Stories of survival. Riots in Los Angeles. Being prepared: a lesson well-learned for area facilities.
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Biomedical subjects
Publications and source records attributed to T Hudson.
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The 1992 presidential election was about a lot of things, from the economy to taxes to education. Health care reform played a major role in the public policy debate, and the different approaches taken by the candidates on that issue helped define them. A look at the result and what it may mean for the health care field.
With operating costs ever rising and reimbursements ever tightening, hospitals are looking for ways to cut costs at every turn. The good news is that there are a lot of innovative, imaginative approaches being tried in every area of hospital operations--approaches that don't require massive financial investment, organizational restructuring, or teams of outside consultants. The examples we've found through talking with hospitals across the country are a fair sample of the types of opportunities out there. They range across the entire hospital, from the laboratory to the pharmacy to nursing to waste management to the medical staff to the operating suite. In other words, something for everyone.
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National attention to the tax-exempt status issue is not as acute as it has been in the last few years, but the challenges are continuing in a number of states. Hospital administrators and legal experts in Pennsylvania, the nation's flashpoint state on the issue, discuss what's going on and why.
Hospitals that have successfully integrated the risk-management function with other hospital departments say that the process requires both education and teamwork. Among the major challenges: overcoming physician reluctance to participate in risk-management activities, and linking risk management to quality assurance.
As states struggle to forge health care reform plans that meet the opposing objectives of cutting costs and improving access, one thing is certain: Their initiatives will create profound changes to health care and to hospital operations. In fact, five factors emerging from the state reform debate could drastically transform hospitals: reregulation, explosive managed care growth, uncertain state funding mechanisms, new insurance measures, and greater hospital accountability for cost and quality. "This is a wake-up call for hospitals to get very realistic about the cost concerns that are out there," says one hospital executive. Especially since these state efforts are a precursor to national reform.
Hospitals are entering a complex new era. As they strive to work fairly with their HIV-positive workers, they are encountering a range of legal and operational challenges. Beginning on page 24, we look at the legal hurdles facing hospitals as they balance the right of HIV-positive workers to work, while ensuring co-worker and patient safety. On page 28, we look at the pioneering human resources policies being employed by one hospital in the infection control area. And on page 30, we look at the ongoing search for safer needle devices.
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What's the difference between inducement and encouragement? That's a key question in the Hanlester Network case. Attorneys and other experts are carefully sifting through the implications of Hanlester, and what its precise--and very important--effects may be on joint ventures with physicians.
The time is now for community benefit standards programs. Indeed, not-for-profit hospitals are picking up the pace in this area and adopting such programs, motivated by a wide range of factors external and internal. On the one hand, increased public scrutiny of the not-for-profit institution's role, increased attention from the IRS, and encouragement at the national hospital association level are all influences here. But there is also a growing feeling among many hospitals that community benefit standards programs can enhance their public image--and that they're the right thing to do.
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Hospital billing and pricing practices are drawing increasing heat from lawmakers, employers and consumers. In a four-part package, we explore various aspects of this issue. First, an overview. With public dissatisfaction growing, leaders on Capitol Hill are delving into hospital administrative costs and practices as never before. Second, the pricing controversy. Hospitals have three antidotes to the problem: streamline their charge structures, keep prices closely tied to costs, and explain the complexities of cost-shifting to businesses. Many hospitals are already moving forward on this. On page 29, the consumer angle. While a number of lawsuits in Florida have alleged overcharging by hospitals, Nevada has begun operating a new commission charged specifically with arbitrating patient billing disputes. On page 31, the receivables management story. Hospitals must carefully examine the efficiency of all their business office functions to make billing and collection improvements, experts say; relying on automation alone will not work.
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