carve-out" providers in health care, targeted rising consumer demands and stronger preferences. Banks in time answered these formidable new competitive forces with innovative consolidation and globalization strategies. The most successful initiatives in healthcare, as in banking, will focus on satisfying the consumer's hunger for information, improved levels of service, and enhanced outcomes. Managed care plans may play a lead role in accelerating the impact of consumerism by bridging the disconnect between patients and their purchasing decisions. PMID:11010386

  5. A study of head teacher's role in managing financial resources

    Microsoft Academic Search

    Kishwar Abdulalishoev

    2000-01-01

    Financial resources play a significant role in meeting school needs, however, headteachers cannot manage these resources without adequate autonomy. Literature on school financial management reveals that delegation of responsibility and authority of managing financial resources to headteachers helps them to manage financial resources effectively in order to meet the school needs. The study aimed to explore and understand the existing

  6. Merger of knowledge management and information technology in healthcare: opportunities and challenges

    Microsoft Academic Search

    A. Dwivedi; R. K. Bali; A. E. James; R. N. G. Naguib; D. Johnston

    2002-01-01

    In the last 10 years, the Information and Communication Technologies (ICTs) revolution has redefined the structure of the 21st century healthcare organization. It is clear that the 21st century healthcare organization will bring about new healthcare services and that traditional management and technological concepts would not be the appropriate conduit for disseminating these new healthcare services. The fundamental challenge faced

  7. Healthcare waste management status in Lagos State, Nigeria: a case study from selected healthcare facilities in Ikorodu and Lagos metropolis.

    PubMed

    Longe, Ezechiel O

    2012-06-01

    A survey of healthcare waste management practices and their implications for health and the environment was carried out. The study assessed waste management practices in 20 healthcare facilities ranging in capacity from 40 to 600 beds in Ikorodu and metropolitan Lagos, Lagos State, Nigeria. The prevailing healthcare waste management status was analysed. Management issues on quantities and proportion of different constituents of waste, segregation, collection, handling, transportation, treatment and disposal methods were assessed. The waste generation averaged 0.631 kg bed(-1) day(-1) over the survey area. The waste stream from the healthcare facilities consisted of general waste (59.0%), infectious waste (29.7%), sharps and pathological (8.9%), chemical (1.45%) and others (0.95%). Sharps/pathological waste includes disposable syringes. In general, the waste materials were collected in a mixed form, transported and disposed of along with municipal solid waste with attendant risks to health and safety. Most facilities lacked appropriate treatment systems for a variety of reasons that included inadequate funding and little or no priority for healthcare waste management as well as a lack of professionally competent waste managers among healthcare providers. Hazards associated with healthcare waste management and shortcomings in the existing system were identified. PMID:21746754

  8. A systematic approach: optimization of healthcare operations with knowledge management.

    PubMed

    Wickramasinghe, Nilmini; Bali, Rajeev K; Gibbons, M Chris; Choi, J H James; Schaffer, Jonathan L

    2009-01-01

    Effective decision making is vital in all healthcare activities. While this decision making is typically complex and unstructured, it requires the decision maker to gather multispectral data and information in order to make an effective choice when faced with numerous options. Unstructured decision making in dynamic and complex environments is challenging and in almost every situation the decision maker is undoubtedly faced with information inferiority. The need for germane knowledge, pertinent information and relevant data are critical and hence the value of harnessing knowledge and embracing the tools, techniques, technologies and tactics of knowledge management are essential to ensuring efficiency and efficacy in the decision making process. The systematic approach and application of knowledge management (KM) principles and tools can provide the necessary foundation for improving the decision making processes in healthcare. A combination of Boyd's OODA Loop (Observe, Orient, Decide, Act) and the Intelligence Continuum provide an integrated, systematic and dynamic model for ensuring that the healthcare decision maker is always provided with the appropriate and necessary knowledge elements that will help to ensure that healthcare decision making process outcomes are optimized for maximal patient benefit. The example of orthopaedic operating room processes will illustrate the application of the integrated model to support effective decision making in the clinical environment. PMID:19663164

  9. The evolving role of supply chain management technology in healthcare.

    PubMed

    Langabeer, Jim

    2005-01-01

    The healthcare supply chain is a vast, disintegrated network of products and players, loosely held together by manual and people-intensive processes. Managing the flow of information, supplies, equipment, and services from manufacturers to distributors to providers of care is especially difficult in clinical supply chains, compared with more technology-intense industries like consumer goods or industrial manufacturing. As supplies move downstream towards hospitals and clinics, the quality and robustness of accompanying management and information systems used to manage these products deteriorates significantly. Technology that provides advanced planning, synchronization, and collaboration upstream at the large supply manufacturers and distributors rarely is used at even the world's larger and more sophisticated hospitals. This article outlines the current state of healthcare supply chain management technologies, addresses potential reasons for the lack of adoption of technologies and provides a roadmap for the evolution of technology for the future. This piece is based on both quantitative and qualitative research assessments of the healthcare supply chain conducted during the last two years. PMID:15869210

  10. A Handbook for School District Financial Management.

    ERIC Educational Resources Information Center

    Dembowski, Frederick L.

    Designed for school business officials, this handbook provides research information and guidelines on school district banking and cash management systems. Section 1 gives an overview of district financial management operations, discussing the administrative framework, cash budgeting, information and control systems, collection and disbursement…

  11. Acquiring Financial Management Software: A Prototyping Approach.

    ERIC Educational Resources Information Center

    Wilson, John H.

    1990-01-01

    When the Smithsonian Institution recently acquired a new financial management system, the concept of prototyping was used throughout the process, but in a broader sense than in software development. It was used to refine requirements, establish software management techniques, test a logistical system, and implement and apply the package. (MSE)

  12. [Clinical practice guidelines and knowledge management in healthcare].

    PubMed

    Ollenschläger, Günter

    2013-10-01

    Clinical practice guidelines are key tools for the translation of scientific evidence into everyday patient care. Therefore guidelines can act as cornerstones of evidence based knowledge management in healthcare, if they are trustworthy, and its recommendations are not biased by authors' conflict of interests. Good medical guidelines should be disseminated by means of virtual (digital/electronic) health libraries - together with implementation tools in context, such as guideline based algorithms, check lists, patient information, a.s.f. The article presents evidence based medical knowledge management using the German experiences as an example. It discusses future steps establishing evidence based health care by means of combining patient data, evidence from medical science and patient care routine, together with feedback systems for healthcare providers. PMID:24326702

  13. Multiple 3D medical data watermarking for healthcare data management.

    PubMed

    Lee, Suk-Hwan; Kwon, Ki-Ryong

    2011-12-01

    The rapid development of healthcare information management for 3D digital medical libraries, 3D PACS, and 3D medical diagnosis has addressed the security issues pertaining to medical IT technology. This paper presents multiple watermarking schemes for a healthcare information management system for 3D medical image data for the protection, authentication, indexing, and hiding of diagnosis information. The proposed scheme, which is based on POCS watermarking, embeds a robust watermark for a doctor's digital signature and an information retrieval indexing key to the distribution of vertex curvedness; the scheme also embeds a fragile watermark for diagnosis information and an authentication reference message to the vertex distance difference. The multiple embedding process creates three convex sets for robustness, fragileness, and invisibility and projects the 3D medical image data onto these three convex sets alternately and iteratively. Experimental results confirmed that the proposed scheme has the robustness and fragileness to handle various 3D geometric and mesh modifiers simultaneously. PMID:20703760

  14. Integrating Identity Management With Federated Healthcare Data Models

    NASA Astrophysics Data System (ADS)

    Hu, Jun; Peyton, Liam

    In order to manage performance and provide integrated services, health care data needs to be linked and aggregated across data sources from different organizations. The Internet and secure B2B networks offer the possibility of providing near real-time integration. However, there are three major stumbling blocks. One is to standardize and agree upon a common data model across organizations. The second is to match identities between different locations in order to link and aggregate records. The third is to protect identity and ensure compliance with privacy laws. In this paper, we analyze three main approaches to the problem and use a healthcare scenario to illustrate how each one addresses different aspects of the problem while failing to address others. We then present a systematic framework in which the different approaches can be flexibly combined for a more comprehensive approach to integrate identity management with federated healthcare data models.

  15. Self healthcare management system based on RFID technology

    Microsoft Academic Search

    Sung-Tsun Shih; Chin-Ming Hsu; Chian-Yi Chao

    2011-01-01

    3 Abstract- This paper proposes a radio frequency identification-based (RFID-based) self healthcare management system which allows a user to identify his\\/her identification and record their physiology conditions automatically. The system consists of a RFID tag, a RFID reader, a microprocessor-embedded system, and three peripherals, including blood pressure meter, ear- temperature meter, and body-weight meter. The RFID tag and reader are

  16. CHIME (College of Healthcare Information Management Executives) board members 'tell Hillary' goals for healthcare I/S. Interview by Carolyn Dunbar.

    PubMed

    Reed, W C; Mazzuckelli, K; Tucker, D H

    1993-04-01

    At press time, the details of the Clinton administration's healthcare reform package were not yet public. Some information has been leaked, however, fueling speculation about the plan's exact points. Computers in Healthcare asked three board members of the College of Healthcare Information Management Executives what they thought the Clinton healthcare team should know about the information piece of the puzzle. PMID:10125051

  17. Managed behavioral healthcare in the private sector.

    PubMed

    Jeffrey, M; Riley, J

    2000-09-01

    Employers, in their search for cost containment and quality improvement, have driven the development of the behavioral health managed care vendor. More specifically, the behavioral health carve-out is an innovation that was developed to respond to employer and, more recently, health plan needs. Now that the product has matured, it is increasingly being asked to justify its existence. Costs have certainly been maintained, but improvements in quality have not always been evident. The issues the authors address include, as cost pressures continue, can the industry deliver on its promise to improve care? Will it need to evolve to yet another level, with new or different features? PMID:11092124

  18. Managing the Financial Risks of Water Scarcity

    NASA Astrophysics Data System (ADS)

    Characklis, Greg; Foster, Ben; Kern, Jordan; Meyer, Eliot; Zeff, Harrison

    2015-04-01

    Environmental uncertainty poses a growing number of financial risks to society, with droughts, floods, extreme temperatures and violent storms imposing costs that approach 500 billion per year. While structural forms of mitigation (i.e. levees, dams) will certainly play a role in limiting financial impacts, these are large investments whose full value is only rarely realized. Furthermore, the value of such long-lived measures becomes increasingly uncertain in a changing climate, raising the issue of whether they will be effective 20-30 years hence. Financial instruments, such as index insurance, can provide increased flexibility by providing compensation for losses only when they occur, and limited contract periods allow terms to be periodically rewritten in response to changing conditions. Financial instruments can also be effectively combined with other economic tools and infrastructure to create integrated solutions in which infrastructure mitigates losses from moderate events, while financial products compensate for more rare, but extreme, events. There is a long history of environmentally-related insurance and hedging instruments, but to date the actuarial analyses that underlie contract structure and pricing have been based on straightforward observations, such as cumulative rainfall. More recently, simple correlations between two time series have been used to develop index-based contracts. Links between temperature and electricity demand, for example, provide a basis for contracts that are used to limit the financial exposure of power generators to low revenues during unseasonably warm winters or cool summers. Unfortunately, few environmental risks can be so quickly and easily linked to a financial impact. However, with a more advanced understanding of the environmental systems that give rise to financial losses, opportunities exist to develop innovative contracts for a range of new applications. Recent research describes the characterization and mitigation of financial losses experienced by such entities as water utilities, hydropower producers and inland shipping firms as a result of water scarcity, all of which suggest a growing role for financial instruments in managing environmental risk.

  19. The measurement and management of service quality in dental healthcare.

    PubMed

    Palihawadana, Dayananda; Barnes, Bradley R

    2004-11-01

    This paper reports the findings of a research study designed to manage and measure service quality in dental healthcare. Two large dental practices located in a major UK city were chosen for the research, and 300 patients from each of the two surgeries participated in the study. The findings provide insights into the appropriateness of the SERVQUAL framework (Parasuraman et al., 1988) as a tool for measuring service quality in the context of two distinct dental healthcare practices, one public and one private. The findings suggest that 'price' and 'experience' are two variables that may have an influence on service quality perceptions, when measured by customers. From the data, it was possible to identify service quality gaps where improvements could be made, and where resources could be re-allocated to obtain more optimum results in terms of enhancing service. In summary, the findings provide support for the SERVQUAL framework as a management tool for both measuring service quality and highlighting areas where improvements could be made within a dental healthcare environment. PMID:15527538

  20. Managing bond proceeds improves financial performance.

    PubMed

    Mates, W J

    1989-04-01

    Healthcare organizations must actively manage tax-exempt bond proceeds after they are initially invested at the time of financing or refinancing. The Tax Reform Act of 1986 imposes serious penalties on issuers who fail to comply with its complex requirements. An active program of bond proceeds management enables organizations to avoid this pitfall and take advantage of legal investment opportunities. Such a program must start with a set of clear guidelines on permitted investments, target rates of return, acceptable levels of risk, and liquidity requirements. PMID:10292151

  1. Determining a healthcare organization's value.

    PubMed

    Hahn, W

    1994-08-01

    As the consolidation activity among healthcare providers increases, it becomes more important than ever for healthcare financial managers to understand how to determine a healthcare organization's fair market value. There are many methods of determining an organization's value, but three general methods are the foundation of all others: the market comparable method, the underlying assets method, and the income, or cash flow, method. PMID:10146044

  2. Managing Federal Student Financial Aid Programs.

    ERIC Educational Resources Information Center

    Butner, Blain B.; Rigney, David B.

    The administration of the various Federal financial aid programs under Title IV of the Higher Education Act of 1965 involves a complex set of legal relationships, including contracts between the institution and the Federal government and between the Federal government and other parties. This pamphlet discusses management issues surrounding these…

  3. FINANCIAL MANAGEMENT OF GSD STUDENT ORGANIZATIONS Introduction

    E-print Network

    organizations that receive revenue other than Student Forum awards (charitable donation gifts, ticket sales Employees Credit Union (HUECU). If your organization accepts charitable donation gifts, you must also set upFINANCIAL MANAGEMENT OF GSD STUDENT ORGANIZATIONS Introduction Many GSD student organizations

  4. Casino Accounting and Financial Management, Second Edition

    Microsoft Academic Search

    Malcolm Greenlees

    2008-01-01

    Casino Accounting and Financial Management has been recognized as the essential manual for gaming industry professionals since its first publication in 1988. This second edition is updated throughout and greatly expands the original text, addressing recent growth and changes in the casino industry as gaming has spread into new venues both nationwide and internationally, incorporated new games and new technology,

  5. Financial distress, corporate control, and management turnover

    Microsoft Academic Search

    Philipp Jostarndt; Zacharias Sautner

    2008-01-01

    We empirically investigate the effect of financial distress on corporate ownership and control. Our analysis is based on a panel of 267 German firms that suffered from repeated interest coverage shortfalls between 1996 and 2004. We track each firm’s development over the distress cycle with particular attention to corporate ownership, restructuring, and management turnover. We find a significant decrease in

  6. Ethics, Diversity Management, and Financial Reporting Quality

    Microsoft Academic Search

    Réal Labelle; Rim Makni Gargouri; Claude Francoeur

    2010-01-01

    This article proposes and empirically tests a theoretical framework incorporating Reidenbach and Robin’s (J Bus Ethics 10(4):273–284,\\u000a 1991) conceptual model of corporate moral development. The framework is used to examine the relation between governance and business\\u000a ethics, as proxied by diversity management (DM), and financial reporting quality, as proxied by the magnitude of earnings\\u000a management (EM). The level of DM

  7. 7 CFR 277.6 - Standards for financial management systems.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...financial management systems. 277.6 Section...Agriculture (Continued) FOOD AND NUTRITION SERVICE...DEPARTMENT OF AGRICULTURE FOOD STAMP AND FOOD DISTRIBUTION PROGRAM PAYMENTS...financial management systems. (a)...

  8. 7 CFR 246.13 - Financial management system.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...maintain a financial management system which provides...and women-owned banks. Consistent...and women-owned banks. (h) Adjustment...Letter of Credit system, the State agency...agency financial management. The State...

  9. Teaching total quality management: developing and deploying education throughout a healthcare system.

    PubMed

    Kleeb, T E

    1997-01-01

    Healthcare organizations are faced with the responsibility of teaching their entire staff the founding principles, concepts, and practices of total quality management (TQM), to improve organizational effectiveness. Purchasing training products from outside consultants can be costly, but healthcare leaders can design and develop their own TQM training products, integrating each product with their organization's mission and values. This article describes how a Catholic healthcare system successfully developed and deployed a compendium of TQM educational products throughout the health-care system. PMID:10166009

  10. Problems and Opportunities in School Financial Management: A Consultant's Perspective.

    ERIC Educational Resources Information Center

    Chabotar, Kent John

    1987-01-01

    Summarizes major problems in school financial management and suggests practical improvements to aid external reporting of financial data and internal management. Sections of the article describe these categories of problems: (1) budget presentation; (2) management control; (3) cost accounting; and (4) financial reporting. (PS)

  11. Healthcare waste management practices and risk perceptions: Findings from hospitals in the Algarve region, Portugal

    Microsoft Academic Search

    Vera Ferreira; Margarida Ribau Teixeira

    2010-01-01

    The management of healthcare wastes is receiving greater attention because of the risks to both human health and the environment caused by inadequate waste management practices. In that context, the objective of this study was to analyse the healthcare waste management practices in hospitals of the Algarve region, Portugal, and in particular to assess the risk perceptions of, and actual

  12. Hospital diversification and financial management.

    PubMed

    Eastaugh, S R

    1984-08-01

    Hospital diversification and its impact on the operating ratio are studied for 62 New York hospitals during the period 1974-1979. Diversification and operating ratio are modeled in a two-stage least squares (TSLS) framework as being jointly dependent. Institutional diversification is found to yield better financial position, and the better operating ratio allows the institution the wherewithal to diversify. The impact of external government planning and hospital competition are also measured. An institution life cycle hypothesis is advanced to explain hospital behavior: boom and bust, diversification and divestiture, occasionally leading to closure or merger. These results should not be generalized beyond the New York State context. Restructuring of the organization, unrelated business ventures, and transactions with related organizations were not a problem in this sample. However, in 1983, many a new corporation is set up whose revenues do not become part of the hospital's and whose complex transactions conceal unallowable costs and maximize reimbursement. A number of hypotheses are advanced concerning hospital administrator's attitude toward risk. PMID:6471942

  13. Effects of an incinerator project on a healthcare-waste management system.

    PubMed

    Khammaneechan, Patthanasak; Okanurak, Kamolnetr; Sithisarankul, Pornchai; Tantrakarnapa, Kraichat; Norramit, Poonsup

    2011-10-01

    This evaluative research study aimed to assess the effects of the central healthcare incinerator project on waste management in Yala Province. The study data were collected twice: at baseline and during the operational phase. A combination of structured interview and observation were used during data collection. The study covered 127 healthcare facilities: government hospitals, healthcare centres, and private clinics. The results showed 63% of healthcare risk waste (HCRW) handlers attended the HCRW management training. Improvements in each stage of the HCRW management system were observed in all groups of facilities. The total cost of the HCRW management system did not change, however; the costs for hospitals decreased, whereas those for clinics increased significantly. It was concluded that the central healthcare waste incinerator project positively affected HCRW management in the area, although the costs of management might increase for a particular group. However, the benefits of changing to a more appropriately managed HCRW system will outweigh the increased costs. PMID:21690304

  14. Staff nurse financial management committees--the nurse manager's guide to effective financial performance.

    PubMed

    Kerfoot, K M; Vigh, B J

    1991-01-01

    As Cohen states (1991, p. 25), "The future role that nursing will play in the health care delivery system is one of many major issues faced by contemporary nursing... Nursing must be able to determine realistically the cost of and evaluate the effectiveness of nursing care provided to its patients." A unit-based financial management committee is one very effective way of teaching the skills needed for the professional nurse to advance the practice in financial management. This will help nursing gain the professional status that they have always worked for. But beyond these very lofty ideals, a staff nurse managed financial management committee can make the nurse manager's life much easier. Staff nurses need to understand and accept the importance of managing the financial as well as the quality side of patient care. When this happens, the budget becomes theirs. Nurses develop a sense of ownership of the budget and learn how to effectively manage the unit's finances. Much staff nurse brain power is not used. Systems must be developed to access nurses' effective ideas for financial management--first in a financial management committee and then on the unit. Not only will this develop the professional status that nurses need and deserve, but it will also impact the cost of health care. In a society where the cost of an appendectomy requires Dayton Hudson to sell 39,000 Ninja Turtle action figures, Atlantic Richfield to sell 192,000 gallons of gas a day, Anheuser-Busch to sell 11,627 6-packs of 12 oz.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:1922434

  15. Pervasive Healthcare

    Microsoft Academic Search

    Upkar Varshney

    2003-01-01

    The US healthcare industry is confronting a number of challenges, including skyrocketing costs, a growing incidence of medical errors, inadequate staffing, and lack of coverage in rural and underserved urban areas. Healthcare workers are under increasing pressure to provide better services to more people using limited financial and human resources. One proposed solution to the current crisis is pervasive healthcare.

  16. Financial Vulnerability Among Medicare Managed Care Enrollees

    PubMed Central

    Robins, Cynthia S.; Heller, Amy; Myers, Mary Anne

    2005-01-01

    Consumer Assessment of Health Plans Survey (CAHPS®) data show that Medicare managed care plans often receive low satisfaction scores from certain vulnerable populations. This article describes findings from a qualitative study with beneficiaries about their Medicare managed care experiences. Focus groups were stratified by participant race/ethnicity and self-described health status. Yet participants did not describe their concerns in terms of their race, ethnicity, or health condition, but rather their access to financial resources. Our findings suggest that researchers consider how socioeconomics creates health care vulnerability for racial and ethnic minorities, females, people with disabilities, and other economically marginalized persons. PMID:17290629

  17. Determinants of Role Structure in Family Financial Management

    E-print Network

    Rosen, Dennis L.; Granbois, Donald H.

    1983-01-01

    Variables determining the role of husband and wife in family financial management are explored based on in-home, personal interviews. Financial tasks reflecting implementation activities and two groupings of decision ...

  18. Management of healthcare waste: developments in Southeast Asia in the twenty-first century.

    PubMed

    Kühling, Jan-Gerd; Pieper, Ute

    2012-09-01

    In many Southeast Asian countries, significant challenges persist with regard to the proper management and disposal of healthcare waste. The amount of healthcare waste in these countries is continuously increasing as a result of the expansion of healthcare systems and services. In the past, healthcare waste, if it was treated at all, was mainly incinerated. In the last decade more comprehensive waste management systems were developed for Southeast Asian countries and implementation started. This also included the establishment of alternative healthcare waste treatment systems. The developments in the lower-middle-income countries are of special interest, as major investments are planned. Based upon sample projects, a short overview of the current development trends in the healthcare waste sector in Laos, Indonesia and Vietnam is provided. The projects presented include: (i) Lao Peoples Democratic Republic (development of the national environmental health training system to support the introduction of environmental health standards and improvement of healthcare waste treatment in seven main hospitals by introducing steam-based treatment technologies); (ii) Indonesia (development of a provincial-level healthcare waste-management strategy for Province Nanggroe Aceh Darussalam (NAD) and introduction of an advanced waste treatment system in a tertiary level hospital in Makassar); and (iii) Vietnam (development of a healthcare waste strategy for five provinces in Vietnam and a World Bank-financed project on healthcare waste in Vietnam). PMID:22993139

  19. Lean management-the journey from toyota to healthcare.

    PubMed

    Teich, Sorin T; Faddoul, Fady F

    2013-04-01

    The evolution of production systems is tightly linked to the story of Toyota Motor Company (TMC) that has its roots around 1918. The term "lean" was coined in 1990 following the exploration of the Toyota model that led to the "transference" thesis sustaining the concept that manufacturing problems and technologies are universal problems faced by management and that these concepts can be emulated in non-Japanese enterprises. Lean is a multi-faceted concept and requires organizations to exert effort along several dimensions simultaneously; some consider a successful implementation either achieving major strategic components of lean, implementing practices to support operational aspects, or providing evidence that the improvements are sustainable in the long term. The article explores challenges and opportunities faced by organizations that intend incorporating lean management principles and presents the specific context of the healthcare industry. Finally, the concepts of "essential few" and customer value are illustrated through a simple example of process change following lean principles, which was implemented in a dental school in the United States. PMID:23908857

  20. Lean Management—The Journey from Toyota to Healthcare

    PubMed Central

    Teich, Sorin T.; Faddoul, Fady F.

    2013-01-01

    The evolution of production systems is tightly linked to the story of Toyota Motor Company (TMC) that has its roots around 1918. The term “lean” was coined in 1990 following the exploration of the Toyota model that led to the “transference” thesis sustaining the concept that manufacturing problems and technologies are universal problems faced by management and that these concepts can be emulated in non-Japanese enterprises. Lean is a multi-faceted concept and requires organizations to exert effort along several dimensions simultaneously; some consider a successful implementation either achieving major strategic components of lean, implementing practices to support operational aspects, or providing evidence that the improvements are sustainable in the long term. The article explores challenges and opportunities faced by organizations that intend incorporating lean management principles and presents the specific context of the healthcare industry. Finally, the concepts of “essential few” and customer value are illustrated through a simple example of process change following lean principles, which was implemented in a dental school in the United States. PMID:23908857

  1. [Assessment of financial performance improves the quality of healthcare provided by medical organizations].

    PubMed

    Afek, Arnon; Meilik, Ahuva; Rotstein, Zeev

    2009-01-01

    Today, medical organizations have to contend with a highly competitive environment, an atmosphere saturated with a multitude of innovative new technologies and ever-increasing costs. The ability of these organizations to survive and to develop and expand their services mandates adoption of management guidelines based on the world of finance/commerce, adapted to make them relevant to the world of medical service. In this article the authors chose to present a management administration assessment which is a process that ensures that the management will effectively administer the organization's resources, and meet the goals set by the organization. The system demands that hospital "centers of responsibility" be defined, a management information system be set up, activities be priced, budget be defined and the expenses assessed. These processes make it possible to formulate a budget and assess any possible deviation between the budget and the actual running costs. An assessment of deviations will reveal any possible deviation of the most significant factor--efficiency. Medical organization managers, with the cooperation of the directors of the "centers of responsibility", can assess subunit activities and gain an understanding of the significance of management decisions and thus improve the quality of management, and the medical organization. The goal of this management system is not only to Lower costs and to meet the financial goals that were set; it is a tool that ensures quality. Decreasing expenditure is important in this case, but is only secondary in importance and will be a result of reducing the costs incurred by services lacking in quality. PMID:19320392

  2. -Enhanced Home-Care through DITIS's Dynamic Creation and Management of Virtual Healthcare Teams

    E-print Network

    Pitsillides, Andreas

    1 -Enhanced Home-Care through DITIS's Dynamic Creation and Management of Virtual Healthcare Teams the system supports virtual collaborative healthcare teams for the home care of chronic patients through an illustrative scenario relating to the home care of cancer patients. The system architecture is discussed

  3. A healthcare management system for Turkey based on a service-oriented architecture.

    PubMed

    Herand, Deniz; Gürder, Filiz; Ta?kin, Harun; Yuksel, Emre Nuri

    2013-09-01

    The current Turkish healthcare management system has a structure that is extremely inordinate, cumbersome and inflexible. Furthermore, this structure has no common point of view and thus has no interoperability and responds slowly to innovations. The purpose of this study is to show that using which methods can the Turkish healthcare management system provide a structure that could be more modern, more flexible and more quick to respond to innovations and changes taking advantage of the benefits given by a service-oriented architecture (SOA). In this paper, the Turkish healthcare management system is chosen to be examined since Turkey is considered as one of the Third World countries and the information architecture of the existing healthcare management system of Turkey has not yet been configured with SOA, which is a contemporary innovative approach and should provide the base architecture of the new solution. The innovation of this study is the symbiosis of two main integration approaches, SOA and Health Level 7 (HL7), for integrating divergent healthcare information systems. A model is developed which is based on SOA and enables obtaining a healthcare management system having the SSF standards (HSSP Service Specification Framework) developed by the framework of the HSSP (Healthcare Services Specification Project) under the leadership of HL7 and the Object Management Group. PMID:22958178

  4. Methods of resource management – the case of healthcare

    Microsoft Academic Search

    Justyna Uzialko; Edward Radosinski

    2009-01-01

    Various issues referring to general problems of resource allocation in the area of healthcare were discussed in the article. Fundamental questions regarding the process of allocating healthcare resources were pointed out. The topics were presented according to the categories of methods used to potentially solve these problems. The following approaches were considered: chosen methods of mathematical programming, queuing theory, simulation,

  5. The relative effectiveness of managed care penetration and the healthcare safety net in reducing avoidable hospitalizations.

    PubMed

    Pracht, Etienne E; Orban, Barbara L; Comins, Meg M; Large, John T; Asin-Oostburg, Virginia

    2011-01-01

    Avoidable hospitalizations represent a key indicator for access to, and the quality of, primary care. Therefore, understanding their behavior is essential in terms of management of healthcare resources and costs. This analysis examines the affect of 2 healthcare strategies on the rate of avoidable hospitalization, managed care and the healthcare safety net. The avoidable hospitalizations definition developed by Weissman et al. (1992) was used to identify relevant inpatient episodes. A 2-stage simultaneous equations multivariate regression model with instrumental variables was used to estimate the relative influence of HMO penetration and the composition of local hospital markets on the rate of avoidable hospitalizations. Control variables in the model include healthcare supply and demand, demographic, socioeconomic, and health status characteristics. Increased market presence of public hospitals significantly reduced avoidable hospitalizations. HMO penetration did not influence the rate of avoidable hospitalizations. The results suggest that public investments in healthcare facilities and infrastructure are more effective in reducing avoidable hospitalizations. PMID:21733024

  6. A Semantic Web Framework to Support Knowledge Management in Chronic Disease Healthcare

    NASA Astrophysics Data System (ADS)

    Buranarach, Marut; Supnithi, Thepchai; Chalortham, Noppadol; Khunthong, Vasuthep; Varasai, Patcharee; Kawtrakul, Asanee

    Improving quality of healthcare for people with chronic conditions requires informed and knowledgeable healthcare providers and patients. Decision support and clinical information system are two of the main components to support improving chronic care. In this paper, we describe an ongoing initiative that emphasizes the need for healthcare knowledge management to support both components. Ontology-based knowledge acquisition and modeling based on knowledge engineering approach provides an effective mechanism in capturing expert opinion in form of clinical practice guidelines. The Semantic Web framework is adopted in building a knowledge management platform that allows integration between the knowledge with patient databases and supported publications. We discuss one of the challenges, which is to apply the healthcare knowledge into existing healthcare provider environments by focusing on augmenting decision making and improving quality of patient care services.

  7. Simulation and modeling efforts to support decision making in healthcare supply chain management.

    PubMed

    AbuKhousa, Eman; Al-Jaroodi, Jameela; Lazarova-Molnar, Sanja; Mohamed, Nader

    2014-01-01

    Recently, most healthcare organizations focus their attention on reducing the cost of their supply chain management (SCM) by improving the decision making pertaining processes' efficiencies. The availability of products through healthcare SCM is often a matter of life or death to the patient; therefore, trial and error approaches are not an option in this environment. Simulation and modeling (SM) has been presented as an alternative approach for supply chain managers in healthcare organizations to test solutions and to support decision making processes associated with various SCM problems. This paper presents and analyzes past SM efforts to support decision making in healthcare SCM and identifies the key challenges associated with healthcare SCM modeling. We also present and discuss emerging technologies to meet these challenges. PMID:24683333

  8. Practical Volatility and Correlation Modeling for Financial Market Risk Management

    Microsoft Academic Search

    Torben G. Andersen; Tim Bollerslev; Peter F. Christoffersen; Francis X. Diebold; Pedro Santa-Clara; Mark Carey; Rene Stulz

    2006-01-01

    What do academics have to offer market risk management practitioners in financial institutions? Current industry practice largely follows one of two extremely restrictive approaches: historical simulation or RiskMetrics. In contrast, we favor flexible methods based on recent developments in financial econometrics, which are likely to produce more accurate assessments of market risk. Clearly, the demands of real-world risk management in

  9. Pfizer collaborates with Trinity College Dublin on Postgraduate Qualification in Healthcare Infection Management

    E-print Network

    O'Mahony, Donal E.

    an innovative module, Antimicrobial Therapy & Resistance, for the Masters in Healthcare Infection Management with Pfizer Ireland for the Antimicrobial Therapy & Resistance module augments the degree's specialist is offered to medical microbiologists, infectious disease physicians, antimicrobial pharmacists, biomedical

  10. Goals of telephone nursing work - the managers’ perspectives: a qualitative study on Swedish healthcare direct

    PubMed Central

    2014-01-01

    Background Swedish Healthcare Direct (SHD) receives 6 million calls yearly and aims at increased public sense of security and healthcare efficiency. Little is known about what SHD managers perceive as the primary goals of telephone nursing (TN) work and how the organisation matches goals of health promotion and equitable healthcare, so important in Swedish healthcare legislation. The aim of the study was to explore and describe what the SHD managers perceive as the goals of TN work and how the managers view health promotion and implementation of equitable healthcare with gender as example at SHD. Methods The study was qualitative using an exploratory and descriptive design. All 23 managers employed at SHD were interviewed and data analysis used deductive directed content analysis. Results The findings reveal four themes describing the goals of TN work as recommended by the SHD managers. These are: ‘create feelings of trust’, ‘achieve patient safety’, ‘assess, refer and give advice’, and ‘teach the caller’. Most of the managers stated that health promotion should not be included in the goals, whereas equitable healthcare was viewed as an important issue. Varying suggestions for implementing equitable healthcare were given. Conclusions The interviewed managers mainly echoed the organisational goals of TN work. The managers’ expressed goal of teaching lacked the caller learning components highlighted by telenurses in previous research. The fact that health promotion was not seen as important indicates a need for SHD to clarify its goals as the organisation is part of the Swedish healthcare system, where health promotion should always permeate work. Time used for health promotion and dialogues in a gender equitable manner at SHD is well invested as it will save time elsewhere in the health care system, thereby facing one of the challenges of European health systems. PMID:24762193

  11. Assessing graduate programs for healthcare information management\\/technology (HIM\\/T) executives

    Microsoft Academic Search

    Rick A. Moore; Eta S. Berner

    2004-01-01

    This paper describes a methodology to assess health\\/medical informatics graduate-level education curricula. The authors used the Certified Professional in Healthcare Information Management Systems (CPHIMS) exam objectives published by the Healthcare Information and Management Systems Society (HIMSS) as the basis for their assessment. The authors compared the 69 CPHIMS exam objectives against four health\\/medical informatics program course objectives as stated in

  12. 31 CFR Appendix G to Subpart C of... - Financial Management Service

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...and access to records and accountings...disclosures for the Financial Management Service...send requests for records may be mailed...Disclosure Officer, Financial Management Service...with respect to records of the Financial Management...

  13. 31 CFR Appendix G to Subpart C of... - Financial Management Service

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...and access to records and accountings...disclosures for the Financial Management Service...send requests for records may be mailed...Disclosure Officer, Financial Management Service...with respect to records of the Financial Management...

  14. 31 CFR Appendix G to Subpart C of... - Financial Management Service

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...and access to records and accountings...disclosures for the Financial Management Service...send requests for records may be mailed...Disclosure Officer, Financial Management Service...with respect to records of the Financial Management...

  15. 31 CFR Appendix G to Subpart C of... - Financial Management Service

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...and access to records and accountings...disclosures for the Financial Management Service...send requests for records may be mailed...Disclosure Officer, Financial Management Service...with respect to records of the Financial Management...

  16. 7 CFR 1485.20 - Financial management, reports, evaluations and appeals.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...2012-01-01 2012-01-01 false Financial management, reports, evaluations and appeals. ...Access Program § 1485.20 Financial management, reports, evaluations and appeals. (a) Financial management. (1) An MAP...

  17. 7 CFR 1485.20 - Financial management, reports, evaluations and appeals.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...2011-01-01 2011-01-01 false Financial management, reports, evaluations and appeals. ...Access Program § 1485.20 Financial management, reports, evaluations and appeals. (a) Financial management. (1) An MAP...

  18. Transferring management technology: healthcare quality improvement education in central and eastern Europe.

    PubMed

    Cholewka, P A

    1997-01-01

    The newly independent nations of the former Soviet Union continue to restructure and refine their political and economic environments. Competition for scarce of dwindling economic resources within these nations and between the nations of an expanding global community necessitates that they adopt more efficient and effective management methods to provide essential public services. As a result, organizational management concepts developed and used in the West (i.e., in the United States and the countries of the European Union) are eagerly sought for incorporation into new administrative systems. This is an opportune time for healthcare service management educators to develop and present total quality management (TQM) programs, stressing continuous quality improvement (CQI) methods specifically targeted and adapted to the organizational needs of these countries, as they restructure their societies from centrally planned to market-driven economies. In general, educators in healthcare service management, acting as information consultants, can play a pivotal role in guiding strategies for healthcare organizational change and in helping to stabilize transitional organizational processes, by providing guidelines that can improve utilization of healthcare resources and monitoring of healthcare service outcomes. Most of the observations and recommendations presented in this article are derived from the author's experiences in conducting healthcare management improvement projects in Bulgaria in 1993 and in Lithuania since 1991. PMID:10168987

  19. Healthcare-Related Financial Burden Among Families in the U.S.: The Role of Childhood Activity Limitations and Income

    Microsoft Academic Search

    Whitney P. Witt; Kristin Litzelman; Carmen G. Mandic; Lauren E. Wisk; John M. Hampton; Paul D. Creswell; Carissa A. Gottlieb; Ronald E. Gangnon

    2011-01-01

    This study examined the impact of childhood activity limitations on family financial burden in the U.S. We used ten complete\\u000a panels (1996–2006) of the Medical Expenditure Panel Survey (MEPS) to evaluate the burden of out-of-pocket healthcare expenditures\\u000a for 17,857 families with children aged 0–17 years. Multivariate generalized linear models were used to examine the relationship\\u000a between childhood activity limitation status and

  20. An integrated risk management model for financial banks with knowledge management

    Microsoft Academic Search

    Shao Baiquan; Wu Kebao

    2010-01-01

    Modern financial banks are operating in a knowledge society and they are affected by various risks. In order to enhance the efficiency of risk management in banks, this paper first discusses the implications of financial risks, knowledge and knowledge management, and then presents an integrated risk management model with knowledge management. Finally, the paper studies ways for banks to manage

  1. A New Activity-Based Financial Cost Management Method

    NASA Astrophysics Data System (ADS)

    Qingge, Zhang

    The standard activity-based financial cost management model is a new model of financial cost management, which is on the basis of the standard cost system and the activity-based cost and integrates the advantages of the two. It is a new model of financial cost management with more accurate and more adequate cost information by taking the R&D expenses as the accounting starting point and after-sale service expenses as the terminal point and covering the whole producing and operating process and the whole activities chain and value chain aiming at serving the internal management and decision.

  2. Financial innovation and the management and regulation of financial institutions

    Microsoft Academic Search

    Robert C. Merton

    1995-01-01

    New security designs, improvements in computer and telecommunications technology and advances in the theory of finance have led to revolutionary changes in the structure of financial markets and institutions. This paper provides a functional perspective on the dynamics of institutional change and uses a series of examples to illustrate the breadth and depth of institutional change that is likely to

  3. Knowledge Management in Healthcare Zipperer Lorri Knowledge Management in Healthcare 250pp £70 Gower Publishing 9781409438830 140943883X [Formula: see text].

    PubMed

    2014-10-30

    AN INTENSE academic review of knowledge management is provided by this book, covering the nature of knowledge-sharing environments, insights from healthcare workers, and advice on how to initiate and measure knowledge sharing. While many of the contributors are academic leaders in the US, it will translate to the UK and NHS. PMID:25355116

  4. Improving Financial Awareness among College Students: Assessment of a Financial Management Project

    ERIC Educational Resources Information Center

    Palmer, Lance; Bliss, Donna L.; Goetz, Joseph W.; Moorman, Diann

    2010-01-01

    The effect of a financial management intervention on college students' financial behavior was examined. The intervention strategy, a form of expenditure tracking, focused on consciousness-raising and was implemented among 170 undergraduate students. Qualitative analysis of participants' self-reflection papers revealed that awareness of spending…

  5. On financial management of population and family planning programs.

    PubMed

    1976-03-01

    In the 3 day workshop of the Southeast Asian Region on the Financial Management of Population/Family Planning Programs held from March 15 to 17 it was recommended that there by standardization of financial reporting procedures by country programs for population planning. Related to this recommendation was the proposal that measurement of cost benefit and cost effective analysis of country programs be undertaken by the Research and Evaluation Units of the respective population organizations in close coordination with the financial managers. Other major recommendations included: 1) closer coordination between donor agencies and policy making bodies of country programs in the disbursement of funds; 2) more exchange of experiences, ideas, technical knowledge on the financial management of country programs in the Inter G overnmental Coordinating Committee for Southeast Asian countries; and 3) inclusion of applicable financial management topics in the training of clinical staff and followup in actual operation. The priority areas identified for the Inter Governmental Coordinating Committee countries (Nepal, Malaysia, Thailand, Singapore, and the Philippines) are financial planning; generation of resources and budgeting and allocation of funds; accounting and disbursement of funds; financial management at the clinic level; use of and control of foreign aid; and cost effectiveness, benefit analysis and financial reporting. PMID:12334205

  6. The impact of managed behavorial healthcare on the costs of psychiatric and chemical dependency treatment.

    PubMed

    Geraty, R; Bartlett, J; Hill, E; Lee, F; Shusterman, A; Waxman, A

    1994-01-01

    As Congress debates the Health Security Act, a key issue centers on whether and how to include mental health and substance abuse benefits and how to contain costs if and when these benefits are paid at parity with general healthcare. Previous studies estimating the average annual cost of providing behavioral healthcare services have shown considerable divergence, depending on the nature of the defined population and the inclusion of various benefit categories, out-of-pocket expense and administrative costs. Experience from 14 members of the American Managed Behavioral Healthcare Association (AMBHA) is used to define the key features of managed behavioral healthcare, and to demonstrate that a properly managed behavioral healthcare benefit can be significantly less costly than the current reform debate would admit. AMBHA companies (which have many years of experience and presently manage the cost and quality of care for over 65 million people in the United States) [See Table 3, page 28], have shown that a specialty managed care approach can achieve not only significant savings to healthcare providers, payers and society, but also improve quality and access to care. Traditional attempts at reducing mental illness benefit coverage costs have entailed limitations on the availability or access to care. These approaches, however, ignored the larger implications to society of untreated mental illness and chemical dependency. When traditional coverages have offered more extensive benefits, they have primarily favored inpatient treatment, thus increasing costs by overemphasizing care of patients at expensive inpatient settings. AMBHA's proposed principles of healthcare reform and recommended benefit packages for behavioral healthcare can be found on page 80 of this magazine. PMID:10172255

  7. A methodology and supply chain management inspired reference ontology for modeling healthcare teams.

    PubMed

    Kuziemsky, Craig E; Yazdi, Sara

    2011-01-01

    Numerous studies and strategic plans are advocating more team based healthcare delivery that is facilitated by information and communication technologies (ICTs). However before we can design ICTs to support teams we need a solid conceptual model of team processes and a methodology for using such a model in healthcare settings. This paper draws upon success in the supply chain management domain to develop a reference ontology of healthcare teams and a methodology for modeling teams to instantiate the ontology in specific settings. This research can help us understand how teams function and how we can design ICTs to support teams. PMID:21893841

  8. Management of stigma and disclosure of HIV\\/AIDS status in healthcare settings

    Microsoft Academic Search

    Victor Wong; Loretta Wong

    2006-01-01

    Purpose – This paper aims to examine the management strategies adopted by older people living with HIV\\/AIDS (PHAs) to conceal their positive status in healthcare settings, and their responses taken and means used to cope with the stigmatizing and exclusionary effects as a result of the disclosure of their status by\\/to healthcare workers. Design\\/methodology\\/approach – Under the auspices of a

  9. An overview of reviews evaluating the effectiveness of financial incentives in changing healthcare professional behaviours and patient outcomes

    PubMed Central

    Flodgren, Gerd; Eccles, Martin P; Shepperd, Sasha; Scott, Anthony; Parmelli, Elena; Beyer, Fiona R

    2014-01-01

    Background There is considerable interest in the effectiveness of financial incentives in the delivery of health care. Incentives may be used in an attempt to increase the use of evidence-based treatments among healthcare professionals or to stimulate health professionals to change their clinical behaviour with respect to preventive, diagnostic and treatment decisions, or both. Financial incentives are an extrinsic source of motivation and exist when an individual can expect a monetary transfer which is made conditional on acting in a particular way. Since there are numerous reviews performed within the healthcare area describing the effects of various types of financial incentives, it is important to summarise the effectiveness of these in an overview to discern which are most effective in changing health professionals’ behaviour and patient outcomes. Objectives To conduct an overview of systematic reviews that evaluates the impact of financial incentives on healthcare professional behaviour and patient outcomes. Methods We searched the Cochrane Database of Systematic Reviews (CDSR) (The Cochrane Library); Database of Abstracts of Reviews of Effectiveness (DARE); TRIP; MEDLINE; EMBASE; Science Citation Index; Social Science Citation Index; NHS EED; HEED; EconLit; and Program in Policy Decision-Making (PPd) (from their inception dates up to January 2010). We searched the reference lists of all included reviews and carried out a citation search of those papers which cited studies included in the review. We included both Cochrane and non-Cochrane reviews of randomised controlled trials (RCTs), controlled clinical trials (CCTs), interrupted time series (ITSs) and controlled before and after studies (CBAs) that evaluated the effects of financial incentives on professional practice and patient outcomes, and that reported numerical results of the included individual studies. Two review authors independently extracted data and assessed the methodological quality of each review according to the AMSTAR criteria. We included systematic reviews of studies evaluating the effectiveness of any type of financial incentive. We grouped financial incentives into five groups: payment for working for a specified time period; payment for each service, episode or visit; payment for providing care for a patient or specific population; payment for providing a pre-specified level or providing a change in activity or quality of care; and mixed or other systems. We summarised data using vote counting. Main results We identified four reviews reporting on 32 studies. Two reviews scored 7 on the AMSTAR criteria (moderate, score 5 to 7, quality) and two scored 9 (high, score 8 to 11, quality). The reported quality of the included studies was, by a variety of methods, low to moderate. Payment for working for a specified time period was generally ineffective, improving 3/11 outcomes from one study reported in one review. Payment for each service, episode or visit was generally effective, improving 7/10 outcomes from five studies reported in three reviews; payment for providing care for a patient or specific population was generally effective, improving 48/69 outcomes from 13 studies reported in two reviews; payment for providing a pre-specified level or providing a change in activity or quality of care was generally effective, improving 17/20 reported outcomes from 10 studies reported in two reviews; and mixed and other systems were of mixed effectiveness, improving 20/31 reported outcomes from seven studies reported in three reviews. When looking at the effect of financial incentives overall across categories of outcomes, they were of mixed effectiveness on consultation or visit rates (improving 10/17 outcomes from three studies in two reviews); generally effective in improving processes of care (improving 41/57 outcomes from 19 studies in three reviews); generally effective in improving referrals and admissions (improving 11/16 outcomes from 11 studies in four reviews); generally ineffective in improving compliance with guidelines outcomes (imp

  10. Management of HealthCare Associated Pneumonia (HCAP)

    Microsoft Academic Search

    Alessia Rosato; Claudio Santini

    IntroductionThe traditional classification of Pneumonia as either community acquired (CAP) or hospital acquired (HAP) reflects deep differences in the etiology, pathogenesis, approach and prognosis between the two entities. Health-Care Associated Pneumonia (HCAP) develops in a heterogeneous group of patients receiving invasive medical care or surgical procedures in an outpatient setting. For epidemiology and outcomes, HCAP closely resembles HAP and possibly

  11. Critical Managerial Activity and Competency of Healthcare Management: A Study of Eighteen Hospitals

    Microsoft Academic Search

    Li-Min Lin; Han-Jung Chen; Pei-Fen Chen; Robert Tennyson

    2012-01-01

    This study employed the activity competency model (ACM) to investigate the perceived importance of the managerial activities, skills and knowledge required by top management in the healthcare sector. A survey instrument was designed based on the ACM for data collection. It encompasses 17 initial managerial activities and 14 managerial competences required to effectively perform these management activities. Data for this

  12. Ambient Healthcare Systems - Using the Hydra Embedded Middleware for Implementing an Ambient Disease Management System

    Microsoft Academic Search

    Heinz-josef Eikerling; Gernot Gräfe; Florian Röhr; Walter Schneider

    2009-01-01

    Healthcare is an important aspect of ambient life. As the life expectation increases and thus diseases statistically become more frequent, the high-quality and cost-effective management of such diseases becomes a societal task. Within this paper we examine issues and requirements stemming from the implementation of disease management systems. Such systems critically depend on acceptance, cost- efficiency and other criteria that

  13. Institutional and financial consideration in regional solid waste management

    Microsoft Academic Search

    Raymond K. O'Neil; Edward R. Locke

    1975-01-01

    Lack of urban land for solid waste disposal and growing public pressures to increase recycling are forcing many urban areas to change traditional solid waste management practices. Development of regional solid waste management plans requires interrelated studies of technical, institutional, and financial alternatives. When the goal of the technical studies is to improve existing waste management practices and to emphasize

  14. Financial Service of Wealth Management Banking: Balanced Scorecard Approach

    Microsoft Academic Search

    Cheng-Ru Wu; Chin-Tsai Lin; Pei-Hsuan Tsai

    2008-01-01

    Problem Statement: There are four main banking business sectors in Taiwan, involving the areas of consumer, corporate, wealth management, and investment banking. The wealth management banking sector is actively promoted for reaping a risk-free premium. In the proposed model, the dimensions of financial services for wealth management banks have been taken from four perspectives derived from balanced scorecard approach, viz.

  15. Strategic information technology alliances for effective health-care supply chain management.

    PubMed

    Shih, Stephen C; Rivers, Patrick A; Hsu, H Y Sonya

    2009-08-01

    To gain and sustain competitive advantage, health-care providers have to continuously review and renovate their operational and information technology (IT) strategies through collaborative and cooperative endeavour with their supply chain channel members. This paper explores new ways of enhancing a health-care organization's responsiveness to changes and increasing its competitiveness through implementing strategic information technology alliances among channel members in a health-care supply chain network. An overview of issues and problems (e.g. bullwhip effect, negative externalities and free-riding phenomenon in multichannel supply chains) presented in the health-care supply chains is first delineated. This paper further goes over the issues of health-care supply chain coordination and integration for strategic IT alliances, followed by the discussion of the spillover effect of IT investments. A number of viable IT practices (such as information sharing and Internet-enabled supply chain portal) for effective health-care supply chain collaboration and coordination are then examined in this research. Finally, the paper discusses how strategic IT alliances can help improve the effectiveness of health-care supply chain management. PMID:19633183

  16. Proactive risk management in emerging and Islamic financial markets : Evidence from the Moroccan financial markets

    Microsoft Academic Search

    Mazin A. M. Al Janabi

    2008-01-01

    Purpose – The purpose of this paper is to provide proactive risk management techniques and strategies that can be applied to trading and investment portfolios in emerging and Islamic illiquid financial markets, such as the Moroccan foreign exchange and stock markets. Design\\/methodology\\/approach – This paper demonstrates a practical approach for the measurements, management and control of market risk exposure for

  17. Healthcare facility valuation: don't forget the physician factor.

    PubMed

    McCord, Christopher

    2005-08-01

    A fair market valuation of healthcare facilities should take into account the impact of physician customers. The "physician factor" affects the facility's competitive environment. Healthcare financial managers need to ensure that analysts understand the facility's competitive alternatives before determining its fair market value. PMID:16119123

  18. Y2K, embedded chips, casualty hazards and due diligence in healthcare risk management.

    PubMed

    Childers, J R

    1998-01-01

    Y2K raises challenges for healthcare risk managers that go beyond information technology issues. This article explains that (1) too little public attention is being paid to equipment which may well have Y2K faults and (2) few standards have been articulated for dealing with problems. Healthcare risk managers therefore must return to basic due diligence principles and develop their own standards and protocols. The article explains how to do due diligence and outlines suggested steps for dealing with the non-information technology side of compliance due diligence. PMID:10537839

  19. Demand management in healthcare IT. Controlling IT demand to meet constrained IT resource supply.

    PubMed

    Mohrmann, Gregg; Schlusberg, Craig; Kropf, Roger

    2007-01-01

    Healthcare is behind other industries in the ability to manage and control increasing demand for IT services, and to ensure that IT staff are available when and where needed. From everyday support requests to large capital projects, the IT department's ability to meet demand is limited. Organizational and IT leaders need to proactively address this issue and do a better job of predicting when services will be needed and whether appropriate resources will be available. This article describes the common issues that healthcare IT departments face in the efficient delivery of services as a result of factors such as budget constraints, skill sets and project dependencies. Best practices for controlling demand are discussed, including resource allocation, governance processes and a graphical analysis of forecasted vs. actual thresholds. Using specific healthcare provider examples, the article intends to provide IT management with an approach to predicting and controlling resource demand. PMID:19195282

  20. Data Warehouse Services Business Manager access to Faculty financial, position, and research information

    E-print Network

    Bystroff, Chris

    Data Warehouse Services Business Manager access to Faculty financial, position, and research/Department Name activities on all funds listing me as fund financial manager (upon completion of the appropriate: __/__/____ Faculty Home Department Business Manager authorizing access: Name

  1. Spreading the word about the unique and valuable role of healthcare risk managers.

    PubMed

    Mitchell, Jacque L

    2014-01-01

    Here I am three-quarters through my year as president of ASHRM and I am still pinching myself that I am where I am! How has your year been? It has been a tough year for everyone in healthcare. With the Affordable Care Act demands on healthcare and the public, concerns about funding, quality initiatives, and overall potential loss of revenue, it's a wonder we are still in healthcare. But would you be doing anything different? I don't think so. I love that I can help make a difference by assisting staff with a difficult patient or situation or help a patient with a care concern that they are totally frustrated with or explain to a fellow risk manager what I would do in the situation they are dealing with. Although we feel like we are being pulled into new healthcare territories for our insight and recommendations, it is an indication of the value we bring to our organizations. We will get through this and there will be more challenges, but as risk management professionals, we can help solve problems and create value in the upcoming changes in healthcare. PMID:25070250

  2. The evolution of healthcare managers' role: a comparison France/United Kingdom

    E-print Network

    Boyer, Edmond

    hospital reforms are changing the healthcare managers' role which have an important role on nurses' job to measure staff's job satisfaction. Thus, nurses' job satisfaction is considered as an important concern' role: a comparison France/United Kingdom ABSTRACT Nursing shortage is a worldwide problem throughout

  3. Financial Management of Universities in Developing Countries.

    ERIC Educational Resources Information Center

    Gill, T. K.; Gill, S. S.

    2000-01-01

    Discusses ways to overcome the financial crisis facing many universities in developing countries, including providing greater resources to higher education; raising tuition; privatizing higher education; admitting only the best candidates; attracting foreign students; requiring graduates' employers to compensate universities; linking industry and…

  4. Managing College Costs Student Financial Aid Office

    E-print Network

    Kostic, Milivoje M.

    · Repayment Strategy #12;Free Application for Federal Student Aid · FAFSA www.fafsa.gov · FAFSA PIN www.pin.ed.gov · FAFSA4caster ­ Provides early estimates · Best Time to File ­ As soon as possible beginning January 1st for Financial Aid each year FAFSA.gov #12;Dependency Status · Generally, applicants are considered a dependent

  5. Preparing the Next IT Leaders: Financial Management

    ERIC Educational Resources Information Center

    Goldstein, Karen L.

    2007-01-01

    The next generation of IT leaders must learn to navigate the complexities of higher education financial planning and negotiation. Technology infrastructure, hardware, software, and services are very expensive to provide and will continue to be so for some time to come. Most CIOs have learned about complex IT finances the hard way--they were handed…

  6. 7 CFR 3560.302 - Accounting, bookkeeping, budgeting, and financial management systems.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...2010-01-01 2010-01-01 false Accounting, bookkeeping, budgeting, and financial...Financial Management § 3560.302 Accounting, bookkeeping, budgeting, and financial...General. Borrowers must establish the accounting, bookkeeping, budgeting...

  7. Principles and effects of electronic communication systems between healthcare providers and managed-care organisations.

    PubMed

    Ilioudi, Stamatia; Lazakidou, Athina

    2007-01-01

    The present paper studies the issue of electronic communication among healthcare providers, patients and Managed-Care Organisations (MCOs) and how this communication could be exploited in order to increase the quality of health services. Specifically, we review the existing electronic communication systems in health and how they are used by the stakeholders and the medical staff. After reviewing the barriers to using online communication in clinical practice, we emphasise the challenges and the advantages of embodying such systems in daily healthcare services. PMID:18048278

  8. To shatter the glass ceiling in healthcare management: who supports affirmative action and why?

    PubMed

    Weil, Peter A; Mattis, Mary C

    2003-11-01

    We examined the findings of a recent national survey of healthcare executives that showed 90% of women but only 53% of men favoured efforts to increase the proportion of women in senior healthcare management positions. Using the theories of relative deprivation and social identity, we tested hypotheses to suggest the background, work characteristics and attitudes about existing discriminatory practices in their own organizations that correlate with respondents' views about affirmative action for women. Some support is evidenced for the two theories and explanations are suggested to account for apparent anomalies. PMID:14613620

  9. Financial coping strategies of mental health consumers: managing social benefits.

    PubMed

    Caplan, Mary Ager

    2014-05-01

    Mental health consumers depend on social benefits in the forms of supplemental security income and social security disability insurance for their livelihood. Although these programs pay meager benefits, little research has been undertaken into how this population makes ends meet. Using a qualitative approach, this study asks what are the financial coping strategies of mental health consumers? Seven approaches were identified: subsidies, cost-effective shopping, budgeting, prioritizing, technology, debt management, and saving money. Results illustrate the resourcefulness of mental health consumers in managing meager social benefits and highlight the need to strengthen community mental health efforts with financial capabilities education. PMID:24346222

  10. Educating Future Therapists about the Controversy Surrounding Managed Behavioral Healthcare.

    ERIC Educational Resources Information Center

    Chambliss, Catherine

    The mental health care delivery system is undergoing a metamorphosis of unprecedented proportion as managed care covers more and more patients. This dramatic change has its critics (many mental health professionals) and its enthusiastics (the managed behavioral health care companies). Some of these issues are presented in this paper. There is…

  11. Managing Uncertainty and Risk in the Supply Chain using Financial Engineering Instruments

    E-print Network

    de Weck, Olivier L.

    on the application of financial instruments in supply chain management through the use of · Real Options · PortfolioManaging Uncertainty and Risk in the Supply Chain using Financial Engineering Instruments and analysis of existing and new financial products; these are typically dubbed Financial Engineering

  12. Financial Management Competence of Founding Teams and Growth of New Technology-Based Firms

    Microsoft Academic Search

    Jan Brinckmann; Soeren Salomo; Hans Georg Gemuenden

    2011-01-01

    This article draws on the resource-based view to analyze the role founding teams' financial management competencies play for firm growth. Prior research stressed the importance of acquiring external financial resources. In this study, we broaden the understanding of financial management in new firms. We explore the relevance of strategic financial planning competence, external financing competence, competence in financing from cash

  13. International governance structures for health-care waste management: a systematic review of scientific literature.

    PubMed

    Caniato, M; Tudor, T; Vaccari, M

    2015-04-15

    Significant differences exist in the management of health-care waste management, globally. This is particularly so between low, middle and high-income countries. A systematic review of scientific literature on global healthcare waste management spanning the period 2000 - current was undertaken, in order to identify key policies, practices, challenges and best practice. The findings were analysed considering the Gross National Income and the Human Development Index of each country. Effective regulation and operative definitions of waste categories are key-factors requiring improvement at the national level. The economic conditions in the country are an important factor, especially regarding treatment and disposal. Areas for improvement (e.g. the need for improved governance structures, the development of regional clusters, as well as sharps waste segregation) are suggested. PMID:25687810

  14. Incremental adoption of information security in health-care organizations: implications for document management.

    PubMed

    Lorence, Daniel P; Churchill, Richard

    2005-06-01

    The incremental adoption of electronic media in U.S. health care has created increased risk of security and privacy violations in provider organizations. Protective regulatory efforts have been proposed to address ineffective security of patient information, with severe noncompliance penalties. Using data from a nationwide survey of health information managers, this study examines how industry-wide knowledge management trends may influence the degree of security program adoption in health-care organizations. Results suggest that significant nonadoption of mandated security measures continues to occur across the health-care industry. Paper-based systems still prevail, and computerized settings tend to have less security measures. Implications for document management and knowledge policy are discussed. PMID:16138533

  15. Financial management and dental school equity, Part II: Tactics.

    PubMed

    Chambers, David W; Bergstrom, Roy

    2004-04-01

    Financial management includes all processes that build organizations' equity through accumulating assets in strategically important areas. The tactical aspects of financial management are budget deployment and monitoring. Budget deployment is the process of making sure that costs are fairly allocated. Budget monitoring addresses issues of effective uses and outcomes of resources. This article describes contemporary deployment and monitoring mechanisms, including revenue positive and marginal analysis, present value, program phases, options logic, activity-based costing, economic value added, cost of quality, variance reconciliation, and balanced scorecards. The way financial decisions are framed affects comparative decision-making and even influences the arithmetic of accounting. Familiarity with these concepts should make it possible for dental educators to more fully participate in discussions about the relationships between budgeting and program strategy. PMID:15112921

  16. Geographic information system-based healthcare waste management planning for treatment site location and optimal transportation routeing.

    PubMed

    Shanmugasundaram, Jothiganesh; Soulalay, Vongdeuane; Chettiyappan, Visvanathan

    2012-06-01

    In Lao People's Democratic Republic (Lao PDR), a growth of healthcare centres, and the environmental hazards and public health risks typically accompanying them, increased the need for healthcare waste (HCW) management planning. An effective planning of an HCW management system including components such as the treatment plant siting and an optimized routeing system for collection and transportation of waste is deemed important. National government offices at developing countries often lack the proper tools and methodologies because of the high costs usually associated with them. However, this study attempts to demonstrate the use of an inexpensive GIS modelling tool for healthcare waste management in the country. Two areas were designed for this study on HCW management, including: (a) locating centralized treatment plants and designing optimum travel routes for waste collection from nearby healthcare facilities; and (b) utilizing existing hospital incinerators and designing optimum routes for collecting waste from nearby healthcare facilities. Spatial analysis paved the way to understand the spatial distribution of healthcare wastes and to identify hotspots of higher waste generating locations. Optimal route models were designed for collecting and transporting HCW to treatment plants, which also highlights constraints in collecting and transporting waste for treatment and disposal. The proposed model can be used as a decision support tool for the efficient management of hospital wastes by government healthcare waste management authorities and hospitals. PMID:22128092

  17. ECONOMIC/FINANCIAL ANALYSIS OF URBAN WATER QUALITY MANAGEMENT PROBLEMS

    EPA Science Inventory

    Procedures for evaluating the technical, economic, and financial aspects of urban water quality management planning problems are presented. Accepted principles of benefit-cost analysis are used to conduct the economic analysis. Benefits are measured as the reduction in damages as...

  18. An Integer Programming Approach to School District Financial Management.

    ERIC Educational Resources Information Center

    Dembowski, Frederick L.

    Because of the nature of school district cash flows, there are opportunities for investing surplus cash and the necessity to borrow cash in deficit periods. The term structure of interest rates makes the manual determination of the optimal financial package impossible. In this research, an integer programming model of this cash management process…

  19. The strategic management of data quality in healthcare

    Microsoft Academic Search

    Karolyn A. Kerr; Tony Norris; Rosemary Stockdale

    2008-01-01

    This research extends and tests principles to establish good practice and overcome practical barriers in the strategic management of data quality. The research explores the issues that define and control data quality in national health data collections and the mechanisms and frameworks that can be developed to achieve and sustain good data quality. The aim is to make the strategic

  20. [Features of interpersonal behavior among executives of healthcare institutions with different styles of resolving management decisions].

    PubMed

    Vezhnovets', T A

    2014-01-01

    The aim of this work is to study the influence of the type of interpersonal relationships between executives and subordinates in healthcare institutions on their style of resolving management decision. It was established that indulgent and autonomous style are formed against background of liberal interpersonal relationship by the following criteria, as the absence of dominant traits, expressed benevolence among executives with autonomous style, uncertainty and inexperience among executives with indulgent style. Authoritarian and marginal styles are formed against empowerment and dominance in relationship with subordinates by expressed dominance criteria, as leadership qualities among executives with authoritarian style or as a manifestation of social maladjustment among executives with marginal style. Type of interpersonal relationships determines the style of resolving management decisions, that should be considered at conducting professional selection of candidates for senior positions in healthcare institutions. PMID:25286614

  1. Building healthcare delivery and management systems centred on information about the human aspects.

    PubMed

    Rigby, M J; Robins, S C

    1997-09-01

    The importance of modern information systems to manage healthcare delivery at the macro level--particularly through purchasing--is increasingly being recognised. There is also increasing investment in electronic patient record systems to aid care delivery. Both are intended to benefit the individual, yet neither gives full consideration to the human aspects and values--largely because of the under development of appropriate terms and structures. It is important to identify and structure the human facets as the determinants and principal components of healthcare delivery systems, to improve the information structure of these components, and then to use them as the building blocks of macro-management systems, so as to fuel the whole dynamic with one set of person-based values. PMID:9290924

  2. Management of occupational hazards in healthcare: exposure to diphencyprone

    PubMed Central

    Basu, Subhashis; Adisesh, Anil

    2013-01-01

    Diphencyprone is a chemical agent used most commonly in the treatment of alopecia areata. Its mechanism of action is through the sensitisation (type IV immune reaction) of affected areas to stimulate hair follicle growth. The consequences of accidental occupational exposure, however, have not been widely recognised. This report describes the clinical presentation and management of two pharmacy technicians that presented to Sheffield Occupational Health Service (SOHS) centre in 2012. Exposure sources were identified through a workplace visit arranged between the SOHS centre and the hospital's pharmacy; a chemical analysis revealed concentrations of the chemical sufficient to induce sensitisation at several points during the manufacturing process. The case highlights the role of close liaison between specialist services (dermatology and occupational medicine) in managing individual patient cases and mitigating risk within relevant occupational groups. PMID:23417940

  3. Management of occupational hazards in healthcare: exposure to diphencyprone.

    PubMed

    Basu, Subhashis; Adisesh, Anil

    2013-01-01

    Diphencyprone is a chemical agent used most commonly in the treatment of alopecia areata. Its mechanism of action is through the sensitisation (type IV immune reaction) of affected areas to stimulate hair follicle growth. The consequences of accidental occupational exposure, however, have not been widely recognised. This report describes the clinical presentation and management of two pharmacy technicians that presented to Sheffield Occupational Health Service (SOHS) centre in 2012. Exposure sources were identified through a workplace visit arranged between the SOHS centre and the hospital's pharmacy; a chemical analysis revealed concentrations of the chemical sufficient to induce sensitisation at several points during the manufacturing process. The case highlights the role of close liaison between specialist services (dermatology and occupational medicine) in managing individual patient cases and mitigating risk within relevant occupational groups. PMID:23417940

  4. The characteristics of Chinese healthcare facilities.

    PubMed

    Wood, David; Zhang, Sarah

    2005-01-01

    The Chinese healthcare system has been the focus of a great deal of attention from international companies who are interested in entering the world's largest healthcare marketplace. It is generally acknowledged that Chinese healthcare facilities, on the whole, do not conform to international standards; however, the specific areas in which there are differences are not well known or appreciated. An understanding of these differences is a critical aspect of the investment analysis and market assessment associated with a healthcare-based business in China. This article will delineate the major differences between the international model for the provision of healthcare and that found in mainland China. These differences include the physical characteristics, organizational structure issues, operational issues and financial management issues of Chinese hospitals, clinics and medical care providers. PMID:16512057

  5. Rangeland Risk Management for Texans: Managing Climatic and Financial Risk with Grazing 

    E-print Network

    Hanselka, C. Wayne; Lyons, Robert K.; Holechek, Jerry L.

    2002-03-04

    Both climatic and financial risks can be reduced through proper grazing management. The effects of grazing, the importance of animal numbers, and the principle of rest and graze are detailed here, along with strategies for survival....

  6. Does hospital financial performance measure up?

    PubMed

    Cleverley, W O; Harvey, R K

    1992-05-01

    Comparisons are continuously being made between the financial performance, products and services, of the healthcare industry and those of non-healthcare industries. Several useful measures of financial performance--profitability, liquidity, financial risk, asset management and replacement, and debt capacity, are used by the authors to compare the financial performance of the hospital industry with that of the industrial, transportation and utility sectors. Hospitals exhibit weaknesses in several areas. Goals are suggested for each measure to bring hospitals closer to competitive levels. PMID:10145625

  7. Managing the ice in the waters ahead: lessons from the Titanic.

    PubMed

    Waymack, Pamela M

    2006-07-01

    To navigate carefully through today's rough healthcare waters, healthcare financial managers need to: Plan for the unexpected. Realize that technology alone is not a solution. Refrain from being overconfident PMID:16869321

  8. Essays on the Effect of Radio Frequency Identification (RFID) on the Management of Healthcare Supply Chain Performance

    ERIC Educational Resources Information Center

    Cakici, Ozden Engin

    2012-01-01

    This dissertation examines three issues on the effect of Radio Frequency Identification (RFID) on the management of healthcare supply chain performance within the context of inventory management. Motivated by a case study conducted in a radiology practice, the second chapter analyzes the incremental benefits of RFID over barcodes for managing

  9. Responsibilising managers and clinicians, neglecting system health? What kind of healthcare leadership development do we want?

    PubMed Central

    Martin, Graham P.

    2015-01-01

    Responding to Ruth McDonald’s editorial on the rise of leadership and leadership development programmes in healthcare, this paper offers three arguments. Firstly, care is needed in evaluating impact of leadership development, since achievement of organisational goals is not necessarily an appropriate measure of good leadership. Secondly, the proliferation of styles of leadership might be understood in part as a means of retaining control over public services while distributing responsibility for their success and failure. Thirdly, it makes a plea for the continued utility of good administrative skills for clinicians and managers, which are likely to become all-the-more important given recent developments in healthcare policy and governance. PMID:25584352

  10. [The subject in academic literature on healthcare management: notes on the issue of autonomy].

    PubMed

    Abrahão, Ana Lucia; Martins, Carla Macedo; Geisler, Adriana

    2008-01-01

    The paper analyses concepts of the 'subject' in academic literature on Healthcare Management. The corpus of the survey consists of papers published in journals in the Collective Health field over the past five years. The papers examined for this analysis consider that (healthcare) work in the context of capitalism is based on an antinomy that we call "autonomy-control", striving to explore the possibilities of surmounting this antinomy in each concept. The analysis lists three different concepts of the subject: psychological-cognitivist, psychoanalytical-subjectivist and historical-communicative. This paper also discusses the relationship between these concepts of subject and their possibilities of producing autonomy on one hand, and the capitalist organization of culture and labor on the other. PMID:18813538

  11. A summary of the research on financial records logistics management system

    Microsoft Academic Search

    Chen Shen; Li-ming Zhao; Yue Li

    2011-01-01

    In recent years, the financial records management faces both opportunities and challenges. On the one hand, the flourishing of the financial market leads to more intensive competition in the whole industry. Financial institutions have to improve the records management level in order to provide more efficient and better service to their customers. On the other hand, with the further enhancement

  12. Responsibility for Financial Management in Primary Schools: Evidence from an English Local Authority

    ERIC Educational Resources Information Center

    Fitzgerald, Sarah; Drake, Julie

    2013-01-01

    Financial management in primary schools has changed in the UK with the introduction of the Schools Financial Value Standard (SFVS). There is increasing delegation of financial responsibility to the management team in the school, increasing the role of the head teacher and the governing body as part of overall responsibility for the strategic…

  13. Monitor your Financial Activity and Access your Manager/Director Reports online: asi.fullerton.edu

    E-print Network

    de Lijser, Peter

    Monitor your Financial Activity and Access your Manager/Director Reports online: asi financial reports can be found at the bottom of the page. Don't forget to use Microsoft's Internet Explorer://asi.fullerton.edu/services/accounting.asp. Go to the "Financial Reports" section near the bottom of the page and click on "Manager

  14. Enterprise project management is key to success: addressing the people, process and technology dimensions of healthcare.

    PubMed

    Becker, JoAnn; Rhodes, Harry

    2007-01-01

    The world of healthcare professionals is in a constant state of transition, requiring different processes for the organization, and for completing projects and programs. Projects that manage transition are complex undertakings prone to cost and time overruns. An enterprise project management model is proposed to address the people, process and technology dimensions. It includes the five-step PMI project process, vocabulary, processes, soft skills, stakeholder expectation management, portfolio management and talent diversity. Differences in project deliverables and organizational results are discussed, along with a technique to analyze gaps from the current to the new state, which then defines the projects and programs for an organizational initiative. The role and responsibilities of an executive decision team are defined. Learning the model is needed by all members of the organization, regardless of their role or level, for successfully adapting to future changes. Finally, a case is made for healthcare organizations to implement these competencies if they are to be well-performing organizations in this continuous world of change. PMID:19195295

  15. Analysis of Informationization Construction of Business Financial Management under the Network Economy

    NASA Astrophysics Data System (ADS)

    Dong, Yahui; Zhang, Pengwei; Li, Wei

    To strengthen the informationization construction of the financial management has great significance to the achievement of business management informationization, and under the network economic environment, it is an important task of the financial management that how to conduct informationization construction of traditional financial management to provide true, reliable and complete financial information system for the business managers. This paper thoroughly researches the problem of financial information orientation management (FIOM) by taking the method of combining theory with practice. This paper puts forward the thinking method of financial information management, makes the new contents of E-finance. At last, this paper rebuilds the system of finance internal control from four aspects such as control of organization and management, system development control and safety control of network system.

  16. Managing human resources in healthcare: learning from world class practices--Part I.

    PubMed

    Zairi, M

    1998-01-01

    This paper, which is presented in two parts, is intended to demonstrate that practices related to the area of human resources management, adopted by model organisations that have dominated their markets consistently, can lend themselves very well to the healthcare sector, which is primarily a "people-oriented" sector. As change in a modern business context is set to continue in an unrelenting way, most organisations will be presented with the challenge of developing the necessary skills and areas of expertise to enable them to cope with the demands on them, master technological opportunities at their disposal, learn how to exploit modern management concepts and optimise value to all the stakeholders they intend to serve. This paper draws from best practices using the experiences of quality recognised organisations and many admired names through pioneering human resource policies and practices and through clear demonstrations on the benefits of relying on people as the major "asset". Part I of this article addresses the importance of human resources as revealed through models of management for organisational excellence. In particular, the paper refers to the criteria for excellence in relation to people management using the following prestigious and integrative management models: Deming Prize (Japan); European Quality Award Model (Europe); and Malcolm Baldrige National Quality Award (USA). In addition, this paper illustrates several case studies using organisations known for their pioneering approaches to people management and which led them to win very prestigious quality awards and various international accolades. The paper concludes by reinforcing the point that human resource management in a healthcare context has to be viewed as an integrated set of processes and practices which need to be adhered to from an integrated perspective in order to optimise individuals' performance levels and so that the human potential can be exploited fully. PMID:10346308

  17. Managing post-disaster reconstruction finance -- international experience in public financial management

    Microsoft Academic Search

    Kai Kaiser; Ahya Ihsan; Wolfgang Fengler

    2008-01-01

    In recent years, natural and man-made disasters have confronted the international community with its most demanding reconstruction challenges since the aftermath of World War II. Managing the inflow of resources and spending those resources well have proven to be two of the main difficulties in such reconstruction projects, particularly after large-scale disasters. A central dilemma of the public financial management

  18. Mining the Management Literature for Insights into Implementing Evidence-Based Change in Healthcare

    PubMed Central

    Harlos, Karen; Tetroe, Jacqueline; Graham, Ian D.; Bird, Madeleine; Robinson, Nicole

    2012-01-01

    Objective: We synthesized the management and health literatures for insights into implementing evidence-based change in healthcare drawn from industry-specific data. Because change principles based on evidence often fail to be translated into organizational practice or policy, we sought studies at the nexus of organizational change and knowledge translation. Methods: We reviewed five top management journals to identify an initial pool of 3,091 studies, which yielded a final sample of 100 studies. Data were abstracted, verified by the original authors and revised before entry into a database. We employed a systematic narrative synthesis approach using words and text to distill data and explain relationships. We categorized studies by varying levels of relevance for knowledge translation as (1) primary, direct; (2) intermediate; and (3) secondary, indirect. We also identified recurring categories of change-related organizational factors. The current analysis examines these factors in studies of primary relevance to knowledge translation, which we also coded for intervention readiness to reflect how readily change can be implemented. Preliminary Results and Conclusions: Results centred on five change-related categories: Tailoring the Intervention Message; Institutional Links/Social Networks; Training; Quality of Work Relationships; and Fit to Organization. In particular, networks across institutional and individual levels appeared as prominent pathways for changing healthcare organizations. Power dynamics, positive social relations and team structures also played key roles in implementing change and translating it into practice. We analyzed journals in which first authors of these studies typically publish, and found evidence that management and health sciences remain divided. Bridging these disciplines through research syntheses promises a wealth of evidence and insights, well worth mining in the search for change that works in healthcare transformation. PMID:23968602

  19. Integration of financial and management accounting systems: The mediating influence of a consistent financial language on controllership effectiveness

    Microsoft Academic Search

    Barbara E. Weißenberger; Hendrik Angelkort

    2011-01-01

    Two fundamental options exist for management accounting system (MAS) design: Either financial records can be used as a database for management accounting (integrated accounting system design), or the MAS can be based upon a separate system, i.e., a third set of books beside financial and tax accounting records. Since the 1990s, many German-speaking firms have changed from the second to

  20. Modeling financial disaster risk management in developing countries

    NASA Astrophysics Data System (ADS)

    Mechler, R.; Hochrainer, S.; Pflug, G.; Linnerooth-Bayer, J.

    2005-12-01

    The public sector plays a major role in reducing the long-term economic repercussions of disasters by repairing damaged infrastructure and providing financial assistance to households and businesses. If critical infrastructure is not repaired in a timely manner, there can be serious effects on the economy and the livelihoods of the population. The repair of public infrastructure, however, can be a significant drain on public budgets especially in developing and transition countries. Developing country governments frequently lack the liquidity, even including international aid and loans, to fully repair damaged critical public infrastructure or provide sufficient support to households and businesses for their recovery. The earthquake in Gujarat, and other recent cases of government post-disaster liquidity crises, have sounded an alarm, prompting financial development organizations, such as the World Bank, among others, to call for greater attention to reducing financial vulnerability and increasing the resilience of the public sector. This talk reports on a model designed to illustrate the tradeoffs and choices a developing country must make in financially managing the economic risks due to natural disasters. Budgetary resources allocated to pre-disaster risk management strategies, such as loss mitigation measures, a catastrophe reserve fund, insurance and contingent credit arrangements for public assets, reduce the probability of financing gaps - the inability of governments to meet their full obligations in providing relief to private victims and restoring public infrastructure - or prevent the deterioration of the ability to undertake additional borrowing without incurring a debt crisis. The model -which is equipped with a graphical interface - can be a helpful tool for building capacity of policy makers for developing and assessing public financing strategies for disaster risk by indicating the respective costs and consequences of financing alternatives.

  1. Concepts in service marketing for healthcare professionals

    Microsoft Academic Search

    Christopher L Corbin; Scott W Kelley; Richard W Schwartz

    2001-01-01

    Patients are becoming increasingly involved in making healthcare choices as their burden of healthcare costs continues to escalate. At the same time, healthcare has entered a tightened market economy. For these reasons, the marketing of healthcare services has become essential for the financial survival of physicians and healthcare organizations. Physicians can successfully use the fundamental service marketing principles proven by

  2. Mapping healthcare information technology

    E-print Network

    Crawford, William Charles Richards

    2010-01-01

    In this thesis I have developed a map of Healthcare Information Technology applications used in the United States for care delivery, healthcare enterprise management, clinical support, research and patient engagement. No ...

  3. Five constants of information technology adoption in healthcare.

    PubMed

    Bernstein, Mariel L; McCreless, Tamuchin; Côté, Murray J

    2007-01-01

    The healthcare industry has developed a dependence on information technology (IT) for maintaining and improving both clinical and business operations. Whether IT is used for office automation or for reducing medical errors, there are five constants that routinely influence the successful integration of IT in healthcare. These constants are the proper use and maintenance of the IT budget, the role of supportive leadership, the use of project management, the process of implementation, and the significance of end user involvement. These constants challenge healthcare organizations to efficiently and effectively use their financial and human resources when adopting new IT. These constants also shape how the healthcare industry approaches the adoption and utilization of new IT. A collective understanding of these constants and their interrelationships will enable healthcare organizations to better integrate new IT and achieve organizational goals of developing a solid technological infrastructure to truly enhance the delivery of quality healthcare. PMID:17405421

  4. Financial conflicts of interest in research: recognition and management.

    PubMed

    Lach, Helen W

    2014-01-01

    Conflicts of interest (COIs) are of concern in research, and new regulations are in place to address financial COIs. Although not inherently wrong, a COI increases the risk of bias in research. The goal of the new regulation is to increase transparency to improve the public's trust in the research process. When a conflict is identified, it should be disclosed to the researcher's university, and if needed, a management plan is crafted to reduce the potential for bias.Management plans can include limiting a researcher's involvement in aspects of the research, disclosing this information to potential subjects, and reporting conflicts in presentations and publications. Addressing COI through education, disclosure, and management can protect investigators and all those involved in research and increase the integrity of the research process. PMID:24785251

  5. Adherence to an occupational blood borne pathogens exposure management program among healthcare workers and other groups at risk in Argentina

    Microsoft Academic Search

    Marisa Miceli; Fabián Herrera; Elena Temporiti; Dong Li; Andrea Vila; Pablo Bonvehí

    2005-01-01

    We conducted a retrospective review of 130 occupational blood borne pathogens exposure (BBP-OE) records at Centro de Estudios Médicos e Investigaciones Clínicas, a university hospital with an ongoing educational program and a postexposure management program for healthcare workers (HCWs) since 1995, in order to evaluate adherence to a hospital BBP-OE management program. We compared HCWs from our institution (Group 1)

  6. Supply chain management with cost-containment & financial-sustainability in a tertiary care hospital.

    PubMed

    Chandra, Hem; Rinkoo, Arvind Vashishta; Verma, Jitendra Kumar; Verma, Shuchita; Kapoor, Rakesh; Sharma, R K

    2013-01-01

    Financial crunch in the present recession results in the non-availability of the right materials at the right time in large hospitals. However due to insufficient impetus towards systems development, situation remains dismal even when funds are galore. Cost incurred on materials account for approximately one-third of the total recurring expenditures in hospitals. Systems development for effective and efficient materials management is thus tantamount to cost-containment and sustainability. This scientific paper describes an innovative model, Hospital Revolving Fund (HRF), developed at a tertiary care research institute in Asia. The main idea behind inception of HRF was to ensure availability of all supplies in the hospital so that the quality of healthcare delivery was not affected. The model was conceptualized in the background of non-availability of consumables in the hospital leading to patient as well as staff dissatisfaction. Hospital supplies have been divided into two parts, approximately 3250 unit items and 1750 miscellaneous items. This division is based on cost, relative-utility and case-specific utilization. 0.1 Million USD, separated from non-planned budget, was initially used as seed money in 1998. HRF procures supplies from reputed firms on concessional rates (8-25%) and make them available to patients at much lesser rates vis-à-vis market rates, levying minimal maintenance charges. In 2009-10, total annual purchases of 14 Million USD were made. The balance sheet reflected 1.4 Million USD as fixed deposit investment. The minimal maintenance charges levied on the patients along with the interest income were sufficient to pay for all recurring expenses related to HRF. Even after these expenses, HRF boosted of 0.2 Million USD as cash-in-hand in financial year 2009-10. In-depth analysis of 'balance sheet' and 'Income and Expenditure' statement of the fund for last five financial years affirms that HRF is a self-sustainable and viable supply chain mechanism to ensure availability of the right materials at the right time at a reasonable cost. Thus innovations like HRF will prove robust in rendering quality healthcare at an affordable cost. PMID:24010261

  7. Modelling the Link Between Management Practices and Financial Performance. Evidence from Small Construction Companies

    Microsoft Academic Search

    Johan Maes; Luc Sels; Filip Roodhooft

    2005-01-01

    This paper develops a structural model to investigate the direct and indirect effects of owner–manager and company characteristics and selected management practices on the financial performance of a sample of 218 small Belgian construction companies. The results show that the owner–manager and company characteristics (experience, education, financial knowledge, knowledge of cost accounting, company size and age) have no direct significant

  8. Office for Student Financial Affairs Division of Enrollment Management

    E-print Network

    Sin, Peter

    RECORD INFORMATION FOR THE OFFICE FOR STUDENT FINANCIAL AFFAIRS AND UNIVERSITY BURSAR In accordance's financial aid status and all financial records without the written consent of the student. Therefore, if you wish for SFA (The Financial Aid Office) and/or UB (University Bursar) to discuss your financial records

  9. Using health-related quality of life to predict and manage pediatric healthcare.

    PubMed

    Seid, Michael; Yu, Hao; Lotstein, Debra; Varni, James W

    2005-08-01

    Increasing healthcare costs and the prevalence of managed care make population health management an imperative. Health-related quality of life (HRQOL) is a multidimensional construct that includes both physical and psychosocial (i.e., social, emotional and role) dimensions. Early studies suggest that HRQOL can predict costs of care for pediatric populations. A key issue is how to manage the care of those identified as high need. Here again, HRQOL measurement can be useful. HRQOL measurement in the clinical setting can streamline and structure the clinical interview, potentially leading to enhanced assessment. It can also make it easier for busy pediatricians to explore and address issues of psychosocial functioning. A particularly promising area for HRQOL is in identifying, proactively, suitable candidates for case management in large enrolled populations. Further research should extend the initial studies on HRQOL predicting utilization and cost, more thoroughly specify the proportion of identified costs that are manageable and care management's effect on care for different groups of children, document the causal links between physiologic variables and HRQOL on one hand and patient functioning on the other, and understand the conditions necessary for HRQOL assessment to affect clinical practice. PMID:19807266

  10. Managing human resources in healthcare: learning from world class practices--Part II.

    PubMed

    Zairi, M

    1998-01-01

    This is part II of an analysis of world class practices adopted by model organisations known for their excellence in terms of people management and their superior competitiveness based on harnessing the potential of their employees. This paper continues by addressing best practices adhered to by organisations using the NASA framework, such as Rockwell Space Systems Divisions. In addition and quite comprehensively, the paper examines the personnel function and how it is managed in Japan. Finally, the paper describes two cases of model organisations and the human resource practices adopted and concludes by drawing some useful pointers that professionals who are in a healthcare setting and who are concerned with human resources can learn from. PMID:10346309

  11. Financial Management: Cash Management Practices in Florida Community Colleges.

    ERIC Educational Resources Information Center

    Spiwak, Rand S.

    A study was conducted to identify those variables appearing to affect cash management practices in Florida community colleges, and recommend prescriptive measures concerning these practices. The study methodology included informal discussions with the chief fiscal officers of each Florida community college and appropriate state board staff,…

  12. E-prescription as a tool for improving services and the financial viability of healthcare systems: the case of the Greek national e-prescription system.

    PubMed

    Pangalos, G; Sfyroeras, V; Pagkalos, I

    2014-01-01

    E-prescription systems can help improve patient service, safety and quality of care. They can also help achieve better compliance for the patients and better alignment with the guidelines for the practitioners. The recently implemented national e-prescription system in Greece already covers approximately 85% of all prescriptions prescribed in Greece today (approximately 5.5 million per month). The system has not only contributed already in significant changes towards improving services and better monitoring and planning of public health, but also substantially helped to contain unnecessary expenditure related to medication use and improve transparency and administrative control. Such issues have gained increasing importance not only for Greece but also for many other national healthcare systems that have to cope with the continuous rise of medication expenditure. Our implementation has, therefore, shown that besides their importance for improving services, national e-prescription systems can also provide a valuable tool for better utilisation of resources and for containing unnecessary healthcare costs, thus contributing to the improvement of the financial stability and viability of the overall healthcare system. PMID:25161106

  13. Sun Life Financial announces McLean Budden will become a subsidiary of MFS Investment Management

    E-print Network

    Northern British Columbia, University of

    Sun Life Financial announces McLean Budden will become a subsidiary of MFS Investment Management Earlier today, Sun Life Financial announced that McLean Budden will become a subsidiary of MFS InvestmentLean Budden funds offered through Sun Life Financial's Core Investment Selection. There are no immediate

  14. Financial status, corporate governance quality, and the likelihood of managers using discretionary accruals

    Microsoft Academic Search

    Sebahattin Demirkan; Harlan Platt

    2009-01-01

    Purpose – The purpose of this paper is to investigate, using data on US manufacturing firms, how and when corporate governance affects managers' decisions to use discretionary accruals and thereby artificially influence company financial reports. Design\\/methodology\\/approach – Three-stage least squares is employed to study the relationship between financial status, corporate governance and financial reporting discretion. The sample spans the years

  15. Financial ratios: clues to the big picture of a hospital's fiscal health.

    PubMed

    Taylor, R B

    1990-03-01

    With trustees, investors, regulatory agencies, and others paying close attention to hospital finances, healthcare financial managers must detect problems before they grow out of control. Liquidity, capital structure, activity, and profitability ratios can provide pieces to the puzzle. PMID:10104148

  16. Guidelines for the evaluation and assessment of the sustainable use of resources and of wastes management at healthcare facilities.

    PubMed

    Townend, William K; Cheeseman, Christopher R

    2005-10-01

    This paper presents guidelines that can be used by managers of healthcare facilities to evaluate and assess the quality of resources and waste management at their facilities and enabling the principles of sustainable development to be addressed. The guidelines include the following key aspects which need to be considered when completing an assessment. They are: (a) general management; (b) social issues; (c) health and safety; (d) energy and water use; (e) purchasing and supply; (f) waste management (responsibility, segregation, storage and packaging); (g) waste transport; (h) recycling and re-use; (i) waste treatment; and (j) final disposal. They identify actions required to achieve a higher level of performance which can readily be applied to any healthcare facility, irrespective of the local level of social, economic and environmental development. The guidelines are presented, and the characteristics of facilities associated with sustainable (level 4) and unsustainable (level 0) healthcare resource and wastes management are outlined. They have been used to assess a major London hospital, and this highlighted a number of deficiencies in current practice, including a lack of control over purchasing and supply, and very low rates of segregation of municipal solid waste from hazardous healthcare waste. PMID:16273948

  17. Connectivity for healthcare and well-being management: examples from six European projects.

    PubMed

    Kamel Boulos, Maged N; Lou, Ricardo Castellot; Anastasiou, Athanasios; Nugent, Chris D; Alexandersson, Jan; Zimmermann, Gottfried; Cortes, Ulises; Casas, Roberto

    2009-07-01

    Technological advances and societal changes in recent years have contributed to a shift in traditional care models and in the relationship between patients and their doctors/carers, with (in general) an increase in the patient-carer physical distance and corresponding changes in the modes of access to relevant care information by all groups. The objective of this paper is to showcase the research efforts of six projects (that the authors are currently, or have recently been, involved in), CAALYX, eCAALYX, COGKNOW, EasyLine+, I2HOME, and SHARE-it, all funded by the European Commission towards a future where citizens can take an active role into managing their own healthcare. Most importantly, sensitive groups of citizens, such as the elderly, chronically ill and those suffering from various physical and cognitive disabilities, will be able to maintain vital and feature-rich connections with their families, friends and healthcare providers, who can then respond to, and prevent, the development of adverse health conditions in those they care for in a timely manner, wherever the carers and the people cared for happen to be. PMID:19742164

  18. Total healthcare budget: assigning priority and level of asset allocation to the diagnosis and management of urologic diseases.

    PubMed

    Standaert, B

    1995-09-01

    During the past decade increasing concern has developed as to how money should best be allocated in the healthcare sector and to the different disciplines within health care. In the Western world, healthcare budgets increase dramatically each year, even during periods of economic recession. There are many reasons explaining this evolution, but publicly funded healthcare systems, as in the United Kingdom, appear to control their growth more effectively than the private systems as, for instance, in the United States. The bulk of the increase in healthcare expenditure happens to be attributed to elderly people who are becoming high consumers of healthcare facilities. There are, however, two important ways to tackle the problem: one is based on free market regulation systems, introducing diagnosis related groups and resource based relative value scales, as in the United States. The other starts from evaluating the needs and the demands of the population and, based on these results, tries to build up an appropriate healthcare system, as in The Netherlands. In the realm of urology where most of the workload is concentrated around older patients, one can foresee difficulties concerning budget allocation. New medical treatments are introduced, demanding new management skills of the urologist. This should involve new ways of evaluating the benefits of the interventions. Quality of life measurements seem to be crucial for the future where, for cost-effectiveness reasons, more care than cure could be the new function of the urologist. PMID:7653019

  19. Healthcare Financing and Funding

    E-print Network

    Oklahoma, University of

    and Cost 3. Need to Rely on Physician's Recommendation #12;Healthcare Finance and Management RevenueHealthcare Financing and Funding #12;Objectives Who pays for healthcare How the present of Community of Medicine: Who we are Professionalism Community Service Systems thinking Finance #12;No Market

  20. The impact of chronic disease self-management programs: healthcare savings through a community-based intervention

    PubMed Central

    2013-01-01

    Background Among the most studied evidence-based programs, the Chronic Disease Self-Management Program (CDSMP) has been shown to help participants improve their health behaviors, health outcomes, and reduce healthcare utilization. However, there is a lack of information on how CDSMP, when nationally disseminated, impacts healthcare utilization and averts healthcare costs. The purposes of this study were to: 1) document reductions in healthcare utilization among national CDSMP participants; 2) calculate potential cost savings associated with emergency room (ER) visits and hospitalizations; and 3) extrapolate the cost savings estimation to the American adults. Methods The national study of CDSMP surveyed 1,170 community-dwelling CDSMP participants at baseline, 6 months, and 12 months from 22 organizations in 17 states. The procedure used to estimate potential cost savings included: 1) examining the pattern of healthcare utilization among CDSMP participants from self-reported healthcare utilization assessed at baseline, 6 months, and 12 months; 2) calculating age-adjusted average costs for persons using the 2010 Medical Expenditure Panel Survey; 3) calculating costs saved from reductions in healthcare utilization; 4) estimating per participant program costs; 5) computing potential cost savings by deducting program costs from estimated healthcare savings; and 6) extrapolating savings to national populations using Census data combined with national health statistics. Results Findings from analyses showed significant reductions in ER visits (5%) at both the 6-month and 12-month assessments as well as hospitalizations (3%) at 6 months among national CDSMP participants. This equates to potential net savings of $364 per participant and a national savings of $3.3 billion if 5% of adults with one or more chronic conditions were reached. Conclusions Findings emphasize the value of public health tertiary prevention interventions and the need for policies to support widespread adoption of CDSMP. PMID:24314032

  1. Role of external management consultants in health-care organizations implementing TQM.

    PubMed

    Badrick, Tony C; Preston, Arthur P

    2002-01-01

    The reliance of organizations on consultants generally is increasing. Although the efficacy of the use of consultants in implementing change programs has been questioned, there have been limited attempts to systematically analyze the contribution of consultants. This article reports observations on the use of consultants in health-care organizations implementing total quality management (TQM). The relationship between the use of external management consultants and successful TQM implementation is not simple. There appears to be a difference in the way consultants are used by the public and private sectors, with the private organizations forming long-term relationships with their consultants. The perceived value of consultants to the private organizations was higher. Consultants are not a substitute for leadership, and the success of outside consultants probably depends on the commitment of senior management. External management consultants appeared to be linked to the successful implementation of TQM. Further, despite the conventional wisdom to the contrary, some prepackaged programs may be beneficial for the introduction of TQM into an organization. PMID:12298435

  2. Manager-Agent Framework of a Medical Device Communication for u-Healthcare Services with USN

    Microsoft Academic Search

    Yung Bok Kim; Jae-jo Lee

    2008-01-01

    A medical device communication framework for a ubiquitous healthcare service based on ISO11073 with USN (ubiquitous sensor\\u000a network) was studied in view of a ubiquitous computing and networking environment. We introduce the USN for e-healthcare service\\u000a in smart environments. Beyond e-healthcare service, as an application of u (ubiquitous)-healthcare service for USN including\\u000a PLC technology, we implemented a real-time health-monitoring service

  3. Using ontology-based knowledge networks for user training in managing healthcare processes

    Microsoft Academic Search

    A. Macris; D. Papakonstantinou; F. Malamateniou; G. Vassilacopoulos

    2009-01-01

    The cooperative and collaborative nature of healthcare delivery requires active user participation in healthcare process design\\/redesign. Hence, there is a need to provide users with reusable, flexible, agile and adaptable training material in order to enable them instil their knowledge and expertise in healthcare process modelling and automation activities. This paper presents a prototype approach for designing user training material

  4. Qualitative and Quantitative Management Tools Used by Financial Officers in Public Research Universities 

    E-print Network

    Trexler, Grant 1961-

    2012-11-16

    This dissertation set out to identify effective qualitative and quantitative management tools used by financial officers (CFOs) in carrying out their management functions of planning, decision making, organizing, staffing, communicating, motivating...

  5. Qualitative and Quantitative Management Tools Used by Financial Officers in Public Research Universities

    E-print Network

    Trexler, Grant 1961-

    2012-11-16

    This dissertation set out to identify effective qualitative and quantitative management tools used by financial officers (CFOs) in carrying out their management functions of planning, decision making, organizing, staffing, communicating, motivating...

  6. Nested Quantization Index Modulation for Reversible Watermarking and Its Application to Healthcare Information Management Systems

    PubMed Central

    Ko, Lu-Ting; Chen, Jwu-E.; Shieh, Yaw-Shih; Hsin, Hsi-Chin; Sung, Tze-Yun

    2012-01-01

    Digital watermarking has attracted lots of researches to healthcare information management systems for access control, patients' data protection, and information retrieval. The well-known quantization index modulation-(QIM-) based watermarking has its limitations as the host image will be destroyed; however, the recovery of medical images is essential to avoid misdiagnosis. In this paper, we propose the nested QIM-based watermarking, which is preferable to the QIM-based watermarking for the medical image applications. As the host image can be exactly reconstructed by the nested QIM-based watermarking. The capacity of the embedded watermark can be increased by taking advantage of the proposed nest structure. The algorithm and mathematical model of the nested QIM-based watermarking including forward and inverse model is presented. Due to algorithms and architectures of forward and inverse nested QIM, the concurrent programs and special processors for the nested QIM-based watermarking are easily implemented. PMID:22194776

  7. Nested quantization index modulation for reversible watermarking and its application to healthcare information management systems.

    PubMed

    Ko, Lu-Ting; Chen, Jwu-E; Shieh, Yaw-Shih; Hsin, Hsi-Chin; Sung, Tze-Yun

    2012-01-01

    Digital watermarking has attracted lots of researches to healthcare information management systems for access control, patients' data protection, and information retrieval. The well-known quantization index modulation-(QIM-) based watermarking has its limitations as the host image will be destroyed; however, the recovery of medical images is essential to avoid misdiagnosis. In this paper, we propose the nested QIM-based watermarking, which is preferable to the QIM-based watermarking for the medical image applications. As the host image can be exactly reconstructed by the nested QIM-based watermarking. The capacity of the embedded watermark can be increased by taking advantage of the proposed nest structure. The algorithm and mathematical model of the nested QIM-based watermarking including forward and inverse model is presented. Due to algorithms and architectures of forward and inverse nested QIM, the concurrent programs and special processors for the nested QIM-based watermarking are easily implemented. PMID:22194776

  8. Improving Pedagogy through the Use of Dynamic Excel Presentations in Financial Management Courses

    ERIC Educational Resources Information Center

    Mangiero, George A.; Manley, John; Mollica, J. T.

    2010-01-01

    This paper discusses and illustrates the use of dynamic Excel presentations to improve learning in Financial Management courses. Through the use of such presentations, multiple and varied examples of important principles in Financial Management, which would ordinarily take an excessive amount of time to cover, can be considered within the time…

  9. Study the Logistics Financial Management of Supply Chain System Engineering Based on the Fractal Theory

    Microsoft Academic Search

    Wang Yang; Luo Yuan-Jing; Peng Yu-Lian

    2008-01-01

    Logistics financial management of supply chain system engineering is a functional integration which provides the sharing resource and information of the fractal structure to the trans-organization. It carries on fast chain reaction to cope with the promptness of the supply chain system engineering's logistics. The fractal units that form the basic structure of the trans-organization's logistics financial management usually come

  10. Managerial replacement and corporate financial policy with endogenous manager-specific value

    Microsoft Academic Search

    Alan V. S. Douglas

    2001-01-01

    This paper studies financial policy, investment decisions and the threat of dismissal when managers value control and investments generate manager-specific value. A high probability of investigation focuses the manager on the profitability of replacement and therefore manager-specific value. The probability of an investigation increases when the firm enters bankruptcy. Thus, high debt levels focus the manager on investments that dissuade

  11. Comparison of primary health-care models in the management of chronic kidney disease.

    PubMed

    Cueto-Manzano, Alfonso M; Martínez-Ramírez, Héctor R; Cortés-Sanabria, Laura

    2013-05-01

    Negative lifestyle habits (potential risks for chronic kidney disease, CKD) are rarely modified by physicians in a conventional health-care model (CHCM). Multidisciplinary strategies may have better results; however, there is no information on their application in the early stages of CKD. Thus, the aim of this study was to compare a multiple intervention model versus CHCM on lifestyle and renal function in patients with type 2 diabetes mellitus and CKD stage 1-2. In a prospective cohort study, a family medicine unit (FMU) was assigned a multiple intervention model (MIM) and another continued with conventional health-care model (CHCM). MIM patients received an educational intervention guided by a multidisciplinary team (family physician (FP), social worker, dietitian, physical trainer); self-help groups functioned with free activities throughout the study. CHCM patients were managed only by the FP, who decided if patients needed referral to other professionals. Thirty-nine patients were studied in each cohort. According to a lifestyle questionnaire, no baseline differences were found between cohorts, but results reflected an unhealthy lifestyle. After 6 months of follow-up, both cohorts showed significant improvement in their dietary habits. Compared to CHCM diet, exercise, emotional management, knowledge of disease, and adherence to treatment showed greater improvement in the MIM. Blood pressure decreased in both cohorts, but body mass index, waist circumference, and HbA1C significantly decreased only in MIM. Glomerular filtration rate (GFR) was maintained equally in both cohorts, but albuminuria significantly decreased only in MIM. In conclusion, MIM achieves better control of lifestyle-related variables and CKD risk factors in type 2 diabetes mellitus (DM2) patients with CKD stage 1-2. Broadly, implementation of a MIM in primary health care may produce superior results that might assist in preventing the progression of CKD. PMID:25018986

  12. Jones is one of four Client Management Regional Vice Presidents for Premier Inc., a healthcare alliance serving

    E-print Network

    Westfall, Peter H.

    Jones is one of four Client Management Regional Vice Presidents for Premier Inc., a healthcare and cost effectiveness. Based in Chicago, Jones oversees the company's Informatics and Performance the actual work," Jones said. Instead, he assists clients in using Premier's performance tools that empower

  13. Impact of a Clinical Decision Support System on the Management of Patients with Hypercholesterolemia in the Primary Healthcare Setting

    Microsoft Academic Search

    Alex Bassa; Miguel del Val; Albert Cobos; Salvador Bergonon; Carlos Crespo; Max Brosa; Silvia Munio; Cristina Espinosa

    2005-01-01

    Introduction and objectives: The Optimcare study objective was to assess the impact on effectiveness and costs of a practice guideline implemented through a clinical decision support system (CDSS) for the management of patients with hypercholesterolemia in the primary healthcare setting. Study design and perspective: The study design was a prospective, naturalistic, single-center (Vila Olimpica Primary Health Care Center, Barcelona, Spain),

  14. Staff Report to the Senior Department Official on Recognition Compliance Issues. Recommendation Page: Commission on Accreditation of Healthcare Management Education

    ERIC Educational Resources Information Center

    US Department of Education, 2010

    2010-01-01

    The agency currently known as the Commission on Accreditation of Healthcare Management Education (CAHME) was originally founded in 1968 by several professional health-related organizations. The agency was originally known as the Accrediting Commission on Graduate Education for Hospital Administration (ACGEHA). To better reflect the broad range of…

  15. Enabling Healthcare IT Governance: Human Task Management Service for Administering Emergency Department's Resources for Efficient Patient Flow.

    PubMed

    Rodriguez, Salvador; Aziz, Ayesha; Chatwin, Chris

    2014-01-01

    The use of Health Information Technology (HIT) to improve healthcare service delivery is constantly increasing due to research advances in medical science and information systems. Having a fully automated process solution for a Healthcare Organization (HCO) requires a combination of organizational strategies along with a selection of technologies that facilitate the goal of improving clinical outcomes. HCOs, requires dynamic management of care capability to realize the full potential of HIT. Business Process Management (BPM) is being increasingly adopted to streamline the healthcare service delivery and management processes. Emergency Departments (EDs) provide a case in point, which require multidisciplinary resources and services to deliver effective clinical outcomes. Managed care involves the coordination of a range of services in an ED. Although fully automated processes in emergency care provide a cutting edge example of service delivery, there are many situations that require human interactions with the computerized systems; e.g. Medication Approvals, care transfer, acute patient care. This requires a coordination mechanism for all the resources, computer and human, to work side by side to provide the best care. To ensure evidence-based medical practice in ED, we have designed a Human Task Management service to model the process of coordination of ED resources based on the UK's NICE Clinical guideline for managing the care of acutely ill patients. This functionality is implemented using Java Business process Management (jBPM). PMID:25000022

  16. [Privatization in healthcare management: an adverse effect of the economic crisis and a symptom of bad governance. SESPAS report 2014].

    PubMed

    Sánchez-Martínez, Fernando I; Abellán-Perpiñán, José María; Oliva-Moreno, Juan

    2014-06-01

    It is often asserted that public management of healthcare facilities is inefficient. On the basis of that unproven claim, it is argued that privatization schemes are needed. In this article we review the available evidence, in Spain and other countries, on the application of private management mechanisms to publicly funded systems similar to the Spanish national health system. The evidence suggests that private management of healthcare services is not necessarily better than public management, nor vice versa. Ownership-whether public or private-of health care centers does not determine their performance which, on the contrary, depends on other factors, such as the workplace culture or the practice of suitable monitoring by the public payer. Promoting competition among centers (irrespective of the specific legal form of the management arrangements), however, could indeed lead to improvements under some circumstances. Therefore, it is advisable to cease the narrow-minded debate on the superiority of one or other model in order to focus on improving healthcare services management per se. Understanding that good governance affects health policies, the management of health care organizations, and clinical practice is, undoubtedly, an essential requirement but may not necessarily lead to policies that stimulate the solvency of the system. PMID:24863997

  17. ZBB--a new skill for the financial manager.

    PubMed

    Thompson, G B; Pyhrr, P A

    1979-03-01

    Zero-based budgeting (ZBB) is a management decision-making tool currently gaining wide acceptance. ZBB is a budgeting approach which is useful for planning, controlling and coordinating financial and human resources. It involves the re-evaluation of all budgeted activities in terms of priorities established by the management. The traditional process of incremental budgeting differs from ZBB in that only the planned changes are evaluated in the former. In incremental budgeting, the base budget is considered authorized and required little attention. The ZBB process focuses on the whol budget. This is accomplished by: (1) identifying decision units; (2) evaluating each decision unit in terms of performance, costs, benefits, and alternate means of accomplishiing the objectives; (3) ranking the decision packages; and (4) preparing a budget for the highest priority decision packages. The effect of the ZBB approach is that new high priority programs may be funded by eliminating or reducing existing lower-priority programs. ZBB is viewed as a logical process which can combine many of the elements of good management. PMID:10308825

  18. Application of statistical mining in healthcare data management for allergic diseases

    NASA Astrophysics Data System (ADS)

    Wawrzyniak, Zbigniew M.; Martínez Santolaya, Sara

    2014-11-01

    The paper aims to discuss data mining techniques based on statistical tools in medical data management in case of long-term diseases. The data collected from a population survey is the source for reasoning and identifying disease processes responsible for patient's illness and its symptoms, and prescribing a knowledge and decisions in course of action to correct patient's condition. The case considered as a sample of constructive approach to data management is a dependence of allergic diseases of chronic nature on some symptoms and environmental conditions. The knowledge summarized in a systematic way as accumulated experience constitutes to an experiential simplified model of the diseases with feature space constructed of small set of indicators. We have presented the model of disease-symptom-opinion with knowledge discovery for data management in healthcare. The feature is evident that the model is purely data-driven to evaluate the knowledge of the diseases` processes and probability dependence of future disease events on symptoms and other attributes. The example done from the outcomes of the survey of long-term (chronic) disease shows that a small set of core indicators as 4 or more symptoms and opinions could be very helpful in reflecting health status change over disease causes. Furthermore, the data driven understanding of the mechanisms of diseases gives physicians the basis for choices of treatment what outlines the need of data governance in this research domain of discovered knowledge from surveys.

  19. Biomedical waste management: study on the awareness and practice among healthcare workers in a tertiary teaching hospital.

    PubMed

    Joseph, L; Paul, H; Premkumar, J; Paul, R; Michael, J S

    2015-01-01

    Bio-medical waste has a higher potential of infection and injury to the healthcare worker, patient and the surrounding community. Awareness programmes on their proper handling and management to healthcare workers can prevent the spread of infectious diseases and epidemics. This study was conducted in a tertiary care hospital to assess the impact of training, audits and education/implementations from 2009 to 2012 on awareness and practice of biomedical waste segregation. Our study reveals focused training, strict supervision, daily surveillance, audits inspections, involvement of hospital administrators and regular appraisals are essential to optimise the segregation of biomedical waste. PMID:25560016

  20. 20 CFR 670.950 - What are the financial management responsibilities of Job Corps center operators and other...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...financial management responsibilities of Job Corps center operators and other service...ADMINISTRATION, DEPARTMENT OF LABOR THE JOB CORPS UNDER TITLE I OF THE WORKFORCE INVESTMENT...financial management responsibilities of Job Corps center operators and other...

  1. 20 CFR 670.950 - What are the financial management responsibilities of Job Corps center operators and other...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...financial management responsibilities of Job Corps center operators and other service...ADMINISTRATION, DEPARTMENT OF LABOR THE JOB CORPS UNDER TITLE I OF THE WORKFORCE INVESTMENT...financial management responsibilities of Job Corps center operators and other...

  2. 20 CFR 670.950 - What are the financial management responsibilities of Job Corps center operators and other...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...financial management responsibilities of Job Corps center operators and other service...DEPARTMENT OF LABOR (CONTINUED) THE JOB CORPS UNDER TITLE I OF THE WORKFORCE INVESTMENT...financial management responsibilities of Job Corps center operators and other...

  3. 20 CFR 670.950 - What are the financial management responsibilities of Job Corps center operators and other...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...financial management responsibilities of Job Corps center operators and other service...DEPARTMENT OF LABOR (CONTINUED) THE JOB CORPS UNDER TITLE I OF THE WORKFORCE INVESTMENT...financial management responsibilities of Job Corps center operators and other...

  4. 20 CFR 670.950 - What are the financial management responsibilities of Job Corps center operators and other...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...financial management responsibilities of Job Corps center operators and other service...DEPARTMENT OF LABOR (CONTINUED) THE JOB CORPS UNDER TITLE I OF THE WORKFORCE INVESTMENT...financial management responsibilities of Job Corps center operators and other...

  5. Management of healthcare waste in circumstances of limited resources: a case study in the hospitals of Nablus city, Palestine.

    PubMed

    Al-Khatib, Issam A; Al-Qaroot, Yousef S; Ali-Shtayeh, Mohammad S

    2009-06-01

    The objectives of this study were the assessment of healthcare waste management and the characterization of healthcare waste material generated in the hospitals in Nablus city, Palestine, and furthermore, to estimate the prevalence of hepatitis B among the cleaning personnel working in these hospitals. The medical waste generation rate in kg per bed per day was between 0.59 and 0.93 kg bed(-1) day(-1). The waste generation rate in the healthcare facilities of Nablus city hospitals was similar to some other developing countries; however, the percentage of medical wastes in the total waste stream was comparatively high. The density of medical waste at the four hospitals studied ranged between 144.9 and 188.4 kg m(-3) with a mean value of 166.7 kg m(-3). The waste segregation and handling practices were very poor. Other alternatives for waste treatment rather than incineration such as a locally made autoclave integrated with a shredder should be evaluated and implemented. The system of healthcare waste management in Nablus city is in need of immediate improvement and attention. Formulating rules and guidelines for medical waste and developing strategies for overcoming the obstacles related to waste management should be considered as an urgent matter. PMID:19423582

  6. Employer-based coverage and medical travel options: lessons for healthcare managers.

    PubMed

    Karuppan, Corinne Marie

    2014-01-01

    Outbound medical travel (MT) involves U.S. patients going abroad to seek medical care. Over the past decade, there has been much discussion about MT's broadening appeal to several segments of U.S. healthcare consumers, but little is known about its penetration in the employer-based coverage (EBC) marketplace. The objectives of this article are to fill this gap and identify (1) the current status of MT options in EBC, (2) the differences between adopters and nonadopters of MT options, and (3) the factors that impede adoption. The results were obtained from a nationwide survey of human resources (HR) professionals making decisions regarding medical benefits. In this sample (n = 608), 16.8% of the respondents offered outbound MT options to their employees, often bypassing their insurance providers. Besides benefiting from a strong HR function, these organizations tended to be more involved in global business transactions, more open to change, more sensitive to cost savings, and more flexible in implementing administrative innovations than nonadopters were. An organizational climate conducive to innovation may explain their propensity to downplay the importance of well-known obstacles to implementation, such as the effort required to make changes, an emphasis on short-term goals, and the fear of liability. The lessons to be learned by U.S. healthcare managers are clear. To attract a value-conscious market, they must offer an attractive package of outstanding quality (clinical outcomes and patient experience) at competitive costs. Operational excellence may thus be the key to slowing the inevitable diffusion of MT options in EBC and maintaining or even expanding the U.S. market share of elective surgeries. PMID:24988676

  7. Financial-Ratio Analysis and Medical School Management.

    ERIC Educational Resources Information Center

    Eastaugh, Steven R.

    1980-01-01

    The value of a uniform program of financial assistance to medical education and research is questioned. Medical schools have an uneven ability to compensate for declining federal capitation and research grants. Financial-ratio analysis and cluster analysis are utilized to suggest four adaptive responses to future financial pressures. (Author/MLW)

  8. Introduction to Financial Projection Models. Business Management Instructional Software.

    ERIC Educational Resources Information Center

    Pomeroy, Robert W., III

    This guidebook and teacher's guide accompany a personal computer software program and introduce the key elements of financial projection modeling to project the financial statements of an industrial enterprise. The student will then build a model on an electronic spreadsheet. The guidebook teaches the purpose of a financial model and the steps…

  9. Realising management and composition of Self-Managed Cells in pervasive healthcare

    Microsoft Academic Search

    Alberto Schaeffer-Filho; Emil Lupu; Morris Sloman

    2009-01-01

    Research in pervasive and autonomic computing focuses on supporting services for pervasive applications, but often ignores how such applications can be realised through the federation of autonomous entities. In this paper we propose a methodology for designing collaborations between autonomous components, using the Self-Managed Cell (SMC) framework. We focus on the structural, task-allocation and communication aspects of management interactions between

  10. Governance implications of the effects of stakeholder management on financial reporting

    Microsoft Academic Search

    James E. Mattingly; Steven A. Harrast; Lori Olsen

    2009-01-01

    Purpose – The purpose of this paper is to test whether effective stakeholder management results in transparent financial reporting. Design\\/methodology\\/approach – This paper uses a linear model informed by stakeholder theorizing and established measures of stakeholder management, earnings quality, and earnings management. Findings – Organizations exhibiting effective stakeholder management have higher earnings quality and are less likely to engage in

  11. Research note: how the financial styles of managers impact financial and valuation metrics

    Microsoft Academic Search

    E. Ted Prince

    2008-01-01

    Purpose – The purpose of this paper is to reveal a new contribution to behavioural finance that focuses on individuals rather than groups. Design\\/methodology\\/approach – Research is based on field studies with executives utilizing an assessment instrument to identify and measure their financial traits. The approach to the topic is to present the underlying model of financial traits and show

  12. The Financial Impact of Animal Related Phosphorus Management on Vermont Dairy Farms

    Microsoft Academic Search

    Alyssa Dodd; Catherine Halbrendt; Charles F. Nicholson

    Excessive phosphorus loading has been identified as the primary cause of decreasing water quality in Lake Champlain. Dairy farms are the major source of phosphorus pollution to the lake and are targeted to reduce phosphorus run-off. The goal of this research is to determine the farm-level financial impact of phosphorus management on different sizes of Vermont dairy farms. Farm financial

  13. Managing transmission of carbapenem-resistant enterobacteriaceae in healthcare settings: a view from the trenches.

    PubMed

    Palmore, Tara N; Henderson, David K

    2013-12-01

    In 2011, the National Institutes of Health Clinical Center experienced a cluster of infection and colonization caused by carbapenem-resistant Klebsiella pneumoniae among profoundly immunocompromised inpatients. This manuscript describes the approach and interventions that were implemented in an attempt to curtail the cluster. Interventions employed included engagement of all stakeholders involved in care of at-risk patients; detailed and frequent communication with hospital staff about issues relating to the outbreak; aggressive microbial surveillance; use of techniques that facilitate rapid identification of resistant organisms; rapid characterization of resistance mechanisms; whole-genome sequencing of outbreak isolates to characterize the spread and to investigate mechanisms of healthcare-associated spread; implementation of enhanced contact precautions for all infected or colonized patients; geographic and personnel cohorting; daily chlorhexidine gluconate baths; dedicating equipment to be used solely for cohorted patients and aggressive decontamination of equipment that had to be reused on uncohorted patients; monitoring adherence to infection control precautions, including unwavering attention to adherence to appropriate hand hygiene procedures; and attention to the details of environmental decontamination. In addition, the manuscript discusses some of the challenges associated with managing such an event, as well as a few of the unanticipated consequences associated with the aftermath of the case cluster. PMID:23934166

  14. Managing Transmission of Carbapenem-Resistant Enterobacteriaceae in Healthcare Settings: A View From the Trenches

    PubMed Central

    Palmore, Tara N.; Henderson, David K.

    2013-01-01

    In 2011, the National Institutes of Health Clinical Center experienced a cluster of infection and colonization caused by carbapenem-resistant Klebsiella pneumoniae among profoundly immunocompromised inpatients. This manuscript describes the approach and interventions that were implemented in an attempt to curtail the cluster. Interventions employed included engagement of all stakeholders involved in care of at-risk patients; detailed and frequent communication with hospital staff about issues relating to the outbreak; aggressive microbial surveillance; use of techniques that facilitate rapid identification of resistant organisms; rapid characterization of resistance mechanisms; whole-genome sequencing of outbreak isolates to characterize the spread and to investigate mechanisms of healthcare-associated spread; implementation of enhanced contact precautions for all infected or colonized patients; geographic and personnel cohorting; daily chlorhexidine gluconate baths; dedicating equipment to be used solely for cohorted patients and aggressive decontamination of equipment that had to be reused on uncohorted patients; monitoring adherence to infection control precautions, including unwavering attention to adherence to appropriate hand hygiene procedures; and attention to the details of environmental decontamination. In addition, the manuscript discusses some of the challenges associated with managing such an event, as well as a few of the unanticipated consequences associated with the aftermath of the case cluster. PMID:23934166

  15. Tele-healthcare for diabetes management: A low cost automatic approach.

    PubMed

    Benaissa, M; Malik, B; Kanakis, A; Wright, N P

    2012-01-01

    In this paper, a telemedicine system for managing diabetic patients with better care is presented. The system is an end to end solution which relies on the integration of front end (patient unit) and backend web server. A key feature of the system developed is the very low cost automated approach. The front-end of the system is capable of reading glucose measurements from any glucose meter and sending them automatically via existing networks to the back-end server. The back-end is designed and developed using n-tier web client architecture based on model-view-controller design pattern using open source technology, a cost effective solution. The back-end helps the health-care provider with data analysis; data visualization and decision support, and allows them to send feedback and therapeutic advice to patients from anywhere using a browser enabled device. This system will be evaluated during the trials which will be conducted in collaboration with a local hospital in phased manner. PMID:23366135

  16. Ubiquitous healthcare computing with SEnsor Grid Enhancement with Data Management System (SEGEDMA).

    PubMed

    Preve, Nikolaos

    2011-12-01

    Wireless Sensor Network (WSN) can be deployed to monitor the health of patients suffering from critical diseases. Also a wireless network consisting of biomedical sensors can be implanted into the patient's body and can monitor the patients' conditions. These sensor devices, apart from having an enormous capability of collecting data from their physical surroundings, are also resource constraint in nature with a limited processing and communication ability. Therefore we have to integrate them with the Grid technology in order to process and store the collected data by the sensor nodes. In this paper, we proposed the SEnsor Grid Enhancement Data Management system, called SEGEDMA ensuring the integration of different network technologies and the continuous data access to system users. The main contribution of this work is to achieve the interoperability of both technologies through a novel network architecture ensuring also the interoperability of Open Geospatial Consortium (OGC) and HL7 standards. According to the results, SEGEDMA can be applied successfully in a decentralized healthcare environment. PMID:20703778

  17. Adopting best practices: "Agility" moves from software development to healthcare project management.

    PubMed

    Kitzmiller, Rebecca; Hunt, Eleanor; Sproat, Sara Breckenridge

    2006-01-01

    It is time for a change in mindset in how nurses operationalize system implementations and manage projects. Computers and systems have evolved over time from unwieldy mysterious machines of the past to ubiquitous computer use in every aspect of daily lives and work sites. Yet, disconcertingly, the process used to implement these systems has not evolved. Technology implementation does not need to be a struggle. It is time to adapt traditional plan-driven implementation methods to incorporate agile techniques. Agility is a concept borrowed from software development and is presented here because it encourages flexibility, adaptation, and continuous learning as part of the implementation process. Agility values communication and harnesses change to an advantage, which facilitates the natural evolution of an adaptable implementation process. Specific examples of agility in an implementation are described, and plan-driven implementation stages are adapted to incorporate relevant agile techniques. This comparison demonstrates how an agile approach enhances traditional implementation techniques to meet the demands of today's complex healthcare environments. PMID:16554690

  18. Qualitative Phenomenological Study of Data Management Information System Deployments: Financial Services Industry

    ERIC Educational Resources Information Center

    Kerns, Dannie J.

    2014-01-01

    The qualitative phenomenological study explored the lived experiences of financial services industry change managers to understand the genesis of low data management information system project adoption rates. The goal of the study was to find methods to improve data management information system adoption rates. The participant pool consisted of 19…

  19. Financial Options in Islamic Contracts: Potential Tools for Risk Management

    Microsoft Academic Search

    MOHAMMED OBAIDULLAH

    The paper attempts to undertake an Islamic assessment of financial contracting in the global currency markets. Some basic currency-related contracts in mainstream finance, such as, spot transactions, options, forwards, futures, swaps are examined in the light of Islamic norms of financial ethics, such as, freedom from riba, gharar, jahl, qimar and maisir. The study also highlights the views of Islamic

  20. Student learning style and educational outcomes: evidence from a family financial management course

    Microsoft Academic Search

    Jonathan Fox; Suzanne Bartholomae

    1999-01-01

    Abstract The academic,performance,of,419 undergraduate,students,in,an,individual,financial management class was evaluated in light of their learning style, demographic background, academic,history and time allocation. Academic,history and time use variables proved,to be the only significant predictors of grades in the course. Student learning style, as measured by Kolb’s Learning Style Inventory, was not a strong predictor of success in this financial management class, and it

  1. Construction budget: the financial manager as part of the planning team.

    PubMed

    Frommelt, J J; Hill, J F

    1983-11-01

    The financial manager can best fulfill his role and have the most beneficial effect on a facility planning project as an active member of the planning team from the onset of the project. In addition to representing a realistic financial planning perspective to the project's development, the financial manager can, very early in the process, begin to determine and refine various costs associated with facility planning and construction. The role is a vital and active one from the first planning meeting through development, financing, construction and activation. PMID:10315445

  2. An Empirical Analysis of Financial and Non-financial Managers' Remuneration in Small and Medium-sized UK Enterprises

    Microsoft Academic Search

    Robert Watson

    1994-01-01

    This paper examines empirically the influences on managerial remuneration in a sample of 97 UK small and medium-sized enterprises (SMEs). The empirical analysis, based on data obtained from interviews with middle (i.e. non-director level) managers and the published financial records of their employing firms lodged at Companies House, examines the relative explanatory power of a number of human capital, job\\/firm

  3. A new perspective on hospital financial ratio analysis.

    PubMed

    Zeller, T L; Stanko, B B; Cleverley, W O

    1997-11-01

    Using audit financial data in a study of 2,189 not-for-profit hospitals for the period 1989-1992, six financial characteristics of performance were defined. These characteristics are profitability factor, fixed-asset efficiency, capital structure, fixed-asset age, working capital efficiency, and liquidity. The statistical output also shows the specific sets of financial ratios that can be used to measure the six characteristics of hospital performance. The results of this study can be beneficial to healthcare financial managers, hospital boards, policy groups, and other relevant entities because it affords them a clear understanding of an institution's financial performance. PMID:10184820

  4. Managing the Psychosocial and Financial Consequences of Living Donation

    PubMed Central

    Dew, Mary Amanda; Myaskovsky, Larissa; Steel, Jennifer L.; DiMartini, Andrea F.

    2014-01-01

    There has been dramatic growth in the last decade in the literature on psychosocial and financial impacts of living organ donation. With this growth has come recognition that these impacts must be considered when educating prospective donors about the donation process, and when planning donor follow-up care after donation. Our review highlights recent studies that provide new information on the nature of psychosocial and financial outcomes in living donors, with special attention to studies examining unrelated donors (i.e., those with no biologic or longstanding emotional connection to the transplant patient), given that these individuals represent a growing segment of the living donor population. Limitations and gaps in available evidence are noted. We also discuss recent recommendations for post-donation monitoring of donors' psychosocial and financial outcomes, and we consider advances in evidence regarding interventions and prevention strategies to minimize any adverse psychosocial and financial impacts of living donation. PMID:24592353

  5. [Controlling risks in healthcare institutions].

    PubMed

    Bertrand, Eric; Noizet, Marc; Cudennec, Tristan

    2013-01-01

    The management of a healthcare institution generates risks through the very hazards of the management process. The management of these risks is integrated into the global safety management process and into the strategic thinking of geriatric hospitals. PMID:23409675

  6. Patient attitudes about financial incentives for diabetes self-management: A survey

    PubMed Central

    Blondon, Katherine S

    2015-01-01

    AIM: To study the acceptability of incentives for behavior changes in individuals with diabetes, comparing financial incentives to self-rewards and non-financial incentives. METHODS: A national online survey of United States adults with diabetes was conducted in March 2013 (n = 153). This survey was designed for this study, with iterative testing and modifications in a pilot population. We measured the demographics of individuals, their interest in incentives, as well as the perceived challenge of diabetes self-management tasks, and expectations of incentives to improve diabetes self-management (financial, non-financial and self-rewards). Using an ordered logistic regression model, we assessed the association between a 32-point score of the perceived challenge of the self-management tasks and the three types of rewards. RESULTS: Ninety-six percent of individuals were interested in financial incentives, 60% in non-financial incentives and 72% in self-rewards. Patients were less likely to use financial incentives when they perceived the behavior to be more challenging (odds ratio of using financial incentives of 0.82 (95%CI: 0.72-0.93) for each point of the behavior score). While the effectiveness of incentives may vary according to the perceived level of challenge of each behavior, participants did not expect to need large amounts to motivate them to modify their behavior. The expected average amounts needed to motivate a 5 lb weight loss in our population and to maintain this weight change for a year was $258 (interquartile range of $10-100) and $713 (interquartile range of $25-250) for a 15 lb weight loss. The difference in mean amount estimates for 5 lb and 15 lb weight loss was significant (P < 0.001). CONCLUSION: Individuals with diabetes are willing to consider financial incentives to improve diabetes self-management. Future studies are needed to explore incentive programs and their effectiveness for diabetes. PMID:26069724

  7. The financial characteristics of hospitals under for-profit and nonprofit contract management.

    PubMed

    Alexander, J; Lewis, B L

    1984-01-01

    In this assessment of the financial characteristics of a large sample of contract-managed hospitals compared with traditionally managed hospitals, emphasis was given to differences between hospitals managed by for-profit and nonprofit organizations and between hospitals before and after they were contract managed. Our findings suggest higher profitability for hospitals managed by nonprofit organizations in light of their poor profitability prior to contract management and better activity ratios for for-profit managed hospitals. These and other findings are discussed in terms of their implications for both hospital administrators and researchers. PMID:6237056

  8. MNFS-FPM: A novel memetic neuro-fuzzy system based financial portfolio management

    Microsoft Academic Search

    Ernest Lumanpauw; Michel Pasquier; Chai Quek

    2007-01-01

    Portfolio management consists of deciding what assets to include in a portfolio given the investor's objectives and changing market and economic conditions. The always difficult selection process includes identifying which assets to purchase, how much, and when. This paper presents a novel memetic neuro-fuzzy system for financial portfolio management (MNFS-FPM) which emulates the thinking process of a rational investor and

  9. THE INFLUENCES FINANCIAL MANAGEMENT IN DEVELOPING THE FUTURE FIRM`S BUSINESS

    Microsoft Academic Search

    Valeria Arina BALACEANU

    2009-01-01

    The role of the financial management is to create a system of managerial reports in order to efficiently develop the business. In the economy of the future, the intelligent company will put an end to the principle according to which a higher profit incurrs a higher risk, as the efficient management will reduce the risk to a great extent, by

  10. Financial Success for Young Adults and Recent Graduates: Managing Money, Credit, and Your Future

    ERIC Educational Resources Information Center

    Arrowood, Janet C.

    2006-01-01

    There are numerous financial planning and money management handbooks, but few focus on the needs of young adults between 16 and 25 years of age. Colleges and some high schools are increasingly offering courses covering money management, but the materials are more "economics-focused" than "real-world" focused. Young people are huge consumers who…

  11. Natural vs. financial insurance in the management of public-good ecosystems

    Microsoft Academic Search

    Martin F. Quaas; Stefan Baumgärtner

    2006-01-01

    In the face of uncertainty, ecosystems can provide natural insurance to risk averse users of ecosystem services. We employ a conceptual ecological-economic model to analyze the allocation of (endogenous) risk and ecosystem quality by risk averse ecosystem managers who have access to financial insurances, and study the implications for individually and socially optimal ecosystem management, and policy design. We show

  12. Qualitative and Quantitative Management Tools Used by Financial Officers in Public Research Universities

    ERIC Educational Resources Information Center

    Trexler, Grant Lewis

    2012-01-01

    This dissertation set out to identify effective qualitative and quantitative management tools used by financial officers (CFOs) in carrying out their management functions of planning, decision making, organizing, staffing, communicating, motivating, leading and controlling at a public research university. In addition, impediments to the use of…

  13. Acceptability of an Internet-based contingency management intervention for smoking cessation: Views of smokers, nonsmokers, and healthcare professionals

    PubMed Central

    Raiff, Bethany R.; Jarvis, Brantley P.; Turturici, Marissa; Dallery, Jesse

    2014-01-01

    The acceptability of an Internet-based contingency management (CM) intervention for cigarette-smoking was evaluated in two experiments. In Experiment 1, 67 participants completed an Internet-based CM intervention and then answered questions about the intervention. Experiment 2 assessed the acceptability of the intervention among potential treatment users (smokers, n = 164), non-smokers (n = 166), and healthcare providers (n = 139), who had never used the intervention. Participants in Experiment 2 were randomly assigned to either watch a video describing the standard CM intervention (No Deposit Group) or to watch a video about the standard intervention plus a deposit incentive (Deposit Group). Overall, results of both experiments indicated high acceptability across all dimensions of the intervention. Seventy-four percent of participants in Experiment 1, and 92% of those in Experiment 2, said they would use it if they needed to quit. Eighty one percent of healthcare providers reported that they would be very likely to recommend the intervention to patients. Participants in both experiments reported that monitoring their progress and earning vouchers were strengths of the intervention. The No Deposit group rated voucher earnings, cash earnings, and cost-effectiveness of the intervention higher than the Deposit Group. Healthcare professionals did not differ in their ratings across video conditions. Overall, the results suggest that Internet-based CM is acceptable as a method to help people quit smoking. PMID:23750691

  14. Parallels of radiation and financial risk management: impacts on public acceptance.

    PubMed

    Hogue, Mark

    2011-02-01

    The financial collapse of 2007 provides an opportunity for a cross-discipline comparison of risk assessments. Flaws in financial risk assessments bear part of the blame for the financial collapse. There may be a potential for similar flaws to be made in radiological risk assessments. Risk assessments in finance and health physics are discussed in the context of a broader view of the risk management environment. Flawed risk assessments can adversely influence public acceptance of radiological technologies, so the importance of quality is magnified. PMID:21399429

  15. PARALLELS OF RADIATION- AND FINANCIAL-RISK MANAGEMENT ON PUBLIC ACCEPTANCE

    SciTech Connect

    Hogue, M.

    2010-01-04

    The financial collapse of 2007 provides an opportunity for a cross-discipline comparison of risk assessments. Flaws in financial risk assessments bear part of the blame for the financial collapse. There may be a potential for similar flaws to be made in radiological risk assessments. Risk assessments in finance and health physics are discussed in the context of a broader view of the risk management environment. Flawed risk assessments can adversely influence public acceptance of radiological technologies, so the importance of quality is magnified.

  16. Financial Management of Canadian Universities: Adaptive Strategies to Fiscal Constraints

    ERIC Educational Resources Information Center

    Deering, Darren; Sá, Creso M.

    2014-01-01

    Decreasing government funding and regulated tuition policies have created a financially constrained environment for Canada's universities. The conventional response to such conditions is to cut programme offerings and services in an attempt to lower costs throughout the institution. However, we argue that three Canadian universities have…

  17. Recipient Financial Management System Training, 1999-2000. Participant's Guide.

    ERIC Educational Resources Information Center

    Department of Education, Washington, DC.

    This participant's guide is intended to be used in a one-day workshop for college/university staff on changes in requirements for schools disbursing federally supported student financial aid under the reauthorized Higher Education Act. The materials are in a workbook format and include copies of workshop display materials, space for notes, case…

  18. Patients, not purchases. Customer relationship management is slowly, and carefully, finding its way into healthcare.

    PubMed

    Lawrence, Daphne

    2009-08-01

    Though patient satisfaction initiatives exist in healthcare, they rarely fall under the CRM moniker. Some subscription software can help hospitals track patient demographics. Building brand loyalty begins with improving patient experience. Report cards are often used to measure and improve the patient experience. PMID:19722323

  19. Implementation of pregnancy weight management and obesity guidelines: a meta-synthesis of healthcare professionals' barriers and facilitators using the Theoretical Domains Framework.

    PubMed

    Heslehurst, N; Newham, J; Maniatopoulos, G; Fleetwood, C; Robalino, S; Rankin, J

    2014-06-01

    Obesity in pregnancy is rising and is associated with severe health consequences for both the mother and the child. There is an increasing international focus on guidelines to manage the clinical risks of maternal obesity, and for pregnancy weight management. However, passive dissemination of guidelines is not effective and more active strategies are required for effective guideline implementation into practice. Implementation of guidelines is a form of healthcare professional behaviour change, and therefore implementation strategies should be based on appropriate behaviour change theory. This systematic review aimed to identify the determinants of healthcare professionals' behaviours in relation to maternal obesity and weight management. Twenty-five studies were included. Data synthesis of the existing international qualitative and quantitative evidence base used the Theoretical Domains Framework to identify the barriers and facilitators to healthcare professionals' maternal obesity and weight management practice. The domains most frequently identified included 'knowledge', 'beliefs about consequences' and 'environmental context and resources'. Healthcare professionals' weight management practice had the most barriers compared with any other area of maternal obesity practice. The results of this review will be used to inform the development of an intervention to support healthcare professional behaviour change. PMID:24629076

  20. FINANCIAL MANAGEMENT -PLAN OF STUDY CATALOG YEAR: 2014-2015 Name________________________________________ PeopleSoft ID#____________________ Anticipated Date of Completion (MM/YY)_________

    E-print Network

    Alpay, S. Pamir

    _____ FNCE 3715 Personal Finance _____ FNCE 4305 Global Financial Management _____ FNCE 4306 Financial FINANCE COURSE REQUIREMENT: _____ FNCE 3303 Principles of Investments and Derivatives 3 _____ FNCE 4209 _____ FNCE 4440 Financial Ethics 1 Major Required Credits 16 ADDITIONAL COURSE REQUIREMENT: Finance Elective

  1. Questions to Ask My Healthcare Team

    MedlinePLUS

    ... Clinical Trials New Directions in Lung Cancer Side Effect Management Questions to Ask My Healthcare Team Support & Resources ... Clinical Trials New Directions in Lung Cancer Side Effect Management Questions to Ask My Healthcare Team Support & Resources ...

  2. A Web-Based Application for the Evaluation of the Healthcare Management

    Microsoft Academic Search

    M. Bava; D. Zotti; R. Zangrando; M. Delendi

    \\u000a According to the Italian law which regulates executive healthcare contracts, the professional evaluation is mandatory. The\\u000a goal of the periodic evaluation is to enhance and motivate the professional involved. In addition this process should 1. increase\\u000a the sense of duty towards the patients, 2. become aware of one’s own professional growth and aspirations and 3. enhance the\\u000a awareness of the

  3. An evaluation of an aggression management training program to cope with workplace violence in the healthcare sector.

    PubMed

    Oostrom, Janneke K; van Mierlo, Heleen

    2008-08-01

    Workplace violence is a major occupational hazard for healthcare workers, generating a need for effective intervention programs. The purpose of this study was to evaluate the effectiveness of an aggression management training program. The evaluation design was based on the internal referencing strategy, an unobtrusive and applicable evaluation method that rules out some major threats to internal validity without the need for a control group. On three occasions, training participants completed a questionnaire containing experimental and control variables. As hypothesized, there was a significant improvement in the experimental variables that was larger than the non-significant change in the control variable. We conclude that aggression management training may be an effective instrument in the fight against workplace violence. PMID:18228608

  4. Financial affairs? Money management in same-sex relationships

    Microsoft Academic Search

    Maree Burns; Carole Burgoyne; Victoria Clarke

    2008-01-01

    The present paper offers a qualitative analysis of how 22 co-habiting same-sex couples manage and think about their finances. Results show that partial-pooling and independent management are the most popular systems with emphasis placed on egalitarianism and devising a fair money management strategy. Significant income disparities between most partners necessitated the adoption of a system of proportional contributions to joint

  5. Measuring Business Process Management in UK Financial Services

    Microsoft Academic Search

    Harry Maddern; Roger Maull

    There is a growing interest in the nature and significance of business processes both within the business community and in management research. For many researchers, process has evolved from its re-engineering origins to become a powerful tool for understanding and explaining business activity. Within this new paradigm, effective Business Process Management (BPM) is viewed as a pervasive and profound business

  6. Module title Financial Management Module code INT3605

    E-print Network

    Mumby, Peter J.

    / stock exchange; short term finance. Note taking, time management and reflecting on learning. Learning aims The main purpose of the module is to study the techniques used in managing the finances of a business, and how to monitor and control the business performance. Intended learning outcomes (ILOs) ILO

  7. The Impact of Activity Based Costing in Managing the Financial Performance of a University Department

    Microsoft Academic Search

    Victoria Whelan

    The financial management of University Departments is increasingly complex with the intensity of competitive forces for student enrolments and for resource allocation. Departments need to provide detailed information on the contribution of their outputs for strategic planning and for resourcing decisions. The recent introduction of Activity Based Costing (ABC) has enabled a greater focus on the identification and analysis of

  8. DISPUTES & INVESTIGATIONS ECONOMICS FINANCIAL ADVISORY MANAGEMENT CONSULTING 2012 Navigant Consulting, Inc. .

    E-print Network

    .S. Territories #12;2©2012 Navigant Consulting, Inc. . E N E R G Y Grid operators need to maintain supply Navigant completed white paper evaluating potential for using IOU DR programs to facilitate integrationDISPUTES & INVESTIGATIONS · ECONOMICS · FINANCIAL ADVISORY · MANAGEMENT CONSULTING ©2012 Navigant

  9. Principals' and students' perceptions on parental contribution to financial management in secondary schools in Kenya

    Microsoft Academic Search

    Peter Kiplangat Koross; Moses Waithanji Ngware; Anthony Kiplangat Sang

    2009-01-01

    Purpose – The management of secondary schools in Kenya has faced a number of challenges over the past few years. These challenges have been manifested in the many ways including lack of financial transparency, which culminate in unaffordable secondary schools fees. The aim of this paper is to present the findings of an investigation into the contribution of parents to

  10. Financial Management. Working for Clean Water: An Information Program for Advisory Groups. Instructor Guide.

    ERIC Educational Resources Information Center

    Auker, Dennis; And Others

    The implementation of water quality programs in the face of rising costs raises many questions for states and local communities, including: How much can taxpayers afford to pay? Who will pay? How can they pay? Described is an hour-long learning session on financial management that is designed to help citizen advisory groups play an integral role…

  11. Operational risk management in financial institutions: A dead-end journey

    Microsoft Academic Search

    José Ignacio Llaguno Musons

    2005-01-01

    This article is about operational risk management in credit firms around the European area. The text of Bank Supervision Committee (Basilea II) has been already approved including some important changes about operational risk, so it is time to UE´s bank regulations were adopted and changes applied by monetary and financial authorities. This flexible and professional new regulation introduces some elements

  12. Designing a Simulation Game to Help Children Learn the Concept of Financial Management

    Microsoft Academic Search

    Hui-Wen Wu; Y. C. Y. Huang; Zhi-Hong Chen; C. C. Y. Liao; Tak-Wai Chan

    2010-01-01

    In this paper, we present a simulation game about financial management for children to help them learn significant concepts in the finance education. Different from traditional delivery of paper-based knowledge, simulation games can provide a number of opportunities to control and manipulate something in the virtual game environment. Thus, students, particularly children, can experience what they hardly do in the

  13. Educational Financing and Budgeting in Viet Nam. Financial Management of Education Systems.

    ERIC Educational Resources Information Center

    Can, Nguyen Ba; Long, Vu Van; Tam, Phan Thanh; Sinh, Nguyen Thi

    Vietnam started market reforms earlier than other countries in Southeast Asia and is used as a role model by the Asian Development Bank. Nevertheless, complicated bureaucracy and regional differences hinder improvements in financial management in education. The budgeting process, in particular, is cumbersome. This book presents a report of a…

  14. Educational Financing and Budgeting in Mongolia. Financial Management of Education Systems.

    ERIC Educational Resources Information Center

    Nanzaddorj, Buluut

    This book provides an indepth description and analysis of financial management and budgetary procedures for education in Mongolia. Chapter titles describe the content of the book: (1) "General Information"; (2) "Description of the Education System"; (3) "Macroeconomic Review"; (4) "Educational Financing and Budgeting in Mongolia"; (5) "General…

  15. 7 CFR 226.7 - State agency responsibilities for financial management.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... CHILD NUTRITION PROGRAMS CHILD AND ADULT CARE FOOD PROGRAM State Agency Provisions...to FNS the final Report of the Child and Adult Care Food Program (FNS 44) for...Financial Management in the Child and Adult Care Food Program”), parts...

  16. Educational Financing and Budgeting in Lao PDR. Financial Management of Education Systems. Working Document.

    ERIC Educational Resources Information Center

    Bouapao, Lytou; Sengchandavong, Ouam; Sihavong, Siphandone

    This study provides an indepth description of financial management and budgetary procedures for education as well as a detailed analysis of major problems, recent developments, and new issues in Cambodia, Laos, and Vietnam. Laos, formerly one of the centrally planned economies, was previously considered "dormant" because of its limited interaction…

  17. Decline and Fall: Crisis Financial Manager Tries to Fix Detroit Schools' Budget

    ERIC Educational Resources Information Center

    Aarons, Dakarai I.

    2009-01-01

    Robert C. Bobb, the state-appointed emergency financial manager of the Detroit public school system, may have the biggest "turnaround" job in the nation. The district, with an annual budget of $1.2 billion, has a deficit projected to be $259 million and growing. Over the past 10 years, about half of the district's students have left, leaving…

  18. State University of New York at Albany--Financial Management Practices. Report 94-S-85.

    ERIC Educational Resources Information Center

    New York State Office of the Comptroller, Albany. Div. of Management Audit.

    This report is the result of an audit of selected financial management practices of the State University of New York (SUNY) at Albany for the period April 1, 1992 through July 31, 1994. The audit addressed the following practices: cash, payroll, purchasing, revenue accounting, accounts receivable, and computer contingency plans. The report…

  19. Management of diabetes by a healthcare team in a cardiology unit: a randomized controlled trial

    PubMed Central

    de Moraes, Maria Antonieta P; Rodrigues, Juliane; Cremonesi, Mariana; Polanczyk, Carisi; Schaan, Beatriz D

    2013-01-01

    OBJECTIVE: To assess the effectiveness of healthcare team guidance in the implementation of a glycemic control protocol in the non-intensive care unit of a cardiology hospital. METHODS: This was a randomized clinical trial comparing 9 months of intensive guidance by a healthcare team on a protocol for diabetes care (Intervention Group, n?=?95) with 9 months of standard care (Control Group, n?=?87). Clinicaltrials.gov: NCT01154413. RESULTS: The mean age of the patients was 61.7±10 years, and the mean glycated hemoglobin level was 71±23 mmol/mol (8.7±2.1%). The mean capillary glycemia during hospitalization was similar between the groups (9.8±2.9 and 9.1±2.4 mmol/l for the Intervention Group and Control Group, respectively, p?=?0.078). The number of hypoglycemic episodes (p?=?0.77), hyperglycemic episodes (47 vs. 50 in the Intervention Group and Control Group, p?=?0.35, respectively), and the length of stay in the hospital were similar between the groups (p?=?0.64). The amount of regular insulin administered was 0 (0–10) IU in the Intervention Group and 28 (7–56) IU in the Control Group (p<0.001), and the amount of NPH insulin administered was similar between the groups (p?=?0.16). CONCLUSIONS: While guidance on a glycemic control protocol given by a healthcare team resulted in a modification of the therapeutic strategy, no changes in glycemic control, frequency of episodes of hypoglycemia and hyperglycemia, or hospitalization duration were observed. PMID:24270950

  20. 20 CFR 632.32 - Financial management systems.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...DEPARTMENT OF LABOR INDIAN AND NATIVE AMERICAN EMPLOYMENT AND TRAINING PROGRAMS...management systems. (a) Each Native American grantee, subgrantee and...activity, and will enable each Native American grantee, subgrantee or...

  1. 20 CFR 632.32 - Financial management systems.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...DEPARTMENT OF LABOR INDIAN AND NATIVE AMERICAN EMPLOYMENT AND TRAINING PROGRAMS...management systems. (a) Each Native American grantee, subgrantee and...activity, and will enable each Native American grantee, subgrantee or...

  2. Knowledge, attitudes and practices of health-care personnel towards waste disposal management at Ain Shams University Hospitals, Cairo.

    PubMed

    Hakim, S A; Mohsen, A; Bakr, I

    2014-05-01

    This study assessed knowledge, attitudes and practices of health-care providers towards waste management at Ain Shams University Hospitals, Cairo, Egypt. In this cross-sectional study 110 physicians, 151 nurses and 89 housekeepers were interviewed using a pre-designed questionnaire. Housekeepers were significantly more knowledgeable than physicians or nurses about hospital policies and systems for waste disposal, but less so about specific details of disposal. Housekeepers also had the highest overall scores for attitudes to waste disposal among the 3 groups. Significantly more nurses had satisfactory practice scores (84.0%) than did physicians (67.3%) (housekeepers were not assessed). Training and duration of work experience were not significantly associated with knowledge, attitude and practice scores, except for nurses with longer work experience, who were more likely to have satisfactory knowledge about waste disposal than less experienced nurses. PMID:24952293

  3. Exploring Low-Income Families' Financial Barriers to Food Allergy Management and Treatment

    PubMed Central

    Minaker, Leia M.; Elliott, Susan J.; Clarke, Ann

    2014-01-01

    Objectives. Low-income families may face financial barriers to management and treatment of chronic illnesses. No studies have explored how low-income individuals and families with anaphylactic food allergies cope with financial barriers to anaphylaxis management and/or treatment. This study explores qualitatively assessed direct, indirect, and intangible costs of anaphylaxis management and treatment faced by low-income families. Methods. In-depth, semistructured interviews with 23 participants were conducted to gain insight into income-related barriers to managing and treating anaphylactic food allergies. Results. Perceived direct costs included the cost of allergen-free foods and allergy medication and costs incurred as a result of misinformation about social support programs. Perceived indirect costs included those associated with lack of continuity of health care. Perceived intangible costs included the stress related to the difficulty of obtaining allergen-free foods at the food bank and feeling unsafe at discount grocery stores. These perceived costs represented barriers that were perceived as especially salient for the working poor, immigrants, youth living in poverty, and food bank users. Discussion. Low-income families report significant financial barriers to food allergy management and anaphylaxis preparedness. Clinicians, advocacy groups, and EAI manufacturers all have a role to play in ensuring equitable access to medication for low-income individuals with allergies. PMID:24693292

  4. Naval Petroleum and Oil Shale Reserves Combined Financial Statements September 30, 1994 and 1993 and Management Overview and Supplemental Financial and Management Information

    SciTech Connect

    NONE

    1994-12-31

    This report presents the results of the independent certified public accountant`s audit of the Department of Energy`s (Department) Naval Petroleum and Oil Shale Reserves (NPOSR) financial statements as of September 30, 1994. The auditors have expressed an unqualified opinion on the 1994 statements. Their reports on the NPOSR internal control structure and on compliance with laws and regulations, and management letter on addressing needed improvements are also provided. NPOSR consists of petroleum reserves in California and Wyoming, and oil shale reserves in Colorado and Utah. The Government`s interests in NPOSR are managed by the Department through its headquarters office in Washington, D.C. In addition, the Department has site offices in both California and Wyoming that are responsible for contractor oversight functions. Daily operations are conducted under contract by two management and operating contractors. By law, NPOSR was authorized to produce crude oil at the maximum efficient rate for six years. The law allowed production to be extended for three year periods, provided that the President of the United States certified that continued maximum production was in the best interest of the nation. The current three year period ends on April 5, 1997. Additional information about NPOSR is provided in the overview and notes to the financial statements.

  5. Rf : Munoz, M.I., Barcellini F., Mollo, V. (2011). Collective elaboration of care for safety in radiotherapy: cooperative management of patient variability. In HEPS'2011 Healthcare Ergonomics

    E-print Network

    Paris-Sud XI, Université de

    2011-01-01

    in radiotherapy: cooperative management of patient variability. In HEPS'2011 Healthcare Ergonomics and Patient of patient variability. Maria Isabel Munoz Ergonomics Laboratory Research Center on work Development (CRTD-EA 4132) 41 rue Gay Lussac 75005 Paris mi.munoz@free.fr Flore Barcellini1 Ergonomics Laboratory Research

  6. An exploration of how clinician attitudes and beliefs influence the implementation of lifestyle risk factor management in primary healthcare: a grounded theory study

    Microsoft Academic Search

    Rachel A Laws; Lynn A Kemp; Mark F Harris; Gawaine Powell Davies; Anna M Williams; Rosslyn Eames-Brown

    2009-01-01

    BACKGROUND: Despite the effectiveness of brief lifestyle intervention delivered in primary healthcare (PHC), implementation in routine practice remains suboptimal. Beliefs and attitudes have been shown to be associated with risk factor management practices, but little is known about the process by which clinicians' perceptions shape implementation. This study aims to describe a theoretical model to understand how clinicians' perceptions shape

  7. Firm characteristics, total quality management, and financial performance

    Microsoft Academic Search

    Kevin B. Hendricks; Vinod R. Singhal

    2000-01-01

    This paper uses a sample of quality award winners to empirically test hypotheses that relate changes in operating income associated with effective implementation of total quality management (TQM) to various firm characteristics. The characteristics examined are firm size, the degree of capital intensity, the degree of diversification, the timing of TQM implementation, and the maturity of the program. We find

  8. Firm characteristics, total quality management, and financial performance

    Microsoft Academic Search

    Kevin B Hendricks; Vinod R Singhal

    2001-01-01

    This paper uses a sample of quality award winners to empirically test hypotheses that relate changes in operating income associated with effective implementation of total quality management (TQM) to various firm characteristics. The characteristics examined are firm size, the degree of capital intensity, the degree of diversification, the timing of TQM implementation, and the maturity of the program. We find

  9. University Policy No.: FM5520 Classification: Financial Management

    E-print Network

    Victoria, University of

    of the change. 2.3 Salaries will be shown on the basis of the applicable salary step April 1 of the new fiscal year. Provision for salary and benefit increases and any classification changes will be shown as an unallocated amount in salary subcode 498. 2.4 A portion of the Manager's salary and salaries of individual

  10. Data mining applications in healthcare.

    PubMed

    Koh, Hian Chye; Tan, Gerald

    2005-01-01

    Data mining has been used intensively and extensively by many organizations. In healthcare, data mining is becoming increasingly popular, if not increasingly essential. Data mining applications can greatly benefit all parties involved in the healthcare industry. For example, data mining can help healthcare insurers detect fraud and abuse, healthcare organizations make customer relationship management decisions, physicians identify effective treatments and best practices, and patients receive better and more affordable healthcare services. The huge amounts of data generated by healthcare transactions are too complex and voluminous to be processed and analyzed by traditional methods. Data mining provides the methodology and technology to transform these mounds of data into useful information for decision making. This article explores data mining applications in healthcare. In particular, it discusses data mining and its applications within healthcare in major areas such as the evaluation of treatment effectiveness, management of healthcare, customer relationship management, and the detection of fraud and abuse. It also gives an illustrative example of a healthcare data mining application involving the identification of risk factors associated with the onset of diabetes. Finally, the article highlights the limitations of data mining and discusses some future directions. PMID:15869215

  11. Prospering under PPS. A guide for financial managers.

    PubMed

    Hoffman, P

    1997-02-01

    The survivors of PPS will be those organizations that gain knowledge and control of their true costs, learning how to manage them within the constraints imposed by the new payment system. It is difficult to predict the exact details of PPS legislation; however, several principles of PPS appear to be emerging that will probably be a part of the finished legislative product. Together they provide a framework sufficient to begin the process of analyzing how to prepare for PPS. PMID:10165419

  12. Financial appraisal of wet mesophilic AD technology as a renewable energy and waste management technology.

    PubMed

    Dolan, T; Cook, M B; Angus, A J

    2011-06-01

    Anaerobic digestion (AD) has the potential to support diversion of organic waste from landfill and increase renewable energy production. However, diffusion of this technology has been uneven, with countries such as Germany and Sweden taking the lead, but limited diffusion in other countries such as the UK. In this context, this study explores the financial viability of AD in the UK to offer reasons why it has not been more widely used. This paper presents a model that calculates the Internal Rate of Return (IRR) on a twenty year investment in a 30,000 tonnes per annum wet mesophilic AD plant in the UK for the treatment of source separated organic waste, which is judged to be a suitable technology for the UK climate. The model evaluates the financial significance of the different alternative energy outputs from this AD plant and the resulting economic subsidies paid for renewable energy. Results show that renewable electricity and renewable heat sales supported by renewable electricity and renewable heat tariffs generates the greatest IRR (31.26%). All other uses of biogas generate an IRR in excess of 15%, and are judged to be a financially viable investment. Sensitivity analysis highlights the financial significance of: economic incentive payments and a waste management gate fee; and demonstrates that the fate of the digestate by-product is a source of financial uncertainty for AD investors. PMID:21481437

  13. Navigating financial and supply reliability tradeoffs in regional drought management portfolios

    NASA Astrophysics Data System (ADS)

    Zeff, Harrison B.; Kasprzyk, Joseph R.; Herman, Jonathan D.; Reed, Patrick M.; Characklis, Gregory W.

    2014-06-01

    Rising development costs and growing concerns over environmental impacts have led many communities to explore more diversified water management strategies. These "portfolio"-style approaches integrate existing supply infrastructure with other options such as conservation measures or water transfers. Diversified water supply portfolios have been shown to reduce the capacity and costs required to meet demand, while also providing greater adaptability to changing hydrologic conditions. However, this additional flexibility can also cause unexpected reductions in revenue (from conservation) or increased costs (from transfers). The resulting financial instability can act as a substantial disincentive to utilities seeking to implement more innovative water management techniques. This study seeks to design portfolios that employ financial tools (e.g., contingency funds and index insurance) to reduce fluctuations in revenues and costs, allowing these strategies to achieve improved performance without sacrificing financial stability. This analysis is applied to the development of coordinated regional supply portfolios in the "Research Triangle" region of North Carolina, an area comprising four rapidly growing municipalities. The actions of each independent utility become interconnected when shared infrastructure is utilized to enable interutility transfers, requiring the evaluation of regional tradeoffs in up to five performance and financial objectives. Diversified strategies introduce significant tradeoffs between achieving reliability goals and introducing burdensome variability in annual revenues and/or costs. Financial mitigation tools can mitigate the impacts of this variability, allowing for an alternative suite of improved solutions. This analysis provides a general template for utilities seeking to navigate the tradeoffs associated with more flexible, portfolio-style management approaches.

  14. Ethical issues in healthcare financing.

    PubMed

    Maharaj, S R; Paul, T J

    2011-07-01

    The four goals of good healthcare are to relieve symptoms, cure disease, prolong life and improve quality of life. Access to healthcare has been a perpetual challenge to healthcare providers who must take into account important factors such as equity, efficiency and effectiveness in designing healthcare systems to meet the four goals of good healthcare. The underlying philosophy may designate health as being a basic human right, an investment, a commodity to be bought and sold, a political demand or an expenditure. The design, policies and operational arrangements will usually reflect which of the above philosophies underpin the healthcare system, and consequently, access. Mechanisms for funding include fee-for-service, cost sharing (insurance, either private or government sponsored) free-of-fee at point of delivery (payments being made through general taxes, health levies, etc) or cost-recovery. For each of these methods of financial access to healthcare services, there are ethical issues which can compromise the four principles of ethical practices in healthcare, viz beneficence, non-maleficence, autonomy and justice. In times of economic recession, providing adequate healthcare will require governments, with support from external agencies, to focus on poverty reduction strategies through provision of preventive services such as immunization and nutrition, delivered at primary care facilities. To maximize the effect of such policies, it will be necessary to integrate policies to fashion an intersectoral approach. PMID:22097685

  15. How well do financial experts perform? A review of empirical research on performance of analysts, day-traders, forecasters, fund managers, investors, and stockbrokers

    Microsoft Academic Search

    Patric Andersson

    2004-01-01

    In this manuscript, empirical research on performance of various types of financial experts is reviewed. Financial experts are used as the umbrella term for financial analysts, stockbrokers, money managers, investors, and day-traders etc. The goal of the review is to find out about the abilities of financial experts to produce accurate forecasts, to issue profitable stock recommendations, as well as

  16. Financial aspects of veterinary herd health management programmes.

    PubMed

    Ifende, V I; Derks, M; Hooijer, G A; Hogeveen, H

    2014-09-01

    Veterinary herd health management (VHHM) programmes have been shown to be economically effective in the past. However, no current information is available on costs and benefits of these programmes. This study compared economics and farm performance between participants and non-participants in VHHM programmes in 1013 dairy farms with over 40 cows. Milk Production Registration (MPR) data and a questionnaire concerning VHHM were used. Based on the level of participation in VHHM (as indicated in the questionnaire), costs of the programmes were calculated using a normative model. The economic value of the production effects was similarly calculated using normative modelling based on MPR data. Participants in VHHM had a better performance with regard to production, but not with regard to reproduction. Over 90 per cent of the VHHM participants were visited at least once every six weeks and most participants discussed at least three topics. In most farms, the veterinarian did the pregnancy checks as part of the VHHM programmes. There was a benefit to cost ratio of about five per cow per year for VHHM participants, and a mean difference in net returns of €30 per cow per year after adjusting for the cost of the programme. This portrays that participation in a VHHM programme is cost-efficient. There is, however, much unexplained variation in the net returns, possibly due to diverse approaches by veterinarians towards VHHM or by other factors not included in this analysis, like nutritional quality or management abilities of the farmer. PMID:24934398

  17. Incremental adoption of information security in health-care organizations: implications for document management

    Microsoft Academic Search

    Daniel P. Lorence; Richard Churchill

    2005-01-01

    The incremental adoption of electronic media in U.S. health care has created increased risk of security and privacy violations in provider organizations. Protective regulatory efforts have been proposed to address ineffective security of patient information, with severe noncompliance penalties. Using data from a nationwide survey of health information managers, this study examines how industry-wide knowledge management trends may influence the

  18. Evaluation of wholesale electric power market rules and financial risk management by agent-based simulations

    NASA Astrophysics Data System (ADS)

    Yu, Nanpeng

    As U.S. regional electricity markets continue to refine their market structures, designs and rules of operation in various ways, two critical issues are emerging. First, although much experience has been gained and costly and valuable lessons have been learned, there is still a lack of a systematic platform for evaluation of the impact of a new market design from both engineering and economic points of view. Second, the transition from a monopoly paradigm characterized by a guaranteed rate of return to a competitive market created various unfamiliar financial risks for various market participants, especially for the Investor Owned Utilities (IOUs) and Independent Power Producers (IPPs). This dissertation uses agent-based simulation methods to tackle the market rules evaluation and financial risk management problems. The California energy crisis in 2000-01 showed what could happen to an electricity market if it did not go through a comprehensive and rigorous testing before its implementation. Due to the complexity of the market structure, strategic interaction between the participants, and the underlying physics, it is difficult to fully evaluate the implications of potential changes to market rules. This dissertation presents a flexible and integrative method to assess market designs through agent-based simulations. Realistic simulation scenarios on a 225-bus system are constructed for evaluation of the proposed PJM-like market power mitigation rules of the California electricity market. Simulation results show that in the absence of market power mitigation, generation company (GenCo) agents facilitated by Q-learning are able to exploit the market flaws and make significantly higher profits relative to the competitive benchmark. The incorporation of PJM-like local market power mitigation rules is shown to be effective in suppressing the exercise of market power. The importance of financial risk management is exemplified by the recent financial crisis. In this dissertation, basic financial risk management concepts relevant for wholesale electric power markets are carefully explained and illustrated. In addition, the financial risk management problem in wholesale electric power markets is generalized as a four-stage process. Within the proposed financial risk management framework, the critical problem of financial bilateral contract negotiation is addressed. This dissertation analyzes a financial bilateral contract negotiation process between a generating company and a load-serving entity in a wholesale electric power market with congestion managed by locational marginal pricing. Nash bargaining theory is used to model a Pareto-efficient settlement point. The model predicts negotiation results under varied conditions and identifies circumstances in which the two parties might fail to reach an agreement. Both analysis and agent-based simulation are used to gain insight regarding how relative risk aversion and biased price estimates influence negotiated outcomes. These results should provide useful guidance to market participants in their bilateral contract negotiation processes.

  19. Management of obesity: improvement of health-care training and systems for prevention and care.

    PubMed

    Dietz, William H; Baur, Louise A; Hall, Kevin; Puhl, Rebecca M; Taveras, Elsie M; Uauy, Ricardo; Kopelman, Peter

    2015-06-20

    Although the caloric deficits achieved by increased awareness, policy, and environmental approaches have begun to achieve reductions in the prevalence of obesity in some countries, these approaches are insufficient to achieve weight loss in patients with severe obesity. Because the prevalence of obesity poses an enormous clinical burden, innovative treatment and care-delivery strategies are needed. Nonetheless, health professionals are poorly prepared to address obesity. In addition to biases and unfounded assumptions about patients with obesity, absence of training in behaviour-change strategies and scarce experience working within interprofessional teams impairs care of patients with obesity. Modalities available for the treatment of adult obesity include clinical counselling focused on diet, physical activity, and behaviour change, pharmacotherapy, and bariatric surgery. Few options, few published reports of treatment, and no large randomised trials are available for paediatric patients. Improved care for patients with obesity will need alignment of the intensity of therapy with the severity of disease and integration of therapy with environmental changes that reinforce clinical strategies. New treatment strategies, such as the use of technology and innovative means of health-care delivery that rely on health professionals other than physicians, represent promising options, particularly for patients with overweight and patients with mild to moderate obesity. The co-occurrence of undernutrition and obesity in low-income and middle-income countries poses unique challenges that might not be amenable to the same strategies as those that can be used in high-income countries. PMID:25703112

  20. Community pharmacy-based medication therapy management services: financial impact for patients

    E-print Network

    Dodson, Sarah E.; Ruisinger, Janelle Faye; Howard, Patricia A.; Hare, Sarah E.; Barnes, Brian Joseph

    2012-07-01

    eligible patients were included in the study. Outcomes Pharmaceutical Health Care’s electronic database and the pharmacies’ prescription dispensing system records were used to collect the following data: age, gender, number of chronic prescription...Dodson SE, Ruisinger JF, Howard PA, Hare SE, Barnes BJ. Community pharmacy-based medication therapy management services: financial impact for patients. Pharmacy Practice (Internet) 2012 Jul-Sep;10(3):119-124. www.pharmacypractice.org (ISSN...

  1. A Collaborative Knowledge Management Process for Implementing Healthcare Enterprise Information Systems

    NASA Astrophysics Data System (ADS)

    Cheng, Po-Hsun; Chen, Sao-Jie; Lai, Jin-Shin; Lai, Feipei

    This paper illustrates a feasible health informatics domain knowledge management process which helps gather useful technology information and reduce many knowledge misunderstandings among engineers who have participated in the IBM mainframe rightsizing project at National Taiwan University (NTU) Hospital. We design an asynchronously sharing mechanism to facilitate the knowledge transfer and our health informatics domain knowledge management process can be used to publish and retrieve documents dynamically. It effectively creates an acceptable discussion environment and even lessens the traditional meeting burden among development engineers. An overall description on the current software development status is presented. Then, the knowledge management implementation of health information systems is proposed.

  2. The Zodiak workshop: an innovative model for teaching financial management through partnership with industry.

    PubMed

    Lloyd, James W; Frawley, Suzanne L; Neer, Charles A; Merle, Christine; Goebel, Richard

    2004-01-01

    The National Commission on Veterinary Economic Issues (NCVEI) is working to enhance the non-technical skills, knowledge, aptitudes, and attitudes (SKAs) of veterinarians. This report describes the development of an innovative model for teaching the principles of financial management as they apply to the veterinary practice. Zodiak: The Game of Business Finance and Strategy is a "business literacy" game in which players work together in small teams (generally four people) to run a fictional multi-million-dollar company called Zodiak Industries for three "years" in order to learn principles of business finance and strategy. After finishing the 4.5-hour game, participants spend the rest of the workshop making the right "Connections"-exercises designed to connect what they have learned to business strategies, financial statements, and operational tactics drawn from veterinary practice. Issues addressed for the veterinary practice, with parallels drawn to Zodiak, included return on owner investment in a veterinary practice (vs. salary drawn by owner veterinarians); pricing (setting prices, price elasticity of demand, and relationships between volume, quality, and price); human resources and operations management as they relate to profitability and efficiency; cash flow and management of accounts receivable; and commonly used financial benchmarks. Workshop venues have included Michigan State University, The Ohio State University, the University of Illinois, and Purdue University. Financial and in-kind support were provided through partnership with Pharmacia Animal Health (now Pfizer Animal Health) and Hill's Pet Nutrition, Inc. Through course evaluations, participants generally rated the workshop high as an educational experience and indicated that the most important things learned were related to financial management (principles, terminology, and methods). The most enjoyable aspects of the workshop tended to be group discussions, teamwork, the dynamic/interactive environment, and the "game" atmosphere. Based on these experiences, the Zodiak workshop provides a useful model for teaching career development and practice management topics to veterinary students. The business simulation in a workshop format was especially useful for teaching these "non-mainstream" topics, as traditional classroom lecture approaches might not have engaged students sufficiently to achieve effective learning. In addition, the partnership developed between academia and industry offered substantial benefits to both parties. Similar educational approaches should be considered for additional aspects of the non-technical SKAs. PMID:15181601

  3. Healthcare mergers and acquisitions: strategies for consolidation.

    PubMed

    Zuckerman, Alan M

    2011-01-01

    The passage of federal healthcare reform legislation, in combination with other factors, makes it likely that the next few years will be a major period of consolidation for healthcare organizations. This article examines the seven key forces reshaping healthcare delivery--from insurance industry consolidation to cost inflation to the increasing gap between financially strong and struggling providers--and provides advice for organizations on both sides of an acquisition. PMID:21793480

  4. Supernetworks in Healthcare Humanitarian Operations

    E-print Network

    Nagurney, Anna

    Supernetworks in Healthcare and Humanitarian Operations Anna Nagurney Isenberg School of Management of goods as well as services in our globalized Network Economy. Supply chains, in their most fundamental of Supply Chains That We Focus on in This Talk Anna Nagurney Supernetworks #12;Healthcare Supply Chains Anna

  5. Energy management: the only game in town. [Survey of activities at health-care facilities

    Microsoft Academic Search

    1976-01-01

    The United States hopes for independence from foreign oil imports by 1985, but there are many uncertainties. Oil and natural gas currently supply hospitals with 75% of their energy needs. Robert E. Griffiths, energy management specialist of Health Resources Administration at the meeting of the Curtailment Strategies Technical Advisory Committee stated that although there is enough natural gas for hospital

  6. Developing Forensic Mental Healthcare in Kosovo

    PubMed Central

    Salize, Hans Joachim; Lavikainen, Juha; Seppänen, Allan; Gjocaj, Milazim

    2014-01-01

    In many economically struggling societies, forensic psychiatry is still in its initial developmental stages and thus forensic patients pose an ongoing challenge for the healthcare and juridical systems. In this article, we present the various issues and problems that arose when establishing the first forensic psychiatric institute in Kosovo – a country whose population has constantly been reported as suffering from a high psychiatric morbidity due to long-lasting traumatic experiences during the war of 1999. The implementation of a new forensic psychiatric institute in the developing mental healthcare system of Kosovo, still characterized by considerable shortages, required substantial effort on various levels. On the policy and financial level, it was made possible by a clear intent and coordinated commitment of all responsible national stakeholders and authorities, such as the Ministries of Health and Justice, and by the financial contribution of the European Commission. Most decisive in terms of the success of the project was capacity building in human resources, i.e., the recruitment and training of motivated staff. Training included essential clinical and theoretical issues as well as clearly defined standard operation procedures, guidelines, and checklists to aid daily routine work and the management of challenging situations. PMID:24779004

  7. Developing forensic mental healthcare in kosovo.

    PubMed

    Salize, Hans Joachim; Lavikainen, Juha; Seppänen, Allan; Gjocaj, Milazim

    2014-01-01

    In many economically struggling societies, forensic psychiatry is still in its initial developmental stages and thus forensic patients pose an ongoing challenge for the healthcare and juridical systems. In this article, we present the various issues and problems that arose when establishing the first forensic psychiatric institute in Kosovo - a country whose population has constantly been reported as suffering from a high psychiatric morbidity due to long-lasting traumatic experiences during the war of 1999. The implementation of a new forensic psychiatric institute in the developing mental healthcare system of Kosovo, still characterized by considerable shortages, required substantial effort on various levels. On the policy and financial level, it was made possible by a clear intent and coordinated commitment of all responsible national stakeholders and authorities, such as the Ministries of Health and Justice, and by the financial contribution of the European Commission. Most decisive in terms of the success of the project was capacity building in human resources, i.e., the recruitment and training of motivated staff. Training included essential clinical and theoretical issues as well as clearly defined standard operation procedures, guidelines, and checklists to aid daily routine work and the management of challenging situations. PMID:24779004

  8. Managing the financial risk of low water levels in Great Lakes with index-based contracts

    NASA Astrophysics Data System (ADS)

    Meyer, E.; Characklis, G. W.; Brown, C. M.; Moody, P.

    2014-12-01

    Low water levels in the Great Lakes have recently had significant financial impacts on the region's commercial shipping, responsible for transporting millions of dollars' worth of bulk goods each year. Low lake levels can significantly affect shipping firms, as cargo capacity is a function of draft, or the distance between water level and the ship's bottom. Draft increases with weight, and lower lake levels force ships to reduce cargo to prevent running aground in shallow harbors, directly impacting the finances of shipping companies. Risk transfer instruments may provide adaptable, yet unexplored, alternatives for managing these financial risks, at significantly less expense than more traditional solutions (e.g., dredging). Index-based financial instruments can be particularly attractive as contract payouts are directly linked to well-defined transparent metrics (e.g., lake levels), eliminating the need for subjective adjustors, as well as concerns over moral hazard. In developing such instruments, a major challenge is identifying an index that is well correlated with financial losses, and thus a contract that reliably pays out when losses are experienced (low basis risk). In this work, a relationship between lake levels and shipping revenues is developed, and actuarial analyses of the frequency and magnitude of revenue losses is completed using this relationship and synthetic water level data. This analysis is used to develop several types of index-based contracts. A standardized suite of binary contracts is developed, with each indexed to lake levels and priced according to predefined thresholds. These are combined to form portfolios with different objectives (e.g. options, collars), with optimal portfolio structure and length of coverage determined by limiting basis risk and contract cost, using simulations over the historic dataset. Results suggest that portfolios of these binary contracts can substantially reduce the risk of financial losses during periods of low lake level at a cost of only 1-3% of total revenues.

  9. Independent management and financial review, Yucca Mountain Project, Nevada. Final report, Appendix

    SciTech Connect

    NONE

    1995-07-15

    The Nuclear Waste Policy Act of 1982 (Public Law 97-425), as amended by Public Law 100-203, December 22, 1987, established the Office of Civilian Radioactive Waste Management (OCRWM) within the Department of Energy (DOE), and directed the Office to investigate a site at Yucca Mountain, Nevada, to determine if this site is suitable for the construction of a repository for the disposal of high level nuclear waste. Work on site characterization has been under way for several years. Thus far, about $1.47 billion have been spent on Yucca Mountain programs. This work has been funded by Congressional appropriations from a Nuclear Waste Fund to which contributions have been made by electric utility ratepayers through electric utilities generating power from nuclear power stations. The Secretary of Energy and the Governor of the State of Nevada have appointed one person each to a panel to oversee an objective, independent financial and management evaluation of the Yucca Mountain Project. The Requirements for the work will include an analysis of (1) the Yucca Mountain financial and, contract management techniques and controls; (2) Project schedules and credibility of the proposed milestones; (3) Project organizational effectiveness and internal planning processes, and (4) adequacy of funding levels and funding priorities, including the cost of infrastructure and scientific studies. The recipient will provide monthly progress report and the following reports/documents will be presented as deliverables under the contract: (1) Financial and Contract Management Preliminary Report; (2) Project Scheduling Preliminary Report; (3)Project Organizational Effectiveness Preliminary Report; (4) Project Funding Levels and Funding Priorities Preliminary Report; and (5) Final Report.

  10. Healthcare Cost Savings Estimator Tool for Chronic Disease Self-Management Program: A New Tool for Program Administrators and Decision Makers

    PubMed Central

    Ahn, SangNam; Smith, Matthew Lee; Altpeter, Mary; Post, Lindsey; Ory, Marcia G.

    2015-01-01

    Chronic disease self-management education (CDSME) programs have been delivered to more than 100,000 older Americans with chronic conditions. As one of the Stanford suite of evidence-based CDSME programs, the chronic disease self-management program (CDSMP) has been disseminated in diverse populations and settings. The objective of this paper is to introduce a practical, universally applicable tool to assist program administrators and decision makers plan implementation efforts and make the case for continued program delivery. This tool was developed utilizing data from a recent National Study of CDSMP to estimate national savings associated with program participation. Potential annual healthcare savings per CDSMP participant were calculated based on averted emergency room visits and hospitalizations. While national data can be utilized to estimate cost savings, the tool has built-in features allowing users to tailor calculations based on their site-specific data. Building upon the National Study of CDSMP’s documented potential savings of $3.3 billion in healthcare costs by reaching 5% of adults with one or more chronic conditions, two heuristic case examples were also explored based on different population projections. The case examples show how a small county and large metropolitan city were not only able to estimate healthcare savings ($38,803 for the small county; $732,290 for the large metropolitan city) for their existing participant populations but also to project significant healthcare savings if they plan to reach higher proportions of middle-aged and older adults. Having a tool to demonstrate the monetary value of CDSMP can contribute to the ongoing dissemination and sustainability of such community-based interventions. Next steps will be creating a user-friendly, internet-based version of Healthcare Cost Savings Estimator Tool: CDSMP, followed by broadening the tool to consider cost savings for other evidence-based programs. PMID:25964946

  11. A Collaborative Approach to Identifying Effective Incentives for Mental Health Clinicians to Improve Depression Care in a Large Managed Behavioral Healthcare Organization

    Microsoft Academic Search

    Lisa S. MeredithRobert; Robert B. Branstrom; Francisca Azocar; Ruth Fikes; Susan L. Ettner

    2011-01-01

    This descriptive study used stakeholder input to prioritize evidence-based strategies for improving depression care and to\\u000a select incentives for mental health clinicians to adopt those strategies, and to conduct a feasibility test of an incentive-based\\u000a program in a managed behavioral healthcare organization (MBHO). In two rounds of interviews and a stakeholder meeting, MBHO\\u000a administrators and clinicians selected increasing combination treatment

  12. MARISSA REYES -Department Administrator SARAH MCCARTHY -Dean's Office Sr. Personnel Analyst PAM MCDONALD -Graduate Affairs Coordinator Financial Management Faculty Recruitment Graduate Student Recruitment

    E-print Network

    Rose, Michael R.

    Personnel-related Services Class Schedules Space & Equipment Management Summer Sessions Graduate MCDONALD - Graduate Affairs Coordinator Financial Management Faculty Recruitment Graduate Student & Review Personnel Administration Continuing Graduate Student Coordination Staff Personnel Management

  13. Electronic Health in Perspective of Healthcare Managers: A Qualitative Study in South of Iran

    PubMed Central

    BASTANI, Peivand; ABOLHASANI, Nazanin; SHAARBAFCHIZADEH, Nasrin

    2014-01-01

    Abstract Background The important role of electronic health as well as importance of health care systems awareness and readiness may lead to develop the essential infrastructures for electronic health especially in developing countries. This study aims to investigate goals, gains, applications, challenges and other important issues related to success performance of electronic health. Method This research proposed a grounded theory in a qualitative design and a purposive sampling was used to select participants which consisted of 28 hospital managers and staff field managers working in deputy of health and curative affairs of Medical Science Universities in south of Iran. Semi structured interviews were conducted using a topic guide and intended themes derived from the results using Max QDA software during five steps. Results Nine themes through interviewees” viewpoints were made up as followed: Electronic health definition, necessity and importance of electronic health, electronic health advantages, relationship between electronic health and internet, physicians” opposition to electronic health, prerequisites for electronic health, solutions for applying electronic health plan, factors affecting electronic health acceptance in society and electronic health system challenges. Conclusion It seems that there are good circumstances in the south medical universities about settlement and implementations of electronic health and their managers are aware of its advantages, importance and necessities. The present findings implicate that these organizations should consider the user friendly and probable resistances of the present clients, in this regard it is suggested that the used technology must be accepted by users, having standard base, inexpensive and simple enough while less vulnerable in response to changes. PMID:26110152

  14. Characteristics of healthcare wastes

    SciTech Connect

    Diaz, L.F. [CalRecovery, Inc., Concord, California (United States)], E-mail: ludiaz@calrecovery.com; Eggerth, L.L. [CalRecovery, Inc., Concord, California (United States); Enkhtsetseg, Sh. [Ministry of Health, Ulaanbaatar (Mongolia); Savage, G.M. [CalRecovery, Inc., Concord, California (United States)

    2008-07-01

    A comprehensive understanding of the quantities and characteristics of the material that needs to be managed is one of the most basic steps in the development of a plan for solid waste management. In this case, the material under consideration is the solid waste generated in healthcare facilities, also known as healthcare waste. Unfortunately, limited reliable information is available in the open literature on the quantities and characteristics of the various types of wastes that are generated in healthcare facilities. Thus, sound management of these wastes, particularly in developing countries, often is problematic. This article provides information on the quantities and properties of healthcare wastes in various types of facilities located in developing countries, as well as in some industrialized countries. Most of the information has been obtained from the open literature, although some information has been collected by the authors and from reports available to the authors. Only data collected within approximately the last 15 years and using prescribed methodologies are presented. The range of hospital waste generation (both infectious and mixed solid waste fractions) varies from 0.016 to 3.23 kg/bed-day. The relatively wide variation is due to the fact that some of the facilities surveyed in Ulaanbaatar include out-patient services and district health clinics; these facilities essentially provide very basic services and thus the quantities of waste generated are relatively small. On the other hand, the reported amount of infectious (clinical, yellow bag) waste varied from 0.01 to 0.65 kg/bed-day. The characteristics of the components of healthcare wastes, such as the bulk density and the calorific value, have substantial variability. This literature review and the associated attempt at a comparative analysis point to the need for worldwide consensus on the terms and characteristics that describe wastes from healthcare facilities. Such a consensus would greatly facilitate comparative analyses among different facilities, studies and countries.

  15. Emerging communities of child-healthcare practice in the management of long-term conditions such as chronic kidney disease: qualitative study of parents’ accounts

    PubMed Central

    2014-01-01

    Background Parents of children and young people with long-term conditions who need to deliver clinical care to their child at home with remote support from hospital-based professionals, often search the internet for care-giving information. However, there is little evidence that the information available online was developed and evaluated with parents or that it acknowledges the communities of practice that exist as parents and healthcare professionals share responsibility for condition management. Methods The data reported here are part of a wider study that developed and tested a condition-specific, online parent information and support application with children and young people with chronic-kidney disease, parents and professionals. Semi-structured interviews were conducted with 19 fathers and 24 mothers who had recently tested the novel application. Data were analysed using Framework Analysis and the Communities of Practice concept. Results Evolving communities of child-healthcare practice were identified comprising three components and several sub components: (1) Experiencing (parents making sense of clinical tasks) through Normalising care, Normalising illness, Acceptance & action, Gaining strength from the affected child and Building relationships to formalise a routine; (2) Doing (Parents executing tasks according to their individual skills) illustrated by Developing coping strategies, Importance of parents’ efficacy of care and Fear of the child’s health failing; and (3) Belonging/Becoming (Parents defining task and group members’ worth and creating a personal identity within the community) consisting of Information sharing, Negotiation with health professionals and Achieving expertise in care. Parents also recalled factors affecting the development of their respective communities of healthcare practice; these included Service transition, Poor parent social life, Psycho-social affects, Family chronic illness, Difficulty in learning new procedures, Shielding and avoidance, and Language and cultural barriers. Health care professionals will benefit from using the communities of child-healthcare practice model when they support parents of children with chronic kidney disease. Conclusions Understanding some of the factors that may influence the development of communities of child-healthcare practice will help professionals to tailor information and support for parents learning to manage their child’s healthcare. Our results are potentially transferrable to professionals managing the care of children and young people with other long-term conditions. PMID:25001236

  16. Do managers intentionally use repurchase tender offers to signal private information? Evidence from firm financial reporting behavior

    Microsoft Academic Search

    Henock Louis; Hal White

    2007-01-01

    Signaling is the most commonly cited explanation for stock repurchases in the academic literature. Yet, there is little evidence on whether managers intentionally use repurchases as signaling devices. Using a firm's financial reporting behavior to infer managerial intent, we find evidence suggesting that managers intentionally use fixed-price repurchase tender offers to signal undervaluation. In contrast, we find no evidence that

  17. Implementation of 5S management method for lean healthcare at a health center in Senegal: a qualitative study of staff perception

    PubMed Central

    Kanamori, Shogo; Sow, Seydou; Castro, Marcia C.; Matsuno, Rui; Tsuru, Akiko; Jimba, Masamine

    2015-01-01

    Background 5S is a lean method for workplace organization; it is an abbreviation representing five Japanese words that can be translated as sort, set in order, shine, standardize, and sustain. The 5S management method has been recognized recently as a potential solution for improving the quality of government healthcare services in low- and middle-income countries. Objective To assess how the 5S management method creates changes in the workplace and in the process and outcomes of healthcare services, and how it can be applicable in a resource-poor setting, based on data from a pilot intervention of the 5S program implemented in a health facility in Senegal. Design In this qualitative study, we interviewed 21 health center staff members 1 year after the pilot intervention. We asked them about their views on the changes brought on by the 5S program in their workplace, daily routines, and services provided. We then transcribed interview records and organized the narrative information by emerging themes using thematic analysis in the coding process. Results Study participants indicated that, despite resource constraints and other demotivating factors present at the health center, the 5S program created changes in the work environment, including fewer unwanted items, improved orderliness, and improved labeling and directional indicators of service units. These efforts engendered changes in the quality of services (e.g. making services more efficient, patient-centered, and safe), and in the attitude and behavior of staff and patients. Conclusions The pilot intervention of the 5S management method was perceived to have improved the quality of healthcare services and staff motivation in a resource-poor healthcare facility with a disorderly work environment in Senegal. Quantitative and qualitative research based on a larger-scale intervention would be needed to elaborate and validate these findings and to identify the cost-effectiveness of such intervention in low- and middle-income countries. PMID:25854781

  18. The status of TQM in healthcare.

    PubMed

    Yasin, M M; Meacham, K A; Alavi, J

    1998-01-01

    The face of the healthcare industry has changed dramatically over the last few years. This study examines the literature related to Total Quality Management (TQM) and Benchmarking (BM) applications in healthcare. Recommendations for healthcare managers and administrators, as they chart operational and strategic directions for their organization, are provided. In this context, a conceptual framework which stresses the significance of viewing the healthcare organization as an open system is provided. The framework underscores the fact that TQM and BM efforts should not be viewed in isolation. Rather, these efforts should be viewed as an integral part of the operational and strategic facets of the healthcare organization. PMID:10181447

  19. Hospital-based healthcare provider (nurse and physician) integration into an emergency medical services–managed mass-gathering event

    Microsoft Academic Search

    Christian Martin-Gill; William J. Brady; Kevin Barlotta; Anthony Yoder; Allen Williamson; Benjamin Sojka; Dayton Haugh; Marcus L. Martin; Marge Sidebottom; Leonard Sandridge

    2007-01-01

    IntroductionThis report describes not only the implementation of a coordinated emergency medical services–hospital–based healthcare team but also investigates the integration of nurse-physician teams at a mass gathering medical care event.

  20. Alerts for Healthcare Process and Data Integration

    Microsoft Academic Search

    Dickson K. W. Chiu; Benny W. C. Kwok; Ray L. S. Wong; Shing-chi Cheung; Eleanna Kafeza; Marina Kafeza

    2004-01-01

    In healthcare chain workflow management, urgent re- quests and critical messages in these systems (referred to as alerts) have to be delivered and handled timely. Pres- ently, most systems cannot address urgency and alerts are often handled in an ad-hoc manner. In this paper, we pro- pose a sophisticated alert management system (AMS) for effective healthcare chain workflow management under

  1. 2012 National Healthcare Quality and Disparities Reports

    MedlinePLUS

    ... Research Policies Grant Application, Review & Award Process Post-award Grant Management Funding Priorities & ... The U.S. Government's Official Web Portal Agency for Healthcare Research and Quality ...

  2. Rich internet application system for patient-centric healthcare data management using handheld devices.

    PubMed

    Constantinescu, L; Pradana, R; Kim, J; Gong, P; Fulham, Michael; Feng, D

    2009-01-01

    Rich Internet Applications (RIAs) are an emerging software platform that blurs the line between web service and native application, and is a powerful tool for handheld device deployment. By democratizing health data management and widening its availability, this software platform has the potential to revolutionize telemedicine, clinical practice, medical education and information distribution, particularly in rural areas, and to make patient-centric medical computing a reality. In this paper, we propose a telemedicine application that leverages the ability of a mobile RIA platform to transcode, organise and present textual and multimedia data, which are sourced from medical database software. We adopted a web-based approach to communicate, in real-time, with an established hospital information system via a custom RIA. The proposed solution allows communication between handheld devices and a hospital information system for media streaming with support for real-time encryption, on any RIA enabled platform. We demonstrate our prototype's ability to securely and rapidly access, without installation requirements, medical data ranging from simple textual records to multi-slice PET-CT images and maximum intensity (MIP) projections. PMID:19963888

  3. Financial sustainability in municipal solid waste management--costs and revenues in Bahir Dar, Ethiopia.

    PubMed

    Lohri, Christian Riuji; Camenzind, Ephraim Joseph; Zurbrügg, Christian

    2014-02-01

    Providing good solid waste management (SWM) services while also ensuring financial sustainability of the system continues to be a major challenge in cities of developing countries. Bahir Dar in northwestern Ethiopia outsourced municipal waste services to a private waste company in 2008. While this institutional change has led to substantial improvement in the cleanliness of the city, its financial sustainability remains unclear. Is the private company able to generate sufficient revenues from their activities to offset the costs and generate some profit? This paper presents a cost-revenue analysis, based on data from July 2009 to June 2011. The analysis reveals that overall costs in Bahir Dar's SWM system increased significantly during this period, mainly due to rising costs related to waste transportation. On the other hand, there is only one major revenue stream in place: the waste collection fee from households, commercial enterprises and institutions. As the efficiency of fee collection from households is only around 50%, the total amount of revenues are not sufficient to cover the running costs. This results in a substantial yearly deficit. The results of the research therefore show that a more detailed cost structure and cost-revenue analysis of this waste management service is important with appropriate measures, either by the privates sector itself or with the support of the local authorities, in order to enhance cost efficiency and balance the cost-revenues towards cost recovery. Delays in mitigating the evident financial deficit could else endanger the public-private partnership (PPP) and lead to failure of this setup in the medium to long term, thus also endangering the now existing improved and currently reliable service. We present four options on how financial sustainability of the SWM system in Bahir Dar might be enhanced: (i) improved fee collection efficiency by linking the fees of solid waste collection to water supply; (ii) increasing the value chain by sales of organic waste recycling products; (iii) diversifying revenue streams and financing mechanisms (polluter-pays-, cross-subsidy- and business-principles); and (iv) cost reduction and improved cost-effectiveness. We argue that in a PPP setup such as in Bahir Dar, a strong alliance between the municipality and private enterprise is important so that appropriate solutions for improved financial sustainability of a SWM system can be sought and implemented. PMID:24246579

  4. Engineering BSc -180 ECTS programs -emphasis on preparation for further studies at MSc/PhD level Financial Engineering Engineering Management Biomedical Engineering Mechatronics Engineering Mechanical Engineering

    E-print Network

    Karlsson, Brynjar

    Financial Engineering Engineering Management Biomedical Engineering Mechatronics Engineering Mechanical-HEIL Physics III T-411-MECH Mechatronics I T-536-RENN Fluid Dynamics **Engineering course **Engineering

  5. What to expect when you're evaluating healthcare improvement: a concordat approach to managing collaboration and uncomfortable realities

    PubMed Central

    Aveling, Emma-Louise; Martin, Graham; Tarrant, Carolyn; Dixon-Woods, Mary; Barber, Nick

    2015-01-01

    Evaluation of improvement initiatives in healthcare is essential to establishing whether interventions are effective and to understanding how and why they work in order to enable replication. Although valuable, evaluation is often complicated by tensions and friction between evaluators, implementers and other stakeholders. Drawing on the literature, we suggest that these tensions can arise from a lack of shared understanding of the goals of the evaluation; confusion about roles, relationships and responsibilities; data burdens; issues of data flows and confidentiality; the discomforts of being studied and the impact of disappointing or otherwise unwelcome results. We present a possible approach to managing these tensions involving the co-production and use of a concordat. We describe how we developed a concordat in the context of an evaluation of a complex patient safety improvement programme known as Safer Clinical Systems Phase 2. The concordat development process involved partners (evaluators, designers, funders and others) working together at the outset of the project to agree a set of principles to guide the conduct of the evaluation. We suggest that while the concordat is a useful resource for resolving conflicts that arise during evaluation, the process of producing it is perhaps even more important, helping to make explicit unspoken assumptions, clarify roles and responsibilities, build trust and establish open dialogue and shared understanding. The concordat we developed established some core principles that may be of value for others involved in evaluation to consider. But rather than seeing our document as a ready-made solution, there is a need for recognition of the value of the process of co-producing a locally agreed concordat in enabling partners in the evaluation to work together effectively. PMID:25838466

  6. An expanded surgical suture and needle evaluation and selection program by a healthcare resource management group purchasing organization.

    PubMed

    Szarmach, Robin R; Livingston, Jean; Edlich, Richard E

    2003-01-01

    The purpose of this report is to describe an expanded suture and needle clinical evaluation program jointly designed by hospital representatives of Consorta, Inc. (Rolling Meadows, Illinois), a leading healthcare resource management and group purchasing organization, and United States Surgical/Davis & Geck Sutures (Division of United States Surgical, Norwalk, Connecticut). In this expanded evaluation program, 42 Consorta shareholder hospitals enrolled 1913 surgeons to participate in Phase II of this non-experimental observational study of the clinical performance of surgical needles and sutures. Performance characteristics of the sutures and needles produced by USS/DG that were evaluated in 25,545 surgical procedures included packaging/ease of opening, needle strength and sharpness, tissue drag, knot security, tensile strength, clinically acceptable determinations, and clinically unacceptable determinations. In these 30-day studies, the surgeons found that the needles and sutures were clinically acceptable in 98.1% of the evaluations. The general, cardiothoracic, and orthopedic surgeons who performed 61.2% of the product evaluations reported that the suture and needle products were clinically acceptable in 98.2% of the evaluations. Nearly half (49.2%) of the evaluations involved the POLYSORB* braided synthetic sutures that received a clinically acceptable rating in 98.2% of the evaluation. The silk suture (SOFSILK*), followed by the monofilament nylon suture (MONOSOF*), were the next most frequently used sutures. The SOFSILK* was found to be clinically acceptable in 99.2% of the evaluations, while MONOSOF* was noted to be clinically acceptable in 98.7% of the evaluations. Surgical needles made by USS/DG Sutures also had a high rating of clinical acceptability (97.9%). PMID:14516182

  7. 44 CFR Appendix A to Part 62 - Federal Emergency Management Agency, Federal Insurance Administration, Financial Assistance...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...Insurance Administration, Financial Assistance/Subsidy Arrangement...30. The FIA shall provide financial assistance only for policy...re-subscription to this Financial Assistance/Subsidy Arrangement...participation, the FIA, at its option, may require the...

  8. Relation of people-centered public health and person-centered healthcare management: a case study to reduce burn-out

    PubMed Central

    Stoyanov, Drozdstoj S.; Cloninger, C. Robert

    2013-01-01

    Healthcare management is one practical tool for mediation and implementation of public health into clinical healthcare outcomes and is taken in our case study as an exemplar arena to demonstrate the vital importance of the person-centered approach. Healthcare personnel are frequently at risk for the ‘burn-out’ syndrome. However, modern measures of burn-out recognize burn-out only at a late stage when it is fully developed. There are no available methods to assess the risk for vulnerability to burnout in healthcare systems. Our aim was therefore to design a complex person-centered model for detection of high risk for burn-out at an early stage, that has been termed ‘flame-out’. We accept the observation that decreased personal performance is one crucial expression of burn-out. Low personal performance and negative emotions are strongly related to low self-directedness as measured by the Temperament and Character Inventory (TCI). At the same time, burn-out is characterized by decreased interest and positive emotions from work. Decreased positive emotion is directly related to low self-transcendence as measured by the TCI. Burn-out is also frequently associated with feelings of social alienation or inadequacy of support, which is in turn related to low TCI Cooperativeness. However, high Persistence and Harm Avoidance are predisposing traits for burn-out in healthcare professionals who are often overly perfectionistic and compulsive, predisposing them to anxiety, depression, suicide and burn-out. Hence, people at risk for future burn-out are often highly conscientious over-achievers with intense mixtures of positive and negative emotions. The high demand for perfection comes from both intrinsic characteristics and from features of the social milieu in their psychological climate. Letting go of the unfulfillable desire to be perfect by increasing self-transcendence allows acceptance of the imperfection of the human condition, thereby preventing burn-out and other negative emotions while promoting positive emotions and work in the service of others. Hence, we can evaluate vulnerable populations via a person-centered diagnostic method using the TCI and also relate wellbeing to the psychological climate of the work place. The proposed diathesis-stress model can directly impact on the management of human resources and related decision-making. The introduction of such person-centered assessments can encourage and improve public health outcomes by promoting the personal wellbeing of healthcare employees. PMID:24163731

  9. Standard Nine: Financial Resources

    E-print Network

    Snider, Barry B.

    105 Standard Nine: Financial Resources Overview The 1996 NEASC team report was critical of Brandeis. Managers have access to online budget reports, which can be run from the financial system in real time's financial management, and focused on the need to increase financial resources, improve faculty and staff

  10. Application of system dynamics for developing financially self-sustaining management policies for water and wastewater systems.

    PubMed

    Rehan, R; Knight, M A; Haas, C T; Unger, A J A

    2011-10-15

    Recently enacted regulations in Canada and elsewhere require water utilities to be financially self-sustaining over the long-term. This implies full cost recovery for providing water and wastewater services to users. This study proposes a new approach to help water utilities plan to meet the requirements of the new regulations. A causal loop diagram is developed for a financially self-sustaining water utility which frames water and wastewater network management as a complex system with multiple interconnections and feedback loops. The novel System Dynamics approach is used to develop a demonstration model for water and wastewater network management. This is the first known application of System Dynamics to water and wastewater network management. The network simulated is that of a typical Canadian water utility that has under invested in maintenance. Model results show that with no proactive rehabilitation strategy the utility will need to substantially increase its user fees to achieve financial sustainability. This increase is further exacerbated when price elasticity of water demand is considered. When the utility pursues proactive rehabilitation, financial sustainability is achieved with lower user fees. Having demonstrated the significance of feedback loops for financial management of water and wastewater networks, the paper makes the case for a more complete utility model that considers the complexity of the system by incorporating all feedback loops. PMID:21802109

  11. [Management of financial resources of permanent education in health: challenge of the in-service learning integration committees].

    PubMed

    Ferraz, Fabiane; Backes, Vânia Marli Schubert; Mercado-Martinez, Francisco Javier; Feuerwerker, Laura Camargo Macruz; Lino, Mônica Motta

    2013-06-01

    Despite adhering to the dynamics established in the Management Pact, the use of financial resources of Permanent Education in Health (PEH) still features as a problem in Brazil. This study analyzes how the management of these financial resources by two Permanent In-Service Learning Integration Committees (ICLS) evolves in the State of Santa Catarina, Brazil. It involves a qualitative, participatory research study adapted from Paulo Freire's Thematic Research conducted with 56 members from two ICLS between May and December 2009. After setting up the research groups, the members participated in the stages of theme generation surveys, encoding, decoding, and critical exposition of the reality. Participant observation and dialogue were the main data collection techniques. The results indicate that the two ICLS are not dissimilar in terms of issues of management of resources destined for policy, with bureaucracy, the indefinition of forms of financial management and delays that permeate regional structures responsible for resource management being the main factors detected. The participants considered the elaboration of PEH actions in the management of financial resources at state level to be the main opportunities for change. PMID:23752535

  12. Improving the network management of integrated primary mental healthcare for older people in a rural Australian region: protocol for a mixed methods case study

    PubMed Central

    Fuller, Jeffrey; Oster, Candice; Dawson, Suzanne; O'Kane, Deb; Lawn, Sharon; Henderson, Julie; Gerace, Adam; Reed, Richard; Nosworthy, Ann; Galley, Philip; McPhail, Ruth; Cochrane, Eimear Muir

    2014-01-01

    Introduction An integrated approach to the mental healthcare of older people is advocated across health, aged care and social care sectors. It is not clear, however, how the management of integrated servicing should occur, although interorganisational relations theory suggests a reflective network approach using evaluation feedback. This research will test a network management approach to help regional primary healthcare organisations improve mental health service integration. Methods and analysis This mixed methods case study in rural South Australia will test facilitated reflection within a network of health and social care services to determine if this leads to improved integration. Engagement of services will occur through a governance group and a series of three 1-day service stakeholder workshops. Facilitated reflection and evaluation feedback will use information from a review of health sector and local operational policies, a network survey about current service links, gaps and enablers and interviews with older people and their carers about their help seeking journeys. Quantitative and qualitative analysis will describe the policy enablers and explore the current and ideal links between services. The facilitated reflection will be developed to maximise engagement of senior management in the governance group and the service staff at the operational level in the workshops. Benefit will be assessed through indicators of improved service coordination, collective ownership of service problems, strengthened partnerships, agreed local protocols and the use of feedback for accountability. Ethics, benefits and dissemination Ethics approval will deal with the sensitivities of organisational network research where data anonymity is not preserved. The benefit will be the tested utility of a facilitated reflective process for a network of health and social care services to manage linked primary mental healthcare for older people in a rural region. Dissemination will make use of the sectoral networks of the governance group. PMID:25227632

  13. A comparative study on managers’, staffs’ and clients’ viewpoints about organizational and structural obstacles in family planning counseling in health-care centers in Isfahan in 2012

    PubMed Central

    Taheri, Safoura; Ehsanpour, Soheila; Kohan, Shahnaz

    2014-01-01

    Background: Organizational and structural obstacles are a group of major obstacles in achievement of appropriate family planning counseling. Detection of these obstacles from the viewpoint of managers, staffs and clients who are key members in health services providing system is a major step toward appropriate planning to modify or delete this group of obstacles. The present study was conducted with the goal of comparing managers’, staffs’ and clients’ viewpoints about organizational and structural obstacles in family planning counseling in health-care centers in Isfahan in 2012. Materials and Methods: This is a cross-sectional one-step three-group comparative descriptive study conducted on 295 subjects including 59 managers, 110 staffs and 126 clients in medical health-care centers in Isfahan in 2012. Managers and the staffs were selected by census sampling and the clients were recruited through convenient random sampling. The date collection tool was a researcher made questionnaire, which was designed in two sections of fertility and personal characteristics and viewpoint measurement. Descriptive and inferential statistical test were used to analyze the data. Results: The obtained results showed no significant difference between mean scores of viewpoints in three groups of managers, staffs and clients concerning organizational and structural obstacles in family planning counseling (P = 0.677). In addition, most of the managers, staffs and clients reported organizational and structural obstacles as the obstacles in the process of family planning in moderate level. Conclusion: The results showed the necessity of health services managers’ planning to modify or delete organizational and structural obstacles especially the agreed obstacles from the viewpoint of managers, staffs and clients. PMID:24834088

  14. Healthcare fundamentals.

    PubMed

    Kauk, Justin; Hill, Austin D; Althausen, Peter L

    2014-07-01

    In order for a trauma surgeon to have an intelligent discussion with hospital administrators, healthcare plans, policymakers, or any other physicians, a basic understanding of the fundamentals of healthcare is paramount. It is truly shocking how many surgeons are unable to describe the difference between Medicare and Medicaid or describe how hospitals and physicians get paid. These topics may seem burdensome but they are vital to all business decision making in the healthcare field. The following chapter provides further insight about what we call "the basics" of providing medical care today. Most of the topics presented can be applied to all specialties of medicine. It is broken down into 5 sections. The first section is a brief overview of government programs, their influence on care delivery and reimbursement, and past and future legislation. Section 2 focuses on the compliance, care provision, and privacy statutes that regulate physicians who care for Medicare/Medicaid patient populations. With a better understanding of these obligations, section 3 discusses avenues by which physicians can stay informed of current and pending health policy and provides ways that they can become involved in shaping future legislation. The fourth section changes gears slightly by explaining how the concepts of trade restraint, libel, antitrust legislation, and indemnity relate to physician practice. The fifth, and final, section ties all of components together by describing how physician-hospital alignment can be mutually beneficial in providing patient care under current healthcare policy legislation. PMID:24918828

  15. Managing Commercial Tree Species for Timber Production and Carbon Sequestration: Management Guidelines and Financial Returns

    SciTech Connect

    Gary D. Kronrad

    2006-09-19

    A carbon credit market is developing in the United States. Information is needed by buyers and sellers of carbon credits so that the market functions equitably and efficiently. Analyses have been conducted to determine the optimal forest management regime to employ for each of the major commercial tree species so that profitability of timber production only or the combination of timber production and carbon sequestration is maximized. Because the potential of a forest ecosystem to sequester carbon depends on the tree species, site quality and management regimes utilized, analyses have determined how to optimize carbon sequestration by determining how to optimally manage each species, given a range of site qualities, discount rates, prices of carbon credits and other economic variables. The effects of a carbon credit market on the method and profitability of forest management, the cost of sequestering carbon, the amount of carbon that can be sequestered, and the amount of timber products produced has been determined.

  16. Estimating lifetime healthcare costs with morbidity data

    PubMed Central

    2013-01-01

    Background In many developed countries, the economic crisis started in 2008 producing a serious contraction of the financial resources spent on healthcare. Identifying which individuals will require more resources and the moment in their lives these resources have to be allocated becomes essential. It is well known that a small number of individuals with complex healthcare needs consume a high percentage of health expenditures. Conversely, little is known on how morbidity evolves throughout life. The aim of this study is to introduce a longitudinal perspective to chronic disease management. Methods Data used relate to the population of the county of Baix Empordà in Catalonia for the period 2004–2007 (average population was N?=?88,858). The database included individual information on morbidity, resource consumption, costs and activity records. The population was classified using the Clinical Risk Groups (CRG) model. Future morbidity evolution was simulated under different assumptions using a stationary Markov chain. We obtained morbidity patterns for the lifetime and the distribution function of the random variable lifetime costs. Individual information on acute episodes, chronic conditions and multimorbidity patterns were included in the model. Results The probability of having a specific health status in the future (healthy, acute process or different combinations of chronic illness) and the distribution function of healthcare costs for the individual lifetime were obtained for the sample population. The mean lifetime cost for women was €111,936, a third higher than for men, at €81,566 (all amounts calculated in 2007 Euros). Healthy life expectancy at birth for females was 46.99, lower than for males (50.22). Females also spent 28.41 years of life suffering from some type of chronic disease, a longer period than men (21.9). Conclusions Future morbidity and whole population costs can be reasonably predicted, combining stochastic microsimulation with a morbidity classification system. Potential ways of efficiency arose by introducing a time perspective to chronic disease management. PMID:24156613

  17. Financial Incentives and Physician Commitment to Guideline-Recommended Hypertension Management: A Mixed Methods Approach

    PubMed Central

    Hysong, Sylvia J.; Simpson, Kate; Pietz, Kenneth; SoRelle, Richard; Broussard, Kristen; Petersen, Laura A.

    2014-01-01

    Objective To examine the impact of financial incentives on physician goal commitment to guideline-recommended hypertension care. Study design Clinic-level cluster-randomized controlled trial with four arms: control, individual-, group-, or combined incentives. Intervention arm participants received performance-based incentives every four months for five periods. All participants received guideline education at baseline and audit and feedback every four months. Methods 83 full-time primary care physicians at 12 VA Medical Centers completed web-based survey responses to Hollenbeck’s goal commitment scale every four months and telephone interviews at months 8 and 16. Results Physician goal commitment did not vary over time or across arms. Participants reported patient non-adherence and consistent follow-up as perceived barriers and facilitators to successful hypertension care, suggesting providers may perceive hypertension management as more of a patient responsibility (external locus of control). Conclusions Financial incentives may constitute an insufficiently strong intervention to influence goal commitment when providers attribute performance to external forces beyond their control. PMID:23145846

  18. [Conceptions and typology of conflicts between workers and managers in the context of primary healthcare in the Brazilian Unified National Health System (SUS)].

    PubMed

    Carvalho, Brígida Gimenez; Peduzzi, Marina; Ayres, José Ricardo de Carvalho Mesquita

    2014-07-01

    This study aimed to analyze perceptions of conflict between workers and managers in primary healthcare units and to present a typology of conflicts on the job. This was a comprehensive interpretive case study with a critical hermeneutic approach. Data collection techniques included: focus group with managers, workplace observation, and worker interviews, conducted from April to November 2011. The results were triangulated and indicated the coexistence of distinct concepts of conflict, typified in six modalities: lack of collaboration at work; disrespect resulting from asymmetrical relations between workers; problematic employee behavior; personal problems; asymmetry with other management levels; and inadequate work infrastructure. The relevance of (non)mutual recognition, as proposed by Axel Honneth, stood out in the interpretation of the causes and practical implications of these conflicts. PMID:25166942

  19. Integrating Healthcare Ethical Issues into IS Education

    ERIC Educational Resources Information Center

    Cellucci, Leigh W.; Layman, Elizabeth J.; Campbell, Robert; Zeng, Xiaoming

    2011-01-01

    Federal initiatives are encouraging the increase of IS graduates to work in the healthcare environment because they possess knowledge of datasets and dataset management that are key to effective management of electronic health records (EHRs) and health information technology (IT). IS graduates will be members of the healthcare team, and as such,…

  20. 442 Int. J. Healthcare Technology and Management, Vol. 11, No. 6, 2010 Copyright 2010 Inderscience Enterprises Ltd.

    E-print Network

    Imperial College, London

    .thuemmler@napier.ac.uk Abstract: The precision of location tracking technology has improved greatly over the last few decades. We of recording and then replaying location data provided by a high-precision location tracking system healthcare systems and data storage infrastructures. Derek Bell is the Chair of Acute Medicine at Imperial

  1. Comparison of the Perspectives of Managers, Employees and Clients Regarding the Individual Barriers of Family Planning Counseling in Healthcare Centers of Isfahan in 2012

    PubMed Central

    Taheri, Safoura; Ehsanpour, Soheila; Kohan, Shahnaze; Farzi, Saba; Jaafarpour, Molouk; Direkvand-Moghaddam, Ashraf

    2014-01-01

    Background: Family planning is a lifestyle that is selected voluntarily and is based on the knowledge, attitude and responsible decision making by couples in order to promote the health and welfare of the family and the advancement of the society. In this regard, family planning counseling plays an important role in making informed decisions if used properly and in a responsible way. Detection of individual barriers in family planning counseling based on the viewpoints of managers, employees and clients who are key participants in the healthcare service provision is a major step towards appropriate planning to modify or eliminate such barriers. Objectives: The present study was conducted with the goal of comparing managers’, employees’ and clients’ viewpoints about individual barriers in family planning counseling in health care centers in Isfahan in 2012. Patients and Methods: This was a cross-sectional one-step three-group comparative descriptive study conducted on 295 subjects including 59 managers, 110 employees and 126 clients in medical health care centers in Isfahan in 2012. The managers and employees were selected by census sampling, and the clients were recruited through convenient random sampling. The data collection tool was a researcher-designed questionnaire, which was designed in two sections of fertility and personal characteristics, and viewpoint measurement. Descriptive and inferential statistical tests were used to analyze the data. Results: The obtained results showed significant differences between mean scores of viewpoints in three groups of managers, employees and clients concerning individual barriers in family planning counseling. In addition, most of the managers, employees and clients reported individual barriers as an intermediate level barrier in the process of family planning counseling. Conclusions: Results indicate that subjects in three studied groups hold different views regarding the individual barriers in family planning counseling. This difference in the perspectives may be a factor that affects the quality of the provided services. Therefore, it is necessary for the healthcare providers to consider the main concerns of their clients regarding family planning. PMID:24829779

  2. Detailed requirements document for the Interactive Financial Management System (IFMS), volume 1

    NASA Technical Reports Server (NTRS)

    Dodson, D. B.

    1975-01-01

    The detailed requirements for phase 1 (online fund control, subauthorization accounting, and accounts receivable functional capabilities) of the Interactive Financial Management System (IFMS) are described. This includes information on the following: systems requirements, performance requirements, test requirements, and production implementation. Most of the work is centered on systems requirements, and includes discussions on the following processes: resources authority, allotment, primary work authorization, reimbursable order acceptance, purchase request, obligation, cost accrual, cost distribution, disbursement, subauthorization performance, travel, accounts receivable, payroll, property, edit table maintenance, end-of-year, backup input. Other subjects covered include: external systems interfaces, general inquiries, general report requirements, communication requirements, and miscellaneous. Subjects covered under performance requirements include: response time, processing volumes, system reliability, and accuracy. Under test requirements come test data sources, general test approach, and acceptance criteria. Under production implementation come data base establishment, operational stages, and operational requirements.

  3. Innovation Concepts in Healthcare

    SciTech Connect

    None

    2011-01-06

    AbstractDemographic change and advances in medical science pose increased challenges to healthcare systems globally: The economic basis is aging and thus health is becoming more and more a productivity factor. At the same time, with today’s new communication possibilities the demand and expectations of effective medical treatment have been increased. This presentation will illustrate the need for the “industrialization” of healthcare in order to achieve highest results at limited budgets. Thereby, industrialization is not meaning the medical treatment based on the assembly line approach. Rather it is to recognize the cost of medical care as an investment with respective expectations on the return of the investment. Innovations in imaging and pharmaceutical products as well as in processes - that lead to similar medical results, but with lower efforts - are keys in such scenarios.BiographyProf. Dr. Hermann Requardt, 54, is a member of the Managing Board of Siemens AG and Chief Executive Officer of the Healthcare Sector. In addition he is the CTO of Siemens AG and Head of Corporate Technology, the central research department at Siemens.After completing his studies in physics and philosophy at the Darmstadt University of Technology and Johann Wolfgang Goethe University in Frankfurt and receiving a doctorate in biophysics, he worked at the Institute of Aerospace Medicine at the German Aerospace Center.In 1984 he joined the Medical Technology Group of Siemens AG, where he was responsible for projects in the Magnetic Resonance (MR) division. He was appointed head of the division in 1995. From 2001 to 2006, as a member of the Executive Management of the Medical Solutions Group, he was responsible for several areas, including technological development.In 2006 he became a Member of the Siemens’ Managing Board and head of Corporate Technology. He was additionally appointed as the Sector Healthcare CEO in 2008.Since 2006 he is an honorary professor in physics of the Johann Wolfgang Goethe University in Frankfurt.                                                                                

  4. Innovation Concepts in Healthcare

    ScienceCinema

    None

    2011-04-25

    AbstractDemographic change and advances in medical science pose increased challenges to healthcare systems globally: The economic basis is aging and thus health is becoming more and more a productivity factor. At the same time, with today?s new communication possibilities the demand and expectations of effective medical treatment have been increased. This presentation will illustrate the need for the ?industrialization? of healthcare in order to achieve highest results at limited budgets. Thereby, industrialization is not meaning the medical treatment based on the assembly line approach. Rather it is to recognize the cost of medical care as an investment with respective expectations on the return of the investment. Innovations in imaging and pharmaceutical products as well as in processes - that lead to similar medical results, but with lower efforts - are keys in such scenarios.BiographyProf. Dr. Hermann Requardt, 54, is a member of the Managing Board of Siemens AG and Chief Executive Officer of the Healthcare Sector. In addition he is the CTO of Siemens AG and Head of Corporate Technology, the central research department at Siemens.After completing his studies in physics and philosophy at the Darmstadt University of Technology and Johann Wolfgang Goethe University in Frankfurt and receiving a doctorate in biophysics, he worked at the Institute of Aerospace Medicine at the German Aerospace Center.In 1984 he joined the Medical Technology Group of Siemens AG, where he was responsible for projects in the Magnetic Resonance (MR) division. He was appointed head of the division in 1995. From 2001 to 2006, as a member of the Executive Management of the Medical Solutions Group, he was responsible for several areas, including technological development.In 2006 he became a Member of the Siemens? Managing Board and head of Corporate Technology. He was additionally appointed as the Sector Healthcare CEO in 2008.Since 2006 he is an honorary professor in physics of the Johann Wolfgang Goethe University in Frankfurt.                                                                                

  5. Evaluation of Healthcare IT Applications: The User Acceptance Perspective

    Microsoft Academic Search

    Kai Zheng; Rema Padman; Michael P. Johnson; Herbert S. Diamond

    2007-01-01

    As healthcare costs continue to spiral upward, healthcare institutions are under enormous pressure to create cost efficient systems without risking quality of care. Healthcare IT applications provide considerable promises for achieving this multifaceted goal through managing inofrmation, reducing costs, and facilitating total quality management and continuous quality improvement programs. However, the desired outcome can not be achieved if these applications

  6. Critical Elements and Lessons Learnt from the Implementation of an RFID-enabled Healthcare Management System in a Medical Organization

    Microsoft Academic Search

    S. L. Ting; S. K. Kwok; Albert H. C. Tsang; W. B. Lee

    Healthcare services are complex and life-critical. One mistake in any procedure may lead to irremediable consequences; numerous\\u000a researchers, thus, introduce information and communication technology to improve quality of services and enhance patient safety\\u000a by reducing the medical errors. Radio frequency identification (RFID) is considered as one of the emerging tool assist in\\u000a meeting the challenges of the present situation. In

  7. Reports and Financial Statements

    E-print Network

    Travis, Adrian

    Reports and Financial Statements for the year ending 31July 2009 56 #12;Financial Review of the University may be seen more clearly in the Financial Management Information published in the Reporter Press is given in the annual reports of those entities which are also published. Scope of the financial

  8. Healthcare Systems and Motivation

    PubMed Central

    Loewy, Erich H.

    2007-01-01

    Despite the fact that most American physicians, at least until around the 1970s, stood in the way of developing a universal healthcare system, most are generally not happy with the current state of healthcare – or its lack thereof – today. The primary reasons for this general unhappiness are that insurance companies and managed care have successfully conspired to remove much of the physician's autonomy (via imposed time constraints, burdensome paperwork, the time-consuming chore of having to defend going against stringent treatment algorithms that are often inappropriate for some patients) and the satisfaction of knowing their patients. Few physicians in managed care organizations (MCOs) are able to practice without constant and blindly algorithmic interference concerning the diagnostic tests and therapeutic interventions they order. As copayments have increased, they often find that patients, even though “covered,” cannot afford the therapy they deem necessary. While physicians expect to earn sufficient to pay back their not insignificant educational debts, provide their children with help through college, and assure retirements sufficient for themselves and their spouses, these should not be considered unreasonable expectations. Most physicians today do favor universal healthcare – to the point of having included such language in their various professional codes of ethics (which, perversely enough, bioethicists as a group have failed to do). Contrary to the claims of our colleagues, Altom and Churchill, physicians seem to be genuinely frustrated as to what else they can do to change the current inequitable system. PMID:17435646

  9. Design and evaluation of simulation scenarios for a program introducing patient safety, teamwork, safety leadership, and simulation to healthcare leaders and managers.

    PubMed

    Cooper, Jeffrey B; Singer, Sara J; Hayes, Jennifer; Sales, Michael; Vogt, Jay W; Raemer, Daniel; Meyer, Gregg S

    2011-08-01

    We developed a training program to introduce managers and informal leaders of healthcare organizations to key concepts of teamwork, safety leadership, and simulation to motivate them to act as leaders to improve safety within their sphere of influence. This report describes the simulation scenario and debriefing that are core elements of that program. Twelve teams of clinician and nonclinician managers were selected from a larger set of volunteers to participate in a 1-day, multielement training program. Two simulation exercises were developed: one for teams of nonclinicians and the other for clinicians or mixed groups. The scenarios represented two different clinical situations, each designed to engage participants in discussions of their safety leadership and teamwork issues immediately after the experience. In the scenarios for nonclinicians, participants conducted an anesthetic induction and then managed an ethical situation. The scenario for clinicians simulated a consulting visit to an emergency room that evolved into a problem-solving challenge. Participants in this scenario had a limited time to prepare advice for hospital leadership on how to improve observed safety and cultural deficiencies. Debriefings after both types of scenarios were conducted using principles of "debriefing with good judgment." We assessed the relevance and impact of the program by analyzing participant reactions to the simulation through transcript data and facilitator observations as well as a postcourse questionnaire. The teams generally reported positive perceptions of the relevance and quality of the simulation with varying types and degrees of impact on their leadership and teamwork behaviors. These kinds of clinical simulation exercises can be used to teach healthcare leaders and managers safety leadership and teamwork skills and behaviors. PMID:21642906

  10. An Introduction to Computational Intelligence in Healthcare: New Directions

    Microsoft Academic Search

    M. Sordo; S. Vaidya; L. Jain

    Computational intelligence paradigms offer tremendous advantages in many areas including healthcare, engineering, science\\u000a and management. This chapter presents a brief introduction to computational intelligence in healthcare.

  11. Healthcare succession planning: an integrative review.

    PubMed

    Carriere, Brian K; Muise, Melanie; Cummings, Greta; Newburn-Cook, Chris

    2009-12-01

    Succession planning is a business strategy that has recently gained attention in the healthcare literature, primarily because of nursing shortage concerns and the demand for retaining knowledgeable personnel to meet organizational needs. Little research has been conducted in healthcare settings that clearly defines best practices for succession planning frameworks. To effectively carry out such organizational strategies during these challenging times, an integrative review of succession planning in healthcare was performed to identify consistencies in theoretical approaches and strategies for chief nursing officers and healthcare managers to initiate. Selected articles were compared with business succession planning to determine whether healthcare strategies were similar to best practices already established in business contexts. The results of this integrative review will aid leaders and managers to use succession planning as a tool in their recruitment, retention, mentoring, and administration activities and also provide insights for future development of healthcare succession planning frameworks. PMID:19955970

  12. Pam Pohly's Net Guide: Healthcare Employment Links

    NSDL National Science Digital Library

    Pohly, Pam.

    1998-01-01

    This comprehensive metasite provides extensive links to current job listings in "the healthcare industry (managed care, hospitals, healthcare systems, companies, physician groups, etc.)." Maintained by Pam Pohly, President of her own healthcare consulting firm and graduate student at University of Colorado-Denver, the site offers links to over a hundred job sites featuring teaching jobs for docs, biotech careers, opportunities for anesthesiologists, and a whole host of others.

  13. The effect of an active implementation of a disease management programme for chronic obstructive pulmonary disease on healthcare utilization - a cluster-randomised controlled trial

    PubMed Central

    2013-01-01

    Background The growing population living with chronic conditions calls for efficient healthcare-planning and effective care. Implementing disease-management-programmes is one option for responding to this demand. Knowledge is scarce about the effect of implementation processes and their effect on patients; only few studies have reported the effectiveness of disease-management-programmes targeting patients with chronic obstructive pulmonary disease (COPD). The objective of this paper was to determine the effect on healthcare-utilization of an active implementation model for a disease-management-programme for patients with one of the major multimorbidity diseases, COPD. Methods The standard implementation of a new disease-management-programme for COPD was ongoing during the study-period from November 2008 to November 2010 in the Central Denmark Region. We wanted to test a strategy using Breakthrough Series, academic detailing and lists of patients with COPD. It targeted GPs and three hospitals serving approx. 60,000 inhabitants aged 35 or older and included interventions directed at professionals, organisations and patients. The study was a non-blinded block- and cluster-randomised controlled trial with GP-practices as the unit of randomisation. In Ringkoebing-Skjern Municipality, Denmark, 16 GP-practices involving 38 GPs were randomised to either the intervention-group or the control-group. A comparable neighbouring municipality acted as an external-control-group which included nine GP-practices with 25 GPs. An algorithm based on health-registry-data on lung-related contacts to the healthcare-system identified 2,736 patients who were alive at the end of the study-period. The population included in this study counted 1,372 (69.2%) patients who responded to the baseline questionnaire and confirmed their COPD diagnosis; 458 (33.4%) patients were from the intervention-group, 376 (27.4%) from the control-group and 538(39.2%) from the external-control-group. The primary outcome was adherence to the disease-management-programme measured at patient-level by use of specific services from general practice. Secondary outcomes were use of out-of-hours-services, outpatient-clinic, and emergency-department and hospital-admissions. Results The intervention practices provided more planned preventive consultations, additional preventive consultations and spirometries than non-intervention practices. A comparison of the development in the intervention practices with the development in the control-practices showed that the intervention resulted in more planned preventive-consultations, fewer conventional consultations and fewer patients admitted without a lung-related-diagnosis. Conclusions Use of the active implementation model for the disease-management-programme for COPD changed the healthcare utilization in accordance with the programme. Trial registration Clinicaltrials.gov identifier: NCT01228708. PMID:24090189

  14. Training and Related Efforts Needed to Improve Financial Management in the Third World. Report to the Congress of the United States by the Comptroller General.

    ERIC Educational Resources Information Center

    Comptroller General of the U.S., Washington, DC.

    To identify why developing countries have inadequate abilities to establish sound financial management in the public sector, a study of five Latin American countries in varying developmental stages was conducted. The review of U.S. assistance activities and all other programs designed to provide the countries visited with indigenous financial and…

  15. Cybersecurity and Financial Services

    E-print Network

    Nagurney, Anna

    Cybersecurity and Financial Services Anna Nagurney Isenberg School of Management, University, Boston, Massachusetts March 30 - April 1, 2014 Anna Nagurney Cybersecurity and Financial Services #12;Funding for our project, Cybersecurity Risk Analysis and Investment Optimization, provided by: with Co

  16. Consumer Trust - Challenge for E-healthcare

    Microsoft Academic Search

    Justyna Matysiewicz; Slawomir Smyczek

    2009-01-01

    The evolution of Internet within the last years and the continuous advances in electronic commerce and communication provide exciting opportunities to implement a powerful framework of resources, tools and applications that revolutionize the way in which healthcare institutions interact with their patients, as well as deliver and manage medical services. Internet-based healthcare is the application of information and communication technologies

  17. Understanding Team Learning in a Healthcare Setting

    Microsoft Academic Search

    Carole Chatalalsingh; Glenn Regehr

    The aim of this program of research was to determine how workplace team- learning activities are manifested as specific examples of knowledge management and learning among healthcare team members in the multiprofessional context of an academic healthcare organization. Background A learning organization, as described by Senge (1990), has the promise of holding an advantage over other organizations because of its

  18. A prescription for Lean healthcare.

    PubMed

    Wood, David

    2014-01-01

    The adoption of Lean in the healthcare industry has been an important advancement, and not just for healthcare management. Evidence suggests that Lean can improve labour and capital efficiencies, reduce the throughput time for patients and enhance the quality of care. However, the adoption of Lean has generated large variations in results and even wider-ranging suggestions on how to implement Lean in a healthcare setting. In this article, the author examines three very similar hospitals that implemented Lean in the emergency department during the same time. Through an examination of longitudinal data and a collection of unstructured interviews, the author found that implementation does make a substantial difference to long-term results. Although the presence of strong and persistent leadership can have favourable results on performance in the short term, these performance improvements are not sustainable. To have a long-term impact, healthcare providers need to engage all of the stakeholders in the healthcare system and create a culture that is continuously focused on the improvement of the patient healthcare experience. PMID:25191804

  19. A collaborative approach to identifying effective incentives for mental health clinicians to improve depression care in a large managed behavioral healthcare organization.

    PubMed

    Meredith, Lisa S; Branstrom, Robert B; Azocar, Francisca; Fikes, Ruth; Ettner, Susan L

    2011-05-01

    This descriptive study used stakeholder input to prioritize evidence-based strategies for improving depression care and to select incentives for mental health clinicians to adopt those strategies, and to conduct a feasibility test of an incentive-based program in a managed behavioral healthcare organization (MBHO). In two rounds of interviews and a stakeholder meeting, MBHO administrators and clinicians selected increasing combination treatment (antidepressant plus psychotherapy) rates as the program goal; and paying a bonus for case reviews, clinician feedback, and clinician education as incentives. We assessed program feasibility with case review and clinician surveys from a large independent practice association that contracts with the MBHO. Findings suggest that providing incentives for mental health clinicians is feasible and the incentive program did increase awareness. However, adoption may be challenging because of administrative barriers and limited clinical data available to MBHOs. PMID:20957427

  20. Comparison of Construction Manager at Risk and Integrated Project Delivery Performance on Healthcare Projects: A Comparative Case Study 

    E-print Network

    Bilbo, David; Bigelow, Ben F.; Escamilla, Edelmiro; Lockwood, Christa

    2014-04-03

    delivery methods to DBB (Kulkarni, Rybkowski & Smith, 2012; DeBernard, 2007), however, studies comparing and contrasting them could not be found. Compared to DBB, studies involving both IPD and CMR project delivery methods have reported faster..., especially when compared to DBB (Kulkarni et al., 2012). According to the AIA (2007) traditional delivery methods, such as DBB, suffer in regards to compensation because the project participants’ financial outcome is tied to individual performance...

  1. The Picture of Health (Care): Healthcare Practitioner Education for People and Planet, Based on Comparative Analysis of Rural Medical Waste Management in Ecuador and Native American Reservations in Minnesota, USA

    Microsoft Academic Search

    Blair Brown

    2007-01-01

    An evaluation of healthcare facilities in rural areas of Ecuador and Minnesota, USA shows that medical waste management decisions are often made by people unaware of environmental consequences. Since deteriorating ecosystems adversely affect human health, medical curriculum changes could combat the irony that the health care system contributes to environmental degradation. Thus all practitioners of allopathic medicine should be educated

  2. Managing corporate performance : Investigating the relationship between corporate social responsibility and financial performance in emerging markets

    Microsoft Academic Search

    Güler Aras; Asl? Aybars; Ozlem Kutlu

    2010-01-01

    Purpose – Corporate social responsibility is important and fundamental to the sustainable operations of corporations. Similarly financial performance is undoubtedly fundamental to the continuing operating of any corporation. This paper aims to investigate the relationship between corporate social responsibility and firm financial performance. Design\\/methodology\\/approach – The main part of this paper is based upon an exploration of the relationship between

  3. Should farmers invest in financial assets as a risk management strategy? Some evidence from New Zealand

    Microsoft Academic Search

    Gilbert V. Nartea; Paul Webster

    2008-01-01

    This study explores the potential for risk reduction by New Zealand farmers through the diversification of their farm asset portfolios to include financial investments such as ordinary industrial shares, government bonds and bank bills. Low correlations between rates of return on farm and these financial assets suggest that significant reduction of income variability might follow their inclusion in farmers’ portfolios.

  4. Trustworthiness of Pervasive Healthcare Folders

    E-print Network

    system and a web server in such a device gives the opportunity to manage securely a healthcare folder the world are setting up large scale Electronic Health Record (EHR) systems gathering the medical history of centralizing medical information in database systems is manifoldi : completeness (i.e., to make the information

  5. Engineering a Policy-Based System for Federated Healthcare Databases

    Microsoft Academic Search

    Rafae Bhatti; Arjmand Samuel; Mohamed Y. Eltabakh; Haseeb Amjad; Arif Ghafoor

    2007-01-01

    Policy-based management for federated healthcare systems has recently gained increasing attention due to strict privacy and disclosure rules. Although the work on privacy languages and enforcement mechanisms, such as Hippocratic databases, has advanced our understanding of designing privacy-preserving policies for healthcare databases, the need to integrate these policies in a practical healthcare framework is becoming acute. Additionally, although most work

  6. Towards Improved Privacy Policy Coverage in Healthcare Using Policy Refinement

    Microsoft Academic Search

    Rafae Bhatti; Tyrone Grandison

    2007-01-01

    It is now mandatory for healthcare organizations to specify and publish their privacy policies. This has made privacy management initiatives in the healthcare sector increasingly important. However, sev- eral recent reports in the public media and the research community about healthcare privacy (1,2) indicate that the use of privacy policies is not necessarily a strong indication of adequate privacy protection

  7. An exploration of how clinician attitudes and beliefs influence the implementation of lifestyle risk factor management in primary healthcare: a grounded theory study

    PubMed Central

    Laws, Rachel A; Kemp, Lynn A; Harris, Mark F; Davies, Gawaine Powell; Williams, Anna M; Eames-Brown, Rosslyn

    2009-01-01

    Background Despite the effectiveness of brief lifestyle intervention delivered in primary healthcare (PHC), implementation in routine practice remains suboptimal. Beliefs and attitudes have been shown to be associated with risk factor management practices, but little is known about the process by which clinicians' perceptions shape implementation. This study aims to describe a theoretical model to understand how clinicians' perceptions shape the implementation of lifestyle risk factor management in routine practice. The implications of the model for enhancing practices will also be discussed. Methods The study analysed data collected as part of a larger feasibility project of risk factor management in three community health teams in New South Wales (NSW), Australia. This included journal notes kept through the implementation of the project, and interviews with 48 participants comprising 23 clinicians (including community nurses, allied health practitioners and an Aboriginal health worker), five managers, and two project officers. Data were analysed using grounded theory principles of open, focused, and theoretical coding and constant comparative techniques to construct a model grounded in the data. Results The model suggests that implementation reflects both clinician beliefs about whether they should (commitment) and can (capacity) address lifestyle issues. Commitment represents the priority placed on risk factor management and reflects beliefs about role responsibility congruence, client receptiveness, and the likely impact of intervening. Clinician beliefs about their capacity for risk factor management reflect their views about self-efficacy, role support, and the fit between risk factor management ways of working. The model suggests that clinicians formulate different expectations and intentions about how they will intervene based on these beliefs about commitment and capacity and their philosophical views about appropriate ways to intervene. These expectations then provide a cognitive framework guiding their risk factor management practices. Finally, clinicians' appraisal of the overall benefits versus costs of addressing lifestyle issues acts to positively or negatively reinforce their commitment to implementing these practices. Conclusion The model extends previous research by outlining a process by which clinicians' perceptions shape implementation of lifestyle risk factor management in routine practice. This provides new insights to inform the development of effective strategies to improve such practices. PMID:19825189

  8. An Integrated Healthcare Information System for End-to-End Standardized Exchange and Homogeneous Management of Digital ECG Formats

    Microsoft Academic Search

    Jesús Daniel Trigo; Ignacio Martínez; Álvaro Alesanco; Alexander Kollmann; Javier Escayola; Dieter Hayn; Günter Schreier; José García

    2012-01-01

    This paper investigates the application of the enterprise information system (EIS) paradigm to standardized cardiovascular condition monitoring. There are many specifications in cardiology, particularly in the ECG standardization arena. The existence of ECG formats, however, does not guarantee the implementation of homogeneous, standardized solutions for ECG management. In fact, hospital management services need to cope with various ECG formats and,

  9. Flare frequency, healthcare resource utilisation and costs among patients with gout in a managed care setting: a retrospective medical claims-based analysis

    PubMed Central

    Jackson, Robert; Shiozawa, Aki; Buysman, Erin K; Altan, Aylin; Korrer, Stephanie; Choi, Hyon

    2015-01-01

    Objectives For most gout patients, excruciatingly painful gout attacks are the major clinical burden of the disease. The goal of this study was to assess the association of frequent gout flares with healthcare burden, and to quantify how much lower gout-related costs and resource use are for those with infrequent flares compared to frequent gout flares. Design Retrospective cohort study. Setting Administrative claims data from a large US health plan. Participants Patients aged 18?years or above, and with evidence of gout based on medical and pharmacy claims between January 2009 and April 2012 were eligible for inclusion. Patient characteristics were assessed during a 12-month baseline period. Outcome measures Frequency of gout flares, healthcare costs and resource utilisation were assessed in the 12?months following the first qualifying gout claim. Generalised linear models were employed to assess the impact of flare frequency on cost outcomes after adjusting for covariates. Results 102?703 patients with gout met study inclusion criteria; 89?201 had 0–1 gout flares, 9714 had 2 flares, and 3788 had 3+ flares. Average counts of gout-related inpatient stays, emergency room visits and ambulatory visits were higher among patients with 2 or 3+ flares, compared to those with 0–1 flares (all p<0.001). Adjusted annual gout-related costs were $1804, $3014 and $4363 in those with 0–1, 2 and 3+ gout flares, respectively (p<0.001 comparing 0–1 flares to 2 or 3+ flares). Conclusions Gout-related costs and resource use were lower for those with infrequent flares, suggesting significant cost benefit to a gout management plan that has a goal of reducing flare frequency. PMID:26109113

  10. A primary healthcare approach to the management of chronic disease in Ethiopia: an example for other countries.

    PubMed

    Mamo, Yoseph; Seid, Etalem; Adams, Sarah; Gardiner, Amy; Parry, Eldryd

    2007-06-01

    Chronic non-communicable diseases such as epilepsy, diabetes, cardiac disease and hypertension represent a growing but neglected burden in developing countries. Rural sufferers, distant from health facilities, bear this most acutely. In response, a community care programme has been developed at Jimma University Hospital and its allied health centres in rural southwest Ethiopia. This involves general duty nurses at rural health centres being trained to provide care for chronic disease patients, with regular supervision from the hospital physicians. The programme allows treatment to be provided away from the main hospital so that those who cannot afford to travel can access care near their homes. Improved access increases the request for care, and helps to address the large unmet need for chronic disease treatment. This is a good model in which rural healthcare delivery through a team can bring widespread benefit. In this article chronic disease care is discussed with a particular focus on diabetes and epilepsy. The model can be replicated in more or less developed countries and may also be relevant for HIV care. PMID:17633941

  11. [Road map for health and safety management systems in healthcare facilities, according to the OHSAS 18001:2007 standard].

    PubMed

    Pugliese, F; Albini, E; Serio, O; Apostoli, P

    2011-01-01

    The 81/2008 Act has defined a model of a health and safety management system that can contribute to prevent the occupational health and safety risks. We have developed the structure of a health and safety management system model and the necessary tools for its implementation in health care facilities. The realization of a model is structured in various phases: initial review, safety policy, planning, implementation, monitoring, management review and continuous improvement. Such a model, in continuous evolution, is based on the responsibilities of the different corporate characters and on an accurate analysis of risks and involved norms. PMID:23393831

  12. Data Hemorrhages in the Health-Care Sector

    NASA Astrophysics Data System (ADS)

    Johnson, M. Eric

    Confidential data hemorrhaging from health-care providers pose financial risks to firms and medical risks to patients. We examine the consequences of data hemorrhages including privacy violations, medical fraud, financial identity theft, and medical identity theft. We also examine the types and sources of data hemorrhages, focusing on inadvertent disclosures. Through an analysis of leaked files, we examine data hemorrhages stemming from inadvertent disclosures on internet-based file sharing networks. We characterize the security risk for a group of health-care organizations using a direct analysis of leaked files. These files contained highly sensitive medical and personal information that could be maliciously exploited by criminals seeking to commit medical and financial identity theft. We also present evidence of the threat by examining user-issued searches. Our analysis demonstrates both the substantial threat and vulnerability for the health-care sector and the unique complexity exhibited by the US health-care system.

  13. harvard university financial report

    E-print Network

    harvard university financial report fiscal year 2012 #12;tableofcontents 2 message from the president 3 financial overview 9 message from the ceo of harvard management company 15 report of independent;2 harvarduniversitymessagefromthepresident I write to report Harvard University's financial results for fiscal 2012. June 30, 2012, the close

  14. harvard university financial report

    E-print Network

    harvard university financial report fiscal year 2008 #12;An upperclass student in Kirkland House the president 3 financial highlights 8 annual report of the harvard management company 15 report of independent;2 harvarduniversitymessagefromthepresident I am pleased to present Harvard University's financial report for fiscal 2008. Under very

  15. harvard university financial report

    E-print Network

    harvard university financial report fiscal year 2009 #12;#12;tableofcontents 2 message from the president 3 financial overview 8 annual report of harvard management company 15 report of independent;2 harvarduniversitymessagefromthepresident I write to report Harvard University's financial results for fiscal 2009. The crisis

  16. Managing the strategic capital cycle.

    PubMed

    Kaufman, K

    1997-12-01

    A healthcare organization's financial strategy should be defined within the context of the capital cycle and provide for the management of three critical components that will ensure the expansion and renewal of capital capacity--the design and implementation of the financial plan, the design and implementation of an appropriate capital structure, and a means to strategically utilize capital and reinvest it in the organization. The capital cycle comprises two parts--strategic planning and implementation, and the development of the support infrastructure that includes financial planning, capital structure, and capital allocation. The financial plan positions an organization within an area of financial equilibrium and defines its organizational capabilities. The financial infrastructure gives integrity and momentum to the capital cycle. Capital structure addresses critical funding and financing questions and is best defined as the combination of debt and equity that funds the strategic plan. In regard to capital allocation, healthcare organizations should follow a corporate "best practices" approach for such areas as financial objectives and policies, project review, and the capital expenditures approval process. PMID:10174785

  17. Management of Higher Education with Special Reference to Financial Management in African Institutions. IIEP Contributions, No. 28.

    ERIC Educational Resources Information Center

    Sanyal, Bikas C.; Martin, Michaela

    This review provides a historical overview of available management techniques for higher education. It describes the techniques of Management by Objectives, Zero-Based Budgeting, Strategic Management, and Total Quality Management and the ways they can be applied to higher education. The paper discusses institutional management practices defining…

  18. Going beyond the hero in leadership development: the place of healthcare context, complexity and relationships

    PubMed Central

    Ford, Jackie

    2015-01-01

    There remains a conviction that the torrent of publications and the financial outlay on leadership development will create managers with the skills and characters of perfect leaders, capable of guiding healthcare organisations through the challenges and crises of the 21st century. The focus of much attention continues to be the search for the (illusory) core set of heroic qualities, abilities or competencies that will enable the development of leaders to achieve levels of supreme leadership and organisational performance. This brief commentary adds support to McDonald’s (1) call for recognition of the complexity of the undertaking. PMID:25844391

  19. A consumer-driven healthcare cost control agenda: Health Care for All Inc, and community catalyst.

    PubMed

    2007-01-01

    Health Care For All has drafted comprehensive legislation to control healthcare costs in Massachusetts. The bill, introduced by Senator Mark Montigny and Representative James Marzilli, encompasses 16 provisions that attack the problem of growing healthcare costs from a consumer perspective. We reject proposals that seek to reduce costs by imposing greater expenses on patients, such as high deductible "consumer-directed" plans, or higher copayments or coinsurance. Rather, we support fundamental reforms in financial incentives and care management that both improve quality and reduce costs. We see the ideas in this article and the legislation as the start of a new cost control conversation, not the conclusion. We invite discussion and feedback on our suggestions and encourage others to enter this conversation. PMID:17581427

  20. 76 FR 63351 - Senior Executive Service; Financial Management Service Performance Review Board (PRB)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-12

    ...Business Architecture. Sheryl R. Morrow, Assistant Commissioner, Payment Management. David Rebich, Assistant Commissioner, Govermentwide Accounting. Charles R. Simpson, Acting Assistant Commissioner, Management and CFO. Dated:...

  1. Healthcare Delivery Research Blog

    Cancer.gov

    Skip to main content at the National Institutes of Health | www.cancer.gov Search form Search Search Healthcare Delivery Research Blog Toggle navigation Healthcare Delivery Research Blog Home Blog Purpose and Policies About HDRP Contact Us Subscribe

  2. Possibilities for Healthcare Computing

    E-print Network

    Szolovits, Peter

    Advances in computing technology promise to aid in achieving the goals of healthcare. We review how such changes can support each of the goals of healthcare as identified by the U.S. Institute of Medicine: safety, ...

  3. Prostate disease: management options for the primary healthcare team. Report of a working party of the British Prostate Group.

    PubMed Central

    Chisholm, G. D.; Carne, S. J.; Fitzpatrick, J. M.; George, N. J.; Gingell, J. C.; Keen, J. W.; Kirby, R. S.; Kirk, D.; O'Donoghue, E. P.; Peeling, W. B.

    1995-01-01

    The prostate gland has attracted a remarkable increase in interest in the past few years. The two most common diseases of this gland, benign prostatic hyperplasia and carcinoma of the prostate, have been brought into greater prominence by new diagnostic methods, public interest, and a wider choice of surgical and non-surgical treatments. Uncertainty about the significance of these changes has occurred because of the rapidity of change, the profusion of statements, opinions and promotions, and the relatively little guidance available from the profession. Ten urologists and two general practitioners have reviewed the relevant evidence about these two prostate diseases and the newer diagnostic methods; their conclusions are summarised here. Management options and guidance on clinical practice are also discussed. Because of a number of unresolved diagnostic and management issues, detailed requirements for practice guidelines have not been specified. PMID:7538216

  4. Evaluation of a Financial Option Based Pricing Model for Grid Resources Management: Simulation vs. Real Data

    Microsoft Academic Search

    David Allenotor; Ruppa K. Thulasiram

    2010-01-01

    In this paper, we apply the theory of financial option to design a model to price grid resources. We use GridSim, a grid simulation tool to simulate resource usage in a Grid. First, we integrate our pricing model to GridSim to price resources for the usage pattern generated randomly for a grid. Then, we price resources on six real grids

  5. Managing a crisis of confidence in Nigeria's banking and financial industry

    Microsoft Academic Search

    Cornelius B. Pratt; Eddy A. Ademosu; Wole Adamolekun; Lanre Alabi; Ronald L. Carr

    2011-01-01

    An ongoing crisis of confidence in the banking and financial industry in Nigeria's emerging economy calls for using integrated marketing communications (IMC) in optimizing five potentially normative actions as a beachhead in procuring corporate benefits from three variables that predict significantly customers’ favorable impressions of business: satisfaction, trust, relationship commitment. The actions: (a) personalize the stakeholder experience, (b) integrate ethics

  6. Econometric Analysis of Managers' Judgements on the Determinants of the Financial Situation in Russia

    Microsoft Academic Search

    Youri Pavlovich Lukashin

    2000-01-01

    The paper presents an econometric analysis of the determinants of the financial situation in Russian manufacturing. Official statistics in Russia are not reliable. This is why the analysis is based on business opinion surveys carried out within `The Russian Economic Barometer' long-term research programme for monitoring and investigation of the transition to the market in Russia. The new adaptive approach

  7. More "Private" than Private Institutions: Public Institutions of Higher Education and Financial Management

    ERIC Educational Resources Information Center

    Adams, Olin L., III; Robichaux, Rebecca R.; Guarino, A. J.

    2010-01-01

    This research compares the status of managerial accounting practices in public four-year colleges and universities and in private four-year colleges and universities. The investigators surveyed a national sample of chief financial officers (CFOs) at two points in time, 1998-99 and 2003-04. In 1998-99 CFOs representing private institutions reported…

  8. THE IMPACT OF HUMAN RESOURCE MANAGEMENT PRACTICES ON TURNOVER, PRODUCTIVITY, AND CORPORATE FINANCIAL PERFORMANCE

    Microsoft Academic Search

    MARK A. HUSELID

    1995-01-01

    This study comprehensively evaluated the links between systems of High Performance Work Practices and firm performance. Results based on a national sample of nearly one thousand firms indicate that these practices have an economically and statistically significant im- pact on both intermediate employee outcomes (turnover and produc- tivity) and short- and long-term measures of corporate financial per- formance. Support for

  9. School Food Service Financial Management Handbook for Uniform Accounting. Complete System.

    ERIC Educational Resources Information Center

    Food and Nutrition Service (USDA), Washington, DC.

    This handbook is intended to assist the School Food Authority and those responsible for recording and reporting on the various financial activities of a school food service fund. It describes in a completely detailed form uniform accounting systems suitable for use by all school food authorities. The material, oriented toward the average-to-larger…

  10. School Food Service Financial Management Handbook for Uniform Accounting. Simplified System.

    ERIC Educational Resources Information Center

    Food and Nutrition Service (USDA), Washington, DC.

    This handbook is intended to assist the School Food Authority and those responsible for recording and reporting on the various financial activities of a school food service fund. It describes in a simplified form uniform accounting systems suitable for use by all school food authorities. The material, oriented toward the average-to-larger school…

  11. Measuring Value in Healthcare

    Microsoft Academic Search

    Christopher Gardner

    2008-01-01

    A statistical description and model of individual healthcare expenditures in the US has been developed for measuring value in healthcare. We find evidence that healthcare expenditures are quantifiable as an infusion-diffusion process, which can be thought of intuitively as a steady change in the intensity of treatment superimposed on a random process reflecting variations in the efficiency and effectiveness of

  12. Healthcare. Executive Summary

    ERIC Educational Resources Information Center

    Carnevale, Anthony P.; Smith, Nicole; Gulish, Artem; Beach, Bennett H.

    2012-01-01

    This executive summary highlights several findings about healthcare. These are: (1) Healthcare is 18 percent of the U.S. economy, twice as high as in other countries; (2) There are two labor markets in healthcare: high-skill, high-wage professional and technical jobs and low-skill, low-wage support jobs; (3) Demand for postsecondary education in…

  13. financial report fiscal year 2013

    E-print Network

    financial report fiscal year 2013 #12;tableofcontents 2 message from the president 3 financial overview 8 message from the ceo of harvard management company 13 independent auditor's report 14 financial statements 18 notes to financial statements #12;2 harvarduniversitymessagefromthepresident I write to report

  14. Triple aim program: assessing its effectiveness as a hospital management tool.

    PubMed

    Coyne, Joseph S; Hilsenrath, Peter E; Arbuckle, Barry S; Kureshy, Fareed; Vaughan, David; Grayson, David; Saygin, Tuba

    2014-01-01

    According to a recent national survey of Hospital chief executive officers, financial challenges are their top concern, especially government reimbursement. Moreover, the patient faces greater deductibles forcing hospitals to prioritize price transparency. The Triple Aim program is a tool available to hospital management to help address these challenges. This study indicates that the Triple Aim is valuable to healthcare providers and patients by reducing medical errors, improving healthcare quality, and reducing costs on a per capita basis. Managerial implications are discussed for hospitals and health systems considering this approach to addressing financial challenges. PMID:25529789

  15. Healthcare Energy Metering Guidance (Brochure)

    SciTech Connect

    Not Available

    2011-07-01

    This brochure is intended to help facility and energy managers plan and prioritize investments in energy metering. It offers healthcare-specific examples of metering applications, benefits, and steps that other health systems can reproduce. It reflects collaborative input from the U.S. Department of Energy national laboratories and the health system members of the DOE Hospital Energy Alliance's Benchmarking and Measurement Project Team.

  16. Mathematics, Pricing, Market Risk Management and Trading Strategies for Financial Derivatives (2/3)

    SciTech Connect

    None

    2009-11-04

    Market Trading and Risk Management of Vanilla FX Options - Measures of Market Risk - Implied Volatility - FX Risk Reversals, FX Strangles - Valuation and Risk Calculations - Risk Management - Market Trading Strategies

  17. Mathematics, Pricing, Market Risk Management and Trading Strategies for Financial Derivatives (2/3)

    ScienceCinema

    None

    2011-10-06

    Market Trading and Risk Management of Vanilla FX Options - Measures of Market Risk - Implied Volatility - FX Risk Reversals, FX Strangles - Valuation and Risk Calculations - Risk Management - Market Trading Strategies

  18. Costa Rican environmental service payments: The use of a financial instrument in participatory forest management.

    PubMed

    Miranda, Miriam; Dieperink, Carel; Glasbergen, Pieter

    2006-10-01

    The core element of the Costa Rican forestry policy is a financial instrument called the environmental service payment. This instrument rewards forest owners for the environmental services (the mitigation of greenhouse gases, the protection of watersheds and scenic beauty, and the development of biodiversity) their forests provide. In this article, the experiences with this new instrument are analyzed by focusing on the way interests are represented and access is granted, the openness of information exchange, whether social learning occurred, and whether decision-making authority is shared. The analysis is based on a survey conducted in the Huetar Norte Region and on in-depth interviews with the major stakeholders. The Costa Rican case indicates that financial instruments can be used to share responsibilities and that stakeholders can successfully cooperate on forest issues. It also shows that such a participatory approach is only promising if certain cultural, economic, organizational, and political conditions are met. PMID:16933086

  19. PERSONALIZED HEALTHCARE COMMUNICATION IN INTERNET OF THINGS

    Microsoft Academic Search

    Mikhail Simonov; Riccardo Zich; Flavia Mazzitelli

    Personalized healthcare is a challenge because supports the sustainability of care. Internet of Things is a paradigm promising to manage the digital identity, so the personalization of care services. Different equipment is used in extra-wall healthcare and assistive services, requiring different sorts of objects to communicate and to make the ubiquitous system-of-system. Extended entities and mixed roles are becoming inter-operable.

  20. From volatility to value: analysing and managing financial and performance risk in energy savings projects

    Microsoft Academic Search

    Evan Mills; Steve Kromer; Gary Weiss; Paul A. Mathew

    2006-01-01

    Many energy-related investments are made without a clear financial understanding of their values, risks, and volatilities. In the face of this uncertainty, the investor—such as a building owner or an energy service company—will often choose to implement only the most certain and thus limited energy-efficiency measures. Conversely, commodities traders and other sophisticated investors accustomed to evaluating investments on a value,

  1. Value-based cost management: the foundation of a balanced performance measurement system.

    PubMed

    Castañeda-Méndez, K

    1997-01-01

    Healthcare organizations need critical performance measures if they are to lead, manage, and operate effectively. Traditional financial measures or report cards on patient satisfaction and clinical outcomes are insufficient, however. Value-based cost management directly links cost accounting, processes, clinical outcomes, and patient and employee satisfaction through organizational, work environment, and financial relations measures. These measures address three levels of performance: strategic, diagnostic, and operational. Their linkages identify value in three areas: business-related financial and operational measures; employee-related measures such as those related to satisfaction and well-being; and learning and patient-related measures linked to clinical outcomes, satisfaction, and population. PMID:10168988

  2. Financial Management Reforms in the Health Sector: A Comparative Study Between Cash-based and Accrual-based Accounting Systems

    PubMed Central

    Abolhallaje, Masoud; Jafari, Mehdi; Seyedin, Hesam; Salehi, Masoud

    2014-01-01

    Background: Financial management and accounting reform in the public sectors was started in 2000. Moving from cash-based to accrual-based is considered as the key component of these reforms and adjustments in the public sector. Performing this reform in the health system is a part of a bigger reform under the new public management. Objectives: The current study aimed to analyze the movement from cash-based to accrual-based accounting in the health sector in Iran. Patients and Methods: This comparative study was conducted in 2013 to compare financial management and movement from cash-based to accrual-based accounting in health sector in the countries such as the United States, Britain, Canada, Australia, New Zealand, and Iran. Library resources and reputable databases such as Medline, Elsevier, Index Copernicus, DOAJ, EBSCO-CINAHL and SID, and Iranmedex were searched. Fish cards were used to collect the data. Data were compared and analyzed using comparative tables. Results: Developed countries have implemented accrual-based accounting and utilized the valid, reliable and practical information in accrual-based reporting in different areas such as price and tariffs setting, operational budgeting, public accounting, performance evaluation and comparison and evidence based decision making. In Iran, however, only a few public organizations such as the municipalities and the universities of medical sciences use accrual-based accounting, but despite what is required by law, the other public organizations do not use accrual-based accounting. Conclusions: There are advantages in applying accrual-based accounting in the public sector which certainly depends on how this system is implemented in the sector. PMID:25763194

  3. Comparison Of The Performance Of Several Data Mining Methods For Bad Debt Recovery In The Healthcare Industry

    Microsoft Academic Search

    Jozef Zurada

    The healthcare industry, specifically hospitals and clinical organizations, are often plagued by unpaid bills and collection agency fees. These unpaid bills contribute significantly to the rising cost of healthcare. Unlike financial institutions, health care providers typically do not collect financial information about their patients. This lack of information makes it difficult to evaluate whether a particular patient-debtor is likely to

  4. 75 FR 54445 - Senior Executive Service; Financial Management Service Performance Review Board (PRB)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-07

    ...Business Architecture. Sheryl R. Morrow, Assistant Commissioner, Payment Management. David Rebich, Assistant Commissioner, Govermentwide Accounting. Charles R. Simpson, Assistant Commissioner, Information Resources. Dated: August...

  5. Storage options for the healthcare enterprise.

    PubMed

    Smith, Edward M

    2003-01-01

    The storage objectives for the healthcare enterprise (HE) are to ensure that information (images and data) are readily available anywhere and at anytime, images and data are secure, and the storage fulfills legal requirements and the Health Insurance Portability and Accountability Act (HIPAA). These objectives must be satisfied at a minimum economic cost with respect to personnel, hardware, software, space and telecommunications. Many approaches and storage configurations meet these objectives. Which approach is chosen will depend on the size of the institution, patient population, geographic distribution of the institutions (if more than one), type of facility (such as a hospital, outpatient clinic or private imaging center), and financial investment objectives. The quantity of storage required depends on the characteristics of the modalities, the number of imaging devices and databases, the number and location of imaging sites that make up the HE, the size of the data and image, and the projected procedure volume growth. The only certainty with respect to storage requirements is that they will increase significantly with time. The types of storage required in the HE can be described by their functions: Active storage includes both online and long-term storage. Backup images are temporarily backed up on the limited storage capacity of the modality for several days or longer. Additional copies of the study are made on different media (e.g., disk, DVD or tape), in different locations. The process of backing up data and images must be automated. Effective April 21, 2005, HIPAA requires that all healthcare entities have a disaster recovery plan in effect. This requires that a copy of all medical data be secure, retrievable and maintained in a second location, such that if the primary copy of the data is destroyed or made unavailable, the disaster recovery copy would be available. Planning for the HE archive is critical if the HE is to work productively in an integrated digital environment. The information technology department must be an integral part of planning for the HE archive, which must be located in a secure data center and not under the management of any single clinical department. After the technologies currently available are evaluated, it is imperative that the chosen solution is cost-effective and scalable, and that it will allow the HE to take advantage of future storage and storage management technology. PMID:14699924

  6. Macroergonomics in Healthcare Quality and Patient Safety.

    PubMed

    Carayon, Pascale; Karsh, Ben-Tzion; Gurses, Ayse P; Holden, Richard; Hoonakker, Peter; Hundt, Ann Schoofs; Montague, Enid; Rodriguez, Joy; Wetterneck, Tosha B

    2013-09-01

    The US Institute of Medicine and healthcare experts have called for new approaches to manage healthcare quality problems. In this chapter, we focus on macroergonomics, a branch of human factors and ergonomics that is based on the systems approach and considers the organizational and sociotechnical context of work activities and processes. Selected macroergonomic approaches to healthcare quality and patient safety are described such as the SEIPS model of work system and patient safety and the model of healthcare professional performance. Focused reviews on job stress and burnout, workload, interruptions, patient-centered care, health IT and medical devices, violations, and care coordination provide examples of macroergonomics contributions to healthcare quality and patient safety. Healthcare systems and processes clearly need to be systematically redesigned; examples of macroergonomic approaches, principles and methods for healthcare system redesign are described. Further research linking macroergonomics and care processes/patient outcomes is needed. Other needs for macroergonomics research are highlighted, including understanding the link between worker outcomes (e.g., safety and well-being) and patient outcomes (e.g., patient safety), and macroergonomics of patient-centered care and care coordination. PMID:24729777

  7. Effects of high-involvement work systems on employee satisfaction and service costs in veterans healthcare.

    PubMed

    Harmon, Joel; Scotti, Dennis J; Behson, Scott; Farias, Gerard; Petzel, Robert; Neuman, Joel H; Keashly, Loraleigh

    2003-01-01

    Two strong imperatives for healthcare managers are reducing costs of service and attracting and retaining highly dedicated and competent patient care and support employees. Is there a trade-off or are there organizational practices that can further both objectives at the same time? High-involvement work systems (HIWS) represent a holistic work design that includes interrelated core features such as involvement, empowerment, development, trust, openness, teamwork, and performance-based rewards. HIWS have been linked to higher productivity, quality, employee and customer satisfaction, and market and financial performance in Fortune 1000 firms. Apparently, few prior studies have looked at the impacts of this holistic design within the healthcare sector. This research found that HIWS were associated with both greater employee satisfaction and lower patient service costs in 146 Veterans Health Administration centers, indicating that such practices pay off in both humanistic and financial terms. This suggests that managers implementing HIWS will incur real expenses that are likely to be more than offset by more satisfied employees, less organizational turmoil, and lower service delivery costs, which, in this study, amounted to over $1.2 million in savings for an average VHA facility. PMID:14671948

  8. The Relationships Among Manager, Employee, and Customer-Company Identification: Implications For Retail Store Financial Performance

    Microsoft Academic Search

    Donald R. Lichtenstein; Richard G. Netemeyer; James G. Maxham III

    2010-01-01

    Based on the premise of an interpersonal “chain of influence” with respect to organizational identification, we posit a relationship between company managers, employees, and customers with respect to organizational identification with the retailer. Specifically, we hypothesize that the level of a store manager's identification with the retailer is positively related to the level of their store employees’ identification with the

  9. Managing Financial Reports of Commercial Banks: The Influence of Taxes, Regulatory Capital and Earnings

    Microsoft Academic Search

    Anne Beatty; Sandra L. Chamberlain; Joseph Magliolo

    1994-01-01

    : This paper examines whether managerial discretion over loan loss accruals,accounting related transactions such as sales of investment securities, and financingtransactions are used to manage capital, earnings or taxes. We model discretion over thesedecisions using a system of five equations generated from an underlying cost minimizationproblem. The estimated parameters of the system suggest that banks manage both capitaland earnings using

  10. Informatics for Healthcare Epidemiology

    Microsoft Academic Search

    Bala Hota

    \\u000a A major effort in healthcare epidemiology is the surveillance of healthcare associated infections (HAIs). Increasingly, HAIs\\u000a are viewed as preventable and as a marker of healthcare quality. The automation of the surveillance of HAIs could have several\\u000a benefits: for institutions, it could allow infection control programs to focus on the prevention, not simply the measurement,\\u000a of infection. For policy makers,

  11. 78 FR 12319 - Meeting of the National Advisory Council for Healthcare Research and Quality

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-22

    ...Healthcare Research and Quality, 540 Gaither Road, Rockville, Maryland 20850. FOR FURTHER INFORMATION CONTACT: Jaime Zimmerman, Designated Management Official, at the Agency for Healthcare Research and Quality, 540 Gaither Road, Rockville,...

  12. Colorectal Therapies Healthcare Technology

    E-print Network

    Dimitrova, Vania

    Colorectal Therapies Healthcare Technology Co-operative SEMINAR 31 January 2014 Lecture Theatre C coordinates the fundamental, technological and translational research of 110 academics and consultants

  13. Gestión del riesgo operativo en las entidades de crédito: un camino sin retorno Operational risk management in financial institutions: A dead-end journey

    Microsoft Academic Search

    JOSÉ IGNACIO; LLAGUNO MUSONS

    This article is about operational risk management in credit firms around the the European area. The text of Bank Supervision Committee (Basilea II) has been already approved including some important changes about operational risk, so it is time to UEs bank regulations were adopted and changes applied by monetary and financial authorities. This flexible and proffesional new regulation introduces some

  14. Development of an Individualized and Group Instructional Program Based on Financial Management for Adult/Young Farmers in Vocational Agriculture Programs in Missouri. Final Report.

    ERIC Educational Resources Information Center

    Nolting, Greg; And Others

    A study was conducted to develop competency-based curriculum materials and a computer-based analysis system for farm business records to assist local vocational agriculture teachers of adult/young farmers in their group and individualized instructional programs. A list of thirty-five competencies in financial management were validated using…

  15. Artful leadership in healthcare: encouraging the possible.

    PubMed

    Greene, Lloyd; Burke, George

    2007-01-01

    A dramatic trend has developed in leadership preparation: the use of Arts Based Training (ABT). Recent literature has reported that the corporate world and graduate business degree programs have discovered the significant value that the arts can play in educating and developing management talent. The MFA (Master of Fine Arts) is the new MBA! The reasoning behind this shift is the increased need for "right brain" thinkers. This trend may very well extend to healthcare leadership. This paper provides a comprehensive literature review, a section on possibilities for ABT in healthcare organizations, a section on possibilities for ABT in Graduate Education of Healthcare Leaders, a summary rationale for using ABT for developing healthcare leaders, and conclusions and recommendations. PMID:18578266

  16. Building a Distributed E-Healthcare System Using SOA

    Microsoft Academic Search

    Firat Kart; Louise E. Moser; P. Michael Melliar-smith

    2008-01-01

    This article describes a distributed e-healthcare system that uses the service-oriented architecture as a means of designing, implementing, and managing healthcare services. Medical monitoring devices worn by the patient, and frequent electronic communication between the patient and a nurse, can ensure that the prescribed treatment is being followed and that the patient is making good progress. The e-healthcare system described

  17. Going beyond the hero in leadership development: the place of healthcare context, complexity and relationships: Comment on "Leadership and leadership development in healthcare settings - a simplistic solution to complex problems?".

    PubMed

    Ford, Jackie

    2015-04-01

    There remains a conviction that the torrent of publications and the financial outlay on leadership development will create managers with the skills and characters of perfect leaders, capable of guiding healthcare organisations through the challenges and crises of the 21st century. The focus of much attention continues to be the search for the (illusory) core set of heroic qualities, abilities or competencies that will enable the development of leaders to achieve levels of supreme leadership and organisational performance. This brief commentary adds support to McDonald's (1) call for recognition of the complexity of the undertaking. PMID:25844391

  18. Essays on the relation between managers' incentives and financial accounting information

    E-print Network

    Xue, Yanfeng, 1974-

    2004-01-01

    (cont.) around thresholds do convey information about a firm's future performance, firms with a higher degree of information asymmetry between the management and investors are more likely to use this signaling mechanism, ...

  19. Smart Healthcare Applications and Services

    E-print Network

    Julien, Christine

    Smart Healthcare Applications and Services: Developments and Practices Carsten Röcker RWTH Aachen trademark. Library of Congress Cataloging-in-Publication Data Smart healthcare applications and services, psychological, and technical aspects of smart healthcare applications as well as their consequences

  20. Decision support in healthcare

    Microsoft Academic Search

    Paul D. Clayton; George Hripcsak

    1995-01-01

    To address the recognized problems associated with information overload and limited human memory, computerbased systems which help healthcare providers use information to make better decisions have been developed and implemented. These decision aids are designed to improve the quality and reduce the cost of healthcare. Currently, the most widely used computer application is to simply provide needed facts about the

  1. Healthcare. State Report

    ERIC Educational Resources Information Center

    Carnevale, Anthony P.; Smith, Nicole; Gulish, Artem; Beach, Bennett H.

    2012-01-01

    This report projects education requirements linked to forecasted job growth in healthcare by state and the District of Columbia from 2010 through 2020. It complements a larger national report which projects educational demand for healthcare for the same time period. The national report shows that with or without Obamacare, the United States will…

  2. Simulation in Healthcare

    NSDL National Science Digital Library

    2014-09-18

    Students learn how engineering design is applied to solve healthcare problems by using an engineering tool called simulation. While engineering design is commonly used to study and design everything from bridges, factories, airports to space shuttles, the use of engineering design to study healthcare administration and delivery is a relatively new concept.

  3. Financial Costs and Shortfalls of Managing and Expanding Protected-Area Systems in Developing Countries

    NSDL National Science Digital Library

    AARON G. BRUNER, RAYMOND E. GULLISON, and ANDREW BALMFORD (; )

    2004-12-01

    This peer-reviewed article from Bioscience journal is about the funding protected-area systems in developing countries. Underfunding jeopardizes the ability of protected areas to safeguard biodiversity and the benefits that intact nature provides to society. In this article, we evaluate the cost of effectively managing all existing protected areas in developing countries, as well as the cost of expansion into high-priority new areas. We find that recent studies converge on a funding shortfall of $1 billion to $1.7 billion per year to manage all existing areas. The costs of establishing and managing an expanded protected-area system would total at least $4 billion per year over the next decade, an amount that far exceeds current spending but is well within the reach of the international community. These findings indicate the need for rapid action to mobilize significant new resources for the developing world's protected areas. In particular, this will require (a) the use of a range of tools to generate funds and improve efficiency of management; (b) greater precision and better communication of the costs and benefits of protected areas, both locally and globally; and (c) increased, stable support from developed countries for on-the-ground management of protected-area systems in developing countries.

  4. Computer skills for the next generation of healthcare executives.

    PubMed

    Côté, Murray J; Van Enyde, Donald F; DelliFraine, Jami L; Tucker, Stephen L

    2005-01-01

    Students beginning a career in healthcare administration must possess an array of professional and management skills in addition to a strong fundamental understanding of the field of healthcare administration. Proficient computer skills are a prime example of an essential management tool for healthcare administrators. However, it is unclear which computer skills are absolutely necessary for healthcare administrators and the extent of congruency between the computer skills possessed by new graduates and the needs of senior healthcare professionals. Our objectives in this research are to assess which computer skills are the most important to senior healthcare executives and recent healthcare administration graduates and examine the level of agreement between the two groups. Based on a survey of senior healthcare executives and graduate healthcare administration students, we identify a comprehensive and pragmatic array of computer skills and categorize them into four groups, according to their importance, for making recent health administration graduates valuable in the healthcare administration workplace. Traditional parametric hypothesis tests are used to assess congruency between responses of senior executives and of recent healthcare administration graduates. For each skill, responses of the two groups are averaged to create an overall ranking of the computer skills. Not surprisingly, both groups agreed on the importance of computer skills for recent healthcare administration graduates. In particular, computer skills such as word processing, graphics and presentation, using operating systems, creating and editing databases, spreadsheet analysis, using imported data, e-mail, using electronic bulletin boards, and downloading information were among the highest ranked computer skills necessary for recent graduates. However, there were statistically significant differences in perceptions between senior executives and healthcare administration students as to the extent of computer skills required in areas such as word processing, graphics and presentation, spreadsheet analysis, using imported data, and working with local area networks (LANs). PMID:15887847

  5. Disaster Risk Management: National Systems for the Comprehensive Management of Disaster Risk and Financial Strategies for Natural Disaster Reconstruction

    Microsoft Academic Search

    Paul Freeman; Leslie A. Martin; Joanne Linnerooth-Bayer; Reinhard Mechler; Georg Pflug; Koko Warner

    2003-01-01

    This report was commissioned by the Natural Disasters Network of the Regional Policy Dialogue. This report constitutes Phase 2 of this project. While the first phase of the study discusses the components of a national system, the second focuses on instruments for financing reconstruction after a disaster. The research compares centralized, government-directed management systems with those that are localized and

  6. Structuring financial empowerment for localized development within Joint Forest Management (JFM): examples from Madhya Pradesh, India

    Microsoft Academic Search

    Pia Sethi; Hilaluddin Khan

    2001-01-01

    Joint Forest Management (JFM) in India provides local communities with forest usufructs such as fuelwood, fodder, non-timber forest produce and a share in the final timber harvest in lieu of their forest protection and regeneration activities. Such usufructs, alone, are unlikely to sustain interest in the JFM programme. Instead, village resource development activities may provide a potent mechanism for reducing

  7. State University of New York Maritime College Faculty Student Association--Selected Financial Management Practices. Report.

    ERIC Educational Resources Information Center

    New York State Office of the Comptroller, Albany. Div. of Management Audit and State Financial Services.

    The Maritime College Faculty Student Association (FSA) is a campus-based, not-for-profit corporation that was formed to operate, manage, and promote educationally related services for the benefit of the campus community at the State University of New York Maritime College, which trains students to become licensed officers in the U.S. Merchant…

  8. FINANCIAL MANAGEMENT PRACTICES ON IRISH DAIRY FARMS: THE ROLE-PLAYED BY EXTENSION

    Microsoft Academic Search

    Ailish Byrne; Dermot J. Ruane; Tom Kelly

    With the advent of increased competition, adjustments to the CAP (Common Agricultural Policy) and the future globalisation of the agricultural sector, Irish farmers are involved in an increasingly competitive business environment. These changes have brought into focus the need for farmers to improve their business management as well as to continue best practices in production husbandry. Consequently, identifying the factors

  9. Financial Management Handbook for Federal and State Grant Programs. Bulletin No. 7120.

    ERIC Educational Resources Information Center

    Wisconsin State Dept. of Public Instruction, Madison.

    This handbook provides a reference to the fiscal requirements and procedures for effective management of federal and state education grant programs in Wisconsin. The handbook references the Code of Federal Regulations, the federal Single Audit Act of 1984, and state statutes. Part A discusses the education department's general administrative…

  10. Using participating and financial contracts to insure catastrophe risk: Implications for crop risk management

    Microsoft Academic Search

    Geoffroy Enjolras; Robert Kast

    2007-01-01

    High losses generated by natural catastrophes reduce the availability of insurance. Among the ways to manage risk, the subscriptions of participating and non-participating contracts respectively permit to implement the two major principles in risk allocation: the mutuality and the transfer principles. Decomposing a global risk into its idiosyncratic and systemic components, we show that: the participating contract hedges the individual

  11. 7 CFR 3560.302 - Accounting, bookkeeping, budgeting, and financial management systems.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...in the automated version of the form, including the Office of Management and Budget (OMB) approval number. (ii) The logic or mathematical calculation of an official form must be the same in an automated version of the form. (iii) The name...

  12. 7 CFR 3560.302 - Accounting, bookkeeping, budgeting, and financial management systems.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...in the automated version of the form, including the Office of Management and Budget (OMB) approval number. (ii) The logic or mathematical calculation of an official form must be the same in an automated version of the form. (iii) The name...

  13. 7 CFR 3560.302 - Accounting, bookkeeping, budgeting, and financial management systems.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...in the automated version of the form, including the Office of Management and Budget (OMB) approval number. (ii) The logic or mathematical calculation of an official form must be the same in an automated version of the form. (iii) The name...

  14. Faculty of Management Presents....New Topics Course MGT4850 FINANCIAL TRADING

    E-print Network

    Seldin, Jonathan P.

    and LiquidNet (black pools) and crossing networks. Game-playing and assessing competitive trading performance2044) http://www.uleth.ca/management/special-services/trading-room Simultaneous video-broadcast and via trading in exchanges, in upstairs dealer networks, and via alternative trading systems, like Pipeline

  15. 7 CFR 3560.302 - Accounting, bookkeeping, budgeting, and financial management systems.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...in the automated version of the form, including the Office of Management and Budget (OMB) approval number. (ii) The logic or mathematical calculation of an official form must be the same in an automated version of the form. (iii) The name...

  16. Natural vs. financial insurance in the management of public-good ecosystems

    Microsoft Academic Search

    Martin F. Quaas; Stefan Baumgärtner

    2008-01-01

    In the face of uncertainty, ecosystems can provide natural insurance to risk averse users of ecosystem services. We employ a conceptual ecological–economic model in which ecosystem management has a private insurance value and, through ecosystem processes at higher hierarchical levels, generates a positive externality on other ecosystem users. We analyze the allocation of (endogenous) risk and ecosystem quality by risk

  17. Evaluation of participatory training in managing mental health for supervisory employees in the financial industry.

    PubMed

    Yoshikawa, Toru; Ogami, Ayumi; Muto, Takashi

    2013-12-01

    Industry-specific primary prevention measures for promoting mental health of workers were undertaken in 2008 and 2009 as a result of participatory training involving 130 supervisory employees in workplaces of the financial industry. These measures included the following five points suggested to be effective in the industry: 1) proper opportunities for training and career building, 2) control of work time and improving work organization, 3) standardization of tasks, 4) job rotation for sharing work responsibilities, and 5) increasing communication and mutual support. A post-training follow-up survey revealed that participatory, action-oriented training facilitated sharing of feasible measures and mutual support, leading to the development of measures easily introduced and established at each workplace. We concluded that mutually supportive group work of teams composed of members who held similar duty positions and were engaged in similar operations, using the Mental Health Action Checklist as a guiding tool, was effective for realizing implementation of optimally practical and specific measures. PMID:25647945

  18. Protocol for the adolescent hayfever trial: cluster randomised controlled trial of an educational intervention for healthcare professionals for the management of school-age children with hayfever

    Microsoft Academic Search

    Victoria S Hammersley; Samantha Walker; Rob Elton; Aziz Sheikh

    2010-01-01

    BACKGROUND: Seasonal allergic rhinitis (hayfever) is common and can contribute to a considerable reduction in the quality of life of adolescents. This study aims to examine the effectiveness of standardised allergy training for healthcare professionals in improving disease-specific quality of life in adolescents with hayfever. METHODS\\/DESIGN: Adolescents with a history of hayfever registered in general practices in Scotland and England

  19. Director of Financial Aid Handbook.

    ERIC Educational Resources Information Center

    Sorenson, Lynn D.

    Although many independent schools are seeing a diversification in their student bodies, existing structures, such as financial aid awards, have not been modified. In addition, many financial-aid managers in independent schools have 0-5 years of experience in student financial aid. This handbook profiles the overall step-by-step process for…

  20. UNIVERSITY OF WATERLOO FINANCIAL STATEMENTS

    E-print Network

    Waterloo, University of

    are safeguarded from loss and that the accounting records are a reliable basis for the preparation of financial#12;UNIVERSITY OF WATERLOO FINANCIAL STATEMENTS APRIL 30, 2001 I N D E X Statement of Management Responsibility 1 Auditors' Report 2 Financial Statements Balance Sheet 3 Statement of Operations 4 Statement

  1. UNIVERSITY OF SUSSEX Financial Regulations

    E-print Network

    Sussex, University of

    Laundering 8 2.6. Risk management 8 2.7. Accounting records and annual financial statements 9 2.8. PrivateUNIVERSITY OF SUSSEX Financial Regulations Issued April 2012 #12;If you need part or all Office on +44 (0)1273 678305 #12;Financial Regulations 2012 v1 Contents 1. Introduction Page 1.1. Purpose

  2. Apps for hearing healthcare.

    PubMed

    Paglialonga, Alessia; Tognola, Gabriella; Pinciroli, Francesco

    2015-01-01

    The hearing healthcare scenario is rapidly evolving due to the pervasive use of m-Health solutions, in particular mobile apps. This brings along significant advantages and opportunities (e.g., accessibility, affordability, personalized healthcare, patient empowerment) as well as significant potential risks and threats (e.g., safety, misuse, quality issues, privacy). Our research aims at the identification and assessment of apps in the hearing healthcare domain. In this article we present an overview of the current availability, variety, and penetration of hearing-related apps. PMID:25991233

  3. Justice, health, and healthcare.

    PubMed

    Daniels, N

    2001-01-01

    Healthcare (including public health) is special because it protects normal functioning, which in turn protects the range of opportunities open to individuals. I extend this account in two ways. First, since the distribution of goods other than healthcare affect population health and its distribution, I claim that Rawls's principles of justice describe a fair distribution of the social determinants of health, giving a partial account of when health inequalities are unjust. Second, I supplement a principled account of justice for health and healthcare with an account of fair process for setting limits of rationing care. This account is provided by three conditions that comprise "accountability for reasonableness." PMID:11951872

  4. [Healthcare occupations are "different"].

    PubMed

    Heubel, F

    2014-08-01

    Healthcare requires careful coordination of several occupations. In order to attain the best possible result, including effectiveness and cost-efficiency, the specific expertise of each of these occupations must be clearly defined. Healthcare occupations, physicians and nurses, are indeed professions as opposed to mere "jobs". They are concerned with living but ill human beings and not with things. Reliance on a personal capacity of judgment is a decisive aspect of professions. Healthcare professionals perform best if they are granted specific independence relative to their work. PMID:24902534

  5. The myths of benchmarking healthcare IT spending.

    PubMed

    Glaser, John

    2006-10-01

    Healthcare organizations should make those IT investments that they believe can be managed to achieve an acceptable return. They should make investment decisions based on the merits of the IT proposal, not because they have to catch up to another industry, such as banking. PMID:17040031

  6. Financial crisis theoretical analysis based on corporate governance

    Microsoft Academic Search

    Ha Ning; Tian Ye-zhuang

    2009-01-01

    The researches on financial crisis early warning methods are important applied research items. Forecasting the business financial crisis needs to take the existing financial or non-financial information to establish the mathematical model. After analyzing related achievements accomplished on financial crisis management, the relations between corporate governance and financial crisis are discussed from the view of corporate governance. A game model

  7. Situational Change Engineering in Healthcare

    Microsoft Academic Search

    Anke Gericke; Robert Winter

    2006-01-01

    Many developed countries are confronted with continuously increasing healthcare costs. Most administrations believe that a fundamental reorganization of the healthcare sector is inevitable. Transformation processes are often enabled by information and communication technologies. For healthcare, a plethora of eHealth strategies have been proposed, many of them being aimed at reducing healthcare costs by optimizing administrative processes. Although lots of strategies

  8. Healthcare Agents: Being One

    MedlinePLUS

    ... Directives Storing Your Advance Directives Healthcare Agents: Being One Advocating for your loved one can be a difficult task. You should ensure ... responsibility and have ongoing conversations with your loved ones about their wishes for end-of-life care. ...

  9. Do financial analysts get intangibles?

    Microsoft Academic Search

    Eli Amir; Baruch Lev; Theodore Sougiannis

    2003-01-01

    It is widely agreed that corporate financial reports provide deficient information about intangible assets. However, investors are exposed to substantial information beyond financial reports, such as managers' direct communications to capital markets and analysts' reports. We ask: To what extent do these non-financial report sources compensate for the intangibles-related deficiencies of financial statements?To address this question we assume that analysts'

  10. Culturally competent healthcare systems

    Microsoft Academic Search

    Laurie M Anderson; Susan C Scrimshaw; Mindy T Fullilove; Jonathan E Fielding; Jacques Normand

    2003-01-01

    OverviewCulturally competent healthcare systems—those that provide culturally and linguistically appropriate services—have the potential to reduce racial and ethnic health disparities. When clients do not understand what their healthcare providers are telling them, and providers either do not speak the client’s language or are insensitive to cultural differences, the quality of health care can be compromised. We reviewed five interventions to

  11. Key Aspects of Providing Healthcare Services in Disaster Response Stage

    PubMed Central

    POURHOSSEINI, Samira Sadat; ARDALAN, Ali; MEHROLHASSANI, Mohammad Hossien

    2015-01-01

    Abstract Background Health care management in disasters is one of the main parts of disaster management. Health in disasters is affected by performance of various sectors, and has an interactive impact on various aspects of disaster management. The aim of this study was to identify the most important themes affecting the healthcare management in disaster. Method In this qualitative study with a content analysis approach, in-depth interviews in two steps with 30 disaster experts and managers were conducted to collect the data. Results Eleven themes affecting healthcare management in disasters were identified. These themes were related to human resources management, resources management, victims’ management transfer, environmental hygiene monitoring, nutrition management, mental health control, inter-agency coordination, training, technology management, information and communication management, and budget management. Conclusion Providing effective health care service in disasters requires a comprehensive look at the various aspects of disaster management. Effective factors on the success of healthcare in disaster are not limited to the scope of healthcare. There should be a close relationship and interaction between different sectors of disaster management.

  12. FPSO P.P. Moraes -- Project management and economic-financial analysis

    SciTech Connect

    Leite, A.C.J.; Karrer, E.; Sanches, L.C.C.; Victer, W.G. [Petrobras, Rio de Janeiro (Brazil)

    1995-12-31

    The purpose of this paper is to present the experience acquired by PETROBRAS in the bid phase management for adaptation of the tanker Presidente Prudente de Moraes, so called P.P. Moraes, to be turned into an F.P.S.O. (Floating Production Storage and Offloading) turret system unit for the Barracuda Field Pilot System in Rio de Janeiro`s Campos Basin, Brazil. It also deals with the main challenges faced and the philosophy that will be leading this project to achieve certain records in the international petroleum industry, such as: anchored turret F.P.S.O. in deepest water (840m) and largest number of associated risers (34 lines).

  13. 75 FR 3912 - Healthcare Infection Control Practices Advisory Committee (HICPAC)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-25

    ...healthcare-associated infections Recovery Act efforts; discussion on the draft guideline for prevention of intravascular catheter-related bloodstream infections; and the draft guideline for the prevention and management of norovirus gastroenteritis...

  14. The normalization of deviance in healthcare delivery

    PubMed Central

    Banja, John

    2009-01-01

    Many serious medical errors result from violations of recognized standards of practice. Over time, even egregious violations of standards of practice may become “normalized” in healthcare delivery systems. This article describes what leads to this normalization and explains why flagrant practice deviations can persist for years, despite the importance of the standards at issue. This article also provides recommendations to aid healthcare organizations in identifying and managing unsafe practice deviations before they become normalized and pose genuine risks to patient safety, quality care, and employee morale. PMID:20161685

  15. What you don't know can hurt you: why managed care organizations have a legal duty to disclose the use of financial incentives to limit medical care.

    PubMed

    Rost, Kerry Toth

    2002-01-01

    This article, winner of the 2000-2001 American Health Lawyers' Student Writing Competition, examines the conflicting policy goals at the heart of managed care--particularly in the use of financial incentives for physicians who limit their use of referrals and expensive diagnostic tests. While conceding the legality of such incentives, the author contends that Managed Care Organizations (MCOs) have a legal duty to disclose their existence to beneficiaries. After analyzing the basis for imposing a duty to disclose, the author proceeds to examine such issues as the proper timing, level, and extent of disclosure. PMID:11974521

  16. Creating an integrated clinical enterprise at the University of Kentucky: the emergence of UK HealthCare.

    PubMed

    Karpf, Michael; Perman, Jay; Lofgren, Richard; Melgar, Sergio; Butler, Frank; Day, Zed; Clark, Murray; Claypool, Joseph O; Gilbert, Peter; Gombeski, William; Higdon, Courtney M

    2007-12-01

    If the medical system in the United States is to change, as has been recommended, academic medical centers must, in fact, lead this change process. To prepare for the future, the University of Kentucky decided to move aggressively toward developing an integrated clinical enterprise branded as UK HealthCare, where leadership of the various components of the academic medical center make strategic and financial decisions together to achieve common organizational goals. The authors discuss senior leadership's development of the vision for the enterprise and the governance structure that was established to engage board members and faculty of the institution. They examine the rigorous strategic, facilities, financial, and academic planning that ensued, and the early successes achieved. The authors introduce some of the lessons learned by the organization during the emergence of UK HealthCare and describe the corporate structure and senior management team that was established to support the quick and efficient implementation of the planning strategies. It was this corporate structure and senior management team which has proven to be an effective agent of change and a key to the successful development of a truly integrated clinical enterprise. PMID:18046120

  17. The future of healthcare IT: what can we expect to see?

    PubMed

    Glaser, John; Foley, Tom

    2008-11-01

    A 10- to 15-year healthcare IT strategy should focus on: EHRs. Business intelligence. Customer relationship management. Clinical decision support. Interorganizational systems. Connected care. PMID:18990840

  18. Financial and economic determinants of collective action: The case of wastewater management

    SciTech Connect

    Brunner, Norbert, E-mail: norbert.brunner@cemds.org [Center for Environmental Management and Decision Support, Gregor Mendel Str. 33, A-1180 Vienna (Austria); Starkl, Markus, E-mail: markus.starkl@boku.ac.at [Competence Centre for Decision-Aid in Environmental Management, University of Natural Resources and Life Sciences/DIB, Gregor Mendel Strasse 33, 1180 Wien (Austria)

    2012-01-15

    Where public environmental funds support development of wastewater infrastructure, funding institutions ensure the economic use of funds, while the beneficiaries minimize their own costs. In rural areas, there is often a choice between decentralized or centralized (multi-village) systems: if the centralized system is most economic, then only this system is eligible for public funding. However, its implementation requires a voluntary cooperation of the concerned communities, who need to organize themselves to develop and run the infrastructure. The paper analyzes the social determinants of collaboration in a generic case study, using the following variables: method of (economic) assessment, modeled by the social discount rate, funding policy, modeled by the funding rate, and users' self-organization, modeled by cost sharing. In a borderline situation, where the centralized system turns out to be most economic, but this assessment is contingent on the assessment method, collective action may fail: the advantages of collective action from funding are too small to outweigh organizational deficiencies. Considering in this situation sanitation as a human right, authors recommend using innovative forms of organization and, if these fail, reassessing either the amount of funding or the eligibility for funding of more acceptable alternatives. - Highlights: Black-Right-Pointing-Pointer A generic case study models collective action and funding in wastewater management. Black-Right-Pointing-Pointer Determinants of success: economic assessment, funding policy and self-organization. Black-Right-Pointing-Pointer Success indicators: conflict rate, funds needed to make cost shares fair. Black-Right-Pointing-Pointer Method for analyzing centralized vs. decentralized disputes. Black-Right-Pointing-Pointer If collective action has less benefits, innovative cost sharing may ensure success.

  19. The health of healthcare, Part II: patient healthcare has cancer.

    PubMed

    Waldman, Deane

    2013-01-01

    In this article, we make the etiologic diagnosis for a sick patient named Healthcare: the cancer of greed. When we explore the two forms of this cancer--corporate and bureaucratic--we find the latter is the greater danger to We the Patients. The "treatments" applied to patient Healthcare by the Congressional "doctors" have consistently made the patient worse, not better. At the core of healthcare's woes is the government's diversion of money from healthcare services to healthcare bureaucracy. As this is the root cause, it is what we must address in order to cure, not sedate or palliate, patient Healthcare. PMID:24236323

  20. PRECISE:PRivacy-prEserving Cloud-assisted quality Improvement Service in hEalthcare

    E-print Network

    Cheng, Samuel

    to embarrassment and even financial damage. In this article, we propose a PRivacy-prEserving Cloud-assisted quality; cloud computing. I. INTRODUCTION Hospital quality is important to the reputation and financialPRECISE:PRivacy-prEserving Cloud-assisted quality Improvement Service in hEalthcare Feng Chen1

  1. Dragons' Den: promoting healthcare research and innovation.

    PubMed

    Mazhindu, Deborah; Gregory, Siobhan

    2015-07-01

    The changing health and social care landscape, and, in particular, the financial challenges affecting the NHS, can present difficulties for staff looking for funding to support innovation and new ways of working. One method of competitive tendering that is becoming more accepted as a way of allocating funds, encouraging staff engagement and developing innovation for research is a format based the BBC television series, Dragons' Den. This article describes how Hounslow and Richmond Community Healthcare NHS Trust, London, has developed a 'Dragons' Den initiative' of annual competitive research funding allocation to ensure that some of the most dynamic practice in the trust is captured. PMID:26135194

  2. Use of Care Management Practices in Small- and Medium-Sized Physician Groups: Do Public Reporting of Physician Quality and Financial Incentives Matter?

    PubMed Central

    Alexander, Jeffrey A; Maeng, Daniel; Casalino, Lawrence P; Rittenhouse, Diane

    2013-01-01

    Objective To examine the effect of public reporting (PR) and financial incentives tied to quality performance on the use of care management practices (CMPs) among small- and medium-sized physician groups. Data Survey data from The National Study of Small and Medium-sized Physician Practices were used. Primary data collection was also conducted to assess community-level PR activities. The final sample included 643 practices engaged in quality reporting; about half of these practices were subject to PR. Study Design We used a treatment effects model. The instrumental variables were the community-level variables that capture the level of PR activity in each community in which the practices operate. Findings (1) PR is associated with increased use of CMPs, but the estimate is not statistically significant; (2) financial incentives are associated with greater use of CMPs; (3) practices' awareness/sensitivity to quality reports is positively related to their use of CMPs; and (4) combined PR and financial incentives jointly affect CMP use to a greater degree than either of these factors alone. Conclusion Small- to medium-sized practices appear to respond to PR and financial incentives by greater use of CMPs. Future research needs to investigate the appropriate mix and type of incentive arrangements and quality reporting. PMID:22880957

  3. Conducting financial due diligence of medical practices.

    PubMed

    Louiselle, P

    1995-12-01

    Many healthcare organizations are acquiring medical practices in an effort to build more integrated systems of healthcare products and services. This acquisition activity must be approached cautiously to ensure that medical practices being acquired do not have deficiencies that would jeopardize integration efforts. Conducting a thorough due diligence analysis of medical practices before finalizing the transaction can limit the acquiring organizations' legal and financial exposure and is a necessary component to the acquisition process. The author discusses the components of a successful financial due diligence analysis and addresses some of the risk factors in a practice acquisition. PMID:10152892

  4. Suggestions to ameliorate the inequity in urban/rural allocation of healthcare resources in China

    PubMed Central

    2014-01-01

    The imbalance in the allocation in healthcare resources between urban and rural areas has become a main focus of the recent medical reforms adopted in China. However, systematic analysis has identified wide differences in the allocation of healthcare resources between urban and rural areas, including healthcare expenditures and the number of healthcare facilities, available beds, and personnel. Therefore, the aim of this report was to identify ethical considerations in current governmental policies to rectify existing problems in the distribution of healthcare resources. Our findings indicate that the inequality in the distribution of healthcare resources does not adhere to ethical standards and the policies are flawed because they give rise to differences in the availability of medical care to urban and rural communities. To optimize the allocation of medical healthcare resources, countermeasures are proposed to formulate policies to urge the flow of public healthcare resources to rural areas, strengthen the responsibilities of both governmental and public financial investments, increase the construction of public healthcare facilities in rural areas, promote the quality of healthcare resources, adjust resource allocations to rural public healthcare facilities, and improve resource utilization efficiency by establishing two-way referral mechanisms. PMID:24884614

  5. FINANCIAL AID Undergraduate Financial Aid

    E-print Network

    Varela, Carlos

    FINANCIAL AID Undergraduate Financial Aid Director: James H. Stevenson Education for leadership cost, many students and families are not able to meet the cost with their own resources. Financial aid are invited to contact the Financial Aid Office, which at Rensselaer is part of the Office of Student Records

  6. 1 Financial Aid FINANCIAL AID

    E-print Network

    Vertes, Akos

    1 Financial Aid FINANCIAL AID GW offers a comprehensive program of student financial assistance for students. Undergraduate aid consists of two basic types: awards for academic achievement or talent without based on both academic achievement and demonstrated financial need. All undergraduate gift aid

  7. Healthcare Software Assurance

    PubMed Central

    Cooper, Jason G.; Pauley, Keith A.

    2006-01-01

    Software assurance is a rigorous, lifecycle phase-independent set of activities which ensure completeness, safety, and reliability of software processes and products. This is accomplished by guaranteeing conformance to all requirements, standards, procedures, and regulations. These assurance processes are even more important when coupled with healthcare software systems, embedded software in medical instrumentation, and other healthcare-oriented life-critical systems. The current Food and Drug Administration (FDA) regulatory requirements and guidance documentation do not address certain aspects of complete software assurance activities. In addition, the FDA’s software oversight processes require enhancement to include increasingly complex healthcare systems such as Hospital Information Systems (HIS). The importance of complete software assurance is introduced, current regulatory requirements and guidance discussed, and the necessity for enhancements to the current processes shall be highlighted. PMID:17238324

  8. improve your position Master of Science Programme Healthcare Technology

    E-print Network

    Twente, Universiteit

    technologies or ICT solutions in health care organizations. Examples of key process tasks include estimatingimprove your position Master of Science Programme Healthcare Technology and Management Health Care Technology and Management The Health Care Technology and Management (HCTM) track highlights the issues

  9. A Lexical-Ontological Resource for Consumer Healthcare

    NASA Astrophysics Data System (ADS)

    Cardillo, Elena; Serafini, Luciano; Tamilin, Andrei

    In Consumer Healthcare Informatics it is still difficult for laypeople to find, understand and act on health information, due to the persistent communication gap between specialized medical terminology and that used by healthcare consumers. Furthermore, existing clinically-oriented terminologies cannot provide sufficient support when integrated into consumer-oriented applications, so there is a need to create consumer-friendly terminologies reflecting the different ways healthcare consumers express and think about health topics. Following this direction, this work suggests a way to support the design of an ontology-based system that mitigates this gap, using knowledge engineering and semantic web technologies. The system is based on the development of a consumer-oriented medical terminology that will be integrated with other medical domain ontologies and terminologies into a medical ontology repository. This will support consumer-oriented healthcare systems, such as Personal Health Records, by providing many knowledge services to help users in accessing and managing their healthcare data.

  10. 48 CFR 1845.7209-4 - Financial reports.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...2010-10-01 2010-10-01 true Financial reports. 1845.7209-4 Section...Management 1845.7209-4 Financial reports. The property administrator is responsible for obtaining financial reports as prescribed in...

  11. Innovations in healthcare finance lessons from the 401(k) model.

    PubMed

    Myers, Chris; Lineen, Jason

    2008-10-01

    *Escalating health benefit expenses are leading employers to shift more of the costs to their employees. *Global financial services companies and startup entrepreneurs are competing to develop private-sector solutions to capitalize on the ailing and mis-aligned healthcare financing system. *Emerging innovations are targeting insured individuals who are facing increasing responsibility for first-dollar coverage. *Healthcare providers should view patients as individual "price-sensitive payers" as new tools enable them to shop around for services based on cost and quality. PMID:18839661

  12. How to build a comprehensive business continuity programme for a healthcare organisation.

    PubMed

    Devlen, Angela

    2009-11-01

    Since 2005 there has been an ongoing examination of the impact of disasters on hospitals, with specific interest in those rendered inoperable or seriously crippled operationally and financially. Following several evaluations of these events and the publication of several reports detailing gaps in preparedness, more is known about the impact to hospitals directly affected by emergencies and catastrophic events. As a result, there have been continued updates to regulations and standards. However, a significant gap remains in the establishment of a model representing true integration of risk management practices within hospitals. This paper discusses one approach to addressing that gap through building a comprehensive business continuity programme for healthcare organisations. This programme is intended to result in a roadmap towards resilience in the face of the many risks faced by hospitals today. PMID:20378493

  13. Healthcare system's operational security

    Microsoft Academic Search

    Mazie Johnson; Syed Rahman

    2011-01-01

    Computer Security is a concept of protection designated to information system to accommodate the fundamental security objectives for data, information and computer services [1]. The goal of this research paper is to implement a security plan for the Lawson healthcare organization to assist with protecting and providing a secure information transmission and exchange of public and private data. The current

  14. EMC and wireless healthcare

    Microsoft Academic Search

    Donald Witters; Seth Seidman; Howard Bassen

    2010-01-01

    Electromagnetic compatibility (EMC) is a critical part of addressing the risks related to the effects of electromagnetic interference (EMI) on active medical devices exposed to emissions from wireless technology. In addition, for wireless technology in healthcare to be safe, effective, reliable, and secure specific wireless issues must also be addressed including quality of service, coexistence with other wireless equipment, data

  15. Berkeley SHIP & Healthcare

    E-print Network

    Walker, Matthew P.

    Berkeley SHIP & Healthcare Reform: What's Right for You? December 11, 2013 #12;Why are we here? · Help you understand your insurance options · Give you time to ask questions · Talk to Berkeley SHIP. · SHIP's plan meets all ACA requirements. · Reminder: all UC students are required to have health

  16. 22 CFR 8.12 - Financial records.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...Relations 1 2010-04-01 2010-04-01 false Financial records. 8.12 Section 8.12 Foreign Relations...GENERAL ADVISORY COMMITTEE MANAGEMENT § 8.12 Financial records. Accurate records will be kept by the...

  17. 22 CFR 8.12 - Financial records.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...Relations 1 2011-04-01 2011-04-01 false Financial records. 8.12 Section 8.12 Foreign Relations...GENERAL ADVISORY COMMITTEE MANAGEMENT § 8.12 Financial records. Accurate records will be kept by the...

  18. Oil company financial analysis in mechanical language

    SciTech Connect

    Johnston, D.A.

    1992-01-01

    Explains financial concepts affecting the petroleum industry. Discusses mergers, restructuring, the financial roles of managers and shareholders, and forces that influence stock values. Shows how to read an oil company annual report.

  19. Security in Healthcare Information Systems

    Microsoft Academic Search

    Z. O. Omogbadegun

    2006-01-01

    Healthcare informatics affirm that healthcare presents most problems of user control with disparate, individualized and often vulnerable users having little information with which to assess service quality and little choice, at least within the formal hospital sector. Also, consultative experience in many Healthcare Organization (HCO) IT environments strongly suggests that technical security fundamentals are consistently neglected. Integrated network and systems

  20. HEALTHCARE FINANCE Louis C. Gapenski

    E-print Network

    Kane, Andrew S.

    ); health economics and the insurance system (HSA 6436 and 6126); healthcare finance fundamentals (HSA 51741 HSA 6177 HEALTHCARE FINANCE Louis C. Gapenski Fall 2012 COURSE SYLLABUS TIME Wednesday: 11:45 a days: 9:00 ­ 11:00 a.m.; Other times by appointment. TEXTS Gapenski, Cases in Healthcare Finance, 4th

  1. Healing, healthcare, missions, the church.

    PubMed

    Jarlsberg, Connie

    2014-01-01

    Churches throughout history have modeled ministry on Jesus' life of reaching out, teaching, preaching, and healing. Kampala Baptist Church (KBC) in Uganda is one such church that works to care spiritually and physically for their community. Partnering with local healthcare providers and short- and long-term healthcare missionaries, the church is transforming lives. Read about KBC and explore healthcare missions ministry. PMID:24592600

  2. The global financial industry is evolving rapidly. To stay ahead, the finance experts of tomorrow

    E-print Network

    Heller, Barbara

    in Financial Markets · Financial Modeling · Valuation and Portfolio Management · Futures, Options, and OTCThe global financial industry is evolving rapidly. To stay ahead, the finance experts of tomorrow's largest markets in financial derivatives. You will learn the latest industry- relevant ideas

  3. Bottomline Technologies provides collaborative payment, invoice and document automation solutions to corporations, financial institutions and banks around the world. The company's solutions are used to streamline, automate and manage processes involving

    E-print Network

    New Hampshire, University of

    , automate and manage processes involving payments, invoicing, global cash management, supply chain finance to corporations, financial institutions and banks around the world. The company's solutions are used to streamline. Understanding Bottomline's business. Required Skills: Ability to perform tests against Web applications, front

  4. Process-driven selection of information systems for healthcare

    NASA Astrophysics Data System (ADS)

    Mills, Stephen F.; Yeh, Raymond T.; Giroir, Brett P.; Tanik, Murat M.

    1995-05-01

    Integration of networking and data management technologies such as PACS, RIS and HIS into a healthcare enterprise in a clinically acceptable manner is a difficult problem. Data within such a facility are generally managed via a combination of manual hardcopy systems and proprietary, special-purpose data processing systems. Process modeling techniques have been successfully applied to engineering and manufacturing enterprises, but have not generally been applied to service-based enterprises such as healthcare facilities. The use of process modeling techniques can provide guidance for the placement, configuration and usage of PACS and other informatics technologies within the healthcare enterprise, and thus improve the quality of healthcare. Initial process modeling activities conducted within the Pediatric ICU at Children's Medical Center in Dallas, Texas are described. The ongoing development of a full enterprise- level model for the Pediatric ICU is also described.

  5. Healthcare Information Technology Infrastructures in Turkey

    PubMed Central

    Yuksel, M.; Ertürkmen, G. L.; Kabak, Y.; Namli, T.; Y?ld?z, M. H.; Ay, Y.; Ceyhan, B.; Hülür, Ü.; Öztürk, H.; Atbakan, E.

    2014-01-01

    Summary Objectives The objective of this paper is to describe some of the major healthcare information technology (IT) infrastructures in Turkey, namely, Sa?l?k-Net (Turkish for “Health-Net”), the Centralized Hospital Appointment System, the Basic Health Statistics Module, the Core Resources Management System, and the e-prescription system of the Social Security Institution. International collaboration projects that are integrated with Sa?l?k-Net are also briefly summarized. Methods The authors provide a survey of the some of the major healthcare IT infrastructures in Turkey. Results Sa?l?k-Net has two main components: the National Health Information System (NHIS) and the Family Medicine Information System (FMIS). The NHIS is a nation-wide infrastructure for sharing patients’ Electronic Health Records (EHRs). So far, EHRs of 78.9 million people have been created in the NHIS. Similarly, family medicine is operational in the whole country via FMIS. Centralized Hospital Appointment System enables the citizens to easily make appointments in healthcare providers. Basic Health Statistics Module is used for collecting information about the health status, risks and indicators across the country. Core Resources Management System speeds up the flow of information between the headquarters and Provincial Health Directorates. The e-prescription system is linked with Sa?l?k-Net and seamlessly integrated with the healthcare provider information systems. Finally, Turkey is involved in several international projects for experience sharing and disseminating national developments. Conclusion With the introduction of the “Health Transformation Program” in 2003, a number of successful healthcare IT infrastructures have been developed in Turkey. Currently, work is going on to enhance and further improve their functionality. PMID:24853036

  6. [Prevention within the context of the healthcare reform in Russia].

    PubMed

    Shchepin, V O; Petruchuk, O E

    2004-01-01

    Healthcare and promotion of preventive care rendered to population of the Russian Federation are the main components of the whole social sphere. Perfection of the legal basis for the high-quality primary prevention is a precondition of success of the Russian healthcare reform as a whole. Implementation of social and medical prevention measures must turn into a united purpose for the activities of medical personnel, enterprise management and public organizations. Prevention issues belong to the sphere of combined economic and social interests of public and healthcare. PMID:15291331

  7. A comparative analysis of employee incentives in the healthcare industry.

    PubMed

    McKinnies, Richard C; Collins, Sandra K; Collins, Kevin S; Matthews, Eric

    2013-01-01

    This study is a reanalysis of employer incentives for healthcare managers. In 2007, a survey was administered to determine the top incentives used in healthcare as well as which individuals are receiving the most creative incentive packages; technical, managerial, or executive employees. A similar survey was distributed in 2012 in order to compare and see what changes have taken place in the last five years in respect to the incentives and the incentive packages used in healthcare that were first identified in 2007. PMID:24358587

  8. 75 FR 31450 - Agency for Healthcare Research and Quality; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-03

    ...Optimizing Prevention and Healthcare Management for Complex Patients (R21) applications are to be reviewed and discussed at this meeting...Optimizing Prevention and Healthcare Management for Complex Patients (R21). Date: June 24, 2010 (Open on June 24 from 8 a.m....

  9. Customer perceived service quality, satisfaction and loyalty in Indian private healthcare.

    PubMed

    Kondasani, Rama Koteswara Rao; Panda, Rajeev Kumar

    2015-01-01

    Purpose - The purpose of this paper is to analyse how perceived service quality and customer satisfaction lead to loyalty towards healthcare service providers. Design/methodology/approach - In total, 475 hospital patients participated in a questionnaire survey in five Indian private hospitals. Descriptive statistics, factor analysis, regression and correlation statistics were employed to analyse customer perceived service quality and how it leads to loyalty towards service providers. Finding - Results indicate that the service seeker-service provider relationship, quality of facilities and the interaction with supporting staff have a positive effect on customer perception. Practical implications - Findings help healthcare managers to formulate effective strategies to ensure a better quality of services to the customers. This study helps healthcare managers to build customer loyalty towards healthcare services, thereby attracting and gaining more customers. Originality/value - This paper will help healthcare managers and service providers to analyse customer perceptions and their loyalty towards Indian private healthcare services. PMID:26020428

  10. Blood-borne infections in healthcare workers in South Africa.

    PubMed

    Rossouw, T M; van Rooyen, M; Louw, J M; Richter, K L

    2014-11-01

    The risks associated with infection of healthcare workers and students with blood-borne pathogens, specifically HIV, hepatitis B virus and hepatitis C virus, are often neglected. South Africa (SA) currently has no official policies or guidelines in place for the prevention and management of these infections. This article reviews the available data and international guidelines with regard to infected healthcare practitioners and makes minimum recommendations for the SA setting. PMID:25909108

  11. John McDaniel has more than 35 years of experience as a healthcare CIO, consulting services executive and as an executive with large healthcare solution companies. John currently works with NetApp and is

    E-print Network

    Loudon, Catherine

    John McDaniel has more than 35 years of experience as a healthcare CIO, consulting services executive and as an executive with large healthcare solution companies. John currently works with Net, scalability and cost efficiency requirements. John also manages NetApp's partnerships with large healthcare

  12. Decisions through data: analytics in healthcare.

    PubMed

    Wills, Mary J

    2014-01-01

    The amount of data in healthcare is increasing at an astonishing rate. However, in general, the industry has not deployed the level of data management and analysis necessary to make use of those data. As a result, healthcare executives face the risk of being overwhelmed by a flood of unusable data. In this essay I argue that, in order to extract actionable information, leaders must take advantage of the promise of data analytics. Small data, predictive modeling expansion, and real-time analytics are three forms of data analytics. On the basis of my analysis for this study, I recommend all three for adoption. Recognizing the uniqueness of each organization's situation, I also suggest that practices, hospitals, and healthcare systems examine small data and conduct real-time analytics and that large-scale organizations managing populations of patients adopt predictive modeling. I found that all three solutions assist in the collection, management, and analysis of raw data to improve the quality of care and decrease costs. PMID:25154123

  13. The German healthcare system.

    PubMed

    Döring, Andrea; Paul, Friedemann

    2010-12-01

    The foundation of Germany's healthcare system is derived from Germany's Basic Law (Grundgesetz), which obliges the state to provide social services to its citizens (Articles 20, 28 of the Basic Law). Specifically, the state must ensure sufficient, needs-based ambulatory and inpatient medical treatment, in qualitative and quantitative terms, as well as guarantee the provision of medicine. The federal government may assume this duty itself or delegate it to state governments and institutions in the form of service guarantee contracts (§ 72, German Social Insurance Code, Book V). The following paper provides an overview of the structural organization, individual components and funding of the German healthcare system, which, in its current form, is extremely complex and which even experts find difficult to grasp. PMID:23199108

  14. Achoo Gateway to Healthcare

    NSDL National Science Digital Library

    Achoo, provided by MNI Systems Corporation, aims to be a comprehensive catalog of healthcare sites. It is organized in a subject hierarchy beginning with human life, practice of medicine, and business of health, and continues with many sub-hierarchies. Each site contains a brief annotation. The directory is searchable. At present Achoo contains thousands of sites. Achoo resembles Yahoo! in construction, and navigation is similar.

  15. Healthcare Reform, Quality, and Technology: ADHD as a Case Study

    PubMed Central

    Epstein, Jeffery N.; Kelleher, Kelly

    2013-01-01

    The concepts of healthcare reform and population health are shifting the emphasis from traditional, volume-based care to a model in which value, or quality, predominates. High quality care will be increasingly rewarded, with financial consequences for poor performance. This shift will be accelerated by the use of healthcare technology, a rapidly growing industry with tools ranging from electronic health records to smart phones and web portals. In this article we highlight pertinent legislative reforms followed by a review of technologies that may play a role in the implementation of these reforms. Pediatric Attention Deficit Hyperactivity Disorder is used as an example given the large number of proposed tools for this condition. While the evidence base is weak for some technologies, research regarding web portals is better developed and will be presented as an example of a technology that may allow practitioners and organizations to improve healthcare quality in several dimensions. PMID:23712720

  16. Financial and organisational reforms in the health sector; implications for the financing and management of mental health care services

    Microsoft Academic Search

    Lars Lien

    2003-01-01

    Since 1980 many developed countries have planned and implemented health sector reforms of different scales and ambitions. Norway has been no exception, and the main political aspirations have been to increase efficiency and improve consumer choice and responsiveness. The major financial reform was the introduction of an activity based financing based on diagnostic related groups (DRG). Other central reforms include

  17. Advanced Econometrics (26:223:655:01) Spring 2003 Meets Wednesdays, 1-3:50 PM, Global Financial Management Center

    E-print Network

    Lin, Xiaodong

    Advanced Econometrics (26:223:655:01) Spring 2003 Meets Wednesdays, 1-3:50 PM, Global Financial statistical methods and the application of these statistical concepts to study the large-sample properties data generating process. These large sample results will be applied to maximum likelihood (ML

  18. What Drives Higher Education Management in the 1990s and Beyond?: The New Era in Financial Support.

    ERIC Educational Resources Information Center

    Leslie, Larry L.

    1995-01-01

    A new set of dynamics in the financing of higher education is reviewed, beginning in the 1970s with development of federal policy supporting high tuition and increased student financial aid. Implications of this policy for the future are examined from the perspective of the resource dependency theory. (MSE)

  19. Workplace Literacy in a Total Quality Management Environment for the Manufacturing and Financial Services Industries. Final Performance Report.

    ERIC Educational Resources Information Center

    Mrowicki, Linda; And Others

    A project was conducted for the following purposes: (1) improve the productivity and efficiency of 21 companies by providing workplace literacy instruction to workers lacking basic skills required for their jobs; and (2) improve the capability of educational providers to meet the basic skill needs of the manufacturing and financial services…

  20. Integrated healthcare information systems.

    PubMed

    Miller, J

    1995-01-01

    When it comes to electronic data processing in healthcare, we offer a guarded, but hopeful, prognosis. To be sure, the age of electronic information processing has hit healthcare. Employers, insurance companies, hospitals, physicians and a host of ancillary service providers are all being ushered into a world of high speed, high tech electronic information. Some are even predicting that the health information business will grow from $20 billion to over $100 billion in a decade. Yet, out industry lags behind other industries in its overall movement to the paperless world. Selecting and installing the most advanced integrated information system isn't a simple task, as we've seen. As in life, compromises can produce less than optimal results. Nevertheless, integrated healthcare systems simply won't achieve their goals without systems designed to support the operation of a continuum of services. That's the reality! It is difficult to read about the wonderful advances in other sectors, while realizing that many trees still fall each year in the name of the health care industry. Yes, there are some outstanding examples of organizations pushing the envelop in a variety of areas. Yet from a very practical standpoint, many (like our physician's office) are still struggling or are on the sidelines wondering what to do. Given the competitive marketplace, organizations without effective systems may not have long to wonder and wait. PMID:10154233