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1

Skills Enhancement Program. Regional Medical Center at Memphis.  

ERIC Educational Resources Information Center

Literacy Foundation Memphis, Inc., Memphis City Schools Adult Education, and the Regional Medical Center at Memphis cooperatively implemented an intensive skills enhancement program for employees. The program used an industry immersion model, located on site, with 80 hours of instruction delivered 4 hours per day for 4 weeks on work-release time.…

Coffey, Pat; And Others

2

The Prescribed Pediatric Center: A Medical Day Treatment Program for Children with Complex Medical Conditions.  

ERIC Educational Resources Information Center

The Prescribed Pediatric Center (Toledo, Ohio) is a community-based, multidisciplinary program for infants and children with chronic, complex medical conditions. This article describes program beginnings; the planning process; and the program's growth, development, and components. Initial program evaluation indicates positive effects on some…

Ruppert, Elizabeth S.; Karst, Thomas O.; Brogan, Mark G.

1998-01-01

3

Nonstandard Programs: the University of Pittsburgh Medical Center's next frontier in graduate medical education.  

PubMed

The University of Pittsburgh Medical Center has seen continuous growth in the number and types of graduate training programs not accredited by the Accreditation Council for Graduate Medical Education (ACGME), the American Board of Medical Specialties, or the American Osteopathic Association. For the purposes of ensuring best educational products and of controlling unrecognized competition with our accredited programs, a sequential process of centralized oversight of these nonstandard programs was undertaken. The first step involved programs whose fellows were hired and tracked like accredited fellows (i.e., not instructors). The basic process began with consensus among leadership, writing of policy with consultation as necessary, establishment of a registry of programs and graduates, and a committee to allow sharing of best practices and dissemination of policy. The second step applied the same process to instructor-level programs. Whereas the previous group of programs was made subject to ACGME regulations, more latitude in duty hours and progressive responsibility were allowed for instructor programs. The final step, in progress, is extending a similar but modified approach to short-duration clinical experiences and observerships. The outcomes of these efforts have been the creation of a centralized organizational structure, policies to guide this structure, an accurate registry of a surprising number of training programs, and a rolling record of all graduates from these programs. Included in the process is a mechanism that ensures that core program directors and department chairs specifically review the impact of new programs on core programs before allowing their creation. PMID:21169779

Kroboth, Frank J; Zerega, W Dennis; Patel, Rita M; Barnes, Barbara E; Webster, Marshall W

2011-02-01

4

Claretian Medical Center Task Analysis. Worker Education Program.  

ERIC Educational Resources Information Center

This task analysis for positions at the Claretian Medical Center in southeast Chicago was developed to improve communication and customer service in the workplace. The task analysis was prepared through clinic tours, employee interviews, and supervisor questionnaires. It is used for the purpose of curriculum development for onsite instruction in…

Union of Needletrades, Industrial and Textile Employees.

5

An Integrated Model of Care: A Visit to The SPARK Center, a Program of Boston Medical Center  

ERIC Educational Resources Information Center

This article features The SPARK Center, a program of Boston Medical Center, located in Mattapan, Massachusetts. The Center has pioneered a whole-child approach to address the multi-dimensional needs of Boston's most at-risk children, recognizing that vulnerable children need more than educational supports to flourish. The Center's integrated model…

Griest, Christa

2010-01-01

6

NCI Community Cancer Centers Program - Pilot Site Profile - St. Francis Medical Center, Grand Island, Nebraska  

Cancer.gov

Founded more than 115 years ago, Saint Francis Medical Center, Grand Island is a 198-bed healthcare provider serving as the regional referral center for 26-counties and approximately 78,000 residents in Central Nebraska. St. Francis Medical Center offers a wide array of specialty services including a cancer treatment center, joint replacement, diagnostic and interventional cardiology, a birthing center, dialysis, comprehensive surgical services, and interventional and diagnostic radiology services. The St.

7

NCI Community Cancer Centers Program - Pilot Site Profile - University Medical Center Brackenridge, Austin, Texas  

Cancer.gov

University Medical Center Brackenridge is one of four hospitals in the Seton Family of Hospitals, serving Central Texas, that offer a continuum of cancer services. Through its Shivers Center, University Medical Center Brackenridge offers the broadest range of cancer service in the network.

8

Combined Assessment Program Review of the Marion VA Medical Center, Marion, Illinois.  

National Technical Information Service (NTIS)

During the week of August 17-21, 2009, the Office of Inspector General (OIG) conducted a Combined Assessment Program (CAP) review of the Marion VA Medical Center (the medical center), Marion, IL. The purpose of the review was to evaluate selected operatio...

2009-01-01

9

A physician leadership development program at an academic medical center.  

PubMed

To achieve care integration required for efficient high-quality care, physicians are increasingly organized into large multispecialty groups. The success of these groups depends in large part on the ability of leadership to successfully navigate the shifting reimbursement, regulatory, and quality and safety terrain, while simultaneously providing their physicians with a rewarding practice environment. The knowledge and management tools required for such leadership are not taught in medical school or residency and are rarely acquired as a product of day-to-day physician activities. In an effort to meet these challenges, the Massachusetts General Physicians Organization created a leadership development program. This article details the development, implementation, and experience of the program. PMID:20588142

Gagliano, Nancy J; Ferris, Timothy; Colton, Deborah; Dubitzky, Anne; Hefferman, James; Torchiana, David

2010-01-01

10

NCI Community Cancer Centers Program - Pilot Site Profile - St. Joseph Medical Center, Towson, Maryland  

Cancer.gov

More than 40% of the medical center's patients come from outside the primary service area, defined as a 12-mile radius of the hospital. 78% of the Cancer Institute's patients are adults over 55, and 12% are African American.

11

A Podiatric Medical Residency Program in an Academic Health Science Center  

ERIC Educational Resources Information Center

The podiatric medical residency program in the Health Science Center at San Antonio provides an intensive exposure for the newly graduated podiatrist to practice in a multidisciplinary environment. Residents become more familiar with general medical and surgical diseases and disorders as well as podiatric pathology. (LBH)

Bogy, Louis T.; And Others

1977-01-01

12

NCI Community Cancer Centers Program - Pilot Site Profile - Our Lady of the Lake Regional Medical Center, Baton Rouge, Louisiana  

Cancer.gov

Our Lady of the Lake Regional Medical Center is the largest private medical center in Louisiana. With 740 licensed beds, Our Lady of the Lake provides services to more than 33,000 hospital patients and 350,000 outpatients. The hospital occupies 100 acres in the heart of Baton Rouge, including the cancer center. The cancer program includes Mary Bird Perkins Cancer Center, a nonprofit, comprehensive radiation therapy facility, which joined with Our Lady of the Lake in 1988 to offer multispecialty cancer care.

13

Labors of love: the transformation of care in the Non-Medical Attendant program at Walter Reed Army Medical Center.  

PubMed

In this paper, we explore the Non-Medical Attendant program at Walter Reed Army Medical Center in Washington, DC, which subsidizes the presence of war-injured soldiers' family members as they live for months or even years at Walter Reed during treatment and rehabilitation. We elaborate the ambiguities of the program and draw on ethnographic research to demonstrate how the program's vagaries combine with the context of an overburdened military medical system and the more familiar strains of family caregiving to place family members in a gray zone of care where the line between labors of love and institutionally compensated work is blurred. PMID:22574390

Wool, Zoë H; Messinger, Seth D

2012-03-01

14

Implementing a medication safety and poison prevention program at a senior center.  

PubMed

The Institute for Safe Medication Practices encourages pharmacists to assist in preventing medication misuse. The purpose of this article is to discuss a medication-safety education session conducted by a pharmacy professor, the faculty advisor to the American Society of Consultant Pharmacists university student chapter and students in a pharmacovigilance rotation, which was conducted at a local senior center. The author attended a train-the-trainer Webinar and then educated the pharmacy students. Participants at the senior center were taught about poison prevention, drug interactions, and appropriate drug disposal through an interactive format. We plan to continue the medication safety program at the senior center as a longitudinal project to promote patient safety. Pharmacists should be encouraged to play an active role in community outreach programs. PMID:24129222

Gershman, Jennifer A

2013-10-01

15

NCI Community Cancer Centers Program - Electronic Medical Records  

Cancer.gov

Develop a national database of voluntarily-provided electronic medical records. Expanding the information available on people who have been screened for cancer, are at high risk, are actively being treated, and are cancer survivors will greatly contribute to the knowledge and treatment of cancer.

16

A cyber medical center.  

PubMed

This paper describes the design and implementation of a Cyber Medical Center (CMC) using web technology. The intention is to overcome the inefficiency of the traditional filing system for patients' medical records, which are considered to be time and space consuming. Another objective is to enhance the interaction between the user - the patient in this case - and the medical center personnel - the doctors and staff. This task is achieved by developing a cyber medical center interfaced with the Internet to provide direct public access. The traditional filing system is replaced by a database system for maintaining the electronic medical records of all patients in the medical center. The doctors or staff can either view the medical records or update them through the Intranet/Internet. This system has been successfully developed, implemented and tested on the Intranet platform. It will be available in a university medical center for practical use. PMID:16520147

Al-Ali, A R; Abdul Salam, A O; Al-Zohlof, L; Manna, M; Zakaria, R

2005-12-01

17

The Nonphysician “Medical Student Educator”: A Formal Addition to the Clerkships and Key Programs at an Academic Medical Center  

Microsoft Academic Search

Background: Medical school faculty members face increased clinical and academic demands, leaving less time for teaching, curriculum development, and assessment of learners.Description: The Keck School of Medicine has hired a dedicated medical student educator for each required clerkship. The medical student educator assists the clerkship director with clinical teaching, curriculum development, student and program evaluation, and administrative functions.Evaluation: The program

Donna Elliott; Sarah Ingersoll; Maura Sullivan; Madeleine Bruning; Moreen Logan; Clive R. Taylor

2007-01-01

18

Cancer Centers Program - Cancer Centers  

Cancer.gov

Cancer Centers Program - Cancer Centers Map of Cancer Centers Data Tables Benchmark Home > Cancer Centers Cancer Centers NCI-designated cancer centers are characterized by scientific excellence and the capability to integrate a diversity of

19

The Ruby Red Slipper Program: an interdisciplinary fall management program in a community academic medical center.  

PubMed

Falls are a common, yet serious complication for hospitalized patients. The Ruby Red Slipper Program is an interdisciplinary fall management program that includes development and education of unit-based fall management teams. Initial outcomes demonstrated significant reductions in falls. PMID:21786488

Wexler, Sharon Stahl; D'Amico, Catherine O'Neill; Foster, Norma; Cataldo, Karen A; Brody, Patricia; Huang, Zheng-Bo

2011-01-01

20

Impact of Institution of a Stroke Program Upon Referral Bias at a Rural Academic Medical Center  

ERIC Educational Resources Information Center

Context: Referral bias reflecting the preferential hospital transfer of patients with intracerebral hemorrhage (ICH) has been demonstrated as the major contributing factor for an observed high nonrisk-adjusted in-hospital crude acute stroke mortality rate at a rural academic medical center. Purpose: This study was done to assess the impact of a…

Riggs, Jack E.; Libell, David P.; Brooks, Claudette E.; Hobbs, Gerald R.

2005-01-01

21

Impact of Institution of a Stroke Program upon Referral Bias at a Rural Academic Medical Center  

ERIC Educational Resources Information Center

Context: Referral bias reflecting the preferential hospital transfer of patients with intracerebral hemorrhage (ICH) has been demonstrated as the major contributing factor for an observed high nonrisk-adjusted in-hospital crude acute stroke mortality rate at a rural academic medical center. Purpose: This study was done to assess the impact of a…

Riggs, Jack E.; Libell, David P.; Brooks, Claudette E.; Hobbs, Gerald R.

2005-01-01

22

Dittrick Medical History Center  

NSDL National Science Digital Library

Currently operating as an interdisciplinary study center within the College of Arts and Sciences of Case Western Reserve University, the Dittrick Medical History Center was established as part of the Cleveland Medical Library Association in 1894. First-time visitors will definitely want to begin by looking through the museum's history, and then examine the museum artifacts and galleries, which represent a small sample of their holdings. The artifacts are divided into time periods and include such fascinating medical equipment as bloodletting devices, a phrenology bust, and a defribrillator from 1950. The galleries section allows visitors to take a virtual tour of the rooms within the museum, such as a doctor's office from the 1930s and a replica of a pharmacy from the 1880s. Several online exhibits are also available for perusal, such as one dedicated to Cleveland's brush with a smallpox epidemic in 1902. Utterly fascinating, though not for the squeamish, is the exhibit that details medical school photographs, many of them class photographs around dissection tables, and postcards featuring medical students and cadavers. The site is rounded out with a host of online guides and finding aids that help in using the Center's extensive collections dealing with the history of medicine.

2003-01-01

23

A dedicated education unit VA medical centers and baccalaureate nursing programs partnership model.  

PubMed

A shortage of qualified nurse faculty and limitations in the number and variety of available clinical facilities have impacted the ability of schools of nursing to offer quality clinical education. Dedicated education units involving partnerships between academia and clinical agencies have been proposed as 1 solution to these challenges. The purpose of this article is to describe a dedicated education unit model developed in a partnership between 2 Veterans Health Administration Medical Centers and 2 midwestern university schools of nursing. A review of the literature related to dedicated education units is shared. Implementation strategies and benefits to the clinical sites and the schools of nursing are discussed. PMID:23158197

Freundl, Margaret; Anthony, Maureen; Johnson, Barbara; Harmer, Bonnie McKay; Carter, Jemica M; Boudiab, Lina Daou; Nelson, Virginia

2012-01-01

24

Dissemination and adoption of the advanced primary care model in the Maryland multi-payer patient centered medical home program.  

PubMed

The Maryland Learning Collaborative together with the Maryland Multi-Payer Program transformed 52 medical practices into patient-centered medical homes (PCMH). The Maryland Learning Collaborative developed an Internet-based 14-question Likert scale survey to assess the impact of the PCMH model on practices and providers, concerning how this new method is affecting patient care and outcomes. The survey was sent to 339 practitioners and 52 care management teams at 18 months into the program. Sixty-seven survey results were received and analyzed. After 18 months of participation in the PCMH initiative, participants demonstrated a better understanding of the PCMH initiative, improved patient access to care, improved care coordination, and increased health information technology optimization (p > .001). The findings from the survey evaluation suggest that practice participation in the Maryland Multi-Payer Program has enhanced access to care, influenced patient outcomes, improved care coordination, and increased use of health information technology. PMID:24583492

Khanna, Niharika; Shaya, Fadia; Chirikov, Viktor; Steffen, Ben; Sharp, David

2014-02-01

25

General Medical Surveillance Program  

NASA Technical Reports Server (NTRS)

Background on the General Medical Surveillance Program at LeRC is presented. The purpose of the General Medical Surveillance Program at LeRC is outlined, and the specifics of the program are discussed.

1993-01-01

26

Satellite medical centers project  

NASA Astrophysics Data System (ADS)

World class health care for common man at low affordable cost: anywhere, anytime The project envisages to set up a national network of satellite Medical centers. Each SMC would be manned by doctors, nurses and technicians, six doctors, six nurses, six technicians would be required to provide 24 hour cover, each SMC would operate 24 hours x 7 days. It would be equipped with the Digital telemedicine devices for capturing clinical patient information and investigations in the form of voice, images and data and create an audiovisual text file - a virtual Digital patient. Through the broad band connectivity the virtual patient can be sent to the central hub, manned by specialists, specialists from several specialists sitting together can view the virtual patient and provide a specialized opinion, they can see the virtual patient, see the examination on line through video conference or even PCs, talk to the patient and the doctor at the SMC and controlle capturing of information during examination and investigations of the patient at the SMC - thus creating a virtual Digital consultant at the SMC. Central hub shall be connected to the doctors and consultants in remote locations or tertiary care hospitals any where in the world, thus creating a virtual hub the hierarchical system shall provide upgradation of knowledge to thedoctors in central hub and smc and thus continued medical education and benefit the patient thru the world class treatment in the smc located at his door step. SMC shall be set up by franchisee who shall get safe business opportunity with high returns, patients shall get Low cost user friendly worldclass health care anywhere anytime, Doctors can get better meaningful selfemplyment with better earnings, flexibility of working time and place. SMC shall provide a wide variety of services from primary care to world class Global consultation for difficult patients.

Aggarwal, Arvind

2002-08-01

27

Combined Assessment Program Review of the Jonathan M. Wainwright Memorial VA Medical Center Walla Walla, Washington.  

National Technical Information Service (NTIS)

Contents: Executive Summary; Objectives and Scope; Reported Accomplishment; Results (Review Activities With Recommendations, RME, Suicide Prevention Safety Plans, QM, Medication Management, Physician C&P, Review Activities Without Recommendations, Coordin...

2010-01-01

28

Cancer Centers Program - Cancer Centers List  

Cancer.gov

Cancer Centers Program - Cancer Centers List Map of Cancer Centers Cancer Center Profiles Benchmark Data Home > Cancer Centers > State Map Map of Cancer Centers View By: Name | State | State Map | Region

29

Kennedy Space Center exercise program  

NASA Technical Reports Server (NTRS)

The Kennedy Space Center (KSC) Fitness Program began in Feb. 1993. The program is managed by the Biomedical Operations and Research Office and operated by the Bionetics Corporation. The facilities and programs are offered to civil servants, all contractors, temporary duty assignment (TDY) participants, and retirees. All users must first have a medical clearance. A computer-generated check-in system is used to monitor participant usage. Various aspects of the program are discussed.

Hoffman, Cristy

1993-01-01

30

Characterizing customers at medical center farmers' markets.  

PubMed

Approximately 100 farmers' markets operate on medical center campuses. Although these venues can uniquely serve community health needs, little is known about customer characteristics and outreach efforts. Intercept survey of markets and market customers between August 2010 and October 2011 at three medical centers in different geographic regions of the US (Duke University Medical Center, Cleveland Clinic, and Penn State Hershey Medical Center) were conducted. Markets reported serving 180-2,000 customers per week and conducting preventive medicine education sessions and community health programs. Customers (n = 585) across markets were similar in sociodemographic characteristics-most were middle-aged, white, and female, who were employees of their respective medical center. Health behaviors of customers were similar to national data. The surveyed medical center farmers' markets currently serve mostly employees; however, markets have significant potential for community outreach efforts in preventive medicine. If farmers' markets can broaden their reach to more diverse populations, they may play an important role in contributing to community health. PMID:24421001

Kraschnewski, Jennifer L; George, Daniel R; Rovniak, Liza S; Monroe, Diana L; Fiordalis, Elizabeth; Bates, Erica

2014-08-01

31

Creation of a healing enhancement program at an academic medical center.  

PubMed

There has been a growing emphasis on evaluating and improving the experience of the hospitalized patient. In 2004, the Cardiovascular Surgery team at Mayo Clinic Rochester, though achieving a high level of technical expertise and clinical outcomes, recognized that patients were not rating their overall hospital experience as highly as was expected. After a systematic evaluation of the hospital experience, tension, stress, pain, and anxiety were identified as key challenges for patients. A multidisciplinary team was created to evaluate pain management practices and explore methods for reducing pain, anxiety, and tension. An extensive review of the literature and site visits to other institutions provided the foundation for the program. The term "Healing Enhancement" was coined to identify the goals of this emerging paradigm that focused on all aspects of the patient's experience-mind, body, and spirit. Integrated therapies such as music, massage, guided imagery, and relaxation training were explored to measure their role in patient care. PMID:17950176

Cutshall, Susanne M; Fenske, Laura L; Kelly, Ryan F; Phillips, Brent R; Sundt, Thoralf M; Bauer, Brent A

2007-11-01

32

Skylab Medical Data Center and Archives  

NASA Technical Reports Server (NTRS)

The founding of the Skylab medical data center and archives as a central area to house medical data from space flights is described. Skylab program strip charts, various daily reports and summaries, experiment reports and logs, status report on Skylab data quality, raw data digital tapes, processed data microfilm, and other Skylab documents are housed in the data center. In addition, this memorandum describes how the data center acted as a central point for the coordination of preflight and postflight baseline data and how it served as coordinator for all data processing through computation and analysis. Also described is a catalog identifying Skylab medical experiments and all related data currently archived in the data center.

Spross, F. R.

1974-01-01

33

Skylab medical program overview  

NASA Technical Reports Server (NTRS)

The following major medical subsystems in Skylab are outlined: (1) operational equipment; (2) life science experiments; (3) medical operations; and (4) operational experience. Throughout the Skylab flight program, alterations in equipment and procedures were made for each succeeding mission to capitalize on the flight experience of the previous mission.

Johnson, R. S.

1977-01-01

34

Medical Center Farmers Markets: A Strategic Partner in the Patient-Centered Medical Home  

PubMed Central

Background The number of medical center–based farmers markets has increased in the past decade, but little is known about how such organizations contribute to the preventive health goals of the patient-centered medical home. Community Context In 2010, we started a seasonal farmers market at Penn State Hershey Medical Center to help support the institution’s commitment to the medical home. Methods We obtained descriptive data on the farmers market from hospital and market records and tracking information on the market’s Facebook and Twitter sites. We computed summary measures to characterize how the market has begun to meet the 6 standards of the 2011 National Committee for Quality Assurance’s report on the medical home. Outcome During the 2010 and 2011 seasons, 146 medical center volunteers from 40 departments formed 23 interprofessional teams that spent an average of 551 volunteer hours per season at the market, providing health screenings (n = 695) and speaking to customers (n = 636) about preventive health. Fifty-five nonmedical community health partners provided 208 hours of service at the market alongside medical center staff. Market programming contributed to 5 regional preventive health partnerships and created opportunities for interprofessional mentoring, student leadership, data management, development of social media skills, and grant-writing experience. The market contributed to all 6 medical home standards outlined by the National Committee for Quality Assurance. Interpretation Medical center markets can support medical home standards. With systematic tracking of the health effects and integration with electronic medical health records, markets hold potential to contribute to comprehensive patient-centered care.

Rovniak, Liza S.; Kraschnewski, Jennifer L.; Morrison, Kathy J.; Dillon, Judith F.; Bates, Beth Y.

2013-01-01

35

Hearing Conservation Medical Program  

NASA Technical Reports Server (NTRS)

Background on hearing impairment is presented including causes and criteria for safe noise levels. The purpose of the Hearing Conservation Program at LeRC is outlined, and the specifics of the Medical Surveillance Program for Hearing Impairment at LeRC are discussed.

1993-01-01

36

Kennedy Space Center Medical Operations and Medical Kit  

NASA Technical Reports Server (NTRS)

This slide presentation reviews the emergency medical operations at Kennedy Space center, the KSC launch and landing contingency modes, the triage site, the medical kit, and the medications available.

Scarpa, Philip

2011-01-01

37

Establishing a minority-based community clinical oncology program: the University of Medicine and Dentistry of New Jersey, New Jersey Medical School-university Hospital Cancer Center experience.  

PubMed

The Minority-Based Community Clinical Oncology Program (MB-CCOP) at University of Medicine and Dentistry of New Jersey, New Jersey Medical School-University Hospital Cancer Center was established to serve an unmet need in a medically, educationally, and socioeconomically underserved community of primarily African American and Latino patients in Newark and Essex County, New Jersey. The MB-CCOP was built on an existing infrastructure of multidisciplinary teams of cancer specialists who collaborated in patient care and an existing clinical research program, which included multilingual staff and a breast cancer navigator. This article highlights some of the unique opportunities and challenges involved in the startup of an MB-CCOP specifically relevant to an academic setting. We present a guide to the necessary infrastructure and institutional support that must be in place before considering such a program and some of the steps an institution can take to overcome barriers preventing successful enrollment of patients onto clinical trials. PMID:23814524

Wieder, Robert; Teal, Randall; Saunders, Tracie; Weiner, Bryan J

2013-03-01

38

Establishing a Minority-Based Community Clinical Oncology Program: The University of Medicine and Dentistry of New Jersey, New Jersey Medical School-University Hospital Cancer Center Experience  

PubMed Central

The Minority-Based Community Clinical Oncology Program (MB-CCOP) at University of Medicine and Dentistry of New Jersey, New Jersey Medical School–University Hospital Cancer Center was established to serve an unmet need in a medically, educationally, and socioeconomically underserved community of primarily African American and Latino patients in Newark and Essex County, New Jersey. The MB-CCOP was built on an existing infrastructure of multidisciplinary teams of cancer specialists who collaborated in patient care and an existing clinical research program, which included multilingual staff and a breast cancer navigator. This article highlights some of the unique opportunities and challenges involved in the startup of an MB-CCOP specifically relevant to an academic setting. We present a guide to the necessary infrastructure and institutional support that must be in place before considering such a program and some of the steps an institution can take to overcome barriers preventing successful enrollment of patients onto clinical trials.

Wieder, Robert; Teal, Randall; Saunders, Tracie; Weiner, Bryan J.

2013-01-01

39

Energy conservation in large hospitals & medical centers.  

PubMed

Energy conservation programs can save money for medical centers. The necessary engineering capability to evaluate these methods can be provided by Clinical Engineering staffs since the analytical ability of the Clinical Engineer is directly transferable to energy conservation programs. Several conservation methods are applicable to hospitals and deserve consideration. Cogeneration can provide significant energy conservation without any sacrifice in comfort. Solar energy is well suited to hospitals and can provide good publicity as well as energy savings. Finally, better electronic and pneumatic controls for heating, air conditioning and ventilation can provide large energy savings at moderate cost. PMID:10252004

Ostroy, L

1981-01-01

40

Taking Control: Helping Children Follow Their Medical Treatment Program  

MedlinePLUS

... PhD of the University of Kansas Medical Center, author of "Helping Children Follow their Medical Treatment Program: ... helpful in improving adherence to medical treatments. The author would appreciate any feedback from parents. Micheal A. ...

41

Training program in maxillofacial prosthetics for medical artists.  

PubMed

A program in maxillofacial prosthetics for medical artists was initiated at the University of Illinois Medical Center in 1966 as a joint enterprise of the Center for Craniofacial Anomalies of the Abraham Lincoln School of Medicine and the Department of Medical Art of the School of Associated Medical Sciences. In the intervening years, 25 medical artists have been graduated from the program. The general background of the trainees, the scope of their training, and their clinical contribution were discussed and illustrated. PMID:1058902

Katz, A; Pruzansky, S

1975-11-01

42

Yale-New Haven Medical Center  

NSDL National Science Digital Library

The Yale-New Haven Medical Center Web site contains information about the Medical Center and its constituent organizations, Yale-New Haven Hospital, the Yale University School of Medicine, and the Yale University School of Nursing. You will also find links to valuable external biomedical Internet resources.

1997-01-01

43

Emergency Medical Services Program Standards.  

ERIC Educational Resources Information Center

This guide contains 45 program standards for the emergency medical services program conducted in technical institutes in Georgia. The standards are divided into 12 categories: foundations (philosophy, purpose, goals, program objectives, availability, evaluation); admissions (admission requirements, provisional admission requirements, recruitment,…

Georgia Univ., Athens. Dept. of Vocational Education.

44

New Hanover Regional Medical Center  

Cancer.gov

ROCOG sites 5 Hospital, 3 Health Systems UPMC McKeesport, McKeesport, PA (lead) Jameson Hospital, New Castle, PA Somerset Cancer Center, Somerset, PA UPMC Murtha Cancer Center, Johnstown, PA Mercy Cancer Center, Pittsburgh, PA National Mentors Roswell Park, Buffalo, NY Washington University, St.

45

Impact of health care reform on academic medical centers.  

PubMed

The impact of health care reform on academic medical centers will be just as great as it is on community practices. The economics of academic medical centers and training programs has been challenging, and will become even more so as funding is cut and the demand for regional integrated systems mounts. This article is one of the first to articulate these challenges and is written by authors well positioned to understand this arena. PMID:22099710

Taylor, Ian L; Clinchy, Ross McVicker

2012-01-01

46

Meharry Medical College-Community Health Centers Network  

Cancer.gov

The Meharry Medical College Community Health Centers (CHCs) Community Networks Program (CNP) is a component of the Meharry Center for Optimal Health. Its purpose is to reduce cancer health disparities among African Americans by conducting community-based participatory research, education, and training in three urban communities in Tennessee (Nashville, Chattanooga, and Memphis).

47

NCI Community Cancer Centers Program  

Cancer.gov

NCI Community Cancer Centers Program NCCCP Program Advisory Committee 1 Maureen Johnson, PhD Norman Coleman, MD NCCCP Project Officer Special Advisor Special Assistant to the Director Radiation Oncology Branch, NIH 31 Center Drive

48

INDUSTRIAL ASSESSMENT CENTER PROGRAM  

SciTech Connect

Since its establishment in 1990, San Diego State University’s Industrial Assessment Center (IAC) has served close to 400 small and medium-sized manufacturing plants in Southern California. SDSU/IAC’s efforts to transfer state-of-the-art technologies to industry have increased revenues, cultivated creativity, improved efficiencies, and benefited the environment. A substantial benefit from the program has been the ongoing training of engineering faculty and students. During this funding cycle, SDSU/IAC has trained 31 students, 7 of the graduate. A total of 92 assessments and 108 assessment days were completed, resulting in 638 assessment recommendations.

ASFAW BEYENE

2008-09-29

49

Boston Medical Center MB-CCOP - National Cancer Institute  

Cancer.gov

The newly funded Minority-based Community Clinical Oncology Program at Boston Medical Center (BMC MB-CCOP) uses a patient navigation model to provide a diverse patient population with access to innovative prevention, treatment, symptom management and survivorship clinical trials. In an effort to increase minority referrals to cancer care and cancer clinical trials at the BMC MB-CCOP, five of the greater Boston community health centers within the Boston Health Net have partnered in this program.

50

Emergency Medical Services Program Guide.  

ERIC Educational Resources Information Center

This program guide contains the standard emergency medical services curriculum for technical institutes in Georgia. The curriculum encompasses the minimum competencies required for entry-level workers in the emergency medical services field, and includes job skills in six emergency medical services divisions outlined in the national curriculum:…

Georgia Univ., Athens. Dept. of Vocational Education.

51

75 FR 39622 - Proposed Information Collection (Health Resource Center Medical Center Payment Form) Activity...  

Federal Register 2010, 2011, 2012, 2013

...Collection (Health Resource Center Medical Center Payment Form) Activity...Title: Health Resource Center Medical Center Payment Form, VA Form...used to allow claimants with medical care copayment debts to pay online with a credit card or...

2010-07-09

52

Day Care Center Enrichment Program.  

ERIC Educational Resources Information Center

This guide to a West Virginia Department of Welfare project for upgrading the quality of day care centers throughout the state presents samples of the forms used in the program, accompanied by a brief description of the program's format, requirements and procedures. The Day Care Center Enrichment Program provides a monetary incentive for…

West Virginia State Dept. of Welfare, Charleston.

53

Cancer Centers Program - Recent Communications  

Cancer.gov

 Cancer Centers Program - Recent Communications Home > News & Events > Recent Communications Recent Communications Participation in Trials of Rare Cancers NCI-designated Cancer Centers play a key national role in developing new therapies

54

Cancer Centers Program - News & Events  

Cancer.gov

Cancer Centers Program - News & Events Home > News & Events > Recent Communications > Archives Communications Archives PLCO Etiology and Early Marker Studies (EEMS) To: Potential EEMS Investigator From: EEMS Coordinating Center Regarding:

55

Establishing a Minority-Based Community Clinical Oncology Program: The University of Medicine and Dentistry of New Jersey, New Jersey Medical School–University Hospital Cancer Center Experience. | accrualnet.cancer.gov  

Cancer.gov

This academic medical center case study demonstrates the challenges encountered and lessons learned in establishing a NCI-supported Minority-Based Community Clinical Oncology Program (MB-CCOP). Despite programmatic strengths, successful accrual of sufficient numbers of minority patients was a challenge.

56

Cancer Centers Program - About the Program  

Cancer.gov

Cancer Centers Program - About the Program Our History Staff Directory Contact Us Driving Directions Home > About Us > Staff Directory Staff Directory Linda K. Weiss, Ph.D. | Chief weissl@mail.nih.gov Jaswant S. Bhorjee, Ph.D.

57

Evaporative cooling system for remote medical center  

SciTech Connect

Beaudin Ganze Consulting Engineers (BGCE) undertook the challenge of designing an environmentally safe heating, ventilating and air-conditioning system for the remodel and expansion of Provenant Medical Surgical Center at Summit in Frisco, Colo. The medical facility, located in the Rocky Mountains, was to be transformed from a modular semi-permanent emergency room structure to a larger, permanent surgical medical center. The emergency room clinic would not be closed during this process. Complex mechanical and electrical issues were resolved by the BGCE team. The issues included the continuity of emergency medical services, designing an efficient air-conditioning system and, if possible, eliminating ozone-depleting chlorofluorocarbons (CFC`s) from the site.

Beaudin, D. [Beaudin Ganze Consulting Engineers, Inc., Vail, CO (United States)

1996-05-01

58

Baccalaureate program in medical physics  

Microsoft Academic Search

One category of applied physics presently of great interest is medical physics; in large measure this is due to the increasingly rapid transfer of physical concepts and techniques to the area of health care. The traditional entrance to the medical physics profession is at the master's level. A four-year baccalaureate applied physics program is described, which, among other things, provides

Michael Chopp; A. R. Liboff

1978-01-01

59

The Center for Healthy Weight: an academic medical center response to childhood obesity  

PubMed Central

Childhood obesity represents a worldwide medical and public health challenge. Academic medical centers cannot avoid the effects of the obesity epidemic, and must adopt strategies for their academic, clinical and public policy responses to childhood obesity. The Center for Healthy Weight at Stanford University and Lucile Packard Children's Hospital at Stanford provides an example and model of one such strategy. The design provides both breadth and depth through six cores: Research, Patient Care, Community Programs, Advocating for Public Policy Change, Training and Professional Education, and the Healthy Hospital Initiative. The Center and its cores are designed to facilitate interdisciplinary collaboration across the university, medical school, children's hospital and surrounding community. The foci of these cores are likely to be relevant to almost any academic medical center's mission and functions.

Robinson, T N; Kemby, K M

2012-01-01

60

CDRP - Funded Institutions - New Hanover Regional Medical Center  

Cancer.gov

The New Hanover Regional Medical Center (NHRMC) is the largest provider of health care services in Southeastern North Carolina. NHRMC is the network's 769-bed tertiary, teaching facility. Affiliated with the School of Medicine at the University of North Carolina at Chapel Hill and the South East Area Health Education Center, it offers residency programs in surgery, obstetrics and gynecology, family practice, and internal medicine.

61

Academic medical center libraries on the Web.  

PubMed

Academic medical center libraries are moving towards publishing electronically, utilizing networked technologies, and creating digital libraries. The catalyst for this movement has been the Web. An analysis of academic medical center library Web pages was undertaken to assess the information created and communicated in early 1997. A summary of present uses and suggestions for future applications is provided. A method for evaluating and describing the content of library Web sites was designed. The evaluation included categorizing basic information such as description and access to library services, access to commercial databases, and use of interactive forms. The main goal of the evaluation was to assess original resources produced by these libraries. PMID:9803298

Tannery, N H; Wessel, C B

1998-10-01

62

A Telemedicine Program for Diabetic Retinopathy in a Veterans Affairs Medical Center—the Joslin Vision Network Eye Health Care Model  

Microsoft Academic Search

? PURPOSE: To extend access to diabetic eye care and characterize the extent of diabetic retinopathy {DR) and other ocular findings using the Joslin Vision Network (JVN). ? DESIGN: Retrospective observational cohort study. ? METHODS: Outpatients at the Togus VA Medical Center with diabetes mellitus, impaired fasting glu- cose, or impaired glucose tolerance underwent JVN protocol imaging. Images were transmitted

ANTHONY A. CAVALLERANO; JERRY D. CAVALLERANO; PAULA KATALINIC; BEATRICE BLAKE; MICHAEL RYNNE; PAUL R. CONLIN; KRISTEN HOCK; PAUL AIELLO; LLOYD M. AIELLO

63

The Six Sigma initiative at Mount Sinai Medical Center.  

PubMed

Lean Six Sigma, in various forms, has been used widely in many Fortune 500 companies. Motorola, General Electric, Sony, American Express, and Bechtel all use Six Sigma to improve quality and performance. While the impact of this methodology has been documented extensively by the press in manufacturing and transactional settings, less evidence is available regarding its utility in health care environments. Mount Sinai Medical Center initiated a Six Sigma program in 2000 to determine its applicability and value in a large academic medical center. This article discusses Mount Sinai Medical Center's experience adapting this methodology to improve both patient care and business processes and outcomes. We present an overview of Six Sigma, and offer examples of projects undertaken using this data-driven approach to performance improvement. Lastly, the article provides insights and lessons learned regarding this organization-wide experience. PMID:18306249

Chassin, Robert

2008-01-01

64

Sanford USD Medical Center, Sioux Falls, South Dakota  

Cancer.gov

Sanford USD Medical Center, Sioux Falls, South Dakota Sanford Cancer Center 1305 W. 18th Street Sioux Falls, SD 57105 www.sanfordhealth.org • Pat O’Brien, MD, President, Sanford USD Medical Center • Dan Blue, MD, President, Sanford Clinic •

65

Teaching Health Centers: A New Paradigm in Graduate Medical Education  

PubMed Central

The Patient Protection and Affordable Care Act (ACA) of 2010 created the Teaching Health Center Graduate Medical Education (THCGME) program to provide graduate medical education (GME) funding directly to community-based health centers that expand or establish new primary care residency programs. The THCGME program was the legislation’s only new investment in GME, and it represents a significant departure from the Medicare GME funding system. It provides payments to ambulatory care centers for both direct and indirect GME expenses and mandates a level of reporting from recipients that is not required for Medicare GME support. This initial look at the 11 inaugural teaching health centers (THCs) shows they are training primary care residents in relevant delivery models (e.g., interprofessional teams, patient-centered medical homes), developing educational initiatives that address primary care practice in underserved areas, and transforming organizational and funding structures to support community-based training. The THCs plan to evaluate and report resident performance, patient quality of care, and graduate outcomes. The work of the first THCs has implications for primary care training, the GME system, and future policies and legislation aimed at strengthening the health care workforce.

Chen, Candice; Chen, Frederick; Mullan, Fitzhugh

2013-01-01

66

Data-Centered Program Understanding  

Microsoft Academic Search

Software maintainers use a variety of techniques and representations for understanding programs. Most of these representations first focus on the control structure of a program such as call graphs, control flow graphs and paths. We propose a new approach for program understanding that is data-centered-it first focuses on data and data relationships. We have experimented on both small and large

Jay K. Joiner; W. T. Tsai; K. P. Chen; S. Subramanian; J. Sun; H. Gandamaneni

1994-01-01

67

Geriatric education centers address medication issues affecting older adults.  

PubMed Central

Serious problems have been identified in the prescribing of medications for elderly patients and use of prescription and nonprescription drugs by older persons. Overuse, underuse, and inappropriate use of drugs by the elderly have been widely documented, and the harmful consequences have been described. This paper reviews information concerning the need for action to improve health professionals' knowledge and skills with respect to drugs and the elderly and activities being undertaken by geriatric education centers (GECs) to enhance these capacities. Grant support for the centers from the Health Resources and Services Administration, a Public Health Service component agency, began in 1983. In fiscal year 1992 there are 31 centers operating in 26 States. The centers are multi-institutional and conduct four types of educational activities. These include review of pharmacological issues for multidisciplinary groups, specialized training for pharmacists, discipline-specific programs focusing on medication issues, and activities aimed at educating the public. Examples of the GECs' educational activities are given.

Kahl, A; Blandford, D H; Krueger, K; Zwick, D I

1992-01-01

68

Report on Health Manpower and Programs in Ohio: Part Two. Allied Health, Area Health Education Centers, Dentistry, Emergency Medical Services, Nursing, Optometry, Pharmacy, Podiatry, and Veterinary Medicine.  

ERIC Educational Resources Information Center

Information on health occupations educational programs in Ohio and current and projected employment needs for health professionals are presented. The following health fields are examined: allied health, dentistry, emergency medical service, nursing, optometry, pharmacy, podiatry, and veterinary medicine. Issues and trends affecting each field are…

Ohio Board of Regents, Columbus.

69

Two Programs for Primary Care Practitioners: Family Medicine Training in an Affiliated University Hospital Program and Primary Care Graduate Training in an Urban Private Medical Center  

ERIC Educational Resources Information Center

Eugene Farley describes the University of Rochester and Highland Hospital Family Medicine Program for teaching of primary care internists, primary care pediatricians, and family doctors. Thomas Piemme presents the George Washington University School of Medicine alternative, a 2-year program in an ambulatory setting leading to broad eligibility in…

Farley, Eugene S.; Piemme, Thomas E.

1975-01-01

70

Ames Research Center Cryogenics Program.  

National Technical Information Service (NTIS)

Viewgraphs describe the Ames Research Center's cryogenics program. Diagrams are given of a fluid management system, a centrifugal pump, a flow meter, a liquid helium test facility, an extra-vehicular activity coupler concept, a dewar support with passive ...

P. Kittel

1987-01-01

71

Center for Medical, Agricultural, and Veterinary Entomology  

NSDL National Science Digital Library

The Center for Medical, Agricultural, and Veterinary Entomology (CMAVE) operates under the auspices of the USDA Agricultural Research Service. CMAVE "conducts research aimed at reducing or eliminating the harm caused by insects to crops, stored products, livestock and humans. Research is directed not only at the insects themselves but at pathogens they may transmit and at identifying inherent protective mechanisms in plants." The Center's website links to information about CMAVE researchers and research units. The site also lists CMAVE publications from 1991 to the present year. Reprints may be requested directly from the author(s), or from the CMAVE Secretary. Site visitors will also find links to employment listings from the USDA.

2008-10-02

72

Center for Medical, Agricultural, and Veterinary Entomology  

NSDL National Science Digital Library

The Center for Medical, Agricultural, and Veterinary Entomology (CMAVE) operates under the auspices of the USDA Agricultural Research Service. CMAVE "conducts research aimed at reducing or eliminating the harm caused by insects to crops, stored products, livestock and humans. Research is directed not only at the insects themselves but at pathogens they may transmit and at identifying inherent protective mechanisms in plants." The Center's website links to information about CMAVE researchers and research units. The site also lists CMAVE publications from 1991 to the present year. Reprints may be requested directly from the author(s), or from the CMAVE Secretary. Site visitors will also find links to employment listings from the USDA.

73

United States Air Force Summer Research Program 1991. Graduate Student Research Program (GSRP) Reports. Volume 6. Armstrong Laboratory, Wilford Hall Medical Center.  

National Technical Information Service (NTIS)

This program was started in 1982 as an adjunct to the SFRP. Its objectives are to permit graduate students to participate in research under the direction of a faculty member at an Air Force laboratory; stimulate professional association among graduate stu...

G. Moore

1992-01-01

74

75 FR 22438 - Proposed Information Collection (Health Resource Center Medical Center Payment Form) Activity...  

Federal Register 2010, 2011, 2012, 2013

...claimants to pay their medical care copayment online. DATES: Written comments...Health Resource Center Medical Center Payment Form, VA...to allow claimants with medical care copayment debts to pay online with a credit card or...

2010-04-28

75

Energy use baselining study for the National Naval Medical Center  

SciTech Connect

This report provides an energy consumption profile for fourteen buildings at the National Naval Medical Center (NNMC) in Bethesda, Maryland. Recommendations are also made for viable energy efficiency projects funded with assistance from the servicing utility (Potomic Electric Power Company) in the form of rebates and incentives available in their Demand Side Management (DSM) program and through Shared Energy Savings (SES) projects. This report also provides estimates of costs and potential energy savings of the recommended projects.

Parker, G.B.; Halverson, M.A.

1992-04-01

76

University of California Area Health Education Center Biomedical Library Program.  

National Technical Information Service (NTIS)

This paper describes the University of California's Central San Joaquin Valley Area Health Education Center (AHEC) Biomedical Library Program, which is intended to improve library services in hospitals and other medical care institutions in the region and...

L. G. Jordan

1979-01-01

77

DOE Center of Excellence in Medical Laser Applications. Final report.  

National Technical Information Service (NTIS)

An engineering network of collaborating medical laser laboratories are developing laser and optical technologies for medical diagnosis and therapy and are translating the engineering into medical centers in Portland, OR, Houston, TX, and Galveston, TX. Th...

S. L. Jacques

1998-01-01

78

NCI Community Cancer Centers Program - Media Center Overview  

Cancer.gov

NCI Community Cancer Centers Program - Media Center Overview Search NCCCP For General Information Frank Blanchard (Contractor) Director, Public Affairs SAIC-Frederick, Inc. National Cancer Institute at Frederick

79

The medical story. [Skylab program  

NASA Technical Reports Server (NTRS)

An overview of the Skylab medical program is given. All medical subsystems provided in the orbital workshop functioned satisfactorily. Major systems included the food system, the waste management system, and provisions per personal hygiene. A series of lockers in the wardroom was used to stow the inflight medical support system. Cardiovascular counter pressure garments were launched in the orbital workshop for all three crews. Life services experiments were carried out. Two experiments were conducted in the Skylab missions to study the performance of the cardiovascular system during weightless flight and return to earth and the one g environment. A series of experiments was conducted to study mineral balance and the bioassay of body fluids.

Johnston, R. S.; Dietlein, L. F.; Michel, E. L.

1974-01-01

80

Financial performance of academic medical center hospitals.  

PubMed

In its 1990 report to the U.S. Congress and to the Secretary of Health and Human Services, the Council on Graduate Medical Education noted that the financial status of teaching hospitals, as measured by trends in profit margins, had deteriorated during the years 1985-1988, and that major teaching hospitals had the lowest margins in the hospital industry. To gain insight into the financial viability of major teaching hospitals, the authors updated the analysis of the financial status of these hospitals and further analyzed their financial performance. They identified academic medical center hospitals using criteria established by the Association of American Medical Colleges' Council on Teaching Hospitals; accessed financial performance data on these institutions from the Health Care Financing Administration's prospective payment system minimum-data sets for the years 1987-1991; evaluated the financial performance of these institutions for the five-year period by calculating their total margin, return on equity, and financial leverage; and determined the percentage of Medicaid discharges for each year. The analyses show that academic medical center hospitals had stabilized their short-term financial performance in recent years. Nevertheless, their financial position is not strong. Their return on equity and debt financing percentages suggest that they will be forced to reduce their future rate of investment in new plant and equipment. Further, their overall financial performance is threatened by the growing percentage of Medicaid discharges. These observations raise serious concerns about the financial viability of these institutions in the face of continued changes in the financing of hospital services. PMID:8397596

Whitcomb, M E; Cleverly, W O

1993-10-01

81

Medical waste management in Jordan: A study at the King Hussein Medical Center  

SciTech Connect

As in many other developing countries, the generation of regulated medical waste (RMW) in Jordan has increased significantly over the last few decades. Despite the serious impacts of RMW on humans and the environment, only minor attention has been directed to its proper handling and disposal. This study was conducted in the form of a case study at one of Jordan's leading medical centers, namely, the King Hussein Medical Center (KHMC). Its purpose was to report on the current status of medical waste management at KHMC and propose possible measures to improve it. In general, it was found that the center's administration was reasonably aware of the importance of medical waste management and practiced some of the measures to adequately handle waste generated at the center. However, it was also found that significant voids were present that need to be addressed in the future including efficient segregation, the use of coded and colored bags, better handling and transfer means, and better monitoring and tracking techniques, as well as the need for training and awareness programs for the personnel.

Oweis, Rami [Biomedical Engineering Department, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110 (Jordan)]. E-mail: oweis@just.edu.jo; Al-Widyan, Mohamad [Biosystems Engineering Department, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110 (Jordan)]. E-mail: widyan@just.edu.jo; Al-Limoon, Ohood [Biomedical Engineering Department, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110 (Jordan)]. E-mail: oweis@just.edu.jo

2005-07-01

82

Filmless radiology at Brooke Army Medical Center  

NASA Astrophysics Data System (ADS)

The hospital at Brooke Army Medical Center in San Antonio, Texas has an essentially filmless radiology department. Mammography is one of the few services still using film. The radiology department at Brooke takes advantage of a very capable Lockheed Martin PACS to achieve the filmless operation. The old hospital has been replaced by a new hospital, the new Brooke Army Medical Center. As a basis for predictions of activity at new Brooke, the activities at the old Brooke Army Medical Center were examined. The heart of the PACS at Brooke is the image server with an associated database. The image server has the performance required to keep the radiologist from returning to film for diagnosis. A directly connected workstation can present a full screen of images in less than two seconds, even during the busiest hour of the day for this large hospital. In addition the database is used to organize the workflow for the radiology examinations through the hospital. Information about the activity at the new Brooke hospital is used to predict the utilization of the short term storage and the long term storage. In particular, the time that an examination will be retained on the new Brooke short term storage is measured. The Brooke medical complex generates 384.8 exams per day on a typical weekday. The number of exams on a weekend is 40 percent of the exams on the weekday. The storage required is 18.3 gigabytes per day in the short term storage of the Image Storage Unit (ISU) and 9.7 gigabytes per day in the archive. The 256 gigabytes of the ISU will hold 11.7 weeks or about 2.5 months of exams. The archive will hold four years of exams in tow jukeboxes. A working year will have an effective 300 days of equivalent weekday radiology load. By ten years from now the hospital complex can be expected to handle to load that is estimated to be about 160 percent of the current load. With the changes in the storage of disks and archive media that will have occurred by that time, the number of weeks of storage will be greater than that held now.

Wilson, Dennis L.

1997-05-01

83

"On the scene": Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.  

PubMed

Cincinnati Children's Hospital Medical Center is transforming the way it cares for its patients by building a sophisticated model that focuses on accountable care across the continuum. As nurses from different parts of the organization, we act as change agents to develop an integrated structure built around the patient's needs, from prevention to self-management. We demonstrate how organizational structure, fluid staffing, professional practice, and healthy behaviors operationally catalyze the continuum of care, and how we utilize self-management, community-based programs, and care integration to change the outcome for our patients and families. While care coordination is taking on many forms in medical centers around the world, Cincinnati Children's is proud and passionate about sharing its best practices along the way. PMID:24317030

Hoying, Cheryl; Lecher, William T; Mosko, Dee Dee; Roberto, Nancy; Mason, Char; Murphy, Susan Wade; Taylor, Janalee; Cortina, Sandra; Mathison, Elizabeth; Dick, Leaann; Schoettker, Pamela J; Britto, Maria T

2014-01-01

84

Patient Population of a Referral Medical Center  

PubMed Central

An analysis has been made of the patient population attending North Carolina Memorial Hospital (NCMH), primarily a referral center, in a nine-week period, with particular attention paid to county of residence of patients and to the type of care being obtained (consultative or continuing). Patients' use of NCMH, in relation to the population of their county of residence, showed a variability that could not be explained completely by distance from NCMH. Evidence is presented suggesting that the extent of other medical care personnel and facilities in the home county had little influence on utilization rates for this referral center. One significant determinant of increased utilization of NCMH appeared to be lack of county welfare funds for payment for medical care of its indigent population. In a review of the medical records of a five percent random sample of the total patient population, it was found that approximately 16 percent of the patients were probably receiving primary, continuing care at NCMH, i.e., care usually provided by family or personal physicians. Among Orange county residents approximately 35 percent were in the primary care group. Such patients had an average 6.3 visits per year to NCMH clinics and emergency room, compared to 2.3 visits per year for patients receiving consultative care. It is suggested that continuing tabulation of hospital utilization data, in addition to the usual statistics on visits and admissions, would be of value in recognizing changing patterns of utilization and in determining the type of service best suited to each individual patient.

Warren, Sarah Lou; Williams, T. Franklin; Wells, H. Bradley; Hogan, Michael D.

1966-01-01

85

Patient-centered medical homes: recognition and reimbursement - part 3.  

PubMed

As a result of current weaknesses and deficiencies in the United States health care system, the concept of patientcentered medical homes (PCMHs), a way of organizing primary care that emphasizes coordination and communication among patients and providers, has taken root. The formation of the National Committee for Quality Assurance-Patient- Centered Medical Homes (NCQA-PCMH) Recognition Program and its associated standards has assisted many clinicians seeking to evolve with these changing models of medical practice. Not only have PCMHs been shown to improve patient health outcomes, but they also have been associated with decreasing overall health care costs. Additionally, there are many benefits of primary care practice sites to develop into a PCMH, including eligibility for both private party and government reimbursement. PMID:24849691

Stack, Eric; Kier, Karen

2014-05-01

86

Implementation of a multidisciplinary program for active duty personnel seeking care for low back pain in a U.S. Navy Medical Center: a feasibility study.  

PubMed

The aim of the pilot study was to evaluate a multidisciplinary program for nonspecific low back pain (NSLBP) at a major U.S. Navy base. In this single blinded randomized clinical trial, subjects were drawn from a larger, prospective cohort of active duty service members seeking care for NSLBP pain at a U.S. Navy Branch Medical Clinic. Outcome measures included return to work, self-reported pain, function, and psychological distress. Subjects were randomly allocated to one of two study arms: a multidisciplinary reconditioning program or the current standard of care for low back pain. The intervention lasted 4 weeks with a 12-week follow-up. Thirty-three subjects were enrolled. Subjects allocated to multidisciplinary care reported significantly lower perceived disability (p = 0.014) and less pain than those allocated to usual care at the end of the intervention period. All subjects returned to their usual duty following the conclusion of the intervention. The implementation of the intervention program was successful. Subjects in the multidisciplinary program showed a clinically significant improvement in the perception of disability compared to the usual care group. This is an important finding since perception of disability is associated with long-term functional outcome. PMID:23025138

Campello, Marco; Ziemke, Gregg; Hiebert, Rudi; Weiser, Sherri; Brinkmeyer, Mary; Fox, Bryan; Dail, Jessica; Kerr, Stewart; Hinnant, Ivan; Nordin, Margareta

2012-09-01

87

NASA Johnson Space Center Medical Licensing Opportunities  

NASA Technical Reports Server (NTRS)

This presentation reviews patented medical items that are available for licensing in the areas of Laboratory Technologies, Medical Devices, Medical Equipment and other technologies that are of interest to the medical community.

Hernandez-Moya, Sonia

2009-01-01

88

Stanford University Medical Center: Ovarian Kaleidoscope Database  

NSDL National Science Digital Library

The Ovarian Kaleidoscope Database (OKDB) was developed by the Hsueh Lab in the Department of Gynecology & Obstetrics at Stanford University Medical Center. The OKDB "provides information regarding the biological function, expression pattern and regulation of genes expressed in the ovary. It also contains information on gene sequences, chromosomal localization, human and murine mutation phenotypes and biomedical publication links." Database users can conduct a Gene Search, or browse an extensive Alphabetical List of Ovarian Genes. After registering with OKDB, site users can access Submit and Update options as well. The site also contains an interactive diagram of Ovarian Gene Mutations Associated with Infertility or Sub-Fertility, information about Ovarian Gene Maps, and a selection of Useful Links.

89

Developing a comprehensive cancer center rehabilitation program.  

PubMed

As more oncology care is provided in the outpatient setting, cancer centers and oncology healthcare professionals are presented with greater opportunities to substantially enhance the quality of care given to patients. A diagnosis of cancer is a life-changing event that has many implications for the patient, as well as his or her family members. The stress of dealing with a new cancer diagnosis and the ensuing medical treatment can be overwhelming. Treatment for cancer may involve complex protocols, leaving patents mentally and physically exhausted. A multidisciplinary approach to the primary treatment plan-surgery, chemotherapy, and radiation therapy--is the standard of care. However, formalized rehabilitation programs for this patient population are unique. Many facilities rely on a centralized rehabilitation department within a medical center to meet the needs of oncology patients. Although this is the traditional approach, the growing complexity of cancer treatment provides an opportunity to enhance the rehabilitation process. The Gibbs Regional Cancer Center (GRCC), which is a part of Spartanburg Regional Healthcare System, teamed up with the hospital rehabilitation department to create a venue specifically designed for oncology patients. Described within this article is the developmental process of the GRCC Rehabilitation Program. PMID:15559770

Clark, June; Ford, Susan; Hegedus, Patricia

2004-01-01

90

Replacing the academic medical center's teaching hospital.  

PubMed

Addressing the need for updated teaching hospital facilities is one of the most significant issues that an academic medical center faces. The authors describe the process they underwent in deciding to build a new facility at the Medical University of South Carolina (MUSC). Initial issues included whether or not the teaching hospital would continue to play a role in clinical education and whether to replace or renovate the existing facility. Once the decision to build was reached, MUSC had to choose between an on-campus or distant site for the new hospital and determine what the function of the old hospital would be. The authors examine these questions and discuss the factors involved in different stages of decision making, in order to provide the academic medicine community guidance in negotiating similar situations. Open communication within MUSC and with the greater community was a key component of the success of the enterprise to date. The authors argue that decisions concerning site, size, and focus of the hospital must be made by developing university-wide and community consensus among many different constituencies. The most important elements in the success at MUSC were having unified leadership, incorporating constituent input, engaging an external consultant, remaining unfazed by unanticipated challenges, and adhering to a realistic, aggressive timetable. The authors share their strategies for identifying and successfully managing these complex and potentially divisive aspects of building a new teaching hospital. PMID:16249296

Reves, J G; Smith, Stuart; Greenberg, Ray; Johnson, Donald

2005-11-01

91

Evaluating community engagement in an academic medical center.  

PubMed

From the perspective of academic medical centers (AMCs), community engagement is a collaborative process of working toward mutually defined goals to improve the community's health, and involves partnerships between AMCs, individuals, and entities representing the surrounding community. AMCs increasingly recognize the importance of community engagement, and recent programs such as Prevention Research Centers and Clinical and Translational Science Awards have highlighted community engagement activities. However, there is no standard or accepted metric for evaluating AMCs' performance and impact of community engagement activities.In this article, the authors present a framework for evaluating AMCs' community engagement activities. The framework includes broad goals and specific activities within each goal, wherein goals and activities are evaluated using a health services research framework consisting of structure, process, and outcome criteria. To illustrate how to use this community engagement evaluation framework, the authors present specific community engagement goals and activities of the University of Rochester Medical Center to (1) improve the health of the community served by the AMC; (2) increase the AMC's capacity for community engagement; and (3) increase generalizable knowledge and practices in community engagement and public health.Using a structure-process-outcomes framework, a multidisciplinary team should regularly evaluate an AMC's community engagement program with the purpose of measurably improving the performance of the AMC and the health of its surrounding community. PMID:24556768

Szilagyi, Peter G; Shone, Laura P; Dozier, Ann M; Newton, Gail L; Green, Theresa; Bennett, Nancy M

2014-04-01

92

The need of community health centers for international medical graduates.  

PubMed Central

OBJECTIVES: This study sought to determine whether community health centers need international medical graduates to fill staff positions. METHODS: The authors surveyed 100 community health center administrators to learn about their perceptions of international medical graduates. RESULTS: Nationally, about one quarter of community health centers depend on international medical graduates to fill physician vacancies; most of these centers foresee unfilled positions in the event of a cutback. CONCLUSIONS: Policies calling for a national reduction in the supply of international medical graduates need to be balanced by an understanding of these individuals' role in reducing local physician shortages.

Baer, L D; Konrad, T R; Miller, J S

1999-01-01

93

Medical decision support: experience with implementing the Arden Syntax at the Columbia-Presbyterian Medical Center.  

PubMed Central

We began implementation of a medical decision support system (MDSS) at the Columbia-Presbyterian Medical Center (CPMC) using the Arden Syntax in 1992. The Clinical Event Monitor which executes the Medical Logic Modules (MLMs) runs on a mainframe computer. Data are stored in a relational database and accessed via PL/I programs known as Data Access Modules (DAMs). Currently we have 18 clinical, 12 research and 10 administrative MLMs. On average, the clinical MLMs generate 50357 simple interpretations of laboratory data and 1080 alerts each month. The number of alerts actually read varies by subject of the MLM from 32.4% to 73.5%. Most simple interpretations are not read at all. A significant problem of MLMs is maintenance, and changes in laboratory testing and message output can impair MLM execution significantly. We are now using relational database technology and coded MLM output to study the process outcome of our MDSS.

Jenders, R. A.; Hripcsak, G.; Sideli, R. V.; DuMouchel, W.; Zhang, H.; Cimino, J. J.; Johnson, S. B.; Sherman, E. H.; Clayton, P. D.

1995-01-01

94

Public Health Potential of Farmers' Markets on Medical Center Campuses: A Case Study From Penn State Milton S. Hershey Medical Center  

PubMed Central

There are currently 7175 farmers’ markets in the United States, and these organizations are increasingly viewed as one facet of the solution to national health problems. There has been a recent trend toward establishing markets on medical center campuses, and such partnerships can augment a medical center's ability to serve community health. However, to our knowledge no studies have described the emergence of a market at a medical center, the barriers and challenges such an initiative has faced, or the nature of programming it may foster. We provide a qualitative description of the process of starting a seasonal, once-a-week, producers-only market at the Pennsylvania State Hershey Medical Center, and we call for greater public health attention to these emerging community spaces.

Kraschnewski, Jennifer L.; Rovniak, Liza S.

2011-01-01

95

Clinical Oncology Assistantship Program for Medical Students.  

ERIC Educational Resources Information Center

The Clinical Oncology Assistantship Program at the University of Arkansas for Medical Sciences is described, along with student reactions to the program. The summer elective program involves cancer lectures (one week) and clinical exposure (nine weeks) in medical, surgical, and pediatric oncology services, as well as self-directed learning…

Neilan, Barbara A.; And Others

1985-01-01

96

NCI Community Cancer Centers Program - Media Center Overview  

Cancer.gov

NCI Community Cancer Centers Program - Media Center Overview Search NCCCP NCCCP Home About Focus Areas NCI in the Community News & Publications Contact Contact For General Information Frank Blanchard (Contractor) Director,

97

Summer research program (1992). Summer faculty research program (SFRP) reports. Volume 6. Arnold Engineering Development Center, Civil Engineering Laboratory, Frank J. Seiler research laboratory, Wilford Hall Medical Center. Annual report, 1 September 1991-31 August 1992  

Microsoft Academic Search

The following Topics were among those completed at the Air Force Faculty Research Summer Program: Experiences using Model-Based Techniques for the Development of a Large Parallel Instrumentation System; Data Reduction of Laser Induced Fluorescence in Rocket Motor Exhausts; Feasibility of Wavelet Analysis for Plume Data Study; Characterization of Seagrass Meadows in St. Andrew (Crooked Island) Sound, Northern Gulf of Mexico;

1992-01-01

98

Programming medical rosters in Prolog.  

PubMed

The Logic Programming language, Prolog, is used to schedule the medical duty roster for a French psychiatric hospital. Each of the seventeen doctors participating is asked to fill in a form indicating his preferences (prefers, can or cannot) for the slots (days and weekends) of a roster covering a period of three months. An algorithm has been designed which seems to produce an optimal solution, in the sense that as many participants as possible are satisfied. First of all, the program fills in the 'preferred' slots, then the 'possible' slots and finally the 'not-impossible' slots. A number of constraints are applied: two consecutive roster slots are not allowed and the number of allocations is limited for each person. If more than one person is a candidate for a given slot at a given preference level, then a probabilistic conflict resolution procedure is put into action. Prolog, which is modular and easily modifiable, seems, with its declarative interpretation and backtracking mechanism, to be well adapted to the solution of such problems. PMID:3185023

Rosenberg, S

1988-01-01

99

Meharry Medical Treatment Effectiveness Program. Abstract, Executive Summary and Final Report.  

National Technical Information Service (NTIS)

The Medical Treatment Effectiveness Program at Meharry Medical College was established in 1993, to examine the disparity in health outcomes between African Americans and whites. During its three-year tenure as a developmental Center, the Meharry MEDTEP un...

B. Nelson-Knuckles

1996-01-01

100

Accreditation of Allied Medical Education Programs.  

ERIC Educational Resources Information Center

Prepared by the Council on Medical Education of the American Medical Association with the cooperation of collaborating organizations, this document is a collection of guidelines for accredited programs for medical assistants, nuclear medicine technology, orthopedic assistants, radiation therapy technology, and radiologic technologists. The…

American Medical Association, Chicago, IL. Council on Medical Education.

101

Effectiveness of a graduate medical education program for improving medical event reporting attitude and behavior  

PubMed Central

??Objectives: To evaluate the effectiveness of an educational program for improving medical event reporting attitude and behavior in the ambulatory care setting among graduate medical trainees. Design: One group pre- and post-test study. Setting: The University of Texas Southwestern Medical Center at Dallas Family Medicine Residency Program. Participants: All family practice residents (n = 30). Intervention: Patient safety educational program implemented through an introductory lecture and 6 monthly conferences, June to December 2002, involving medical events that occurred in the ambulatory care setting. Outcome measures: Medical event reporting attitude and behavior at baseline and at 6 month follow up, and barriers to medical event reporting at the 6 month follow up. Results: Program attendance was significantly correlated with medical event reporting attitude and behavior change (rho = 0.525, p = 0.003). The median change in medical event reporting attitude and behavior was zero and not statistically significant (p = 0.566). Major barriers to medical event reporting were lack of time, extra paper work, and concern about career and personal reputation. Conclusions: Attending the patient safety educational program was key for promoting a positive medical event reporting attitude and behavior change among graduate trainees. Major barriers to medical event reporting were lack of time, extra paper work, and concern about career and personal reputation. Future research will need to focus on reducing these barriers and to evaluate the effectiveness of such a program over longer periods of time, since making a positive change in medical event reporting attitude and behavior must be made at the individual and organizational levels.

Coyle, Y; Mercer, S; Murphy-Cullen, C; Schneider, G; Hynan, L

2005-01-01

102

Miller Center: Presidential Recordings Program  

NSDL National Science Digital Library

Since 1940, six American presidents have secretly recorded close to 5,000 hours of conversations, many of which have been of great interest to presidential historians, the press, and the general public. This remarkable site provides access to a wide range of those conversations, and is hosted and maintained by the Presidential Recordings Program at the University of Virginia's Miller Center of Public Affairs. From the site's homepage, visitors can browse a list of highlighted audio clips (complete with full transcripts) and also access educational resource materials for use in the classroom. The site also has some additional virtual exhibits on a number of topics, including Vietnam and the civil rights movement. Finally, the site also contains a search engine so that visitors can quickly locate the audio clip or conversation they are looking for.

103

Pharmacy assistance programs in a community health center setting.  

PubMed Central

Prescription drug costs represent the fastest growing item in health care and are a driving force in rapidly increasing health care costs. Community health centers serve an indigent population with limited access to pharmaceuticals. Pharmaceutical companies sponsor patient assistance programs. These pharmacy assistance programs can be developed to facilitate the provision of needed pharmaceuticals to this vulnerable population. La Casa de Buena Salud is a rural community health center in eastern New Mexico, which has provided access to a substantial amount of pharmaceuticals to indigent patients through patient assistance programs. Cost savings potential are considerable for a community health center and for patients when a pharmacy assistance program is organized efficiently and employed systematically. Secondary benefits are derived from the entire medical community. While some community health centers currently make effective use of pharmaceutical company-sponsored pharmacy assistance programs, a comprehensive, long-term approach at a national level may be required.

Torres, Maxsimo C.; Herman, Debra; Montano, Seferino; Love, Leah

2002-01-01

104

Photodynamic research at Baylor University Medical Center Dallas, Texas  

NASA Astrophysics Data System (ADS)

We received our first CO2 laser at Baylor University Medical Center in December 1974, following a trip to Israel in January of that year. Discussion with the customs office of the propriety of charging an 18% import tax lasted for nine months. We lost that argument. Baylor has been using lasers of many types for many procedures since that time. About ten years ago, through the kindness of Tom Dougherty and Roswell Park, we started working with photodynamic therapy, first with hematoporphyrin I and later with dihematoporphyrin ether (II). In February 1984, we were invited to a conference at Los Alamos, New Mexico, U.S.A. on medical applications of the free electron laser as part of the Star Wars Program. A grant application from Baylor was approved that November, but funding did not start for many months. This funding contributed to the development of a new research center as part of Baylor Research Institute. Many of the projects investigated at Baylor dealt with applications of the free electron laser (FEL), after it became available. A staff was assembled and many projects are still ongoing. I would like to outline those which are in some way related to photodynamic therapy.

Gulliya, Kirpal S.; Matthews, James Lester; Sogandares-Bernal, Franklin M.; Aronoff, Billie L.; Judy, Millard M.

1993-03-01

105

Business Plan for a Varicose Vein Center, Columbia Hospital for Women Medical Center.  

National Technical Information Service (NTIS)

This paper discusses the feasibility of instituting a Varicose Vein Treatment Center at Columbia Hospital for Women Medical Center (CHWMC). It includes a brief description of the workload and financial trends experienced by CHWMC from Fiscal Years 1991 to...

S. Winkler-Peiser

1996-01-01

106

Establishing a Medical Library Technology Program-- The SUNY Experience *  

PubMed Central

A two-year program in Medical Library Technology leading to the Associate in Applied Science degree was developed and approved by the State University of New York and the New York State Board of Regents as a joint endeavor of the Upstate Medical Center and the Onondaga Community College, with classes scheduled to begin in September 1969. The curriculum is designed to allow continuation of study towards the Bachelor of Science degree and includes a summer internship at one of several participating medical libraries. An increasing number of library technology programs are being offered by junior colleges in the U. S. and Canada. However, this represents a first attempt at a technician education program designed specifically for medical libraries.

Hoey, Evelyn L.

1969-01-01

107

NCI Community Cancer Centers Program - NCCCP Homepage  

Cancer.gov

NCI Community Cancer Centers Program - NCCCP Homepage Media Center Overview Contact information Quick Links Note from the NCI Director Participating Pilot Sites FAQ Contact Information Contact Information Contacts - NCI Office

108

Jackson Park Hospital Green Building Medical Center.  

National Technical Information Service (NTIS)

Jackson Park Hospital completed the construction of a new Medical Office Building on its campus this spring. The new building construction has adopted the City of Chicago's recent focus on protecting the environment, and conserving energy and resources, w...

N. Vasquez W. Dorsey

2010-01-01

109

Research support in an academic medical center.  

PubMed

In 2003, the Prior Health Sciences Library (Prior Library) at The Ohio State University (OSU) explored the possibility of providing specialized support to biomedical, nursing, and allied health researchers by adding a research librarian position. The decision came about after the Medical Library Association (MLA) investigated how libraries could provide enhanced support to medical researchers. This article describes how the research librarian position was developed and how it continues to evolve. PMID:20391163

Cheek, Fern M

2010-01-01

110

Inflight Medical Events in the Shuttle Program  

NASA Technical Reports Server (NTRS)

Since the first launch of the Space Shuttle in 1981, the astronauts and their flight surgeons have dealt with a variety of inflight medical issues. A review will be provided of these issues as well as medications used in the treatment of these medical problems. Detailed medical debriefs are conducted by the flight ,surgeon with the individual crewmembers three days after landing. These debriefs were review for Shuttle flights from 1988 through 1999 to determine the frequency of inflight medical events. Medical events were grouped by ICD category and the frequency of medical events within those categories were reviewed. The ICD category of Symptoms, Signs and Ill-defined Conditions had the most medical events. Facial fullness and headache were the most common complaints within this category. The ICD category of Respiratory System had the next most common medical events with sinus congestion being the most common complaint. This was followed by Digestive System complaints and Nervous System/Sense Organ complaints. A variety of inflight medical events have occurred throughout the Shuttle program. Fortunately, the majority of these problems have been minor and have been well within the capability of the medical equipment flown and the skills of the Crew Medical Officers. Medical ,problems/procedures that are routine on the ground often present unique problems in the space flight environment. It is important that the flight surgeon understand the common medical problems encountered.

Baisden, Denise L.; Effenhauser, R. K.; Wear, Mary L.

1999-01-01

111

Evaluation of Patient Centered Medical Home Practice Transformation Initiatives  

PubMed Central

Background The patient-centered medical home (PCMH) has become a widely cited solution to the deficiencies in primary care delivery in the United States. To achieve the magnitude of change being called for in primary care, quality improvement interventions must focus on whole-system redesign, and not just isolated parts of medical practices. Methods Investigators participating in 9 different evaluations of Patient Centered Medical Home implementation shared experiences, methodological strategies, and evaluation challenges for evaluating primary care practice redesign. Results A year-long iterative process of sharing and reflecting on experiences produced consensus on 7 recommendations for future PCMH evaluations: (1) look critically at models being implemented and identify aspects requiring modification; (2) include embedded qualitative and quantitative data collection to detail the implementation process; (3) capture details concerning how different PCMH components interact with one another over time; (4) understand and describe how and why physician and staff roles do, or do not evolve; (5) identify the effectiveness of individual PCMH components and how they are used; (6) capture how primary care practices interface with other entities such as specialists, hospitals, and referral services; and (7) measure resources required for initiating and sustaining innovations. Conclusions Broad-based longitudinal, mixed-methods designs that provide for shared learning among practice participants, program implementers, and evaluators are necessary to evaluate the novelty and promise of the PCMH model. All PCMH evaluations should as comprehensive as possible, and at a minimum should include a combination of brief observations and targeted qualitative interviews along with quantitative measures.

Crabtree, Benjamin F.; Chase, Sabrina M.; Wise, Christopher G.; Schiff, Gordon D.; Schmidt, Laura A.; Goyzueta, Jeanette R.; Malouin, Rebecca A.; Payne, Susan M. C.; Quinn, Michael T.; Nutting, Paul A.; Miller, William L.; Jaen, Carlos Roberto

2011-01-01

112

Implementation of a High-Alert Medication Program  

PubMed Central

Introduction: Greater than 500,000 doses of high-alert medications are administered throughout the Kaiser Permanente Northern California (KPNC) Program on an annual basis. High-alert medications (HAM) carry a higher risk of harm than other medications and errors in the administration of HAM can have catastrophic clinical outcomes. The purpose of this project is to ensure safe medication practices and to eliminate medication errors that cause harm to our patients. The Program: KPNC leadership, physicians, nurses, pharmacists, quality leaders, and labor unions worked with regional and local medication safety committees to: 1) standardize high-alert medication-handling practices; 2) enhance education programs related to medication practices, embedding these into annual core competencies of all staff who handle high-alert medications; 3) develop monitoring functions at both the regional and local levels to ensure sustainability and ongoing systems improvements. Begun in December 2005, this program covers the delivery of high-alert medications across the continuum of care and affects all patients receiving HAM. Measures: The initial phase of the monitoring process was put in place to measure compliance with implementation. Over the first few months of the program the 90% minimal threshold was surpassed with regional overall compliance of 95%. Following this initial process, the Regional Medication Safety Committee developed monitoring tools. Department managers carry out these concurrent observational audits at the medical centers with oversight by the Assistant Administrators for Quality and Service. These audits are designed to measure whether or not all medications on the HAM list are handled specifically to policy requirements, eg, independent double-checks, HAM stickers, etc. Audit specifications are provided for each audit tool. Medical Center audit results from the third quarter of 2006 through the third quarter of 2007 have shown a regional aggregate of 97.7% compliance. As the high percentages of compliance have held constant over time, more actionable metrics are being put in place for 2008. To determine whether or not the program is reducing HAM errors, data from the regional Quality and Risk database (MIDAS) related to all high-alert medication errors was reviewed. Two interventions were of note: in July of 2005, there was a renewed effort to educate leaders, managers, physicians, and staff on responsible reporting in a “just culture” and the introduction of the new Responsible Reporting Form. An increase in reporting was noted at this time. In December 2005, the HAM program was introduced. There is a statistically significant drop in errors reported for 23 consecutive months following this program. These findings were similar for all phases of the delivery process. A powerful indicator of improvement is the average days between major injury and death. As of November 30, 2007, it has been 232 days since the last significant negative event was reported due to a HAM. Conclusion: This program has been implemented in all of the KPNC Medical Centers and is in the process of being implemented in all KP regions. This spread has been endorsed by the Medical Directors Quality Committee and by the KP Boards of Directors. The Interregional Medication Safety Committee is overseeing the spread process. A toolkit containing all of the required tools plus additional materials and information has been developed and made available throughout KP. The program is the recipient of the 2007 Lawrence Patient Safety Award.

Graham, Suzanne; Clopp, Molly P; Kostek, Nicholas E; Crawford, Barbara

2008-01-01

113

Photocopy of photograph in Fitzsimons Army Medical Center real property ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in Fitzsimons Army Medical Center real property book (green cloth cover), showing south and west sides. - Fitzsimons General Hospital, Power House, Northwest Corner of East Harlow Avenue & North Page Street, Aurora, Adams County, CO

114

Photocopy of photograph in the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), showing south and west sides. - Fitzsimons General Hospital, Salvage Building, Northeast Corner of East I Avenue & North Page Street, Aurora, Adams County, CO

115

Photocopy of photograph in the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), north side. - Fitzsimons General Hospital, Administration Building, Southeast Corner of West McAfee Avenue & South Eighth Street, Aurora, Adams County, CO

116

Photocopy of photograph in Fitzsimons Army Medical Center Real Property ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in Fitzsimons Army Medical Center Real Property Book (green cloth cover) south and east sides. - Fitzsimons General Hospital, Nurses' Garage, East of Building No. 121, Aurora, Adams County, CO

117

Photocopy of photograph in the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover). - Fitzsimons General Hospital, Storehouse, East Harlow Avenue, immediately South of Building 201, Aurora, Adams County, CO

118

Photocopy of photograph in the Fitzsimons Army Medical Center Real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center Real Property Book (green cloth cover), probably south and west sides. - Fitzsimons General Hospital, Utilities Storeroom, West Pennington Avenue, East of Building No. 145, Aurora, Adams County, CO

119

Photocopy of photograph in the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover) - Fitzsimons General Hospital, Quartermaster Store House, Northwest Corner of East I Avenue & North Twelfth Street, Aurora, Adams County, CO

120

Photocopy of photograph in the Fitzsimons Army Medical Center Real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center Real Property Book (green cloth cover). - Fitzsimons General Hospital, Greenhouse, West Pennington Avenue, East of Building No. 139, Aurora, Adams County, CO

121

Photocopy of photograph in Fitzsimons Army Medical Center real property ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in Fitzsimons Army Medical Center real property book (green cloth cover), showing southwest corner of building 732. - Fitzsimons General Hospital, Storehouses, Northwest Corner of East Harlow Avenue & North Thirteenth Street, Aurora, Adams County, CO

122

Photocopy of photograph in the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover). - Fitzsimons General Hospital, Semi-Infirmary Turbercular Ward, Northwest Corner of Charlie Kelly Boulevard & South Hickey Street, Aurora, Adams County, CO

123

Photocopy of photograph in the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), probably south and west sides. - Fitzsimons General Hospital, Nurses' Quarters, Southeast Corner of West McAfee Avenue & South Hickey Street, Aurora, Adams County, CO

124

Photocopy of photograph in the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), south side. - Fitzsimons General Hospital, Tubercular Ward, Southwest Corner of East Bushnell Avenue & South Page Street, Aurora, Adams County, CO

125

Photocopy of photograph from the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph from the Fitzsimons Army Medical Center real property book (green cloth cover), probably southwest side. - Fitzsimons General Hospital, Operating Pavilion, West McAfee Avenue, East of Building No. 507, Aurora, Adams County, CO

126

Photocopy of photograph in Fitzsimons Army Medical Center Real Property ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in Fitzsimons Army Medical Center Real Property Book (green cloth cover), probably south side. - Fitzsimons General Hospital, Officers' Garage, West Pennington Avenue, West of Building 129, Aurora, Adams County, CO

127

Photocopy of photograph in Fitzsimons Army Medical Center real property ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in Fitzsimons Army Medical Center real property book (green cloth cover), east and south sides. - Fitzsimons General Hospital, Workshop Building, East Harlow Avenue, immediately East of Building No. 529, Aurora, Adams County, CO

128

Photocopy of photograph in the Fitzsimons Army Medical Center Real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center Real Property Book (green cloth clover), west side. - Fitzsimons General Hospital, Motor Transport Dispatcher's Office, Northeast Corner of East Harlow Avenue & North Tenth Street, Aurora, Adams County, CO

129

Photocopy of photograph from Fitzsimons Army Medical Center real property ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph from Fitzsimons Army Medical Center real property book (green cloth cover), south and west sides. - Fitzsimons General Hospital, Gymnasium, Northeast Corner of East Harlow Avenue & North Page Street, Aurora, Adams County, CO

130

Photocopy of photograph in Fitzsimons Army Medical Center Real Property ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in Fitzsimons Army Medical Center Real Property Book (green cloth cover), south and east sides. - Fitzsimons General Hospital, Nurses Quarters No. 3, Northwest Corner of West Harlow Avenue & North Seventh Street, Aurora, Adams County, CO

131

Photocopy of photograph from the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph from the Fitzsimons Army Medical Center real property book (green cloth cover), showing east side. - Fitzsimons General Hospital, Transformer House, North Page Street, immediately North of Building No. 216, Aurora, Adams County, CO

132

Photocopy of photograph in the Fitzsimons Army Medical Center Real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center Real Property Book (green cloth cover), south and east sides. - Fitzsimons General Hospital, Storage Sheds, Northeast Corner of West Pennington Avenue & North Eighth Street, Aurora, Adams County, CO

133

Photocopy of print from the Fitzsimons Army Medical Center Real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of print from the Fitzsimons Army Medical Center Real Property Book (green cloth cover). - Fitzsimons General Hospital, Tool House, West Pennington Avenue, North of Building No. 140, Aurora, Adams County, CO

134

Photocopy of photograph in the Fitzsimons Army Medical Center Real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center Real Property Book (green cloth cover). - Fitzsimons General Hospital, Post Exchange Garage, Northwest Corner of West Pennington Avenue & North Eighth Street, Aurora, Adams County, CO

135

Photocopy of photograph in Fitzsimons Army Medical Center Real Property ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in Fitzsimons Army Medical Center Real Property Book (green cloth cover), south sides. - Fitzsimons General Hospital, Officer Recreation Building, West Harlow Avenue, immediately East of Building 118, Aurora, Adams County, CO

136

Photocopy of photograph from the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph from the Fitzsimons Army Medical Center real property book (green cloth cover), showing east side and north sides. - Fitzsimons General Hospital, Transformer House, North Page Street, immediately North of Building No. 217, Aurora, Adams County, CO

137

Photocopy of photograph in the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover). - Fitzsimons General Hospital, Ambulent Tubercular Ward, Southeast Corner of East Bushnell Avenue & South Hickey Street, Aurora, Adams County, CO

138

Photocopy of photograph in Fitzsimons Army Medical Center Real Property ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in Fitzsimons Army Medical Center Real Property Book (green cloth cover), south side. - Fitzsimons General Hospital, Office Building, Northwest Corner of West McCloskey Avenue & North Tenth Street, Aurora, Adams County, CO

139

Photocopy of photograph in the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), showing west side. - Fitzsimons General Hospital, Fire Equipment House, North Page Street, North of Building No. 228, Aurora, Adams County, CO

140

Photocopy of photograph in the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), south and east sides. - Fitzsimons General Hospital, Nurses' Quarters, Southwest Corner of West Harlow Avenue, & South Eighth Street, Aurora, Adams County, CO

141

Photocopy of photograph in Fitzsimons Army Medical Center real property ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in Fitzsimons Army Medical Center real property book (green cloth cover), west and north sides of the southern wing. - Fitzsimons General Hospital, Laundry, Southeast corner of East Harlow Avenue & South Twelfth Street, Aurora, Adams County, CO

142

Photocopy of photograph in the Fitzsimons Army Medical Center Real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center Real Property Book (green cloth cover), south and east sides. - Fitzsimons General Hospital, Post Exchange Garage, North Eighth Street, North of Building No. 143, Aurora, Adams County, CO

143

Photocopy of photograph in the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover). - Fitzsimons General Hospital, Artesian Well, East McCloskey Avenue, East of Building No. 231, Aurora, Adams County, CO

144

Photocopy of photograph from the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph from the Fitzsimons Army Medical Center real property book (green cloth cover). - Fitzsimons General Hospital, Semi-Infirmary Tubercular Ward, Southeast Corner of East Harlow Avenue & South Page Street, Aurora, Adams County, CO

145

Photocopy of photograph in Fitzsimons Army Medical Center real property ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in Fitzsimons Army Medical Center real property book (green cloth cover), showing south side. - Fitzsimons General Hospital, Laboratory Annex, Northwest Corner of East McCloskey Avenue & North Twelfth Street, Aurora, Adams County, CO

146

Photocopy of photograph in the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), south side. - Fitzsimons General Hospital, Infirmary, Northwest Corner of East Bushnell Avenue & South Page Street, Aurora, Adams County, CO

147

Photocopy of print in the Fitzsimons Army Medical Center Real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of print in the Fitzsimons Army Medical Center Real Property Book (green cloth cover), probably south side. - Fitzsimons General Hospital, Female Dormitory, Southeast Corner of West McCloskey Avenue & North Seventh Street, Aurora, Adams County, CO

148

Photocopy of photograph in the Fitzsimons Army Medical Center Real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center Real Property Book (green cloth cover), east side. - Fitzsimons General Hospital, Shops Building, Northwest Corner of West Pennington Avenue, & North Tenth Street, Aurora, Adams County, CO

149

Study of Job Satisfaction at Eisenhower Army Medical Center.  

National Technical Information Service (NTIS)

This study was conducted to determine the level of job satisfaction among administrative employees at Eisenhower Army Medical Center. The Job Descriptive Index (a widely used survey instrument) was used to evaluate the satisfaction of EAMC employees. The ...

S. C. Schmid

1987-01-01

150

Photocopy of photograph in Fitzsimons Army Medical Center Real Property ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in Fitzsimons Army Medical Center Real Property Book (green cloth cover), looking east. - Fitzsimons General Hospital, Tennis Courts, Northeast Corner of East McCloskey Avenue & North Hickey Street, Aurora, Adams County, CO

151

Photocopy of photograph in the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), east and south sides. - Fitzsimons General Hospital, Pharmacy & Prophylactic Station, Northwest Corner of West McAfee Avenue & South Eighth Street, Aurora, Adams County, CO

152

Photocopy of photograph in Fitzsimons Army Medical Center real property ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in Fitzsimons Army Medical Center real property book (green cloth cover), showing south and east sides. - Fitzsimons General Hospital, Ice Plant, Southwest Corner of East I Avenue & North Thirteenth Street, Aurora, Adams County, CO

153

Study on Trauma Patient Reimbursement at Brooke Army Medical Center.  

National Technical Information Service (NTIS)

The purpose of this retrospective study is to provide financial analysis of the difference between regular trauma patients and Trauma Medcom patients treated at Brooke Army Medical Center (BAMC). BAMC treats over 800 trauma patients annually; therefore, t...

K. A. Fristoe

1998-01-01

154

Advanced practice nursing students in the patient-centered medical home: preparing for a new reality.  

PubMed

Driven by reimbursement incentives for increased access, improved quality and reduced cost, the patient-centered medical home model of health care delivery is being adopted in primary care practices across the nation. The transition from traditional primary care models to patient-centered medical homes presents many challenges, including the assembly of a well-prepared, interprofessional provider team to achieve effective, well-coordinated care. In turn, advanced practice nursing education programs are challenged to prepare graduates who are qualified for practice in the new reality of health care reform. This article reviews the patient-centered medical home model and describes how one college of nursing joined 7 primary care physician practices to prepare advanced practice nursing students for the new realities of health care reform while supporting each practice in its transition to the patient-centered medical home. PMID:24720942

Swartwout, Kathryn; Murphy, Marcia Pencak; Dreher, Melanie C; Behal, Raj; Haines, Alison; Ryan, Mary; Ryan, Norman; Saba, Mary

2014-01-01

155

NCI Community Cancer Centers Program (NCCCP)  

Cancer.gov

NCI Community Cancer Centers Program (NCCCP) Pilot Program Summary January 2007 1 of 5 Cancer Care in the United States: • The pace of research in understanding cancer has accelerated in recent years, raising the need for more effective

156

Pediatric AIDS at Mount Sinai Medical Center 1988-89  

Microsoft Academic Search

Pediatric AIDS is a continuing problem because of maternal transmission. Medical management is often complicated by the loss of one or both parents and adverse home environments. This study explores the cost of inpatient and clinic care of children admitted with AIDS in 1988 or 1989 at Mount Sinai Medical Center in New York City, and also examines the social

Charlotte Muller; Marianne C. Fahs; Goldie Mulak; Virginia N Walther; Susan Blumenfield; George Fulop

1996-01-01

157

Quality in Medical Practice: A Student Program  

ERIC Educational Resources Information Center

An updated report is offered of the successes and failures of the quality assurance program at the Medical College of Ohio during 1975-76. Students were used as auditors, submitting written evaluations of patient charts. (LBH)

Garg, Mohan; And Others

1977-01-01

158

Serving Medically Frail Individuals: Five Case Studies of Deaths of Residents of the Terence Cardinal Cooke Health Care Center.  

ERIC Educational Resources Information Center

The deaths of five resident clients at the Terence Cardinal Cooke Health Care Center (New York), a residential program for profoundly impaired and medically fragile individuals with developmental disabilities, in March and April of 1989 were investigated. Methods of study included examination of medical records from the Cooke Center and other…

Sundram, Clarence J.

159

A Major Role for Social Work Input during Development of an Innovative Post-Baccalaureate Research Education Program in a Medical Center Environment  

PubMed Central

The Post-Baccalaureate Research Education Program (PREP) at Mount Sinai School of Medicine targets participants from groups that are underrepresented in biomedical research careers. During its first 5 years, Mount Sinai PREP has sent over 70% of the PREP scholars to an excellent array of PhD or MD/PhD programs. Over 90% of those students are progressing well in their doctoral studies and report important contributions of PREP to their success. Social work and educational psychology principles inform strategies used to identify and address gaps or impediments that would otherwise diminish the potential of Mount Sinai PREP scholars to succeed in cutting-edge research careers.

Krulwich, Terry Ann

2010-01-01

160

Jackson Park Hospital Green Building Medical Center  

SciTech Connect

Jackson Park Hospital completed the construction of a new Medical Office Building on its campus this spring. The new building construction has adopted the City of Chicago�s recent focus on protecting the environment, and conserving energy and resources, with the introduction of green building codes. Located in a poor, inner city neighborhood on the South side of Chicago, Jackson Park Hospital has chosen green building strategies to help make the area a better place to live and work.

William Dorsey; Nelson Vasquez

2010-03-01

161

Goddard Space Flight Center Education Programs  

NSDL National Science Digital Library

The Goddard Space Flight Center Education Programs provide teachers and students with a wide variety of curriculum enhancement materials geared for Earth science classroom use. These collections support the Earth system science curriculum developed by NASA scientists from the Earth Science Enterprise, a team of teachers from Anne Arundel County Public Schools, and the Education Office at NASA Goddard Space Flight Center. Site materials include a listing of featured programs, information on educational programs for the public, public schools-based programs, and programs for higher education. The Educator Resource Center (ERC) provides access to educational publications, teaching materials, educator workshops, video duplication and many other resources. There are also links to other NASA research and space flight centers, the Goddard media center, and state-specific listservs for educators.

162

[The experience of 15 years in the accreditation of training centers for medical specialists].  

PubMed

The National Committee of the Association of Medical Schools for the Accreditation of Medical Centers to train specialists is active since 1979. At the present time, 1547 postgraduate medical students are engaged in training programs lasting 2 to 3 years. During the period in which the Committee has operated, 591 centers were assessed. Sixty percent were approved but the deficient academic or technical facilities for clinical practice or teaching motivated the rejection of 14%. During these years, several problems were detected such as the support given by the authorities of medical schools to accreditation, the instability and shortage of teaching faculty, the persistence of training programs in rejected centers, the excessive number of students for the capacity of the teaching center, the faulty integration between Medical Schools and the National Health Service and the increasing competition of scientific societies and private health institutions with medical schools in teaching activities. These issues must be appraised both at medical schools and the National Health Services. PMID:8657957

Vial, S

1995-08-01

163

NCI Community Cancer Centers Program - Related Programs Overview  

Cancer.gov

One or more of the NCCCP�s four focus areas is shared by several NCI programs � including the NCI Cancer Centers Program, Community Clinical Oncology Program, Community Network Program, and others. The NCCCP will incorporate best practices from other NCI community cancer programs in delivering services to these communities.

164

NCI Community Cancer Centers Program - Related Programs Overview  

Cancer.gov

One or more of the NCCCP's four focus areas is shared by several NCI programs including the NCI Cancer Centers Program, Community Clinical Oncology Program, Community Network Program, and others. The NCCCP will incorporate best practices from other NCI community cancer programs in delivering services to these communities.

165

NCI Community Cancer Centers Program - Related Programs Overview  

Cancer.gov

One or more of the NCCCP’s four focus areas is shared by several NCI programs – including the NCI Cancer Centers Program, Community Clinical Oncology Program, Community Network Program, and others. The NCCCP will incorporate best practices from other NCI community cancer programs in delivering services to these communities.

166

Medication Exposure in Pregnancy Risk Evaluation Program  

PubMed Central

To describe a program to study medication safety in pregnancy, the Medication Exposure in Pregnancy Risk Evaluation Program (MEPREP). MEPREP is a multi-site collaborative research program developed to enable the conduct of studies of medication use and outcomes in pregnancy. Collaborators include the U.S. Food and Drug Administration and researchers at the HMO Research Network, Kaiser Permanente Northern and Southern California, and Vanderbilt University. Datasets have been created at each site linking healthcare data for women delivering an infant between January 1, 2001 and December 31, 2008 and infants born to these women. Standardized data files include maternal and infant characteristics, medication use, and medical care at 11 health plans within 9 states; birth certificate data were obtained from the state departments of public health. MEPREP currently involves more than 20 medication safety researchers and includes data for 1,221,156 children delivered to 933,917 mothers. Current studies include evaluations of the prevalence and patterns of use of specific medications and a validation study of data elements in the administrative and birth certificate data files. MEPREP can support multiple studies by providing information on a large, ethnically and geographically diverse population. This partnership combines clinical and research expertise and data resources to enable the evaluation of outcomes associated with medication use during pregnancy.

Andrade, Susan E.; Davis, Robert L.; Cheetham, T. Craig; Cooper, William O.; Li, De-Kun; Amini, Thushi; Beaton, Sarah J.; Dublin, Sascha; Hammad, Tarek A.; Pawloski, Pamala A.; Raebel, Marsha A.; Smith, David H.; Staffa, Judy A.; Toh, Sengwee; Dashevsky, Inna; Haffenreffer, Katherine; Lane, Kimberly; Platt, Richard; Scott, Pamela E.

2011-01-01

167

Psychiatric Programs: Their Medical Integration  

PubMed Central

The basic premise that psychiatry and medicine are one and the same discipline is advanced. Patients present with symptoms: sometimes largely the result of structural change, sometimes largely the result of emotional perturbation, but most frequently a mixture of both. The physician can never do his job satisfactorily without attention to the emotional problems of his patient, which is essentially the subject matter of psychiatry. He must have adequate training during his medical school years in order to recognize and handle emotional problems. The psychiatrically oriented general practitioner and the psychiatrist, who live in the community, are most valuable mental health resources and must have treatment facilities in the general hospital. Furthermore, hospital and medical insurance plans must be devised that will not penalize either doctor or patient when mental illness is recognized and dealt with in the most appropriate manner.

Jones, Robert O.

1965-01-01

168

Medical Emergency Education in Dental Hygiene Programs.  

ERIC Educational Resources Information Center

A survey of 169 dental hygiene training programs investigated the curriculum content and instruction concerning medical emergency treatment, related clinical practice, and program policy. Several trends are noted: increased curriculum hours devoted to emergency care; shift in course content to more than life-support care; and increased emergency…

Stach, Donna J.; And Others

1995-01-01

169

Transforming a family medicine center and residency program into a federally qualified health center.  

PubMed

The authors describe a family medicine center before and after a merger between the Keck School of Medicine of the University of Southern California, the California Hospital Medical Center, and the Eisner Pediatric and Family Medical Center in 2012. The merger provided new opportunities to stabilize the financial base of a clinical practice struggling financially and to enhance the training of residents and other health professionals in primary care, which motivated the partners to consider this new model. After 18 months of negotiations, they were able to convert the family medicine center and residency program into a new federally qualified health center. The benefits to this new model include an increase in both patient volume and the quality of education, supporting residency accreditation; a greater number of residents from U.S. medical schools; enhanced education and preparation of primary care physicians for practice in medically underserved communities; enhanced reimbursements and new opportunities for state, local, and federal grants; and quality improvement and new information technology. The partners overcame academic, administrative, legal, and regulatory obstacles, communication barriers, and differences in culture and expectations to achieve this merger. Keys to their success include the commitment of the leaders at the three institutions to the goals of the merger, a dedicated project manager and consultants, opportunities for new revenue sources and reimbursements, and support from a pioneering charitable foundation. The authors conclude by discussing the implications of using community health centers as the focal point for training primary care clinicians and addressing workforce shortages. PMID:23524918

Cousineau, Michael R; Flores, Hector; Cheng, Scott; Gates, Jerry D; Douglas, James H; Clute, Gerald B; Coan, Carl E

2013-05-01

170

NCI Community Cancer Centers Program - Participating Program Sites  

Cancer.gov

NCI Community Cancer Centers Program - Participating Program Sites Search NCCCP NCCCP Home About Focus Areas NCI in the Community News & Publications Contact About Overview For Patients and Public NCCCP Progress Reports and Tools NCCCP Hospitals

171

Medical School Programs Resources and Financing.  

ERIC Educational Resources Information Center

The current efforts of the Association of American Medical Colleges to test the feasibility of broadening the application, utility, and scope of the cost-finding studies conducted by many academic health centers and individual schools of the health professions are examined. The current effort is an outgrowth of the existing foundations of cost…

Rosenthal, Joseph

172

Alcohol Medical Scholars Program--A Mentorship Program for Improving Medical Education regarding Substance Use Disorders  

ERIC Educational Resources Information Center

The Alcohol Medical Scholars Program (AMSP) is designed to improve medical education related to substance use disorders (SUDs) through mentorship of junior, full-time academic faculty from medical schools across the United States. Scholarship focuses on literature review and synthesis, lecture development and delivery, increasing SUD education in…

Neufeld, Karin J.; Schuckit, Marc A.; Hernandez-Avila, Carlos A.

2011-01-01

173

Supporting medical education research quality: the Association of American Medical Colleges' Medical Education Research Certificate program.  

PubMed

The quality of the medical education research (MER) reported in the literature has been frequently criticized. Numerous reasons have been provided for these shortcomings, including the level of research training and experience of many medical school faculty. The faculty development required to improve MER can take various forms. This article describes the Medical Education Research Certificate (MERC) program, a national faculty development program that focuses exclusively on MER. Sponsored by the Association of American Medical Colleges and led by a committee of established medical education researchers from across the United States, the MERC program is built on a set of 11 interactive workshops offered at various times and places across the United States. MERC participants can customize the program by selecting six workshops from this set to fulfill requirements for certification. This article describes the history, operations, current organization, and evaluation of the program. Key elements of the program's success include alignment of program content and focus with needs identified by prospective users, flexibility in program organization and logistics to fit participant schedules, an emphasis on practical application of MER principles in the context of the participants' activities and interests, consistency in program content and format to ensure standards of quality, and a sustainable financial model. The relationship between the national MERC program and local faculty development initiatives is also described. The success of the MERC program suggests that it may be a possible model for nationally disseminated faculty development programs in other domains. PMID:21099386

Gruppen, Larry D; Yoder, Ernie; Frye, Ann; Perkowski, Linda C; Mavis, Brian

2011-01-01

174

Study of the System Safety Concept as it Relates to the New Walter Reed Army Medical Center, Washington, DC.  

National Technical Information Service (NTIS)

The study determines the essential criteria and an expected outcome of a systems safety program at a large Army medical center. Through literature review of technical and public safety documents and through semi-structured interviews, the study establishe...

J. E. Anderson

1978-01-01

175

Impact of an Antibiotic Restriction Program on Antibiotic Utilization in the Treatment of Community Acquired Pneumonia in a Veterans Affairs Medical Center  

PubMed Central

Purpose The impact of an Antibiotic Restriction Program (ARP) on the patterns of antibiotic use in the treatment of community-acquired pneumonia (CAP) was examined. We also evaluated the association between the ARP and the length of hospital stay in regard to CAP treatment and cost savings associated with the implementation of the ARP. Methods A retrospective cohort study of patients admitted with CAP was conducted at two six-month periods, one prior to the ARP and one after the ARP. The health system’s Computerized Patient Record System (CPRS) was used to obtain demographics, length of hospital stays, readmission rates, blood culture results, co–morbidities, antibiotic use, and durations of therapy. A total of 130 patients met the inclusion criteria for the final analyses. Average drug costs, employee salaries, and the cost of laboratory procedures were used to assess cost savings associated with the ARP. Results From a total of 132 antibiotics that were ordered to treat CAP in the pre-ARP period, 28 were restricted (21.2%). However, the number of restricted antibiotics ordered was significantly reduced to 12 out of 114 (10.2%) antibiotics ordered in the post-ARP period (P = 0.024). In post-ARP implementation, mean length of hospital stay was also significantly reduced from 7.6 to 5.8 days (P = 0.017), and although not statistically significant, 30-day readmission rates declined from 16.9% to 6.2% (P = 0.097). The ARP was also associated with $943 savings per patient treated for CAP. Conclusions In addition to a decrease in the antibiotic utilization and the mean length of hospital stay, the ARP may have yielded cost savings and reduced the readmission rates for those patients admitted and treated for CAP.

Mansouri, Mohammad D.; Cadle, Richard M.; Agbahiwe, Sylvester O.; Musher, Daniel M.

2011-01-01

176

Healthy Eating and Harambee: curriculum development for a culturally-centered bio-medically oriented nutrition education program to reach African American women of childbearing age.  

PubMed

The purpose was to develop, implement and evaluate a peer-led nutrition curriculum Healthy Eating and Harambee that addresses established objectives of maternal and infant health and to shift the stage for African American women of childbearing age in Genesee County toward healthier dietary patterns using a socio-cultural and biomedical orientation. The PEN-3 model, which frames culture in the context of health promotion interventions, was integrated with the Transtheoretical Model to guide this 13-week pre-test/post-test curriculum. Materials developed included soul food plate visuals, a micronutrient availability worksheet, a fruit stand, and gardening kits. Learning activities included affirmations, stories, case-scenarios, point-of-purchase product recognition, church health teams, and community health fairs. We investigated health-promoting dietary behaviors (consumption of more fruits and vegetables (F&V), serving more F&V to their families, and moderating dietary sodium and fat intakes), and biomedical behaviors (self-monitoring blood pressure and exercising) across five stages of change. Session attendance and program satisfaction were assessed. N = 102 women participated (mean age = 27.5 years). A majority (77%) reported adopting at least one healthy eating behavior (moderating sodium, serving more F&V to their families), 23% adopted at least two such behaviors (reading food labels for sodium; using culinary herbs/spices; serving more F&V to their families), and 45% adopted both dietary (moderating sodium; eating more fruits) and biomedical behaviors. Participants and facilitators favorably evaluated the curriculum and suggested improvements. A multi-conceptual approach coupled with cultural and biomedical tailoring has potential to promote young African American women's movement to more advanced stages of change and improve self-efficacy for fruit and vegetable intake, dietary sodium moderation, and self-monitoring blood pressure and physical activity. PMID:19655237

Kannan, Srimathi; Sparks, Arlene V; Webster, J DeWitt; Krishnakumar, Ambika; Lumeng, Julie

2010-07-01

177

Pharmaceutical representatives in academic medical centers  

Microsoft Academic Search

Objective:To determine the nature, frequency and effects of internal medicine bousestaff and faculty contacts with pharmaceutical representatives\\u000a (PRs).\\u000a \\u000a Design and setting:The authors surveyed internal medicine faculty at seven midwest teaching hospitals and housestaff from two of the teaching\\u000a programs. The survey asked about type and frequency of contacts with PRs and behavior that might be related to these contacts.\\u000a T-tests

Nicole Lurie; Eugene C. Rich; Deborah E. Simpson; Jeff Meyer; David L. Schiedermayer; Jesse L. Goodman; W. Paul McKinney

1990-01-01

178

National Area Health Education Center Program: External Assessment Design. Final Report.  

ERIC Educational Resources Information Center

The AHEC (Area Health Education Center) program is designed to demonstrate the ways in which a university health science center (often including a medical school) can improve the supply, distribution, quality, efficiency, and utilization of health care personnel in medically underserved areas through establishment of satellite educational…

Duggar, Benjamin; And Others

179

The Medical Library Association's international fellowship programs.  

PubMed Central

This article describes the two international fellowship programs administered by the International Cooperation Committee of the Medical Library Association: (1) the program supported by the Rockfeller Foundation from 1948 to 1963; (2) the Eileen R. Cunningham program, supported by Mrs. Cunningham's bequest to the association, from 1971 to date. Comments and suggestions received from Cunningham Fellows in response to a letter sent to each by the author in the summer of 1977 are listed. The cost of the fellowship program, not only in terms of financial support but also in terms of human resources, is documented. While the program receives enthusiastic support from the International Cooperation Committee and many members of MLA, the membership needs to examine its mission with regard to the training of medical librarians from other countries, to determine whether future funding is to be sought.

Poland, U H

1978-01-01

180

The Behavioral Health Laboratory: Building a Stronger Foundation for the Patient-Centered Medical Home  

Microsoft Academic Search

The Veterans Health Affairs is in the process of implementing a new model for the delivery of primary care: The Patient-Centered Medical Home (PCMH). One critical challenge of any PCMH model will be the integration of basic mental health treatment into primary care. Such a mental health integration program must be flexible enough to incorporate new evidence-based treatments as patient

James Tew; Johanna Klaus; David W. Oslin

2010-01-01

181

Government Cuts and Rise of Managed Care Force a Medical Center To Shift Gears.  

ERIC Educational Resources Information Center

The New York University Medical Center faces program cuts and major changes in research, teaching and patient care due to declining patient profits and federal grants. Patients are spending less time in hospitals, reducing teaching potential. However, reduced services also cause more student involvement in patient care. Data on funding and revenue…

Walker, Paulette V.

1996-01-01

182

WASTE MINIMIZATION OPPORTUNITY ASSESSMENT: OPTICAL FABRICATION LABORATORY - FITZSIMMONS ARMY MEDICAL CENTER  

EPA Science Inventory

Under the Waste Reduction Evaluations at Federal Sites (WREAFS) program, RREL has taken the initiative to merge the experience and resources of the EPA with other Federal agencies. At the Fitzsimmons Army Medical Center (FAMC) in Aurora, Colorado, the Army and the EPA cooperated ...

183

WASTE MINIMIZATION OPPORTUNITY ASSESSMENT: OPTICAL FABRICATION LABORATORY - FITZSIMMONS ARMY MEDICAL CENTER  

EPA Science Inventory

Under the Waste Reduction Evaluations at Federal Sites (WREAFS) program, RREL has taken the initiative to merge the experience and resources of the EPA with other Federal agencies. t the Fitzsimmons Army Medical Center (FAMC) in Aurora, Colorado, the Army and the EPA cooperated i...

184

Attracting medical students to surgical residency programs.  

PubMed

With the goals of creating a better match between medical students and general surgery programs and providing a program that is desirable to medical students who are interested in pursuing careers in surgery, a survey was designed to categorize student interests and to determine what factors are used in choosing a general surgery program. The survey focused on the reasons that surgical resident candidates select a program. Each statement was rated for importance on a 5-point scale, and then the top 10 statements were ranked in order of importance. The survey was distributed to 19 community hospitals, 23 university programs, and medical students interviewing for surgical residency. A total of 286 surveys were returned from 18 programs and medical students. The statements with the three highest ratings were "amount of operative exposure," "diversity of operative cases," and "perceived relationships among faculty and residents." "Amount of operative exposure," "diversity of operative cases," and "ability to pursue fellowship training after residency" received the top rankings. There was a significant difference between men and women in the ratings of three statements. However, there was no difference with the ranking of the statements. There was also a significant difference between residents early and late in their training on ratings of five statements and on the ranking of two statements. The ratings of six statements were significantly different between community and university programs. A significant difference between types of program was also found with the rankings of four statements. There was a difference between small and large programs on two ratings of statements and one ranking. This data provides a useful resource for programs and candidates in preparing for candidate/residency selection. PMID:16808199

Crace, Phillip P; Nounou, Joseph; Engel, Amy M; Welling, Richard E

2006-06-01

185

Goddard Space Flight Center Ergonomics Program.  

National Technical Information Service (NTIS)

Since the Kennedy Space Center (KSC) Cardiovascular Screening Program started in 1984, we have made many changes to accommodate the growing number of participants. As a result of these changes, screening of KSC employees has become more efficient and prod...

E. Batson T. Unite

1993-01-01

186

Technology Transfer Center | NCI TTC Fellowship Program  

Cancer.gov

The NCI Technology Transfer Center offers two tracks of technology transfer fellowships under the Cancer Research Training Award (CRTA) program. These fellowships provide scientists with training and mentored work experience in technology transfer.

187

Office of Cancer Centers - About the Program  

Cancer.gov

 Office of Cancer Centers - About the Program Our History Staff Directory Contact Us Mail Delivery and Driving Directions Home > About Us > Staff Directory Staff Directory Linda K. Weiss, Ph.D. | Director weissl@mail.nih.gov

188

76 FR 1441 - Health Center Program  

Federal Register 2010, 2011, 2012, 2013

...demonstrated record of compliance with Health Center Program statutory and regulatory...the ARRA Increased Demand for Services and ARRA Capital Improvement Project funds will ensure that critical primary health care services continue and remain...

2011-01-10

189

NCI Community Cancer Centers Program Evaluation (NCCCP)  

Cancer.gov

On September 10, 2007, NCI awarded a contract to RTI International to evaluate the National Cancer Institute's Community Cancer Centers Program (NCCCP). This three-year pilot program consists of 16 community-based cancer centers across the country that are testing the feasibility of bringing the latest scientific advances in biospecimen collection, clinical trial accrual, and information system technology, and the highest level of innovative and evidence-based cancer care to cancer patients and survivors in their home communities.

190

Health Library and Regional Health Library Services of the Kaiser-Permanente Medical Care Program, Northern California Region.  

National Technical Information Service (NTIS)

The Health Library at the Kaiser-Permanente Medical Center, Oakland, California was established in 1969 as one part of a larger research project designed to incorporate health education and health maintenance into a comprehensive medical care program so a...

C. Quay

1981-01-01

191

Medical Physics Graduate Program At An HBCU  

NASA Astrophysics Data System (ADS)

The Physics Department at Hampton University houses the first Medical Physics graduate program at a minority institution, and the first in the state of Virginia. Jointly established with the Eastern Virginia Medical School, the program requires students to take standard physics courses in addition to medical physics classes and clinical rotations performed at local hospitals. The associated medical physics research primarily focuses on detectors development for absolute 3D dose distribution measurements (with accuracy better than ±100 microns), characterization of the uniformity or non-uniformity of Brachytherapy sources, and extraction of the 2D and 3D in-vivo dose maps for real time dose monitoring. Recent novel fundamental studies on the energy dependence of cancer cells to address, among others, mono-energetic Brachytherapy source treatments, reaction mechanisms associated with cancer cell destruction, and cancer genome identification have been launched. Each of the research conducted is strongly coupled to dedicated Geant4 Monte Carlo simulations. After presenting this unique medical physics program, we will review results obtained from its research group.

Gueye, Paul

2006-03-01

192

[Patient-centered medicine for tuberculosis medical services].  

PubMed

The 2011 edition of Specific Guiding Principles for Tuberculosis Prevention calls for a streamlined medical services system capable of providing medical care that is customized to the patient's needs. The new 21st Century Japanese version of the Directly Observed Treatment Short Course (DOTS) expands the indication of DOTS to all tuberculosis (TB) patients in need of treatment. Hospital DOTS consists of comprehensive, patient-centered support provided by a DOTS care team. For DOTS in the field, health care providers should select optimal administration support based on patient profiles and local circumstances. In accordance with medical fee revisions for 2012, basic inpatient fees have been raised and new standards for TB hospitals have been established, the result of efforts made by the Japanese Society for Tuberculosis and other associated groups. It is important that the medical care system be improved so that patients can actively engage themselves as a member of the team, for the ultimate goal of practicing patient-centered medicine. We have organized this symposium to explore the best ways for practicing patient-centered medicine in treating TB. It is our sincere hope that this symposium will lead to improved medical treatment for TB patients. 1. Providing patient-centered TB service via utilization of collaborative care pathway: Akiko MATSUOKA (Hiroshima Prefectural Tobu Public Health Center) We have been using two types of collaborative care pathway as one of the means of providing patient-centered TB services since 2008. The first is the clinical pathway, which is mainly used by TB specialist doctors to communicate with local practitioners on future treatment plan (e.g. medication and treatment duration) of patients. The clinical pathway was first piloted in Onomichi district and its use was later expanded to the whole of Hiroshima prefecture. The second is the regional care pathway, which is used to share treatment progress, test results and other necessary patient information among the relevant parties. The regional care pathway was developed by the Tobu Public Health Center. It is currently being used by several other public health centers in Hiroshima. Utilization of these two pathways has resulted in improved adherence, treatment being offered at local clinics, shorter hospitalization and better treatment outcomes. 2. Patient-centered DOTS in Funabashi-city: Akiko UOZUMI (Funabashi-city Public Health Center) In Funabashi-city, all TB patients, including those with LTBI, are treated under DOTS which recognizes and tries to accommodate the various different needs of each individual patient. For example, various types of DOTS are offered, such as pharmacy-based DOTS and DOTS supported by caregivers of nursing homes. This enables public health nurses to take into consideration both the results of risk assessment and convenience for the patient, and choose DOTS which most effectively support the patient. Furthermore, DOTS in principle is offered face-to-face, so that DOTS providers may not only build relationship of trust with the patient, but also to collect and analyze the necessary information regarding the patient and respond timely when problems arise. Such effort has directly contributed to improved default and treatment rate. 3. Hospital DOTS and clinical path for the treatment of tuberculosis: Kentaro SAKASHITA, Akira FUJITA (Tokyo Metropolitan Tama Medical Center) We introduced a version of hospital DOTS at Tama Medical Center (formerly Fuchu Hospital) in 2004. As part of this three-stage version, patients are allowed to progress to the next stage if they meet the step-up criteria. Following the introduction of this hospital DOTS, the occurrence of drug administration-related incidents decreased and support for patient adherence became easier for health care workers than before. In 2006, we developed a clinical path based on this hospital DOTS with consistent eligibility criteria for patients. This clinical path helped increase the efficiency of medical services in the TB ward. In conclusion, a patient'

Fujita, Akira; Narita, Tomoyo

2012-12-01

193

The Goddard Space Flight Center ergonomics program  

NASA Technical Reports Server (NTRS)

Since the Kennedy Space Center (KSC) Cardiovascular Screening Program started in 1984, we have made many changes to accommodate the growing number of participants. As a result of these changes, screening of KSC employees has become more efficient and productive. Various aspects of the program are covered.

Batson, Eileen; Unite, Theodore

1993-01-01

194

NCI Community Cancer Centers Program - Resources Overview  

Cancer.gov

The National Cancer Institute is committed to making progress against different cancer types through varied approaches. To this end, it develops, funds, and disseminates a vast array of programs, materials, and resources. Staff from across the Institute compiled this Guide to NCI Resources. This descriptive listing of key resources aims to meet the anticipated needs of the NCI Community Cancer Centers Program pilot sites.

195

Photocopy of photograph in the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), probably west and north sides. - Fitzsimons General Hospital, Officer Patient's Mess & Kitchen, Northeast Corner of West McAfee Avenue & South Hickey Street, Aurora, Adams County, CO

196

Photocopy of photograph in Fitzsimons Army Medical Center real property ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in Fitzsimons Army Medical Center real property book (green cloth cover), south side. - Fitzsimons General Hospital, Red Cross Building, South Eighth Street Bounded by West McAfee Avenue on South & West Harlow Avenue on North, Aurora, Adams County, CO

197

Photocopy of photograph in Fitzsimons Army Medical Center Real Property ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in Fitzsimons Army Medical Center Real Property Book (green cloth cover). Photograph of south side before perpendicular wing added. - Fitzsimons General Hospital, Carpenter Shop Building, Southwest Corner of West I Avenue, & North Tenth Street, Aurora, Adams County, CO

198

Photocopy of photograph in the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), south and north sides. - Fitzsimons General Hospital, Physiotherapy & Electrocardiograph Department Building, North of Building No. 516, East of corridor connecting Building No. 511 to Building No. 515, Aurora, Adams County, CO

199

Photocopy of photograph in the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), north and east sides of the east/west wing. - Fitzsimons General Hospital, General Mess & Kitchen, Southwest Corner of East McAfee Avenue & South Twelfth Street, Aurora, Adams County, CO

200

Photocopy of photograph in the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), east and south sides of building no. 715, now the south wing of building no. 508. - Fitzsimons General Hospital, Nurses' Mess & Kitchen, Nurses' Recreation, West McAfee Avenue, North of Building 507, Aurora, Adams County, CO

201

Photocopy of photograph in the Fitzsimons Army Medical Center real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), south and west sides of buildings no. 719, now the north wing of building no. 508. - Fitzsimons General Hospital, Nurses' Mess & Kitchen, Nurses' Recreation, West McAfee Avenue, North of Building 507, Aurora, Adams County, CO

202

Integrating Mental Health Treatment Into the Patient Centered Medical Home.  

National Technical Information Service (NTIS)

Efforts to improve the quality and efficiency of primary care have recently focused on the concept of the Patient Centered Medical Home (PCMH). Given that primary care serves as a main venue for providing mental health treatment, it is important to consid...

J. D. Brown T. W. Croghan

2010-01-01

203

Seizure Etiologies in a Veterans’ Affairs Medical Center Population  

Microsoft Academic Search

The purpose of this study is to determine the etiologies of seizures in a Veterans’ Affairs Medical Center (VAMC) population. We retrospectively reviewed the records of all VAMC patients discharged from the Northport VAMC who carried a diagnosis of recent or prior seizures. We divided cases into those who received at least one inpatient or outpatient psychiatric evaluation (n =

Alan B Ettinger; Caroline V Gatewood; Aliasgar Dhoon; George C Newman; Deborah M Weisbrot; Lina Jandorf; Orrin Devinsky

1998-01-01

204

USDA Center for Medical, Agricultural and Veterinary Entomology  

NSDL National Science Digital Library

A bibliography of publications from the USDA Center for Medical, Agricultural and Veterinary Entomology. Cataloged by year and searchable by peer-reviewed journal publications only or all publications. Links to each publication give reference details along with an interpretive summary as well as the technical abstract.

0002-11-30

205

Photocopy of photograph in the Fitzsimons Army Medical Center Real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center Real Property Book (green cloth cover). Photograph taken before Sept. 29, 1934 when the revised Real Property form on building 257 was completed. - Fitzsimons General Hospital, Building 257, North side of East O'Neill Avenue, between Tenth & Twelfth Streets, Aurora, Adams County, CO

206

Photocopy of photograph in the Fitzsimons Army Medical Center Real ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center Real Property Book (green cloth cover). Photograph taken before Sept. 29, 1934 when the revised Real Property form on building 256 was completed. - Fitzsimons General Hospital, Building 256, North side of East O'Niell Avenue, between Tenth & Twelfth Streets, Aurora, Adams County, CO

207

Photocopy of photograph in Fitzsimons Army Medical Center Real Property ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in Fitzsimons Army Medical Center Real Property Book (green cloth cover). Photograph taken before Sept 29, 1934 when the revised Real Property form on building 255 was completed. - Fitzsimons General Hopital, Building 255, North side of East O'Niell Avenue, between Tenth & Twelfth Streets, Aurora, Adams County, CO

208

Efficacy of Case Management in a Military Medical Center.  

National Technical Information Service (NTIS)

The purpose of this report is to determine the effects of managed care on a United States Army medical center in Georgia. The sample consisted of the physician staff, nursing staff, ancillary staff, and nurse case managers working with patient populations...

F. D. Anderson

1996-01-01

209

The Physician Workforce: Issues for Academic Medical Centers.  

ERIC Educational Resources Information Center

Changes in the system for the delivery of health care constitutes a challenge for U.S. academic medical centers (AMCs), which are being called on to produce physicians who can function effectively in the 21st century. This paper discusses issues facing AMCs and suggests some steps that might be taken to deal with the challenges these issues…

Vanselow, Neal A.

210

Photocopy of post card from Fitzsimons Army Medical Center Public ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of post card from Fitzsimons Army Medical Center Public Affairs Office, building 120. Photograph by Rocky Mountain photo. CO was no copyrighted and is , therefore, in the public domain. - Fitzsimons General Hospital, Memorial Tablet, West McAfee, South of Building No. 524, Aurora, Adams County, CO

211

Abdominal aortic aneurysm repair in Veterans Affairs medical centers  

Microsoft Academic Search

Purpose: This study was performed to define outcomes after abdominal ortic aneurysm (AAA) repair in Veterans Affairs (VA) medical centers during fiscal years 1991 through 1993.Methods: With VA patient treatment file data, patients were selected from diagnosis-related groups 110 and 111 and were then classified in a patient management category. In the categories of repair of nonruptured and ruptured AAA,

Andris Kazmers; Lloyd Jacobs; Anthony Perkins; S. Martin Lindenauer; Elizabeth Bates

1996-01-01

212

Luxury Primary Care, Academic Medical Centers, and the Erosion of Science and Professional Ethics  

PubMed Central

Medical schools and teaching hospitals have been hit particularly hard by the financial crisis affecting health care in the United States. To compete financially, many academic medical centers have recruited wealthy foreign patients and established luxury primary care clinics. At these clinics, patients are offered tests supported by little evidence of their clinical and/or cost effectiveness, which erodes the scientific underpinnings of medical practice. Given widespread disparities in health, wealth, and access to care, as well as growing cynicism and dissatisfaction with medicine among trainees, the promotion by these institutions of an overt, two-tiered system of care, which exacerbates inequities and injustice, erodes professional ethics. Academic medical centers should divert their intellectual and financial resources away from luxury primary care and toward more equitable and just programs designed to promote individual, community, and global health. The public and its legislators should, in turn, provide adequate funds to enable this. Ways for academic medicine to facilitate this largesse are discussed.

Donohoe, Martin

2004-01-01

213

Automating Veterans Administration libraries: II. Implementation at the Kansas City Medical Center Library.  

PubMed Central

In 1985, the Kansas City Veterans Administration Medical Center began implementation of the Decentralized Hospital Computer Program (DHCP). An integrated library system, a subset of that program, was started by the medical library for acquisitions and an outline catalog. To test the system, staff of the Neurology Service were trained to use the outline catalog and electronic mail to request interlibrary loans and literature searches. In implementing the project with the Neurology Service, the library is paving the way for many types of electronic access and interaction with the library.

Smith, V K; Ting, S C

1987-01-01

214

Treatment of urge incontinence in Veterans Affairs medical centers.  

PubMed

Urinary incontinence has far-reaching medical, psychological, social, and economic effects. The objectives of this descriptive study were to examine utilization patterns and discontinuation rates of various pharmacologic agents used to treat symptoms of overactive bladder, primarily urge incontinence (UI), and to estimate the prevalence of urinary incontinence in the study population. Patient-level data regarding specific drugs used to treat UI and the use of diapers or pads over a 9-month period from October 1995 to May 1996 were retrospectively extracted from the medication databases of 9 Department of Veterans Affairs medical centers. A total of 2233 male patients were included in the analyses. Most patients were receiving oxybutynin chloride (39.8%), dicyclomine hydrochloride (16.0%), or imipramine hydrochloride (13.9%), and the remaining 30.3% were using flavoxate hydrochloride, propantheline bromide, hyoscyamine sulfate, and adult diapers or pads. Overall, 72.1% of patients had been prescribed daily dosages within the recommended dosing ranges for these medications. The majority (91.3%) of patients had not switched to another UI medication during the study period. Based on a chronic disease index, 47.6% of patients had 2 or fewer chronic diseases. Using pooled prevalence estimates, the estimated percentage of patients who had ever experienced UI in this population ranged from 7.4% to 20.8%; however, a considerably smaller percentage were taking medications for the treatment of UI. The results of this study suggest that oxybutynin, dicyclomine, and imipramine are the agents most commonly used to treat urinary incontinence within Veterans Affairs medical centers. The majority of patients who received a prescription for one of these drugs did not routinely refill the medication over the course of the study. There are many reasons for patients not to refill a prescription (eg, ineffectiveness, side effects, complications, obtaining the drug from another source), but the present study did not address the causes. PMID:10397381

Malone, D C; Okano, G J

1999-05-01

215

Alcohol medical scholars program--a mentorship program for improving medical education regarding substance use disorders.  

PubMed

The Alcohol Medical Scholars Program (AMSP) is designed to improve medical education related to substance use disorders (SUDs) through mentorship of junior, full-time academic faculty from medical schools across the United States. Scholarship focuses on literature review and synthesis, lecture development and delivery, increasing SUD education in their medical schools, professional development, and networking. Results are reported from an anonymous survey of self-reported changes in educational involvement by 28 of 33 AMSP graduates. Participation was associated with a 4-fold increase in yearly SUD lecture time and topics, increased numbers of medical disciplines taught and trained in clinical rotations, design of new SUD-related electives and journal clubs, and membership on medical education committees. Sixty percent of scholars reported promotion since involvement in AMSP, with the majority endorsing the organization's contribution to professional development. AMSP is a useful mentorship model for junior faculty and is associated with increasing SUD-related medical education. PMID:21660871

Neufeld, Karin J; Schuckit, Marc A; Hernandez-Avila, Carlos A

2011-07-01

216

Fusion Research Center, theory program. Progress report  

SciTech Connect

The Texas FRC theory program is directed primarily toward understanding the initiation, heating, and confinement of tokamak plasmas. It supports and complements the experimental programs on the TEXT and PRETEXT devices, as well as providing information generally applicable to the national tokamak program. A significant fraction of the Center's work has been carried out in collaboration with, or as a part of, the program of the Institute for Fusion Studies (IFS). During the past twelve months, 14 FRC theory reports and 12 IFS reports with partial FRC support have been issued (Appendices A and B).

Not Available

1982-01-01

217

Interprofessional teams in the patient-centered medical home.  

PubMed

The implementation of patient-centered medical homes has reinforced the need for interprofessional practice as the means to increasing patient quality. The nurse executive is well positioned to facilitate interprofessional collaborative practice; however, more sophisticated and focused strategies are needed for high levels of interprofessional partnerships that wholeheartedly ensure patient-driven health care. This article presents strategies to meet the needs of the patient as the interprofessional team coordinates activities across the continuum. Strategies include having a clear understanding of the patient-centered medical homes concept, clear articulation of patient centricity behaviors, selection of metrics that are actionable, competence in developing high-functioning partnerships, and processes to strengthen the organizational cultural to support interprofessional practice. PMID:24896574

Martin, Deborah Maust

2014-01-01

218

Kennedy Space Center environmental health program  

NASA Technical Reports Server (NTRS)

The Kennedy Space Center's environmental health organization is responsible for programs which assure its employees a healthful workplace under diverse and varied working conditions. These programs encompass the disciplines of industrial hygiene, radiation protection (health physics), and environmental sanitation/pollution control. Activities range from the routine, such as normal office work, to the highly specialized, such as the processing of highly toxic and hazardous materials.

Marmaro, G. M.; Cardinale, M. A.; Summerfield, B. R.; Tipton, D. A.

1992-01-01

219

Implementing a Smoke-Free Campus: A Medical Center Initiative  

Microsoft Academic Search

A large 2-campus Medical Center in Western New York, along with several other large area hospitals, planned for and simultaneously\\u000a implemented successful “Smoke-Free Campus” initiatives in November of 2006. This coordinated initiative required that each\\u000a system plan accordingly for the development and implementation of policies, training of employees, clinicians, support staff\\u000a and provision of tobacco treatment services (directly or via

Sangeeta Gajendra; Deborah J. Ossip; Robert J. Panzer; Scott McIntosh

220

Photocopy of photograph in Fitzsimons Army Medical Center real property ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in Fitzsimons Army Medical Center real property book (green cloth cover), apparently showing west side of building 732. In 1921, buildings 732 and 733 were combined and it is assumed that this photograph, which was taken after 1921, shows the section added to make buildings 732 and 733 once continuous building. - Fitzsimons General Hospital, Storehouses, Northwest Corner of East Harlow Avenue & North Thirteenth Street, Aurora, Adams County, CO

221

Meharry Medical College-Community Health Centers Network  

Cancer.gov

The goal of the Meharry Medical College-Community Health Centers Network is to reduce cancer health disparities among African Americans through community-based participatory research, education, and training in three urban communities in Tennessee (Nashville, Chattanooga, and Memphis). In the project's first year, an umbrella coalition of organizations and individuals will create plans for collaborative community networking activities and develop an infrastructure to facilitate research in the target population.

222

Development of a Computerized Physician Office to Medical Center Interface  

PubMed Central

The development of a computerized information link between a regional medical center and physician offices is one of the many tools hospitals are using to influence physician referral patterns. Sacred Heart General Hospital has been involved in the development and implementation of such a link during the last 18 months. The development of the Physician Network System has been a long process, however much has been learned and accomplished and the hospital feels confident that development is proceeding in the right direction.

Henriksen, K.M.; Foreman, B.

1988-01-01

223

An academic medical center under prolonged rocket attack--organizational, medical, and financial considerations.  

PubMed

The Rambam Medical Center, the major academic health center in northern Israel, serving a population of two million and providing specialized tertiary care, was exposed to an unprecedented experience during the Second Lebanon War in the summer of 2006. For more than one month, it was subjected to continuous rocket attacks, but it continued to provide emergency and routine medical services to the civilian population and also served the military personnel who were evacuated from the battlefront. To accomplish the goals of serving the population while itself being under fire, the Rambam Medical Center had to undertake major organizational decisions, which included maximizing safety within the hospital by shifting patients and departments, ensuring that the hospital was properly fortified, managing the health professional teams' work schedules, and providing needed services for the families of employees. The Rambam Medical Center's Level I trauma center expertise included multidisciplinary teams and extensive collaborations; modern imaging modalities usually reserved for peacetime medical practice were frequently used. The function of the hospital teams during the war was efficient and smooth, based on the long-term actions taken to prepare for disasters and wartime conditions. Routine hospital services continued, although at 60% of normal occupancy. Financial losses incurred were primarily due to the decrease in revenue-generating activity. The two most important components of managing the hospital under these conditions are (1) the ability to arrive at prompt and meaningful decisions with respect to the organizational and medical hospital operations and (2) the leadership and management of the professional staff and teams. PMID:19707058

Bar-El, Yaron; Michaelson, Moshe; Hyames, Gila; Skorecki, Karl; Reisner, Shimon A; Beyar, Rafael

2009-09-01

224

Mentoring program design and implementation in new medical schools  

PubMed Central

Purpose Mentoring is considered a valuable component of undergraduate medical education with a variety of programs at established medical schools. This study presents how new medical schools have set up mentoring programs as they have developed their curricula. Methods Administrators from 14 US medical schools established since 2006 were surveyed regarding the structure and implementation of their mentoring programs. Results The majority of new medical schools had mentoring programs that varied in structure and implementation. Although the programs were viewed as valuable at each institution, challenges when creating and implementing mentoring programs in new medical schools included time constraints for faculty and students, and lack of financial and professional incentives for faculty. Conclusions Similar to established medical schools, there was little uniformity among mentoring programs at new medical schools, likely reflecting differences in curriculum and program goals. Outcome measures are needed to determine whether a best practice for mentoring can be established.

Fornari, Alice; Murray, Thomas S.; Menzin, Andrew W.; Woo, Vivian A.; Clifton, Maurice; Lombardi, Marion; Shelov, Steven

2014-01-01

225

Health Care Savings with the Patient-Centered Medical Home: Community Care of North Carolina's Experience  

PubMed Central

Abstract This study evaluated the financial impact of integrating a systemic care management intervention program (Community Care of North Carolina) with person-centered medical homes throughout North Carolina for non-elderly Medicaid recipients with disabilities during almost 5 years of program history. It examined Medicaid claims for 169,676 non-elderly Medicaid recipients with disabilities from January 2007 through third quarter 2011. Two models were used to estimate the program's impact on cost, within each year. The first employed a mixed model comparing member experiences in enrolled versus unenrolled months, accounting for regional differences as fixed effects and within physician group experience as random effects. The second was a pre-post, intervention/comparison group, difference-in-differences mixed model, which directly matched cohort samples of enrolled and unenrolled members on strata of preenrollment pharmacy use, race, age, year, months in pre-post periods, health status, and behavioral health history. The study team found significant cost avoidance associated with program enrollment for the non-elderly disabled population after the first years, savings that increased with length of time in the program. The impact of the program was greater in persons with multiple chronic disease conditions. By providing targeted care management interventions, aligned with person-centered medical homes, the Community Care of North Carolina program achieved significant savings for a high-risk population in the North Carolina Medicaid program. (Population Health Management 2013;17:141–148)

DuBard, C. Annette; Ritter, Grant A.; Jackson, Carlos T.

2014-01-01

226

Health Care Savings with the Patient-Centered Medical Home: Community Care of North Carolina's Experience.  

PubMed

Abstract This study evaluated the financial impact of integrating a systemic care management intervention program (Community Care of North Carolina) with person-centered medical homes throughout North Carolina for non-elderly Medicaid recipients with disabilities during almost 5 years of program history. It examined Medicaid claims for 169,676 non-elderly Medicaid recipients with disabilities from January 2007 through third quarter 2011. Two models were used to estimate the program's impact on cost, within each year. The first employed a mixed model comparing member experiences in enrolled versus unenrolled months, accounting for regional differences as fixed effects and within physician group experience as random effects. The second was a pre-post, intervention/comparison group, difference-in-differences mixed model, which directly matched cohort samples of enrolled and unenrolled members on strata of preenrollment pharmacy use, race, age, year, months in pre-post periods, health status, and behavioral health history. The study team found significant cost avoidance associated with program enrollment for the non-elderly disabled population after the first years, savings that increased with length of time in the program. The impact of the program was greater in persons with multiple chronic disease conditions. By providing targeted care management interventions, aligned with person-centered medical homes, the Community Care of North Carolina program achieved significant savings for a high-risk population in the North Carolina Medicaid program. (Population Health Management 2013;17:141-148). PMID:24053757

Fillmore, Herbert; DuBard, C Annette; Ritter, Grant A; Jackson, Carlos T

2014-06-01

227

A Training Program in Medical Communications for Foreign Native Medical Graduates.  

ERIC Educational Resources Information Center

An intensive 3-week training program in medical communications skills for foreign native medical graduates (FNMG) is described. The program incorporates language and acculturation training via medically relevant, situational dialogues and role playing; training in medical interviewing skills with patient simulations; instruction in…

Newbold, Richard C., III; And Others

228

Nuclear Medical Technology. Curriculum for a Two Year Program. Final Report.  

ERIC Educational Resources Information Center

Objectives of the project briefly described here were (1) to develop curriculum for a two-year nuclear medical technology program based on a working relationship between three institutions (community college, university health center, and hospital) and (2) to develop procedures for the operation of a medical imaging and radiation technology core…

Buatti, A.; Rich, D.

229

Highway Safety Program Manual: Volume 11: Emergency Medical Services.  

ERIC Educational Resources Information Center

Volume 11 of the 19-volume Highway Safety Program Manual (which provides guidance to State and local governments on preferred highway safety practices) concentrates on emergency medical services. The purpose of the program, Federal authority in the area of medical services, and policies related to an emergency medical services (EMS) program are…

National Highway Traffic Safety Administration (DOT), Washington, DC.

230

School-Based Health Centers and the Patient-Centered Medical Home. Position Statement  

ERIC Educational Resources Information Center

The patient-centered medical home (PCMH) is an innovative care delivery model designed to provide comprehensive primary care services to people of all ages by fostering partnerships between patients, families, health care providers and the community. National Assembly on School-Based Health Care (NASBHC) recommends practices and policies that…

National Assembly on School-Based Health Care, 2010

2010-01-01

231

Basic Training Program in Medical Pedagogy: a 1-year program for medical faculty.  

PubMed Central

In 1979 université de Montréal developed the Basic Training Program in Medical Pedagogy; the program has since been offered at two other Canadian medical schools. The learning activities are spread over an academic year so that the teachers are able to continue their clinical or research duties. The program, which follows a model of systematic instruction, comprises 17 self-instructional modules on basic educational topics adapted to medical teaching. The topics are related to four components of an integrated system: student needs and learning objectives, instructional methods, student evaluation and program evaluation. The instructional format is aimed at three levels--understanding, analysis and application--to which assignments and assessments are related. In addition to the modules, the program offers 15 half-day sessions for small groups (five participants and one instructor) to discuss aspects of the program, especially home assignments and the application of personal educational projects. A minimum of 100 hours of personal time is requested. The program's main goal is that students be placed at the centre of the educational process. Of 215 participants since 1979, 171 (80%) have completed the program and reported high satisfaction. Issues related to any faculty development program are discussed.

Des Marchais, J E; Jean, P; Delorme, P

1990-01-01

232

CRCHD PNP Project: Moffitt Cancer Center Patient Navigator Program  

Cancer.gov

CRCHD PNP Project: Moffitt Cancer Center Patient Navigator Program  Back to CRCHD Ongoing Research PNP Project Listing Patient Navigation Research Program (PNRP) Participating Research Sites Moffitt Cancer Center Patient Navigator Program

233

A comparison of assertive community treatment fidelity measures and patient-centered medical home standards.  

PubMed

OBJECTIVE This study compared program measures of assertive community treatment (ACT) with standards of accreditation for the patient-centered medical home (PCMH) to determine whether there were similarities in the infrastructure of the two methods of service delivery and whether high-fidelity ACT teams would qualify for medical home accreditation. METHODS The authors compared National Committee for Quality Assurance PCMH standards with two ACT fidelity measures (the Dartmouth Assertive Community Treatment Scale and the Tool for Measurement of Assertive Community Treatment [TMACT]) and with national ACT program standards. RESULTS PCMH standards pertaining to enhanced access and continuity, management of care, and self-care support demonstrated strong overlap across ACT measures. Standards for identification and management of populations, care coordination and follow-up, and quality improvement demonstrated less overlap. The TMACT and the program standards had sufficient overlap to score in the range of a level 1 PCMH, but no ACT measure sufficiently detailed methods of population-based screening and tracking of referrals to satisfy "must-pass" elements of the standards. CONCLUSIONS ACT measures and medical home standards had significant overlap in innate infrastructure. ACT teams following the program standards or undergoing TMACT fidelity review could have the necessary infrastructure to serve as medical homes if they were properly equipped to supervise general medical care and administer activities to improve management of chronic diseases. PMID:23820753

Vanderlip, Erik R; Cerimele, Joseph M; Monroe-Devita, Maria

2013-11-01

234

A Comparison of Assertive Community Treatment Fidelity Measures and Patient-Centered Medical Home Standards  

PubMed Central

Objective This study compared program measures of assertive community treatment (ACT) with standards of accreditation for the patient-centered medical home (PCMH) to determine whether there were similarities in the infrastructure of the two methods of service delivery and whether high-fidelity ACT teams would qualify for medical home accreditation. Methods The authors compared National Committee for Quality Assurance PCMH standards with two ACT fidelity measures (the Dartmouth Assertive Community Treatment Scale and the Tool for Measurement of Assertive Community Treatment [TMACT]) and with national ACT program standards. Results PCMH standards pertaining to enhanced access and continuity, management of care, and self-care support demonstrated strong overlap across ACT measures. Standards for identification and management of populations, care coordination and follow-up, and quality improvement demonstrated less overlap. The TMACT and the program standards had sufficient overlap to score in the range of a level 1 PCMH, but no ACT measure sufficiently detailed methods of population-based screening and tracking of referrals to satisfy “must-pass” elements of the standards. Conclusions ACT measures and medical home standards had significant overlap in innate infrastructure. ACT teams following the program standards or undergoing TMACT fidelity review could have the necessary infrastructure to serve as medical homes if they were properly equipped to supervise general medical care and administer activities to improve management of chronic diseases.

Vanderlip, Erik R.; Cerimele, Joseph M.; Monroe-DeVita, Maria

2014-01-01

235

78 FR 10608 - David Grant United States Air Force Medical Center Specialty Care Travel Reimbursement...  

Federal Register 2010, 2011, 2012, 2013

...States Air Force Medical Center Specialty Care Travel Reimbursement Demonstration Project...States Air Force Medical Center Specialty Care Travel Reimbursement Demonstration Project...will increase utilization of the direct care system by selected beneficiaries....

2013-02-14

236

Simulation in health care provider education at Brooke Army Medical Center.  

PubMed

The teaching and assessment of clinical skills are critical components of health care provider education, and clinical skill proficiency is essential for safe and successful health care delivery. Medical simulation is being increasingly recognized in health care education as an extremely valuable mechanism for training and assessing clinical skills. As in other high-stakes professions, the use of simulation can enhance the proficiency and efficiency of training while maximizing safety and minimizing risk. Located within Brooke Army Medical Center, the Trauma Simulation Training Center is a multifaceted, full-service, medical simulation facility. In an effort to improve and to expand the role of simulation, we collected data on utilization of the facility and the level of overall satisfaction among our users. Results showed that the primary users were graduate medical education physicians-in-training. In addition, survey results demonstrated that users favored simulation-based learning because of the realism of simulated scenarios. The Trauma Simulation Training Center embraces the simulation-based medical education philosophy by actively inviting training program participation, and we realize that more research is needed to determine the effectiveness of this teaching and assessment modality. PMID:18595423

Stamper, David H; Jones, Robert S; Thompson, Jennifer C

2008-06-01

237

Evaluation of Intravenous Medication Errors with Smart Infusion Pumps in an Academic Medical Center  

PubMed Central

While some published research indicates a fairly high frequency of Intravenous (IV) medication errors associated with the use of smart infusion pumps, the generalizability of these results are uncertain. Additionally, the lack of a standardized methodology for measuring these errors is an issue. In this study we iteratively developed a web-based data collection tool to capture IV medication errors using a participatory design approach with interdisciplinary experts. Using the developed tool, a prevalence study was then conducted in an academic medical center. The results showed that the tool was easy to use and effectively captured all IV medication errors. Through the prevalence study, violation errors of hospital policy were found that could potentially place patients at risk, but no critical errors known to contribute to patient harm were noted.

Ohashi, Kumiko; Dykes, Patricia; McIntosh, Kathleen; Buckley, Elizabeth; Wien, Matt; Bates, David W.

2013-01-01

238

Dryden Flight Research Center Chemical Pharmacy Program  

NASA Technical Reports Server (NTRS)

The Dryden Flight Research Center (DFRC) Chemical Pharmacy "Crib" is a chemical sharing system which loans chemicals to users, rather than issuing them or having each individual organization or group purchasing the chemicals. This cooperative system of sharing chemicals eliminates multiple ownership of the same chemicals and also eliminates stockpiles. Chemical management duties are eliminated for each of the participating organizations. The chemical storage issues, hazards and responsibilities are eliminated. The system also ensures safe storage of chemicals and proper disposal practices. The purpose of this program is to reduce the total releases and transfers of toxic chemicals. The initial cost of the program to DFRC was $585,000. A savings of $69,000 per year has been estimated for the Center. This savings includes the reduced costs in purchasing, disposal and chemical inventory/storage responsibilities. DFRC has chemicals stored in 47 buildings and at 289 locations. When the program is fully implemented throughout the Center, there will be three chemical locations at this facility. The benefits of this program are the elimination of chemical management duties; elimination of the hazard associated with chemical storage; elimination of stockpiles; assurance of safe storage; assurance of proper disposal practices; assurance of a safer workplace; and more accurate emissions reports.

Davis, Bette

1997-01-01

239

Hospitalizations of adults with intellectual disability in academic medical centers.  

PubMed

Abstract Individuals with intellectual disability (ID) represent a small but important group of hospitalized patients who often have complex health care needs. Individuals with ID experience high rates of hospitalization for ambulatory-sensitive conditions and high rates of hospitalizations in general, even when in formal community care systems; however, no research was found on the common reasons for which this population is hospitalized. Academic medical centers often treat the most complex patients, and data from these centers can provide insight into the needs of patient populations with complex needs. The purpose of this study was to analyze descriptive data from the UHC (formerly known as the University Healthsystem Consortium; an alliance of 115 U.S. academic medical centers and 300 of their affiliated hospitals) regarding common reasons for hospitalization, need for intensive care, and common hospitalization outcome measures of length of stay and complications for adult (age ? 18) patients with ID. Findings indicate the need for specific attention to the needs of hospitalized patients with ID. PMID:24937744

Ailey, Sarah H; Johnson, Tricia; Fogg, Louis; Friese, Tanya R

2014-06-01

240

DOE Center of Excellence in Medical Laser Applications. Final report, December 1, 1994--November 30, 1997.  

National Technical Information Service (NTIS)

An engineering network of collaborating medical laser laboratories are developing laser and optical technologies for medical diagnosis and therapy and are translating the engineering into medical centers in Portland OR, Houston TX, and Galveston TX. Diagn...

S. L. Jacques

1998-01-01

241

Regional program for acquisition of medical experiments  

NASA Technical Reports Server (NTRS)

A U.S. company was contracted to cover different regions of the country. A moderately detailed description of the highlights of the company activities along with some conclusions and recommendations are reported. In summary, the regional program effectively: (1) informed segments of the medical community of research opportunities; (2) validated formats for regional workshops; (3) assisted potential investigators with follow-up consultations and proposal preparations; and (4) identified a latent intersect requiring continual dialog at the scientist/engineer interface for successful cultivation and integration.

Vannordstrand, P. C.

1978-01-01

242

NASA Glenn Research Center's Hypersonic Propulsion Program  

NASA Technical Reports Server (NTRS)

NASA Glenn Research Center (GRC), as NASA's lead center for aeropropulsion, is responding to the challenge of reducing the cost of space transportation through the integration of air-breathing propulsion into launch vehicles. Air- breathing launch vehicle (ABLV) propulsion requires a marked departure from traditional propulsion applications. and stretches the technology of both rocket and air-breathing propulsion. In addition, the demands of the space launch mission require an unprecedented level of integration of propulsion and vehicle systems. GRC is responding with a program with rocket-based combined cycle (RBCC) propulsion technology as its main focus. RBCC offers the potential for simplicity, robustness, and performance that may enable low-cost single-stage-to-orbit (SSTO) transportation. Other technologies, notably turbine-based combined cycle (TBCC) propulsion, offer benefits such as increased robustness and greater mission flexibility, and are being advanced, at a slower pace, as part of GRC's program in hypersonics.

Palac, Donald T.

1999-01-01

243

The Effect of Training in Primary Health Care Centers on Medical Students' Clinical Skills  

PubMed Central

Medical students' effective clinical skills training are an important goal of any medical school. When adequate, graduate doctors will have sufficient skills to consult a patient by taking proper history and conducting appropriate physical examination. The question under scrutiny is the optimal place for providing such training. Since the aim is to graduate general physicians, many literatures highlighted the importance of implementing such training in the primary health care centers. A special clinical skills training program was developed for the Year 4 pre-clerkship medical students of the Arabian Gulf University during the academic year 2011-2012. It was important for these students to acquire certain skills before transferring to the clerkship phase where they deal directly with patients. For the 130 students involved in this study, a self-assessment and clinical exam were conducted at the beginning and end of the program. The study showed that students benefited greatly from this training program with significant differences between their preexisting known skills and clinical skills acquired by the end of the program. Primary care centers are ideal places for optimal training because of small group training setting that is one tutor to two students and of the advantage that students face real patient environment.

Abdullatif Alnasir, Faisal; Jaradat, Ahmed Abdel-Karim

2013-01-01

244

A cryptologic based trust center for medical images.  

PubMed Central

OBJECTIVE: To investigate practical solutions that can integrate cryptographic techniques and picture archiving and communication systems (PACS) to improve the security of medical images. DESIGN: The PACS at the University of California San Francisco Medical Center consolidate images and associated data from various scanners into a centralized data archive and transmit them to remote display stations for review and consultation purposes. The purpose of this study is to investigate the model of a digital trust center that integrates cryptographic algorithms and protocols seamlessly into such a digital radiology environment to improve the security of medical images. MEASUREMENTS: The timing performance of encryption, decryption, and transmission of the cryptographic protocols over 81 volumetric PACS datasets has been measured. Lossless data compression is also applied before the encryption. The transmission performance is measured against three types of networks of different bandwidths: narrow-band Integrated Services Digital Network, Ethernet, and OC-3c Asynchronous Transfer Mode. RESULTS: The proposed digital trust center provides a cryptosystem solution to protect the confidentiality and to determine the authenticity of digital images in hospitals. The results of this study indicate that diagnostic images such as x-rays and magnetic resonance images could be routinely encrypted in PACS. However, applying encryption in teleradiology and PACS is a tradeoff between communications performance and security measures. CONCLUSION: Many people are uncertain about how to integrate cryptographic algorithms coherently into existing operations of the clinical enterprise. This paper describes a centralized cryptosystem architecture to ensure image data authenticity in a digital radiology department. The system performance has been evaluated in a hospital-integrated PACS environment.

Wong, S T

1996-01-01

245

Better communication expected to boost capacity at Sutter Medical Center.  

PubMed

If hospitals were run like motels, many would have 'no vacancy' signs out front these days. For a variety of reasons, most hospitals are operating near capacity. Of course, hospitals don't like to turn away patients, so they build new space and look for ways to get patients in and out faster. Sutter Medical Center in Sacramento, CA, thinks it has hit upon the answer with a computer system that automates the patient flow management process and makes communication between staff members more efficient. PMID:14574729

2003-09-01

246

Photocopy of photograph in Fitzsimons Army Medical Center real property ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in Fitzsimons Army Medical Center real property book (green cloth cover). In that book, this photograph appears for building 706 was renumbered 353 and subsequently 202. The building in the photograph resembles building 204 more than it does building 202, but all Fitzsimons Real Property records indicate that the building in the photograph, showing west side, is early photograph of building 202. - Fitzsimons General Hospital, Motor Transport Garage, Northwest Corner of East Harlow Avenue, & North Twelfth Street, Aurora, Adams County, CO

247

Managed care at Eisenhower Army Medical Center: an initial experience.  

PubMed

Managed care is receiving a great deal of attention in the health care industry. In today's cost-conscious economic environment, managed care has been developed in an attempt to maximize quality of health care while minimizing the cost of providing that care. The purposes of this article are to (1) review the principles of clinical case management; (2) describe the implementation of clinical case management and critical paths at Dwight David Eisenhower Army Medical Center; (3) elaborate on successful strategies employed; and (4) address difficulties encountered. Finally, the study that is currently underway at the facility will be briefly discussed. PMID:8524461

Reinhart, S I; Anderson, F D; Clay, P A; Patrician, P A; Maloney, J P

1995-08-01

248

77 FR 59931 - Single Source Program Expansion Supplement Award to Area Health Education Centers (AHEC) Program...  

Federal Register 2010, 2011, 2012, 2013

...Health Education Centers (AHEC) Program Grantee; Exception to Competition AGENCY: Health...Health Education Centers (AHEC) Program Grantee--University of Guam School of Nursing...Health Education Center (AHEC) Program grantee, to coordinate the U.S....

2012-10-01

249

National Ice Center Visiting Scientist Program  

NASA Technical Reports Server (NTRS)

The objectives of the work done by Dr. Kim Partington were to manage NASA's polar research program, including its strategic direction, research funding and interagency and international collaborations. The objectives of the UCAR Visiting Scientist Program at the National Ice Center (NIC) are to: (1) Manage a visiting scientist program for the NIC Science Center in support of the mission of the NIC; (2) Provide a pool of researchers who will share expertise with the NIC and the science community; (3) Facilitate communications between the research and operational communities for the purpose of identifying work ready for validation and transition to an operational environment; and (4) Act as a focus for interagency cooperation. The NIC mission is to provide worldwide operational sea ice analyses and forecasts for the armed forces of the US and allied nations, the Departments of Commerce and Transportation, and other US Government and international agencies, and the civil sector. The NIC produces these analyses and forecasts of Arctic, Antarctic, Great Lakes, and Chesapeake Bay ice conditions to support customers with global, regional, and tactical scale interests. The NIC regularly deploys Naval Ice Center NAVICECEN Ice Reconnaissance personnel to the Arctic and Antarctica in order to perform aerial ice observation and analysis in support of NIC customers. NIC ice data are a key part of the US contribution to international global climate and ocean observing systems.

Austin, Meg

2001-01-01

250

NASA's extended duration orbiter medical program  

NASA Technical Reports Server (NTRS)

The physiological issues involved in safely extending Shuttle flights from 10 to 16 days have been viewed by some as academic. After all, they reasoned, humans already have lived and worked in space for periods exceeding even 28 days in the United States Skylab Program and onboard the Russian space stations. The difference in the Shuttle program is in the physical position of the astronauts as they reenter the Earth's atmosphere. Crewmembers in the earlier Apollo, Skylab, and Russian programs were returned to Earth in the supine position. Space Shuttle crewmembers, in contrast, are seated upright during reentry and landing; reexperiencing the Earth's g forces in this position has far more pronounced effects on the crewmember's physiological functions. The goal of the Extended Duration Orbiter (EDO) Medical Project (EDOMP) has been to ensure that crewmembers maintain physiological reserves sufficient to perform entry, landing, and egress safely. Early in the Shuttle Program, it became clear that physiological deconditioning during space flight could produce significant symptoms upon return to Earth. The signs and symptoms observed during the entry, landing, and egress after Shuttle missions have included very high heart rates and low blood pressures upon standing. Dizziness, 'graying out,' and fainting have occurred on ambulation or shortly thereafter. Other symptoms at landing have included headache, light-headedness, nausea and vomitting, leg cramping, inability to stand for several minutes after wheel-stop, and unsteadiness of gait.

Pool, Sam Lee; Sawin, Charles F.

1992-01-01

251

Integrating complementary and alternative medicine into academic medical centers: Experience and perceptions of nine leading centers in North America  

PubMed Central

Background Patients across North America are using complementary and alternative medicine (CAM) with increasing frequency as part of their management of many different health conditions. The objective of this study was to develop a guide for academic health sciences centers that may wish to consider starting an integrative medicine program. Methods We queried North American leaders in the field of integrative medicine to identify initial sites. Key stakeholders at each of the initial sites visited were then asked to identify additional potential study sites (snowball sampling), until no new sites were identified. We conducted structured interviews to identify critical factors associated with success and failure in each of four domains: research, education, clinical care, and administration. During the interviews, field notes were recorded independently by at least two investigators. Team meetings were held after each visit to reach consensus on the information recorded and to ensure that it was as complete as possible. Content analysis techniques were used to identify key themes that emerged from the field notes. Results We identified ten leading North American integrative medical centers, and visited nine during 2002–2003. The centers visited suggested that the initiation of an integrative medicine program requires a significant initial outlay of funding and a motivated "champion". The centers had important information to share regarding credentialing, medico-legal issues and billing for clinical programs; identifying researchers and research projects for a successful research program; and strategies for implementing flexible educational initiatives and establishing a functional administrative structure. Conclusion Important lessons can be learned from academic integrative programs already in existence. Such initiatives are timely and feasible in a variety of different ways and in a variety of settings.

Vohra, Sunita; Feldman, Kymm; Johnston, Brad; Waters, Kellie; Boon, Heather

2005-01-01

252

Association Between Patient-Centered Medical Home Rating and Operating Cost at Federally Funded Health Centers  

PubMed Central

Context Little is known about the cost associated with a health center’s rating as a patient-centered medical home (PCMH). Objective To determine whether PCMH rating is associated with operating cost among health centers funded by the US Health Resources and Services Administration. Design, Setting, and Participants Cross-sectional study of PCMH rating and operating cost in 2009. PCMH rating was assessed through surveys of health center administrators conducted by Harris Interactive of all 1009 Health Resources and Services Administration–funded community health centers. The survey provided scores from 0 (worst) to 100 (best) for total PCMH score and 6 subscales: access/communication, care management, external coordination, patient tracking, test/referral tracking, and quality improvement. Costs were obtained from the Uniform Data System reports submitted to the Health Resources and Services Administration. We used generalized linear models to determine the relationship between PCMH rating and operating cost. Main Outcome Measures Operating cost per physician full-time equivalent, operating cost per patient per month, and medical cost per visit. Results Six hundred sixty-nine health centers (66%) were included in the study sample, with 340 excluded because of nonresponse or incomplete data. Mean total PCMH score was 60 (SD,12; range, 21–90). For the average health center, a 10-point higher total PCMH score was associated with a $2.26 (4.6%) higher operating cost per patient per month (95% CI, $0.86–$4.12). Among PCMH subscales, a 10-point higher score for patient tracking was associated with higher operating cost per physician full-time equivalent ($27 300; 95% CI,$3047–$57 804) and higher operating cost per patient per month ($1.06;95%CI,$0.29–$1.98). A 10-point higher score for quality improvement was also associated with higher operating cost per physician full-time equivalent ($32 731; 95% CI, $1571–$73 670) and higher operating cost per patient per month ($1.86; 95% CI, $0.54–$3.61). A 10-point higher PCMH subscale score for access/communication was associated with lower operating cost per physician full-time equivalent ($39 809; 95% CI, $1893–$63 169). Conclusions According to a survey of health center administrators, higher scores on a scale that assessed 6 aspects of the PCMH were associated with higher health center operating costs. Two subscales of the medical home were associated with higher cost and 1 with lower cost.

Nocon, Robert S.; Sharma, Ravi; Birnberg, Jonathan M.; Ngo-Metzger, Quyen; Lee, Sang Mee; Chin, Marshall H.

2013-01-01

253

Directory of Approved Allied Medical Educational Programs, 1971.  

ERIC Educational Resources Information Center

Intended as a reference for educators, students, and employers, this directory contains information about 2,498 allied medical educational programs, representing 14 occupations, which were approved as of July 15, 1970, by the Council on Medical Education of the American Medical Association (AMA) and 14 collaborating organizations. The programs are…

American Medical Association, Chicago, IL. Council on Medical Education.

254

Suborbital Science Program: Dryden Flight Research Center  

NASA Technical Reports Server (NTRS)

This viewgraph presentation reviews the suborbital science program at NASA Dryden Flight Research Center. The Program Objectives are given in various areas: (1) Satellite Calibration and Validation (Cal/val)--Provide methods to perform the cal/val requirements for Earth Observing System satellites; (2) New Sensor Development -- Provide methods to reduce risk for new sensor concepts and algorithm development prior to committing sensors to operations; (3) Process Studies -- Facilitate the acquisition of high spatial/temporal resolution focused measurements that are required to understand small atmospheric and surface structures which generate powerful Earth system effects; and (4) Airborne Networking -- Develop disruption-tolerant networking to enable integrated multiple scale measurements of critical environmental features. Dryden supports the NASA Airborne Science Program and the nation in several elements: ER-2, G-3, DC-8, Ikhana (Predator B) & Global Hawk and Reveal. These are reviewed in detail in the presentation.

DelFrate, John

2008-01-01

255

Collaboration between NCQA Patient-Centered Medical Homes and specialty behavioral health and medical services.  

PubMed

There is increased recognition that more mental health concerns are seen in primary care than any other healthcare setting. The Patient-Centered Medical Home (PCMH) is a significant redesign of primary care, and many of the principles of the PCMH appeal to the usage of a whole person mind-and-body treatment approach that is responsive to all the patient's needs. This study examined the level of collaboration between National Committee for Quality Assurance (NCQA)-recognized PCMH primary care practices and outpatient specialty behavioral health services (when compared to other medically oriented specialties). In 2010, a 20-item survey was sent to 238 NCQA PCMHs to learn what they were doing to address behavioral health needs in primary care. A sub-dataset from the survey was analyzed in order to look specifically at referrals, communication, and scheduling-support processes. These data were compared with how the practice responded to similar questions about endocrinology and cardiology. Results from the participating 123 practices revealed that very few practices address behavioral health conditions as they would other medical conditions. This is evidenced by the lack of routinized processes to assist with referrals, communication, and scheduling to outpatient behavioral health services. There appears to be significant opportunity to improve how behavioral health is addressed in the patient-centered medical home. PMID:24073132

Massa, Idalia; Miller, Benjamin F; Kessler, Rodger

2012-09-01

256

Analysis of the Children's Hospital Graduate Medical Education Program Fund Allocations for Indirect Medical Education Costs.  

ERIC Educational Resources Information Center

This study analyzed issues related to estimating indirect medical education costs specific to pediatric discharges. The Children's Hospital Graduate Medical Education (CHGNE) program was established to support graduate medical education in children's hospitals. This provision authorizes payments for both direct and indirect medical education…

Wynn, Barbara O.; Kawata, Jennifer

257

Development of a longitudinal integrated clerkship at an academic medical center  

PubMed Central

In 2005, medical educators at the University of California, San Francisco (UCSF), began developing the Parnassus Integrated Student Clinical Experiences (PISCES) program, a year-long longitudinal integrated clerkship at its academic medical center. The principles guiding this new clerkship were continuity with faculty preceptors, patients, and peers; a developmentally progressive curriculum with an emphasis on interdisciplinary teaching; and exposure to undiagnosed illness in acute and chronic care settings. Innovative elements included quarterly student evaluation sessions with all preceptors together, peer-to-peer evaluation, and oversight advising with an assigned faculty member. PISCES launched with eight medical students for the 2007/2008 academic year and expanded to 15 students for 2008/2009. Compared to UCSF's traditional core clerkships, evaluations from PISCES indicated significantly higher student satisfaction with faculty teaching, formal didactics, direct observation of clinical skills, and feedback. Student performance on discipline-specific examinations and United States Medical Licensing Examination step 2 CK was equivalent to and on standardized patient examinations was slightly superior to that of traditional peers. Participants' career interests ranged from primary care to surgical subspecialties. These results demonstrate that a longitudinal integrated clerkship can be implemented successfully at a tertiary care academic medical center.

Poncelet, Ann; Bokser, Seth; Calton, Brook; Hauer, Karen E.; Kirsch, Heidi; Jones, Tracey; Lai, Cindy J.; Mazotti, Lindsay; Shore, William; Teherani, Arianne; Tong, Lowell; Wamsley, Maria; Robertson, Patricia

2011-01-01

258

Publications in academic medical centers: technology-facilitated culture clash.  

PubMed

Academic culture has a set of norms, expectations, and values that are sometimes tacit and sometimes very explicit. In medical school and other health professions educational settings, probably the most common norm includes placing a high value on peer-reviewed research publications, which are seen as the major evidence of scholarly productivity. Other features of academic culture include encouraging junior faculty and graduate students to share their research results at professional conferences and lecturing with slides as a major way to convey information. Major values that faculty share with journal editors include responsible conduct of research and proper attribution of others' words and ideas. Medical school faculty also value technology and are often quick to embrace technological advances that can assist them in their teaching and research. This article addresses the effects of technology on three aspects of academic culture: education, presentations at professional meetings, and research publications.The technologies discussed include online instruction, dissemination of conference proceedings on the Internet, plagiarism-detection software, and new technologies deployed by the National Center for Biotechnology Information, the home of PubMed. The author describes how the ease of deploying new technologies without faculty changing their norms and behavior in the areas of teaching and research can lead to conflicts of values among key stakeholders in the academic medical community, including faculty, journal editors, and professional associations. The implications of these conflicts and strategies for managing them are discussed. PMID:24667517

Berner, Eta S

2014-05-01

259

Four Medical Schools and a Research Center in Scotland.  

National Technical Information Service (NTIS)

Contents: Aberdeen University Medical School (Bacteriology, Surgery); Rowett Research Institute, Bucksburn, Aberdeen; Dundee University Medical School (Bacteriology, Pathology, Surgery); Glasgow University Medical School (Bacteriology and Immunology, Viro...

A. W. Frisch

1972-01-01

260

NIH/NIAID Radiation/Nuclear Medical Countermeasures Development Program.  

National Technical Information Service (NTIS)

Partial contents: NIAID Radiation/Nuclear Medical Countermeasures Development Program, Types of Radiation Exposure, Components of NIH Strategic Plan and Research Agenda, Radiation Countermeasure Mission Space, Radiation/Nuclear Medical Countermeasures, Ra...

B. W. Maidment

2011-01-01

261

Program for Increasing Use of Computers in Medical Education.  

ERIC Educational Resources Information Center

A summer fellowship program is described that was initiated at Jefferson Medical College of Thomas Jefferson University to provide an opportunity for interested faculty to interact with selected students who had used computers before entering medical school. (MLW)

Jensh, Ronald P.; Veloski, J. Jon

1986-01-01

262

Impact of a Patient Safety Program on Medical Error Reporting.  

National Technical Information Service (NTIS)

Background: In response to the occurrence of a sentinel event a medical error with serious consequences Eglin U.S. Air Force (USAF) Regional Hospital developed and implemented a patient safety program called Medical Team Management (MTM) that was modeled ...

D. R. Woolever

2005-01-01

263

A Linear Programming Model for Assigning Students to Attendance Centers.  

ERIC Educational Resources Information Center

A linear programing model and procedures for optimal assignment of students to attendance centers are presented. An example of the use of linear programing for the assignment of students to attendance centers in a particular school district is given. (CK)

Ontjes, Robert L.

264

NCI Community Cancer Centers Program - Frequently Asked Questions  

Cancer.gov

NCI Community Cancer Centers Program - Frequently Asked Questions Search NCCCP Contact Us Overview Frequently Asked Questions Frequently Asked Questions NCI Community Cancer Centers Program Pilot: 2007-2010 Key Points The NCI Community

265

Positron program at the Idaho Accelerator Center  

SciTech Connect

Positron physics is an important part of the research activities at the Idaho Accelerator Center (IAC). With positron annihilation spectroscopy, maps of nanodefects in materials have been obtained. For this purpose, positrons are generated by radioactive decay, photoactivation, or pair production. Preliminary tests of positron sources in the MeV range based on electron linacs have also been carried out at the IAC, and an expansion of this program is planned. A similar positron beam at Jefferson Lab would greatly improve our knowledge of the inner structure of the proton. In this paper, research with positrons at the IAC is reviewed. After a description of the Center's facilities, results from positron annihilation spectroscopy are discussed, together with future plans for testing a prototype positron source for CEBAF.

Stancari, Giulio [Idaho State University, Department of Physics, Pocatello, Idaho 83209 (United States) and Thomas Jefferson National Accelerator Facility, Newport News, Virginia 23606 (United States)

2009-09-02

266

Student Perceptions of an Online Medical Dosimetry Program  

Microsoft Academic Search

The University of Wisconsin–La Crosse offers the first online medical dosimetry program in the nation. There is no data to research a program of this type. This research consisted of the evaluation of other distance education programs including health profession programs in addition to face-to-face medical dosimetry programs. There was a need to collect and analyze student perceptions of online

Nishele Lenards; Nishele

2011-01-01

267

Assessing the Impact of Innovative Training of Family Physicians for the Patient-Centered Medical Home  

PubMed Central

Background New approaches to enhance access in primary care necessitate change in the model for residency education. Purpose To describe instrument design, development and testing, and data collection strategies for residency programs, continuity clinics, residents, and program graduates participating in the Preparing the Personal Physician for Practice (P4) project. Methods We developed and pilot-tested surveys to assess demographic characteristics of residents, clinical and operational features of the continuity clinics and educational programs, and attitudes about and implementation status of Patient Centered Medical Home (PCMH) characteristics. Surveys were administered annually to P4 residency programs since the project started in 2007. Descriptive statistics were used to profile data from the P4 baseline year. Results Most P4 residents were non-Hispanic white women (60.7%), married or partnered, attended medical school in the United States and were the first physicians in their families to attend medical school. Nearly 85% of residency continuity clinics were family health centers, and about 8% were federally qualified health centers. The most likely PCMH features in continuity clinics were having an electronic health record and having fully secure remote access available; both of which were found in more than 50% of continuity clinics. Approximately one-half of continuity clinics used the electronic health record for safety projects, and nearly 60% used it for quality-improvement projects. Conclusions We created a collaborative evaluation model in all 14 P4 residencies. Successful implementation of new surveys revealed important baseline features of residencies and residents that are pertinent to studying the effects of new training models for the PCMH.

Carney, Patricia A.; Eiff, M. Patrice; Saultz, John W.; Lindbloom, Erik; Waller, Elaine; Jones, Samuel; Osborn, Jamie; Green, Larry

2012-01-01

268

Weatherization Assistance Program Technical Assistance Center  

SciTech Connect

The following is a synopsis of the major achievements attributed to the operation of the Weatherization Assistance Program Technical Assistance Center (WAPTAC) by the National Association for State Community Services Programs (NASCSP). During the past five years, the WAPTAC has developed into the premier source for information related to operating the Weatherization Assistance Program (WAP) at the state and local levels. The services provide through WAPTAC include both virtual technical support as well as hands-on training and instruction in classroom and in the field. The WAPTAC achieved several important milestones during its operation including the establishment of a national Weatherization Day now celebrated in most states, the implementation of a comprehensive Public Information Campaign (PIC) to raise the awareness of the Program among policy makers and the public, the training of more than 150 new state managers and staff as they assume their duties in state offices around the country, and the creation and support of a major virtual information source on the Internet being accessed by thousands of staff each month. The Weatherization Assistance Program Technical Assistance Center serves the Department of Energy's (DOE) Office of Weatherization and Intergovernmental Program as a valuable training and technical assistance resource for the network of 54 direct state grantees (50 states, District of Columbia and three Native American tribes) and the network of 900 local subgrantees (comprised of community action agencies, units of local government, and other non-profit organizations). The services provided through WAPTAC focus on standardizing and improving the daily management of the WAP. Staff continually identify policies changes and best practices to help the network improve its effectiveness and enhance the benefits of the Program for the customers who receive service and the federal and private investors. The operations of WAPTAC are separated into six distinct areas: (1) Orientation for New WAP State Directors and Staff; (2) Pollution Occurrence Insurance Project; (3) Public Information Campaign; (4) State Management Training Project; (5) System for Integrating and Reviewing Technologies and Techniques; and (6) WAPTAC Services.

Robert Adams

2009-01-07

269

The Stroke and Neurovascular Program at the Medical College of Wisconsin and Froedtert Hospital  

PubMed Central

The Stroke and Neurovascular Program at the Medical College of Wisconsin and Froedtert Hospital, in Milwaukee, is a comprehensive, interdisciplinary center for stroke medicine. The program encompasses an acute stroke team, a neuro-intensive care unit, a stroke care unit, and a stroke rehabilitation program. The staff includes specialists with fellowship training in stroke, neurocritical care, neurointerventional therapy, vascular neurosurgery, interventional neuroradiology, and stroke rehabilitation. Fellowships are offered in interventional neurology, neurocritical care, and vascular neurology. In addition to clinical service and education, the faculty are actively engaged in research. The program is certified by the Joint Commission as a Primary Stroke Center.

Zaidat, Osama O.

2008-01-01

270

Lessons Learned from Implementing the Patient-Centered Medical Home  

PubMed Central

The Patient-Centered Medical Home (PCMH) is a primary care model that provides coordinated and comprehensive care to patients to improve health outcomes. This paper addresses practical issues that arise when transitioning a traditional primary care practice into a PCMH recognized by the National Committee for Quality Assurance (NCQA). Individual organizations' experiences with this transition were gathered at a PCMH workshop in Alexandria, Virginia in June 2010. An analysis of their experiences has been used along with a literature review to reveal common challenges that must be addressed in ways that are responsive to the practice and patients' needs. These are: NCQA guidance, promoting provider buy-in, leveraging electronic medical records, changing office culture, and realigning workspace in the practice to accommodate services needed to carry out the intent of PCMH. The NCQA provides a set of standards for implementing the PCMH model, but these standards lack many specifics that will be relied on in location situations. While many researchers and providers have made critiques, we see this vagueness as allowing for greater flexibility in how a practice implements PCMH.

Green, Ellen P.; Wendland, John; Carver, M. Colette; Hughes Rinker, Cortney; Mun, Seong K.

2012-01-01

271

The UNAM M. Sc. program in Medical Physics enters its teen years  

NASA Astrophysics Data System (ADS)

The M.Sc. (Medical Physics) program at the National Autonomous University of Mexico UNAM, created in 1997, has graduated a substantial number of medical physicists who constitute today about 30% of the medical physics clinical workforce in the country. Up to present date (May 2010) more than 60 students have graduated, 60% of them hold clinical jobs, 20% have completed or study a Ph.D., and 15% perform activities related to this specialization. In addition to strengthening the clinical practice of medical physics, the program has served as an incentive for medical physics research in UNAM and other centers. We report the circumstances of the program origin, the evolution of its curriculum, the main achievements, and the next challenges.

Brandan, María-Ester

2010-12-01

272

Promotion of extended-release niacin tablets at a Veterans Affairs medical center.  

PubMed

A program to modify the prescribing of antilipemic agents by promoting the use of extended-release niacin tablets is described. Between December 1987 and August 1988, pharmacists at a 1188-bed Veterans Affairs medical center observed a large increase in the number of outpatient prescriptions for antilipemic agents. In an attempt to control costs, a program to promote the use of extended-release niacin tablets for treating hyperlipemia was conducted during August and September 1988. Various educational materials on niacin were distributed to physicians. A display on therapy of hyperlipemia was featured at the monthly drug fair, and articles on niacin were presented during a journal club meeting of ambulatory-care clinicians. Pharmacists succeeded in having extended-release niacin tablets placed on the formulary in September. Data on the number of prescriptions filled for antilipemic agents were collected before and after the niacin promotional program. The number of prescriptions filled for extended-release niacin 500-mg tablets increased steadily during a six-month study period after the program ended; the number of prescriptions filled for regular niacin decreased by 50%. As prescribing of extended-release niacin increased, prescribing of colestipol, gemfibrozil, and probucol declined. The promotional program was well received by most of the medical staff. A program of education and formulary management successfully changed physician prescribing habits for antilipemic agents. PMID:2220857

Wu, F F; Gray, D R

1990-09-01

273

Networking: an overview for leaders of academic medical centers.  

PubMed

Organizations face a unique challenge over the next decade. When technology was expensive, it was arguably necessary to use an undifferentiated, or monolithic, model for computer-based solutions to problems. This has fundamentally changed. Technology is now so inexpensive that solutions are not limited by costs, but rather by how well the implementors understand the many different problem domains. Thus, academic medical centers are faced with successive waves in information technology use. First, there will be a wave of innovation, driven by the need for specialization in problem solving. This will be followed by consolidation of the best of the approaches into the core systems of the institution. The average level of heterogeneity (cost) will be higher, but the overall quality of the solutions (benefit) will also be higher. If one can develop a strategy for managing and creatively limiting the heterogeneity, the cost-benefit ratio will be much more favorable. While there may be other strategies that will do this, we support the use of a strategy centered on enterprise networking. This strategy emphasizes not simply technology but also the cultural and organizational changes that empower innovation--within a framework that makes it possible to simply implement interoperability and data sharing within nearly all solutions. The organizations that survive the coming period of change and external pressure will be those that do the best job of managing their resources. Information will continue to be one of the most important resources.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:8323639

Panko, W B; Erhardt-Domino, K; Pletcher, T; Wilson, W

1993-07-01

274

Development of Meharry Medical College Prostate Cancer Research Program.  

National Technical Information Service (NTIS)

A prostate cancer (PCa) research program has been established at Meharry Medical College. There is substantial urology, oncology, epidemiology, nutrition and other expertise at Meharry and Vanderbilt addressing issues of PCa disparities, and 4 program inv...

F. A. Ukoli

2010-01-01

275

Hanford Fire Department Emergency Medical Services Program Plan  

SciTech Connect

The purpose of this document is to provide the guidelines necessary to implement a professional emergency medical program capable of dealing with life-threatening medical emergencies on the Hanford Site. The preservation of life by on-the-scene emergency medical treatment of sick and injured individuals on the Hanford Site is discussed.

Good, D.E.

1992-06-01

276

Perspectives on the Role of Patient-Centered Medical Homes in HIV Care.  

PubMed

To strengthen the quality of HIV care and achieve improved clinical outcomes, payers, providers, and policymakers should encourage the use of patient-centered medical homes (PCMHs), building on the Ryan White CARE Act Program established in the 1990s. The rationale for a PCMH with HIV-specific expertise is rooted in clinical complexity, HIV's social context, and ongoing gaps in HIV care. Existing Ryan White HIV/AIDS Program clinicians are prime candidates to serve HIV PCMHs, and HIV-experienced community-based organizations can play an important role. Increasingly, state Medicaid programs are adopting a PCMH care model to improve access and quality to care. Stakeholders should consider several important areas for future action and research with regard to development of the HIV PCMH. PMID:24832431

Pappas, Gregory; Yujiang, Jia; Seiler, Naomi; Malcarney, Mary-Beth; Horton, Katherine; Shaikh, Irshad; Freehill, Gunther; Alexander, Carla; Akhter, Mohammad N; Hidalgo, Julia

2014-07-01

277

MEDICAL LABORATORY ASSISTANT, A SUGGESTED GUIDE FOR A TRAINING PROGRAM.  

ERIC Educational Resources Information Center

INFORMATION IS GIVEN TO ASSIST IN ORGANIZING AND ADMINISTERING A TRAINING PROGRAM FOR MEDICAL LABORATORY ASSISTANTS IN A VARIETY OF SETTINGS AND TO PROVIDE GUIDANCE IN ESTABLISHING NEW PROGRAMS AND IN EVALUATING EXISTING ONES. THE MATERIAL WAS PREPARED UNDER THE DIRECTION OF THE NATIONAL COMMITTEE FOR CAREERS IN MEDICAL TECHNOLOGY. PATHOLOGISTS…

Office of Education (DHEW), Washington, DC.

278

Byrd Polar Research Center Archival Program  

NSDL National Science Digital Library

Based at The Ohio State University Libraries, the Byrd Polar Research Center Archival Program (BPRCAP) collects, preserves, and provides "access to historical documents concerned with polar regions." Their collection contains papers, records, photographs, and other forms of documentation concerning explorers, scientists, and other figures. Along the top of their page, visitors will find sections that profile select explorers (Byrd and Cook, among others), along with "Oral History" and "Online Resources". The Byrd area contains photographs of the man and his explorations, along with artifacts from his expeditions. Moving on, the "Oral History" area offers visitors the ability to view dozens of oral histories with people like Captain William Anderson and Chester Segers, who was one of the cooks at the South Pole Station.

279

National Ice Center Visiting Scientist Program  

NASA Technical Reports Server (NTRS)

The long-term goal of the University Corporation for Atmospheric Research (UCAR) Visiting Scientist Program at the National Ice Center (NIC) is to recruit the highest quality visiting scientists in the ice research community for the broad purpose of strengthening the relationship between the operational and research communities in the atmospheric and oceanic sciences. The University Corporation for Atmospheric Research supports the scientific community by creating, conducting, and coordinating projects that strengthen education and research in the atmospheric, oceanic and earth sciences. UCAR accomplishes this mission by building partnerships that are national or global in scope. The goal of UCAR is to enable researchers and educators to take on issues and activities that require the combined and collaborative capabilities of a broadly engaged scientific community.

Austin, Meg

2002-01-01

280

38 CFR 17.351 - Grants for the replacement and upgrading of equipment at Veterans Memorial Medical Center.  

Code of Federal Regulations, 2010 CFR

...DEPARTMENT OF VETERANS AFFAIRS MEDICAL Grants to the Republic of...equipment at Veterans Memorial Medical Center. Grants to assist...rehabilitating the physical plant and facilities of the Veterans Memorial Medical Center, which the...

2009-07-01

281

38 CFR 17.351 - Grants for the replacement and upgrading of equipment at Veterans Memorial Medical Center.  

Code of Federal Regulations, 2010 CFR

...DEPARTMENT OF VETERANS AFFAIRS MEDICAL Grants to the Republic of...equipment at Veterans Memorial Medical Center. Grants to assist...rehabilitating the physical plant and facilities of the Veterans Memorial Medical Center, which the...

2010-07-01

282

38 CFR 17.351 - Grants for the replacement and upgrading of equipment at Veterans Memorial Medical Center.  

Code of Federal Regulations, 2013 CFR

...DEPARTMENT OF VETERANS AFFAIRS MEDICAL Grants to the Republic of...equipment at Veterans Memorial Medical Center. Grants to assist...rehabilitating the physical plant and facilities of the Veterans Memorial Medical Center, which the...

2013-07-01

283

The Physician Assistant Program: Training for a Medical Career without Medical School.  

ERIC Educational Resources Information Center

Surveyed is a pre-physician assistant program by giving: definition of the career, a historical basis, medical practice settings, education, advantages, and an evaluation of the student population. Included is a table which shows the distribution of acceptances into the physician assistant programs for the medical and clinical phases of training.…

Benathen, Isaiah A.

1989-01-01

284

Strom Thurmond Biomedical Research Center at the Medical Univesity for South Carolina Charleston, South Carolina.  

National Technical Information Service (NTIS)

The Department of Energy (DOE) has prepared an Environmental Assessment (EA) evaluating the proposed construction and operation of the Strom Thurmond Biomedical Research Center (Center) at the Medical University of South Carolina (MUSC), Charleston, SC. T...

1994-01-01

285

Local Data Communications Network for the Wilford Hall USAF Medical Center  

PubMed Central

Data Communication technology has progressed to the point that dissimilar computer systems conforming to a common communications protocol can effectively communicate with each other. Until recently this technology has been used in networks that cover a large geographic area. The requirement for local networks is currently coming into focus. Data automation support for the Wilford Hall USAF Medical Center (WHMC) will be provided by off-the-shelf systems under the Tri-Service Medical Information System (TRIMIS) program. A local network (cable bus) is one way to effectively interface these dissimilar computer systems. The MITRI Corporation is functioning as systems engineer to install a cable bus at WHMC. The need for local data communication networks is increasing, and the cable bus offers a potentially effective method to interface multiple dissimilar computers on a cost effective basis.

Jackson, Thames F.; Workman, Billy J.

1980-01-01

286

Training the Practitioner: The Hydrologic Engineering Center Program.  

National Technical Information Service (NTIS)

The Hydrologic Engineering Center, Corps of Engineers has been training water resource professionals since 1964. The Center's training program includes training courses, workshops, seminars, individual training, a university cooperative advanced study pro...

W. K. Johnson

1981-01-01

287

Assessment Center Technology: Implications for Administrator Training Programs.  

ERIC Educational Resources Information Center

Describes the operation of assessment centers for determining administrators' strengths and weaknesses, identifies managerial competencies, and discusses the implications of using assessment center technology in university programs for preparing educational administrators. (PGD)

DeMont, Roger A.; Hughes, Larry W.

1984-01-01

288

Proposed finding of no significant impact for the Sakakawea Medical Center coal-fired heating plant  

SciTech Connect

The Department of Energy (the Department) has prepared an environmental assessment (Assessment) (DOE/EA-0949) to identify and evaluate the potential environmental impacts of a proposed action at the Sakakawea Medical Center (the Center) in Hazen, North Dakota. The proposed action would replace the existing No. 2 fuel oil-fired boilers supplemented by electric reheat with a new coal-fired hot water heating plant, using funds provided from a grant under the Institutional Conservation Program. Based on the analysis in DOE/EA-0949, the Department has determined that the proposed action is not a major federal action significantly affecting the quality of the human environment, within the meaning of the National Environmental Policy Act (NEPA) of 1969, as amended. Therefore, preparation of an Environmental Impact Statement is not required, and the Department is issuing this Finding of No Significant Impact (Finding).

Not Available

1994-07-01

289

International Aid's medical equipment training program  

Microsoft Academic Search

The World Health Organization (WHO) estimates that in some developing countries, up to 50% of the medical equipment is unusable at any given time. In some hospitals, up to 80% of their medical equipment is inoperative and is stored in hallways or patient rooms. This situation results in the neglect of patients and an increased risk of harm to them

B. Teninty

2006-01-01

290

Collaborating to improve the global competitiveness of US academic medical centers.  

PubMed

President Obama announced the National Export Initiative in his 2010 State of the Union address and set the ambitious goal of doubling US exports by the end of 2014 to support millions of domestic jobs. Understanding the competitive position of US health care in the global market for international patients, University Health System Consortium (UHC), an alliance of 116 academic medical centers and 272 of their affiliated hospitals, representing 90 percent of the nation's non-profit academic medical centers partnered with Rush University, a private University in Chicago, IL and the International Trade Administration of the US Department of Commerce International Trade Administration (ITA) to participate in the Market Development Cooperator Program. The goal of this private-public partnership is to increase the global competitiveness of the US health care industry, which represents over 16 percent of the GDP, amongst foreign health care providers. This article provides an overview of the US health care market and outlines the aims of the US Cooperative for International Patient Programs, the end result of the partnership between UHC, ITA and Rush University. PMID:22913124

Allen, Molly; Garman, Andrew; Johnson, Tricia; Hohmann, Samuel; Meurer, Steve

2012-01-01

291

Industry/University Cooperative Research Centers Program (I/UCRC)  

NSF Publications Database

- research and graduate program requirements; - letter of intent; planning grant; and full center proposal requirements; - cost participation, memberships, and cost sharing requirements. A letter of intent describing a proposed Industry/University Cooperative Research Center (I/UCRC) must be submitted to the I/UCRC Program for internal review and approval by an I/UCRC Program Director before a proposal for a planning grant will be accepted. There are no specific target dates for Center ...

292

History of the Medical Library Association's credentialing program.  

PubMed Central

Since the Medical Library Association (MLA) adopted the Code for the Training and Certification of Medical Librarians in 1949, MLA members have reviewed and revised the program regularly. This paper traces the history of MLA's professional recognition program to illustrate how the program has changed over time and to identify the issues that have surrounded it. These issues include the value of the program to individual members, cost to MLA, appropriate entry requirements, certification examinations, and recertification requirements. The development and operation of MLA's current credentialing program, the Academy of Health Information Professionals, is described in detail.

Bell, J A

1996-01-01

293

IMPGSS - International Medical Program Global Satellite System.  

National Technical Information Service (NTIS)

The advantages and disadvantages of advanced medical education content delivery via different C currently commercially available means such as satellite, internet subscriber digital network (ISDN) lines and the Internet are being examined in-depth. A viab...

S. S. Ciccio

2004-01-01

294

Educational programs in US medical schools.  

PubMed

As described in the introduction, the data presented in this report can be viewed in both a historical and an environmental context. From a historical perspective, there has been change in many areas of medical education. The number of applicants to medical schools has risen sharply in the past few years, a result seemingly inconsistent with the dissatisfaction with medicine expressed by many physicians and with the uncertainties about the eventual outcomes of health system reform. The number of minority applicants and enrollees is slowly rising, but at rates below the goals identified by such initiatives as the Association of American Medical Colleges' "Project 3000 by 2000." Even with the expansion of the applicant pool, however, most medical schools do not anticipate enrollment increases. Medical school tuition also continues to increase significantly, in both public and private schools. The number of faculty members in the clinical disciplines also has continued to rise, although the rate of increase has become less marked. The decrease in the number of basic science faculty members that occurred this year will need to be monitored to ensure that appropriate faculty resources are available for teaching, especially with the initiatives to introduce more active learning formats during the basic science years. The medical curriculum continues to evolve at differing rates across schools. Many "innovations" have become part of the curricular repertoire; for example, medical schools have incorporated educational formats, such as problem-based learning or computer-assisted instruction, which emphasize active student learning, although in a number of cases they are limited to a small portion of the curriculum. In addition, the availability of clinical experiences during the first 2 years of the curriculum, especially those located in ambulatory settings, gives students an early glimpse of the world of actual medical practice. The use of standardized patients provides system and structure in the teaching and evaluation of clinical skills. Therefore, a look at medical education as a whole in the historical context reveals many positive changes (for example, an increase in student diversity over time, the introduction of alternative instructional formats, and attempts to evaluate student clinical competence more reliably). Within the context of environmental expectations, however, many challenges still remain. Medical schools are experiencing pressure to solve perceived problems with the specialty distribution of their graduates and with the specialty distribution of the general physician population, even though factors outside the control of the medical school, such as reimbursement and the practice environment, also influence specialty choice.(ABSTRACT TRUNCATED AT 400 WORDS) PMID:8350448

Jonas, H S; Etzel, S I; Barzansky, B

1993-09-01

295

The Louisiana State University Law Center's Bijural Program.  

ERIC Educational Resources Information Center

Describes the bijural program of Louisiana State University Law Center. The program educates all first-degree law students in both the common law and civil law traditions, preparing them for the increasing globalization of legal practice. (EV)

Costonis, John J.

2002-01-01

296

Computational Fluid Dynamics Program at NASA Ames Research Center.  

National Technical Information Service (NTIS)

The Computational Fluid Dynamics (CFD) Program at NASA Ames Research Center is reviewed and discussed. The technical elements of the CFD Program are listed and briefly discussed. These elements include algorithm research, research and pilot code developme...

T. L. Holst

1989-01-01

297

Web-based application of Community Health Center (Puskesmas) for patient electronic medical records  

Microsoft Academic Search

This research provides the design and implementation of a web-based software application of Community Health Center\\/ CHC (Pusat Kesehatan Masyarakat = Puskesmas). The application is mainly used for recording patient's personal identity and medical treatment at medical services (polyclinics) of CHC. Generally, the polyclinics at Puskesmas provides are General Medical Treatment Service (Poli Umum), Maternal and Infant Service (Poli Ibu

Mera Kartika Delimayanti; Fajar Tri Waluyanti; Riandini

2009-01-01

298

A controlled trial of a rapid response system in an academic medical center.  

PubMed

A medical emergency team composed of house staff and existing float-pool nurses was successfully implemented on the general medical floor of an academic medical center without increasing personnel. The intervention had little noticeable impact, although the number of cardiac arrests and deaths were low both before and after the intervention. PMID:18677873

Rothschild, Jeffrey M; Woolf, Seth; Finn, Kathleen M; Friedberg, Mark W; Lemay, Cindy; Furbush, Kelly A; Williams, Deborah H; Bates, David W

2008-07-01

299

USGS Alaska Science Center, Biological Science Office: Research Programs  

NSDL National Science Digital Library

This website provides information about the research programs of the USGS Alaska Science Center - Biological Science Office (ASC-BSO). The programs are divided into several categories including Ecosystems & Habitats, Mammals, Technical Programs, Fish and Fisheries, and Birds. Links connect to research information about numerous program subcategories like Coastal and Marine, Sea Otters, Loons, Fisheries Projects, and more. The site also links to background information about the ASC-BSO, job listings, staff contact information, and the Alaska Science Center Publications Database.

300

Human Research Program Exploration Medical Capability  

NASA Technical Reports Server (NTRS)

NASA s Human Research Program (HRP) conducts and coordinates research projects that provide human health and performance countermeasures, knowledge, technologies, and tools to enable safe, reliable, and productive human space exploration. The Program is divided into 6 major elements, which a) Provide the Program s knowledge and capabilities to conduct research, addressing the human health and performance risks. b) Advance the readiness levels of technology and countermeasures to the point of transfer to the customer programs and organizations. The National Space Biomedical Research Institute (NSBRI) is a partner with the HRP in developing a successful research program. 3

Barsten, Kristina

2010-01-01

301

Basic Training Program for Emergency Medical Technician Ambulance: Course Guide.  

ERIC Educational Resources Information Center

In an effort to upgrade or further develop the skills levels of all individuals involved in the emergency medical care service, this training program was developed for the National Highway Safety Bureau. This specific course is an attempt to organize, conduct, and standardize a basic training course for emergency medical technicians (EMTs). The…

Fucigna, Joseph T.; And Others

302

Respiratory Protection Program medical clearance for respirator use  

NASA Technical Reports Server (NTRS)

Background on occupational exposure to various inhalents is discussed including on-site hazard control measures, procedures, physiological effects, and interpretation of results for the medical clearance of employee for use of personal respiratory protection devices. The purpose of the Respiratory Protection Program at LeRC is outlined, and the specifics of the Medical Surveillance Program for Respiratory Protection at LeRC are discussed.

1993-01-01

303

Model Programs: Childhood Education. Exemplary Center for Reading Instruction.  

ERIC Educational Resources Information Center

Begun as a remedial reading center with ESEA Title III funds, the Exemplary Center for Reading Instruction (ECRI) has developed into a reading resource center with remedial, teacher training, research, and information service programs. Emphasis is on preparing teachers to work with disabled readers and on research in remedial reading. Although it…

American Institutes for Research in the Behavioral Sciences, Silver Spring, MD.

304

Program planning for the community teaching hospital medical library.  

PubMed Central

To respond to the increasing demand for information from medical educators and clinicians and to persuade administrators to purchase the newly available microcomputer library systems, medical librarians in community teaching hospitals may find it useful to engage in intermediate term (for example, five-year) program planning. To increase the probability that the plan which emerges will be implemented, the planning process should fit the organizational nexus. Planning involves needs assessment, prioritized program elements, a written plan, and facilities planning (if applicable), which lead to program implementation. Components of a model program plan are presented.

McCorkel, J; Cook, V

1985-01-01

305

Program planning for the community teaching hospital medical library.  

PubMed

To respond to the increasing demand for information from medical educators and clinicians and to persuade administrators to purchase the newly available microcomputer library systems, medical librarians in community teaching hospitals may find it useful to engage in intermediate term (for example, five-year) program planning. To increase the probability that the plan which emerges will be implemented, the planning process should fit the organizational nexus. Planning involves needs assessment, prioritized program elements, a written plan, and facilities planning (if applicable), which lead to program implementation. Components of a model program plan are presented. PMID:4027443

McCorkel, J; Cook, V

1985-07-01

306

News Note: NCI Launches Centers of Quantitative Imaging Excellence Program  

Cancer.gov

NCI is launching a new program to qualify existing NCI designated Cancer Centers with an added attribute -- as Centers of Quantitative Imaging Excellence. This program will significantly decrease potential variability in image procedures done while a patient is undergoing treatment as part of a NCI-sponsored clinical trial.

307

University Hospitals Case Medical Center presents promising data for novel pancreatic cancer vaccine  

Cancer.gov

Scientists from University Hospitals Case Medical Center’s Seidman Cancer Center and Case Western Reserve University School of Medicine presented results of a Phase 2 clinical trial in patients with pancreatic cancer testing the Algenpantucel-L vaccine today at the Annual Meeting of the Society for Surgery of the Alimentary Tract, part of Digestive Disease Week in San Diego.

308

Military inpatient residential treatment of substance abuse disorders: the eisenhower army medical center experience.  

PubMed

Opened in 2009, the Dwight D. Eisenhower Army Medical Center Inpatient Residential Treatment Facility (RTF) is the largest and most well-established inpatient substance use disorder treatment facility in the Department of Defense. The RTF is a 28-day inpatient treatment program that employs evidence-based practices and is based on Alcoholics/Narcotics Anonymous principles that are incorporated with a hybrid of military daily structure regime including early morning physical training. Family involvement is encouraged. The RTF is staffed by a multidisciplinary team specializing in addictions and admits Active/Activated Service Members (SMs) from all Service branches, typically those who have failed other military/civilian substance use disorder programs. Eighty-seven percent of SMs referred to the program successfully commenced, with continuous sobriety observed in over half of SMs 6 months later, and 1 year relapse rates comparable to other alcohol treatment programs. Limitations of our program evaluation efforts, lessons learned, and recommendations for the way ahead are shared. PMID:24902136

Mooney, Scott R; Horton, Philip A; Trakowski, John H; Lenard, Janet H; Barron, Mark R; Nave, Peggy V; Gautreaux, Melissa S; Lott, Heather D

2014-06-01

309

78 FR 10610 - TRICARE; Demonstration Project for Participation in Maryland Multi-Payer Patient Centered Medical...  

Federal Register 2010, 2011, 2012, 2013

...Office of the Secretary TRICARE; Demonstration Project for Participation in Maryland...Medical Home Program (MMPCMHP) Demonstration AGENCY: Department of Defense (DoD). ACTION: Notice of Demonstration...

2013-02-14

310

Assessing Progress toward Becoming a Patient-Centered Medical Home: An Assessment Tool for Practice Transformation  

PubMed Central

Objective. To describe the properties of the Patient-Centered Medical Home Assessment (PCMH-A) as a tool to stimulate and monitor progress among primary care practices interested in transforming to patient-centered medical homes (PCMHs). Study Setting. Sixty-five safety net practices from five states participating in a national demonstration program for PCMH transformation. Study Design. Longitudinal analyses of PCMH-A scores were performed. Scores were reviewed for agreement and sites were categorized over time into one of five categories by external facilitators. Comparisons to key activity completion rates and NCQA PCMH recognition status were completed. Data Collection/Extraction Methods. Multidisciplinary teams at each practice completed the 33-item self-assessment tool every 6 months between March 2010 and September 2012. Principal Findings. Mean overall PCMH-A scores increased (7.2, March 2010, to 9.1, September 2012; [p < .01]). Increases were statistically significant for each of the change concepts (p < .05). Facilitators agreed with scores 82% of the time. NCQA-recognized sites had higher PCMH-A scores than sites that were not yet recognized. Sites that completed more transformation activities and progressed over defined tiers reported higher PCMH-A scores. Scores improved most in areas where technical assistance was provided. Conclusions. The PCMH-A was sensitive to change over time and provided an accurate reflection of practice transformation.

Daniel, Donna M; Wagner, Edward H; Coleman, Katie; Schaefer, Judith K; Austin, Brian T; Abrams, Melinda K; Phillips, Kathryn E; Sugarman, Jonathan R

2013-01-01

311

Program Budgeting and Educational Communications Centers.  

ERIC Educational Resources Information Center

Educational communications centers, also known as instructional resource centers or various other titles, bring together many pieces of equipment and technology formerly kept in separate areas. When they are brought together, these pieces require so large a budget that the budget is often brought under close scrutiny. As a result, those in charge…

Humphrey, David A.

312

Cancers in Eastern Libya: First results from Benghazi Medical Center  

PubMed Central

AIM: To study the pattern of cancer incidence and determine the incidence rates in Eastern Libya (for the first time in a decade). METHODS: A hospital-based registry of cancer patients was formed using records from the primary oncology center in eastern Libya - focusing on those diagnosed in the year 2012. RESULTS: The most common malignancies in men were cancers of the colon (22.3%, n = 90), lung (20.3%, n = 82), prostate (16.1%, n = 65), pancreas (4.2%, n = 17) and liver (4.2%, n = 17). For women, they were found to be cancers of the breast (41.5%, n = 213), colon (16.4%, n = 84), uterus (8%, n = 41), ovary (5.5%, n = 28) and pancreas (3.1%, n = 16). Additionally age-standardized rates (ASR) were determined for Libya. The different cities and towns in eastern Libya were compared for any variation. The city of Beida in particular was found to have a remarkably high incidence of gastric cancer. The different findings were discussed and comparisons were made with past literature as well as the incidence rates for neighbouring countries. The incidence rates given for the eastern region showed differences from previously reported values (i.e., the rate of colon cancer was the highest in North Africa whereas other malignancies occurred less frequently). Potential explanations for the urban-rural difference as well as the difference in incidence rates were put forth. The significance of this study is that it establishes a baseline of cancer incidence which should be the backbone for any future national cancer plan in Libya. CONCLUSION: Proper surveillance programs need to be in place and healthcare policy should be adjusted to take into account the more prevalent and pressing cancers in society.

Bodalal, Zuhir; Azzuz, Raouf; Bendardaf, Riyad

2014-01-01

313

Visitors Center Educational Programs (Living and Working in Space)  

NASA Technical Reports Server (NTRS)

Educational programs at the John C. Stennis Space Center Visitors Center reach more than 30,000 students in grades K-8 each year. Pictured above, a Stennis tour guide conducts a Living and Working in Space program for children at a local mall. This program, and others designed for specific age levels, is offered throughout the school year and summer for visiting students and youth groups.

1996-01-01

314

Medical Care and Patient Care Research Program.  

National Technical Information Service (NTIS)

The report discusses a research program of related studies that described and evaluated needs, demands, utilizations, satisfaction, outcomes, and utilization of personal health services provided in hospitals, clinics, physician offices, and elsewhere. The...

K. L. White

1976-01-01

315

Case Study of the Implementation of Radio Frequency Identification Asset Visibility Tracking at Walter Reed Army Medical Center.  

National Technical Information Service (NTIS)

This case study analyzes the decision to implement radio frequency identification (RFID) asset tracking at Walter Reed Army Medical Center (WRAMC). The study examines the existing RFID asset tracking systems at Womack Army Medical Center (WAMC) and the La...

J. A. Morrison

2007-01-01

316

National Environmental Research Center/Program Directory.  

National Technical Information Service (NTIS)

This new Directory replaces the OR&D Technical Personnel Access Directory and the Laboratory Operations Division publication, National Environmental Research Center Directory. Following is a description of the contents: OR&D Organizational Directory - thi...

1974-01-01

317

77 FR 3242 - Comprehensive Centers Program  

Federal Register 2010, 2011, 2012, 2013

...ETAA in 2005 and made 5-year awards to 16 Regional...and negotiated new cooperative agreements with each center. These cooperative agreements retained the emphasis...will be included in a cooperative agreement with each...

2012-01-23

318

78 FR 69173 - University Transportation Centers Program  

Federal Register 2010, 2011, 2012, 2013

...institution of a consortium that receives a...or a member of a consortium for a Regional Center. A member of a consortium that receives a...transportation research and education...research in an area of focus from...

2013-11-18

319

Computer program and user documentation medical data tape retrieval system  

NASA Technical Reports Server (NTRS)

This volume provides several levels of documentation for the program module of the NASA medical directorate mini-computer storage and retrieval system. A biomedical information system overview describes some of the reasons for the development of the mini-computer storage and retrieval system. It briefly outlines all of the program modules which constitute the system.

Anderson, J.

1971-01-01

320

Credentialing the clinical ethics consultant: an academic medical center affirms professionalism and practice.  

PubMed

In response to national trends calling for increasing accountability and an emerging dialogue within bioethics, we describe an effort to credential clinical ethicists at a major academic medical center.This effort is placed within the historical context of prior calls for credentialing and certification and efforts currently underway within organized bioethics to engage this issue.The specific details, and conceptual rationale, behind the NewYork-Presbyterian Hospital's graduated credentialing plan are shared as is their evolution and ratification within the context of institutional policy. While other programs will design their credentialing schema consistent with their local context and demographics, the description of one such effort is offered to be instructive to others who want to bring additional standardization to the assessment of the readiness and credentials of those who will engage in the practice of clinical ethics case consultation. PMID:22822704

Acres, Cathleen A; Prager, Kenneth; Hardart, George E; Fins, Joseph J

2012-01-01

321

Patent and Copyright Aspects of Medical Computer Programs  

PubMed Central

Medical computer programs are proliferating at an acceleration exceeded only by that of the hardware systems on which they run. Huge amounts of time and money are being invested in the programs' development and management. That investment can be legally protected by one or more of trade secrets, copyrights and patents. However, only copyrights and patents can provide protection for a computer program that is publicly known. Copyrights and patents protect different things, have different costs, vary in their availability, and begin and end at different times. The selection of the form of protection depends upon the owner of the computer program and upon economic, programming and legal considerations. Whatever form is selected, valuable medical computer programs must have some protection so that their development is encouraged.

Novick, Harold L.

1980-01-01

322

CRCHD - Community Networks Program (CNP) Centers  

Cancer.gov

These outreach activities are conducted mainly by trained Community Health Educators (CHEs), who have experience in communications, comprehensive cancer control, training, program planning, and evaluation.

323

Liability for Personal Injury Caused by Defective Medical Computer Programs  

PubMed Central

Defective medical computer programs can cause personal injury. Financial responsibility for the injury under tort law will turn on several factors: whether the program is a product or a service, what types of defect exist in the product, and who produced the program. The factors involved in making these decisions are complex, but knowledge of the relevant issues can assist computer personnel in avoiding liability.

Brannigan, Vincent M.

1980-01-01

324

Strategic Plan: Initiating an Orthopaedic Residency at Womack Army Medical Center.  

National Technical Information Service (NTIS)

This Graduate Management Project delineates strategic planning necessary to implement an orthopaedic residency at Womack Army Medical Center (WAMC). Ginter, Swaney, and Duncan's strategic planning process as outlined in 'Strategic Management of Healthcare...

D. Mangelsdorff J. W. Harrington

2006-01-01

325

Health Hazard Evaluation Report HETA 93-0582-2359, HCA Wesley Medical Center, Wichita, Kansas.  

National Technical Information Service (NTIS)

In response to a request from the respiratory therapist educator of HCA Wesley Medical Center in Wichita, Kansas, an evaluation was conducted of the effectiveness of revised procedures for administering ribavirin (36791045) via hood. The containment syste...

S. W. Lenhart

1993-01-01

326

Central Materiel Services at Madigan Army Medical Center: A Case Study.  

National Technical Information Service (NTIS)

A case study of the Central Materiel Services department at Madigan Army Medical Center was conducted in three phases to establish inventory levels of equipment located throughout the clinical areas of the hospital, to determine stockage levels of the mos...

D. A. Bitterman

1995-01-01

327

Health Hazard Evaluation Report HETA 92-0122-2570, University of Nebraska Medical Center, Omaha, Nebraska.  

National Technical Information Service (NTIS)

In response to a request for technical assistance from the University of Nebraska Medical Center of Omaha, Nebraska, farm worker exposures during the handling of grain sorghum were investigated at four farms (SIC-0119) in southeastern Nebraska. Levels of ...

C. A. Piacitelli W. G. Jones

1996-01-01

328

Annual Research Progress Report. Fiscal Year 1984 (Madigan Army Medical Center).  

National Technical Information Service (NTIS)

This report identifies those individuals who are conducting investigative protocols at Madigan Army Medical Center. An abstract of each protocol giving abbreviated technical objectives, methods, and progress is presented. The protocols cover the following...

S. R. Plymate

1984-01-01

329

Energy-Efficient Management of Lighting in a Veterans Administration Medical Center.  

National Technical Information Service (NTIS)

More thn 200 solid-state fluorescent ballasts were installed in representative areas of the Veterans Administration Medical Center in Long Beach, California, to determine the cost-effectiveness of the installation and to measure levels of conducted and ra...

R. R. Verderber A. Arthur O. Morse F. Rubinstein

1981-01-01

330

Healthcare Inspection: Emergency Room Discharge of a Hospice Patient Hampton VA Medical Center Hampton, Virginia.  

National Technical Information Service (NTIS)

In September 2010, a confidential complainant contacted the VA Office of Inspector General (OIG) Office of Healthcare Inspections (OHI) regarding a complaint concerning the care a patient received at the Hampton VA Medical Center (facility), Hampton, VA. ...

2011-01-01

331

Joint Venture Analysis for a Combined Acute/Chronic Hemodialysis Clinic at Tripler Army Medical Center.  

National Technical Information Service (NTIS)

The objective of this study was to determine the cost effectiveness and strategic implications of expanding the existing dialysis clinic at Tripler Army Medical Center (TAMC), Oahu, Hawaii, to allow Veterans Administration (VA) beneficiaries access for ch...

L. P. Nolan

2002-01-01

332

Healthcare Inspection: Electronic Ordering of Chemotherapy Fargo VA Medical Center Fargo, North Dakota.  

National Technical Information Service (NTIS)

The purpose of this review was to determine the validity of allegations a complainant made to the OIG Hotline Section regarding unresolved software problems with the electronic ordering of chemotherapy at the Fargo VA Medical Center (the facility), Fargo,...

2010-01-01

333

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

334

Health Hazard Evaluation Report: HETA 2000-0169-2854, Riverside County Regional Medical Center, Riverside, California.  

National Technical Information Service (NTIS)

In March 2000, the National Institute for Occupational Safety and Health (NIOSH) received a request from the Service Employees International Union (SEIU) local 1997 to conduct a health hazard evaluation (HHE) at Riverside County Regional Medical Center in...

C. K. Cook R. Malkin

2001-01-01

335

New Methodology to Design Distributed Medical Diagnostic Centers.  

National Technical Information Service (NTIS)

In a Distributed Diagnostic Center (DDC), patients' examinations (exams) are performed in Remote Units (RUs) and the collected data (images, lab exams, etc) are sent to expertise Diagnostic Units (DUs) for evaluation. The DDC's quality of service per exam...

P. A. Baziana E. I. Karavatselou D. K. Lymberopoulos D. N. Serpanos

2001-01-01

336

Mississippi Curriculum Framework for Medical Laboratory Technology Programs (CIP: 51.1004--Medical Laboratory Technology). Postsecondary Programs.  

ERIC Educational Resources Information Center

This document, which is intended for use by community and junior colleges throughout Mississippi, contains curriculum frameworks for the course sequences in the medical laboratory technology program. Presented in the introductory section are a description of the program and suggested course sequence. Section I lists baseline competencies, and…

Mississippi Research and Curriculum Unit for Vocational and Technical Education, State College.

337

University Hospitals Case Medical Center researchers develop new radiation therapy for gynecologic cancers  

Cancer.gov

Researchers from University Hospitals Case Medical Center have developed a more effective way to treat gynecologic cancers, shortening radiation treatment time from five weeks to three days. The method was published in the Journal of Visualized Experiments on April 17. The new method, stereotactic body radiotherapy (SBRT) has been used on other types of cancer, but University Hospitals Case Medical Center is the first treatment facility to apply it to gynecologic cancers.

338

Technology Transfer Center | NCI TTC Fellowship Program  

Cancer.gov

The DHHS, NIH, NCI Technology Transfer Center (TTC) has fellowship opportunities available to qualified candidates in one of the fastest growing fields, technology transfer. These fellowship opportunities let you combine your science background with a new career in the technology transfer field.

339

Technology Transfer Center | NCI TTC Fellowship Program  

Cancer.gov

The DHHS, NIH, NCI Technology Transfer Center (TTC) has a fellowship opportunity available to qualified candidates in one of the fastest growing fields, technology transfer. This fellowship opportunity lets you combine your science, legal or business background with a new career in the technology transfer field.

340

DOE Center of Excellence in Medical Laser Applications. Final report, December 1, 1994--November 30, 1997  

SciTech Connect

An engineering network of collaborating medical laser laboratories are developing laser and optical technologies for medical diagnosis and therapy and are translating the engineering into medical centers in Portland OR, Houston TX, and Galveston TX. The Center includes the University of Texas M.D. Anderson Cancer Center, the University of Texas-Austin, Texas A and M University, Rice University, the University Texas Medical Branch-Galveston, Oregon Medical Laser Center (Providence St. Vincent Medical Center, Oregon Health Sciences University, and Oregon Graduate Institute, Portland, OR), and the University of Oregon. Diagnostics include reflectance, fluorescence, Raman IR, laser photoacoustics, optical coherence tomography, and several new video techniques for spectroscopy and imaging. Therapies include photocoagulation therapy, laser welding, pulsed laser ablation, and light-activated chemotherapy of cancer (photodynamic therapy, or PDT). Medical applications reaching the clinic include optical monitoring of hyperbilirubinemia in newborns, fluorescence detection of cervical dysplasia, laser thrombolysis of blood clots in heart attack and brain stroke, photothermal coagulant of benign prostate hyperplasia, and PDT for both veterinary and human cancer. New technologies include laser optoacoustic imaging of breast tumors and hemorrhage in head trauma and brain stroke, quality control monitoring of dosimetry during PDT for esophageal and lung cancer, polarization video reflectometry of skin cancer, laser welding of artificial tissue replacements, and feedback control of laser welding.

Jacques, S.L.

1998-01-01

341

Trend of Knowledge Production of Research Centers in the Field of Medical Sciences in Iran  

PubMed Central

Establishment of medical research centers at universities and health-related organizations and annually evaluation of their research activities was one of the strategic policies which followed by governmental organization in last decade in order to strengthening the connections between health research system and health system. The aim of this study is to scrutinize the role of medical research centers in medical science production in Iran. This study is a cross sectional which has been performed based on existing reports on national scientometrics and evaluation results of research performance of medical research centers between years 2001 to 2010. During last decade number of medical research centers increased from 53 in 2001 to 359 in 2010. Simultaneous scientific output of medical research centers has been increased especially articles indexed in ISI (web of science). Proper policy implementation in the field of health research system during last decades led to improving capacity building and growth knowledge production of medical science in recent years in Iran. The process embedding research into the health systems requires planning up until research products improves health outcomes and health equity in country.

Falahat, K; Eftekhari, MB; Habibi, E; Djalalinia, Sh; Peykari, N; Owlia, P; Malekafzali, H; Ghanei, M; Mojarrab, Sh

2013-01-01

342

Trend of knowledge production of research centers in the field of medical sciences in iran.  

PubMed

Establishment of medical research centers at universities and health-related organizations and annually evaluation of their research activities was one of the strategic policies which followed by governmental organization in last decade in order to strengthening the connections between health research system and health system. The aim of this study is to scrutinize the role of medical research centers in medical science production in Iran. This study is a cross sectional which has been performed based on existing reports on national scientometrics and evaluation results of research performance of medical research centers between years 2001 to 2010. During last decade number of medical research centers increased from 53 in 2001 to 359 in 2010. Simultaneous scientific output of medical research centers has been increased especially articles indexed in ISI (web of science). Proper policy implementation in the field of health research system during last decades led to improving capacity building and growth knowledge production of medical science in recent years in Iran. The process embedding research into the health systems requires planning up until research products improves health outcomes and health equity in country. PMID:23865017

Falahat, K; Eftekhari, Mb; Habibi, E; Djalalinia, Sh; Peykari, N; Owlia, P; Malekafzali, H; Ghanei, M; Mojarrab, Sh

2013-01-01

343

Medical Surveillance for a Soldier Centered Battlespace Awareness  

Microsoft Academic Search

Recent advances in sensor technologies have enabled a net centric view of the battlespace, substantially increasing situational awareness for the warfighter. However, this net centric awareness has yet to be extended to the status of the warfighters themselves. Medical technologies have progressed to the degree that portable, rugged and wireless designs can be conceived of that could give coalition commanders

Amy A Kruse

344

Development of a Patient-Centered Antipsychotic Medication Adherence Intervention  

ERIC Educational Resources Information Center

Objective: A substantial gap exists between patients and their mental health providers about patient's perceived barriers, facilitators, and motivators (BFMs) for taking antipsychotic medications. This article describes how we used an intervention mapping (IM) framework coupled with qualitative and quantitative item-selection methods to…

Pyne, Jeffrey M.; Fischer, Ellen P.; Gilmore, LaNissa; McSweeney, Jean C.; Stewart, Katharine E.; Mittal, Dinesh; Bost, James E.; Valenstein, Marcia

2014-01-01

345

Evaluation and early medical experience with an ultrasound mini-PACS system at the VA Medical Center, West Los Angeles  

NASA Astrophysics Data System (ADS)

The first development phase of a multi-modality Picture Archiving and Communications System (PACS) has been completed at the Veterans Affairs Medical Center West Los Angeles. This initial phase involved the development of an ultrasound mini-PACS system using a commercially available PACS product line (IMPAXTM) from AGFA Division of Miles Inc. The PACS provides acquisition, archival, display, and network printing capabilities.

Duerinckx, Andre J.; Hagan, Girish T.; Wanchoo, Vishal; Grant, Edward G.

1994-05-01

346

The Volume and Mix of Inpatient Services Provided by Academic Medical Centers.  

ERIC Educational Resources Information Center

A study examined trends in the volume and type of inpatient clinical diagnoses, common medical services, and specialized services in academic medical centers (AMCs)--integrated and independent, other teaching hospitals, and nonteaching hospitals. Results indicate that despite rapid change in the health care environment, little change has occurred…

Moy, Ernest; And Others

1996-01-01

347

PROJECT HEAD START MEDICAL--A GUIDE FOR DIRECTION OF CHILD DEVELOPMENT CENTERS.  

ERIC Educational Resources Information Center

HEALTH SERVICES OF PROJECT HEAD START CHILD DEVELOPMENT CENTERS PROVIDE--A MEDICAL EVALUATION OF EACH CHILD INCLUDING MEDICAL HISTORY, DEVELOPMENTAL ASSESSMENT, AND PHYSICAL EXAMINATION, SCREENING TESTS FOR VISION, HEARING, SPEECH, AND TUBERCULOSIS, LABORATORY TESTS OF URINE FOR ALBUMIN AND TESTS OF SUGAR AND BLOOD FOR ANEMIA, DENTAL ASSESSMENT,…

Office of Economic Opportunity, Washington, DC.

348

Medication Adherence among Adolescents in a School-Based Health Center  

ERIC Educational Resources Information Center

School-based health centers are an integral part of the health care delivery system for low-income children. Medication adherence for these patients may be challenging because the student is often responsible for bringing home the prescription and receiving the instructions. This study assesses medication fill, initiation, and adherence rates…

Mears, Cynthia J.; Charlebois, Nicole M.; Holl, Jane L.

2006-01-01

349

78 FR 76628 - Pilot Program for Parallel Review of Medical Products; Extension of the Duration of the Program  

Federal Register 2010, 2011, 2012, 2013

...CMS-3180-N3] Pilot Program for Parallel Review of Medical Products; Extension...extension of the ``Pilot Program for Parallel Review of Medical Products...procedures and guiding principles for the Parallel Review Pilot Program and solicited...

2013-12-18

350

Combating Obesity at Community Health Centers (COACH): A Quality Improvement Collaborative for Weight Management Programs  

PubMed Central

Community health centers (CHCs) seek effective strategies to address obesity. MidWest Clinicians’ Network partnered with [an academic medical center] to test feasibility of a weight management quality improvement (QI) collaborative. MidWest Clinicians’ Network members expressed interest in an obesity QI program. This pilot study aimed to determine whether the QI model can be feasibly implemented with limited resources at CHCs to improve weight management programs. Five health centers with weight management programs enrolled with CHC staff as primary study participants; this study did not attempt to measure patient outcomes. Participants attended learning sessions and monthly conference calls to build QI skills and share best practices. Tailored coaching addressed local needs. Topics rated most valuable were patient recruitment/retention strategies, QI techniques, evidence-based weight management, motivational interviewing. Challenges included garnering provider support, high staff turnover, and difficulty tracking patient-level data. This paper reports practical lessons about implementing a weight management QI collaborative in CHCs.

Wilkes, Abigail E.; John, Priya M.; Vable, Anusha M.; Campbell, Amanda; Heuer, Loretta; Schaefer, Cynthia; Vinci, Lisa; Drum, Melinda L.; Chin, Marshall H.; Quinn, Michael T.; Burnet, Deborah L.

2013-01-01

351

University Transportation Centers Program, Progress Report 2005-2007.  

National Technical Information Service (NTIS)

Th e University Transportation Centers (UTC) Program is a strategic investment in the Nations transportation knowledge base. This investment produces a superior national capacity in the men and women who are educated and conduct research in transportation...

2007-01-01

352

Massachusetts Institute of Technology, Plasma fusion center, technical research programs  

NASA Astrophysics Data System (ADS)

A review is given of the technical programs carried out by the Plasma Fusion Center. The major divisions of work areas are applied plasma research, confinement experiments, fusion technology and engineering, and fusion systems.

1980-08-01

353

NCI Community Cancer Centers Program - Progress Reports and Tools  

Cancer.gov

NCI Community Cancer Centers Program - Progress Reports and Tools Search NCCCP NCCCP Home About Focus Areas NCI in the Community News & Publications Contact About Overview For Patients and Public For Researchers NCCCP Progress Reports and Tools

354

Facility Design Program Requirements for the National Science Center.  

National Technical Information Service (NTIS)

This research was conducted to develop specific facility design program requirements for a hands-on science museum called the Discovery Center. This information generated creative ways to use current materials, technologies, and approaches to integrate th...

D. C. Heinen W. C. Bullock W. R. Pittman

1991-01-01

355

Fiscal Year 1984 Program Report: Illinois Water Resources Center.  

National Technical Information Service (NTIS)

The University of Illinois Water Resources Center was established in 1963 to encourage and coordinate university-wide planning and implementation of interdisciplinary programs for research and graduate education in water resources. Since designation by th...

G. E. Stout

1985-01-01

356

Introducing quality assurance and medical audit into the UCSF medical center curriculum.  

PubMed

The experience gained by a medical school faculty in developing and piloting a course for undergraduate medical students in medical care evaluation led to a similar effort for house staff. It is recognized that if the profession is to fulfill the demand by society for social accountability in the use of resources for health care, medical care assessment and quality assurance mechanisms must become an intimate part of the clinical experience of medical students and house officers. Teaching these subjects requires a theoretical framework; introduction of content and skills appropriate to the level of the student and continuation of progressively more advanced training throughout medical education; use of assessment and quality assurance techniques by clinician-teachers themselves to provide models for the student; and continued evolution of pedagogic approach and course content based on developments in the area. PMID:1083434

Barbaccia, J C

1976-05-01

357

NCI Launches a Pilot of Its Community Cancer Centers Program to Bring Quality Cancer Care to All  

Cancer.gov

NCI today launched the three year pilot phase of a new program that will help bring state-of-the-art cancer care to patients in community hospitals across the United States. The National Cancer Institute Community Cancer Centers Program (NCCCP) is designed to encourage the collaboration of private-practice medical, surgical, and radiation oncologists - with close links to NCI research and to the network of 63 NCI-designated Cancer Centers principally based at large research universities.

358

Engaging Adults in Literacy Programs at Neighborhood Networks Centers.  

ERIC Educational Resources Information Center

This publication is designed to help Neighborhood Networks centers create programs that meet the goals of adult literacy learners. (The centers provide residents of federally assisted or insured properties with training in economic self-sufficiency.) Chapter 1 highlights the special characteristics of adult learners--the challenges they face and…

Department of Housing and Urban Development, Washington, DC.

359

Parent Child Center Program Management Information System. User's Manual.  

ERIC Educational Resources Information Center

This manual describes procedures for collecting, recording, and reporting in a uniform, timely manner critical information necessary to the making of key management decisions for parent child centers as well as for the parent child center program. The first section describes recommended data collection and recordkeeping procedures for such…

Warner, Donna D.; And Others

360

Alternate Learning Center. Abstracts of Inservice Training Programs.  

ERIC Educational Resources Information Center

This booklet is a collection of abstracts describing the 18 programs offered at the Alternate Learning Center of the Rhode Island Teacher Center which has as its Primary function school based inservice training for local teachers and administrators. Each project is described in detail, including course goals, specific objectives, training…

Rhode Island State Dept. of Education, Providence. Div. of Development and Operations.

361

Meeting changing conditions at the Rhode Island Medical Center Cogeneration Plant  

Microsoft Academic Search

In 1902 the Central Power Plant (CPP) was established at the Rhode Island Medical Center (RIMC) to provide heat and electricity for the facility and to make the Center self-sufficient. The plant consisted of coal fired boilers and steam engine driven generators. In 1936 a new cogeneration plant was built and consisted of two General Electric Company steam turbine generators

D. P. Galamaga; P. T. Bowen

2009-01-01

362

Computer Program and User Documentation Medical Data Input System  

NASA Technical Reports Server (NTRS)

Several levels of documentation are presented for the program module of the NASA medical directorate minicomputer storage and retrieval system. The biomedical information system overview gives reasons for the development of the minicomputer storage and retrieval system. It briefly describes all of the program modules which constitute the system. A technical discussion oriented to the programmer is given. Each subroutine is described in enough detail to permit in-depth understanding of the routines and to facilitate program modifications. The program utilization section may be used as a users guide.

Anderson, J.

1971-01-01

363

[Differences in taxation between medical care centers and conventional medical practices].  

PubMed

With the introduction of "Medizinisches Versorgungszentrum", a new medical provider was established in the German health sector as a competitor to conventional medical practices. With regard to the various legal forms, there are differences concerning taxation. This article examines these differences for the limited company and the civil law association. PMID:17582548

Siegert, M; Saxler, G; Radermacher, D; von Knoch, M

2007-05-01

364

In vitro activity of selected cephalosporins and erythromycin against staphylococci and pneumococci isolated at 38 North American medical centers participating in the SENTRY Antimicrobial Surveillance Program, 1997–1998  

Microsoft Academic Search

The SENTRY Antimicrobial Surveillance Program employs a worldwide network of hospitals to monitor the predominant bacterial and fungal pathogens and antimicrobial susceptibility patterns associated with nosocomial and community-acquired bloodstream, respiratory tract, wound, and urinary tract infections. The purpose of this analysis of SENTRY data is to extract information on the current North American susceptibility patterns of pneumococci and oxacillin-susceptible staphylococci

Ronald N. Jones; Stephen G. Jenkins; Daryl J. Hoban; Michael A. Pfaller; Reuben Ramphal

2000-01-01

365

Comparison of the activity of two broad-spectrum cephalosporins tested against 2,299 strains of Pseudomonas aeruginosa isolated at 38 North American medical centers participating in the SENTRY antimicrobial surveillance program, 1997–1998  

Microsoft Academic Search

Pseudomonas aeruginosa is an important nosocomial pathogen. Resistance to certain ?-lactam antimicrobial agents among P. aeruginosa is increasing. The SENTRY Antimicrobial Surveillance Program was designed to employ a network of hospitals in the United States, Canada, Latin America, and Europe to monitor the predominant bacterial and fungal pathogens and antimicrobial susceptibility patterns associated with community-acquired and nosocomial bloodstream, respiratory tract,

Reuben Ramphal; Daryl J. Hoban; Michael A. Pfaller; Ronald N. Jones

2000-01-01

366

Physicians' fees and public medical care programs.  

PubMed

In this article we develop and estimate a model of physicians' pricing that explicitly incorporates the effects of Medicare and Medicaid demand subsidies. Our analysis is based on a multiperiod model in which physicians are monopolistic competitors supplying services to several markets. The implications of the model are tested using data derived from claims submitted by a cohort of 1,200 California physicians during the years 1972-1975. We conclude that the demand for physician's services is relatively elastic; that increases in the local supply of physicians reduce prices somewhat; that physicians respond strategically to attempts to control prices through the customary-prevailing-reasonable system; and that price controls limit the rate of increase in physicians' prices. The analysis identifies a family of policies that recognize the monopsony power of public programs and may change the cost-access trade-off. PMID:7021479

Lee, R H; Hadley, J

1981-01-01

367

Physicians' fees and public medical care programs.  

PubMed Central

In this article we develop and estimate a model of physicians' pricing that explicitly incorporates the effects of Medicare and Medicaid demand subsidies. Our analysis is based on a multiperiod model in which physicians are monopolistic competitors supplying services to several markets. The implications of the model are tested using data derived from claims submitted by a cohort of 1,200 California physicians during the years 1972-1975. We conclude that the demand for physician's services is relatively elastic; that increases in the local supply of physicians reduce prices somewhat; that physicians respond strategically to attempts to control prices through the customary-prevailing-reasonable system; and that price controls limit the rate of increase in physicians' prices. The analysis identifies a family of policies that recognize the monopsony power of public programs and may change the cost-access trade-off.

Lee, R H; Hadley, J

1981-01-01

368

Scheduled telephone visits in the veterans health administration patient-centered medical home  

PubMed Central

Background The Veterans Health Administration (VHA) patient-centered medical home model, Patient Aligned Care Teams (PACT), includes telephone visits to improve care access and efficiency. Scheduled telephone visits can replace in-person care for some focused issues, and more information is needed to understand how this mode can best work for primary care. We conducted a study at the beginning of PACT implementation to elicit stakeholder views on this mode of healthcare delivery, including potential facilitators and barriers. Methods We conducted focus groups with primary care patients (n?=?3 groups), providers (n?=?2 groups) and staff (n?=?2 groups). Questions were informed by Donabedian’s framework to evaluate and improve healthcare quality. Content analysis and theme matrix techniques were used to explore themes. Content was assigned a positive or negative valuation to indicate whether it was a facilitator or barrier. PACT principles were used as an organizing framework to present stakeholder responses within the context of the VHA patient-centered medical home program. Results Scheduled telephone visits could potentially improve care quality and efficiency, but stakeholders were cautious. Themes were identified relating to the following PACT principles: comprehensiveness, patient-centeredness, and continuity of care. In sum, scheduled telephone visits were viewed as potentially beneficial for routine care not requiring physical examination, and patients and providers suggested using them to evaluate need for in-person care; however, visits would need to be individualized, with patients able to discontinue if not satisfied. Patients and staff asserted that providers would need to be kept in the loop for continuity of care. Additionally, providers and staff emphasized needing protected time for these calls. Conclusion These findings inform development of scheduled telephone visits as part of patient-centered medical homes by providing evidence about areas that may be leveraged to most effectively implement this mode of care. Presenting this service as enhanced care, with ability to triage need for in-person clinic visits and consequently provide more frequent contact, may most adequately meet different stakeholder expectations. In this way, scheduled telephone visits may serve as both a substitute for in-person care for certain situations and a supplement to in-person interaction.

2014-01-01

369

Crawford County Adult Education Center Program Evaluation  

ERIC Educational Resources Information Center

The Crawford County Adult Education Program Evaluation was implemented to gather data that would assist in increasing the number of enrolled students at CCAEC. The data were compiled from state, federal, local extant data, a Community Opinion Survey and focus group interviews. Of the 1,015 Crawford County Residents who were emailed the COS, 213…

Faubus, Deborah L.

2011-01-01

370

Goddard Space Flight Center Mechanical Cooler Program.  

National Technical Information Service (NTIS)

The Philips Stirling Cooler Program will ensure that a cooler is available to meet NASA's needs in the 40 to 120K temperature range in the 1990's. The Creare turbomachinery based cooler may provide an improved cooler for the 40 to 120K range. The design o...

S. H. Castles

1987-01-01

371

Oceanographic Centers and Facilities (Program Description)  

NSF Publications Database

... Michael R. Reeve Section Head Rm. 725 N Phone: (703) 292-8583, Fax: (703) 292-9085, Email: mreeve ... Program Director Rm. 725 N Phone: (703) 292-8583, Fax: (703) 292-9085, Email: kbinkley@nsf.gov Emma ...

372

The Summer Program at St. Mary's Center.  

ERIC Educational Resources Information Center

Describes a program for intellectually gifted middle school students, providing them with an opportunity to investigate relationships between freshwater and estuarine environments. Students choose among four areas for intensive study: (1) artistic and creative expression, (2) problem solving, (3) historical and cultural explorations, and (4)…

McTighe, Jay

1979-01-01

373

PASTE: patient-centered SMS text tagging in a medication management system  

PubMed Central

Objective To evaluate the performance of a system that extracts medication information and administration-related actions from patient short message service (SMS) messages. Design Mobile technologies provide a platform for electronic patient-centered medication management. MyMediHealth (MMH) is a medication management system that includes a medication scheduler, a medication administration record, and a reminder engine that sends text messages to cell phones. The object of this work was to extend MMH to allow two-way interaction using mobile phone-based SMS technology. Unprompted text-message communication with patients using natural language could engage patients in their healthcare, but presents unique natural language processing challenges. The authors developed a new functional component of MMH, the Patient-centered Automated SMS Tagging Engine (PASTE). The PASTE web service uses natural language processing methods, custom lexicons, and existing knowledge sources to extract and tag medication information from patient text messages. Measurements A pilot evaluation of PASTE was completed using 130 medication messages anonymously submitted by 16 volunteers via a website. System output was compared with manually tagged messages. Results Verified medication names, medication terms, and action terms reached high F-measures of 91.3%, 94.7%, and 90.4%, respectively. The overall medication name F-measure was 79.8%, and the medication action term F-measure was 90%. Conclusion Other studies have demonstrated systems that successfully extract medication information from clinical documents using semantic tagging, regular expression-based approaches, or a combination of both approaches. This evaluation demonstrates the feasibility of extracting medication information from patient-generated medication messages.

Johnson, Kevin B; Denny, Joshua C

2011-01-01

374

Development of an evidence-based pressure ulcer program at the National Naval Medical Center: nurses' role in risk factor assessment, prevention, and intervention among young service members returning from OIF/OEF.  

PubMed

Since the beginning of the wars in Iraq and Afghanistan, the incidence of pressure ulcers from various causes has increased. This article discusses the knowledge nurses need to care for casualties returning from Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) who may be at risk for developing pressure ulcers. This article also describes the development of an evidence-based pressure ulcer awareness program for young adults aged 18 to 35 years at a military treatment facility that receives casualties from OIF/OEF. This evidence-based program enables nurses to rapidly assess casualties for risk factors and initiate nursing interventions to mitigate the development of pressure ulcers. Improving the detection of pressure ulcers among the young OIF and OEF casualties may, in turn, reduce mortality and morbidity among these service members. PMID:20510701

Crumbley, David R; Kane, Michele A

2010-06-01

375

The Visiting Medical Student Clerkship Program at Mayo Clinic  

PubMed Central

OBJECTIVE: To describe the history, objectives, statistics, and initiatives used to address challenges associated with the Mayo Clinic Visiting Medical Student (VMS) Clerkship Program. MATERIALS AND METHODS: Mayo Clinic administrative records were reviewed for calendar years 1995 through 2008 to determine the effect of interventions to increase the numbers of appropriately qualified international VMSs and underrepresented minority VMSs. For numerical data, descriptive statistics were used; for comparisons, ?2 tests were performed. RESULTS: During the specified period, 4908 VMSs participated in the Mayo VMS Program (yearly mean [SD], 351 [24]). Most students were from US medical schools (3247 [66%]) and were male (3084 [63%]). Overall, 3101 VMSs (63%) applied for and 935 (30%) were appointed to Mayo Clinic residency program positions. Interventions to address the challenge of large numbers of international students who participated in our VMS program but did not apply for Mayo residency positions resulted in significantly fewer international students participating in our VMS program (P<.001), applying for Mayo residency program positions (P<.001), and being appointed to residency positions (P=.001). Interventions to address the challenge of low numbers of underrepresented minority students resulted in significantly more of these students participating in our VMS program (P=.005), applying for Mayo residency positions (P=.008), and being appointed to residency positions (P=.04). CONCLUSION: Our findings suggest that specific interventions can affect the characteristics of students who participate in VMS programs and who apply for and are appointed to residency program positions.

Mueller, Paul S.; McConahey, Linda L.; Orvidas, Laura J.; Jenkins, Sarah M.; Kasten, Mary J.

2010-01-01

376

78 FR 47419 - Requirements for the OSHA Training Institute Education Centers Program and the OSHA Outreach...  

Federal Register 2010, 2011, 2012, 2013

...the OSHA Training Institute Education Centers Program and the OSHA...Requesting the Office of Management and Budget's (OMB) Approval...the OSHA Training Institute Education Centers Program and the OSHA...OSHA Training Institute Education Centers Program at the...

2013-08-05

377

34 CFR 350.1 - What is the Disability and Rehabilitation Research Projects and Centers Program?  

Code of Federal Regulations, 2010 CFR

...What is the Disability and Rehabilitation Research Projects and Centers Program? 350...EDUCATION DISABILITY AND REHABILITATION RESEARCH PROJECTS AND CENTERS PROGRAM General...What is the Disability and Rehabilitation Research Projects and Centers Program?...

2010-07-01

378

34 CFR 350.1 - What is the Disability and Rehabilitation Research Projects and Centers Program?  

Code of Federal Regulations, 2011 CFR

...What is the Disability and Rehabilitation Research Projects and Centers Program? 350...EDUCATION DISABILITY AND REHABILITATION RESEARCH PROJECTS AND CENTERS PROGRAM General...What is the Disability and Rehabilitation Research Projects and Centers Program?...

2011-07-01

379

34 CFR 669.1 - What is the Language Resource Centers Program?  

Code of Federal Regulations, 2013 CFR

...2013-07-01 false What is the Language Resource Centers Program? 669.1...EDUCATION, DEPARTMENT OF EDUCATION LANGUAGE RESOURCE CENTERS PROGRAM General § 669.1 What is the Language Resource Centers Program?...

2013-07-01

380

34 CFR 350.1 - What is the Disability and Rehabilitation Research Projects and Centers Program?  

Code of Federal Regulations, 2013 CFR

...What is the Disability and Rehabilitation Research Projects and Centers Program? 350...EDUCATION DISABILITY AND REHABILITATION RESEARCH PROJECTS AND CENTERS PROGRAM General...What is the Disability and Rehabilitation Research Projects and Centers Program?...

2013-07-01

381

34 CFR 350.1 - What is the Disability and Rehabilitation Research Projects and Centers Program?  

Code of Federal Regulations, 2012 CFR

...What is the Disability and Rehabilitation Research Projects and Centers Program? 350...EDUCATION DISABILITY AND REHABILITATION RESEARCH PROJECTS AND CENTERS PROGRAM General...What is the Disability and Rehabilitation Research Projects and Centers Program?...

2012-07-01

382

Youth Education Programs for Neighborhood Networks Centers. Neighborhood Networks.  

ERIC Educational Resources Information Center

This handbook is designed to help the sponsors, staff, and partners of Neighborhood Networks Centers, which serve apartment properties assisted or insured by the Department of Housing and Urban Development, to develop effective programs for young people under the age of 18. Part 1 identifies key issues in creating programs and highlights effective…

Department of Housing and Urban Development, Washington, DC. Office of Multifamily Housing.

383

Investigation of an Area Health Education Center Clinical Pharmacy Program.  

ERIC Educational Resources Information Center

To investigate the effectiveness of the Area Health Education Center Pharmacy Training Program at the University of Texas, a study was undertaken to determine the amount of time pharmacy externs spend in predefined work categories and to compare them to program objectives. (JMD)

Hightower, William L; Yanchick, Victor A.

1979-01-01

384

NASA Goddard Space Flight Center Supply Chain Management Program  

NASA Technical Reports Server (NTRS)

This slide presentation reviews the working of the Supplier Assessment Program at NASA Goddard Space Flight Center. The program supports many GSFC projects to ensure suppliers are aware of and are following the contractual requirements, to provide an independent assessment of the suppliers' processes, and provide suppliers' safety and mission assurance organizations information to make the changes within their organization.

Kelly, Michael P.

2011-01-01

385

Demonstration and Research Center for Early Education (DARCEE). Program Report.  

ERIC Educational Resources Information Center

This document is the first in a series of 12 early childhood program descriptions compiled by the Far West Laboratory for Educational Research and Development. The program described here is the Demonstration and Research Center for Early Education (DARCEE) which was established at the George Peabody College for Teachers in Nashville, Tennessee, in…

Far West Lab. for Educational Research and Development, Berkeley, CA.

386

NASA. Langley Research Center CFD code validation program overview  

NASA Technical Reports Server (NTRS)

A presentation by Langley Research Center covered subjects of: LaRC approach to CFD code validation, experimental CFD perceptions, CFD code validation program experiment, and highlights of the experiment. The objective of the validation program and the approach taken are discussed.

Kjelgaard, Scott O.

1990-01-01

387

Model Program: Southern Lehigh High School, Center Valley, PA  

ERIC Educational Resources Information Center

In this article, the author describes the technology education program at Southern Lehigh High School, Center Valley, Pennsylvania. The school district is presently providing an educational program known for its excellence and forward-looking perspective, which is sensitive to the changing needs of its students. Within the technology education…

Colelli, Richard

2009-01-01

388

Air Force Operational Medicine: Using the Estimating Supplies Program to Develop Materiel Solutions for the Operational Clinical Requirements of the Expeditionary Medical Support (EMEDS). Volume Three: EMEDS+10.  

National Technical Information Service (NTIS)

A modeling and simulation effort was completed on the Air Force Expeditionary Medical Support (EMEDS)+10 system using current Naval Health Research Center methodology and the Estimating Supplies Program (ESP). The clinical functional areas modeled were th...

C. Hopkins C. Jackson G. Pang P. Konoske R. E. Nix

2009-01-01

389

In vitro fertilization and embryo transfer: Northridge Hospital Medical Center, California  

Microsoft Academic Search

Conclusion The results demonstrate the possibility of setting up a relatively small but successful IVF program within the private medical sector in the United States. Since initiating the program the number of couples seeking this service has risen dramatically, largely in response to our community education programs. The initial-phase success rate is encouraging compared with that of other groups who

Ian L. Pike; Paul M. Greenberg; Sheldon L. Schein; Kenneth A. Collins

1985-01-01

390

New study program: Interdisciplinary Postgraduate Specialist Study in Medical Informatics.  

PubMed

Paper presents an overview of the EU funded Project of Curriculum Development for Interdisciplinary Postgraduate Specialist Study in Medical Informatics named MEDINFO to be introduced in Croatia. The target group for the program is formed by professionals in any of the areas of medicine, IT professionals working on applications of IT for health and researchers and teachers in medical informatics. In addition to Croatian students, the program will also provide opportunity for enrolling students from a wider region of Southeast Europe. Project partners are two faculties of the University of Zagreb - Faculty of Organization and Informatics from Varaždin and School of Medicine, Andrija Štampar School of Public Health from Zagreb with the Croatian Society for Medical Informatics, Croatian Chamber of Economy, and Ericsson Nikola Tesla Company as associates. PMID:24743088

Hercigonja-Szekeres, Mira; Simi?, Diana; Božikov, Jadranka; Vondra, Petra

2014-01-01

391

Center for Advanced Energy Studies Program Plan  

SciTech Connect

The world is facing critical energy-related challenges regarding world and national energy demands, advanced science and energy technology delivery, nuclear engineering educational shortfalls, and adequately trained technical staff. Resolution of these issues is important for the United States to ensure a secure and affordable energy supply, which is essential for maintaining U.S. national security, continued economic prosperity, and future sustainable development. One way that the U.S. Department of Energy (DOE) is addressing these challenges is by tasking the Battelle Energy Alliance, LLC (BEA) with developing the Center for Advanced Energy Studies (CAES) at the Idaho National Laboratory (INL). By 2015, CAES will be a self-sustaining, world-class, academic and research institution where the INL; DOE; Idaho, regional, and other national universities; and the international community will cooperate to conduct critical energy-related research, classroom instruction, technical training, policy conceptualization, public dialogue, and other events.

Kevin Kostelnik

2005-09-01

392

Predictors of Success: Medical Laboratory Associate in Science Degree Program  

Microsoft Academic Search

Hospitals and healthcare facilities in the United States are facing serious shortages of medical laboratory personnel, which, if not addressed, stand to negatively impact patient care. The problem is compounded by a reduction in the numbers of academic programs and resulting decrease in the number of graduates to keep up with the increase in industry demands. Given these challenges, the

Nilia M Madan

2012-01-01

393

Medication exposure in pregnancy risk evaluation program: the prevalence of asthma medication use during pregnancy.  

PubMed

Asthma is one of the most common chronic diseases in women of reproductive age, occurring in up to 8 % of pregnancies. The objective of this study is to assess the prevalence of asthma medication use during pregnancy in a large diverse cohort. We identified women aged 15-45 years who delivered a live born infant between 2001 and 2007 across 11 U.S. health plans within the Medication Exposure in Pregnancy Risk Evaluation Program (MEPREP). Using health plans' administrative and claims data, and birth certificate data, we identified deliveries for which women filled asthma medications from 90 days before pregnancy through delivery. Prevalence (%) was calculated for asthma diagnosis and medication dispensing. There were 586,276 infants from 575,632 eligible deliveries in the MEPREP cohort. Asthma prevalence among mothers was 6.7 %, increasing from 5.5 % in 2001 to 7.8 % in 2007. A total of 9.7 % (n = 55,914) of women were dispensed asthma medications during pregnancy. The overall prevalence of maintenance-only medication, rescue-only medication, and combined maintenance and rescue medication was 0.6, 6.7, and 2.4 % respectively. The prevalence of maintenance-only use doubled during the study period from 0.4 to 0.8 %, while rescue-only use decreased from 7.4 to 5.8 %. In this large population-based pregnancy cohort, the prevalence of asthma diagnoses increased over time. The dispensing of maintenance-only medication increased over time, while rescue-only medication dispensing decreased over time. PMID:23108737

Hansen, Craig; Joski, Peter; Freiman, Heather; Andrade, Susan; Toh, Sengwee; Dublin, Sascha; Cheetham, Craig; Cooper, William; Pawloski, Pamala; Li, De-Kun; Beaton, Sarah; Kaplan, Sigal; Scott, Pamela; Hammad, Tarek; Davis, Robert

2013-11-01

394

Medication Exposure in Pregnancy Risk Evaluation Program: The Prevalence of Asthma Medication Use During Pregnancy  

PubMed Central

Background Asthma is one of the most common chronic diseases in women of reproductive age, occurring in up to 8% of pregnancies. Objective Assess the prevalence of asthma medication use during pregnancy in a large diverse cohort. Methods We identified women aged 15 to 45 years who delivered a live born infant between 2001 and 2007 across 11 U.S. health plans within the Medication Exposure in Pregnancy Risk Evaluation Program (MEPREP). Using health plans’ administrative and claims data, and birth certificate data, we identified deliveries for which women filled asthma medications from 90 days before pregnancy through delivery. Prevalence (%) was calculated for asthma diagnosis and medication dispensing. Results There were 586,276 infants from 575,632 eligible deliveries in the MEPREP cohort. Asthma prevalence among mothers was 6.7%, increasing from 5.5% in 2001 to 7.8% in 2007. A total of 9.7% (n=55,914) of women were dispensed asthma medications during pregnancy. The overall prevalence of maintenance-only medication, rescue-only medication, and combined maintenance and rescue medication was 0.6%, 6.7%, and 2.4% respectively. The prevalence of maintenance-only use doubled during the study period from 0.4% to 0.8%, while rescue-only use decreased from 7.4% to 5.8%. Conclusions In this large population-based pregnancy cohort, the prevalence of asthma diagnoses increased over time. The dispensing of maintenance-only medication increased over time, while rescue-only medication dispensing decreased over time.

Hansen, Craig; Joski, Peter; Freiman, Heather C.; Andrade, Susan; Toh, Sengwee; Dublin, Sascha; Cheetham, T. Craig; Cooper, William O.; Pawloski, Pamala A.; Li, De-Kun; Beaton, Sarah J.; Scott, Pamela E.; Hammad, Tarek; Davis, Robert

2013-01-01

395

NASA Lyndon B. Johnson Space Center's Metrology Program  

NASA Technical Reports Server (NTRS)

Since the establishment in 1962 of the NASA-JSC Metrology Program, the Reference Standards Laboratory has successfully accomplished its goal and objectives. An on-going laboratory surveillance program, established for insuring a continuing validation of the measurements required at the center, is shown to remain at the forefront of modern technology through its involvement in activities such as the NBS sponsored Measurement Assurance Programs and the utilization of an Automatic Calibration System.

Suraci, J. M.

1973-01-01

396

Impact of a Retention Program for Disadvantaged Medical Students upon the Medical School Community  

ERIC Educational Resources Information Center

Over its 4-year history the formal tutorial program for disadvantaged first-year medical students at the Mount Sinai School of Medicine, New York City, has become successful in preparing students to compete scholastically. This article assesses its effect, particularly the attitudes of students (positive), administration (supportive), and faculty…

Marshall, Carter L.; And Others

1975-01-01

397

Assessment and Measurement of Patient-Centered Medical Home Implementation: The BCBSM Experience  

PubMed Central

PURPOSE Our goal was to describe an approach to patient-centered medical home (PCMH) measurement based on delineating the desired properties of the measurement relative to assumptions about the PCMH and the uses of the measure by Blue Cross Blue Shield of Michigan (BCBSM) and health services researchers. METHODS We developed and validated an approach to assess 13 functional domains of PCMHs and 128 capabilities within those domains. A measure of PCMH implementation was constructed using data from the validated self-assessment and then tested on a large sample of primary care practices in Michigan. RESULTS Our results suggest that the measure adequately addresses the specific requirements and assumptions underlying the BCBSM PCMH program—ability to assess change in level of implementation; ability to compare across practices regardless of size, affiliation, or payer mix; and ability to assess implementation of the PCMH through different sequencing of capabilities and domains. CONCLUSIONS Our experience illustrates that approaches to measuring PCMH should be driven by the measures’ intended use(s) and users, and that a one-size-fits-all approach may not be appropriate. Rather than promoting the BCBSM PCMH measure as the gold standard, our study highlights the challenges, strengths, and limitations of developing a standardized approach to PCMH measurement.

Alexander, Jeffrey A.; Paustian, Michael; Wise, Christopher G.; Green, Lee A.; Fetters, Michael D.; Mason, Margaret; El Reda, Darline K.

2013-01-01

398

Predictors of early faculty attrition at one Academic Medical Center  

PubMed Central

Background Faculty turnover threatens the research, teaching and clinical missions of medical schools. We measured early attrition among newly-hired medical school faculty and identified personal and institutional factors associated with early attrition. Methods This retrospective cohort study identified faculty hired during the 2005–2006 academic year at one school. Three-year attrition rates were measured. A 40-question electronic survey measured demographics, career satisfaction, faculty responsibilities, institutional/departmental support, and reasons for resignation. Odds ratios (ORs) and 95 percent confidence intervals (95% CI) identified variables associated with early attrition. Results Of 139 faculty, 34% (95% CI?=?26-42%) resigned within three years of hire. Attrition was associated with: perceived failure of the Department Chair to foster a climate of teaching, research, and service (OR?=?6.03; 95% CI: 1.84, 19.69), inclusiveness, respect, and open communication (OR?=?3.21; 95% CI: 1.04, 9.98). Lack of professional development of the faculty member (OR?=?3.84; 95% CI: 1.25, 11.81); institutional recognition and support for excellence in teaching (OR?=?2.96; 95% CI: 0.78, 11.19) and clinical care (OR?=?3.87; 95% CI: 1.04, 14.41); and >50% of professional time devoted to patient care (OR?=?3.93; 95% CI: 1.29, 11.93) predicted attrition. Gender, race, ethnicity, academic degree, department type and tenure status did not predict early attrition. Of still-active faculty, an additional 27 (48.2%, 95% CI: 35.8, 61.0) reported considering resignation within the 5 years. Conclusions In this pilot study, one-third of new faculty resigned within 3 years of hire. Greater awareness of predictors of early attrition may help schools identify threats to faculty career satisfaction and retention.

2014-01-01

399

Implementing Quality Improvement in Small, Autonomous Primary Care Practices: Implications for the Patient Centered Medical Home  

PubMed Central

Background Implementing improvement programs to enhance quality of care within primary care clinics is complex, with limited practical guidance available to help practices during the process. Understanding how improvement strategies can be implemented in primary care is timely given the recent national movement towards transforming primary care into patient-centered medical homes (PCMH). This study examined practice members’ perceptions of the opportunities and challenges associated with implementing changes in their practice. Methods Semi-structured interviews were conducted with a purposive sample of 56 individuals working in 16 small, community-based primary care practices. The interview consisted of open-ended questions focused on participants’ perceptions of: (1) practice vision, (2) perceived need for practice improvement, and (3) barriers that hinder practice improvement. The interviews were conducted at the participating clinics and were tape-recorded, transcribed, and content analyzed. Results Content analysis identified two main domains for practice improvement related to: (1) the process of care, and (2) patients’ involvement in their disease management. Examples of desired process of care changes included improvement in patient tracking/follow-up system, standardization of processes of care, and overall clinic documentations. Changes related to the patients’ involvement in their care included improving (a) health education, and (b) self care management. Among the internal barriers were: staff readiness for change, poor communication, and relationship difficulties among team members. External barriers were: insurance regulations, finances and patient health literacy. Practice Implications Transforming their practices to more patient-centered models of care will be a priority for primary care providers. Identifying opportunities and challenges associated with implementing change is critical for successful improvement programs. Successful strategy for enhancing the adoption and uptake of PCMH elements should leverage areas of concordance between practice members’ perceived needs and planned improvement efforts.

Arar, Nedal H.; Noel, Polly H.; Leykum, Luci; Zeber, John E.; Romero, Raquel; Parchman, Michael L.

2012-01-01

400

Serving underserved transplant recipients: experience of the Medication Access Program  

PubMed Central

Objective Programs have been established to help underserved, solid-organ transplant recipients and other patient populations address the burden of medication regimen costs. The purpose of this study was to describe one such program, the Medication Access Program (MAP), and the population of solid-organ transplant recipients it serves. An additional objective was to compare characteristics of recipients whose MAP enrollment was continued versus those who were discontinued during the annual re-enrollment period. Methods Enrollment into MAP is based on referral from a pharmacist or another health care professional/transplant team member. To enroll, a recipient must complete an application which includes information about demographics, health care coverage, income, and medication regimen. To maintain enrollment, patients must complete a renewal application on an annual basis. Data were collected from renewal applications for 2012 and 2011 (for those who did not return the 2012 renewal applications). Chi-square analyses and Student’s t-test for independent samples were conducted to compare the characteristics of those who renewed their MAP enrollment in 2012 and those who were discontinued because they did not return the renewal application. Multivariate stepwise logistic regression was conducted to determine variables predictive of MAP continuation status. Results In total, 246 recipients were included. The majority qualified for Medicare (67.9%), did not qualify for Medicaid (69.9%), and did not have private health care coverage (63.8%). Significantly more continued recipients qualified for Medicare compared to discontinued recipients (P=0.002). Discontinued recipients had a greater number of past discontinuations than continued recipients (P=0.01). In the logistic regression analysis, qualifying for Medicare was significantly associated with continuation status (P=0.001). Conclusion MAP is designed to increase medication access for low-income solid-organ transplant recipients through enrollment into medication assistance programs, education regarding medication therapy, and availability of medication assistance programs. Health care providers should use historical monitoring to identify high risk patients and implement programs that will facilitate continuity of care.

Spivey, Christina A; Chisholm-Burns, Marie A; Garrett, Charlene; Duke, Kenneth M

2014-01-01

401

Psychologists in medical schools and academic medical centers: Over 100 years of growth, influence, and partnership.  

PubMed

Psychologists have served on the faculties of medical schools for over 100 years. Psychologists serve in a number of different roles and make substantive contributions to medical schools' tripartite mission of research, education, and clinical service. This article provides an overview of the history of psychologists' involvement in medical schools, including their growing presence in and integration with diverse departments over time. We also report findings from a survey of medical school psychologists that explored their efforts in nonclinical areas (i.e., research, education, administration) as well as clinical endeavors (i.e., assessment, psychotherapy, consultation). As understanding of the linkage between behavioral and psychological factors and health status and treatment outcomes increases, the roles of psychologists in health care are likely to expand beyond mental health. An increasing focus on accountability-related to treatment outcomes and interprofessional research, education, and models of care delivery-will likely provide additional opportunities for psychologists within health care and professional education. The well-established alignment of psychologists' expertise and skills with the mission and complex organizational needs of medical schools augurs a partnership on course to grow stronger. (PsycINFO Database Record (c) 2014 APA, all rights reserved). PMID:24588315

Robiner, William N; Dixon, Kim E; Miner, Jacob L; Hong, Barry A

2014-04-01

402

Effects of Patient-Centered Medical Home Attributes on Patients' Perceptions of Quality in Federally Supported Health Centers  

PubMed Central

PURPOSE We sought to assess patients’ ratings of patient-centered medical home (PCMH) attributes and overall quality of care within federally supported health centers. METHODS Data were collected through the 2009 Health Center Patient Survey (n = 4,562), which consisted of in-person interviews and included a nationally representative sample of patients seen in health centers. Quality measures included patients’ perceptions of overall quality of services, perceptions of quality of clinician advice/treatment, and likelihood of referring friends and relatives to the health center. PCMH attributes included (1) access to care getting to health center, (2) access to care during visit, (3) patient-centered communication with health care clinicians, (4) patient-centered communication with support staff, (5) self-management support for chronic conditions, (6) self-management support for behavioral risks, and (7) comprehensive preventive care. Bivariate analysis and logistic regressions were used to examine associations between patients’ perceptions of PCMH attributes and patient-reported quality of care. RESULTS Eighty-four percent of patients reported excellent/very good overall quality of services, 81% reported excellent/very good quality of clinician care, and 84% were very likely to refer friends and relatives. Higher patient ratings on the access to care and patient-centered communication attributes were associated with higher odds of patient-reported high quality of care on the 3 outcome measures. CONCLUSIONS More than 80% of patients perceived high quality of care in health centers. PCMH attributes related to access to care and communication were associated with greater likelihood of patients reporting high-quality care.

Lebrun-Harris, Lydie A.; Shi, Leiyu; Zhu, Jinsheng; Burke, Matthew T.; Sripipatana, Alek; Ngo-Metzger, Quyen

2013-01-01

403

Cancer Care Initiative: Creation of a Comprehensive Cancer Center at Naval Medical Center Dan Diego.  

National Technical Information Service (NTIS)

Many cancer centers today focus on providing comprehensive, multidisciplinary care that involves family and friends in the treatments and support services for cancer patients. Wagner's Chronic Care Model is one such model that can be used to provide this ...

B. W. Cherry

2008-01-01

404

A Human-Centered Approach to Medical Informatics for Medical Students, Residents, and Practicing Clinicians.  

ERIC Educational Resources Information Center

Describes development of a curriculum in medical information science that focuses on practical problems in clinical medicine rather than details of information technology. Design was guided by identification of six key clinical challenges that must be addressed by practitioners in the near future and by examination of past failures of informatics…

Stahlhut, Richard W.; Gosbee, John W.; Gardner-Bonneau, Daryle J.

1997-01-01

405

The Relationship Between the University of Pittsburgh School of Medicine and the University of Pittsburgh Medical Center—A Profile in Synergy  

Microsoft Academic Search

In the synergistic evolution of their research, educational, and clinical programs, the University of Pittsburgh (Pitt) School of Medicine (SOM) and the University of Pittsburgh Medical Center (UPMC) have followed one core principle: What is good for one is good for both. The collaboration is underpinned by UPMC's commitment to its community mission, including support for the academic and research

Arthur S. Levine; Thomas P. Detre; Margaret C. McDonald; Loren H. Roth; George A. Huber; Mary Germann Brignano; Sandra N. Danoff; David M. Farner; Jeffrey L. Masnick; Jeffrey A. Romoff

2008-01-01

406

Hurricane Katrina: Medical Response at the Houston Astrodome\\/Reliant Center Complex  

Microsoft Academic Search

On September 1, 2005, with only 12 hours notice, various collaborators established a medical facility—the Katrina Clinic—at the Astrodome\\/Reliant Center Complex in Houston. By the time the facility closed roughly two weeks later, the Katrina Clinic medical staff had seen over 11,000 of the estimated 27,000 Hurricane Kat- rina evacuees who sought shelter in the Complex. Herein, we de- scribe

Thomas F. Gavagan; Kieran Smart; Herminia Palacio; Carmel Dyer; Stephen Greenberg; Paul Sirbaugh; Avrim Fishkind; Douglas Hamilton; Umair Shah; George Masi; R Todd Ivey; Julie Jones; Faye Y. Chiou-Tan; Donna Bloodworth; David Hyman; Cliff Whigham; Valory Pavlik; Ralph D. Feigin; Kenneth Mattox

2006-01-01

407

A response to "Joint principles: Integrating behavioral health care into the patient-centered medical home".  

PubMed

Comments on the article "Joint principles: Integrating behavioral health care into the patient-centered medical home" (see record 2014-24217-011). The American Association for Marriage and Family Therapy (AAMFT) represents a mental health profession with a long track record in integrated primary care, particularly with family medicine. The authors begin by affirming several core themes in the joint principles-behavioral health (JP-BH) statement. They then offer a systemic/relational perspective on the patient-centered medical home that goes beyond the focus of the JP-HP. (PsycINFO Database Record (c) 2014 APA, all rights reserved). PMID:24955682

Doherty, William J; Hodgson, Jennifer L; Lamson, Angela L; Mendenhall, Tai J; Todd, Tracy

2014-06-01

408

The role of the Veterans Affairs Medical Centers in patient care, surgical education, research and faculty development  

Microsoft Academic Search

Veterans Administration (VA) medical centers have had a long history of providing medical care to those who have served their country. Over time, the VA has evolved into a facility that has had a major role in graduate medical education. In surgery, this had provided experience in the medical and surgical management of complex surgical disease involving the head and

Walter E. Longo; William Cheadle; Aaron Fink; Robert Kozol; Ralph DePalma; Robert Rege; Leigh Neumayer; John Tarpley; Margaret Tarpley; Ray Joehl; Thomas A. Miller; Douglas Rosendale; Kamal Itani

2005-01-01

409

Evaluation of exposure to tuberculosis among employees at a medical center.  

PubMed

INTRODUCTION Tuberculosis (TB), a disease caused by the bacteria Mycobacterium tuberculosis (M. tuberculosis), is spread from person to person through the air. TB usually infects the lungs, but it can also infect other body parts such as the brain, kidneys, or spine. People who are infected by the bacteria but who do not exhibit symptoms have latent TB infection. It is estimated that one-third of the world's population has latent TB infection, and approximately 5%-10% of those infected will develop TB disease within their lifetimes.(() (-) ()) In July 2011, the National Institute for Occupational Safety and Health (NIOSH) received a health hazard evaluation request from management representatives at a medical center in Arizona concerning exposure of employees to M. tuberculosis. They asked for our assistance in evaluating the infection control and occupational health practices related to TB. At the time of our visit, the medical center included an inpatient hospital with 73 beds and adjacent outpatient facility, and the center had approximately 1000 employees. One nurse, the infection control practitioner, was responsible for all infection control and occupational health activities at the medical center. The medical center's TB policy required annual tuberculin skin testing (TST) of all employees with face-to-face patient contact, which included the majority of employees. PMID:24499024

de Perio, Marie A; Niemeier, R Todd

2014-06-01

410

Evolution and Integration of Medical Laboratory Information System in an Asia National Medical Center  

NASA Astrophysics Data System (ADS)

This work elucidates the evolution of three generations of the laboratory information system in the National Taiwan University Hospital, which were respectively implemented in an IBM Series/1 mini-computer, a client/server and a plug-and-play HL7 interface engine environment respectively. The experience of using the HL7 healthcare information exchange in the hospital information system, laboratory information system, and automatic medical instruments over the past two decades are illustrated and discussed. The latest design challenge in developing intelligent laboratory information services is to organize effectively distributed and heterogeneous medical instruments through the message gateways. Such experiences had spread to some governmental information systems for different purposes in Taiwan; besides, the healthcare information exchange standard, software reuse mechanism, and application service provider adopted in developing the plug-and-play laboratory information system are also illustrated.

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

411

What are the pathology education requirements for all nonpathology ACGME-accredited programs in an academic center?  

PubMed

This study aimed to determine institution-wide graduate medical education (GME) requirements in pathology (exclusive of pathology residency and fellowships) at an academic center. All documents related to residency review committee (RRC) program requirements were searched for the key words "pathology," "laboratory," "autopsy," and "morbidity." For each occurrence, it was determined whether a pathology education requirement had been identified. Requirements were categorized and tabulated. The Accreditation Council for Graduate Medical Education (ACGME) lists 135 nonpathology programs; 66 programs exist at Duke University Medical Center, of which 54 (82%) had pathology education requirement(s). Twelve education categories were identified. Teaching/conferences were the most common (52%). Thirty-nine percent required consultation/support. Sixteen programs were required to perform gross/microscopic examination. Trainees in medical genetics are required to have a pathology rotation. Elective rotations should be available for trainees in 6 programs. Pathology departments at academic centers face significant institution-wide pathology education requirements for clinical ACGME programs. Didactic teaching/conferences and consultation/support are common requirements. Opportunities exist for innovative teaching strategies. PMID:22912348

Bean, Sarah M; Nagler, Alisa; Buckley, Patrick J

2012-09-01

412

Implementation and Evaluation of a Medical Informatics Distance Education Program  

PubMed Central

Objective: Given the need for continuing education in medical informatics for mid-career professionals, the authors aimed to implement and evaluate distance learning courses in this area. Design: The authors performed a needs assessment, content and technology planning, implementation, and student evaluation. Measurements: The needs assessment and student evaluations were assessed using a combination of Likert scale and free-form questions. Results: The needs assessment indicated much interest in a medical informatics distance learning program, with electronic medical records and outcome research the subject areas of most interest. The courses were implemented by means of streaming audio plus slides for lectures and threaded discussion boards for student interaction. Students were assessed by multiple-choice tests, a term paper, and a take-home final examination. In their course evaluations, student expressed strong satisfaction with the teaching modalities, course content, and system performance. Although not assessed experimentally, the performance of distance learning students was superior to that of on-campus students. Conclusion: Medical informatics education can be successfully implemented by means of distance learning technologies, with favorable student satisfaction and demonstrated learning. A graduate certificate program is now being implemented.

Hersh, William R.; Junium, Katherine; Mailhot, Mark; Tidmarsh, Patricia

2001-01-01

413

The medical information needs of internists and pediatricians at an academic medical center.  

PubMed Central

Medical information needs were examined in a survey of sixty-seven physicians selected from the faculty and housestaff at Johns Hopkins Hospital. A standardized questionnaire was administered personally by a medical informatics physician to collect data on information needs, attitudes, and previous experience with computers. The types of information most frequently required by both faculty and housestaff were treatment recommendations and differential diagnosis. The sources of reference information most commonly used were textbooks and colleagues. The information needs of housestaff differed significantly in several categories from those of faculty physicians. Housestaff more frequently needed information for patient care (P less than 0.05), and preferred the use of textbooks (P less than 0.01) and handbooks (P less than 0.001) as information sources. Faculty more frequently needed information for activities unrelated to patient care (P less than 0.01) and placed greater importance on basic science information (P less than 0.01). When asked to suggest references for online access, the respondents named 143 journals and textbooks, with journals overwhelmingly preferred over textbooks. Only one reference, the New England Journal of Medicine, was requested by a majority of the respondents. The importance of a broad understanding of physician information needs through improved data-collection techniques is discussed as a means of increasing the use of medical information systems.

Woolf, S H; Benson, D A

1989-01-01

414

User's guide for Langley Research Center Orbital Lifetime program  

NASA Technical Reports Server (NTRS)

A FORTRAN program used by Langley Research Center for analyzing orbital lifetimes of spacecraft is described. Calculations can, at the user's option, take into account perturbations in the orbit due to atmospheric drag, solar radiation pressure, and gravitation effects of the Sun, the Moon, and Earth oblateness. Instructions are provided for access and use of the program, and several sample cases are included with detailed descriptions of their associated input and output.

Orr, L. H.

1985-01-01

415

NCI Community Cancer Centers Program - Related Programs - Cancer Information Service  

Cancer.gov

The National Cancer Institute�s (NCI) Cancer Information Service (CIS) educates the public about cancer prevention, risk factors, symptoms, diagnosis, treatment, and research . CIS information specialists provide the latest, most accurate information about cancer by telephone, TTY, instant messaging, and e-mail and operates the NCI�s Smoking Quitline. Through its Partnership Program, the CIS works with established national, regional, and state organizations to reach those most in need of cancer information.

416

OSHA lead in construction compliance directive: Medical surveillance program  

SciTech Connect

This article is part of a series that reviews the Occupational Health and Safety Administration (OSHA) Instruction CPL 2-2.58, a compliance directive for 29 CFR 1926.62, Lead Exposure in Construction. The OSHA document is intended to provide guidance to those charged with field enforcement of the lead regulation; however, it also provides vital information to those in industry who must comply with the regulation. This month, the requirements for employer medical surveillance programs are discussed.

Vernon, L.S.

1994-11-01

417

Medical benefits from the NASA biomedical applications program  

NASA Technical Reports Server (NTRS)

To achieve its goals the NASA Biomedical Applications Program performs four basic tasks: (1) identification of major medical problems which lend themselves to solution by relevant aerospace technology; (2) identification of relevant aerospace technology which can be applied to those problems; (3) application of that technology to demonstrate the feasibility as real solutions to the identified problems; and, (4) motivation of the industrial community to manufacture and market the identified solution to maximize the utilization of aerospace solutions to the biomedical community.

Sigmon, J. L.

1974-01-01

418

Mobilization of duplicates in a Regional Medical Library Program.  

PubMed Central

An overabundance of duplicate journals without an efficient and economical method of distribution caused one library's staff to reassess traditional methods of dispersal. A simplified form for listing duplicates was devised. In conjunction with the Regional Medical Library Program and the extension program, lists of duplicates were distributed to hospital and clinical libraries. These libraries selected materials to strengthen their ability to fill information needs at the local level and to conserve RMLP support for esoteric and expensive materials. In a two-year period, 86,000 individual pieces were distributed. Some lessening of interlibrary loan requests from heavy users was documented. In an evaluation survey users expressed satisfaction with the program. The successful use of the duplicate program will lead to a further experiment--the library will attempt to fill interlibrary loan requests for common journals with hard copy rather than photocopy in a cost and time reduction effort.

Dobroski, C H; Hendricks, D D

1975-01-01

419

75 FR 79072 - Notice of Funding Availability for the Small Business Transportation Resource Center Program  

Federal Register 2010, 2011, 2012, 2013

...for the Small Business Transportation Resource Center Program AGENCY: Office of the...OSDBU's Small Business Transportation Resource Center (SBTRC) program in the Northeast...Title 49, Section 332, the Minority Resource Center (MRC) which includes the...

2010-12-17

420

77 FR 42790 - Notice of Funding Availability for the Small Business Transportation Resource Center Program  

Federal Register 2010, 2011, 2012, 2013

...for the Small Business Transportation Resource Center Program AGENCY: Office of Small...OSDBU's Small Business Transportation Resource Center (SBTRC) program in the Mid-Atlantic...Title 49, Section 332, the Minority Resource Center (MRC) which includes the...

2012-07-20

421

78 FR 26684 - Notice of Funding Availability for the Small Business Transportation Resource Center Program  

Federal Register 2010, 2011, 2012, 2013

...for the Small Business Transportation Resource Center Program AGENCY: Office of Small...OSDBU's Small Business Transportation Resource Center (SBTRC) program in the Southeast...Title 49, Section 332, the Minority Resource Center (MRC) which includes the...

2013-05-07

422

78 FR 13143 - Notice of Funding Availability for the Small Business Transportation Resource Center Program  

Federal Register 2010, 2011, 2012, 2013

...for the Small Business Transportation Resource Center Program AGENCY: Department of...OSDBU's Small Business Transportation Resource Center (SBTRC) program in the Mid-South...Title 49, Section 332, the Minority Resource Center (MRC) which includes the...

2013-02-26

423

78 FR 13148 - Notice of Funding Availability for the Small Business Transportation Resource Center Program  

Federal Register 2010, 2011, 2012, 2013

...for the Small Business Transportation Resource Center Program AGENCY: Department of...OSDBU's Small Business Transportation Resource Center (SBTRC) program in the Southwest...Title 49, Section 332, the Minority Resource Center (MRC) which includes the...

2013-02-26

424

76 FR 30990 - Notice of Funding Availability for the Small Business Transportation Resource Center Program  

Federal Register 2010, 2011, 2012, 2013

...for the Small Business Transportation Resource Center Program AGENCY: Office of the...OSDBU's Small Business Transportation Resource Center (SBTRC) program in the West...Title 49, Section 332, the Minority Resource Center (MRC) which includes the...

2011-05-27

425

78 FR 4973 - Notice of Funding Availability for the Small Business Transportation Resource Center Program  

Federal Register 2010, 2011, 2012, 2013

...for the Small Business Transportation Resource Center Program AGENCY: Department of...OSDBU's Small Business Transportation Resource Center (SBTRC) program in the South...Title 49, Section 332, the Minority Resource Center (MRC) which includes the...

2013-01-23

426

78 FR 70617 - Notice of Funding Availability for the Small Business Transportation Resource Center Program  

Federal Register 2010, 2011, 2012, 2013

...for the Small Business Transportation Resource Center Program AGENCY: Department of...OSDBU's Small Business Transportation Resource Center (SBTRC) program in the Northwest...Title 49, Section 332, the Minority Resource Center (MRC) which includes the...

2013-11-26

427

77 FR 36034 - Notice of Funding Availability for the Small Business Transportation Resource Center Program  

Federal Register 2010, 2011, 2012, 2013

...for the Small Business Transportation Resource Center Program AGENCY: Department of...OSDBU's Small Business Transportation Resource Center (SBTRC) program in the Central...Title 49, Section 332, the Minority Resource Center (MRC) which includes the...

2012-06-15

428

75 FR 42181 - Notice of Funding Availability for the Small Business Transportation Resource Center Program  

Federal Register 2010, 2011, 2012, 2013

...for the Small Business Transportation Resource Center Program AGENCY: Office of the...OSDBU's Small Business Transportation Resource Center (SBTRC) program in the Gulf...Title 49, Section 332, the Minority Resource Center (MRC) which includes the...

2010-07-20

429

75 FR 23319 - Notice of Funding Availability for the Small Business Transportation Resource Center Program  

Federal Register 2010, 2011, 2012, 2013

...for the Small Business Transportation Resource Center Program AGENCY: Office of the...OSDBU's Small Business Transportation Resource Center (SBTRC) program in the Central...Title 49, Section 332, the Minority Resource Center (MRC) which includes the...

2010-05-03

430

75 FR 3517 - Notice of Funding Availability for the Small Business Transportation Resource Center Program  

Federal Register 2010, 2011, 2012, 2013

...for the Small Business Transportation Resource Center Program AGENCY: Office of the...OSDBU's Small Business Transportation Resource Center (SBTRC) program in the Southwest...Title 49, Section 332, the Minority Resource Center (MRC) which includes the...

2010-01-21

431

Impact of 5 years of lean six sigma in a University Medical Center.  

PubMed

Lean Six Sigma (LSS) is an originally industry-based methodology for cost reduction and quality improvement. In more recent years, LSS was introduced in health care as well. This article describes the experiences of the University Medical Center Groningen, the second largest hospital in the Netherlands, with LSS. It was introduced in 2007 to create the financial possibility to develop innovations. In this article, we describe how LSS was introduced, and how it developed in the following years. We zoom in at the traumatology department, where all main processes have been analyzed and improved. An evaluation after 5 years shows that LSS helped indeed reducing cost and improving quality. Moreover, it aided the transition of the organization from purely problem oriented to more process oriented, which in turn is helpful in eliminating waste and finding solutions for difficult problems. A major benefit of the program is that own employees are trained to become project leaders for improvement. Several people from the primary process were thus stimulated and equipped to become role models for continuous improvement. PMID:23011073

Niemeijer, Gerard C; Trip, Albert; de Jong, Laura J; Wendt, Klaus W; Does, Ronald J M M

2012-01-01

432

Evaluating and Auditing a Community College Learning Skills Center Program.  

ERIC Educational Resources Information Center

The Learning Skills Center (LSC) at Los Angeles City College is an individualized learning laboratory which offers assistance to students in communication skills and quantitative skills, and provides tutoring in all college-level courses. ISC's programs are diagnostic and prescriptive, and services are available to students on both voluntary and…

Benjamin, Barbara Cohen; And Others

433

The Expanded Placement Process. Work Center Staff Training Programs.  

ERIC Educational Resources Information Center

The manual describes the Focus Expanded Placement Process, an approach to implementing training programs in sheltered work centers. Trainers are offered solutions to common problems, with sections on the following topics: breaking down initial resistance to training; individualizing training; creating a learning atmosphere; making training…

Woods, James; And Others

434

Ocean Programs at the Naval Ocean Systems Center  

Microsoft Academic Search

The NOSC mission is to be the principle Navy RDT&E Center for command, control, communications, ocean surveillance, surface and air launched undersea weapons, submarine Artic warfare and supporting technologies. A broad base in undersea technology is required in order to successfully prosecute the programs required to fulfill this mission. The \\

H. Talkington

1984-01-01

435

Reliability-centered maintenance on the Space Shuttle Program  

Microsoft Academic Search

In the USA, there is a corporate commitment to rationally and optimally apply reliability-centered maintenance to all aspects of maintenance on flight hardware, facilities and ground support equipment for the Space Shuttle Program. Towards this end, an RCM functional policy has been developed, and implementation plans, expertise development and consolidation, wide-ranging training of personnel and various RCM pilot demonstration projects

B. S. Hauge; A. M. Stevens; A. Ghose

2000-01-01

436

Creating a Learner-Centered Teacher Education Program.  

ERIC Educational Resources Information Center

Explains how and why a learner-centered classroom was created in a teacher education program. Success was partly the result of involving students in the teaching process and was aided by slowly implementing new techniques and thereby adapting students so they would understand lesson objectives, value communicative tasks, generate activities,…

Altan, Mustafa Zulkuf; Trombly, Christine

2001-01-01

437

Impact of AIDS (Acquired Immunodeficiency Syndrome) on the Kaiser Permanente Medical Care Program: Northern California Region.  

National Technical Information Service (NTIS)

Kaiser Permanente Medical Care Program is a private, nonprofit, health care program that provides prepaid medical and hospital services to more than 5 million people in 16 states and the District of Columbia. Its northern California region serves 25 perce...

B. Fireman C. P. Quesenberry D. Durant J. V. Selby R. A. Hiatt

1988-01-01

438

Neurotuberculosis among Filipino children: an 11 years experience at the Philippine Children's Medical Center  

Microsoft Academic Search

Tuberculous meningitis (TBM) remains the most common form of neurotuberculosis in children. Four hundred and five cases of tuberculous meningitis (ages 3–156 months) seen at the Philippine Children's Medical Center (PCMC) from 1987 to 1998 were reviewed. Inclusion criteria include clinical and laboratory profile of TBM with pertinent evidence on imaging such as computed tomography and\\/or cranial sonography or histologic

Lillian V Lee

2000-01-01

439

A User-Centered Cooperative Information System for Medical Imaging Diagnosis.  

ERIC Educational Resources Information Center

Presents a cooperative information system for remote medical imaging diagnosis. General computer-supported cooperative work (CSCW) problems addressed are definition of a procedure for the design of user-centered cooperative systems (conceptual level); and improvement of user feedback and optimization of the communication bandwidth in highly…

Gomez, Enrique J.; Quiles, Jose A.; Sanz, Marcos F.; del Pozo, Francisco

1998-01-01

440

Increasing the Response Rate of the Patient Satisfaction Survey of Inpatients at National Naval Medical Center.  

National Technical Information Service (NTIS)

The patient satisfaction survey (PSS) of the inpatient area at National Naval Medical Center has a low rate of response by patients. Historically less than six percent of the patient population responds to the survey. A review of the literature documents ...

C. O. Benninger

1993-01-01

441

Impact of Outpatient Professional Coding on Third-Party Collections at Wilford Hall Medical Center.  

National Technical Information Service (NTIS)

The purpose of this study was to determine if a dedicated coding staff improves outpatient third-party collections at Wilford Hall Medical Center. To accomplish this, a review of the current procedures was undertaken in three key areas: identification of ...

P. W. Garden

2000-01-01

442

Impact on Seniors of the Patient-Centered Medical Home: Evidence from a Pilot Study  

ERIC Educational Resources Information Center

Purpose: To assess the impact on health care cost and quality among seniors of a patient-centered medical home (PCMH) pilot at Group Health Cooperative, an integrated health care system in Washington State. Design and Methods: A prospective before-and-after evaluation of the experience of seniors receiving primary care services at 1 pilot clinic…

Fishman, Paul A.; Johnson, Eric A.; Coleman, Kathryn; Larson, Eric B.; Hsu, Clarissa; Ross, Tyler R.; Liss, David; Tufano, James; Reid, Robert J.

2012-01-01

443

Epidemiology of Candidemia in Brazil: a Nationwide Sentinel Surveillance of Candidemia in Eleven Medical Centers  

Microsoft Academic Search

Candidemia studies have documented geographic differences in rates and epidemiology, underscoring the need for surveillance to monitor trends. We conducted prospective candidemia surveillance in Brazil to assess the incidence, species distribution, frequency of antifungal resistance, and risk factors for fluconazole-resistant Candida species. Prospective laboratory-based surveillance was conducted from March 2003 to December 2004 in 11 medical centers located in 9

Arnaldo L. Colombo; Marcio Nucci; Benjamin J. Park; Simone A. Nouer; Beth Arthington-Skaggs; Daniel A. da Matta; David Warnock; Juliette Morgan

2006-01-01

444

Psychology Can Be Indispensable to Health Care Reform and the Patient-Centered Medical Home  

Microsoft Academic Search

The Patient Protection and Affordable Care Act (PPACA) was passed into legislation in March 2010, making health care reform a reality. Perhaps the most well-developed model of primary care that aligns with the PPACA's agenda is the patient-centered medical home (PCMH). Integrated care, as defined by collaborative care between mental health and primary care providers and systems, will undoubtedly play

Christine N. Runyan

2011-01-01

445

A Simulation Study of Pharmacy Operations at Wright-Patterson AFB, USAF Medical Center.  

National Technical Information Service (NTIS)

The objective of this study was to use computer simulation as an analytical aid in an attempt to reduce the time that patients waited for their prescriptions to be processed in the pharmacy at the Wright-Patterson AFB Medical Center. The pharmacy operatio...

R. L. Harmon F. J. Novotny

1974-01-01

446

thoracic outlet syndrome: a 50-year experience at Baylor University Medical Center  

Microsoft Academic Search

During the past 5 decades, the recognition and management of thoracic outlet syndrome (TOS) have evolved. This article elucidates these changes and improvements in the diagnosis and management of TOS at Baylor University Medical Center. The most remarkable change over the past 50 years is the use of nerve conduction velocity to diagnose and moni- tor patients with nerve compression.

Harold C. Urschel; Harry Kourlis

2007-01-01

447

Roles of Patient-Centered Medical Homes and Accountable Care Organizations in Coordinating Patient Care.  

National Technical Information Service (NTIS)

The effective coordination of a patient's health care services is a key component of high-quality and efficient care. Two relatively new models in health policy--the patient-centered medical home (PCMH) and Accountable Care Organizations (ACOs)--provide a...

D. Myers D. Peikes E. F. Taylor G. Peterson J. Genevro K. Grumbach K. Smith T. Lake

2010-01-01

448

Canadian ciprofloxacin susceptibility study: comparative study from 15 medical centers. Canadian Ciprofloxacin Study Group.  

PubMed Central

We tested 4,507 microorganisms, from 15 Canadian medical centers, against ciprofloxacin and several other antimicrobial agents to determine the in vitro susceptibilities. Overall, susceptibility of members of the family Enterobacteriaceae to ciprofloxacin was 97%; Moraxella and Haemophilus spp. had susceptibilities of 98 and 99%, respectively; and P. aeruginosa and S. aureus had susceptibilities of 79 and 96%, respectively.

Blondeau, J M; Yaschuk, Y

1996-01-01

449

Energy-efficient management of lighting in a Veterans Administration medical center  

Microsoft Academic Search

More thn 200 solid-state fluorescent ballasts were installed in representative areas of the Veterans Administration Medical Center in Long Beach, California, to determine the cost-effectiveness of the installation and to measure levels of conducted and radiated electromagnetic interference (EMI). The power, illumination, and EMI levels were measured first as the test sites initially existed, then after the fixtures were cleaned

R. R. Verderber; A. Arthur; O. Morse; F. Rubinstein

1981-01-01

450

Emergency medical services' use of poison control centers for unintentional drug ingestions  

Microsoft Academic Search

IntroductionEvery year, emergency medical services (EMS) providers respond to thousands of calls for toxic ingestions. Many systems have begun using poison control centers (PCCs) when unsure of disposition. We sought to determine the type of exposures EMS personnel were using the PCCs for and treatments suggested. Secondary end points included transport rate after consulting the PCC and amount of money

Scott A. Bier; Douglas J. Borys

2010-01-01

451

New library buildings: the University of Michigan Medical Library and Learning Resource Center.  

PubMed Central

The University of Michigan opened a new medical library in July 1980. The five-story structure combines the library with a learning-resources center. Overall, the building has operated smoothly and has been well accepted. The combining of two facilities designed to support the teaching and learning objectives of the health sciences curriculum will ensure long-term cooperation between them. Images

Wulff, L Y; Calhoun, J G

1984-01-01

452

Which Sexual Abuse Victims Receive a Forensic Medical Examination?: The Impact of Children's Advocacy Centers  

ERIC Educational Resources Information Center

Objective: This study examines the impact of Children's Advocacy Centers (CAC) and other factors, such as the child's age, alleged penetration, and injury on the use of forensic medical examinations as part of the response to reported child sexual abuse. Methods: This analysis is part of a quasi-experimental study, the Multi-Site Evaluation of…

Walsh, Wendy A.; Cross, Theodore P.; Jones, Lisa M.; Simone, Monique; Kolko, David J.

2007-01-01

453

Strategic outsourcing of clinical services: a model for volume-stressed academic medical centers.  

PubMed

Many academic medical centers have significant capacity constraints and limited ability to expand services to meet demand. Health care management should employ strategic thinking to deal with service demands. This article uses three organizational models to develop a theoretical framework to guide the selection of clinical services for outsourcing. PMID:15600107

Billi, John E; Pai, Chih-Wen; Spahlinger, David A

2004-01-01

454

Energy Savings with Solid-State Ballasts in a Veterans Administration Medical Center  

Microsoft Academic Search

More than 200 solid-state fluorescent ballasts were installed in representative areas of a federal medical center in Long Beach, CA, to determine the cost effectiveness of such an installation. The power and illumination levels in the test sites were measured first as they initially existed, then after the fixtures were cleaned and relamped with energy-saving fluorescent lamps, and finally after

Rudolph R. Verderber; Oliver C. Morse; Allan A. Arthur; Francis Rubinstein

1982-01-01

455

Developing a Sustainable Research Culture in an Independent Academic Medical Center  

ERIC Educational Resources Information Center

Independent academic medical centers (IAMC) are challenged to develop and support a research enterprise and maintain primary goals of healthcare delivery and financial solvency. Strategies for promoting translational research have been shown to be effective at institutions in the top level of federal funding, but not for smaller IAMCs. The…

Joyce, Jeffrey N.

2013-01-01

456

Healthcare Inspection: Quality of Care Review, Bob Stump VA Medical Center, Prescott, Arizona. Redacted.  

National Technical Information Service (NTIS)

The purpose of the review was to evaluate allegations related to quality of care in several services and the rating change of a peer review at the Bob Stump VA Medical Center (Prescott), Prescott, AZ. Allegations of untimely consultation services; denial ...

2009-01-01

457

Medicare Compliance Review of Springhill Medical Centers for Calendar Years 2008 and 2009.  

National Technical Information Service (NTIS)

Springhill Medical Center (the Hospital) is a 252-bed acute care hospital located in Mobile, Alabama. Medicare paid the hospital approximately $59 million for 6,586 inpatient and 36,478 outpatient claims for services provided to beneficiaries during calen...

2012-01-01

458

Implementation of an Intravenous/Phlebotomy Team at Walter Reed Army Medical Center.  

National Technical Information Service (NTIS)

Each major department of Walter Reed Army Medical Center was asked to develop a list of its top five priorities for the next eighteen to twenty-four months. Among those listed by the department of medicine and department of nursing was an intravenous/phle...

S. D. Roth

1993-01-01

459

Veterans Affairs and Academic Medical Center Affiliations: The North Texas Experience  

ERIC Educational Resources Information Center

Objective: The authors review the more than 30-year history of the academic affiliation between the Department of Psychiatry at the University of Texas Southwestern Medical Center in Dallas and the Mental Health Service at the Veterans Affairs North Texas Health Care System. Methods: The authors interviewed individuals involved at various stages…

Mohl, Paul Cecil; Hendrickse, William; Orsak, Catherine; Vermette, Heidi

2009-01-01

460

UC Davis Comprehensive Cancer Center  

Cancer.gov

The University of California Davis Cancer Center (UCDCC) was founded in 1991 and received its NCI designation in 2002. In 2011, it attained comprehensive status. The Center is a program of the UC Davis School of Medicine and Medical Center.

461

From poor farm to medical center: a century of library services to the Los Angeles County/University of Southern California Medical Center.  

PubMed Central

As its centennial approaches, the history and development of library services to the patients and professional staff of the Los Angeles County/University of Southern California Medical Center is traced from the early days when the library was housed in the cafeteria of the dispensary to its present position of being first point of access to library service for one of the largest teaching hospitals in the country. Its recent affiliation with the Norris Medical Library of the University of Southern California School of Medicine is explained. The change in emphasis from patients' library to health sciences library is illustrated, and the contribution of the library to the Cumulative Index to Nursing Literature is detailed. Images

Olechno, G

1975-01-01

462

77 FR 34359 - Applications for New Awards: Disability and Rehabilitation Research Projects and Centers Program...  

Federal Register 2010, 2011, 2012, 2013

...Projects and Centers Program; Traumatic Brain Injury Model Systems Centers AGENCY: Office...Research Projects (DRRPs)-- Traumatic Brain Injury Model Systems Centers (TBIMS...2006 (71 FR 25472). The Traumatic Brain Injury Model Systems Centers priority...

2012-06-11

463

Graduate Medical Education Leadership Development Curriculum for Program Directors  

PubMed Central

Objective Program director (PD) orientation to roles and responsibilities takes on many forms and processes. This article describes one institution's innovative arm of faculty development directed specifically toward PDs and associate PDs to provide institutional resources and information for those in graduate medical education leadership roles. Methods The designated institutional official created a separate faculty development curriculum for leadership development of PDs and associate PDs, modeled on the Association of American Medical Colleges-GRA (Group on Resident Affairs) graduate medical education leadership development course for designated institutional officials. It consists of monthly 90-minute sessions at the end of a working day, for new and experienced PDs alike, with mentoring provided by experienced PDs. We describe 2 iterations of the curriculum. To provide ongoing support a longitudinal curriculum of special topics has followed in the interval between core curriculum offerings. Results Communication between PDs across disciplines has improved. The broad, inclusive nature allowed for experienced PDs to take advantage of the learning opportunity while providing exchange and mentorship through sharing of lessons learned. The participants rated the course highly and education process and outcome measures for the programs have been positive, including increased accreditation cycle lengths. Conclusion It is important and valuable to provide PDs and associate PDs with administrative leadership development and resources, separate from general faculty development, to meet their role-specific needs for orientation and development and to better equip them to meet graduate medical education leadership challenges. This endeavor provides a foundational platform for designated institutional official and PD interactions to work on program building and improvement.

Haan, Constance K.; Zenni, Elisa A.; West, Denise T.; Genuardi, Frank J.

2011-01-01

464

Undergoing Transformation to the Patient Centered Medical Home in Safety Net Health Centers: Perspectives from the Front Lines  

PubMed Central

Objectives Safety Net Health Centers (SNHCs), which include Federally Qualified Health Centers (FQHCs) provide primary care for underserved, minority and low income patients. SNHCs across the country are in the process of adopting the Patient Centered Medical Home (PCMH) model, based on promising early implementation data from demonstration projects. However, previous demonstration projects have not focused on the safety net and we know little about PCMH transformation in SNHCs. Design This qualitative study characterizes early PCMH adoption experiences at SNHCs. Setting and Participants We interviewed 98 staff,(administrators, providers, and clinical staff) at 20 of 65 SNHCs, from five states, who were participating in the first of a five-year PCMH collaborative, the Safety Net Medical Home Initiative. Main Measures We conducted 30-45 minute, semi-structured telephone interviews. Interview questions addressed benefits anticipated, obstacles encountered, and lessons learned in transition to PCMH. Results Anticipated benefits for participating in the PCMH included improved staff satisfaction and patient care and outcomes. Obstacles included staff resistance and lack of financial support for PCMH functions. Lessons learned included involving a range of staff, anticipating resistance, and using data as frequent feedback. Conclusions SNHCs encounter unique challenges to PCMH implementation, including staff turnover and providing care for patients with complex needs. Staff resistance and turnover may be ameliorated through improved healthcare delivery strategies associated with the PCMH. Creating predictable and continuous funding streams may be more fundamental challenges to PCMH transformation.

Quinn, Michael T.; Gunter, Kathryn E.; Nocon, Robert S.; Lewis, Sarah E.; Vable, Anusha M.; Tang, Hui; Park, Seo-Young; Casalino, Lawrence P.; Huang, Elbert S.; Birnberg, Jonathan; Burnet, Deborah L.; Summerfelt, W. Thomas; Chin, Marshall H.

2013-01-01

465

Definition of "Rural" Determines the Placement Outcomes of a Rural Medical Education Program: Analysis of Jichi Medical University Graduates  

ERIC Educational Resources Information Center

Purpose: To show the impact of changing the definition of what is "rural" on the outcomes of a rural medical education program. Methods: A cross-sectional sample of 643 graduates under obligatory rural service and 1,699 graduates after serving their obligation, all from Jichi Medical University (JMU), a binding rural education program in Japan,…

Matsumoto, Masatoshi; Inoue, Kazuo; Kajii, Eiji

2010-01-01

466

Course of Study: Medical Record Clerk Training Program. Student Manual for Medical Record Personnel in Small Rural Hospitals in Colorado.  

National Technical Information Service (NTIS)

A training program for medical record clerks in small, rural hospitals is provided. The objective of this program is to impart basic knowledge and develop the skills for medical record personnel and to develop an attitude in trained clerks which will lead...

1968-01-01

467

Mississippi Curriculum Framework for Emergency Medical Technology--Basic (Program CIP: 51.0904). Emergency Medical Technology--Paramedic (Program CIP: 51.0904). Postsecondary Programs.  

ERIC Educational Resources Information Center

This document, which is intended for use by community and junior colleges throughout Mississippi, contains curriculum frameworks for the course sequences in the emergency medical technology (EMT) programs cluster. Presented in the introductory section are a description of the program and suggested course sequence. Section I lists baseline…

Mississippi Research and Curriculum Unit for Vocational and Technical Education, State College.

468

Substantial variation in the acceptance of medically complex live kidney donors across US renal transplant centers  

PubMed Central

Concern exists about accepting live kidney donation from “medically complex donors” -those with risk factors for future kidney disease. This study’s aim was to examine variation in complex kidney donor use across United States (US) transplant centers. We conducted a retrospective cohort study of live kidney donors using Organ Procurement and Transplantation Network data. Donors with hypertension, obesity, or estimated glomerular filtration rate (eGFR) <60 ml/minute/1.73m2 were considered medically complex. Among 9319 donors, 2254 (24.2%) were complex: 1194 (12.8%) were obese, 956 (10.3%) hypertensive, and 392 (4.2%) had low eGFR. The mean proportion of medically complex donors at a center was 24% (range 0 – 65%.) In multivariate analysis, donor characteristics associated with medical complexity included spousal relationship to the recipient (OR 1.29, CI 1.06-1.56, p<0.01), low education (OR 1.19, CI 1.04-1.37, p=0.01), older age (OR 1.01 per year, CI 1.01-1.02, p<0.01), and non-US citizenship (OR 0.70, CI 0.51-0.97, p=0.01). Renal transplant centers with the highest transplant volume (OR 1.26, CI 1.02-1.57, p=0.03), and with a higher proportion of (living donation)/(all kidney transplants) (OR 1.97, CI 1.23-3.16, p<0.01) were more likely to use medically complex donors. Though controversial, the use of medically complex donors is widespread and varies widely across centers.

Reese, PP; Feldman, HI; McBride, MA; Anderson, K; Asch, DA; Bloom, RD

2008-01-01

469

Science Communication Fellowship Program at the Pacific Science Center  

NASA Astrophysics Data System (ADS)

With funding from an NSF Informal Science Education grant, the Pacific Science Center in Seattle, Washington began the Science Communication Fellowship program in 2009 as part of the Portal to the Public initiative. The purpose of the Science Communication Fellowship program is to train scientists and engineers to communicate more effectively with the general public regarding their research and to assist with the development of hands-on activities that can be used by the scientists and engineers for outreach activities. The program came out of a collaboration to develop a model for effectively communicating current science research at informal science education organizations. The program model has undergone in-depth research and evaluation to assess its effectiveness and impact. To become Science Communication Fellows, researchers participate in four three-hour professional development sessions, where they learn communication techniques through role-playing and hands-on activities. The workshops are supplemented with additional one-on-one meetings with Science Center staff to help the new Fellows develop activities for use at outreach events. These activities are then used by the Fellows at public events that highlight current research taking place in the region. To date over 80 scientists and engineers have gone through the training sessions to become Science Communication Fellows. The Pacific Science Center holds approximately 12 events a year in which Fellows can facilitate their activity. Public programs range from small, monthly programs to large, annual Research Weekends. Funding for this program continues through support from NIH, IMLS, NSF, and NASA grants. For more information, please contact the current program administrator Dana Vukajlovich at DVukajlovich@pacsci.org.

Harnett, E. M.; Vukajlovich, D.; Fitzwater, S.; Selvakumar, M.

2011-12-01

470

Using a medical simulation center as an electronic health record usability laboratory.  

PubMed

Usability testing is increasingly being recognized as a way to increase the usability and safety of health information technology (HIT). Medical simulation centers can serve as testing environments for HIT usability studies. We integrated the quality assurance version of our emergency department (ED) electronic health record (EHR) into our medical simulation center and piloted a clinical care scenario in which emergency medicine resident physicians evaluated a simulated ED patient and documented electronically using the ED EHR. Meticulous planning and close collaboration with expert simulation staff was important for designing test scenarios, pilot testing, and running the sessions. Similarly, working with information systems teams was important for integration of the EHR. Electronic tools are needed to facilitate entry of fictitious clinical results while the simulation scenario is unfolding. EHRs can be successfully integrated into existing simulation centers, which may provide realistic environments for usability testing, training, and evaluation of human-computer interactions. PMID:24249778

Landman, Adam B; Redden, Lisa; Neri, Pamela; Poole, Stephen; Horsky, Jan; Raja, Ali S; Pozner, Charles N; Schiff, Gordon; Poon, Eric G

2014-01-01

471

A Proposed Research Program for Hospital-Medical Care  

PubMed Central

This proposal for a federal government program of health services research, written in spring of 1966, played a key role in development of the National Center for Health Services Research and Development, announced by the President early this year. The paper points to the lack of economic incentives for development of cost-saving innovations for hospitals compared to incentives to develop innovations improving the quality of care. It indicates the analytic procedure which, if followed, would lead to an efficient program of research, and points out several aspects of the analysis that are critical requirements for its successful application.

Feldman, Paul

1967-01-01

472

34 CFR 669.1 - What is the Language Resource Centers Program?  

Code of Federal Regulations, 2010 CFR

...PROGRAM General § 669.1 What is the Language Resource Centers Program? The Language Resource Centers Program makes awards...the nation's capacity for teaching and learning foreign languages effectively. (Authority: 20...

2009-07-01

473

34 CFR 669.1 - What is the Language Resource Centers Program?  

Code of Federal Regulations, 2010 CFR

...PROGRAM General § 669.1 What is the Language Resource Centers Program? The Language Resource Centers Program makes awards...the nation's capacity for teaching and learning foreign languages effectively. (Authority: 20...

2010-07-01

474

CRCHD - CRCHD Research - UMB/DFHCC Comprehensive Cancer Center Partnership Program  

Cancer.gov

CRCHD - CRCHD Research - UMB/DFHCC Comprehensive Cancer Center Partnership Program Home Disparities Research Programs CRCHD Ongoing Research PACHE PACHE Partnership Listing UMB/DFHCC Comprehensive Cancer Center Partnership Program

475

75 FR 10225 - Office of Postsecondary Education; Overview Information; Language Resource Centers Program...  

Federal Register 2010, 2011, 2012, 2013

...Postsecondary Education; Overview Information; Language Resource Centers Program; Notice Inviting...Description Purpose of Program: The Language Resource Centers (LRC) program provides...capacity for teaching and learning foreign languages. Priorities: This notice contains...

2010-03-05

476

The Fontan Patient: Inconsistencies in Medication Therapy Across Seven Pediatric Heart Network Centers  

PubMed Central

Patients who have undergone the Fontan procedure are at risk for thrombosis, ventricular dysfunction, and valve regurgitation, but data to guide the medical treatment and prevention of these adverse outcomes in this population are lacking. This analysis examined medication usage among Fontan patients by putative indication and by study center. The medical history and current medications of 546 Fontan subjects, ages 6–18 years, were assessed in a Pediatric Heart Network multicenter cross-sectional study. Cardiac imaging was performed within 3 months of enrollment. The majority of the subjects (64%) were taking two or more medications. Antithrombotics were taken by 86% of those with a history of stroke, thrombosis, or both and 67% of those without such a history (P = 0.01). Conversely, 14% of those with a history of stroke, thrombosis, or both were taking no antithrombotic. Angiotensin-converting enzyme inhibitor (ACEi) therapy was independently associated with moderate or severe atrioventricular valve regurgitation (P = 0.004), right ventricular morphology (P < 0.001), and shorter time since Fontan (P = 0.004) but not with ventricular systolic dysfunction. Glycoside therapy and diuretic therapy each was associated with older age at Fontan (P = 0.001 and P = 0.023, respectively) and a history of post-Fontan arrhythmia (P < 0.001 and P = 0.003, respectively) but not with ventricular systolic dysfunction. Medication use rates varied widely among the centers, even with controls for center differences in patient characteristics. Prospective therapeutic trials are needed to guide the medical treatment of Fontan patients.

Anderson, Page A. W.; McCrindle, Brian W.; Sleeper, Lynn A.; Atz, Andrew M.; Hsu, Daphne T.; Lu, Minmin; Margossian, Renee; Williams, Richard V.

2011-01-01

477

Antibiotic utilization pattern in a general medical ward of a tertiary medical center in Saudi Arabia.  

PubMed

To assess the pattern of antibiotic utilization and outcome of patients with bacteremia in a General Medical Ward, all positive blood cultures (BC) over a 12-month period from January 1994 to December 1995 were retrospectively reviewed. Fifty-two positive BC were recorded in 43 patients (63% males, 37% females; mean age 65.9 ± 16.6). 72% of the patients received antibiotics before or soon after obtaining the BC, and ceftriaxone was the most frequently-prescribed antibiotic (41.93%), either alone or in combination with other antibiotics. The bacteremia was due to gram-positive cocci in 60.46% of cases, gram-negative rods in 30.23%, and gram-positive rods in 9.30%. Positive BC due to contamination were not included. The most common gram-positive cocci were Staphylococcus epidermidis, followed by S. aureus, while the most common gram-negative bacilli were Brucella species, Proteus mirabilis, and Klebsiella sp. The suspected sources of the bacteremia were respiratory (21.2%), urinary (19.2%), or skin (19.2%). A subsequent change in the antibiotics regimen was done in 69.76% cases after BC results became available with no apparent effect on the outcome. Adding vancomycin and clindamycin was the most frequent change done (19.4% for each equally). Complications developed in 69.76% of patients, with 88.66% of them suffering from sepsis/shock. 69.23% of the patients improved and 30.77% expired; death was related to infection in 87.5% of cases. In conclusion, most bacteremia in the medical ward of the hospital were due to gram-positive cocci, which should be considered in antibiotic selection prior to BC. Risk factors for acquiring Brucellosis should always be obtained. PMID:23210003

Al Shimemeri, A; Al Ghadeer, H; Memish, Z

2011-07-01

478

History of the Animal Care Program at Johnson Space Center  

NASA Technical Reports Server (NTRS)

NASA has a rich history of scientific research that has been conducted throughout our numerous manned spaceflight programs. This scientific research has included animal test subjects participating in various spaceflight missions, including most recently, Space Shuttle mission STS-131. The Animal Care Program at Johnson Space Center (JSC) in Houston, Texas is multi-faceted and unique in scope compared to other centers within the agency. The animal care program at JSC has evolved from strictly research to include a Longhorn facility and the Houston Zoo's Attwater Prairie Chicken refuge, which is used to help repopulate this endangered species. JSC is home to more than 300 species of animals including home of hundreds of white-tailed deer that roam freely throughout the center which pose unique issues in regards to population control and safety of NASA workers, visitors and tourists. We will give a broad overview of our day to day operations, animal research, community outreach and protection of animals at NASA Johnson Space Center.

Khan-Mayberry, Noreen; Bassett, Stephanie

2010-01-01

479

A New Concept for Medical Imaging Centered on Cellular Phone Technology  

PubMed Central

According to World Health Organization reports, some three quarters of the world population does not have access to medical imaging. In addition, in developing countries over 50% of medical equipment that is available is not being used because it is too sophisticated or in disrepair or because the health personnel are not trained to use it. The goal of this study is to introduce and demonstrate the feasibility of a new concept in medical imaging that is centered on cellular phone technology and which may provide a solution to medical imaging in underserved areas. The new system replaces the conventional stand-alone medical imaging device with a new medical imaging system made of two independent components connected through cellular phone technology. The independent units are: a) a data acquisition device (DAD) at a remote patient site that is simple, with limited controls and no image display capability and b) an advanced image reconstruction and hardware control multiserver unit at a central site. The cellular phone technology transmits unprocessed raw data from the patient site DAD and receives and displays the processed image from the central site. (This is different from conventional telemedicine where the image reconstruction and control is at the patient site and telecommunication is used to transmit processed images from the patient site). The primary goal of this study is to demonstrate that the cellular phone technology can function in the proposed mode. The feasibility of the concept is demonstrated using a new frequency division multiplexing electrical impedance tomography system, which we have developed for dynamic medical imaging, as the medical imaging modality. The system is used to image through a cellular phone a simulation of breast cancer tumors in a medical imaging diagnostic mode and to image minimally invasive tissue ablation with irreversible electroporation in a medical imaging interventional mode.

Rubinsky, Boris

2008-01-01

480

The Effects of Corporatization on Academic Medical Centers. How Will the Corporatization of Health Care Influence Health Professions Education?  

ERIC Educational Resources Information Center

Areas of agreement/conflict between academic medical centers and investor owned corporations are considered. Academic medical centers are part of the university system, which is responsible for education, research, and the related public good (e.g., nurturing of professions). Major areas for a potential confluence of interest between the academic…

Dunn, Marvin R.

481

Qualitative and Political Issues Impacting Academic Medical Center Strategic Planning--A Methodological Approach. AIR Forum 1982 Paper.  

ERIC Educational Resources Information Center

A simulation model of an academic medical center that was developed to aid in strategic planning and policy analysis is described. The model, designated MCM for Medical Center Model, was implemented at the School of Medicine, University Hospitals of Cleveland, and the private practices of the faculty in the clinical departments at University…

Kutina, Kenneth L.; And Others

482

Center for Programming Models for Scalable Parallel Computing  

SciTech Connect

Rice University's achievements as part of the Center for Programming Models for Scalable Parallel Computing include: (1) design and implemention of cafc, the first multi-platform CAF compiler for distributed and shared-memory machines, (2) performance studies of the efficiency of programs written using the CAF and UPC programming models, (3) a novel technique to analyze explicitly-parallel SPMD programs that facilitates optimization, (4) design, implementation, and evaluation of new language features for CAF, including communication topologies, multi-version variables, and distributed multithreading to simplify development of high-performance codes in CAF, and (5) a synchronization strength reduction transformation for automatically replacing barrier-based synchronization with more efficient point-to-point synchronization. The prototype Co-array Fortran compiler cafc developed in this project is available as open source software from http://www.hipersoft.rice.edu/caf.

John Mellor-Crummey

2008-02-29

483

Reliability-centered maintenance program at Clinton Power Station  

SciTech Connect

Illinois Power Company is implementing a reliability-centered maintenance (RCM) program at its 984-MW(electric) Clinton Power Station (CPS). The RCM program as defined at CPS is broader and more encompassing than the classical RCM program that is now being introduced to the nuclear industry from the commercial airline industry. At CPS, all of the major elements of the classical RCM approach are being used, but in conjunction with other reliability engineering techniques (e.g., traditional system analysis, review of CPS-specific and industry operating experience). The following are the fundamental objectives of the CPS RCM program: (1) ensure safe and reliable operation of CPS; (2) maintain equipment at inherent levels of safety and reliability and restore these whenever they become degraded; (3) develop design improvements when inherent equipment reliability is inadequate; and (4) accomplish the above objectives at a minimum of total cost, including maintenance costs and the costs of residual failures.

Kripps, L.J.; Rees, D.C.; Smith, A.M.; Vaughan, E.B.; Dwyer, M.J.; Falkenheim, D.R.

1987-01-01

484

Waste minimization in the Los Alamos Medical Radioisotope Program  

SciTech Connect

Since the mid-1970s the Los Alamos Medical Radioisotope Program has been irradiating target materials to produce and recover radioisotopes for applications in medicine, environmental science, biology, physics, materials research, and other disciplines where radiotracers find utility. By necessity, the chemical processing of targets and the isolation of radioisotopes generates radioactive waste materials. Recent years have brought pressure to discontinue the use of hazardous materials and to minimize radioactive waste volumes. Substantial waste reduction measures have been introduced at the irradiation facility, in processing approaches, and even in the ways the product isotopes are supplied to users.

Taylor, W.A.; Jamriska, D.J.; Hamilton, V.T.; Heaton, R.C.; Phillips, D.R.; Staroski, R.C.; Garcia, J.B.; Garcia, J.G.; Ott, M.A.

1994-04-01

485

Implementing a Reliability Centered Maintenance Program at NASA's Kennedy Space Center  

NASA Technical Reports Server (NTRS)

Maintenance practices have long focused on time based "preventive maintenance" techniques. Components were changed out and parts replaced based on how long they had been in place instead of what condition they were in. A reliability centered maintenance (RCM) program seeks to offer equal or greater reliability at decreased cost by insuring only applicable, effective maintenance is performed and by in large part replacing time based maintenance with condition based maintenance. A significant portion of this program involved introducing non-intrusive technologies, such as vibration analysis, oil analysis and I/R cameras, to an existing labor force and management team.

Tuttle, Raymond E.; Pete, Robert R.

1998-01-01

486