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Biomedical subjects

J E Sorensen

Publications and source records attributed to J E Sorensen.

7 recordsLinked to original sources

Collaboration among state and local mental health organizations: examples of knowledge utilization.

The 1989 Spring issue of the JMHA focuses on knowledge utilization strategies leading to successful collaborations among state and local mental health organizations. Prepared by state (or large county) directors/commissioners, five articles in this issue reveal how organizational design, incentives, performance contracting, organizational control strategies, decentralization, and consensus building contribute to improvements in local mental health services.

Communication↗

Managing mental health organizations with 25 key performance indicators.

A set of 25 key performance indicators were developed to support managers and policy makers in assessing the performance of their program relative to others. The indicators cover four major areas: Revenue mix, client mix, staff mix, and service mix. Comparisons can be made among programs within or across a state or region, or among programs of similar circumstances (e.g., urban or rural).

Community Mental Health Centers↗

Computer selection for human service organizations.

Information systems (IS), when automated, facilitate the control of human service organizations (HSO) in times of scarce resources. The decision to automate is dissected so an HSO manager can make an appropriate decision. Specific suggestions are outlined for developing and evaluating request-for-proposals (RFP) issued to systems and computer vendors. Finally, alternatives to purchasing or leasing computers are summarized.

Computers↗

Archival data in program evaluation and policy analysis.

Evaluators have typically avoided using existing data sets, choosing instead to collect their own information to maintain control over both the content and quality of the data. As demands on action researchers increase without provision for additional resources, primary data collection may become a luxury and the use of archival data may increase. Though archival data has practical and methodological advantages, there are limitations associated with the utilization of such information. The general problems with secondary data sources include the accuracy, acceptability and accessibility of the information. Following a discussion of these general problems, an example from the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) reimbursement data set is presented to illustrate specific difficulties with using archival data for evaluation research. Strategies are then presented for minimizing these difficulties, including determining the feasibility of utilization of such data sources, methods for assessing their accuracy and factors to consider in the data acquisition process.

Archives↗

18. Uniform cost accounting in long-term care.

Uniform cost data are essential for managing health services, establishing billing and reimbursement rates, and measuring effectiveness and impact. Although it is especially difficult in the case of long-term health care to develop standard cost accounting procedures because of the varied configurations of inpatient, intermediate, and ambulatory services, the overall approaches to cost accounting and its content can be made more uniform. With this purpose in mind, a general model of cost accounting is presented for a multilevel program of long-term services, together with a special method for ambulatory services using "hours accounted for" as the basic measure.

Ambulatory Care↗