The American Association of Hospital Consultants. An institute report.
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Hospital Administration↗
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Results for “AMERICAN HOSPITAL ASSOCIATION”
Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
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AVMA/Practice Group perspectives: use of drug labels in the prescription of antimicrobial therapy. Representing the American Animal Hospital Association (AAHA).
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Animals↗
Medical laboratory workforce trends and projections: what is past is prologue.
During the last several decades, supply and demand trends for clinical laboratory personnel have been cyclical. Factors such as quantity of graduates from accredited training programs, quality and quantity of career recruitment, growth of new technologies, automation, downsizing, and consolidation of services have affected the balance of workers needed to meet demand. More recently, several additional forces led to a potential long-term shortage of clinical laboratory personnel. This article reviews major studies of staffing strategies and outlines strategies of the American Hospital Association to ease the current shortage crisis.
American Hospital Association↗
The marketing audit: a new perspective on library services and products.
A marketing audit enables a library to look at audiences, services, and products with a structured approach. The audit can be used to assess operations and to provide a framework for ongoing decision making, evaluation, and long-range planning. An approach to the audit process is presented and its application is demonstrated in a case study featuring the American Hospital Association Resource Center.
American Hospital Association↗
AHA: utilization declines; financial pressures moderate.
Data for the fourth quarter of 1989 did not hold any surprises. Performance indicators for community hospitals continue to follow the paths established in previous quarters. According to data from the American Hospital Association, utilization declined, hiring increased, and financial pressures eased slightly.
American Hospital Association↗
1996 NOVA Award. Breaking down barriers, building up hopes.
From Ohio to Nebraska to Arizona, community hospitals are taking more proactive steps to meet the needs of those who depend on their services-- and prevent health problems before they even happen. For their collaborative work, Hospitals & Health Networks and the American Hospital Association salute this year's NOVA Award winners.
Accident Prevention↗
A comparison of acute coronary syndrome care at academic and nonacademic hospitals.
PURPOSE: Although adherence to guidelines recommendations is assumed to be more difficult for nonacademic community hospitals, patterns of adherence have not been evaluated by hospital type. We sought to identify hospital characteristics associated with high levels of adherence in order to gain insight into successful processes of care. METHODS: From January 2001 through March 2004, we analyzed data from 86,042 patients in the CRUSADE Initiative with high-risk non-ST-segment elevation acute coronary syndromes (NSTE ACS) defined by positive cardiac markers or ischemic ST-segment changes. Academic sites were defined by Council of Teaching Hospital affiliation in the American Hospital Association database. Adherence was determined for each hospital based on guidelines recommendations for the use of 4 acute (<24 hrs) and 5 discharge therapies in patients without contraindications. Multivariable modeling was used to standardize hospital estimates for patient characteristics and control for clustering within centers. RESULTS: A total of 60,285 patients were admitted to nonacademic hospitals (n=355), and 25,757 were admitted to academic hospitals (n=125). Academic hospitals were larger (median 500 vs 268 beds, P <.001) and more often had bypass services (88% vs 60%, P <.001). Composite adherence to recommended therapies was slightly higher at academic vs. nonacademic hospitals (median 77.8% vs 73.7%, P <0.01), and variance in individual hospital performance was greater among nonacademic sites. Nonacademic hospitals accounted for 15 of the 20 highest performing sites and 19 of the 20 lowest performing sites. In-hospital clinical outcomes, including cardiogenic shock, stroke, and death were similar for patients admitted to both types of hospital. CONCLUSION: Adherence to American College of Cardiology and American Heart Association (ACC/AHA) guidelines for NSTE ACS care at academic hospitals is slightly higher than at nonacademic hospitals; however there is significant room for improvement within both systems. The larger performance variation in care among nonacademic hospitals highlights the need for continued emphasis on consistent care processes.
Academic Medical Centers↗
AHA environmental assessment.
The first step in planning is to assess your environment. Ask the long-range questions: What does your current market look like? What are the demographic trends that will influence your community? How will the workforce issue and the regulatory environment affect your hospital? Hospitals & Health Networks presents the American Hospital Association's environmental assessment, which may help you to conduct your own.
American Hospital Association↗
AHA 100th anniversary. Good Samaritan business.
In recognition of the American Hospital Association's centennial, we examine the AHA's long history, how it has evolved with the constantly changing healthcare industry and where the next century will take the nation's largest trade group. Our special section features interviews with AHA President Richard Davidson and two of his predecessors. We also look at the hospital's changing role in the community and the AHA's lobbying legacy. In addition, we've included highlights of the association's upcoming centennial membership meeting.
American Hospital Association↗
The effect of rural hospital closures on community economic health.
OBJECTIVE: To examine the effect of rural hospital closures on the local economy. DATA SOURCES: U.S. Census Bureau, OSCAR, Medicare Cost Reports, and surveys of individuals knowledgeable about local hospital closures. STUDY DESIGN: Economic data at the county level for 1990-2000 were combined with information on hospital closures. The study sample was restricted to rural counties experiencing a closure during the sample period. Longitudinal regression methods were used to estimate the effect of hospital closure on per-capita income, unemployment rate, and other community economic measures. Models included both leading and lagged closure terms allowing a preclosure economic downturn as well as time for the closure to be fully realized by the community. DATA COLLECTION: Information on closures was collected by contacting every state hospital association, reconciling information gathered with that contained in the American Hospital Association file and OIG reports. PRINCIPAL FINDINGS: Results indicate that the closure of the sole hospital in the community reduces per-capita income by 703 dollars (p<0.05) or 4 percent (p<0.05) and increases the unemployment rate by 1.6 percentage points (p<0.01). Closures in communities with alternative sources of hospital care had no long-term economic impact, although income decreased for 2 years following the closure. CONCLUSIONS: The local economic effects of a hospital closure should be considered when regulations that affect hospitals' financial well-being are designed or changed.
Health Facility Closure↗
Hospitals tackle image problems at many levels.
A recent study of consumer attitudes shows that the public's perception of hospitals is hazy at best, and experts are warning hospitals to take steps to improve hospitals' image. In the following three articles, we examine the challenges facing hospitals in different arenas. First, we take a look at the consumer survey, which identifies the public's misperceptions about hospitals; then we focus on state hospital associations' ongoing efforts to enhance the image of hospitals by educating local lawmakers and consumers. Finally, we look at the American Hospital Association's ambitious new advocacy program to improve the health care community's ability to get its story across to the public and to policy-makers.
American Hospital Association↗
Putting managed care in its place.
Take national data on dealings between doctors and hospitals, segment the numbers by the amount of managed care business, and what do you get? A few surprises. In markets highly penetrated by managed care, for instance, fewer hospitals and health systems had arrangements with doctors in salaried groups than with independent practice associations--just the opposite of what you'd expect. That finding and others come by comparing data from the American Hospital Association's 1996 survey of its members with 1996 market information from InterStudy Publications, Bloomington, Minn. In an exclusive to H&HN, researchers at the AHA's Healthcare InfoSource analyzed a sample of 2,837 hospitals, with 894 falling into high-penetration markets, 1,540 into medium markets, and 403 into the low category. Not surprisingly, higher levels of managed care seem to drive more activity between doctors and hospitals. Here's what they found.
American Hospital Association↗
AHA suffers building sale snafu.
By relocating its Chicago headquarters to a new building before selling its old two-building office complex, the American Hospital Association has been stuck with two leases to pay. According to AHA records, the snafu may be costing the association nearly $3 million annually in unnecessary expenses.
American Hospital Association↗
Ethics in hospital and health administration.
Until recently, hospital and health administrators had no formal code of ethics, despite growing ethical dilemmas within the field. This essay defines those ethical issues as set forth in the 1941 Joint ACHA-American Hospital Association Committee's code of ethics. The present ACHA Ethics Committee is also described.
American Hospital Association↗
Forward motion. Interview by Mary Grayson.
David L. Bernd, CEO of Sentara Healthcare, Norfolk, Va., believes that with active, involved leaders health care can confront many of its most daunting challenges, and he sees opportunities in innovations now emerging. In this article, the new chair-elect of the American Hospital Association discusses the current state of health care and his hopes for its future.
American Hospital Association↗
Migration of obstetrician-gynecologists into and out of rural areas, 1985-1990.
This study sought to determine if county-level demographic, health care resource, policy, and competitive factors are associated with the movement of obstetrician-gynecologists (ob-gyns) into and out of rural areas. County-level descriptive data from the Area Resource File, the American Medical Association Physician Masterfile, and the American Hospital Association Guide were used for hospital descriptions. This was a correlational study that measured the association of ecologic indicators of nonmetropolitan counties with indicators of gain or loss of ob-gyns. Descriptive statistics characterize the supply and movement of ob-gyns by size and location of the counties. Multinomial logistic regression models describe the net effect of the ecologic indicators on physician movement. During the period 1985 to 1990, a total of 962 patient care ob-gyns moved out of 531 nonmetropolitan counties, and 979 ob-gyns moved into 528 counties. Counties in the southern Atlantic states experienced the greatest net inflow, whereas Illinois, Missouri, and Texas had the greatest net outflow. Counties that retained ob-gyns during this period were in the mid-range of population. Positive correlates of outward migration were adjacency to a metropolitan county and loss of hospital bed supply; negative correlates with outward migration were the supply of hospital beds and total population. Inward migration was positively correlated with retention or gain of county family physicians and with adjacency; negative correlates were overall population and total family physician supply. The movement of ob-gyns in nonmetropolitan counties is influenced by state policies, local resources, and relative location. No clear evidence shows that there are competitive relations between family physician supply and ob-gyn supply.
Adult↗
Conflict culture.
Disagreement among members is not only expected at the American Hospital Association, it's so commonplace that the management approach nurtures and channels the furor into a constructive process.
American Hospital Association↗
Privileges and quality assurance mechanisms for nonphysicians.
There is a growing number of individuals who provide health care services within hospitals who are neither hospital employees nor medical staff members and whose services must be evaluated. The following article presents the American Hospital Association's guidelines on privileges and quality assurance for health practitioners other than medical staff members or employees.
Allied Health Personnel↗