Note: This page contains sample records for the topic healthcare financial management from Science.gov.
While these samples are representative of the content of Science.gov,
they are not comprehensive nor are they the most current set.
We encourage you to perform a real-time search of Science.gov
to obtain the most current and comprehensive results.
Last update: August 15, 2014.
1

Management accounting use and financial performance in public health-care organisations: Evidence from the Italian National Health Service.  

PubMed

Reforms of the public health-care sector have emphasised the role of management accounting (MA). However, there is little systematic evidence on its use and benefits. To fill this gap, we propose a contingency-based model which addresses three related issues, that is, whether: (i) MA use is influenced by contextual variables and MA design; (ii) top-management satisfaction with MA mediates the relationship between MA design and MA use; and (iii) financial performance is influenced by MA use. A questionnaire was mailed out to all Italian public health-care organisations. Structural equation modelling was performed to validate the research hypotheses. The response rate was 49%. Our findings suggest that: (i) cost-containment strategies encourage more sophisticated MA designs; (ii) MA use is directly and indirectly influenced by contingency, organisational, and behavioural variables; (iii) a weakly significant positive relationship exists between MA use and financial performance. These findings are relevant from the viewpoint of both top managers and policymakers. The former must make sure that MA is not only technically advanced, but also properly understood and appreciated by users. The latter need to be aware that MA may improve performance in ways and along dimensions that may not fully translate into better financial results. PMID:24767311

Macinati, Manuela S; Anessi-Pessina, E

2014-07-01

2

Army Healthcare Enterprise Management System.  

National Technical Information Service (NTIS)

Introduction. The audit was performed in response to allegations to the Defense Hotline concerning the procurement of the Army Healthcare Enterprise Management System. The complaint alleged that the Army Healthcare Enterprise Management System was not pro...

2001-01-01

3

Managing strategic outsourcing in the healthcare industry.  

PubMed

Hospitals and healthcare systems are facing increased financial difficulties because of the Balanced Budget Act of 1997 and managed care. As a result, healthcare executives face the challenge of reducing costs while maintaining quality patient care. One of the strategic tools healthcare executives use to meet this challenge is outsourcing. Even though outsourcing has many benefits, outsourcing will fail if not managed successfully. Senior executives must choose outsourcing managers who have the necessary leadership capabilities. Managing outsourcing requires an understanding of outsourcing strategy, the benefits and risks of outsourcing, the evaluation process, and the methods to managing strategically. With appropriate management, strategic outsourcing should provide healthcare executives with a viable strategy for controlling costs and maintaining quality patient care. PMID:11482242

Roberts, V

2001-01-01

4

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

Microsoft Academic Search

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

Bontle Mbongwe; Baagi T. Mmereki; Andrew Magashula

2008-01-01

5

Financial Management Policies.  

National Technical Information Service (NTIS)

The organizational responsibilities for financial management within the North Shore Health Planning Council (Peabody, Massachusetts) are delineated, and policies and procedures are defined for budgeting and other financial activities. The duties of the ex...

1974-01-01

6

Quality management in healthcare.  

PubMed

Clinical governance and better human resource management practices are important planks in the current health policies emphasizing quality of patient care. There are numerous reasons why it is important to improve quality of healthcare, including enhancing the accountability of health practitioners and managers, resource efficiency, identifying, and minimizing medical errors while maximizing the use of effective care and improving outcomes, and aligning care to what users/patients want in addition to what they need. "Quality in health is doing the right things for the right people at the right time, and doing them right first time and every time." Quality can also refer to the technical quality of care, to nontechnical aspects of service delivery such as clients' waiting time and staff's attitudes, and to programmatic elements such as policies, infrastructure, access, and management. In this oration/article quality initiatives like Reproductive and Child Health (RCH) and National Rural Health Mission (NRHM) of Government of India (GOI), which concentrate on improving the quality of infrastructure of vast rural health facilities including sub-center, primary health center, and community health center has been taken into account with focus on improving quality of health services also. United Nation Population Fund (UNFPA) in collaboration with the GOI has proposed introducing quality assurance program for accessing and improving the quality of services at public sector health facilities. It is felt that improving the quality of health services in public sector will attract the client belonging to low economic strata, and surely will help in achieving the goal of the NRHM, that is, "Reaching the enriched with quality of health services." PMID:24125927

Dodwad, Subhash S

2013-01-01

7

Championship management for healthcare organizations.  

PubMed

Stakeholders will put increasing pressure on integrated health systems (IHS) for measured performance, demanding data on quality and patient satisfaction, while simultaneously pressing for lower cost. The changes to Joint Commission on Accreditation of Healthcare Organizations (Joint Commission) and the growing importance of the National Committee on Quality Assurance (NCQA) are simply forerunners of an intensifying trend. Quality of care in particular will face increasing scrutiny. Achieving competitive targets in these areas will also require measures addressing demand and worker satisfaction. "Balanced scorecard" approaches will allow IHS and their accountable work groups to track performance on several dimensions and establish integrated goals or targets. Those with consistently good scores will be labeled "champions." Champions will support the multidimensional measures with improved decision processes. About eight major processes will be central--governance/strategic management, clinical quality, clinical organization, financial planning, planning and marketing, information services, human resources, and plant services. It is possible to map these processes to the criteria of the Joint Commission, NCQA, and Malcolm Baldrige Quality Award. The processes themselves can be measured and common weaknesses identified and corrected. Champions share some common characteristics that seem to arise from the combination of processes and measures. Among these characteristics are service line orientation, extensive partnering with other organizations, and the possibility of outsourcing organizational components. PMID:11066948

Griffith, J R

2000-01-01

8

The financial crisis in Italy: Implications for the healthcare sector  

Microsoft Academic Search

The global economic and financial crisis is having and impact on the Italian healthcare system which is undergoing a devolution process from the central government to regions and where about one third of the regional governments (mainly in the central and southern part of the country) are facing large financial deficits. The paper briefly describes the current macro scenario and

Antonio Giulio de Belvis; Maria Lucia Specchia; Luca Valerio; Giovanni Fattore; Walter Ricciardi

2012-01-01

9

[Knowledge management and healthcare organizations].  

PubMed

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

Favaretti, Carlo

2013-10-01

10

Healthcare waste management in Asia.  

PubMed

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. PMID:19726174

Ananth, A Prem; Prashanthini, V; Visvanathan, C

2010-01-01

11

Global Financial Management  

NSDL National Science Digital Library

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.

Harvey, Campbell R.

1969-12-31

12

Healthcare knowledge management through building and operationalising healthcare enterprise memory.  

PubMed

In this paper we suggest that the healthcare enterprise needs to be more conscious of its vast knowledge resources vis-à-vis the exploitation of knowledge management techniques to efficiently manage its knowledge. The development of healthcare enterprise memory is suggested as a solution, together with a novel approach advocating the operationalisation of healthcare enterprise memories leading to the modelling of healthcare processes for strategic planning. As an example, we present a simulation of Service Delivery Time in a hospital's OPD. PMID:10724990

Cheah, Y N; Abidi, S S

1999-01-01

13

SHS Orcas: the first integrated information system for long-term healthcare facility management  

Microsoft Academic Search

SHS.com (Shared Healthcare Systems) provides software solutions and services for the senior healthcare market. In 1998, SHS engaged Cooper to help design a next-generation healthcare information system that would for the first time provide true integration of clinical, financial, and case management information, allowing comprehensive management of long-term healthcare facilities.Cooper had an opportunity to design a product that not only

Steve Calde; Kim Goodwin; Robert Reimann

2002-01-01

14

Successful healthcare programs and projects: organization portfolio management essentials.  

PubMed

Many healthcare organization projects take more time and resources than planned and fail to deliver desired business outcomes. Healthcare IT is a major component of many projects and often undeservedly receives the blame for failure. Poor results are often not a result of faulty healthcare IT or poor project management or poor project execution alone. Many projects fail because of poor portfolio management--poor planning and management of the portfolio of initiatives designed to meet an organization's strategic goals. Because resources are limited, portfolio management enables organizations to more strategically allocate and manage their resources so care delivery, service delivery, and initiatives that advance organizations toward their strategic goals, including healthcare IT initiatives, can be accomplished at the levels of quality and service desired by an organization. Proper portfolio management is the essential foundation for program and project success and supports overall organization success. Without portfolio management, even programs and projects that execute flawlessly may not meet desired objectives. This article discusses the essential requirements for porfolio management. These include opportunity identification, return on investment (ROI) forecast, project prioritization, capacity planning (inclusive of human, financial, capital, and facilities resources), work scheduling, program and project management and execution, and project performance and value assessment. Portfolio management is essential to successful healthcare project execution. Theories are drawn from the Organizational Project Management Maturity Model (OPM3) work of the Project Management Institute and other leading strategy, planning, and organization change management research institutes. PMID:15682672

Pickens, Scott; Solak, Jamie

2005-01-01

15

Strategic Planning and Financial Management  

ERIC Educational Resources Information Center

Strong financial management is a strategy for strategic planning success in student affairs. It is crucial that student affairs professionals understand the necessity of linking their strategic planning with their financial management processes. An effective strategic planner needs strong financial management skills to implement the plan over…

Conneely, James F.

2010-01-01

16

Integrated Financial Management Program  

NASA Technical Reports Server (NTRS)

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.

Pho, Susan

2004-01-01

17

Information Management in Distributed Healthcare Networks  

Microsoft Academic Search

\\u000a Providing healthcare increasingly changes from isolated treatment episodes towards a continuous treatment process involving\\u000a multiple healthcare professionals and various institutions. Information management plays a crucial role in this interdisciplinary\\u000a process. By using information technology (IT) different goals are in the focus: To decrease overall costs for healthcare,\\u000a to improve healthcare quality, and to consolidate patient-related information from different sources.\\u000a \\u000a \\u000a Consolidation

Richard Lenz

2005-01-01

18

Financial Management of the Firm  

NSDL National Science Digital Library

Financial Management of the Firm is provided by Professor Pamela Peterson from the College of Business at Florida State University. It contains lecture outlines, examples used in class and sample problems (with solutions). The topics covered on this page include Financial Accounting Information, Taxation and Cash Flows, Financial Analysis, Time Value of Money, Valuation, Risk and Return, Capital Budgeting and Cost of Capital. Several time value of money tables and examples on how to use them are included.

Peters, Pamela P.

1969-12-31

19

Healthcare providers constricted by financial, legislative, and regulatory issues.  

PubMed

The challenges facing the healthcare industry have created a chasm between the focus on quality of care and financial survival. More than 46.5 million Americans are uninsured, and another 16 million are underinsured with health insurance plans that leave patients unable to afford their portion of hospital charges. There are literally hundreds of solutions to assist hospitals in solving payor, self-pay, billing, and charity issues. Examples of solutions that are available include advanced analytics and modeling, automated decisioning and business rules engines, automated insurance eligibility verification, work flow tools, collection services, patient payment calculators, and many others. As the industry becomes more self-regulated and proactive, the pressure concerning business operations hopefully will diminish and hospitals can focus more on the delivery of care. PMID:19146082

Callahan, Marty

2008-01-01

20

76 FR 23859 - Financial Management Service Proposed Collection of Information; Financial Institution Agreement...  

Federal Register 2010, 2011, 2012, 2013

...Service Financial Management Service Proposed...of Information; Financial Institution Agreement and Application...Authorizing the Financial Institution Agreement and Application AGENCY: Financial Management Service,...

2011-04-28

21

Healthcare facilities management: state of the art review  

Microsoft Academic Search

Following increases in national demands on healthcare facilities and services, healthcare facilities management (FM) has gradually matured to become an established research and development topic. This paper reviews the state of the art in the main domains related to healthcare FM and defines the central themes in the development of a healthcare FM model. FM, maintenance management and performance management

Igal M. Shohet; Sarel Lavy

2004-01-01

22

Healthcare waste management in Algeria and Mostaganem department  

Microsoft Academic Search

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

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

2009-01-01

23

Improving preparation for senior management in healthcare.  

PubMed

Noting the historical and practical relationship of management education in healthcare to business generally, this paper reviews and analyzes four recent criticisms of management education by Pfeffer and Fong, Ghoshal, Mintzberg, and Bennis. It concludes from that analysis that increased effort on assessing and improving healthcare education efforts is essential, and proposes a model for a national program of continuous improvement of educational practice. It reviews existing competency assessment tools in the light of needs, and suggests next steps for educators and practitioners. PMID:17847864

Griffith, John R

2007-01-01

24

Financial Management in School Administration.  

ERIC Educational Resources Information Center

Because Australian school principals are being given increasing autonomy, knowledge of basic accounting principles and skill in elementary financial management are becoming more necessary. This book attempts to supply school administrators with information needed to handle new accounting duties and to lay a foundation for future fuller involvement…

Tronc, Keith, Ed.

25

Quality requirements for cross-border care in Europe: a qualitative study of patients', professionals' and healthcare financiers' views  

PubMed Central

Background: In the past decade the issue of patient mobility has emerged on the European health policy agenda. Although the volume of patients crossing borders to obtain healthcare is low, it is increasing continuously and, due to its legal, financial and medical implications, has generated considerable interest among health policy and other decision makers. However, there is little information available on the safety and patient-centredness of cross-border care and neither governments nor citizens have an explicit basis for comparing healthcare delivery in Europe. Methods: This study investigated the viewpoints of patients, professionals and healthcare financiers on the safety and patient-centredness of cross-border care. Qualitative interviews were carried out during 2005 and early 2006 with 40 patients, 30 professionals (doctors, nurses and managers) and 3 healthcare-financing bodies. Results: Although cross-border care has become a common issue in many European countries, there remain uncertainties on the side of each of the parties addressed—patients, professionals and financiers—with regard to the provision of cross-border care. One of the most striking results of this project is the current lack of research on systematic knowledge on the quality of cross-border care. Conclusion: Many of the issues identified through this research may have a potential impact on the quality and safety of cross-border care and will support further investigation and help shape the health policy agenda on patients crossing borders in European Union countries.

Groene, O; Poletti, P; Vallejo, P; Cucic, C; Klazinga, N; Sunol, R

2009-01-01

26

An Analysis of Knowledge Management Mechanisms in Healthcare Portals  

ERIC Educational Resources Information Center

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…

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

2010-01-01

27

COMPUTER-ASSISTED INSTRUCTION FOR FINANCIAL MANAGEMENT  

Microsoft Academic Search

This paper describes computer-assisted instruction for financial management which can be used to supplement an undergraduate course or to update training of persons in agribusiness. It is used to review principles of financial management, to illustrate analytical techniques, and to provide practice in the use of financial concepts and techniques. The material covered is similar to that found in traditional

Emerson M. Babb

1987-01-01

28

Uncovering middle managers' role in healthcare innovation implementation  

PubMed Central

Background Middle managers have received little attention in extant health services research, yet they may have a key role in healthcare innovation implementation. The gap between evidence of effective care and practice may be attributed in part to poor healthcare innovation implementation. Investigating middle managers' role in healthcare innovation implementation may reveal an opportunity for improvement. In this paper, we present a theory of middle managers' role in healthcare innovation implementation to fill the gap in the literature and to stimulate research that empirically examines middle managers' influence on innovation implementation in healthcare organizations. Discussion Extant healthcare innovation implementation research has primarily focused on the roles of physicians and top managers. Largely overlooked is the role of middle managers. We suggest that middle managers influence healthcare innovation implementation by diffusing information, synthesizing information, mediating between strategy and day-to-day activities, and selling innovation implementation. Summary Teamwork designs have become popular in healthcare organizations. Because middle managers oversee these team initiatives, their potential to influence innovation implementation has grown. Future research should investigate middle managers' role in healthcare innovation implementation. Findings may aid top managers in leveraging middle managers' influence to improve the effectiveness of healthcare innovation implementation.

2012-01-01

29

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

Microsoft Academic Search

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

Aylin Zeren Alagoez; Guenay Kocasoy

2008-01-01

30

FI 100 - FINANCIAL MANAGEMENT Course Outline  

Microsoft Academic Search

Financial management is concerned with the efforts of the corporation' s managers to raise and allocate capital in a manner that will maximize and stabilize the firm's future cash flows; if successful, these efforts will enhance shareholder wealth. This course examines the concepts and techniques available to financial managers as they address various aspects of the financing and investment questions.

Stevenson Hawkey; Edward S. Ageno

31

The Impact Of Financial Attitudes And Knowledge On Financial Management And Satisfaction Of Recently Married Individuals  

Microsoft Academic Search

Using a financial management model derived from the Deacon and Firebaugh Family Resource Management Model, this study examined the impact of financial attitudes and knowledge on financial management and satisfaction with financial status in a sample of 194 recently married individuals. Higher income and positive attitudes about finances, but not the amount of financial knowledge, predicted use of recommended financial

Jodi L. Parrotta; Phyllis J. Johnson

1998-01-01

32

Financial Management for Transit: A Handbook.  

ERIC Educational Resources Information Center

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,…

Heaselden, Mark; And Others

33

DHS Financial Management: Additional Efforts Needed to Resolve Deficiencies in Internal Controls and Financial Management Systems.  

National Technical Information Service (NTIS)

In 2003, GAO designated DHS's management functions--including financial management--as high risk. Since obtaining a clean opinion on its financial statements and improving the effectiveness of internal controls are key aspects of DHS's strategy for addres...

2013-01-01

34

Networkcentric healthcare: applying the tools, techniques and strategies of knowledge management to create superior healthcare operations.  

PubMed

The proliferation of Information Computer and Communication Technologies (IC2T) throughout the business environment has led to exponentially increasing amounts of data and information. Although these technologies were implemented to enhance and facilitate superior decision-making, the reality is information overload. Knowledge Management (KM) is a recent management technique designed to make sense of this information chaos. Critical to knowledge management is the application of IC2T. This paper discusses how effective and efficient healthcare operations can ensue through the adoption of a networkcentric healthcare perspective that is grounded in process-oriented knowledge generation and enabled through World Healthcare Information Grid (WHIG). PMID:18048258

von Lubitz, Dag; Wickramasinghe, Nilmini

2006-01-01

35

What is Good University Financial Management?  

ERIC Educational Resources Information Center

In the current and foreseeable harsh UK higher education environment, aspiring to best-practice financial management will be key to ensuring the prosperity--and indeed the survival--of any university. In this article I argue that good university financial management should provide stability to the institution, allow for investment as well as…

Taylor, Mark P.

2013-01-01

36

Take the money and run: the challenges of designing and evaluating financial incentives in healthcare; Comment on "Paying for performance in healthcare organisations"  

PubMed Central

Many countries are turning their attention to the use of explicit financial incentives to drive desired improvements in healthcare performance. However, we have only a weak evidence-base to inform policy in this area. The research challenge is to generate robust evidence on what financial incentives work, under what circumstances, for whom and with what intended and unintended consequences.

Mannion, Russell

2014-01-01

37

Common competencies for all healthcare managers: the Healthcare Leadership Alliance model.  

PubMed

Today's healthcare executives and leaders must have management talent sophisticated enough to match the increased complexity of the healthcare environment. Executives are expected to demonstrate measurable outcomes and effectiveness and to practice evidence-based management. At the same time, academic and professional programs are emphasizing the attainment of competencies related to workplace effectiveness. The shift to evidence-based management has led to numerous efforts to define the competencies most appropriate for healthcare. The Healthcare Leadership Alliance (HLA), a consortium of six major professional membership organizations, used the research from and experience with their individual credentialing processes to posit five competency domains common among all practicing healthcare managers: (1) communication and relationship management, (2) professionalism, (3) leadership, (4) knowledge of the healthcare system, and (5) business skills and knowledge. The HLA engaged in a formal process to delineate the knowledge, skills, and abilities within each domain and to determine which of these competencies were core or common among the membership of all HLA associations and which were specialty or specific to the members of one or more HLA organizations. This process produced 300 competency statements, which were then organized into the Competency Directory, a unique and interactive database that can be used for assessing individual and organizational competencies. Overall, this work helps to unify the field of healthcare management and provides a lexicon and a basis for collaboration among different types of healthcare executives. This article discusses the steps that the HLA followed. It also presents the HLA Competency Directory; its application and relevance to the practitioner and academic communities; and its strengths, limitations, and potential. PMID:19070332

Stefl, Mary E

2008-01-01

38

Strategies for healthcare facilities, construction, and real estate management.  

PubMed

Adventist HealthCare offers the following lessons learned in improving the value of healthcare facilities, construction, and real estate management: Use an integrated approach. Ensure that the objectives of the approach align the hospital or health system's mission and values. Embrace innovation. Develop a plan that applies to the whole organization, rather than specific business units. Ensure commitment of senior leaders. PMID:22616513

Lee, James G

2012-05-01

39

Knowledge Gap and Transfer Issues in Financial Management.  

National Technical Information Service (NTIS)

A mission lacks of financial resource is a mission impossible. Marine Corps financial managers have the responsibility to manage their commanders' financial resource effectively to accomplish the mission. However, the constant personnel turnover and the l...

D. T. Pham

2009-01-01

40

20 CFR 435.21 - Standards for financial management systems.  

Code of Federal Regulations, 2010 CFR

...Post-Award Requirements Financial and Program Management... Standards for financial management systems. (a) Introduction. SSA requires recipients to relate financial data to performance...establish an accrual accounting system....

2010-04-01

41

20 CFR 435.21 - Standards for financial management systems.  

Code of Federal Regulations, 2010 CFR

...Post-Award Requirements Financial and Program Management... Standards for financial management systems. (a) Introduction. SSA requires recipients to relate financial data to performance...establish an accrual accounting system....

2009-04-01

42

75 FR 57274 - Financial Management and Assurance; Government Auditing Standards  

Federal Register 2010, 2011, 2012, 2013

...GOVERNMENT ACCOUNTABILITY OFFICE Financial Management and Assurance...Council includes experts in financial and performance auditing drawn...private enterprise, public accounting, and academia. This exposure...James R. Dalkin, Director, Financial Management and...

2010-09-20

43

Healthcare Inspection: Management of Chronic Opioid Therapy at a VA Maine Healthcare System Community Based Outpatient Clinic.  

National Technical Information Service (NTIS)

The VA Office of Inspector General Office of Healthcare Inspections conducted an inspection to assess the merit of allegations made by a complainant concerning management of chronic opioid therapy at the VA Maine Healthcare System Community Based Outpatie...

2012-01-01

44

Healthcare Inspection: Abdominal Aortic Aneurysm Management in VA Medical Facilities.  

National Technical Information Service (NTIS)

The VA Office of Inspector General, Office of Healthcare Inspections completed an evaluation to determine whether VHA medical facilities had implemented abdominal aortic aneurysm (AAA) screening policies and protocols and whether clinicians were managing ...

2008-01-01

45

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

SciTech Connect

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.

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

46

Financial Management, Financial Problems And Marital Satisfaction Among Recently Married University Students  

Microsoft Academic Search

This study examined the widely held but largely untested belief that financial issues affect marital satisfaction. The sample consisted of student families at Utah State University. The questionnaire included the Frequency of Financial Management and Frequency of Financial Problems Scales and the Revised Dyadic Adjustment Scale. Financial management behaviors and perceptions of how well finances were managed, as well as

Barbara C. Kerkmann; Thomas R. Lee; Jean M. Lown; Scot M. Allgood

47

Internal Revenue Service: Status of GAO Financial Audit and Related Financial Management Recommendations.  

National Technical Information Service (NTIS)

The Internal Revenue Service (IRS) has made significant progress in improving its internal controls and financial management since its first financial statement audit in 1992, as evidenced by 12 consecutive years of clean audit opinions on its financial s...

2012-01-01

48

Microcomputerizing Your Paperwork. Part III: Financial Management Programs.  

ERIC Educational Resources Information Center

Examines computerized financial accounting programs that can help administrators with the management of school finances. A detailed chart of financial accounting software packages for microcomputers is included. (JJD)

Pogrow, Stanley

1982-01-01

49

Transformational management style positively affects financial outcomes.  

PubMed

Two specific examples from the author's experience demonstrate the central theme that positive financial outcomes are a function of a transformational leadership style of management. The article focuses on participation competencies utilizing involvement, empowerment, and accountability. Developing staff and empowering them to make decisions about their work and outcomes are necessary to achieve a high-quality, cost-effective outcome, the key to financial success. PMID:10711140

Zwingman-Bagley, C

1999-01-01

50

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

ERIC Educational Resources Information Center

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…

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

51

Networked Appliances for Home Healthcare and Lifestyle Management  

Microsoft Academic Search

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

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

52

Managing to reduce nuclear financial risks  

SciTech Connect

Nuclear power plant projects have weathered volatile economic conditions and uncertain regulatory climates with varying degrees of success. Some electric utilities can point to excellent construction and operating records, while others have suffered continuous difficulties. Are the success stories the result of good luck or effective management. This article identifies the potential sources of financial risk in a nuclear project and describes several methods available to management for controlling financial liability. A commitment to the highest level of technical and managerial skills is cited as a necessary component of all successful nuclear undertakings. 4 references, 3 figures, 2 tables.

Sillin, J.O.

1984-10-11

53

77 FR 26304 - Federal Housing Administration (FHA) Healthcare Facility Documents: Proposed Revisions and...  

Federal Register 2010, 2011, 2012, 2013

...the operator or management agent; if the healthcare facility's financial or...the healthcare facility upon an uncured default. Management Certification...owner, handles the management activities of the facility. Sometimes,...

2012-05-03

54

Outsourcing inventory management decisions in healthcare: Models and application  

Microsoft Academic Search

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

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

2004-01-01

55

Assessment of Quality Management Practices Within the Healthcare Industry  

Microsoft Academic Search

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.

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

2009-01-01

56

42 CFR 137.21 - How does an Indian Tribe demonstrate financial stability and financial management capacity?  

Code of Federal Regulations, 2012 CFR

...an Indian Tribe demonstrate financial stability and financial management capacity? 137.21 Section 137.21 Public Health...Indian Tribe demonstrate financial stability and financial management capacity? The Indian Tribe provides evidence that,...

2012-10-01

57

Family Financial Management: A Giant Step toward Successful Entrepreneurship.  

ERIC Educational Resources Information Center

The same principles are involved in the successful management of business and household, and helping students to learn personal or home financial management is a step toward business management. The author outlines strategies in family financial planning, organizing, and directing, with applications to business, for a family financial management

Graham, K. Edwin

1979-01-01

58

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

PubMed Central

This study examined the impact of childhood activity limitations on family financial burden in the U.S. We used ten complete panels (1996-2006) of the Medical Expenditure Panel Survey (MEPS) to evaluate the burden of out-of-pocket healthcare expenditures for 17,857 families with children aged 0-17 years. Multivariate generalized linear models were used to examine the relationship between childhood activity limitation status and both absolute and relative financial burden. Families of children with limitations had higher absolute out-of-pocket healthcare expenditures than families of children without limitations ($594.36 higher; p<0.05), and were 54% more likely to experience relative burden (p<0.05). Substantial socioeconomic disparities in financial burden were observed. Policies are needed to enable these families to access appropriate and affordable healthcare services.

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

2011-01-01

59

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

PubMed

This study examined the impact of childhood activity limitations on family financial burden in the U.S. We used ten complete panels (1996-2006) of the Medical Expenditure Panel Survey (MEPS) to evaluate the burden of out-of-pocket healthcare expenditures for 17,857 families with children aged 0-17 years. Multivariate generalized linear models were used to examine the relationship between childhood activity limitation status and both absolute and relative financial burden. Families of children with limitations had higher absolute out-of-pocket healthcare expenditures than families of children without limitations ($594.36 higher; p<0.05), and were 54% more likely to experience relative burden (p<0.05). Substantial socioeconomic disparities in financial burden were observed. Policies are needed to enable these families to access appropriate and affordable healthcare services. PMID:21552342

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

2011-06-01

60

Optimization Techniques for College Financial Aid Managers  

ERIC Educational Resources Information Center

In the context of a theoretical model of expected profit maximization, this paper shows how historic institutional data can be used to assist enrollment managers in determining the level of financial aid for students with varying demographic and quality characteristics. Optimal tuition pricing in conjunction with empirical estimation of…

Bosshardt, Donald I.; Lichtenstein, Larry; Palumbo, George; Zaporowski, Mark P.

2010-01-01

61

Strengthening Public Financial Management in Postconflict Countries  

Microsoft Academic Search

Understanding how to rebuild resilient states in postconflict countries is an urgent priority for the international community. A new cross-country study of public financial management reforms in postconflict situations shows that substantial progress is possible even in difficult circumstances, while showing a pattern of sequencing and progress that differs from standard assumptions. However, the impact on state building remains less

Verena Fritz; Edward Hedger; Ana Paula Fialho Lopes

2011-01-01

62

1994 survey--healthcare materiel management and central service professions.  

PubMed

Our 1994 professional survey shows an industry in flux. Institutions seem to be getting smaller, job tenure is shrinking for CS managers and materiel managers are convinced there will be fewer of them around. Salaries seem to be flattening for materiel managers, female materiel managers are being financially discriminated against and CS managers, though making more money, are losing benefits. Job dissatisfaction appears to be on the rise for both professions. PMID:10139030

Ferdinand, M

1994-12-01

63

Annotated Bibliography, Selected Readings. Financial Management Capacity Sharing Program.  

National Technical Information Service (NTIS)

This annotated bibliography lists 86 selected readings on financial management policies, concepts, and practices which can be used to initiate improvements in the financial management of local and State governments. The readings are intended for elected a...

H. C. Fitts H. Black

1981-01-01

64

Information Technology: Architecture Needed to Guide NASA's Financial Management Modernization.  

National Technical Information Service (NTIS)

The National Aeronautics and Space Administration (NASA) is in the process of modernizing its financial management operations and supporting information technology systems. This modernization, known as the Integrated Financial Management Program (IFMP), i...

2003-01-01

65

10 CFR 600.311 - Standards for financial management systems.  

Code of Federal Regulations, 2010 CFR

...financial management systems to the extent that the systems comply with Generally Accepted Accounting Principles (GAAP) and the...recipient's financial management system must provide: (1) Effective control of all funds....

2009-01-01

66

10 CFR 600.311 - Standards for financial management systems.  

Code of Federal Regulations, 2010 CFR

...financial management systems to the extent that the systems comply with Generally Accepted Accounting Principles (GAAP) and the...recipient's financial management system must provide: (1) Effective control of all funds....

2010-01-01

67

32 CFR 34.11 - Standards for financial management systems.  

Code of Federal Regulations, 2010 CFR

...financial management systems established for...extent that the systems comply with Generally...Accepted Accounting Principles (GAAP) and the...recipient's financial management system shall provide: (1) Effective control of all funds....

2009-07-01

68

32 CFR 34.11 - Standards for financial management systems.  

Code of Federal Regulations, 2010 CFR

...financial management systems established for...extent that the systems comply with Generally...Accepted Accounting Principles (GAAP) and the...recipient's financial management system shall provide: (1) Effective control of all funds....

2010-07-01

69

Acquisition/Financial Systems Interface Requirements: Checklist for Reviewing Systems under the Federal Financial Management Improvement Act.  

National Technical Information Service (NTIS)

The Federal Financial Management Improvement Act of 1996 (FFMIA) requires that agencies implement and maintain financial management systems that substantially comply with federal financial management system requirements. These requirements are described i...

2003-01-01

70

A Web Services Implementation Framework for Financial Enterprise Content Management  

Microsoft Academic Search

There is an increasing demand to replace the current cost ineffective and bad time-to-market hardcopy publishing and delivery of content in the financial world. Four major goals, namely, management, cost, legal issues, and value, for a financial system should be reached. The new financial enterprise content management system (FECMS) could archive these goals by providing different content management, process establishment,

Kevin H. S. Kwok; Dickson K. W. Chiu

2004-01-01

71

FINANCIAL MANAGEMENT IN CRISIS SITUATION, PILOT STUDY REGARDING ROMANIAN PRACTICE  

Microsoft Academic Search

In this article, the authors propose to approach the main levels of company financial management in a systemic financial crisis situation outside the enterprise and not those related to the effects of the internal management. To give a dimension of the concern existing at the level of Romanian companies regarding the management of financial situation crisis, a pilot study was

Dumitrescu Dalina; Rasca Lavinia

72

Health Care Financial Management: Curriculum Objectives and Bibliography.  

ERIC Educational Resources Information Center

Curriculum objectives for health care financial management, a bibliography and examples of financial management curricula are presented. The outline of curriculum objectives identifies a core of knowledge and skills in financial management that health administration students might obtain in their academic training. The outline's content is divided…

Zelman, William N., Ed.; And Others

73

Straight talk: new approaches in healthcare. Are you in denial over your denials? Enhance your revenues with denial management.  

PubMed

Most health systems lose between 3% and 5% of net revenues as a result of payment denials from insurance companies. But it doesn't have to be that way. In the eighth installment of Straight Talk, we talk about the steps necessary to recover lost revenue through a denial-management program, which involves an investment in information technology and a commitment to business-process change. Denial management isn't just the responsibility of the employees in patient financial services--it's everyone's responsibility at the hospital. Modern Healthcare and PricewaterhouseCoopers present Straight Talk. The session on denial management was held at Modern Healthcare's Chicago headquarters on November 6, 2002. Charles S. Lauer, Publisher of Modern Healthcare, was the moderator. PMID:12510566

Harris, David; Cibenko, Alex; Johnston, Scott; Kline, Linda J; Silveria, Richard

2002-11-25

74

Healthcare supply chain management in Malaysia: a case study  

Microsoft Academic Search

Purpose – The purpose of this paper is to evaluate inventory management in the private healthcare sector in Malaysia, with a particular focus on the distribution of medicines from a wholesaler to clinics. Currently, there are issues with service levels to clinics that need addressing. Design\\/methodology\\/approach – The paper adopts a case study approach, with data collected through process mapping,

Noorfa Haszlinna Mustaffa; Andrew Potter

2009-01-01

75

Human resource management in the health-care industry.  

PubMed

It has been said that managing change is a synonym for managing people through change. No other industry has experienced more change in the past ten years than the health-care industry. In order to regulate all this change, managers in health-care organizations must identify new ways to deal with the changes. The issues are as old as time: job satisfaction, cultural conflict, and compensation. This paper addresses each of these key issues with the following examples. A new nursing paradigm that was implemented at a hospital has significantly increased job satisfaction. This paper also takes a look at ways to manage cultural conflict in a diversified workforce. Finally, the results of a team approach to compensation are studied. PMID:10346306

Conant, G; Kleiner, B H

1998-01-01

76

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

PubMed

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

Kerfoot, K M; Vigh, B J

1991-01-01

77

[The case manager, a geriatrics healthcare coordinator].  

PubMed

The case manager mobilises the resources available within a geographic sector determined by the Centre for the autonomy and integration of Alzheimer's patients in order to respond to complex cases of elderly patient care. PMID:23951867

Dauriac, Christine

2013-01-01

78

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

Microsoft Academic Search

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

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

2002-01-01

79

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

Code of Federal Regulations, 2010 CFR

... false Accounting, bookkeeping...budgeting, and financial management...3560.302 Accounting, bookkeeping...budgeting, and financial management...establish the accounting, bookkeeping...budgeting and financial...

2010-01-01

80

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

Code of Federal Regulations, 2010 CFR

... false Accounting, bookkeeping...budgeting, and financial management...3560.302 Accounting, bookkeeping...budgeting, and financial management...establish the accounting, bookkeeping...budgeting and financial...

2009-01-01

81

Financial Management of Libraries: Past Trends and Future Prospects.  

ERIC Educational Resources Information Center

The financial environment within library and information services is reviewed and a structure for financial management is presented based on funding source and level of commercial activity. Objectives for financial management of library and information services is developed and reviewed in light of future trends and stakeholder perspectives.…

Roberts, Stephen A.

2003-01-01

82

Financial Management and Ratio Analysis for Cooperative Enterprises.  

National Technical Information Service (NTIS)

This study discusses differences in financial management and goals between the investor-oriented firms and cooperatives. It briefly reviews what bankers look for when appraising potential borrowers. A summary of standard financial ratios used to analyze a...

D. S. Chesnick

2000-01-01

83

Management of leaded PPE in the healthcare environment.  

PubMed

Management of a quality assurance program for leaded personal protective equipment (PPE) can be a challenge for large healthcare organizations. A program has been developed to effectively manage hundreds of pieces of leaded PPE at a large health system in North Carolina. Physical identification of pieces is accomplished using a combination of durable serialized labels for identification of individual pieces, and a color-coded tagging system for instant visual identification of inspection status. This process, coupled with maintaining routine quality assurance records using standard spreadsheet software, resulted in an effective leaded PPE management program with minimal capital overhead. PMID:24077082

White, Travis

2013-11-01

84

[Clinical practice guidelines and knowledge management in healthcare].  

PubMed

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

Ollenschläger, Günter

2013-10-01

85

Multiple 3D medical data watermarking for healthcare data management.  

PubMed

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

Lee, Suk-Hwan; Kwon, Ki-Ryong

2011-12-01

86

Integrating Identity Management With Federated Healthcare Data Models  

NASA Astrophysics Data System (ADS)

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.

Hu, Jun; Peyton, Liam

87

Managed behavioral healthcare in the private sector.  

PubMed

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

Jeffrey, M; Riley, J

2000-09-01

88

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

PubMed

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

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

1993-04-01

89

An Examination of Gambling Behaviour in Relation to Financial Management Behaviour, Financial Attitudes, and Money Attitudes  

Microsoft Academic Search

This study was designed to examine the relationship between gambling behaviour (gambling frequency and problem gambling severity)\\u000a and financial management practices (cash management, risk management, and general management), financial management attitudes,\\u000a and money attitudes (materialism, achievement, budget, obsession, and anxiety) in a sample of 118 participants (45 males,\\u000a 73 females) recruited from a university. The findings revealed that gambling frequency

Effie Z. Chen; Nicki A. Dowling; Keong Yap

90

Office of Federal Financial Management Core Financial System Requirements.  

National Technical Information Service (NTIS)

This is the Core Financial System Requirements. OFFM-NO-0106 January 2006, which updates and replaces the November 2001 version. Major changes include: standardized definitions for accounting classification elements; e-gov program interfaces, e.g., centra...

2006-01-01

91

Mobile healthcare information management utilizing Cloud Computing and Android OS.  

PubMed

Cloud Computing provides functionality for managing information data in a distributed, ubiquitous and pervasive manner supporting several platforms, systems and applications. This work presents the implementation of a mobile system that enables electronic healthcare data storage, update and retrieval using Cloud Computing. The mobile application is developed using Google's Android operating system and provides management of patient health records and medical images (supporting DICOM format and JPEG2000 coding). The developed system has been evaluated using the Amazon's S3 cloud service. This article summarizes the implementation details and presents initial results of the system in practice. PMID:21097207

Doukas, Charalampos; Pliakas, Thomas; Maglogiannis, Ilias

2010-01-01

92

77 FR 34127 - Financial Management Service; Proposed Collection of Information: Electronic Transfer Account...  

Federal Register 2010, 2011, 2012, 2013

...A)), the Financial Management Service solicits...Account (ETA) Financial Agency Agreement...Any financial institution that offers...Federally insured financial institutions. Estimated...for Office of Management and Budget...

2012-06-08

93

77 FR 30050 - Financial Management Service Proposed Collection of Information: Resolution Authorizing Execution...  

Federal Register 2010, 2011, 2012, 2013

...A)), the Financial Management Service solicits...Depositary, Financial Agency, and...to financial institutions to become a...agreement from the financial institutions they are authorized...for Office of Management and Budget...

2012-05-21

94

Chronic disease management: a qualitative study investigating the barriers, facilitators and incentives perceived by Swiss healthcare stakeholders  

PubMed Central

Background Chronic disease management has been implemented for some time in several countries to tackle the increasing burden of chronic diseases. While Switzerland faces the same challenge, such initiatives have only emerged recently in this country. The aim of this study is to assess their feasibility, in terms of barriers, facilitators and incentives to participation. Methods To meet our aim, we used qualitative methods involving the collection of opinions of various healthcare stakeholders, by means of 5 focus groups and 33 individual interviews. All the data were recorded and transcribed verbatim. Thematic analysis was then performed and five levels were determined to categorize the data: political, financial, organisational/ structural, professionals and patients. Results Our results show that, at each level, stakeholders share common opinions towards the feasibility of chronic disease management in Switzerland. They mainly mention barriers linked to the federalist political organization as well as to financing such programs. They also envision difficulties to motivate both patients and healthcare professionals to participate. Nevertheless, their favourable attitudes towards chronic disease management as well as the fact that they are convinced that Switzerland possesses all the resources (financial, structural and human) to develop such programs constitute important facilitators. The implementation of quality and financial incentives could also foster the participation of the actors. Conclusions Even if healthcare stakeholders do not have the same role and interest regarding chronic diseases, they express similar opinions on the development of chronic disease management in Switzerland. Their overall positive attitude shows that it could be further implemented if political, financial and organisational barriers are overcome and if incentives are found to face the scepticism and non-motivation of some stakeholders.

2012-01-01

95

Laboratory cost control and financial management software.  

PubMed

Economical constraints within the health care system advocate the introduction of tighter control of costs in clinical laboratories. Detailed cost information forms the basis for cost control and financial management. Based on the cost information, proper decisions regarding priorities, procedure choices, personnel policies and investments can be made. This presentation outlines some principles of cost analysis, describes common limitations of cost analysis, and exemplifies use of software to achieve optimized cost control. One commercially available cost analysis software, LabCost, is described in some detail. In addition to provision of cost information, LabCost also serves as a general management tool for resource handling, accounting, inventory management and billing. The application of LabCost in the selection process of a new high throughput analyzer for a large clinical chemistry service is taken as an example for decisions that can be assisted by cost evaluation. It is concluded that laboratory management that wisely utilizes cost analysis to support the decision-making process will undoubtedly have a clear advantage over those laboratories that fail to employ cost considerations to guide their actions. PMID:9541753

Mayer, M

1998-02-01

96

Design of an RFID-based Healthcare Management System using an Information System Design Theory  

Microsoft Academic Search

This design science research study describes the design and development of a Radio Frequency Identifica- tion (RFID)-based Healthcare Management System (RHMS) for the healthcare industry. We examined the use of RFID technology as the key enabler for building the RHMS to deliver higher business values and provide effective support in transforming and optimizing healthcare practices in the industry. In this

E. W. T. Ngai; J. K. L. Poon; F. F. C. Suk; C. C. Ng

2009-01-01

97

Knowledge transfer and utilization: implications for home healthcare pain management.  

PubMed

Implementation of research evidence into clinical practice is a complex and dynamic process that has become the subject of investigation in the field of "translation science" or "knowledge utilization." Research shows how individuals, units, and organizations all influence the rate and extent of adoption of research evidence. Environmental factors also play an important role in this process. This article summarizes key lessons from translation science and examines the implications for the organization and delivery of home healthcare. The implementation of pain management guidelines is used as an example. PMID:16681296

Bucknall, Tracey

2006-01-01

98

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

PubMed

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

Afek, Arnon; Meilik, Ahuva; Rotstein, Zeev

2009-01-01

99

How Far Have Public Financial Management Reforms Come in Africa?  

Microsoft Academic Search

This paper asks how strong African Public Financial Management (PFM) has become, after a decade and more of reform. How well do African PFM systems in place now facilitate effective public financial management? Where are the next challenges and how can they be met? It analyzes recent PFM assessments in 31 governments to answer these questions, identifying patterns of strengths

Matthew R. Andrews

2010-01-01

100

Financial Management. Guide to Standards and Implementation. Career & Technology Studies.  

ERIC Educational Resources Information Center

This Alberta curriculum guide defines competencies that help students build daily living skills, investigate career options in financial management, use technology in the financial management field effectively and efficiently, and prepare for entry into the workplace or related postsecondary programs. The first section provides a program rationale…

Alberta Dept. of Education, Edmonton. Curriculum Standards Branch.

101

Knowledge management in healthcare: towards 'knowledge-driven' decision-support services.  

PubMed

In this paper, we highlight the involvement of Knowledge Management in a healthcare enterprise. We argue that the 'knowledge quotient' of a healthcare enterprise can be enhanced by procuring diverse facets of knowledge from the seemingly placid healthcare data repositories, and subsequently operationalising the procured knowledge to derive a suite of Strategic Healthcare Decision-Support Services that can impact strategic decision-making, planning and management of the healthcare enterprise. In this paper, we firstly present a reference Knowledge Management environment-a Healthcare Enterprise Memory-with the functionality to acquire, share and operationalise the various modalities of healthcare knowledge. Next, we present the functional and architectural specification of a Strategic Healthcare Decision-Support Services Info-structure, which effectuates a synergy between knowledge procurement (vis-à-vis Data Mining) and knowledge operationalisation (vis-à-vis Knowledge Management) techniques to generate a suite of strategic knowledge-driven decision-support services. In conclusion, we argue that the proposed Healthcare Enterprise Memory is an attempt to rethink the possible sources of leverage to improve healthcare delivery, hereby providing a valuable strategic planning and management resource to healthcare policy makers. PMID:11518661

Abidi, S S

2001-09-01

102

75 FR 4451 - Financial Management Service; Proposed Collection of Information: Final Rule-Management of...  

Federal Register 2010, 2011, 2012, 2013

...c)(2)(A)), the Financial Management Service solicits comments...below: Title: Final Rule--Management of Federal Agency Disbursements...and routing number of their financial institution to receive payment...

2010-01-27

103

An Application of Instructional System Development to Determine Financial Management Education Needs for Logistics Management Positions.  

National Technical Information Service (NTIS)

The purpose of this research effort was to determine the financial management educational needs of USAF graduate logistics positions. Goal analysis was used to identify financial management techniques and task analysis was used to develop a method to iden...

J. N. Brooks D. J. Queen

1976-01-01

104

Managed behavioral health care premises, accountable systems of care, and AMBHA'S perms. American Managed Behavioral Healthcare Association.  

PubMed

This article discusses the concepts and approaches underlying managed behavioral health care and the need to assess quality of care. The author describes the Performance Measures for Managed Behavioral Healthcare Programs (PERMS) developed by the American Managed Behavioral Healthcare Association (AMBHA), which is offered as a first step toward enhanced quality of care assessment in managed behavioral health care. PMID:10183283

Ross, E C

1997-06-01

105

Multicriteria decision aid in financial management  

Microsoft Academic Search

The financial decisions of an organization are usually included in the context of optimization. Concerning a long- term period, there are decisions related to the optimal allocation of funds, and decisions related to the optimal financial structure. In the short-term case, the decisions are related to the optimization of stocks, cash, accounts receivable, current liabilities, etc. The financial theory analyzes

Constantin Zopounidis

1999-01-01

106

The value of the facilities management function in the UK NHS community health-care sector  

Microsoft Academic Search

This paper stresses the importance of the strategic integration of the organisational facilities management function as being an essential prerequisite towards facilities and organisational effectiveness. The impact of both the strategic and operational facilities management function on community health-care facility users is also documented. The value of the facilities management function in terms of other health-care related organisational core deliverables

Paul Featherstone; David Baldry

2000-01-01

107

Clinical engineering and risk management in healthcare technological process using architecture framework.  

PubMed

This paper presents a model that aids the Clinical Engineering to deal with Risk Management in the Healthcare Technological Process. The healthcare technological setting is complex and supported by three basics entities: infrastructure (IS), healthcare technology (HT), and human resource (HR). Was used an Enterprise Architecture - MODAF (Ministry of Defence Architecture Framework) - to model this process for risk management. Thus, was created a new model to contribute to the risk management in the HT process, through the Clinical Engineering viewpoint. This architecture model can support and improve the decision making process of the Clinical Engineering to the Risk Management in the Healthcare Technological process. PMID:21096536

Signori, Marcos R; Garcia, Renato

2010-01-01

108

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

ERIC Educational Resources Information Center

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…

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

2010-01-01

109

DOD Financial Management: Ongoing Challenges in Implementing the Financial Improvement and Audit Readiness Plan.  

National Technical Information Service (NTIS)

The Department of Defense (DoD) has initiated several efforts over the years to address its long-standing financial management weaknesses and ultimately achieve unqualified (clean) opinions on its financial statements. In 2005, the DoD Comptroller first i...

A. Dymond A. A. Khan F. Delvecchio K. Karls S. Miller

2011-01-01

110

25 CFR 23.46 - Financial management, internal and external controls and other assurances.  

Code of Federal Regulations, 2011 CFR

...2011-04-01 false Financial management, internal and external controls...Requirements § 23.46 Financial management, internal and external controls...assurances. Grantee financial management systems shall comply with...

2011-04-01

111

42 CFR 50.605 - Management and reporting of financial conflicts of interest.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 2012-10-01 false Management and reporting of financial conflicts...Objectivity in Research § 50.605 Management and reporting of financial conflicts of interest. (a) Management of financial conflicts of...

2012-10-01

112

25 CFR 276.7 - Standards for grantee financial management systems.  

Code of Federal Regulations, 2011 CFR

...false Standards for grantee financial management systems. 276.7 Section 276.7...276.7 Standards for grantee financial management systems. (a) Grantee financial management systems for grants and subgrantee...

2011-04-01

113

75 FR 75725 - Financial Management Service; Proposed Collection of Information: Tax Time Card Account Pilot...  

Federal Register 2010, 2011, 2012, 2013

...Fiscal Service Financial Management Service; Proposed Collection...of Information: Tax Time Card Account Pilot...Study AGENCY: Financial Management Service, Fiscal Service...notice, the Financial Management Service solicits comments concerning the ``Tax Time Card Account Pilot...

2010-12-06

114

48 CFR 1852.242-73 - NASA contractor financial management reporting.  

Code of Federal Regulations, 2011 CFR

...2011-10-01 2011-10-01 false NASA contractor financial management reporting...Provisions and Clauses 1852.242-73 NASA contractor financial management reporting...7202, insert the following clause: NASA Contractor Financial Management...

2011-10-01

115

48 CFR 1852.242-73 - NASA contractor financial management reporting.  

Code of Federal Regulations, 2010 CFR

...2010-10-01 2010-10-01 true NASA contractor financial management reporting...Provisions and Clauses 1852.242-73 NASA contractor financial management reporting...7202, insert the following clause: NASA Contractor Financial Management...

2010-10-01

116

48 CFR 1852.242-73 - NASA contractor financial management reporting.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 2012-10-01 false NASA contractor financial management reporting...Provisions and Clauses 1852.242-73 NASA contractor financial management reporting...7202, insert the following clause: NASA Contractor Financial Management...

2012-10-01

117

48 CFR 1852.242-73 - NASA contractor financial management reporting.  

Code of Federal Regulations, 2013 CFR

...2013-10-01 2013-10-01 false NASA contractor financial management reporting...Provisions and Clauses 1852.242-73 NASA contractor financial management reporting...7202, insert the following clause: NASA Contractor Financial Management...

2013-10-01

118

A New Activity-Based Financial Cost Management Method  

NASA Astrophysics Data System (ADS)

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.

Qingge, Zhang

119

75 FR 22680 - Financial Management Service; Proposed Collection of Information: Annual Financial Statement of...  

Federal Register 2010, 2011, 2012, 2013

...Statement of Surety Companies--Schedule F AGENCY: Financial Management Service, Fiscal...Statement of Surety Companies--Schedule F.'' DATES: Written comments should be...Statement of Surety Companies--Schedule F. OMB Number: 1510-0012. Form...

2010-04-29

120

Financial Audit: The Farm Credit System Insurance Corporation's 2003 Management Representation Letter on Its Financial Statements.  

National Technical Information Service (NTIS)

In connection with our audit of the fiscal year 2004 CFS, we evaluated Treasury's financial reporting procedures and related internal control, including the CFS management representation letter. For the fiscal year 2004 CFS, 33 of the 35 verifying agencie...

C. R. Pftzinger

2005-01-01

121

63 FR 20257 - Financial Management Policies  

Federal Register 2010, 2011, 2012, 2013

...retain any analyses (including...purchase analyses) relating...make such analyses available...each type of financial derivative instrument authorized...accepted accounting principles...proposed standard,...

1998-04-23

122

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

Microsoft Academic Search

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

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

123

Implications of Healthcare Utilization of Diabetes Disease Management.  

National Technical Information Service (NTIS)

Faced with rising healthcare costs and limited resources, healthcare costs need to be contained. Consistent with its extraordinary effect on the health of Americans, the costs of diabetes to the U.S. healthcare system are enormous. Total estimated cost of...

J. R. Webb

2008-01-01

124

Transparency, Risk Management and International Financial Fragility  

Microsoft Academic Search

Discussions of financial risk often fail to distinguish between risks that are consciously borne and those that are not. To understand the breeding conditions for financial crises the prime focus of concern should not be simply on large risk-taking per se, but on the unintended, or unanticipated accumulation of large risks by individuals, institutions or governments, often through the lack

Mario Draghi; Francesco Giavazzi; Robert C. Merton

2003-01-01

125

Architecture for Customer Relationship Management Approaches in Financial Services  

Microsoft Academic Search

The majority of financial services companies in Germany and Switzerland have, with varying objectives and success, conducted customer relationship management (CRM) implementation projects. In this paper we present a framework for the analysis of CRM approaches in financial services companies. Building on previous research and using comprehensive literature research, we develop a CRM reference architecture that focuses on the process

Malte Geib; Annette Reichold; Lutz Kolbe; Walter Brenner

2005-01-01

126

Management of financial market scandals – regulatory and values based approaches  

Microsoft Academic Search

Purpose – The paper aims to discuss the management of financial market scandals using two different approaches – regulatory and values-based. Design\\/methodology\\/approach – The paper discusses the motivations behind financial scandals to occur and then explains in detail both the approaches. The paper first presents the elements of the regulatory approach. Using the teachings of Bhagavan Sri Sathya Sai Baba,

N. Sivakumar

2011-01-01

127

Institutional Management of Core Facilities during Challenging Financial Times  

PubMed Central

The economic downturn is likely to have lasting effects on institutions of higher education, prioritizing proactive institutional leadership and planning. Although by design, core research facilities are more efficient and effective than supporting individual pieces of research equipment, cores can have significant underlying financial requirements and challenges. This paper explores several possible institutional approaches to managing core facilities during challenging financial times.

Haley, Rand

2011-01-01

128

Ohio Financial Services and Risk Management. Technical Competency Profile (TCP).  

ERIC Educational Resources Information Center

This document describes the essential competencies from secondary through post-secondary associate degree programs for a career in financial services and risk management. Ohio College Tech Prep Program standards are described, and a key to profile codes is provided. Sample occupations in this career area, such as financial accountant, loan…

Ray, Gayl M.; Wilson, Nick; Mangini, Rick

129

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

PubMed

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

Kühling, Jan-Gerd; Pieper, Ute

2012-09-01

130

Healthcare Knowledge Management: Knowledge Management in the Perinatal Care Environment  

Microsoft Academic Search

The chapterpresentsfour key steps in the knowledge management process: access to quality clinical data; knowledge discovery; knowledge translation; and knowl­ edge integration and sharing.Examplesare providedfor each of these steps for the perinatalcare clinical environment and a numberof artificial intelligence tools and analyses results are described. The usefulness of this approach for clinical deci­ sionsupportis discussedand thechapterconcludeswith suggestions on knowledge integration

Monique Frize; Robin C. Walker; Christina Catley

131

State Roles in Local Government Financial Management: A Comparative Analysis.  

National Technical Information Service (NTIS)

This document is the first of two which report the role of States in local government financial management. In this volume, findings from nine sample States are summarized and analyzed, and general conclusions are developed about the factors which affect ...

J. E. Petersen C. W. Stallings C. L. Spain

1979-01-01

132

Department of Defense Biennial Financial Management Improvement Plan. Volume 2.  

National Technical Information Service (NTIS)

Volume II contains the detailed supporting documentation on the Department's financial management improvement initiatives described in Volume I. Details on corrective actions, milestones, resources, supporting systems architectures, benefits, and responsi...

1998-01-01

133

Integrated Financial Management Information Systems. A Practical Guide.  

National Technical Information Service (NTIS)

This paper discusses the subject of best practices for designing and implementing Integrated Financial Management Information Systems (IFMIS) and how to put them into place in specific environments: namely, in developing and transitional countries as well...

E. Rodin-Brown

2008-01-01

134

75 FR 63525 - Audit and Financial Management Advisory Committee (AFMAC)  

Federal Register 2010, 2011, 2012, 2013

The SBA is issuing this notice to announce the location, date, time, and agenda for the next meeting of the Audit and Financial Management Advisory Committee (AFMAC). The meeting will be open to the...

2010-10-15

135

75 FR 4450 - Financial Management Service; Proposed Collection of Information: Direct Deposit Sign-Up Form  

Federal Register 2010, 2011, 2012, 2013

...A)), the Financial Management Service solicits...their accounts at financial institutions. The information...account at the financial institution. Current Actions...request for Office of Management and Budget...

2010-01-27

136

75 FR 75546 - Financial Management Service; Privacy Act of 1974, as Amended; System of Records  

Federal Register 2010, 2011, 2012, 2013

...Information Officer, Financial Management Service, 401 14th Street...5 U.S.C. 552a, the Financial Management Service (FMS) is proposing...who opens an account at a financial institution, or a Direct...

2010-12-03

137

Federal Financial Management Status Report and Five-Year Plan, June 1996.  

National Technical Information Service (NTIS)

The report discusses accomplishments and plans for eight financial management priorities: improve financial management systems; implement the Government Performance and Results Act; issue accounting standards and financial statement; develop human resourc...

1996-01-01

138

24 CFR 990.310 - Purpose-General policy on financial management, monitoring and reporting.  

Code of Federal Regulations, 2010 CFR

...Purpose-General policy on financial management, monitoring and reporting. 990.310 Section...reporting. All PHA financial management systems, reporting, and monitoring of program performance and financial reporting shall be in...

2010-04-01

139

24 CFR 990.310 - Purpose-General policy on financial management, monitoring and reporting.  

Code of Federal Regulations, 2010 CFR

...Purpose-General policy on financial management, monitoring and reporting. 990.310 Section...reporting. All PHA financial management systems, reporting, and monitoring of program performance and financial reporting shall be in...

2009-04-01

140

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

PubMed

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 risk to, healthcare staff. The study included three of the six hospitals in the region, covering 41% of the bed capacity. Data were collected via surveys, interviews, and on-site observations. The results indicate that waste separation is the main deficiency in healthcare waste practice, with correct separation being positively related to the degree of daily contact with the waste. Risk perceptions of healthcare staff show the highest levels for the environment (4.24) and waste workers (4.08), and the lowest for patients (3.29) and visitors (2.80), again being positively associated with the degree of daily contact. Risk perceptions of healthcare staff are related to the difficulties of the correct separation of wastes and the lack of knowledge concerning the importance of that separation. The risk of infection with needlesticks/sharps is higher during patient care than during waste handling, and the frequency of these injuries is related to the daily tasks of each healthcare group (doctors, nurses, and housekeepers). Furthermore, legislative definitions and classifications of healthcare wastes appear to have conditioned the management practices associated with, and the perceptions of risk concerning, healthcare wastes. PMID:20713307

Ferreira, Vera; Teixeira, Margarida Ribau

2010-12-01

141

Bugongi Sacco Governance and Financial Management Training.  

National Technical Information Service (NTIS)

Bugongi SACCO, located in Bugongi trading Centre of Bushenyi district, offers basic financial services to over 1700 members. Since its inception, Bugongi SACCO has been offering loans and savings products to its members including commercial loans, school ...

2006-01-01

142

63 FR 66351 - Financial Management Policies  

Federal Register 2010, 2011, 2012, 2013

...retain any analyses (including...purchase analyses) relating...make such analyses available...each type of financial derivative instrument authorized...accepted accounting principles...under that Standard,...

1998-12-01

143

[AC-STB: dedicated software for managed healthcare of chronic headache patients].  

PubMed

This paper examines a new approach to managed healthcare where a network of care providers exchanges patient information through the internet. Integrating networks of clinical specialists and general care providers promises to achieve qualitative and economic improvements in the German healthcare system. In practice, problems related to patient management and data exchange between the managing clinic and assorted caregivers arise. The implementation and use of a cross-spectrum computerized solution for the management of patients and their care is the key for a successful managed healthcare system. This paper documents the managed healthcare of chronic headache patients and the development of an IT-solution capable of providing distributed patient care and case management. PMID:19066980

Wallasch, T-M; Bek, J; Pabel, R; Modahl, M; Demir, M; Straube, A

2009-04-01

144

Measuring the efficiency of a healthcare waste management system in Serbia with data envelopment analysis.  

PubMed

In 2007, the Serbian Ministry of Health initiated specific activities towards establishing a workable model based on the existing administrative framework, which corresponds to the needs of healthcare waste management throughout Serbia. The objective of this research was to identify the reforms carried out and their outcomes by estimating the efficiencies of a sample of 35 healthcare facilities engaged in the process of collection and treatment of healthcare waste, using data envelopment analysis. Twenty-one (60%) of the 35 healthcare facilities analysed were found to be technically inefficient, with an average level of inefficiency of 13%. This fact indicates deficiencies in the process of collection and treatment of healthcare waste and the information obtained and presented in this paper could be used for further improvement and development of healthcare waste management in Serbia. PMID:22081381

Ratkovic, Branislava; Andrejic, Milan; Vidovic, Milorad

2012-06-01

145

Tailor-made finance versus tailor-made care. Can the state strengthen consumer choice in healthcare by reforming the financial structure of long-term care?  

Microsoft Academic Search

BackgroundPolicy instruments based on the working of markets have been introduced to empower consumers of healthcare. However, it is still not easy to become a critical consumer of healthcare.ObjectivesThe aim of this study is to analyse the possibilities of the state to strengthen the position of patients with the aid of a new financial regime, such as personal health budgets.MethodsData

K. Grit; A. de Bont

2010-01-01

146

MANAGING A WIDESPREAD E-PROCUREMENT IMPLEMENTATION IN PUBLIC HEALTHCARE  

Microsoft Academic Search

In large parts of Europe, the development of healthcare is subject to contrasting forces. On the one hand, there has been an explosion in spending and, at the same time, governments are faced with strict budget constraints. On the other hand, public healthcare is under pressure to be innovative, technologically advanced and to provide increasingly better quality of services. In

Tommaso Federici; Andrea Resca

2007-01-01

147

Preparing the Next IT Leaders: Financial Management  

ERIC Educational Resources Information Center

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…

Goldstein, Karen L.

2007-01-01

148

An automated library financial management system  

NASA Technical Reports Server (NTRS)

A computerized library acquisition system developed for control of informational materials acquired at NASA Ames Research Center is described. The system monitors the acquisition of both library and individual researchers' orders and supplies detailed financial, statistical, and bibliographical information. Applicability for other libraries and the future availability of the program is discussed.

Dueker, S.; Gustafson, L.

1977-01-01

149

Identity Management Systems in Healthcare: The Issue of Patient Identifiers  

NASA Astrophysics Data System (ADS)

According to a recent recommendation of the European Commission, now is the time for Europe to enhance interoperability in eHealth. Although interoperability of patient identifiers seems promising for matters of patient mobility, patient empowerment and effective access to care, we see that today there is indeed a considerable lack of interoperability in the field of patient identification. Looking from a socio-technical rather than a merely technical point of view, one can understand the fact that the development and implementation of an identity management system in a specific healthcare context is influenced by particular social practices, affected by socio-economical history and the political climate and regulated by specific data protection legislations. Consequently, the process of making patient identification in Europe more interoperable is a development beyond semantic and syntactic levels. In this paper, we gives some examples of today’s patient identifier systems in Europe, discuss the issue of interoperability of (unique) patient identifiers from a socio-technical point of view and try not to ignore the ‘privacy side’ of the story.

Soenens, Els

150

Financial analysis of sustained forest management for timber  

Microsoft Academic Search

Sustained management of the Terra Firme Forest in Amazonia is financially analysed for an integrated forest management and timber processing industry. Two scenarios are studied, one with reduced impact logging (RIL) and sparing of reserves without silvicultural follow-up in a 100-year harvesting cycle, and another one inclusive of silviculture after RIL, liberating reserves in a 25-year cycle. Cycle lengths are

N. R De Graaf; A. M Filius; A. R Huesca Santos

2003-01-01

151

Ethical Challenges Within Veterans Administration Healthcare Facilities: Perspectives of Managers, Clinicians, Patients, and Ethics Committee Chairpersons  

Microsoft Academic Search

To promote ethical practices, healthcare managers must understand the ethical challenges encountered by key stakeholders. To characterize ethical challenges in Veterans Administration (VA) facilities from the perspectives of managers, clinicians, patients, and ethics consultants. We conducted focus groups with patients (n = 32) and managers (n = 38); semi-structured interviews with managers (n = 31), clinicians (n = 55), and

Mary Beth Foglia; Robert A. Pearlman; Melissa Bottrell; Jane K. Altemose; Ellen Fox

2009-01-01

152

Supplemental Financial & Administrative Terms and Conditions for Managers of FFRDCs  

NSF Publications Database

National Science Foundation (NSF) Cooperative Agreement Supplemental Financial & Administrative Terms and Conditions for Managers of Federally Funded Research and Development Centers (FFRDCs) October 2003 Unless otherwise specified in a special condition of the Cooperative Agreement or an associated Cooperative Support Agreement, or as modified below, the Cooperative Agreement Financial & Administrative Terms and Conditions (CA-FATC) dated, 8/03, are applicable to this Cooperative Agreement.

153

Simulation and Modeling Efforts to Support Decision Making in Healthcare Supply Chain Management  

PubMed Central

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.

Lazarova-Molnar, Sanja

2014-01-01

154

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

PubMed

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

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

2014-01-01

155

Management of Patient Abuse Cases Charlie Norwood VA Medical Center Augusta, Georgia. Healthcare Inspection.  

National Technical Information Service (NTIS)

The Office of Inspector General Office of Healthcare Inspections conducted an inspection related to the management of patient abuse incidents at the Charlie Norwood VA Medical Center, Augusta, GA. The complainant alleged that patient abuse cases were not ...

2011-01-01

156

Financial Management: Overall Plan Needed to Guide System Improvements at Education.  

National Technical Information Service (NTIS)

The report reviews the Department of Education's financial management structure and systems. The purposes of the review were to assess the adequacy of financial management system support to managers in carrying out program and administrative operations, t...

1987-01-01

157

Elevating the role of finance at Mary Lanning Healthcare.  

PubMed

To effectively partner with hospital operations leaders, healthcare finance leaders should: Streamline and align financial planning and budgeting functions across the organization; Ensure capital planning is regarded as a strategic process; Optimize performance monitoring across management levels. PMID:24340656

Hoffman, Amanda; Spence, Jay

2013-11-01

158

Healthcare Inspection: Management of Osteoporosis in Veterans with Fractures.  

National Technical Information Service (NTIS)

The Department of Veterans Affairs (VA) Office of Inspector General Office of Healthcare Inspections assessed the extent to which Veterans Health Administration (VHA) patients who experience a fracture of the hip or vertebra are appropriately evaluated an...

2010-01-01

159

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

PubMed Central

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.

2014-01-01

160

[Prevalence of tobacco smoking among health-care managers].  

PubMed

A whole variety of new organisational solutions are being introduced nowadays, at an increasing pace, in health-care institutions, not always preceded by appropriate information related to the upcoming changes. The situation may be conducive to the feeling of discomfort and doubt among managerial staff, as to the ultimate result of imminent innovations. A necessity to relieve the perceived tension will then arise, for example, by way of smoking. The principal objective of the present study was to examine the occurrence of tobacco-smoking among the nursing executive personnel. Two groups of employees holding high-ranking positions in the nursing subsystem were included in the study. The initial part of the project was performed throughout the first quarter of 2010, and comprised 102 departmental female nurses. The concluding part is planned for October - November, 2010, and will address the second and third-level managers. A questionnaire-based, diagnostic survey was the employed research method. The questionnaires' return rate was 85%. The Fisher-Freeman-Halton test was applied in statistical calculations (for expected values < 5). The study revealed, so far, that the performance of managerial functions induced undesirable behavioural patterns, i.e., tobacco smoking. It also affected low self-assessment of their bio-psycho-social wellness. The majority of the respondents took part in various forms of in-service, refresher training which also included information concerning behavioural patterns detrimental to health. The latter influenced the participating nurses' self-assessment of the extent of their knowledge related to tobacco smoking and its harmful effect on their health. PMID:21360945

Zysnarska, Monika; Adamek, Renata; Gromadecka-Sutkiewicz, Ma?gorzata; Bernad, Dorota; Maksymiuk, Tomasz

2010-01-01

161

Clinical management as boundary management. A comparative analysis of Canadian and UK health-care institutions.  

PubMed

Focuses on the critical role played by professionals in the management of healthcare institutions in the UK and Canada. Using empirical data, examines the structural models of clinical management, the roles of clinical managers and their relationships with colleague professionals. Compares the approaches taken in the UK and Canada, and explores issues of context, history and relative power. Questions the extent to which professionals are losing autonomy to other professions and management. In particular examines whether the sharing of power inter-professionally may lead to greater, overall collective professional autonomy. Develops themes of the contextual influences on the process of change, and whether professionals are more effectively managed by internal or external processes of control. PMID:10351251

Fitzgerald, L; Dufour, Y

1998-01-01

162

Adding value to the healthcare sector – a facilities management partnering arrangement case study  

Microsoft Academic Search

There has been immense pressure exerted by healthcare service consumers and other stakeholders for trusts to purchase, manage and deliver care service at the optimum cost. Many are searching for sustainable strategic options which would proactively redesign, revitalise and manage the effectiveness of their clinical and non-clinical services. This study evaluates how a facilities management partnering arrangement in the National

M. I. Okoroh; P. P. Gombera; Evison John; Martin Wagstaff

2001-01-01

163

E-procurement and automatic identification: enhancing supply chain management in the healthcare industry.  

PubMed

The concepts of automated e-procurement, or electronic B2B (business-to-business) trade, are grounded in the strategic leveraging of both tangible/intangible assets for successful implementation and execution of electronic trade, resulting in significant financial benefits for firms. Some of the major reasons for this growth include significant process savings from automation, compliance, and purchasing advantage; and reduced costs that organisations can experience by conducting transactions electronically. Although these are the basic benefits associated with generic e-commerce strategies, a majority of these B2B transactions have focused on the purchase of indirect materials (especially office products and travel services). In fact, more than 93% of medical supplies on hospital shelves appear to have universal product numbers on them--at least while still in their boxes and there is a great potential for huge savings in e-procurement in the healthcare field. However, other types of supply chain-related purchases, including maintenance, repair, and operating and replacement parts, and direct material purchases, are becoming more important operational management considerations. In addition, several other key considerations are: existing procurement strategy, the vendor, technology, suppliers, and total costs of ownership. Companies need to analyse their current procurement strategy before developing an e-procurement plan. PMID:18048219

Smith, Alan D; Flanegin, Frank R

2004-01-01

164

Principles for Managing a Tribe's Financial Investments.  

ERIC Educational Resources Information Center

Argues that to manage a tribe's investment portfolio well requires knowledge of the tribe's needs as well as of the money management industry and its concepts and language. Discusses opportunities for the investment of tribal funds, examining mutual funds, the use of investment advisors and consultants, diversification, and levels of risk. (MAB)

Stevenson, Gelvin

1996-01-01

165

Strengthening Financial Management. New Directions for Community Colleges, Number 50.  

ERIC Educational Resources Information Center

This collection of essays examines strategies to strengthen financial management in the community colleges from the perspective of college finance and administrative support officers. Part I focuses on selected role functions that college business officers perform, containing "Integrating Academic Planning and Budgeting," by Byron N. McClenney and…

Campbell, Dale F., Ed.

1985-01-01

166

Barriers to Effective Financial Management among Welfare Recipients.  

ERIC Educational Resources Information Center

Interviews with 35 welfare recipients determined perceptions of internal and external barriers to effective financial management. External barriers include policies that do not allow earnings and savings to go above a certain level. Internal barriers may include feelings of helplessness and loss of control. (JOW)

Marlowe, Julia; And Others

1996-01-01

167

The Division of Household Tasks and Household Financial Management  

Microsoft Academic Search

Both the standard economic model and bargaining theory make predictions about financial management and the division of household labor between household partners. Using a large Internet survey, we have tested several predictions about task divisions reported by Dutch household partners. The division of household labor was mainly explained by partners’ job status, wife’s levels of education, and number of children,

Gerrit Antonides

2011-01-01

168

Are Families Who Use E-Banking Better Financial Managers?  

Microsoft Academic Search

Using the 2001 Survey of Consumer Finances, the contribution of various electronic banking technologies to financial management practices of U.S. households are explored. Results for a three-level ordered probit model reveal that, controlling for a range of socioeconomic, demographic, experiential and attitudinal characteristics, consumers' use of direct deposit, phone banking and computer banking are associated with \\

Jeanne M. Hogarth; Christoslav E. Anguelov

2004-01-01

169

Financial management and profitability of small and medium enterprises  

Microsoft Academic Search

After a decade of reforming policy, building and developing the multi-sector market economy, Small and Medium Enterprises (SMEs) in Vietnam have developed strongly and contributed to creating employment, increasing GDP, and raising the nation’s volume of exports. However, SMEs have found difficulties on the way to development due to lack of management experience and financial resources, and due to uncertainty

Kieu Minh Nguyen

2001-01-01

170

Towards a Proactive Fraud Management Framework for Financial Data Streams  

Microsoft Academic Search

Effective and efficient fraud prevention is a core capability required from financial institutions towards detecting and minimizing losses due to unlawful transactions. With the ubiquitous availability of unmanned customer interaction channels (e.g., Internet and mobile banking), the challenge of controlling fraud has increased substantially demanding fraud management frameworks capable of providing fraud analysts with effective mechanisms for defining fraud policies,

Michael E. Edge; Pedro R. Falcone Sampaio; Mohammed Choudhary

2007-01-01

171

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...

172

What Teens Want To Know about Financial Management.  

ERIC Educational Resources Information Center

A survey asked 323 teenagers what they want to know about financial management. Most indicated that using money to buy things they need made money important to them. Their responses differed from what 67 adults surveyed thought they needed to know. (JOW)

Varcoe, Karen P.; Peterson, Shirley; Garrett, Connie; Martin, Allen; Rene, Paula; Costello, Connie

2001-01-01

173

Evaluating Density Forecasts with Applications to Financial Risk Management  

Microsoft Academic Search

Density forecasting is increasingly more important and commonplace, forexample in financial risk management, yet little attention has been given to theevaluation of density forecasts. We develop a simple and operational frameworkfor density forecast evaluation. We illustrate the framework with adetailed application to density forecasting of asset returns in environments withtime-varying volatility. Finally, we discuss several extensions.

Francis X. Diebold; Todd A. Gunther; Anthony S. Tay

1998-01-01

174

What accounting leaves out of hospital financial management.  

PubMed

As PPS and other fixed-price initiatives replace cost-based reimbursement in the hospital industry, the burden of assuming the risk for business success or failure shifts from the payor to the hospital. As a consequence, theories of risk to the business firm which have found application in other industries now deserve attention by hospital management. Incorporating such risk concepts into hospital strategies and actions requires a view of financial management that goes beyond the generally accepted accounting principles of managing and assigning costs for maximum revenue and profitability. This article examines the financial theory of risk in business firms, illustrates the various components of risk as they apply to a hospital business, and discusses how the hospital management strategies of cost-reduction, marketing, diversification, and multiorganizational affiliation can alter the risk characteristics of a hospital business. PMID:10275567

Boles, K E; Glenn, J K

1986-01-01

175

Managing healthcare quality in Ghana: a necessity of patient satisfaction  

Microsoft Academic Search

Purpose – The study aims to examine how communication, provider courtesy, support\\/care, environment of the facility and waiting time significantly predict patients' satisfaction with quality of healthcare in two hospitals located in northern Ghana. Design\\/methodology\\/approach – An exploratory study of which 324 respondents were selected using stratified and convenient sampling techniques. Results are presented using a multiple regression model. Findings

Roger Ayimbillah Atinga; Gordon Abekah-Nkrumah; Kwame Ameyaw Domfeh

2011-01-01

176

Standards seen as a key to managing healthcare costs.  

PubMed

Unless the HL7 standards group acts soon to develop timely, enforceable standards, they may be overtaken by the public outcry to contain healthcare costs immediately. Federal government representatives addressed a recent HL7 plenary session and warned that the public finally understands that information is a vital link in controlling runaway costs. They want standards now. PMID:10183798

Rishel, W

1992-11-01

177

Do senior management cultures affect performance? Evidence from Italian public healthcare organizations.  

PubMed

Healthcare organizations are often characterized by diffuse power, ambiguous goals, and a plurality of actors. In this complex and pluralistic context, senior healthcare managers are expected to provide strategic direction and lead their organizations toward their goals and performance targets. The present work explores the relationship between senior management team culture and performance by investigating Italian public healthcare organizations in the Tuscany region. Our assessment of senior management culture was accomplished through the use of an established framework and a corresponding tool, the competing values framework, which supports the idea that specific aspects of performance are related to a dominant management culture. Organizational performance was assessed using a wide range of measures collected by a multidimensional performance evaluation system, which was developed in Tuscany to measure the performance of its 12 local health authorities (LHAs) and four teaching hospitals (THs). Usable responses were received from 80 senior managers of 11 different healthcare organizations (two THs and nine LHAs). Our findings show that Tuscan healthcare organizations are characterized by various dominant cultures: developmental, clan, rational, and hierarchical. These variations in dominant culture were associated with performance measures. The implications for management theory, professional practice, and public policy are discussed. PMID:24195342

Prenestini, Anna; Lega, Federico

2013-01-01

178

77 FR 43428 - Financial Management Service; Proposed Collection of Information: Minority Bank Deposit Program...  

Federal Register 2010, 2011, 2012, 2013

...c)(2)(A)), the Financial Management Service solicits comments...Abstract: This form is used by financial institutions to apply for participation...the request for Office of Management and Budget approval....

2012-07-24

179

75 FR 42486 - Financial Management Service; Proposed Collection of Information: Authorization Agreement for...  

Federal Register 2010, 2011, 2012, 2013

...c)(2)(A)), the Financial Management Service solicits comments...from accounts maintained at financial institutions to collect monies for government...the request for Office of Management and Budget approval....

2010-07-21

180

34 CFR 74.20 - Purpose of financial and program management.  

Code of Federal Regulations, 2010 CFR

34 Education 1 2009-07-01...financial and program management. 74.20 Section 74.20 Education Office of the...INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS, AND...Financial and Program Management § 74.20...

2009-07-01

181

Endowment Management. Financial Matters. Board Basics.  

ERIC Educational Resources Information Center

This booklet offers guidelines for college and university trustees for managing the institution's endowment funds as they seek to balance efforts to grow the endowment for the institution's future with the need to use these funds to supplement current budget needs. Critical policy issues are identified, such as: the endowment's purpose, maximizing…

Spitz, William T.

1997-01-01

182

Implementing chronic disease management in the public healthcare sector in Singapore: the role of hospitals.  

PubMed

The public health care delivery system in Singapore faces the challenges of a rapidly ageing population, an increasing chronic disease burden, increasing healthcare cost, rising expectations and demand for better health services, and shortage of resources. It is also fragmented, resulting in duplication and lack of coordination between institutions. A disease management approach has been adopted by the National Healthcare Group (NHG) as a critical strategy to provide holistic, cost-effective, seamless and well-coordinated care across the continuum. The framework in the development of the disease management plan included identifying the diseases and defining the target population, organizing a multi-disciplinary team lead by a clinician champion, defining the core components, treatment protocols and evaluation methods, defining the goals, and measuring and managing the outcomes. As disease management and case management for chronic diseases are new approaches adopted in the healthcare delivery system, there is a lack of understanding by healthcare professionals. The leadership and participation of hospital physicians was sought in the planning, design and outcomes monitoring to ensure their 'buy-in' and the successful implementation and effectiveness of the program. The episodic diagnosis related group (DRG)-based framework of funding and subvention for healthcare, and the shortage of step-care care facilities, have been recognized by the Ministry of Health as an impediments to the implementation, and these are currently being addressed. PMID:11858007

Cheah, J; Heng, B H

2001-01-01

183

Financial impact of population health management programs: reevaluating the literature.  

PubMed

Although many employers offer some components of worksite-based population health management (PHM), most do not yet invest in comprehensive programs. This hesitation to invest in comprehensive programs may be attributed to numerous factors, such as other more pressing business priorities, reluctance to intervene in the personal health choices of employees, or insufficient funds for employee health. Many decision makers also remain skeptical about whether investment in comprehensive programs will produce a financial return on investment (ROI). Most peer-reviewed studies assessing the financial impact of PHM were published before 2000 and include a broad array of program and study designs. Many of these studies have also included indirect productivity savings in their assessment of financial outcomes. In contrast, this review includes only peer-reviewed studies of the direct health care cost impact of comprehensive PHM programs that meet rigorous methodological criteria. A systematic search of health sciences databases identified only 5 studies with program designs and study methods meeting these selection criteria published after 2007. This focused review found that comprehensive PHM programs can yield a positive ROI based on their impact on direct health care costs, but the level of ROI achieved was lower than that reported by literature reviews with less focused and restrictive qualifying criteria. To yield substantial short-term health care cost savings, the longer term financial return that can credibly be associated with a comprehensive, prevention-oriented population health program must be augmented by other financial impact strategies. PMID:22313443

Grossmeier, Jessica; Terry, Paul E; Anderson, David R; Wright, Steven

2012-06-01

184

A cloud-based semantic wiki for user training in healthcare process management.  

PubMed

Successful healthcare process design requires active participation of users who are familiar with the cooperative and collaborative nature of healthcare delivery, expressed in terms of healthcare processes. Hence, a reusable, flexible, agile and adaptable training material is needed with the objective to enable users instill their knowledge and expertise in healthcare process management and (re)configuration activities. To this end, social software, such as a wiki, could be used as it supports cooperation and collaboration anytime, anywhere and combined with semantic web technology that enables structuring pieces of information for easy retrieval, reuse and exchange between different systems and tools. In this paper a semantic wiki is presented as a means for developing training material for healthcare providers regarding healthcare process management. The semantic wiki should act as a collective online memory containing training material that is accessible to authorized users, thus enhancing the training process with collaboration and cooperation capabilities. It is proposed that the wiki is stored in a secure virtual private cloud that is accessible from anywhere, be it an excessively open environment, while meeting the requirements of redundancy, high performance and autoscaling. PMID:21893721

Papakonstantinou, D; Poulymenopoulou, M; Malamateniou, F; Vassilacopoulos, G

2011-01-01

185

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

PubMed

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

Childers, J R

1998-01-01

186

Financial Management Practices of Couples with Great Marriages  

Microsoft Academic Search

The purpose of this qualitative study was to learn about financial management practices of 64 self-selected couples from throughout\\u000a the United States who believe they have great marriages. Three themes emerged from the data. First, for most couples one of\\u000a the partners handled the day-to-day finances and that required trust and communication. Second, these couples had little or\\u000a no debt

Linda SkograndAlena; Alena C. Johnson; Amanda M. Horrocks; John DeFrain

2011-01-01

187

Streamlining Foreign Exchange Management Operations with Corporate Financial Portals  

Microsoft Academic Search

Global competition and decreasing profit margins force companies to reduce their operational costs. This puts pressure on\\u000a all business units and operations, including financial management. One approach to increase operational efficiency is the\\u000a automation of existing processes by eliminating unnecessary manual interventions. Alternatively, one can design and implement\\u000a new, improved processes. This is a challenging task that gets even more

Hong Tuan Kiet Vo; Martin Glaum; Remigiusz Wojciechowski

188

Financial Performance of Health Plans in Medicaid Managed Care  

PubMed Central

Objective This study assesses the financial performance of health plans that enroll Medicaid members across the key plan traits, specifically Medicaid dominant, publicly traded, and provider-sponsored. Data and Methods National Association of Insurance Commissioners (NAIC) financial data, coupled with selected state financial data, were analyzed for 170 Medicaid health plans for 2009. A mean test compared the mean values for medical loss, administrative cost, and operating margin ratios across these plan traits. Medicaid dominant plans are plans with 75 percent of their total enrollment in the Medicaid line of business. Findings Plans that are Medicaid dominant and publicly traded incurred a lower medical loss ratio and higher administrative cost ratio than multi-product and non-publicly traded plans. Medicaid dominant plans also earned a higher operating profit margin. Plans offering commercial and Medicare products are operating at a loss for their Medicaid line of business. Policy Implications Health plans that do not specialize in Medicaid are losing money. Higher medical cost rather than administrative cost is the underlying reason for this financial loss. Since Medicaid enrollees do not account for their primary book of business, these plans may not have invested in the medical management programs to reduce inappropriate emergency room use and avoid costly hospitalization.

McCue, Mike

2012-01-01

189

The multicriteria analysis for construction of benchmarkers to support the Clinical Engineering in the Healthcare Technology Management  

Microsoft Academic Search

In developing countries, approximately half of the healthcare equipments are not in full use and the main cause of this is the inadequate management of them. The Clinical Engineering might face this problem in the healthcare environment analyzing the equipment with a health technological process perspective to identify opportunities of improvements. Generally, the inadequate management is a result of lack

Luciano de Moraes; Renato Garcia; Leonardo Ensslin; Mário José da Conceição; Stella Maris de Carvalho

2010-01-01

190

A Critical Analysis of Healthcare Waste Management in Developed and Developing Countries: Case Studies from India and England  

Microsoft Academic Search

The management of healthcare waste is of great importance due to its potential environmental hazards and public health risks. This paper is concerned with comparing practices for the management of healthcare waste using two case study countries, from the 'developed' and the 'developing' world, namely India and England. The study employed a range of methods, including literature reviews, audits and

Vijaya Kumar Goddu; Kavita Duvvuri; Vidya Kaumudini Bakki

191

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

ERIC Educational Resources Information Center

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…

Fitzgerald, Sarah; Drake, Julie

2013-01-01

192

A summary of the research on financial records logistics management system  

Microsoft Academic Search

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

Chen Shen; Li-ming Zhao; Yue Li

2011-01-01

193

Corporate sustainability: the environmental design and human resource management interface in healthcare settings.  

PubMed

Purpose of the Paper: The purpose of this study is to provide healthcare organizations with a new perspective for developing strategies to enrich their human resource capabilities and improve their performance outcomes. The focus of this study is on leveraging the synergy between organizational management strategies and environmental design interventions.Background: This paper proposes a framework for linking the built environment with the human resource management system of healthcare organizations. The framework focuses on the impact of the built environment regarding job attitudes and behaviors of healthcare workers. Research from the disciplines of strategic human resource management, resource-based view of firms, evidence-based design, and green building are utilized to develop the framework.Theoretical Framework: The positive influence of human resource practices on job attitudes and behaviors of employees is one mechanism to improve organizational performance outcomes. Organizational psychologists suggest that human resource practices are effective because they convey that the organization values employee contributions and cares about their well-being. Attention to employee socio-emotional needs can be reciprocated with higher levels of motivation and commitment toward the organization. In line with these findings, healthcare environmental studies imply that physical settings and features can have a positive influence on job attitudes and the behavior of caregivers by providing for their physical and socio-emotional needs.Conclusions: Adding the physical environment as a complementary resource to the array of human resource practices creates synergy in improving caregivers' job attitudes and behaviors and enhances the human capital of healthcare firms.Keywords: Staff, evidence-based design, interdisciplinary, modeling, perceived organizational supportPreferred Citation: Sadatsafavi, H., & Walewski, J. (2013). Corporate sustainability: The environmental design and human resource management interface in healthcare settings. Health Environments Research & Design Journal 6(2), pp 98-118. PMID:23532699

Sadatsafavi, Hessam; Walewski, John

2013-01-01

194

Adding a Genomic Healthcare Component to a Health Information Management Curriculum  

PubMed Central

The inclusion of genomic information will become routine in electronic health records (EHRs). Educating health information management (HIM) students about how to best manage, protect, properly release, and use this information for patient care is of utmost importance. This study examined the usefulness of incorporating genomic modules into an existing course in quality management. Pretest and posttest results showed that students improved in all areas related to genomics in healthcare. Also, students enjoyed the class scenarios and discussion on the ethical use of genomic information. Interspersing genomic information management throughout an existing quality management class is an effective way to add this information to an existing HIM curriculum.

Ludwig, Bailee; Zhou, Leming; Watzlaf, Valerie; Abdelhak, Mervat

2010-01-01

195

Adding a genomic healthcare component to a health information management curriculum.  

PubMed

The inclusion of genomic information will become routine in electronic health records (EHRs). Educating health information management (HIM) students about how to best manage, protect, properly release, and use this information for patient care is of utmost importance. This study examined the usefulness of incorporating genomic modules into an existing course in quality management. Pretest and posttest results showed that students improved in all areas related to genomics in healthcare. Also, students enjoyed the class scenarios and discussion on the ethical use of genomic information. Interspersing genomic information management throughout an existing quality management class is an effective way to add this information to an existing HIM curriculum. PMID:21063543

Ludwig, Bailee; Zhou, Leming; Watzlaf, Valerie; Abdelhak, Mervat

2010-01-01

196

Gonadal failure after treatment of hematologic malignancies: from recognition to management for health-care providers  

Microsoft Academic Search

Many cancer treatments induce gonadal failure, which can cause infertility and menopausal symptoms in women. Improvements in treatments for hematologic malignancies have extended survival, thus making treatment-induced gonadal failure (TIGF) a more widespread problem. We reviewed the published literature on TIGF with the goal of providing practical information for health-care providers engaged in the management of hematologic malignancies. We conclude

Kazutaka Nakayama; Andrea Milbourne; Leslie R Schover; Richard E Champlin; Naoto T Ueno

2008-01-01

197

Differences Between Length of Stay and Healthcare Costs When Compared with Traditional and Clinical Path Management.  

National Technical Information Service (NTIS)

The purpose of this study is to describe the relationship of clinical pathways to length of stay (LOS) and healthcare costs in an Air Force Medical Center when compared to traditional care. This study compared clinical pathway client management with tradi...

V. J. Hagan

1997-01-01

198

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

NASA Astrophysics Data System (ADS)

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.

Dong, Yahui; Zhang, Pengwei; Li, Wei

199

Emerging Technologies for Healthcare  

Microsoft Academic Search

The paper discusses integrating of current and emerging technologies with healthcare. These technologies can be used for prevention of diseases, enhancing healthcare access, efficient and accurate diagnostics, effective healthcare delivery, rehabilitation, healthcare information management, improving quality of life at all ages and many other features. In this paper, we discuss several aspects of healthcare and technologies including: ldr development of

M. Ilyas

2008-01-01

200

Sustainable risk management for an evolving healthcare arena.  

PubMed

A sustainable risk management approach includes the use of extensive scenario analyses to mitigate the risk of reduced revenues from changes in payment and volume. A successful risk management program helps organizations prioritize strategies for risks that are likely to have the biggest impact on their business. Continually strengthening controls and mitigating risks through a risk management program can help to build an effective security and compliance program. PMID:24968634

Cole, Sarah A; Chaudhary, Raj; Bang, Derek A

2014-06-01

201

Integrating complementary and alternative medicine into mainstream healthcare services: the perspectives of health service managers  

PubMed Central

Background Complementary and alternative medicine (CAM) is increasingly included within mainstream integrative healthcare (IHC) services. Health service managers are key stakeholders central to ensuring effective integrative health care services. Yet, little research has specifically investigated the role or perspective of health service managers with regards to integrative health care services under their management. In response, this paper reports findings from an exploratory study focusing exclusively on the perspectives of health service managers of integrative health care services in Australia regarding the role of CAM within their service and the health service managers rational for incorporating CAM into clinical care. Methods Health service managers from seven services were recruited using purposive and snowball sampling. Semi-structured interviews were conducted with the health service managers. The services addressed trauma and chronic conditions and comprised: five community-based programs including drug and alcohol rehabilitation, refugee mental health and women’s health; and two hospital-based specialist services. The CAM practices included in the services investigated included acupuncture, naturopathy, Western herbal medicine and massage. Results Findings reveal that the health service managers in this study understand CAM to enhance the holistic capacity of their service by: filling therapeutic gaps in existing healthcare practices; by treating the whole person; and by increasing healthcare choices. Health service managers also identified CAM as addressing therapeutic gaps through the provision of a mind-body approach in psychological trauma and in chronic disease management treatment. Health service managers describe the addition of CAM in their service as enabling patients who would otherwise not be able to afford CAM to gain access to these treatments thereby increasing healthcare choices. Some health service managers expressly align the notion of treating the whole person within a health promotion model and focus on the relevance of diet and lifestyle factors as central to a CAM approach. Conclusions From the perspectives of the health service managers, these findings contribute to our understanding around the rationale to include CAM within mainstream health services that deal with psychological trauma and chronic disease. The broader implications of this study can help assist in the development of health service policy on CAM integration in mainstream healthcare services.

2014-01-01

202

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

PubMed

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

Weil, Peter A; Mattis, Mary C

2003-11-01

203

Development of an integrated healthcare facilities management model  

Microsoft Academic Search

The increasing competitiveness in the business sector forces facilities managers in reducing expenditure on “non-core” activities. Consequently, the integration of different domains related to facilities management (FM) motivates the development of a quantitative model, which may contribute both to the planning of FM activities and to the improved effectiveness of FM units. Three methodologies were used in the research presented

Igal M. Shohet; Sarel Lavy

2004-01-01

204

Teaching and learning teamwork: competency requirements for healthcare managers.  

PubMed

This paper addresses an essential element of postgraduate health service management education - development of individual competencies to enhance teamwork among health service managers. A survey of qualified health service managers in the state of Victoria, Australia revealed a set of individual competencies that the managers felt made a positive contribution to the success of workplace teams. The identified competencies included skills in leadership and communication; clinical knowledge and knowledge of organizational goals and strategies; motives such as commitment to the organization, to quality, to working collaboratively and to a consumer focus; and respect for others as a trait. Building on acknowledged teaching and learning theories, a teamwork teaching and learning model was successfully introduced into the postgraduate health services management curriculum at La Trobe University in Melbourne. PMID:18214076

Leggat, Sandra G

2007-01-01

205

Explaining financial difficulties based on previous payment behavior, management background variables and financial ratios  

Microsoft Academic Search

This paper shows evidence that it is possible to explain financial difficulties in small and medium sized firms based on non-financial variables. The results indicate that the estimated model based on non-financial variables classified firms even better than the financial ratio model, especially when classifying bankrupt firms and firms with payment delays. The best overall classification was achieved using the

Peter Back

2005-01-01

206

Financial conflicts of interest in research: recognition and management.  

PubMed

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

Lach, Helen W

2014-01-01

207

Chemical healthcare waste management in small Brazilian municipalities.  

PubMed

The disposal of healthcare waste (HCW) seems to have been solved in developed countries, while in most developing countries the problem persists because the disposal methods are expensive and larger than the budget of small- and medium-sized municipalities. The current study evaluates the encapsulation process for the disposal of medical chemical waste. The experiment was developed in the Piraí municipality (Rio de Janeiro State, Brazil) and the chemical wastes were produced in the local public hospital, as well as the 12 units of primary care health services. Chemical waste generated at health services units may include the liquid waste from cleaning materials and disinfectants, expired and unused pharmaceutical products, and cytotoxins. These are all considered hazardous waste products and they must be disposed of via an authorised system at approved sites (e.g. industrial landfills). The process of encapsulating chemical medical waste in concrete (cement, crushed stones and sand) followed by their disposal at sanitary landfills is a procedure that is not considered in Brazilian Legislation. Despite the oversight, this method of disposal was used in the municipality of Piraí, with the approval of the Rio de Janeiro State Agency for Environmental Control. The safety aspects of this method and the limits of its applicability, particularly in small municipalities, were evaluated in this study. The results indicate that, within certain parameters, this method may provide a viable solution for the disposal of HCW in small municipalities. PMID:22977125

Ferreira, João A; Bila, Danielle M; Ritter, Elisabeth; Braga, Ana Cs

2012-12-01

208

41 CFR 105-72.301 - Standards for financial management systems.  

Code of Federal Regulations, 2010 CFR

41 Public Contracts and Property Management 3 2009-07-01 2009-07-01... Standards for financial management systems. 105-72.301 Section 105-72.301 Public Contracts and Property Management Federal Property...

2009-07-01

209

41 CFR 105-72.301 - Standards for financial management systems.  

Code of Federal Regulations, 2013 CFR

41 Public Contracts and Property Management 3 2013-07-01 2013-07-01... Standards for financial management systems. 105-72.301 Section 105-72.301 Public Contracts and Property Management Federal Property...

2013-07-01

210

41 CFR 105-71.120 - Standards for financial management systems.  

Code of Federal Regulations, 2013 CFR

41 Public Contracts and Property Management 3 2013-07-01 2013-07-01... Standards for financial management systems. 105-71.120 Section 105-71.120 Public Contracts and Property Management Federal Property...

2013-07-01

211

41 CFR 105-72.301 - Standards for financial management systems.  

Code of Federal Regulations, 2010 CFR

41 Public Contracts and Property Management 3 2010-07-01 2010-07-01... Standards for financial management systems. 105-72.301 Section 105-72.301 Public Contracts and Property Management Federal Property...

2010-07-01

212

E-service learning: A pedagogic innovation for healthcare management education.  

PubMed

This paper proposes an innovation in service learning that we identify as e-service learning. By adding the "e" to service learning, we create a service learning model that is dynamic, mediated by technology, and delivered online. This paper begins by examining service learning, which is a distinct learning concept. Service learning furnishes students with opportunities for applied learning through participation in projects and activities in community organizations. The authors then define and conceptualize e-service learning, including the anticipated outcomes of implementation such as enhanced access, quality, and cost effectiveness of healthcare management education. Because e-service learning is mediated by technology, we identify state of the art technologies that support e-service learning activities. In addition, possible e-service learning projects and activities that may be included in healthcare management courses such as finance, human resources, quality, service management/marketing and strategy are identified. Finally, opportunities for future research are suggested. PMID:16700443

Malvey, Donna M; Hamby, Eileen F; Fottler, Myron D

2006-01-01

213

The effectiveness of non-pharmacological healthcare interventions for asthma management during pregnancy: a systematic review  

PubMed Central

Background While reviews have been published on asthma management in pregnant women, none has examined the effectiveness of non-pharmacological healthcare interventions for optimizing asthma management in pregnant women. This systematic review aims to identify non-pharmacological healthcare interventions for optimizing asthma management during pregnancy and to examine their effects on maternal asthma control and neonatal outcomes. Methods The Cochrane Central Register of Controlled Trials (CENTRAL, Cochrane Library), MEDLINE, EMBASE, PsycINFO, CINAHL Plus and International Pharmaceutical Abstracts (IPA) were searched. Two reviewers independently assessed the identified studies against the eligibility criteria and extracted relevant information. The effects of the intervention were assessed qualitatively. Results Nine studies were identified, of which six were rejected according to the exclusion criteria. The three studies included in the final review described an education program, progressive muscle relaxation (PMR) and Fraction of exhaled Nitric Oxide (FeNO) guided management of asthma in pregnant women. The PMR and FeNO-guided interventions showed significant improvements in maternal asthma control (lung function and quality of life) and neonatal outcomes (birth weight). Conclusions Further evidence from well-designed studies evaluating non-pharmacological healthcare interventions for optimizing asthma management in pregnant women is required.

2014-01-01

214

Session management for web-based healthcare applications.  

PubMed

In health care systems, users may access multiple applications during one session of interaction with the system. However, users must sign on to each application individually, and it is difficult to maintain a common context among these applications. We are developing a session management system for web-based applications using LDAP directory service, which will allow single sign-on to multiple web-based applications, and maintain a common context among those applications for the user. This paper discusses the motivations for building this system, the system architecture, and the challenges of our approach, such as the session objects management for the user, and session security. PMID:10566511

Wei, L; Sengupta, S

1999-01-01

215

Financial and Tax Management in Small and Medium Sized Industrial Enterprises  

NASA Astrophysics Data System (ADS)

Target of this paper was to evaluate the importance of small and medium sized enterprises (SMEs) in Slovakia and to determine the application of financial and tax management in this type of enterprises. The results of our findings confirm that SMEs have an important role in Slovakia, and also that especially small businesses have little or no experience with the application of financial and tax management. Therefore the paper contains recommendations for financial and tax management of SMEs.

Bestvinová, Viera; Homokyová, Mária; Horváthová, Martina

2012-12-01

216

Can Personal Financial Management Education Promote Asset Accumulation by the Poor?  

Microsoft Academic Search

This paper asks whether personal financial management education is an effective mechanism for helping lower-income households accumulate financial assets and improve credit histories. The paper argues that the best existing studies of the effectiveness of financial literacy initiatives suggest that such initiatives might help lower-income households build savings and improve credit records, but the results are only suggestive due to

John P. Caskey

2006-01-01

217

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

Microsoft Academic Search

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

Sebahattin Demirkan; Harlan Platt

2009-01-01

218

Effects of Legislation about Financial Management of Enterprises: Evidence of the Restructuring in the Slovene Economy  

Microsoft Academic Search

Summary Article deals with the inability to pay and inadequate financial discipline in Slovene economy. Main provisions of the new Law about Financial Management of Enterprises dealing with the issues, became fully effective in January 2000. The law should besides decreasing the number of enterprises which were unable to meet their financial liabilities and had blocked accounts, have motivated members

Ales Berk

2003-01-01

219

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

PubMed

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

Shanmugasundaram, Jothiganesh; Soulalay, Vongdeuane; Chettiyappan, Visvanathan

2012-06-01

220

Investment Planning Factors and Risk Management in Personal Financial Planning  

Microsoft Academic Search

A number of financial institutes began the operations of personal financial planning service in Mainland China due to the economic development and the accumulation of family fortunes. However, compared with international development of personal financial planning, personal financial planning in Mainland China is still in a cradle without the conduct of influential and localized theoretic fruits. Individuals and families have

Yun Zhang; Li Xiuzhen

2010-01-01

221

You owe it to yourself: The financially literate manager  

Microsoft Academic Search

There is an important benefit for businesspeople who are financially literate. Financial literacy helps them to function efficiently at work because they are able to evaluate the information needed to make decisions that have financial ramifications or consequences.Research into the financially literate has tended to concentrate on personal finance issues involving the general public. The focus of this paper, however,

Reva Berman Brown; Mark N. K. Saunders; Richard Beresford

2006-01-01

222

Managing the healthcare workforce: cost reduction or innovation.  

PubMed

Labour costs are the largest proportion of total costs in the health industry in developed countries and are a target in health sectory reform. The Kennett government in Victoria introduced policies based on competition and cost reduction and the decentralisation of industrial relations through enterprise bargaining. These policies directly impacted on the health workforce leading to work intensification, labour shortages and poor morale. The Bracks government has since returned to centralisation. This paper argues that it is time for a more innovative approach to health workforce management based on recognising staff as an asset rather than a cost. PMID:12404971

Stanton, Pauline

2002-01-01

223

Implementation of a Shared Resource Financial Management System  

PubMed Central

CF-6 Norris Cotton Cancer Center (NCCC), an NCI-designated Comprehensive Cancer Center at Dartmouth Medical School, administers 12 Life Sciences Shared Resources. These resources are diverse and offer multiple products and services. Previous methods for tracking resource use, billing, and financial management were time consuming, error prone and lacked appropriate financial management tools. To address these problems, we developed and implemented a web-based application with a built-in authorization system that uses Perl, ModPerl, Apache2, and Oracle as the software infrastructure. The application uses a role-based system to differentiate administrative users with those requesting services and includes many features requested by users and administrators. To begin development, we chose a resource that had an uncomplicated service, a large number of users, and required the use of all of the applications features. The Molecular Biology Core Facility at NCCC fit these requirements and was used as a model for developing and testing the application. After model development, institution wide deployment followed a three-stage process. The first stage was to interview the resource manager and staff to understand day-to-day operations. At the second stage, we generated and tested customized forms defining resource services. During the third stage, we added new resource users and administrators to the system before final deployment. Twelve months after deployment, resource administrators reported that the new system performed well for internal and external billing and tracking resource utilization. Users preferred the application's web-based system for distribution of DNA sequencing and other data. The sample tracking features have enhanced day-to-day resource operations, and an on-line scheduling module for shared instruments has proven a much-needed utility. Principal investigators now are able to restrict user spending to specific accounts and have final approval of the invoices before the billing, which has significantly reduced the number of unpaid invoices.

Caldwell, T.; Gerlach, R.; Israel, M.; Bobin, S.

2010-01-01

224

[Follow-up of patients with osteoarthritis. Coordinated management and criteria for referral between healthcare levels].  

PubMed

The correct management of osteoarthritis requires an accurate diagnosis, evaluation of its spread and functional repercussions, and the application of comprehensive and effective individually-tailored treatment aimed at relieving pain and improving physical function with a consequent improvement in quality of life; treatment should also aim to prevent or delay disease progression and its effects. In the National Health Service, primary care is the basic level and the first point of access to healthcare; this level guarantees the continuity of care, coordinates patients, and regulates clinical workflow. Family physicians coordinate the healthcare processes related to chronic diseases and are responsible for the management, diagnosis, evaluation, treatment, and follow-up of patients with osteoarthritis. The clinical practice guidelines internationally accepted as the standard of care for the management of osteoarthritis should be adapted by both Spanish health planning strategies and clinical practice guidelines to the Spanish healthcare setting. The comprehensive assessment of osteoarthritis includes evaluation of its effects on the patient's physical function and quality of life; formulating a treatment plan in collaboration with the patient and adapted to his or her comorbidities; providing advice on basic treatments and their risks and benefits; and carrying out an individually-tailored periodic review. Referral criteria are based on diagnostic confirmation, poor treatment response, and surgical evaluation. PMID:24467961

Nieto Pol, Enrique

2014-01-01

225

Managing healthcare information using short message service (SMS) in wireless broadband networks  

NASA Astrophysics Data System (ADS)

Due to the ubiquity of cell phones, SMS (Short Message Service) has become an ideal means to wirelessly manage a Healthcare environment and in particular PACS (Picture Archival and Communications System) data. SMS is a flexible and mobile method for real-time access and control of Healthcare information systems such as HIS (Hospital Information System) or PACS. Unlike conventional wireless access methods, SMS' mobility is not limited by the presence of a WiFi network or any other localized signal. It provides a simple, reliable yet flexible method to communicate with an information system. In addition, SMS services are widely available for low costs from cellular phone service providers and allows for more mobility than other services such as wireless internet. This paper aims to describe a use case of SMS as a means of remotely communicating with a PACS server. Remote access to a PACS server and its Query-Retrieve services allows for a more convenient, flexible and streamlined radiology workflow. Wireless access methods such as SMS will increase dedicated PACS workstation availability for more specialized DICOM (Digital Imaging and Communications in Medicine) workflow management. This implementation will address potential security, performance and cost issues of applying SMS as part of a healthcare information management system. This is in an effort to design a wireless communication system with optimal mobility and flexibility at minimum material and time costs.

Documet, Jorge; Tsao, Sinchai; Documet, Luis; Liu, Brent J.; Zhou, Zheng; Joseph, Anika O.

2007-03-01

226

The organizational pendulum--healthcare management in Sweden 1865-1998.  

PubMed

In recent years, there have been a number of large-scale changes in the organization of healthcare in Sweden, as in many other countries. From a longer time perspective, however, there has been a more or less permanent oscillation between centralization and decentralization, and also between competition and co-operation, in Swedish healthcare organizations. In fact, there seems to be something like a pendulum moving all the time between opposite forms of organization. The frequency of these changes has been increasing during the last fifteen years, as different organizational models have replaced each other at shorter and shorter intervals. This development is partly due to the increasing rate of change in modern society, but partly also due to an element of fashion in the area of management. There is, however, a growing change fatigue in many healthcare organizations, and also increasing demands for empirical evidence on the efficiency and effectiveness of different organizational models before they are introduced into the healthcare system. PMID:10817314

Axelsson, R

2000-03-01

227

The Relationship between Environmental Turbulence, Management Support, Organizational Collaboration, Information Technology Solution Realization, and Process Performance, in Healthcare Provider Organizations  

ERIC Educational Resources Information Center

The Problem: The purpose of this study was to investigate relationships between environmental turbulence, management support, organizational collaboration, information technology solution realization, and process performance in healthcare provider organizations. Method: A descriptive/correlational study of Hospital medical services process…

Muglia, Victor O.

2010-01-01

228

National Conference on the Financial Management Needs of Local Government Held at Washington, DC. on June 7-9, 1978. Local Government Financial Management Capacity Sharing Program.  

National Technical Information Service (NTIS)

The report contains summaries of the conference discussions on the following aspects of financial management for local governments: Budgeting; Auditing; Accounting and Reporting; Treasury; Debt and Pensions; State/Local Relations; and Federal/Local Relati...

1979-01-01

229

Financial \\  

Microsoft Academic Search

This paper provides theoretical and empirical evidence to support the proposition that three of the major global macroeconomic phenomena of recent years -the persistent global imbalances, the subprime crisis, and the volatile oil prices that followed it- are tightly inter- connected. They all stem from a global environment where sound and liquid financial assets are in scarce supply. In this

Ricardo J. Caballero; Emmanuel Farhi; Pierre-Olivier Gourinchas

230

Financial management of the elderly: Legal issues and the role of neuropsychological assessment  

Microsoft Academic Search

This article examines the legal framework in Australia for dealing with financial management of elderly people facing increasing difficulties in managing their own financial affairs. Such difficulties may arise as a result of various conditions which affect mental capacity in old age such as Alzheimer's Disease.The legal mechanisms that exist in Victoria to assist with cases of this type are

Jennifer A Todd; Jacqueline D Lipton

1996-01-01

231

Financial and Cost Management for Libraries and Information Services. Second Edition.  

ERIC Educational Resources Information Center

This book highlights the importance of good financial and cost management in libraries and information centers to make best use of available resources, and illustrates how to maintain user services. The book applies current research and theory of financial management techniques to situations faced in libraries and information services. Eight…

Roberts, Stephen A.

232

Financial Management for the Office of the Civilian Health and Medical Program of the Uniformed Services.  

National Technical Information Service (NTIS)

Introduction. The Federal Financial Management Act of 1994, Public Law 103-356, requires DoD to provide the Office of Management and Budget with consolidated financial statements for FY 1996. The Office of Civilian Health and Medical Program of the Unifor...

1996-01-01

233

A National Survey of Financial Management Courses in Graduate Programs of Social Work. Preliminary Report.  

ERIC Educational Resources Information Center

Course offerings in financial management by graduate programs in social work were determined through a 1982 national survey. Usable responses were obtained from 59 graduate programs. It was found that 47.5 percent did not offer a course in financial management, 47.5 percent did offer the course, and 5 percent offered the content as part of another…

Blostein, Stanley

234

Knowledge, Attitude, and Practices about Biomedical Waste Management among Healthcare Personnel: A Cross-sectional Study  

PubMed Central

Background: The waste produced in the course of healthcare activities carries a higher potential for infection and injury than any other type of waste. Inadequate and inappropriate knowledge of handling of healthcare waste may have serious health consequences and a significant impact on the environment as well. Objective: The objective was to assess knowledge, attitude, and practices of doctors, nurses, laboratory technicians, and sanitary staff regarding biomedical waste management. Materials and Methods: This was a cross-sectional study. Setting: The study was conducted among hospitals (bed capacity >100) of Allahabad city. Participants: Medical personnel included were doctors (75), nurses (60), laboratory technicians (78), and sanitary staff (70). Results: Doctors, nurses, and laboratory technicians have better knowledge than sanitary staff regarding biomedical waste management. Knowledge regarding the color coding and waste segregation at source was found to be better among nurses and laboratory staff as compared to doctors. Regarding practices related to biomedical waste management, sanitary staff were ignorant on all the counts. However, injury reporting was low across all the groups of health professionals. Conclusion: The importance of training regarding biomedical waste management needs emphasis; lack of proper and complete knowledge about biomedical waste management impacts practices of appropriate waste disposal.

Mathur, Vanesh; Dwivedi, S; Hassan, MA; Misra, RP

2011-01-01

235

Financial-Ratio Analysis and Medical School Management.  

ERIC Educational Resources Information Center

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)

Eastaugh, Steven R.

1980-01-01

236

Financial Literacy Curriculum: The Effect on Offender Money Management Skills  

ERIC Educational Resources Information Center

Offenders involved in this study lacked basic financial knowledge which presented a barrier to their success upon release. The researcher modified existing curriculum and created a course in financial literacy for offenders within a medium security correctional facility based upon their personal experiences. The offenders gained financial

Koenig, Lori A.

2007-01-01

237

Introduction to Financial Projection Models. Business Management Instructional Software.  

ERIC Educational Resources Information Center

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…

Pomeroy, Robert W., III

238

Financial Management: A Growing Concern for Child Nutrition Program Administrators.  

ERIC Educational Resources Information Center

A study of revenue-generation and cost-control measures currently employed at four school districts operating financially successful child-nutrition programs disclosed the importance of student participation to each program's financial integrity. Financial reports, productivity monitoring, and procurement plans to curb food costs were also…

Cater, Jerry B.; Mann, Nadine; Conklin, Martha

1999-01-01

239

Policy-based approach to emergency bio-data management for mobile healthcare.  

PubMed

In m-healthcare service, accurate detection and notification of emergency situation are critical to chronic patients' life. Since they are usually performed by a limited number of medical staff, it is difficult to simultaneously support many patients in real-time. This article presents an architecture to support the emergency bio-data management for m-healthcare service using personalized emergency policy. The salient feature of the proposed architecture is that the decision on emergency is made using personalized emergency policy. Specifically, the structure of the detailed system components has also been designed. The emergency condition of the individual bio-data collected from wireless body area network is detected automatically using personalized emergency policy. The message flow diagram based on the personalized emergency policy is described. This enables quick emergency rescue service provided to the patient both accurately and immediately. The prototype of proposed system has been built to demonstrate the design concept. PMID:24918183

Chun, Seung-Man; Park, Jong-Tae

2014-01-01

240

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

PubMed

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

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

2008-01-01

241

Shareholder\\/Stakeholder Value Management, Company Growth and Financial Performance: An Exploratory Study  

Microsoft Academic Search

There has been considerable discussion in the literature about the relative merits of shareholder value management and stakeholder value management, but relatively little empirical research has been reported concerning the relationship between these types of management and financial performance. The present study puts forward a hypothesis that true shareholder value management also encompasses stakeholder value management. This combination of shareholder\\/stakeholder

Bo-Göran Ekholm; Jan Wallin

2003-01-01

242

Factors driving the development of healthcare waste management in the United Kingdom over the past 60 years.  

PubMed

Since the creation of the National Health Service (NHS) in the United Kingdom in 1948 there have been significant changes in the way waste materials produced by healthcare facilities have been managed due to a number of environmental, legal and social drivers. This paper reviews the key changes in legislation and healthcare waste management that have occurred in the UK between 1948 and the present time. It investigates reasons for the changes and how the problems associated with healthcare wastes have been addressed. The reaction of the public to offensive disposal practices taking place locally required political action by the UK government and subsequently by the European legislature. The relatively new UK industry of hazardous healthcare waste management has developed rapidly over the past 25 years in response to significant changes in healthcare practices. The growth in knowledge and appreciation of environmental issues has also been fundamental to the development of this industry. Legislation emanating from Europe is now responsible for driving change to UK healthcare waste management. This paper examines the drivers that have caused the healthcare waste management to move forward in the 60 years since the NHS was formed. It demonstrates that the situation has moved from a position where there was no overall strategy to the current situation where there is a strong regulatory framework but still no national strategy. The reasons for this situation are examined and based upon the experience gained; suggestions are made for the benefit of countries with systems for healthcare waste management still in the early stages of development or without any provisions at all. PMID:19470533

Townend, William K; Cheeseman, Christopher; Edgar, Jen; Tudor, Terry

2009-06-01

243

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

Code of Federal Regulations, 2013 CFR

...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...

2013-04-01

244

Responsibility for managing healthcare-associated infections: where does the buck stop?  

PubMed

The prevention and control of healthcare-associated infections (HCAIs) requires a tripartite partnership between clinicians and carers, managers and government/Department of Health (DoH) across the whole health and social care community. Mandatory surveillance of meticillin-resistant Staphylococcus aureus bacteraemia and Clostridium difficile infection has shown a significant fall from peak numbers in 2003/04 and 2006, respectively, and there is now a zero tolerance approach to preventable infections and poor practice. Success so far has been based on senior management commitment, enhanced real-time surveillance, implementation of clinical protocols (high impact interventions, prudent prescribing), improved hand hygiene and environmental cleaning, and training and audit, backed up by a heightened performance management focus through targets and legislation (Code of Practice). DoH improvement teams have supported National Health Service trusts in implementing change. Responsibility for managing HCAI is a combination of managerial responsibility based upon compliance assurance that procedures and protocols are being implemented and personal professional responsibility of all clinicians and other healthcare workers. PMID:19765862

Duerden, B I

2009-12-01

245

Financial Considerations  

MedlinePLUS

... Navigating Cancer Care Financial Considerations Share This Page: Financial Considerations Languages Español Listen to the Cancer.Net Podcast: ... Care Cancer Basics Diagnosing Cancer Managing Your Care Financial Considerations Introduction to the Costs of Cancer Care Understanding ...

246

Assessment of medical waste management at a primary health-care center in Sao Paulo, Brazil  

SciTech Connect

Highlights: Black-Right-Pointing-Pointer Assessment of medical waste management at health-care center before/after intervention. Black-Right-Pointing-Pointer Qualitative and quantitative results of medical waste management plan are presented. Black-Right-Pointing-Pointer Adjustments to comply with regulation were adopted and reduction of waste was observed. Black-Right-Pointing-Pointer The method applied could be useful for similar establishments. - Abstract: According to the Brazilian law, implementation of a Medical Waste Management Plan (MWMP) in health-care units is mandatory, but as far as we know evaluation of such implementation has not taken place yet. The purpose of the present study is to evaluate the improvements deriving from the implementation of a MWMP in a Primary Health-care Center (PHC) located in the city of Sao Paulo, Brazil. The method proposed for evaluation compares the first situation prevailing at this PHC with the situation 1 year after implementation of the MWMP, thus allowing verification of the evolution of the PHC performance. For prior and post-diagnosis, the method was based on: (1) application of a tool (check list) which considered all legal requirements in force; (2) quantification of solid waste subdivided into three categories: infectious waste and sharp devices, recyclable materials and non-recyclable waste; and (3) identification of non-conformity practices. Lack of knowledge on the pertinent legislation by health workers has contributed to non-conformity instances. The legal requirements in force in Brazil today gave origin to a tool (check list) which was utilized in the management of medical waste at the health-care unit studied. This tool resulted into an adequate and simple instrument, required a low investment, allowed collecting data to feed indicators and also conquered the participation of the unit whole staff. Several non-conformities identified in the first diagnosis could be corrected by the instrument utilized. Total waste generation increased 9.8%, but it was possible to reduce the volume of non-recyclable materials (11%) and increase the volume of recyclable materials (4%). It was also possible to segregate organic waste (7%), which was forwarded for production of compost. The rate of infectious waste generation in critical areas decreased from 0.021 to 0.018 kg/procedure. Many improvements have been observed, and now the PHC complies with most of legal requirements, offers periodic training and better biosafety conditions to workers, has reduced the volume of waste sent to sanitary landfills, and has introduced indicators for monitoring its own performance. This evaluation method might subsidize the creation and evaluation of medical waste management plans in similar heath institutions.

Moreira, A.M.M., E-mail: anamariainforme@hotmail.com [Department of Environmental Health, School of Public Health, University of Sao Paulo, Avenida Doutor Arnaldo 715, Sao Paulo 01246-904 (Brazil); Guenther, W.M.R. [Department of Environmental Health, School of Public Health, University of Sao Paulo, Avenida Doutor Arnaldo 715, Sao Paulo 01246-904 (Brazil)

2013-01-15

247

The research of the improving management of AA Corporation based on Industrial Engineering under the post financial crisis era  

Microsoft Academic Search

Aim at the impact of the financial crisis to SMEs, and the present situation and management problems of SMEs, according to the management improvement of AA Corporation based on IE under the post financial crisis era, from the aspects of the 5S management implementation for production site management improvement, warehouse consolidation, the establishment of basic management data and corresponding management

Hong Li; Xiao-de Zuo

2011-01-01

248

Web 2.0 Artifacts in Healthcare Management Portals- State-of-the-Art in German Health Care Companies  

NASA Astrophysics Data System (ADS)

The internet is increasingly used as a source for information and knowledge. Even in the field of healthcare, information is widely available in the internet. In the context of healthcare management, two general questions are of interest: which information or content is provided and how is provided by whom? As sickness funds play a highly relevant role in the German healthcare system, we conduct an exploratory survey to answer these questions. We perform a third party web assessment by doing a complete inventory count of the German sickness funds landscape. Our study provides a foundation for further research by raising first categories that can be used for a theoretical explanatory model.

Blinn, Nadine; Kühne, Mirko; Nüttgens, Markus

249

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

PubMed Central

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.

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

2012-01-01

250

Enhancement of Critical Financial Infrastructure Protection Using Trust Management  

Microsoft Academic Search

\\u000a Providing protection to the financial infrastructure in the face of faults and malevolent attacks is vital to the stability,\\u000a availability, and continuity of key financial markets and businesses worldwide. Traditional protection approaches have focused\\u000a on protecting individual financial institutions (FIs) while ignoring the threats arising from cross-domain interactions as\\u000a well as those originating from other critical infrastructures. With the growing

Hisain Elshaafi; Jimmy McGibney; Barry Mulcahy; Dmitri Botvich

251

Management of infants born to women infected with hepatitis B in the military healthcare system  

PubMed Central

Background Hepatitis B virus (HBV) is endemic worldwide. Given significant rates of infectivity, all infants born to Hepatitis B surface antigen positive mothers need to receive treatment at birth, immunization and post-vaccination serologic testing. However, not all infants complete these requirements. Findings We performed a retrospective review of the management of infants born to Hepatitis B infected mothers at two large military hospitals in the United States that use a global electronic medical record to track patient results. We then compared these results to those recently published by the National Perinatal Hepatitis B Prevention Program (PHBPP), which does not include hospitals in the United States Military Healthcare System. Our results show that although all infants were managed appropriately at birth and immunization rates were very high, post vaccination follow-up testing rates were much lower than those seen in centers participating in the PHBPP. The rates of post vaccination serological testing were significantly higher for infants born to Hepatitis B e antigen positive mothers and those referred to a pediatric infectious disease specialist. Conclusions Despite use of a global electronic medical record in the United States Military Healthcare System, management of HBV-exposed infants does not always follow recommended guidelines. These infants could benefit from a more systematic method of follow-up, similar to the PHBPP, to ensure HBV serologic testing is obtained after the vaccination series is complete.

2013-01-01

252

Financial Management: Financial Reporting of Deferred Maintenance Information on Navy Weapon Systems for FY 2002.  

National Technical Information Service (NTIS)

The Federal Accounting Standards Advisory Board requires Federal entities to provide supplemental information on deferred maintenance as part of the entities' financial statements. The Federal Accounting Standards Advisory Board defines deterred maintenan...

P. J. Granetto R. B. Bird J. L. Kornides S. D. Dunnett T. R. Paulson

2003-01-01

253

Internal Revenue Service: Status of Recommendations from Financial Audits and Related Financial Management Reports.  

National Technical Information Service (NTIS)

In its role as the nation's tax collector, the Internal Revenue Service (IRS) has a demanding responsibility in collecting taxes, processing tax returns, and enforcing the nation's tax laws. Since GAO's first audit of IRS's financial statements in fiscal ...

2004-01-01

254

Insomnia, Health-Related Quality of Life and Healthcare Resource Consumption: A Study of Managed-Care Organisation Enrollees  

Microsoft Academic Search

Objective: Insomnia is a prevalent sleep complaint which has been reported to be greatly associated with reduced health-related quality of life (HR-QOL) and increased healthcare resource use. This study documents the prevalence of insomnia, and its impact on patients' HR-QOL and healthcare resource use in managed-care settings in the US. Design and Setting: A multi-site survey of 5 American Medical

Hind T. Hatoum; Sheldon X. Kong; Christopher M. Kania; Josephine M. Wong; Wallace B. Mendelson

1998-01-01

255

Personalized Support for Management of Financial Instruments by Means of Software Agents  

Microsoft Academic Search

\\u000a In the paper a new approach is proposed to support personal management of financial instruments such as e-bank accounts and\\u000a investment funds. The approach is based on using personalized software agents. A set of user agents implements an idea of\\u000a a personal financial advisor, starting from the root – the main agent-interface to a transactional system of a financial institution,

Jarogniew Rykowski

2010-01-01

256

The Mortgage and Financial Crises: The Role of Credit Risk Management and Corporate Governance  

Microsoft Academic Search

This paper discusses the role of risk management and corporate governance as causal factors in the onset of the financial\\u000a crisis. The boom and bust in the housing market precipitated serious strains in financial markets. These strains resulted\\u000a in the onset of the financial crisis in August 2007 with the collapse of the asset-backed commercial paper market. This collapse\\u000a occurred

William W. Lang; Julapa A. Jagtiani

2010-01-01

257

Healthcare risk management challenges created by federal regulation of electronic medical records and care management.  

PubMed

Health information technology (HIT) continues to evolve at an ever accelerating pace. Recent federal legislation has encouraged the widespread adoption of electronic record systems in the healthcare environment.(1) The federal government recognizes that advanced electronic health record (EHR) systems with clinical decision support (CDS) functionalities have the potential to offer numerous benefits to the quality of patient care.(2.) PMID:23861123

Hofert, James; Bossen, Roy; Schramm, Linnea; Dowell, Michael

2013-01-01

258

Cognitive Style Preferences and Financial Management Decision Styles  

Microsoft Academic Search

The purposes of this paper were to describe the development of a scale which measures preferred financial decision making styles of individuals (FDMDS1), report results of an exploratory study which examined the relationships among the cognitive style preferences of 80 adults and their financial decision styles, recommend modifications in the instrument based on correlation and reliability analyses, and suggest hypotheses

Kathryn D. Rettig; Catherine L. Schulz

259

Construction Management Program Builds Financial Development from the Ground up  

ERIC Educational Resources Information Center

Recent economic and legislative changes have hit higher education hard and threaten the financial viability of many educational programs nationwide. With state support dwindling to less than 10 percent in some cases, institutions across the nation face a financial crisis. Many strategies have been explored and implemented, from campaigns to…

Nobe, Michael D.; Shuler, Scott; Grosse, Larry

2007-01-01

260

Household financial management: the connection between knowledge and behavior  

Microsoft Academic Search

Consumer financial literacy has become a growing concern to educators, community groups, businesses, government agencies, and policymakers. Correspondingly, there has been an increase in the number and types of financial education programs available to households. Many of these programs focus on providing information to consumers and operate under the implicit assumption that increases in information and knowledge will lead to

Marianne A. Hilgert; Jeanne M. Hogarth; Sondra G. Beverly

2003-01-01

261

76 FR 52676 - Notice of Proposed Information Collection: Comment Request; Multifamily Financial Management...  

Federal Register 2010, 2011, 2012, 2013

...copies of the proposed forms and other available information...collection techniques or other forms of information technology...Multifamily Financial Management Template. OMB Control Number...participants to submit financial data electronically, using...the government. Agency form numbers, if...

2011-08-23

262

Efficient Financial Management in Rural Schools: Common Problems and Solutions from the Field. ERIC Digest.  

ERIC Educational Resources Information Center

Based on a recent nationwide survey of rural administrators, this digest reports on the financial problems of rural school districts and some possible strategies for improvement. Rural administrators reported the following financial management problems: (1) cash flow problems due to late receipt of state aid or taxes; (2) expenditures that are…

Inman-Freitas, Deborah

263

The influence of a financial management course on couples' relationshp quality  

Microsoft Academic Search

This study investigates the relationship quality of 32 couples who were enrolled in a personal finance management course called Financial Peace University. The purpose of the study is to understand the influence of the 13-week course on the couples' relationship quality. Two research questions guided this study. The first asks whether couples who attend Financial Peace University report an improvement

Kevin John Zimmerman

2010-01-01

264

FINANCIAL IMPLICATIONS OF GLYCEMIC CONTROL: RESULTS OF AN INPATIENT DIABETES MANAGEMENT PROGRAM  

Microsoft Academic Search

Objective: (1) To determine the financial implications associated with changes in clinical outcomes resulting from implementation of an inpatient diabetes management program and (2) to describe the strategies involved in the formation of this program. Methods: The various factors that influence financial outcomes are examined, and previous and current outcomes are compared. Results: Associations exist between hyperglycemia, length of stay,

Christopher A. Newton; Sandra Young

2006-01-01

265

A Management Study of the MCPS Accounting System and Certain Related Financial Services Functions. Final Report.  

ERIC Educational Resources Information Center

Several years ago, Montgomery County Public Schools (MCPS) began a Management Operations Review and Evaluation (MORE) of the entire school system, excluding school-based instruction. This MORE study is an evaluation of MCPS's current accounting system and certain related financial services functions within the Department of Financial Services. In…

Young (Arthur) and Co., Washington, DC.

266

Federal Financial Management Status Report and Five-Year Plan, June 1997.  

National Technical Information Service (NTIS)

This report marks the sixth annual report on governmentwide efforts to reform financial management. For the third year in a row, the report--prepared pursuant to the Chief Financial Officers (CFOs) Act of 1990--was written jointly by the Office of Managem...

1997-01-01

267

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

Code of Federal Regulations, 2010 CFR

...Financial Management Service G Appendix G to Subpart C of Part 1 Money and...Privacy Act Pt. 1, Subpt. C, App. G Appendix G to Subpart C of Part 1âFinancial...Service, Room 108, Treasury Department Annex No. 1, Pennsylvania Avenue and...

2010-07-01

268

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

Code of Federal Regulations, 2010 CFR

...Financial Management Service G Appendix G to Subpart C of Part 1 Money and...Privacy Act Pt. 1, Subpt. C, App. G Appendix G to Subpart C of Part 1âFinancial...Service, Room 108, Treasury Department Annex No. 1, Pennsylvania Avenue and...

2009-07-01

269

AN INFORMATION SECURITY MANAGEMENT SYSTEM MODEL FOR SMALL AND MEDIUM-SIZED FINANCIAL INSTITUTIONS  

Microsoft Academic Search

Information security breaches continue to rise at disturbing rates. Financial institutions are required to have a documented information security program commensurate with their size, complexity and use of technology. However, small and medium-sized financial institutions struggle to complete this task as no information security management system model exists that meets their unique needs. This paper outlines the existing information security

Kevin Streff

270

FINANCIAL ANALYSIS AND WORKING CAPITAL MANAGEMENT TECHNIQUES USED BY SMALL MANUFACTURERS: SURVEY AND ANALYSIS  

Microsoft Academic Search

This article summarized the responses of 103 small manufacturers to a mail questionnaire survey sent to the chief financial officer of 477 firms located in the southern region of the U.S. The major thrust of the paper was to provide insight into the importance of and utilization of financial analysis and working capital management concepts by small manufacturers. Findings from

Morris Lamberson

271

Critical Incident Stress Management (CISM) in complex systems: cultural adaptation and safety impacts in healthcare.  

PubMed

In complex systems, such as hospitals or air traffic control operations, critical incidents (CIs) are unavoidable. These incidents can not only become critical for victims but also for professionals working at the "sharp end" who may have to deal with critical incident stress (CIS) reactions that may be severe and impede emotional, physical, cognitive and social functioning. These CIS reactions may occur not only under exceptional conditions but also during every-day work and become an important safety issue. In contrast to air traffic management (ATM) operations in Europe, which have readily adopted critical incident stress management (CISM), most hospitals have not yet implemented comprehensive peer support programs. This survey was conducted in 2010 at the only European general hospital setting which implemented CISM program since 2004. The aim of the article is to describe possible contribution of CISM in hospital settings framed from the perspective of organizational safety and individual health for healthcare professionals. Findings affirm that daily work related incidents also can become critical for healthcare professionals. Program efficiency appears to be influenced by the professional culture, as well as organizational structure and policies. Overall, findings demonstrate that the adaptation of the CISM program in general hospitals takes time but, once established, it may serve as a mechanism for changing professional culture, thereby permitting the framing of even small incidents or near misses as an opportunity to provide valuable feedback to the system. PMID:24491831

Müller-Leonhardt, Alice; Mitchell, Shannon G; Vogt, Joachim; Schürmann, Tim

2014-07-01

272

Graph Databases for Large-Scale Healthcare Systems: A Framework for Efficient Data Management and Data Services  

SciTech Connect

Designing a database system for both efficient data management and data services has been one of the enduring challenges in the healthcare domain. In many healthcare systems, data services and data management are often viewed as two orthogonal tasks; data services refer to retrieval and analytic queries such as search, joins, statistical data extraction, and simple data mining algorithms, while data management refers to building error-tolerant and non-redundant database systems. The gap between service and management has resulted in rigid database systems and schemas that do not support effective analytics. We compose a rich graph structure from an abstracted healthcare RDBMS to illustrate how we can fill this gap in practice. We show how a healthcare graph can be automatically constructed from a normalized relational database using the proposed 3NF Equivalent Graph (3EG) transformation.We discuss a set of real world graph queries such as finding self-referrals, shared providers, and collaborative filtering, and evaluate their performance over a relational database and its 3EG-transformed graph. Experimental results show that the graph representation serves as multiple de-normalized tables, thus reducing complexity in a database and enhancing data accessibility of users. Based on this finding, we propose an ensemble framework of databases for healthcare applications.

Park, Yubin [University of Texas at Austin] [University of Texas at Austin; Shankar, Mallikarjun [ORNL] [ORNL; Park, Byung H [ORNL] [ORNL; Ghosh, Dr. Joydeep [University of Texas at Austin] [University of Texas at Austin

2014-01-01

273

Department of Defense: Financial Management Improvement and Audit Readiness Efforts Continue to Evolve.  

National Technical Information Service (NTIS)

As one of the largest and most complex organizations in the world, the Department of Defense (DOD) faces many challenges in resolving its pervasive and long-standing financial management and related business operations and systems problems. DOD is require...

A. A. Khan

2010-01-01

274

Department of Defense's Progress in Implementing the Federal Managers' Financial Integrity Act.  

National Technical Information Service (NTIS)

GAO reviewed 23 federal agencies' continuing efforts to implement the Federal Managers' Financial Integrity Act of 1982. The act was intended to help reduce fraud, waste, and abuse in the federal government through annual agency assessments of internal co...

1985-01-01

275

Report to Congress: Evaluation of Instructional Classes in Personal Financial Management for Consumer Bankruptcy Debtors.  

National Technical Information Service (NTIS)

This report presents the design, procedures, and findings of an evaluation of three instructional courses in personal financial management for consumer bankruptcy debtors. This report presents research findings regarding the effectiveness of the curriculu...

2008-01-01

276

32 CFR 700.323 - The Assistant Secretary of the Navy (Financial Management).  

Code of Federal Regulations, 2010 CFR

...2010-07-01 false The Assistant Secretary of the Navy (Financial Management). 700.323 Section 700...Department of Defense (Continued) DEPARTMENT OF THE NAVY UNITED STATES NAVY REGULATIONS AND OFFICIAL RECORDS UNITED STATES...

2010-07-01

277

32 CFR 700.323 - The Assistant Secretary of the Navy (Financial Management).  

Code of Federal Regulations, 2013 CFR

...2013-07-01 false The Assistant Secretary of the Navy (Financial Management). 700.323 Section 700...Department of Defense (Continued) DEPARTMENT OF THE NAVY UNITED STATES NAVY REGULATIONS AND OFFICIAL RECORDS UNITED STATES...

2013-07-01

278

University Financial Management under a Contraction of Government Funding: the Case of Hong Kong China.  

ERIC Educational Resources Information Center

Examines changes in funding methodology for higher education in Hong Kong following the change in sovereignty, problems in financial management faced by universities because of these changes, and the actions they have taken to address the issues. (EV)

Shuen, Alex P. C.

2000-01-01

279

Financial Management Systems: DHS Faces Challenges to Successfully Consolidating Its Existing Disparate Systems.  

National Technical Information Service (NTIS)

In June 2007, GAO reported that the Department of Homeland Security (DHS) had made little progress in integrating its existing financial management systems and made six recommendations focused on the need for DHS to define a departmentwide strategy and em...

2009-01-01

280

Financial Management in the Context of Sustainability: Priorities and Lessons Learned from the REACH Experience.  

National Technical Information Service (NTIS)

The report presents information on the financial management of expanded programs of immunization (EPI), drawing from recent studies as well as lessons learned from various programs. Research findings are first presented on the costs and cost-effectiveness...

C. Leighton

1991-01-01

281

Department of State's First-Year Implementation of the Federal Managers' Financial Integrity Act.  

National Technical Information Service (NTIS)

GAO conducted a review of 22 federal agencies' efforts to implement the Federal Managers' Financial Integrity Act of 1982. The act was intended to help reduce fraud, waste, and abuse across the spectrum of federal government operations through annual agen...

1984-01-01

282

First Year Implementation of the Federal Managers' Financial Integrity Act by the Department of Justice.  

National Technical Information Service (NTIS)

GAO conducted a review of 22 federal agencies' efforts to implement the Federal Managers' Financial Integrity Act of 1982. The act was intended to help reduce fraud, waste, and abuse across the spectrum of federal government operations through annual agen...

1984-01-01

283

Department of the Interior's First-Year Implementation of the Federal Managers' Financial Integrity Act.  

National Technical Information Service (NTIS)

GAO reviewed the processes used by 22 federal agencies to implement the Federal Managers' Financial Integrity Act of 1982. The act was intended to help reduce fraud, waste, and abuse across the spectrum of federal government operations by requiring agenci...

1984-01-01

284

Evaluating Naval Air Warfare Center Aircraft Division (NAWCAD) Financial Management Practices in Preparation for Implementing ERP.  

National Technical Information Service (NTIS)

This thesis examines the current financial management processes in place at Naval Air Warfare Center Aircraft Division (NAWCAD) and the impact an implementation of an Enterprise Resource Planning (ERP) system would have on these processes. The Department ...

R. E. Louzek

2000-01-01

285

Financial Management Information System for Health Maintenance Organizations. Volume III: Accounting Principles, Standards, and Controls.  

National Technical Information Service (NTIS)

Accounting principles associated with a financial management information system (FMIS) for health maintenance organizations (HMO's) are detailed. The accounting structure for the FMIS uses the double entry system. It is designed to disclose the full range...

1973-01-01

286

77 FR 71035 - Financial Management Service; Proposed Collection of Information: Electronic Funds Transfer (EFT...  

Federal Register 2010, 2011, 2012, 2013

...Electronic Funds Transfer (EFT) Market Research Study AGENCY: Financial Management...Electronic Funds Transfer (EFT) Market Research Study.'' DATES: Written comments...Electronic Funds Transfer (EFT) Market Research Study. OMB Number:...

2012-11-28

287

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

Microsoft Academic Search

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

Jonathan Fox; Suzanne Bartholomae

1999-01-01

288

Demanding Affecting Factors Analysis for Personal Financial Management Business: An Empirical Approach Based on Factor Analysis Model  

Microsoft Academic Search

This paper analyzes the demanding affecting factors for financial management business by using factor analysis model and logistic regression through the data obtained from the survey questionnaires. It is found that the main factors that affecting financial management business are the special life cycle stages the residents are in and the external information environment for residents to purchase financial products.

Jianqiong Peng; Dehong Lu

2011-01-01

289

CREATING A LEARNING COMMUNITY IN FINANCIAL MANAGEMENT: THE APPLICATION OF THE METHOD SUMMARY IN TEAM BASED DECISION PROCESSES  

Microsoft Academic Search

A learning community is a relationship between learners and faculty that fosters an acute motivation for a particular discipline. Undergraduate financial management curriculum provides a unique opportunity to facilitate the development of a student-initiated learner community. Undergraduate financial management is a foundation finance course for all business majors. The course emphasizes traditional financial statement analysis, cash flow estimation and analysis,

Mark Lewandowski; Tim Sanderson

290

What Do You Know about Your Clients? Implications for Extension Financial Management Training.  

ERIC Educational Resources Information Center

Agricultural producers in Nevada who enrolled in a tax management program (n=33) rated their knowledge of 6 business management tools higher than 36 nonparticipants. Although nonparticipants reported lower financial management knowledge, they were not interested in attending Extension classes nor in home study or the Internet. (SK)

Breazeale, Don; Myer, Gordon; Hill, George

2001-01-01

291

76 FR 64990 - Audit and Financial Management Advisory (AFMAC)  

Federal Register 2010, 2011, 2012, 2013

...additional information, please contact Jeff Brown at (202) 205- 6117, e-mail: Jeffrey.Brown@sba.gov, SBA, Office of Chief Financial...aboutsba/sbaprograms/cfo/index.html. Dan S. Jones, White House Liaison. [FR...

2011-10-19

292

76 FR 69793 - Audit and Financial Management Advisory (AFMAC)  

Federal Register 2010, 2011, 2012, 2013

...additional information, please contact Jeff Brown at (202) 205- 6117, email: Jeffrey.Brown@sba.gov, SBA, Office of Chief Financial...aboutsba/sbaprograms/cfo/index.html. Dan S. Jones, White House Liaison. [FR...

2011-11-09

293

38 CFR 43.20 - Standards for financial management systems.  

Code of Federal Regulations, 2010 CFR

...Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) UNIFORM ADMINISTRATIVE...COOPERATIVE AGREEMENTS TO STATE AND LOCAL GOVERNMENTS Post-Award Requirements Financial...advances are made by letter-of-credit or electronic transfer of funds methods, the...

2009-07-01

294

38 CFR 43.20 - Standards for financial management systems.  

Code of Federal Regulations, 2010 CFR

...Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) UNIFORM ADMINISTRATIVE...COOPERATIVE AGREEMENTS TO STATE AND LOCAL GOVERNMENTS Post-Award Requirements Financial...advances are made by letter-of-credit or electronic transfer of funds methods, the...

2010-07-01

295

38 CFR 43.20 - Standards for financial management systems.  

Code of Federal Regulations, 2013 CFR

...Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) UNIFORM ADMINISTRATIVE...COOPERATIVE AGREEMENTS TO STATE AND LOCAL GOVERNMENTS Post-Award Requirements Financial...advances are made by letter-of-credit or electronic transfer of funds methods, the...

2013-07-01

296

Scope and Impact of Personal Financial Management Difficulties of Service Members on the Department of the Navy.  

National Technical Information Service (NTIS)

This study was designed to investigate the effectiveness of the Personal Financial Management Program (PFMP) which has been instituted by the Department of the Navy to provide sound financial counseling to service members. There is a great deal of evidenc...

R. K. Luther E. T. Garman I. E. Leech L. Griffitt T. Gilroy

1997-01-01

297

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

PubMed

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

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

2009-07-01

298

Connectivity for Healthcare and Well-Being Management: Examples from Six European Projects  

PubMed Central

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.

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

2009-01-01

299

Managing healthcare budgets in times of austerity: the role of program budgeting and marginal analysis.  

PubMed

Given limited resources, priority setting or choice making will remain a reality at all levels of publicly funded healthcare across countries for many years to come. The pressures may well be even more acute as the impact of the economic crisis of 2008 continues to play out but, even as economies begin to turn around, resources within healthcare will be limited, thus some form of rationing will be required. Over the last few decades, research on healthcare priority setting has focused on methods of implementation as well as on the development of approaches related to fairness and legitimacy and on more technical aspects of decision making including the use of multi-criteria decision analysis. Recently, research has led to better understanding of evaluating priority setting activity including defining 'success' and articulating key elements for high performance. This body of research, however, often goes untapped by those charged with making challenging decisions and as such, in line with prevailing public sector incentives, decisions are often reliant on historical allocation patterns and/or political negotiation. These archaic and ineffective approaches not only lead to poor decisions in terms of value for money but further do not reflect basic ethical conditions that can lead to fairness in the decision-making process. The purpose of this paper is to outline a comprehensive approach to priority setting and resource allocation that has been used in different contexts across countries. This will provide decision makers with a single point of access for a basic understanding of relevant tools when faced with having to make difficult decisions about what healthcare services to fund and what not to fund. The paper also addresses several key issues related to priority setting including how health technology assessments can be used, how performance can be improved at a practical level, and what ongoing resource management practice should look like. In terms of future research, one of the most important areas of priority setting that needs further attention is how best to engage public members. PMID:24458477

Mitton, Craig; Dionne, Francois; Donaldson, Cam

2014-04-01

300

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

Microsoft Academic Search

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

Yung Bok Kim; Jae-jo Lee

2008-01-01

301

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

PubMed Central

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.

2013-01-01

302

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

PubMed Central

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.

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

2012-01-01

303

Financial Audit: The Department of State's Fiscal Year 2004 Management Representation Letter on It's Financial Statements.  

National Technical Information Service (NTIS)

The purpose of this report is to communicate our observations on the Department of State's (DOS) fiscal year 2004 management representation letter. Our objective is to help ensure that future management representation letters submitted by DOS are sufficie...

2005-01-01

304

Financial Audit: The Department of Labor's Fiscal Year 2004 Management Representation Letter on It's Financial Statements.  

National Technical Information Service (NTIS)

The purpose of this report is to communicate our observations on the Department of Labor's (DOL) fiscal year 2004 management representation letter. Our objective is to help ensure that future management representation letters submitted by DOL are sufficie...

2005-01-01

305

Financial Audit: The Department of Transportations's Fiscal Year 2004 Management Representation Letter on Its Financial Statements.  

National Technical Information Service (NTIS)

The purpose of this report is to communicate our observations on the Department of Transportation's (DOT) fiscal year 2004 management representation letter. Our objective is to help ensure that future management representation letters submitted by DOT are...

2005-01-01

306

Financial Audit: The Tennessee Valley Authority's Fiscal Year 2004 Management Representation Letter on Its Financial Statements.  

National Technical Information Service (NTIS)

TVAs fiscal year 2004 management representation letter did not provide all the information necessary to support Treasury and OMBs preparation of the CFS management representation letter. This in turn impacted our ability to rely on the representations in ...

2005-01-01

307

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

PubMed Central

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.

Cueto-Manzano, Alfonso M; Martinez-Ramirez, Hector R; Cortes-Sanabria, Laura

2013-01-01

308

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

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…

US Department of Education, 2010

2010-01-01

309

Horizon of Financial Management for the Department of Defense.  

National Technical Information Service (NTIS)

The Department of Defense (DOD) has been unable to complete a financial audit since the enactment of the Accounting and Auditing Act of 1950, requiring periodic audits of all federal agencies. With corporate accounting scandals such as Enron, WorldCom and...

J. W. Skarin

2002-01-01

310

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

ERIC Educational Resources Information Center

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…

Department of Education, Washington, DC.

311

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

PubMed

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

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

2014-06-01

312

Application of the Complexity Management Business Approach in DoD's Financial Functions.  

National Technical Information Service (NTIS)

This project describes the emerging approach of Complexity Management, translates it for use in the Department of Defense (DoD), and applies its principles to DoD's financial functions. Complexity Management is a new business approach introduced by The Ge...

J. I. Jimenez

2006-01-01

313

Are hospital managers served by current models for predicting financial distress?  

PubMed

During the last decade there have been major competitive changes in the health care industry. This more dynamic environment has forced hospitals to emphasize efficiency in their operations. One consequence is an increased concern with financial condition and, subsequently, with the ability to predict financial distress. This paper synthesizes several important studies on firm failure in the field of finance and compares them with recent studies of hospital survival. The inescapable conclusion is that most models predicting hospital financial distress are restricted, flawed, or both. As result, one must question whether such applications effectively serve hospital managers or public policy makers. PMID:10282128

Walker, C L; Pitts, M W

1987-04-01

314

Supplemental Financial & Administrative Terms and Conditions for Managers of FFRDCs - September 2005  

NSF Publications Database

National Science Foundation (NSF) Cooperative Agreement Supplemental Financial & Administrative Terms and Conditions for Managers of Federally Funded Research and Development Centers (FFRDCs) September 2005 Unless otherwise specified in a special condition of the Cooperative Agreement or an associated Cooperative Support Agreement, or as modified below, the Cooperative Agreement Financial & Administrative Terms and Conditions (CA-FATC) dated, 06/05, are applicable to this Cooperative ...

315

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

PubMed

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

Karuppan, Corinne Marie

2014-01-01

316

Knowledge, attitude and practice of health-care waste management and associated health risks in the two teaching and referral hospitals in Kenya.  

PubMed

Hazardous health-care waste poses a great danger to public health and the environment if it is not properly managed. There is need for health-care workers involved in its management to understand the integral link between human health and environmental health. This study was done to identify gaps in knowledge, attitude and practice among the healthcare workers involved in its management hence endangering public health and polluting the environment. A self administered questionnaire was used in both Kenyatta National Hospital, Nairobi and Moi Teaching and Referral Hospital, Eldoret to clinicians, nurses, laboratory technologists and hospital attendants to identify the gaps with a focus on their knowledge, attitude and practice. It was found that health and safety in health-care waste management, was not included in most of the curricula for training the three healthcare professionals. Most of them acquired this through on-job training from seminars and informally through organized talks at work-places. The hospital attendants had also an opportunity to acquire the knowledge through organized training at work places. The training improved the workers' compliance to hepatitis B vaccinations and use of personal protective equipment when handling health-care waste. There was also reduction on injuries from health-care waste. This study therefore concludes that it is necessary for healthcare workers training curricula to include health and safety issues while managing hazardous health-care waste as well as establishes the need for healthcare institutions to conduct continuing education on health and safety in the management of health-care waste. PMID:22752531

Nkonge Njagi, A; Mayabi Oloo, A; Kithinji, J; Magambo Kithinji, J

2012-12-01

317

Financial management skills are associated with food insecurity in a sample of households with children in the United States.  

PubMed

Food insecurity is one of the leading public health challenges facing children in the United States today. Reducing food insecurity and its attendant consequences requires an understanding of the determinants of food insecurity. Although previous work has greatly advanced our understanding of these determinants, the role of one of the oft-speculated important determinants of food insecurity, household financial management skills, has not been considered. To address this research lacuna, we use a recently conducted survey, the Survey of Household Finances and Childhood Obesity, that has information on specific financial management practices, impressions of financial management skills, and households' food insecurity. The sample included 904 households with children. Within this sample, 19.3% were food insecure and, for our central financial management skill variable, the mean value was 3.55 on a 5-point scale. Probit regression models estimated the probability of a household being food insecure as conditional on financial management skills and other covariates. We found a large and significant inverse relationship between a respondent's use of specific financial management practices and food insecurity and between a respondent's confidence in his or her financial management skills and food insecurity. That is, households with greater financial management abilities are less likely to be food insecure. This finding also holds when the sample is restricted to households with incomes <200% of the poverty line. These results suggest that improving households' financial management skills has the potential to reduce food insecurity in the United States. PMID:22955515

Gundersen, Craig G; Garasky, Steven B

2012-10-01

318

The Impact of New Technologies in Public Financial Management and Performance: Agenda for Public Financial Management Reformance in the Context of Global Best Practices  

Microsoft Academic Search

Information and Communication Technologies (ICT) has practically penetrated\\u000ainto all spheres of life. Therefore a closer look at the impact of ICT in\\u000apublic financial management and performance is highly justified. Public finance\\u000ais defined as a field of economics concerned with paying for collective or\\u000agovernmental activities, and with the administration and design of those\\u000aactivities. Activities will be

Amos David

2008-01-01

319

Healthcare professionals and managers' participation in developing an intervention: A pre-intervention study in the elderly care context  

PubMed Central

Background In order to increase the chances of success in new interventions in healthcare, it is generally recommended to tailor the intervention to the target setting and the target professionals. Nonetheless, pre-intervention studies are rarely conducted or are very limited in scope. Moreover, little is known about how to integrate the results of a pre-intervention study into an intervention. As part of a project to develop an intervention aimed at improving care for the elderly in France, a pre-intervention study was conducted to systematically gather data on the current practices, issues, and expectations of healthcare professionals and managers in order to determine the defining features of a successful intervention. Methods A qualitative study was carried out from 2004 to 2006 using a grounded theory approach and involving a purposeful sample of 56 healthcare professionals and managers in Paris, France. Four sources of evidence were used: interviews, focus groups, observation, and documentation. Results The stepwise approach comprised three phases, and each provided specific results. In the first step of the pre-intervention study, we gathered data on practices, perceived issues, and expectations of healthcare professionals and managers. The second step involved holding focus groups in order to define the characteristics of a tailor-made intervention. The third step allowed validation of the findings. Using this approach, we were able to design and develop an intervention in elderly care that met the professionals' and managers' expectations. Conclusion This article reports on an in-depth pre-intervention study that led to the design and development of an intervention in partnership with local healthcare professionals and managers. The stepwise approach represents an innovative strategy for developing tailored interventions, particularly in complex domains such as chronic care. It highlights the usefulness of seeking out the insight of healthcare professionalnd managers and emphasizes the need to intervene at different levels. Further research will be needed in order to develop a more thorough understanding of the impacts of such strategies on the final outcomes of intervention implementations.

Vedel, Isabelle; De Stampa, Matthieu; Bergman, Howard; Ankri, Joel; Cassou, Bernard; Blanchard, Francois; Lapointe, Liette

2009-01-01

320

Dynamic group management as an enhancement to emergency healthcare using policies  

Microsoft Academic Search

Successful medical emergency preventative measures or actual emergency resolution is not entirely down to one individual, but more the result of the establishment and behaviour of a group of individuals and services. This is highly evident in the healthcare domain: the introduction of pervasive healthcare systems allows for the interconnection of various stake holders, such as patients, doctors, medical monitoring

Jens Schmutzler; Christopher Foley; Stefan Michaelis; Sven van der Meer; Christian Wietfeld

2008-01-01

321

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

Microsoft Academic Search

DITIS, as translated from ?ITH? in Greek, stands for Networked Collaboration for Home Healthcare. The purpose of this chapter is to present an overview of DITIS, its goals and underlying architecture, and demonstrate how 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.

Barbara Pitsillides; Andreas Pitsillides; George Samaras; Maria Nicolaou

322

Managing Multiple Projects: A Literature Review of Setting Priorities and a Pilot Survey of Healthcare Researchers in an Academic Setting  

PubMed Central

Objectives To summarize and then assess with a pilot study the use of published best practice recommendations for priority setting during management of multiple healthcare research projects, in a resource-constrained environment. Methods Medical, economic, business, and operations literature was reviewed to summarize and develop a survey to assess best practices for managing multiple projects. Fifteen senior healthcare research project managers, directors, and faculty at an urban academic institution were surveyed to determine most commonly used priority rules, ranking of rules, characteristics of their projects, and availability of resources. Survey results were compared to literature recommendations to determine use of best practices. Results Seven priority-setting rules were identified for managing multiple projects. Recommendations on assigning priorities by project characteristics are presented. In the pilot study, a large majority of survey respondents follow best practice recommendations identified in the research literature. However, priority rules such as Most Total Successors (MTS) and Resource Scheduling Method (RSM) were used “very often” by half of the respondents when better performing priority rules were available. Conclusions Through experience, project managers learn to manage multiple projects under resource constraints. Best practice literature can assist project managers in priority setting by recommending the most appropriate priority given resource constraints and project characteristics. There is room for improvement in managing multiple projects.

Hopkins, Robert Borden; Campbell, Kaitryn; O'Reilly, Daria; Tarride, Jean-Eric; Bowen, Jim; Blackhouse, Gord; Goerre, Ron

2007-01-01

323

VIKOR method with enhanced accuracy for multiple criteria decision making in healthcare management.  

PubMed

Višekriterijumsko kompromisno rangiranje (VIKOR) method is one of the commonly used multi criteria decision making (MCDM) methods for improving the quality of decision making. VIKOR has an advantage in providing a ranking procedure for positive attributes and negative attributes when it is used and examined in decision support. However, we noticed that this method may failed to support an objective result in medical field because most medical data have normal reference ranges (e.g., for normally distributed data: NRR ? [? ± 1.96?], this limitation shows a negative effect on the acceptance of it as an effective decision supporting method in medical decision making. This paper proposes an improved VIKOR method with enhanced accuracy (ea-VIKOR) to make it suitable for such data in medical field by introducing a new data normalization method taking the original distance to the normal reference range (ODNRR) into account. In addition, an experimental example was presented to demonstrate efficiency and feasibility of the ea-VIKOR method, the results demonstrate the ability of ea-VIKOR to deal with moderate data and support the decision making in healthcare care management. For this reason, the ea-VIKOR should be considered for use as a decision support tool for future study. PMID:23377778

Zeng, Qiang-Lin; Li, Dan-Dan; Yang, Yi-Bin

2013-04-01

324

An intelligent healthcare management system: a new approach in work-order prioritization for medical equipment maintenance requests.  

PubMed

The effective maintenance management of medical technology influences the quality of care delivered and the profitability of healthcare facilities. Medical equipment maintenance in Jordan lacks an objective prioritization system; consequently, the system is not sensitive to the impact of equipment downtime on patient morbidity and mortality. The current work presents a novel software system (EQUIMEDCOMP) that is designed to achieve valuable improvements in the maintenance management of medical technology. This work-order prioritization model sorts medical maintenance requests by calculating a priority index for each request. Model performance was assessed by utilizing maintenance requests from several Jordanian hospitals. The system proved highly efficient in minimizing equipment downtime based on healthcare delivery capacity, and, consequently, patient outcome. Additionally, a preventive maintenance optimization module and an equipment quality control system are incorporated. The system is, therefore, expected to improve the reliability of medical equipment and significantly improve safety and cost-efficiency. PMID:20703695

Hamdi, Naser; Oweis, Rami; Abu Zraiq, Hamzeh; Abu Sammour, Denis

2012-04-01

325

Empirical study on the correlation between the financial management structure and the performance of listed manufacturing companies  

Microsoft Academic Search

To discuss how the financial management structure influences the enterprises' performance, some perspective is put forward in this paper. It is mainly about the correlation between the financial management structure and the performance, researched from the angles of the internal governance structure and the external governance structure. Data of 100 listed manufacturing companies from stock markets of Shanghai and Shenzhen

Sun Wei; Du Wenxue

2011-01-01

326

Leadership & Management in Healthcare Gopee Neil Galloway Jo Leadership & Management in Healthcare and £23.99 312pp Sage Second edition 9781446248829 1446248828 [Formula: see text].  

PubMed

THIS BOOK comprehensively covers aspects of leadership and management, from theories to decision making, providing good quality care, budget management, change management, team working, patient involvement and training. PMID:24870427

2014-05-01

327

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

ERIC Educational Resources Information Center

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…

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

328

Three Phase Multi-Instructional Method of Teaching Personal Financial Management.  

ERIC Educational Resources Information Center

A program is described in which students are taught personal financial management using a self-paced multi-instructional approach. Less advanced students profit from a slower pace at which they are not penalized and superior students gain desired basic knowledge and move into auxiliary units that enrich their course of study. (CT)

Hill, James O.

1980-01-01

329

Improving Financial Management in the United Nations by Strengthening Audits and Evaluations.  

National Technical Information Service (NTIS)

Financial management can be improved in the United Nations and its specialized agencies, whose combined budgets exceed $2 billion, through more effective audits and evaluations. This is essential to the effective use of these large funds. U.N. audits and ...

1979-01-01

330

Detecting GAAP violation: implications for assessing earnings management among firms with extreme financial performance  

Microsoft Academic Search

My paper presents a model to detect earnings management among firms experiencing extreme financial performance, and compares the model's performance to that of discretionary accrual models. I found that the model provides timely assessments of the likelihood of manipulation, and that model-based trading strategies earn significant abnormal returns. I also present evidence suggesting that the specification of discretionary accrual models

Messod D. Beneish

1997-01-01

331

Management of UK Pension Funds and Financial Market Development: 1970-2008  

Microsoft Academic Search

This paper adopts data of United Kingdom from 1970-2008 to conduct empirical analysis to reveal the relationship between financial-market development and the management of pension funds. United Kingdom is a good example to be studied because it is one of the countries increasing funding by introducing individual account system. The Granger test results imply that the pension funds growth actually

Ren Liang; Li Bing

2010-01-01

332

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

Microsoft Academic Search

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

José Ignacio Llaguno Musons

2005-01-01

333

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

ERIC Educational Resources Information Center

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…

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

334

Educational Financing and Budgeting in Kazakhstan. Financial Management of Education Systems.  

ERIC Educational Resources Information Center

This book provides an indepth description and analysis of financial management and budgetary procedures for education in Kazakhstan, one of the centrally planned economies of the former Soviet Union. The case of Kazakhstan is characterized by its radical and bold policies to improve educational financing and budgeting during the 1990s. Chapter 1,…

Kousherbaev, Krymbek; Aryn, Erlan; Ereshaev, Bauyirjan; Kuchukowa, Nurilya; Satova, Raushan; Usenova, Gauhar; Magenova, Kulyanda; Rahinjanova, Nagjan; Sultanova, Bahyita

335

Educational Financing and Budgeting in Uzbekistan. Financial Management of Education Systems. Working Document.  

ERIC Educational Resources Information Center

This book provides an indepth description and analysis of financial management and budgetary procedures for education in Uzbekistan. The Uzbek approach is different from that of other newly independent countries of the former Soviet Union. The country chose a policy of maintaining the advantages of the former system of education while introducing…

Ziyaev, Muzafar K.; Rakhmonov, Ahadjon; Sultanov, Murtazo S.

336

How much trust should risk managers place on “Brownian motions” of financial markets?  

Microsoft Academic Search

Purpose – The purpose of this paper is to investigate the recent global economic downturn. Particularly, the study explores the utilization of the concept of Brownian motion in financial risk management in organizations in the USA. Design\\/methodology\\/approach – The three assumptions, namely, independence, stationarity, and normal distribution that underlie the concept of Brownian motion are examined. Findings – It is

Shaheen Borna; Dheeraj Sharma

2011-01-01

337

Financial Management and Job Social Skills Training Components in a Summer Business Institute  

ERIC Educational Resources Information Center

Ninety-two adolescents, predominantly ethnic minority high school students, participated in a structured Summer Business Institute (SBI). Participating youth were randomly assigned to receive either job social skills or financial management skills training components. Students who additionally received the job social skills training component were…

Donohue, Brad; Conway, Debbie; Beisecker, Monica; Murphy, Heather; Farley, Alisha; Waite, Melissa; Gugino, Kristin; Knatz, Danielle; Lopez-Frank, Carolina; Burns, Jack; Madison, Suzanne; Shorty, Carrie

2005-01-01

338

Working Capital Management and Financial Planning (Administración del Capital de Trabajo y Planeación Financiera) (Spanish)  

Microsoft Academic Search

This is a teaching material for a module of Financial analysis at Universidad Tecnológica de Bolivar. The educational material was developed with Professor Ricardo Davila from Universidad Javeriana, Bogota, Colombia. The written material has been modified several times using the feedback from students and other users. This material is an unpublished one. This chapter presents tips on how to manage

Ignacio Vélez; Ricardo Dávila

2011-01-01

339

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

ERIC Educational Resources Information Center

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…

Bouapao, Lytou; Sengchandavong, Ouam; Sihavong, Siphandone

340

An integrated healthcare information system for end-to-end standardized exchange and homogeneous management of digital ECG formats.  

PubMed

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, moreover, several different visualization applications. This heterogeneity hampers the normalization of integrated, standardized healthcare information systems, hence the need for finding an appropriate combination of ECG formats and a suitable EIS-based software architecture that enables standardized exchange and homogeneous management of ECG formats. Determining such a combination is one objective of this paper. The second aim is to design and develop the integrated healthcare information system that satisfies the requirements posed by the previous determination. The ECG formats selected include ISO/IEEE11073, Standard Communications Protocol for Computer-Assisted Electrocardiography, and an ECG ontology. The EIS-enabling techniques and technologies selected include web services, simple object access protocol, extensible markup language, or business process execution language. Such a selection ensures the standardized exchange of ECGs within, or across, healthcare information systems while providing modularity and accessibility. PMID:22453644

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

2012-07-01

341

Studying influence and accounting use—Empirical evidence about individual managers and organizations with changes in Galician healthcare  

Microsoft Academic Search

Legislation outlined proposed changes in Galician Health Centres. This allowed us to set down the theory about personal and organizational Information–Influence Matrices and then Frameworks of Issues for the interactions between an individual Financial Manager and a Health Centre Co-ordinator, as well as the proposed organizational changes into a new system [Purdy DE, Gago S. Extending influence and accounting use:

Derek E. Purdy; Susana Gago

2009-01-01

342

Healthcare Inspection: Alleged Pain Management Deficiencies VA Maryland Health Care System Baltimore, Maryland.  

National Technical Information Service (NTIS)

The VA Office of Inspector General Office of Healthcare Inspections conducted a review to determine the validity of two allegations regarding hospice care at the Baltimore VA Rehabilitation and Extended Care Center (BRECC), which is part of the VA Marylan...

2011-01-01

343

Satellite Power System (SPS) financial/management scenarios  

NASA Technical Reports Server (NTRS)

The possible benefits of a Satellite Power System (SPS) program, both domestically and internationally, justify detailed and imaginative investigation of the issues involved in financing and managing such a large-scale program. In this study, ten possible methods of financing a SPS program are identified ranging from pure government agency to private corporations. The following were analyzed and evaluated: (1) capital requirements for SPS; (2) ownership and control; (3) management principles; (4) organizational forms for SPS; (5) criteria for evaluation; (6) detailed description and preliminary evaluation of alternatives; (7) phased approaches; and (8) comparative evaluation. Key issues and observations and recommendations for further study are also presented.

Vajk, J. P.

1978-01-01

344

MarketFacts: A Financial Overview of the Managed Care Industry  

NSDL National Science Digital Library

The Henry J. Kaiser Family Foundation (reviewed in the February 9, 1999 Scout Report for Social Sciences) reports on key financial trends in the HMO industry in A Financial Overview of the Managed Care Industry. According to this factsheet, HMO stocks grew significantly faster than the market as a whole during the late 1980s and early 1990s, but lost eleven percent of their value between 1995 and 1997. Authors cite a rise in premiums following 1997 as a major force for HMO recovery, but find that current HMO returns remain significantly lower than those in other industries.

345

OLDER WOMEN AND FINANCIAL MANAGEMENT: STRATEGIES FOR MAINTAINING INDEPENDENCE  

Microsoft Academic Search

This pilot study examined the vulnerability of older women with regard to their personal finances. It looked at what resources and coping skills they currentlyuse, and what strategies might be implemented to assist these women in maintaining or improving daily management of their money. Three tools were used to examine the current patterns of daily use of money of a

Frances H. Into

2003-01-01

346

Enrollment Management and Financial Aid: Seeking a Strategic Integration  

ERIC Educational Resources Information Center

Enrollment management has become an important leadership function on many college and university campuses. It is also attracting critical attention here and abroad among observers of the system of postsecondary education. With this essay, the authors continue a series that examines policies and practices that are central to campus-based efforts to…

Kalsbeek, David H.; Hossler, Donald

2008-01-01

347

Firm characteristics, total quality management, and financial performance  

Microsoft Academic Search

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

Kevin B Hendricks; Vinod R Singhal

2001-01-01

348

Firm characteristics, total quality management, and financial performance  

Microsoft Academic Search

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

Kevin B. Hendricks; Vinod R. Singhal

2000-01-01

349

Benchmarking and credit risk management in financial services  

Microsoft Academic Search

Notes the continued popularity of benchmarking despite the falling interest in other major management “revolutions”. Further points out that benchmarking is more prevalent in the manufacturing than in the service sector. Suggests that this may be due to an attitudinal difference between the two sectors. Considers the various types of benchmarking and discusses whether some are more suitable to given

John Whymark

1998-01-01

350

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

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.

NONE

1994-12-31

351

Cultural competency as it intersects with racial/ethnic, linguistic, and class disparities in managed healthcare organizations.  

PubMed

Culture in and of itself is not the most central variable in the patient-provider encounter. The effect of culture is most pronounced when it intersects with low education, low literacy skills, limited proficiency in English, culture-specific values regarding the authority of the physician, and poor assertiveness skills. These dimensions require attention in Medicaid managed care settings. However, the promise of better-coordinated and higher quality care for low-income and working-poor racial/ethnic populations--at a lower cost to government--has yet to be fully realized. This paper identifies strategies to reduce disparities in access to healthcare that call for partnerships across government agencies and between federal and state governments, provider institutions, and community organizations. Lessons learned from successful precedents must drive the development of new programs in Medicaid managed care organizations (MCOs) to reduce disparities. Collection of population-based data and analyses by race, ethnicity, education level, and patient's primary language are critical steps for MCOs to better understand their patients' healthcare status and improve their care. Research and experience have shown that by acknowledging the unique healthcare conditions of low-income racial and ethnic minority populations and by recruiting and hiring primary care providers who have a commitment to treat underserved populations, costs are reduced and patients are more satisfied with the quality of care. PMID:15481435

Zambrana, Ruth Enid; Molnar, Christine; Munoz, Helen Baras; Lopez, Debbie Salas

2004-09-01

352

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

PubMed Central

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.

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

2014-01-01

353

Exploring low-income families' financial barriers to food allergy management and treatment.  

PubMed

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

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

2014-01-01

354

Capacity of middle management in health-care organizations for working with people--the case of Slovenian hospitals  

PubMed Central

Background Effective human resources management plays a vital role in the success of health-care sector reform. Leaders are selected for their clinical expertise and not their management skills, which is often the case at the middle-management level. The purpose of this study was to examine the situation in some fields that involve working with people in health-care organizations at middle-management level. Methods The study included eight state-owned hospitals in Slovenia. A cross-sectional study included 119 middle managers and 778 employees. Quota sampling was used for the subgroups. Structured survey questionnaires were administered to leaders and employees, each consisting of 24 statements in four content sets evaluated on a 5-point Likert-type scale. Respondents were also asked about the type and number of training or education programmes they had participated in over the last three years. Descriptive statistics, two-way analysis of variance, Pearson’s correlation coefficient and multiple linear regression were used. The study was conducted from March to December 2008. Results Statistically significant differences were established between leaders and employees in all content sets; no significant differences were found when comparing health-care providers and health-administration workers. Employment position was found to be a significant predictor for employee development (? = 0.273, P < 0.001), the leader–employee relationship (? = 0.291, P < 0.001) and organizational motivation (? = 0.258, P < 0.001). Area of work (? = 0.113, P = 0.010) and employment position (? = 0.389, P < 0.001) were significant predictors for personal involvement. Level of education correlated negatively with total scores for organizational motivation: respondents with a higher level of education were rated with a lower score (? = -0.117, P = 0.024). Health-care providers participate in management programmes less frequently than do health-administration workers. Conclusion Employee participation in change-implementation processes was low, as was awareness of the importance of employee development. Education of employees in Slovenian hospitals for leadership roles is still not perceived as a necessary investment for improving work processes. Hospitals are state owned and a national strategy should be developed on how to improve leadership and management in Slovenian hospitals.

2013-01-01

355

Designing financial-incentive programmes for return of medical service in underserved areas: seven management functions  

PubMed Central

In many countries worldwide, health worker shortages are one of the main constraints in achieving population health goals. Financial-incentive programmes for return of service, whereby participants receive payments in return for a commitment to practise for a period of time in a medically underserved area, can alleviate local and regional health worker shortages through a number of mechanisms. First, they can redirect the flow of those health workers who would have been educated without financial incentives from well-served to underserved areas. Second, they can add health workers to the pool of workers who would have been educated without financial incentives and place them in underserved areas. Third, financial-incentive programmes may improve the retention in underserved areas of those health workers who participate in a programme, but who would have worked in an underserved area without any financial incentives. Fourth, the programmes may increase the retention of all health workers in underserved areas by reducing the strength of some of the reasons why health workers leave such areas, including social isolation, lack of contact with colleagues, lack of support from medical specialists and heavy workload. We draw on studies of financial-incentive programmes and other initiatives with similar objectives to discuss seven management functions that are essential for the long-term success of financial-incentive programmes: financing (programmes may benefit from innovative donor financing schemes, such as endowment funds, international financing facilities or compensation payments); promotion (programmes should use tested communication channels in order to reach secondary school graduates and health workers); selection (programmes may use selection criteria to ensure programme success and to achieve supplementary policy goals); placement (programmes should match participants to areas in order to maximize participant satisfaction and retention); support (programmes should prepare participants for the time in an underserved area, stay in close contact with participants throughout the different phases of enrolment and help participants by assigning them mentors, establishing peer support systems or financing education courses relevant to work in underserved areas); enforcement (programmes may use community-based monitoring or outsource enforcement to existing institutions); and evaluation (in order to broaden the evidence on the effectiveness of financial incentives in increasing the health workforce in underserved areas, programmes in developing countries should evaluate their performance; in order to improve the strength of the evidence on the effectiveness of financial incentives, controlled experiments should be conducted where feasible). In comparison to other interventions to increase the supply of health workers to medically underserved areas, financial-incentive programmes have advantages – unlike initiatives using non-financial incentives, they establish legally enforceable commitments to work in underserved areas and, unlike compulsory service policies, they will not be opposed by health workers – as well as disadvantages – unlike initiatives using non-financial incentives, they may not improve the working and living conditions in underserved areas (which are important determinants of health workers' long-term retention) and, unlike compulsory service policies, they cannot guarantee that they will supply health workers to underserved areas who would not have worked in such areas without financial incentives. Financial incentives, non-financial incentives, and compulsory service are not mutually exclusive and may positively affect each other's performance.

Barnighausen, Till; Bloom, David E

2009-01-01

356

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

PubMed

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

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

2011-06-01

357

Accounting practice diversity in the healthcare industry.  

PubMed

A recent study examining accounting practices currently being used to prepare annual hospital financial statements indicates relatively little diversity, regardless of organizational type or size. The study's findings should interest those concerned with healthcare accounting and financial reporting issues, especially healthcare administrators and members of standards setting boards who participate in accounting policy deliberations. PMID:10145801

Robbins, W A; Turpin, R

1993-05-01

358

The project management office: transforming healthcare in the context of a hospital redevelopment project.  

PubMed

It has been shown that classifying projects into a typology allows improved allocation of resources and promotes project success. However, a typology of healthcare projects has yet to be developed. The projects encountered by the Transition Support Office at the McGill University Health Centre in Montreal, Quebec, where a major redevelopment project is under way, were classified into a typology unique to the healthcare context. Examples of the 3 project types, Process, People, and Practice, are provided to clarify the specific support strategies and context-adapted interventions that were instrumental to their success. PMID:24409583

Richer, Marie-Claire; Marchionni, Caroline; Lavoie-Tremblay, Melanie; Aubry, Monique

2013-01-01

359

17 CFR 229.303 - (Item 303) Management's discussion and analysis of financial condition and results of operations.  

...Management's discussion and analysis of financial condition...of the registrant's business would be appropriate...The discussion and analysis shall focus specifically...of the registrant's businesses as a whole; Provided...and a line-by-line analysis of the financial...

2014-04-01

360

17 CFR 229.303 - (Item 303) Management's discussion and analysis of financial condition and results of operations.  

Code of Federal Regulations, 2012 CFR

...Management's discussion and analysis of financial condition...of the registrant's business would be appropriate...The discussion and analysis shall focus specifically...of the registrant's businesses as a whole; Provided...and a line-by-line analysis of the financial...

2012-04-01

361

17 CFR 229.303 - (Item 303) Management's discussion and analysis of financial condition and results of operations.  

Code of Federal Regulations, 2011 CFR

...Management's discussion and analysis of financial condition...of the registrant's business would be appropriate...The discussion and analysis shall focus specifically...of the registrant's businesses as a whole; Provided...and a line-by-line analysis of the financial...

2011-04-01

362

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

NASA Astrophysics Data System (ADS)

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.

Yu, Nanpeng

363

Advance directives in the perioperative setting: Managing ethical and legal issues when patient rights and perceived obligations of the healthcare provider conflict.  

PubMed

Perhaps individual wishes are not always acknowledged or accepted when it comes to end-of-life care. This possibility, in conjunction with the experiences of healthcare risk managers, should cause concern in the healthcare risk management community. One particularly concerning issue where a persistent failure to honor a patient's wishes exists is with Do Not Resuscitate (DNR) orders in the perioperative arena. Despite a strong focus on informed consent and advance directives, evidence suggests a number of healthcare organizations either have no policy in place regarding DNR orders during the perioperative period, or, for those organizations that do have a policy, many call for automatic suspension of the DNR order without consultation with the patient. This latter practice poses many ethical, medico-legal, and regulatory concerns, and healthcare organizations with such a policy in place should strongly consider revisiting this practice. PMID:23609975

Williams, Stephen P; Howe, Christopher L

2013-01-01

364

Extending the university into the community to address healthcare disparities.  

PubMed

Healthcare disparities in rural areas contribute to poor health outcomes, but health outcomes are also affected by social determinants of health and lifestyle behaviors. There is a compelling need to promote physical, mental, and financial health through community-based programs that lead to behavior change. The objective of this article is to disseminate information about West Virginia University Extension Service programming as it relates to health issues in rural communities. There is a WVU Extension office in each county with one or more faculty and staff members. They deliver research-based educational programs that promote diabetes self-management, moderate physical activity, healthier food choices, stress management, fall prevention, and financial competency. Healthcare providers are encouraged to refer clients to their local Extension office for educational programs that put knowledge to work. PMID:23930567

Fitch, Cindy; Donato, Louise; Strawder, Paula

2013-01-01

365

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

PubMed

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

Lawrence, Daphne

2009-08-01

366

Building mPHR to assist diabetics in self-healthcare management  

Microsoft Academic Search

There are more than 220 million diabetics in the world and 5% of global deaths was resulted from diabetes or diabetes complications. The cost of diabetes of medical and healthcare is very high at each state. Diabetics can be controlled through proper self-care behaviors, risk of the complications like the disease of eyes; kidney; nerve and cardiovascular system can be

I-Chiu Chang; Shih-Jung Hsiao; Hui-Mei Hsu; Tzu-Hsuan Chen

2010-01-01

367

Predict the trend of information technology knowledge applied in healthcare management  

Microsoft Academic Search

The information technology (IT) might improve the performance of healthcare organizations and offer better service in competitive environment. However, it is difficult to forecast the trend of knowledge development and to choose and introduce the appropriate ones, owing to lack of theoretic methods. In this paper, we propose a feasible appraising structure based on grey theory to predict the trend

H. F. Lai

2009-01-01

368

Identify Financial Resources for Vocational Education. Module LT-H-2 of Category H--Business and Financial Management. Competency-Based Vocational Education Administrator Module Series.  

ERIC Educational Resources Information Center

This module, one in a series of competency-based administrator instructional packages, focuses on a specific competency that vocational education administrators need to be successful in the area of business and financial management. The purpose of the module is to help administrators identify traditional and alternative funding opportunities for…

Puleo, Nancy F.; And Others

369

IAIMS and JCAHO: implications for hospital librarians. Integrated Academic Information Management Systems. Joint Commission on Accreditation of Healthcare Organizations.  

PubMed Central

The roles of hospital librarians have evolved from keeping print materials to serving as a focal point for information services and structures within the hospital. Concepts that emerged from the Integrated Academic Information Management Systems (IAIMS) as described in the Matheson Report and the 1994 Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards have combined to propel hospital libraries into many new roles and functions. This paper will review the relationship of the two frameworks, provide a view of their commonalities, and establish the advantages of both for hospital librarianship as a profession.

Doyle, J D

1999-01-01

370

Application of Business Process Management to drive the deployment of a speech recognition system in a healthcare organization.  

PubMed

We present a methodology based on Business Process Management to guide the development of a speech recognition system in a hospital in Spain. The methodology eases the deployment of the system by 1) involving the clinical staff in the process, 2) providing the IT professionals with a description of the process and its requirements, 3) assessing advantages and disadvantages of the speech recognition system, as well as its impact in the organisation, and 4) help reorganising the healthcare process before implementing the new technology in order to identify how it can better contribute to the overall objective of the organisation. PMID:18487782

González Sánchez, María José; Framiñán Torres, José Manuel; Parra Calderón, Carlos Luis; Del Río Ortega, Juan Antonio; Vigil Martín, Eduardo; Nieto Cervera, Jaime

2008-01-01

371

CARE (Controls and Risk Evaluation) Audit Methodology to Review and Evaluate Agency Accounting and Financial Management Systems.  

National Technical Information Service (NTIS)

Contents: Federal agency financial management and federal agency accounting systems--what they are and how they relate to a care audit; Interrelationship of control objectives, accounting principles and standards, and internal controls; General risk analy...

1985-01-01

372

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

PubMed

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

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

2014-06-01

373

The Financial Management Environment (FaME): A prototype interactive hypertext-based financial planning and reporting system  

SciTech Connect

It is critical in every government, research, and industrial organization that accurate and timely financial information be made available at all levels so that, project and business decisions can be made within funding constraints. The FaME prototype implemented at Oak Ridge National Laboratory extracts financial data from a legacy system, builds easy-to-understand reports and graphs, and presents them on-line so that people at all levels in an organization can assess the financial status of individual projects or entire organizations. Reports are presented in hypertext and graphical formats that can be read with popular World Wide Web browsers such as NCSA Mosaic or Netscape. All reports are hyper-linked in a natural way to simplify navigation and information retrieval. To protect potentially sensitive information, FAME provides access control so that individuals can retrieve only the information that is required for them to carry out their financial duties. In addition to the reports and graphs, FAME includes budget building tools to provide for financial planning. Another primary feature is that the prototype 1 utilizes equipment that already exists on the user`s desktop. The overall goal of the FAME system is to provide users with precise and meaningful information on the financial status of an organization or project at a glance.

Barnes, K.D.; Donato, J.M.; Flanagan, D.M. [and others

1995-11-01

374

Retrospective Analysis of Use and Distribution of Resources in Otolaryngology Wards in Romanian Hospitals Between 2003 and 2008 to Improve Provision and Financial Performance of Healthcare Services  

PubMed Central

Aim To analyze use and distribution of resources by otolaryngology (ENT) hospital wards in Romania between 2003 and 2008, in order to plan the improvement of patient access to health care services and health care services’ financial performance. Methods Clinical electronic records were searched for all patients discharged from all public hospitals funded on a per-case basis by the government between January 2003 and September 2008. Adult and pediatric ENT wards, as well as ENT wards from different counties, were compared. Results The number of ENT hospital beds and the number of specialists decreased from 2003 to 2004 and specialists were distributed unevenly among the hospitals and counties. The total number of ENT wards was over 100 for almost the entire study period, but there were only about 15 pediatric ENT wards in all 42 counties. ENT wards recorded more cases and hospitalization days than oral-maxillofacial surgery and neurosurgery wards, but fewer cases than general surgery or obstetrics wards. ENT wards had the lowest mortality rates. Until the second half of 2007, adult ENT wards had a lower surgical index, higher complexity of cases, and longer average length of stay than pediatric ENT wards (P?management to assess ENT service coverage, but they should be supplemented with data on hospitalization costs.

Stamate, Marian; Chiriac, Nona Delia

2010-01-01

375

Patient self-management and pharmacist-led patient self-management in Hong Kong: A focus group study from different healthcare professionals' perspectives  

PubMed Central

Background Patient self-management is a key approach to manage non-communicable diseases. A pharmacist-led approach in patient self-management means collaborative care between pharmacists and patients. However, the development of both patient self-management and role of pharmacists is limited in Hong Kong. The objectives of this study are to understand the perspectives of physicians, pharmacists, traditional Chinese medicine (TCM) practitioners, and dispensers on self-management of patients with chronic conditions, in addition to exploring the possibilities of developing pharmacist-led patient self-management in Hong Kong. Methods Participants were invited through the University as well as professional networks. Fifty-one participants comprised of physicians, pharmacists, TCM practitioners and dispensers participated in homogenous focus group discussions. Perspectives in patient self-management and pharmacist-led patient self-management were discussed. The discussions were audio recorded, transcribed and analysed accordingly. Results The majority of the participants were in support of patients with stable chronic diseases engaging in self-management. Medication compliance, monitoring of disease parameters and complications, lifestyle modification and identifying situations to seek help from health professionals were generally agreed to be covered in patient self-management. All pharmacists believed that they had extended roles in addition to drug management but the other three professionals believed that pharmacists were drug experts only and could only play an assisting role. Physicians, TCM practitioners, and dispensers were concerned that pharmacist-led patient self-management could be hindered, due to unfamiliarity with the pharmacy profession, the perception of insufficient training in disease management, and lack of trust of patients. Conclusions An effective chronic disease management model should involve patients in stable condition to participate in self-management in order to prevent health deterioration and to save healthcare costs. The role of pharmacists should not be limited to drugs and should be extended in the primary healthcare system. Pharmacist-led patient self-management could be developed gradually with the support of government by enhancing pharmacists' responsibilities in health services and developing public-private partnership with community pharmacists. Developing facilitating measures to enhance the implementation of the pharmacist-led approach should also be considered, such as allowing pharmacists to access electronic health records, as well as deregulation of more prescription-only medicines to pharmacy-only medicines.

2011-01-01

376

Econometric Analysis of Financial Data in Risk Management (continuation). Section III: Managing Operational Risk  

Microsoft Academic Search

We continue publishing the four-part consultation of professor of Moscow School of Economics of Lomonosov MSU Dean Fantazzini. The first part, that appeared in 2 (10), 2008 of the journal, dealt with the introduction to the problem (section one: basic concepts and types of financial risks, methods of measurement) and also with the econometric approach to analysis of market risks

Dean Fantazzini

2008-01-01

377

Experiences addressing health-related financial challenges with disease management among African American women with asthma.  

PubMed

Abstract Objective: Despite economic hardship, compliance with self-management regimens is still evident among individuals and families managing chronic disease. The purpose of this study was to describe how women with asthma address cost-related challenges to management of their condition. Methods: In 2012 and 2013, four focus groups were conducted in Southeast Michigan with 26 African American women with asthma, recruited based on maximum variation sampling procedures. A semi-structured interview protocol was employed by trained facilitators. Coded transcripts were analyzed for themes regarding means to reduce the impact of the cost of asthma management. Results: Major themes identified were acceptance of the status quo; stockpiling and sharing medicines; utilizing community assistance programs; reaching out to healthcare providers and social networks for help; foregoing self-management; and utilizing urgent care. Conclusions: Awareness of strategies that are helpful to patients in reducing out-of-pocket costs may better equip service providers and others to develop interventions to make useful strategies more widely available. PMID:24471517

Patel, Minal R; Caldwell, Cleopatra H; Id-Deen, Effat; Clark, Noreen M

2014-06-01

378

Lean healthcare.  

PubMed

As healthcare organizations look for new and improved ways to reduce costs and still offer quality healthcare, many are turning to the Toyota Production System of doing business. Rather than focusing on cutting personnel and assets, "lean healthcare" looks to improve patient satisfaction through improved actions and processes. PMID:18615998

Weinstock, Donna

2008-01-01

379

The construction of a public key infrastructure for healthcare information networks in Japan.  

PubMed

The digital signature is a key technology in the forthcoming Internet society for electronic healthcare as well as for electronic commerce. Efficient exchanges of authorized information with a digital signature in healthcare information networks require a construction of a public key infrastructure (PKI). In order to introduce a PKI to healthcare information networks in Japan, we proposed a development of a user authentication system based on a PKI for user management, user authentication and privilege management of healthcare information systems. In this paper, we describe the design of the user authentication system and its implementation. The user authentication system provides a certification authority service and a privilege management service while it is comprised of a user authentication client and user authentication serves. It is designed on a basis of an X.509 PKI and is implemented with using OpenSSL and OpenLDAP. It was incorporated into the financial information management system for the national university hospitals and has been successfully working for about one year. The hospitals plan to use it as a user authentication method for their whole healthcare information systems. One implementation of the system is free to the national university hospitals with permission of the Japanese Ministry of Education, Culture, Sports, Science and Technology. Another implementation is open to the other healthcare institutes by support of the Medical Information System Development Center (MEDIS-DC). We are moving forward to a nation-wide construction of a PKI for healthcare information networks based on it. PMID:11604934

Sakamoto, N

2001-01-01

380

Financial Burden and Out-of-Pocket Expenditures for Mental Health Across Different Socioeconomic Groups: Results from HealthCare for Communities.  

PubMed

BACKGROUND: Mental health benefits have traditionally been much less generous than benefits for physical health care, with separate deductibles, higher copayments or coinsurance, and lower limits on covered services, a trend that continues despite a recent wave of 'parity' legislation. In spite of the current policy debates on mental health insurance reforms, little is known about the burden of mental health out-of-pocket expenditures. AIMS OF THE STUDY: This study examines differences in out-of-pocket expenditures and their burden across different populations, stratified by insurance status, age, ethnicity, and socioeconomic groups. METHODS: This study uses the 1998 HealthCare for Communities household survey, the latest national survey data that are currently available, to measure the burden of out-of-pocket mental health expenditures. We use several measures of burden such as total out-of-pocket expenditures, their share of total treatment costs, and their share of family income. To address the methodological issues that arise in the calculation of the relative measures of burden (e.g. outliers, measurement error, systematic underreporting) we consider three different approaches that have been suggested in the literature and discuss their relative advantages given the type of data typically available. RESULTS: Although there is a common perception that out-of-pocket expenditures for mental health services represent a significant burden for service users, the estimates suggest that this is not the case. In fact, across the three measures of out-of-pocket expenditures as a share of income the estimates are under 10 percent for most groups. However, there is some variation in burden across groups with people who are older, uninsured, or minority spending a larger share of their income out-of-pocket. Since many insurance plans have limits on the number of visits covered and on the total amount that the insurer will pay for mental health services, the share of total mental health expenditures that are paid by individuals is another important measure of the burden faced by people with mental health service needs. We estimate that the mean out-of-pocket share of total expenditures for the group as a whole is 25 percent. In addition, we find that the burden varies across groups with older, more educated, or privately insured individuals paying a larger share of expenditures out-of-pocket. DISCUSSION: Although the overall picture regarding the burden of out-of-pocket costs relative to income is encouraging, it is also important to keep in mind that individuals make treatment decisions based on their available income. The fact that the burden of actual out-of-pocket payments is relatively low may also reflect decisions to forego potentially valuable care. Nevertheless, the results for mental health do not suggest that out-of-pocket costs are currently a major burden for most users. This situation may reflect a major change from the past given the recent shifts towards managed care, however there are no comparable data available to test this hypothesis empirically. IMPLICATIONS FOR HEALTH POLICY FORMULATION AND FURTHER RESEARCH: It may be tempting to attribute the low estimates of out-of-pocket expenditures as a share of income in this paper to recent parity legislation. However, recent research shows that parity legislation has not led to significant changes in benefit design. In fact the high ratio of out-of-pocket payments relative to total mental health care expenditures presented in this paper are consistent with a limited role of parity legislation. Another possible explanation for the observed results is the growth of managed care and the shift in treatment style towards greater use of medications, which are comprehensively covered in most private insurance plans, has reduced total treatment costs and consequently the size of out-of-pocket payments. PMID:11967474

Ringel, Jeanne S.; Sturm, Roland

2001-09-01

381

Factors influencing the implementation of integrated management of childhood illness (IMCI) by healthcare workers at public health centers & dispensaries in Mwanza, Tanzania  

PubMed Central

Background Integrated Management of Childhood Illness (IMCI) was developed by the World Health Organization (WHO) and the United Nations International Children’s Fund (UNICEF) and aims at reducing childhood morbidity and mortality in resource-limited settings including Tanzania. It was introduced in 1996 and has been scaled up in all districts in the country. The purpose of this study was to identify factors influencing the implementation of IMCI in the health facilities in Mwanza, Tanzania since reports indicates that the guidelines are not full adhered to by the healthcare workers. Methods A cross-sectional study design was used and a sample size of 95 healthcare workers drawn from health centers and dispensaries within Mwanza city were interviewed using self-administered questionnaires. Structured interview was also used to get views from the city IMCI focal person and the 2 facilitators. Data were analyzed using SPSS and presented using figures and tables. Results Only 51% of healthcare workers interviewed had been trained. 69% of trained Healthcare workers expressed understanding of the IMCI approach. Most of the respondents (77%) had a positive attitude that IMCI approach was a better approach in managing common childhood illnesses especially with the reality of resource constraint in the health facilities. The main challenges identified in the implementation of IMCI are low initial training coverage among health care workers, lack of essential drugs and supplies, lack of onsite mentoring and lack of refresher courses and regular supportive supervision. Supporting the healthcare workers through training, onsite mentoring, supportive supervision and strengthening the healthcare system through increasing access to essential medicines, vaccines, strengthening supply chain management, increasing healthcare financing, improving leadership & management were the major interventions that could assist in IMCI implementation. Conclusions The healthcare workers can implement better IMCI through the collaboration of supervisors, IMCI focal person, Council Health Management Teams (CHMT) and other stakeholders interested in child health. However, significant barriers impede a sustainable IMCI implementation. Recommendations have been made related to supportive supervision and HealthCare system strengthening among others.

2014-01-01

382

[The physician manager--building a clinical leadership in community medicine--the Maccabi Healthcare Services (MHS) model].  

PubMed

Community medicine around the world is facing constant trends of changes. The need to overcome the huge burden of chronic diseases, the need to prioritize and adapt new technologies, and above all, the fact that all these must be done within a given, restricted budget, calls for advanced medical management. In this review we focused on the development of the role of the physician manager in Maccabi Healthcare Services (MHS) over the last 60 years. From what was once a reactive, utilization control-oriented administrative physician role, there has emerged a proactive, formally educated, health quality leader who is expected to lead his clinical colleagues towards achieving the organization's goals. Every organization should answer 4 basic questions in order to encourage/develop the new generation of physician managers. 1. Who am I?--What is the profile and what are the tasks of the physician manager's role? 2. What is the time allocation allotted to the physician manager by the organization to enable him to do his job? 3. What are the educational and managerial tools provided for the 'new" physician manager? 4. What are the rewards that the organization grants to its best people? By addressing the above questions MHS has successfully developed new generations of young clinical leaders who can help MHS management conduct a real dialogue with its clinical physicians in order to maximize the services that our beneficiaries are receiving from the HMO. Our conclusion is that choosing the right people, providing them with the right tools and positioning the physician manager appropriately in the organization's hierarchy will enable the medical care delivery system in Israel to achieve the level of clinical leadership that can lead us towards a better future. PMID:18770969

Kokia, Ehud; Siegal, Neomi; Shemer, Joshua

2008-05-01

383

Evaluation of Academic Detailing Programme on Childhood Diarrhoea Management by Primary Healthcare Providers in Banke District of Nepal  

PubMed Central

Academic detailing is rarely practised in developing countries. A randomized control trial on healthcare service was conducted to evaluate the impact of academic detailing programme on the adherence of primary healthcare providers in Banke district, Nepal, to childhood diarrhoea treatment guidelines recommended by World Health Organization/United Nations Children's Fund (WHO/UNICEF). The participants (N=209) were systematically divided into control and intervention groups. Four different academic detailing sessions on childhood diarrhoea management were given to participants in the intervention group. At baseline, 6% of the participants in the control and 8.3% in the intervention group were adhering to the treatment guidelines which significantly (p<0.05) increased among participants in the intervention (65.1%) than in the control group (16.0%) at the first follow-up. At the second follow-up, 69.7% of participants in the intervention group were adhering to the guidelines, which was significantly (p<0.05) greater than those in the control group (19.0%). Data also showed significant improvement in prescribing pattern of the participants in the intervention group compared to the control group. Therefore, academic detailing can be used for promoting adherence to treatment guidelines in developing countries, like Nepal.

Ibrahim, Mohamed Izham b. Mohamed; Shankar, Pathiyil Ravi; Palaian, Subish; Mishra, Pranaya

2013-01-01

384

77 FR 10765 - Notice of Submission of Proposed Information Collection to OMB; Multifamily Financial Management...  

Federal Register 2010, 2011, 2012, 2013

...proposal. The Uniform Financial Reporting Standards...participants to submit financial data electronically, using generally accepted accounting principles, in a prescribed...participants to submit financial data electronically, using generally accepted accounting principles, in a...

2012-02-23

385

68 FR 75056 - Commission Guidance Regarding Management's Discussion and Analysis of Financial Condition and...  

Federal Register 2010, 2011, 2012, 2013

...in their financial statements...disclosure and analysis of matters...8\\ In Financial Accounting Standards Board (FASB...regarding debt instruments, guarantees...Critical Accounting Estimates...impact on financial condition...discussion and analysis of...

2003-12-29

386

Corporate governance and strategic human resources management in the UK financial services sector: the case of the RBS  

Microsoft Academic Search

In this paper, we outline a new configurational framework linking different models of corporate governance to their associated ethical, strategic management and strategic human resources management (SHRM) policies and practices. We draw on this framework to analyze the role played by HRM and leadership in the rise and spectacular failure of the Royal Bank of Scotland, the Scottish headquartered financial

Graeme Martin; Paul J. Gollan

2012-01-01

387

The Halcyon Days Are over. Or Are They? Implications of the Global Financial Crisis for Managers' Careers  

ERIC Educational Resources Information Center

This paper discusses the implications for managers' careers of the global financial crisis. It draws on empirical research during the last period of major job cuts. Evidence comes from a mail survey of over 1000 career histories of Australian managers, with a response rate of 44%. Changes to career satisfaction, job satisfaction, job security,…

Marchant, Teresa

2009-01-01

388

Improving human resource management in Chinese healthcare: identifying the obstacles to change.  

PubMed

Health sector reform in China has led to increasing responsibility for hospital managers in the management of staff; but constraints continue. New personnel reforms offer new opportunities but face a number of difficulties. Drawing on research in Chinese hospitals in 1997 this paper identifies two major obstacles to improved human resource management: wage policy and lack of control by local managers over staffing. PMID:15362305

Pei, Likun; Stanton, Pauline; Legge, David

2004-01-01

389

Preemptive financial strategies help IPAs avoid insolvency.  

PubMed

The 1999 collapse in California of practice management giants FPA Medical Management, Inc. and MedPartners, Inc. has caused healthcare provider organizations, particularly independent practice associations (IPAs), to examine critical issues related to financial solvency. Problems such as declining membership, ineffective management, weak contracting, and lack of strategic vision frequently are encountered by troubled provider organizations. The common thread that runs through IPA failures is a combination of unreliable accounting data and inadequate reporting systems. This lack of satisfactory financial and reporting information impairs the ability of the provider group to maintain sufficient funds to cover expenses and pay physicians. Successful, financially stable provider networks use well-defined reporting procedures based on fundamental accounting and financial concepts, as well as a sound methodology for measuring and calculating claims liability estimates. In California, new regulations aimed at encouraging provider organizations to assume preemptive financial strategies are in the process of being adopted. IPAs in every state should consider reviewing these regulations as benchmarks by which to assess their financial procedures. PMID:11688057

Karling, J; Silberman, L

2000-11-01

390

A moral compass for management decision making: a healthcare CEO's reflections.  

PubMed

Ethical behavior is good for business in any organization. In healthcare, it results in better patient care, a more committed and satisfied staff, more efficient care delivery, and increased market share. But it requires leaders who have a broad view of the role that ethics programs--and an effective, sustained ethical culture--play. Ethical organizations have integrated and shared ethical values and practices, an effective ethics infrastructure, ongoing ethics education for staff at every level, ethical and morally courageous leaders, and a culture that is consistent with the organization's values. The mission, vision, and values statements of these organizations have been successfully translated into a set of shared values--a moral compass that guides behavior and decision making. PMID:24147377

Donnellan, John J

2013-01-01

391

ONLINE COMMUNITIES FOR CUSTOMER RELATIONSHIP MANAGEMENT ON FINANCIAL STOCK MARKETS - A CASE STUDY FROM A PROJECT AT THE BERLIN STOCK EXCHANGE  

Microsoft Academic Search

Retail trading on financial exchanges is always intermediated by banks. Thus, a direct link between exchange and retail investors does not exist. However, financial exchanges offer services to retail investors. Thus, from a marketing perspective, retail investors are their direct customers. Caused by the bank-intermediated transaction chain on financial retail exchanges a direct customer relationship management (CRM) among exchanges and

Christoph Lattemann; Stefan Stieglitz

392

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

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

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

2009-01-01

393

Reviewing the basics of investment management.  

PubMed

As financial managers run healthcare institutions like a business, the idea of investing excess or reserved funds as a method of increasing cash flow is becoming more accepted. Often times, though, a review of the basics of investment management is needed. By reviewing various methods such as yield curve analysis, procedures and reporting, and portfolio review, financial managers can be assured of a sound investment policy for their institutions. PMID:10284142

Seidner, A G

1987-10-01

394

Rising Prices and Financial Management Practices of Urban Families in India  

Microsoft Academic Search

The consequences of rising prices and concomitant high cost of living are adverse and cause severe hardships to the families in the form of financial difficulties. The costs associated with financial difficulties are significant for the individuals involved. Personal stress, illness, marital discord, child abuse and loss of home often coincide with financial failure. The close association between financial difficulties

Suramya Joshi

2007-01-01

395

Ethical issues in healthcare financing.  

PubMed

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

Maharaj, S R; Paul, T J

2011-07-01

396

Financial Audit: The Department of Health and Human Services's Fiscal Year Management Representation Letter on It's Financial Statements.  

National Technical Information Service (NTIS)

The purpose of this report is to communicate our observations on the Department of Health and Human Services's (HHS) fiscal year 2004 management representation letter. Our objective is to help ensure that future management representation letters submitted...

2005-01-01

397

Financial Audit: The National Aeronautics and Space Administration's Fiscal Year 2004 Management Representation Letter on Its Financial Statements.  

National Technical Information Service (NTIS)

NASAs fiscal year 2004 management representation letter did not provide all the information necessary to support Treasury and OMBs preparation of the CFS management representation letter. This in turn impacted our ability to rely on the representations in...

2005-01-01

398

Material Management of Medical-Surgical Items at Military Healthcare Facilities.  

National Technical Information Service (NTIS)

This research examined whether certain military health care facility characteristics could be used as determinants in setting materials management policies. Cost efficiency in the military health care system is as important as it is in the civil sector, w...

C. J. Estridge

2009-01-01

399

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

SciTech Connect

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.

Gary D. Kronrad

2006-09-19

400

Research on Environmental Financial Risk Management and Construction of Environmental Management System  

Microsoft Academic Search

\\u000a Environmental finance is developing as a field in response to an acceptance of the idea that sound environmental management\\u000a is positively correlated with sound economic management. Thus, there is growing confidence that environmental quality is justified\\u000a by the bottom line. However, because environmental quality cannot be packaged like a physical commodity and sold in a traditional\\u000a marketplace, innovation has been

Zhao Yajing; Xiao Xu; Zhang Caiping

401

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

NASA Technical Reports Server (NTRS)

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.

Dodson, D. B.

1975-01-01

402

A Self-Instructional Course in Student Financial Aid Administration. Module 17--Evaluation of Student Aid Management: Self-Evaluation, Audit, and Program Review. Second Edition.  

ERIC Educational Resources Information Center

The 17th module in the 17-module self-instructional course on student financial aid administration discusses the evaluation of student aid management in terms of self-evaluation, audit, and program review. The full course offers a systematic introduction to the management of federal financial aid programs authorized by Title IV of the Higher…

Washington Consulting Group, Inc., Washington, DC.

403

78 FR 16159 - Application Procedures and Criteria for Approval of Providers of a Personal Financial Management...  

Federal Register 2010, 2011, 2012, 2013

...financial condition of debtors and the financial viability of approved providers, but is generally equivalent to the general practice in the debtor education industry. Thus, establishing a presumptively reasonable fee of $50 does not impose...

2013-03-14

404

Out of hours management of occupational exposures to blood and body fluids in healthcare staff  

Microsoft Academic Search

Aims: To assess and compare the out of hours and in hours management of occupational blood and body fluid exposures in a London teaching hospital.Methods: The occupational health and accident and emergency records of individuals presenting with occupational body fluid exposures over a six month period at a London teaching hospital were analysed retrospectively. Main outcome measures were the completeness

D Patel; M Gawthrop; D Snashall; I Madan

2002-01-01

405

Army Implementation of the DOD Financial Management Regulation, Volume 14, Administrative Control of Funds and Antideficiency Act Violations.  

National Technical Information Service (NTIS)

We are providing this evaluation report for your information and use. This report is the result of our evaluation of the Army implementation of the DoD Financial Management Regulation 7000.14-R, volume 14, 'Administrative Control of Funds and Antideficien...

F. J. Lane C. Hendricks C. Zielke R. Swartz T. Sadler

1996-01-01

406

Financial risk management and enterprise value creation : Evidence from non-ferrous metal listed companies in China  

Microsoft Academic Search

Purpose – The purpose of this paper is to explore whether financial risk management (FRM) can improve enterprise value in China's current economic environment. Design\\/methodology\\/approach – A theoretical model is constructed which decomposes firms by different combinations expressed by cash flow and risk scale. Then, regression testing is conducted, taking the non-ferrous metal industry in Shanghai and Shenzhen Stock Exchanges

Peng-fei Wang; Shi Li; Jian Zhou

2010-01-01

407

The Development of a System for Financial Management of Public Service Employment Subcontracts: The Vermont Experience. Final Report.  

ERIC Educational Resources Information Center

The most difficult problem in the financial management of a program of Public Service Employment (or subsidized work-training experience) is the over-obligation of funds. Some training slots are never filled, some trainees drop out early from the program, and others complete their training early. All of these factors "free" funds which must be…

Battelle, Peter E.

408

ISO\\/IEC 15504 PROCESS IMPROVEMENT TO SUPPORT BASEL II COMPLIANCE OF OPERATIONAL RISK MANAGEMENT IN FINANCIAL INSTITUTIONS  

Microsoft Academic Search

Bankruptcy of important financial institutions is at the origin of new international regulations such as the Sarbanes-Oxley Act and the Basel II Capital Accord. In particular, the Basel II regulation advocates the introduction of an Operational Risk Management (ORM) system. However, the operational risk reduction through the improvement of core business processes is the long- term main objective of this

A. Rifaut; B. Di Renzo; M. Picard

409

A global approach for financial flows management in insurance companies. The Italian experience  

Microsoft Academic Search

In insurance companies the financial flows' dynamic s is influenced by heterogeneous factors, some of them linked to technical features of insurance fiel d and some others common to all financial dealers ( i.e. market risks). The main recent changes which took place within the insurance field intensified competitive pressure a nd underlined the key role of financial area in

Antonella Silvestri

410

Financial modelling: Where to go? With an illustration for portfolio management  

Microsoft Academic Search

The definition of Financial Modelling chosen by the EURO working group on financial modelling is ‘the development and implementation of tools supporting firms, investors, intermediaries, governments and others in their financial-economic decision making, including the validation of the premises behind these tools and the measurement of the effectivity of the use of these tools’. Clearly, in this definition, the decision

Jaap Spronk; Winfried Hallerbach

1997-01-01

411

Promoting universal financial protection: a case study of new management of community health insurance in Tanzania  

PubMed Central

Background The National Health Insurance Fund (NHIF), a compulsory formal sector scheme took over the management of the Community Health Fund (CHF), a voluntary informal sector scheme, in 2009. This study assesses the origins of the reform, its effect on management and reporting structures, financial flow adequacy, reform communication and acceptability to key stakeholders, and initial progress towards universal coverage. Methods The study relied on national data sources and an in-depth collective case study of a rural and an urban district to assess awareness and acceptability of the reform, and fund availability and use relative to need in a sample of facilities. Results The reform was driven by a national desire to expand coverage and increase access to services. Despite initial delays, the CHF has been embedded within the NHIF organisational structure, bringing more intensive and qualified supervision closer to the district. National CHF membership has more than doubled. However, awareness of the reform was limited below the district level due to the reform’s top-down nature. The reform was generally acceptable to key stakeholders, who expected that benefits between schemes would be harmonised. The reform was unable to institute changes to the CHF design or district management structures because it has so far been unable to change CHF legislation which also limits facility capacity to use CHF revenue. Further, revenue generated is currently insufficient to offset treatment and administration costs, and the reform did not improve the revenue to cost ratio. Administrative costs are also likely to have increased as a result of the reform. Conclusion Informal sector schemes can benefit from merger with formal sector schemes through improved data systems, supervision, and management support. However, effects will be maximised if legal frameworks can be harmonised early on and a reduction in administrative costs is not guaranteed.

2013-01-01

412

Geospatial analysis of hospital consumer assessment of healthcare providers and systems pain management experience scores in U.S. hospitals.  

PubMed

Although prior work has investigated the interplay between demographic and intrasurvey correlations of Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores, these prior studies have not included geospatial analyses, or analyses that take into account location effects. Here, we report the results of a geospatial analysis (not equivalent to simple geographical analysis) of patient experience scores pertaining to pain. HCAHPS data collected in 2011 were examined to test the hypothesis that HCAHPS patient experience with pain management (PEPM) scores were geospatially distributed throughout the United States using Moran's Index, which measures the association between PEPM scores and hospital location. After limiting the dataset to hospitals in the continental United States with nonzero HCAHPS response rates, 3645 hospitals were included in the analyses. "Always" responses were geospatially clustered amongst the analyzed hospitals. Clustering was significant in all distances tested from 10 to 5000km (P<0.0001). We identified 6 demarcated groups of hospitals. Taken together, these results strongly suggest a regional geographic effect on PEPM scores. These results may carry policy implications for U.S. hospitals with regard to acute pain outcomes. Further analyses will be necessary to evaluate policy explanations and implications of the regional geographic differences in PEPM results. PMID:24525273

Tighe, Patrick J; Fillingim, Roger B; Hurley, Robert W

2014-05-01

413

Effects and cost-effectiveness of a guideline-oriented primary healthcare hypertension management program in Beijing, China: results from a 1-year controlled trial.  

PubMed

Hypertension control rates are unacceptably low in China. The present study demonstrates if a customized, guideline-oriented training program can cost-effectively improve hypertension management in primary healthcare. Four typical community health centers in Beijing were selected and randomized to intervention or control (one urban and one rural each). A sample of 140 patients with hypertension and blood pressure uncontrolled was recruited from each center. Primary healthcare providers in intervention centers provided management to the recruited patients for 1 year after receiving training with customized hypertension management guidelines, and primary healthcare providers in control provided with usual care. Intention-to-treat analysis showed that hypertension control (systolic blood pressure (SBP) <140?mm?Hg and diastolic blood pressure (DBP) <90?mm?Hg)) rate was significantly higher in interventions than controls at month 3 (42.1% vs. 34.3% in urban and 30.7% vs. 10.0% in rural centers) and the trend increased to month 12 (70.7% vs. 40.0% in urban and 72.9% vs. 27.9% in rural); P-values by logistic mixed model were all <0.001 for both urban and rural after adjustment for baseline multiple variables including blood pressure. Mean reductions of SBP and DBP were significantly larger in interventions. The intervention was cost-saving, with an average incremental cost-saving of US$ 20.3 per patient in urban sites and $ 7.0 per patient in rural sites. Corresponding results from per-protocol analysis were very similar. The customized, guideline-oriented hypertension management program in primary healthcare in China effectively improved blood pressure control and was cost-saving. PMID:23154592

Wang, Xin; Li, Weiqin; Li, Xian; An, Ning; Chen, Hao; Jan, Stephen; Ming, Guanghua; Hua, Qi; Yan, Xiaowei; Sun, Ningling; Zhao, Dong; Wu, Yangfeng

2013-04-01

414

Migration of health-care workers from developing countries: strategic approaches to its management.  

PubMed Central

Of the 175 million people (2.9% of the world's population) living outside their country of birth in 2000, 65 million were economically active. The rise in the number of people migrating is significant for many developing countries because they are losing their better-educated nationals to richer countries. Medical practitioners and nurses represent a small proportion of the highly skilled workers who migrate, but the loss for developing countries of human resources in the health sector may mean that the capacity of the health system to deliver health care equitably is significantly compromised. It is unlikely that migration will stop given the advances in global communications and the development of global labour markets in some fields, which now include nursing. The aim of this paper is to examine some key issues related to the international migration of health workers and to discuss strategic approaches to managing migration.

Stilwell, Barbara; Diallo, Khassoum; Zurn, Pascal; Vujicic, Marko; Adams, Orvill; Dal Poz, Mario

2004-01-01

415

[Impact and state of the art of regional healthcare planning and management guidelines in a local health authority of the Lazio region (Italy)].  

PubMed

The aim of this study was to evaluate the impact of health care planning and management guidelines, elaborated by the Lazio regional healthcare authority, on the organizational structure and operational processes of local health authorities and, more specifically, of the Roma C local health authority. The guidelines are made up of three volumes and mainly describe an operational model, rather than being a set of standard references aimed at standardizing the quality of information low systems in local healthcare authorities. The guidelines are essentially a didactic text, and were elaborated by a consulting firm, Engineering Management Consulting, on behalf of the Lazio regional authority. In the first section, the main concepts are defined, while in subsequent sections, detailed models regarding the specific subject matter are described. Although the guidelines represent a useful tool in the process of converting local health authorities of the Lazio region into "business" organizations, so far they have been of use only in the first phase of assessment of different organizational models for healthcare planning and management. There is still a long way ahead towards defining standard procedures and references for describing activities and costs. This is what should hopefully be achieved briefly and which will necessarily require the introduction of a data warehouse and business intelligence software that will allow monitoring of activities and making short term predictions through the use balanced scorecards and data mining. PMID:18084348

Priori, Maria Rosaria; Barbato, Angelo

2007-01-01

416

Characteristics of healthcare wastes.  

PubMed

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 3.23kg/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 0.65kg/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. PMID:17651963

Diaz, L F; Eggerth, L L; Enkhtsetseg, Sh; Savage, G M

2008-01-01

417

Financial Management: Education Faces Challenges in Achieving Financial Management Reform. Testimony before the Subcommittee on Oversight and Investigations, Committee on Education and the Workforce, House of Representatives.  

ERIC Educational Resources Information Center

This report provides a fiscal analysis of the Department of Education's 1999 financial audit results. It focuses on the relationship between the audit findings and the potential for waste, fraud, and abuse, and examines the status of an ongoing study of the Department's grantback account. It describes the ongoing accounting problems that have…

Jarmon, Gloria L.

418

US Department of Energy Naval Petroleum and Oil Shale Reserves combined financial statements and management overview and supplemental financial and management information, September 30, 1995 and 1994  

SciTech Connect

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, 1995. The auditors have expressed an unqualified opinion on the 1995 statements. Their reports on the NPOSR internal control structure and compliance with laws and regulations are also provided.

NONE

1996-02-15

419

Case management.  

PubMed

Providing cost-effective high quality healthcare services ranks as the number one concern for anyone involved with the healthcare delivery system. While quality of care should always be the number one priority, controlling healthcare costs receives most of the attention. With limited healthcare dollars and providers assuming more of the financial risk for services rendered, a whole assortment of cost-containment strategies are being introduced in an effort to maintain some semblance of financial viability. Healthcare providers can approach cost control from two different angles. On the fixed-cost operational overhead side, traditional cost-containment techniques have focused on downsizing, maximizing productivity, staffing redesign, improved purchasing contracts, standardization, inventory control, and other more individualized restructured service models. On the variable-cost clinical side, cost control has been approached by introducing a variety of cost-containment strategies designed to improve efficiency and effectiveness of provider performance. While many of these strategies, previously discussed in the Journal of Healthcare Resource Management have stressed the importance of education, guidelines, pathways, and other clinical "tools for improvement," the success of many of these tools resides in the ability to provide real-time intervention. Real-time intervention rather than the more passive retrospective variance analysis has the greatest potential for producing cost savings by actually making a recommendation that prevents the unwanted event from occurring. In many institutions, the case manager bears the responsibility for monitoring and managing these programs. This article describes various case management models currently used by different institutions. PMID:10166062

Rosenstein, A H; Propotnik, T

1997-03-01

420

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

PubMed

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

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

2009-01-01

421

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

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.

2014-01-01

422

Can consumers cure healthcare?  

PubMed

The U.S. healthcare delivery system is in crises. Costs are too high and increasingly becoming unaffordable to federal and state governments, employers and consumers. Americans are dissatisfied with the current system and believe it should be fundamentally altered or rebuilt. A solution needs to be found, and it is not the single-payer system espoused by many in Washington and elsewhere. We believe consumers can cure healthcare if (a) professionals, providers and policy experts shift their mindset from treating diseases and conditions to taking a holistic approach to the caring of people, particularly Baby Boomers and their parents; (b) technology becomes widely available to increase engagement, personalize healthcare, share experiences, make better choices and embrace convenience and (c) a cost-effective and reimbursed primary care navigator (coordinator and/or health manager), consistent with the medical home concept espoused by the American Association of Family Practitioners (AAFP) becomes a central component of public policy. PMID:19745473

Gruber, David

2009-01-01

423

Alerts for Healthcare Process and Data Integration  

Microsoft Academic Search

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

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

2004-01-01

424

Managing Capital Accounts in Emerging Markets: Lessons from the Global Financial Crisis  

Microsoft Academic Search

The global financial crisis forcefully highlighted the importance of curbing the impact of large and volatile capital inflows on growth and financial stability in developing countries. It led the IMF to reconsider its long-standing rejection of capital controls. Yet its new ‘macroeconomic policy first’ approach has to be reconciled with the hybrid nature of banking activity and its role in

Daniela Gabor

2012-01-01

425

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

Microsoft Academic Search

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

Güler Aras; Asl? Aybars; Ozlem Kutlu

2010-01-01

426

Financial Resources.  

ERIC Educational Resources Information Center

Nine articles cover topics related to library financial resources: (1) escalating serials prices; (2) library budgeting; (3) entrepreneurship; (4) cutback management; (5) academic library budgets; (6) assessment of library effectiveness; (7) public library fund-raising; (8) capital investment; and (9) unit cost analysis at the Virginia Polytechnic…

Dougherty, Richard M.; And Others

1989-01-01

427

Practice management.  

PubMed

The practicing orthopaedic traumatologist must have a sound knowledge of business fundamentals to be successful in the changing healthcare environment. Practice management encompasses multiple topics including governance, the financial aspects of billing and coding, physician extender management, ancillary service development, information technology, transcription utilization, and marketing. Some of these are universal, but several of these areas may be most applicable to the private practice of medicine. Attention to each component is vital to develop an understanding of the intricacies of practice management. PMID:24918826

Althausen, Peter L; Mead, Lisa

2014-07-01

428

Interest Rate Risk Management at Commercial Banks: An Empirical Analysis. FDIC Center for Financial Research Working Paper, No. 2006-02.  

National Technical Information Service (NTIS)

The author analyzes the effects of bank characteristics and macroeconomic shocks on interest rate risk management behavior of commercial banks. The findings are consistent with hedging theories based on cost of financial distress and costly external finan...

A. Purnanandam

2005-01-01

429

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

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.

Taheri, Safoura; Ehsanpour, Soheila; Kohan, Shahnaz

2014-01-01

430

Strategic human resource management: redefining the role of the manager and worker.  

PubMed

Health-care managers have long been sensitive to the importance of physical resources (technology, space) and financial resources to the success of service delivery. During the last several decades, the value and potential for development of a third element, the human resource has gained new recognition. The importance of viewing personnel as an expandable resource, addressed in an organization's strategic plan, is crucial to meet challenges faced in a rapidly changing health-care environment. PMID:10747647

Cameron, M; Snyder, J R

1999-01-01

431

Efforts to Implement a Financial-Management Information System in Iraq.  

National Technical Information Service (NTIS)

In early summer 2003, the Coalition Provisional Authority (CPA) and the International Monetary Fund conducted assessments that identified a need for improvements in the Government of Iraq's (GoI) budget and financial control system. These assessments foun...

2008-01-01

432

Milestone and cost management financial reports for period ending September 30, 1995  

SciTech Connect

This report is a monthly summary for September 1995 for work performed by IIT Research Institute under DOE contract number DE-AC05-93OR22160. Financial data and milestones for September 1995 are included in the report.

NONE

1995-10-26

433

ASIS healthcare security benchmarking study.  

PubMed

Effective security has aligned itself into the everyday operations of a healthcare organization. This is evident in every regional market segment, regardless of size, location, and provider clinical expertise or organizational growth. This research addresses key security issues from an acute care provider to freestanding facilities, from rural hospitals and community hospitals to large urban teaching hospitals. Security issues and concerns are identified and addressed daily by senior and middle management. As provider campuses become larger and more diverse, the hospitals surveyed have identified critical changes and improvements that are proposed or pending. Mitigating liabilities and improving patient, visitor, and/or employee safety are consequential to the performance and viability of all healthcare providers. Healthcare organizations have identified the requirement to compete for patient volume and revenue. The facility that can deliver high-quality healthcare in a comfortable, safe, secure, and efficient atmosphere will have a significant competitive advantage over a facility where patient or visitor security and safety is deficient. Continuing changes in healthcare organizations' operating structure and healthcare geographic layout mean changes in leadership and direction. These changes have led to higher levels of corporate responsibility. As a result, each organization participating in this benchmark study has added value and will derive value for the overall benefit of the healthcare providers throughout the nation. This study provides a better understanding of how the fundamental security needs of security in healthcare organizations are being addressed and its solutions identified and implemented. PMID:11602980

2001-01-01

434

Management Report: Improvements Are Needed in Internal Control over Financial Reporting for the Troubled Asset Relief Program. TARP Management Report.  

National Technical Information Service (NTIS)

Our November 2011 audit report concluded that although certain internal controls could be improved, OFS maintained, in all material respects, effective internal control over financial reporting as of September 30, 2011, that provided reasonable assurance ...

2012-01-01

435

Addressing healthcare.  

PubMed

Though President Barack Obama has rarely made healthcare references in his State of the Union addresses, health policy experts are hoping he changes that strategy this year. "The question is: Will he say anything? You would hope that he would, given that that was the major issue he started his presidency with," says Dr. James Weinstein, left, of the Dartmouth-Hitchcock health system. PMID:23487896

Daly, Rich

2013-02-11

436

Queueing for Healthcare  

Microsoft Academic Search

Patient queues are prevalent in healthcare and wait time is one measure of access to care. We illustrate Queueing Theory—an analytical tool that has provided many insights to service providers when designing new service systems and managing existing\\u000a ones. This established theory helps us to quantify the appropriate service capacity to meet the patient demand, balancing\\u000a system utilization and the

R. Kannapiran Palvannan; Kiok Liang Teow

437

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

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.

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

2014-01-01

438

Integrating Healthcare Ethical Issues into IS Education  

ERIC Educational Resources Information Center

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,…

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

2011-01-01

439

Crisis management can leave residual effects.  

PubMed

A healthcare organization that once suffered from poor financial performance may fail to correct recovery methods that can cause lingering legal and accounting problems. A crisis management style is prone to creating problems with an organization's debt structure, Medicare and Medicaid payment, tax issues, labor relations, licensing and accreditation, compliance with fraud and abuse rules, and accounting for charity care. After stabilizing a worrisome financial situation, a healthcare organization should conduct an internal audit to ensure that its legal and accounting practices remain above board. PMID:10145510

Margolis, G L; DeMuro, P R

1991-10-01

440

Innovation Concepts in Healthcare  

ScienceCinema

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.                                                                                

441

Innovation Concepts in Healthcare  

ScienceCinema

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.                                                                                

None

2011-04-25

442

Innovation Concepts in Healthcare  

SciTech Connect

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.                                                                                

None

2011-01-06

443

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

Microsoft Academic Search

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

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

444

Healthcare Systems and Motivation  

PubMed Central

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.

Loewy, Erich H.

2007-01-01

445

Integrated Environmental and Financial Performance Metrics for Investment Analysis and Portfolio Management  

Microsoft Academic Search

This paper introduces a new measure, based on a study by Trucost and Dr Robert Repetto, combining external environmental costs with established measures of economic value added, and demonstrates how this measure can be incorporated into financial analysis. We propose that external environmental costs are relevant to all investors: universal investors are concerned about the scale of external costs whether

Simon Thomas; Robert Repetto; Daniel Dias

2007-01-01

446

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

ERIC Educational Resources Information Center

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…

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

2010-01-01

447

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

Microsoft Academic Search

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

MARK A. HUSELID

1995-01-01

448

The Development of a System for Financial Management of Public Service Employment Subcontracts: The Vermont Experience.  

National Technical Information Service (NTIS)

The most difficult problem in the financial managmenet of a program of public service employment or subsidized work-training experience is the over-obligation of funds. Some training slots are never filled, some trainees drop out early from the program, a...

P. E. Battelle

1973-01-01

449

Evaluation of the Financial Impact of Flood Management on Residential Losses  

Microsoft Academic Search

The purpose of this paper is to examine the impacts that the National Flood Insurance Program (NFIP) has had on the costs of flooding and on their distribution among payers. This study thus probes the NFIP's financial impact, the centerpiece question about program effectiveness. For the analysis, this paper models the institutional and economic framework of flood relief compensation into

Camilo Sarmiento; Ted E. Miller

2005-01-01

450

DOD Financial Management: Challenges in the Implementation of Business Systems Could Impact Audit Readiness Efforts.  

National Technical Information Service (NTIS)

As one of the largest and most complex organizations in the world, the Department of Defense (DoD) faces many challenges in resolving its long- standing financial and related business operations and system problems. DoD is in the process of implementing m...

A. A. Khan B. Alff D. Smith J. C. Martin K. Richey

2011-01-01

451

17 CFR 229.303 - (Item 303) Management's discussion and analysis of financial condition and results of operations.  

Code of Federal Regulations, 2010 CFR

...extent that the financial statements disclose...sold or to the introduction of new products...registrant's financial condition, changes...Guarantor's Accounting and Disclosure...Statement of Financial Accounting Standards...

2010-04-01

452

76 FR 59170 - Hartford Financial Services, Inc., Corporate/EIT/CTO Database Management Division, Hartford, CT...  

Federal Register 2010, 2011, 2012, 2013

...Services, Inc., Corporate/EIT/CTO Database Management Division, Hartford, CT...Services, Inc., Corporate/EIT/CTO Database Management Division, Hartford, Connecticut...The Hartford, Corporate/EIT/CTO Database Management Division). The...

2011-09-23

453

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

PubMed

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

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

2011-08-01

454

Health worker motivation in Africa: the role of non-financial incentives and human resource management tools  

PubMed Central

Background There is a serious human resource crisis in the health sector in developing countries, particularly in Africa. One of the challenges is the low motivation of health workers. Experience and the evidence suggest that any comprehensive strategy to maximize health worker motivation in a developing country context has to involve a mix of financial and non-financial incentives. This study assesses the role of non-financial incentives for motivation in two cases, in Benin and Kenya. Methods The study design entailed semi-structured qualitative interviews with doctors and nurses from public, private and NGO facilities in rural areas. The selection of health professionals was the result of a layered sampling process. In Benin 62 interviews with health professionals were carried out; in Kenya 37 were obtained. Results from individual interviews were backed up with information from focus group discussions. For further contextual information, interviews with civil servants in the Ministry of Health and at the district level were carried out. The interview material was coded and quantitative data was analysed with SPSS software. Results and discussion The study shows that health workers overall are strongly guided by their professional conscience and similar aspects related to professional ethos. In fact, many health workers are demotivated and frustrated precisely because they are unable to satisfy their professional conscience and impeded in pursuing their vocation due to lack of means and supplies and due to inadequate or inappropriately applied human resources management (HRM) tools. The paper also indicates that even some HRM tools that are applied may adversely affect the motivation of health workers. Conclusion The findings confirm the starting hypothesis that non-financial incentives and HRM tools play an important role with respect to increasing motivation of health professionals. Adequate HRM tools can uphold and strengthen the professional ethos of doctors and nurses. This entails acknowledging their professionalism and addressing professional goals such as recognition, career development and further qualification. It must be the aim of human resources management/quality management (HRM/QM) to develop the work environment so that health workers are enabled to meet their personal and the organizational goals.

Mathauer, Inke; Imhoff, Ingo

2006-01-01

455

How to Find Affordable Healthcare  

MedlinePLUS

... Your Way in the Health Care System Understanding Health Care Reform Financial Management During Crisis Helping Teens Take Charge of Their Health Care Electronic Health Records Health Care: What Do ...

456

Education for Library and Information Management Careers in Business and Financial Services.  

ERIC Educational Resources Information Center

Discussion of corporate library management focuses on a historical perspective of the current management environment in corporate libraries. The maturation of the information industry is described; library management versus information management is considered; and changes needed in professional education are suggested, including a more…

Willner, Richard A.

1993-01-01

457

Legal and Financial Planning for People with Alzheimer's Disease  

MedlinePLUS

... make health care decisions documents that communicate the financial management and estate plan wishes of someone who may ... or use personal medical records. Advance Directives for Financial and Estate Management Advance directives for financial and estate management must ...

458

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

PubMed

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

Miranda, Miriam; Dieperink, Carel; Glasbergen, Pieter

2006-10-01

459

Financial Audit: IRS's Fiscal Years 2005 and 2004 Financial Statements.  

National Technical Information Service (NTIS)

Because of the significance of Internal Revenue Service (IRS) collections to federal receipts and, in turn, to the consolidated financial statements of the U.S. government, which GAO is required to audit, and Congresss interest in financial management at ...

2005-01-01

460

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

Microsoft Academic Search

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,

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

2006-01-01

461

Financial literacy and its role in promoting a sound financial system  

Microsoft Academic Search

This article discusses the importance of financial literacy. Financial literacy – the ability to make informed judgements and decisions regarding the use and management of money – is important for individual consumers of financial services, the financial system and the wider economy. It influences how people save, borrow, invest and manage their financial affairs. It therefore affects their capacity to

Doug Widdowson; Kim Hailwood

2007-01-01

462

Ethics in human resource management: potential for burnout among healthcare workers in ART and community care centres.  

PubMed

This paper examines ethical dilemmas in providing care for people with HIV/AIDS. Healthcare providers in this sector are overworked, particularly in the high prevalence states. They are faced with the dual burden of the physical and the emotional risks of providing this care. The emotional risks result from their inability to control their work environment, while having to deal with the social and cultural dimensions of patients' experiences. The physical risk is addressed to some extent by post exposure prophylaxis. But the emotional risk is largely left to the individual and there is little by way of institutional responsibility for minimising this. The guidelines for training workers in care and support programmes do not include any detailed institutional mechanisms for reducing workplace stress. This aspect of the programme needs to be examined for its ethical justification. The omission of institutional mechanisms to reduce the emotional risks experienced by healthcare providers in the HIV/AIDS sector could be a function of lack of coordination across different stakeholders in programme development. This can be addressed in further formulations of the programme. Whatever the reasons may be for overlooking these needs, the ethics of this choice need to be carefully reviewed. PMID:20806520

Mala, Ramanathan; Santhosh, Kumar M; Anshul, Avijit; Aarthy, R

2010-01-01

463

Career patterns of healthcare executives.  

PubMed

This research examines the job and career changes of healthcare executives and managers working in different segments of the healthcare industry in the western United States. The results suggest that the job and career patterns in the healthcare delivery sector are undergoing significant transformation. One third of the respondents reports that at least one of their last four job changes was involuntary or unplanned. One half of those attempted to make a career change. This study identifies four different executive and management career patterns. The most common was one of multiple career changes. The second pattern was that of a single career change, followed by a 'traditional' career in which one did not seek a career change. The final pattern was characterized as a movement back and forth between two different segments of the healthcare industry. Age, gender, marital status and education were not associated with any specific career pattern. The need to achieve results early in the respondent's career had a strong influence on career patterns. This study confirms the fluidity of career movement and the changing permeability between the various segments of the healthcare industry. It also suggests that career success increasingly will require broad management experience in those different segments. PMID:11246780

Fahey, D F; Myrtle, R C

2001-02-01

464

Financial Accounting for the Defense Nuclear Agency.  

National Technical Information Service (NTIS)

The audit objective was to review the financial accounting system DNA used and related management controls to determine whether the DNA financial accounting system can produce reliable information necessary to prepare financial statements.

T. F. Gimble S. D. Guli H. D. Spoons M. L. Peek O. SanMateo

1995-01-01

465

31 CFR 210.8 - Financial institutions.  

Code of Federal Regulations, 2010 CFR

...2010-07-01 false Financial institutions. 210.8 Section 210...DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE FEDERAL GOVERNMENT...HOUSE General § 210.8 Financial institutions. (a) Status as a...

2010-07-01

466

31 CFR 210.8 - Financial institutions.  

Code of Federal Regulations, 2010 CFR

...2009-07-01 false Financial institutions. 210.8 Section 210...DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE FEDERAL GOVERNMENT...HOUSE General § 210.8 Financial institutions. (a) Status as a...

2009-07-01

467

Farmer Cooperatives' Financial Profile, 1997.  

National Technical Information Service (NTIS)

This study is based on a survey of the financial characteristics of U.S. farmer cooperatives at the end of their 1997 fiscal years. Useful financial information is provided to cooperative managers, directors, educators, and others interested in cooperativ...

R. C. Rathbone R. A. Wissman

2000-01-01

468

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

ScienceCinema

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

None

2011-10-06

469

Three Major Issues Influencing Local Financial Management Capacity: The Perspective of Mayors.  

National Technical Information Service (NTIS)

Mayors who were members of two standing committees of the Conference of Mayors were surveyed about their views and needs regarding the planning and management of capital infrastructure, energy management strategies for local officials, and informational n...

1981-01-01

470

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

SciTech Connect

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

None

2009-11-04

471

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

ScienceCinema

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

472

FASB's ASU 2011-7 changes financial statement reporting requirements.  

PubMed

FASB's new Accounting Standards Update 2011-07 will change how healthcare entities accumulate and report major portions of their financial statements, including patient revenues, net accounts receivables, and bad-debt expenses. Healthcare entities now must reclassify their provisions for bad debts associated with patient service revenue from an operating expense to a deduction from patient service revenue (net of contractual allowances and discounts). International Financial Reporting Standards do not require healthcare entities to comply with this new standard. PMID:22372290

Reinstein, Alan; Churyk, Natalie Tatiana

2012-02-01

473

Perceptions and experiences of financial incentives: a qualitative study of dialysis care in England  

PubMed Central

Objective The objective of the study was to understand the extent to which financial incentives such as Payment by Results and other payment mechanisms motivate kidney centres in England to change their practices. Design The study followed a qualitative design. Data collection involved 32 in-depth semistructured interviews with healthcare professionals and managers, focusing on their subjective experience of payment structures. Participants Participants were kidney healthcare professionals, clinical directors, kidney centre managers and finance managers. Healthcare commissioners from different parts of England were also interviewed. Setting Participants worked at five kidney centres from across England. The selection was based on the prevalence of home haemodialysis, ranging from low (<3%), medium (5–8%) and high (>8%) prevalence, with at least one centre in each one of these categories at the time of selection. Results While the tariff for home haemodialysis is not a clear incentive for its adoption due to uncertainty about operational costs, Commissioning for Quality and Innovation (CQUIN) targets and the Best Practice Tariff for vascular access were seen by our case study centres as a motivator to change practices. Conclusions The impact of financial incentives designed at a policy level is influenced by the understanding of cost and benefits at the local operational level. In a situation where costs are unclear, incentives which are based on the improvement of profit margins have a smaller impact than incentives which provide an additional direct payment, even if this extra financial support is relatively small.

Abma, Inger; Jayanti, Anuradha; Bayer, Steffen; Mitra, Sandip; Barlow, James

2014-01-01

474

Technological and financial approaches to risk management in agriculture: an integrated approach  

Microsoft Academic Search

In the present paper, risk-management problems where farmers manage risk both through production decisions and through the use of market-based and informal risk-management mechanisms are considered. It is shown that many of these problems share a common structure, and that a unified and informative treatment of a broad spectrum of risk-management tools is possible within a cost-minimisation framework, under minimal

Robert G. Chambers; John C. Quiggin

2004-01-01

475

At the Crossroads of Access and Financial Stability: The Push and Pull on the Enrollment Manager  

ERIC Educational Resources Information Center

This study contributes to the developing literature on enrollment management by looking at how individual enrollment management organizations interact within the changing higher education landscape. One way to understand how an organization interacts is to understand its leader. Thus, this study focuses on the leaders of enrollment management as a…

Humphrey, Keith B.

2006-01-01

476

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

PubMed

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

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

2011-05-01

477

How high are the personnel costs for OSCE? A financial report on management aspects  

PubMed Central

Objective: The OSCE (objective structured clinical examination) was put to the test in order to assess the clinical practical skills of students in medical studies in the medical faculties. For the implementation of an OSCE, a large number of personnel is necessary. In particular for subjects with limited resources, therefore, efficient cost planning is required. In the winter semester 09/10, the Department of Neurology at the Medical Faculty of the University of Ulm introduced the OSCE as a pilot project. A financial report retrospectively shows the personnel expenses. The report is intended as an example for an insight into the resources needed for the OSCE with simulated patients. Method: Included in the calculation of the financial costs of the OSCE were: employment, status of staff involved in the OSCE, subject-matter and temporal dimension of the task. After the exam, acceptance of the examination format was reviewed by a focus group interview with the teachers and students. Result: The total expenses for the personnel involved in the OSCE amounted to 12,468 €. The costing of the clinic’s share was calculated at 9,576 €. Tuition fees from the students have been used to the amount of 2.892 €. For conversion of total expenditure to the number of examines the sum of 86 € per student was calculated. Both students and teachers confirmed the validity of the OSCE and recognised the added value in the learning effects. Conclusion: The high acceptance of the OSCE in neurology by both students and teachers favours maintaining the test format. Against the background of the high financial and logistical costs, however, in individual cases it should be assessed how in the long-term efficient examination procedure will be possible.

Rau, Thea; Fegert, Jorg; Liebhardt, Hubert

2011-01-01

478

A quality improvement model for healthcare terminologies  

Microsoft Academic Search

A number of controlled healthcare terminologies and classification systems have been developed for specific purposes, resulting in variations in content, structure, process management, and quality. A terminology quality improvement (TQI) model or framework would be useful for various stakeholders to guide terminology selection, to assess the quality of healthcare terminologies and to make improvements according to an agreed standard. A

Tae Youn Kim; Amy Coenen; Nicholas R. Hardiker

2010-01-01

479

Understanding Team Learning in a Healthcare Setting  

Microsoft Academic Search

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 hea