A new cost allocation method for hospital-based clinical laboratories and transfusion services: implications for transfusion medicine.
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Blood Banks↗
Biomedical subjects
Aaron Liberman
Publications and source records attributed to Aaron Liberman.
Strategies for advancing transfusion medicine and cellular therapies: taking control of our future.
This special edition of TRANSFUSION is dedicated to those colleagues in the transfusion medicine and cellular therapy field who have wondered about what the future holds for their chosen professions. Each of the six peer-reviewed Think Tank articles included in this special edition focuses on an administrative issue that is critical to the survivability and enhancement of the industry. Each issue is examined from two perspectives: Where are we now? And where are we heading?
Blood Banks↗
Health care reform and the pharmaceutical industry: crucial decisions are expected.
For the past 30 years, the largest growing segment of the United States economy is the health care industry. The United States is in a transitional period as American citizens born between 1946 and 1964, the Baby Boomer generation, reach retirement age. In recent years, pharmaceutical costs have been rising faster than the inflation rate, leaving the American public to ask many questions. A major area of interest to policymakers regarding the health care reform agenda is patient spending on pharmaceutical items. Government-funded programs such as Medicare and Medicaid are facing the possibility of running out of funds and require substantive reform. Pharmaceuticals are not covered under the basic Medicare programs. As a result, senior citizens are forced to cover their prescription expenses out of pocket or purchase supplemental insurance plans. This extra expense is leaving many senior citizens across the country struggling to support their ongoing medical needs.
Advertising↗
Uncompensated care and emergency department utilization: a local study having national implications.
This article provides a comprehensive picture of the manner in which uncompensated care patients utilize the emergency departments (EDs) of two Central Florida hospitals. Specifically, this study assesses the impact of treating uncompensated and primary care patients in ED settings on scarce hospital and community resources. Recommendations are being offered to manage a troubling situation that is occurring with alarming frequency in today's health care system throughout the United States. Special emphasis is placed on recommendations addressing alternative triage and financing models that are considered to be both socially responsible and economically viable. The results of this study suggest strongly that health care organizations must find an alternative to the current trend in ED utilization, in order to meet the primary care needs of patients and not compromise the care provided to those with emergent conditions. The recommendations emanating from this study outline a mechanism that can improve the timeliness of emergency care to those in need, while at the same time, making available primary care resources to those seeking services through an emergency department.
Adolescent↗
Bioterrorism vs. health security--crafting a plan of preparedness.
Bioterrorism, once a subject of fantasy and speculation, has become all too real in a world turned upside down by the September 11, 2001. series of events. An essential, but as yet unanswered, question has become a crucial topic for discussion on the nightly news and in living rooms across the United States: How much of a terrorist threat do we face, and what must be done to control its potential for mass destruction? This article seeks to both answer this question and explore proper plans of preparedness for the eventuality of the unthinkable.
Anthrax↗
Managed care--present day challenges and a working model for future consideration.
With the emergence of managed care as a dominant form of coverage for the American workforce and the concomitant growth in the number of uninsured and underinsured citizens, attention is increasingly focused on the development of cost-effective and efficient reimbursement strategies for the future. This manuscript provides both a summation of the different forms of coverage now available and a look at a possible future scenario through the only universal health insurance program now in place in the United States--Hawaii's health care system.
Consumer Behavior↗
Health care complaining--not just another tax.
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Delivery of Health Care↗
The economic impact of several hospitals on their community.
This study quantifies the value that several hospitals in a hospital system have on their local communities. Also included is an analysis of the types of value-added services and resources offered by the hospitals. The hospitals are assessed in 3 arenas: as an employer, as a major provider of healthcare services, and as a contributor to the quality of life of the region through the involvement of its employees in community services activities. The results indicate that the hospital system contributes almost dollars 1.7 billion (or 6.6%) toward the dollars 25 billion local economy.
Catchment Area, Health↗
Nursing generations: an expanded look at the emergence of conflict and its resolution.
Never before have so many generations in nursing been asked to work together. The coexistence of 3 generations in nursing is leading to intergenerational conflict. The current intergenerational conflict is not enticing Generation X to seek or maintain nursing careers, therefore exacerbating the current nursing shortage. Using the theoretic frameworks of Conflict and Cohort theories, this article will examine and suggest the impact of generational diversity on the future of nursing.
Adult↗
Nursing leadership. Serving those who serve others.
Because of the current and projected continuance of an acute nursing shortage, increased attention is being focused on the workplace environment. This article encourages nursing leadership to examine the feasibility of implementing a servant-leadership model as a possible methodology for securing and retaining current and future nursing staff.
Humans↗
Indicators of a healthy and sustainable community. The Central Florida experience.
The society, economy, and health and well-being of residents in the Central Florida region create a holistic perspective of a healthy community. This article discusses the important role health care organizations play in developing and creating healthy communities. It also discusses the responsibility health care providers in the Central Florida region have to the communities they serve using this broad-based approach to a healthy community. A history is presented showing how a local initiative to develop a healthier community led to the development of several healthy community indicators for the Central Florida region. The article delineates how the indicators reflect the health and long-term viability of the 7 counties comprising the Central Florida region. A number of public policy implications and the role of the region's health care system in furthering these indicators are presented for the broadly defined categories of crime, education, the local economy, and transporation.
Community Health Planning↗
Reimbursement challenges for emergency physicians.
Emergency physicians are under growing fiscal pressures on multiple fronts. Federal and state laws require that emergency care be provided to all those presenting at an emergency department, yet in nearly all cases there is no comparable mandate for reimbursement. The growing number of uninsured and underinsured, as well as downward pressure on reimbursement from managed care organizations and social assistance programs such as Medicaid and Medicare, also contributes to the difficulty of emergency physicians to be compensated. It may be time for the public to address more fundamental questions about the right to care and who pays for that care.
Cost Allocation↗
Not-for-profit versus for-profit health care providers-Part I: comparing and contrasting their records.
The debate over which health care providers are most capably meeting their responsibilities in serving the public's interest continues unabated, and the comparisons of not-for-profit (NFP) versus for-profit (FP) hospitals remain at the epicenter of the discussion. From the perspective of available factual information, which of the two sides to this debate is correct? This article is part I of a 2-part series on comparing and contrasting the performance records of NFP health care providers with their FP counterparts. Although it is demonstrated that both NFP and FP providers perform virtuous and selfless feats on behalf of America's public, it is also shown that both camps are involved in potentially willful clinical and administrative missteps. Part I contains the background information (eg, legal differences, perspectives on social responsibility, and types of questionable and fraudulent behavior) that is necessary to adequately understand the scope of the comparison issue. Part II offers actual comparisons of the 2 organizational structures using several disparate factors such as specific organizational behaviors, approach to the health care priorities of cost and quality, and business-focused goals of profits, efficiency, and community benefit.
Efficiency, Organizational↗
Not-for-profit versus for-profit health care providers--Part II: Comparing and contrasting their records.
The debate over which health care providers are most capably meeting their responsibilities in serving the public's interest continues unabated, and the comparisons of not-for-profit (NFP) versus for-profit (FP) hospitals remain at the epicenter of the discussion. From the perspective of available factual information, which of the two sides to this debate is correct? This article is part II of a 2-part series on comparing and contrasting the performance records of NFP health care providers with their FP counterparts. Although it is demonstrated that both NFP and FP providers perform virtuous and selfless feats on behalf of America's public, it is also shown that both camps have been accused of being involved in potentially willful clinical and administrative missteps. Part I provided the background information (eg, legal differences, perspectives on social responsibility, and types of questionable and fraudulent behavior) required to adequately understand the scope of the comparison issue. Part II offers actual comparisons of the 2 organizational structures using several disparate factors such as specific organizational behaviors, approach to the health care priorities of cost and quality, and business-focused goals of profits, efficiency, and community benefit.
Efficiency, Organizational↗