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Biomedical subjects

A J Kania

Publications and source records attributed to A J Kania.

At least 19 recordsLinked to original sources
PubMed1993

A century-old leadership style revitalizes the heroic hospital.

"Those who fail history are destined to repeat it." Emmett C. Murphy, Ph.D., an international business consultant found that the key to individual and organizational leadership is a heroic commitment to service and the reengineering of the work that it requires. Murphy, whose clients include IBM, General Motors, Johns Hopkins, Centers for Disease Control, Johnson & Johnson, and Memorial Sloan Kettering; was a consultant with Booz-Allen Hamilton and served on the faculties of the Massachusetts Institute of Technology and the State University of New York before founding E. C. Murphy, Ltd. His firm focuses on the application of quality improvement and work reengineering strategies for creating a patient-focused "heroic" organization. Recently, Dr. Murphy and Michael Snell co-authored an intriguing management book based on the fundamental business strategies historically found in an unlikely western figure. The The Genius of Sitting Bull (Prentice Hall, 1993), Murphy and Snell examine the leadership styles of the Sioux chief and General Custer at the peaks of their careers and used 13 heroic strategies common to Sitting Bull's management style as a metaphor for for successful leadership on the great plains of American health care and business life.

History, 19th Century↗
PubMed1993

RBRVS apprehension may be an administrative red herring.

"The RBRVS has been accepted as a rational and systematic approach to determining fees for physician services. By adopting this method, the federal government has corrected the distorted incentive structure for physician payment, and has provided itself and others another tool with which to build an improved health-care system." The words of RBRVS architect and Harvard School of Public Health economist Dr. William C. Hsiao are receiving mixed reviews from health-care administrators and strategic planning consultants. While RBRVS is gaining some respect among health-care practitioners for lowering the cost of Medicare services, an unexpected ramification is developing. Many physicians are avoiding the administrative paperwork of another federal medical program by joining physician-hospital alliances where hospitals are luring physician fidelity with administrative incentives.

Cost-Benefit Analysis↗
PubMed1993

Hospitals prepare for start of Oregon health plan prototype.

In March, the Clinton administration approved Oregon's controversial Medicaid rationing program, but said the state must revise its ranking of services to eliminate the possibility of bias against disabled people. Under the Oregon system, approximately 688 medical procedures and services were ranked according to their cost effectiveness. Based on projections of available funds, officials decided they wouldn't cover any treatment ranked below 568. But with the savings, the state will be able to provide Medicaid to the 120,000 Oregonians who now live below the poverty line, but don't receive Medicaid benefits.

Financing, Government↗