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DATA BENCHMARKS: Good news on the hospital cost front for 1997: Hospitals and health systems continued their three-year pace of keeping costs down, according to the American Hospital Association's annual survey of more than 5,000 hospitals and health systems. Find out what the survey results revealed.
Some 242 hospital executives responded to Modern Healthcare's American Hospital Association ¿report card,¿ which queried their views of the AHA after four years under the direction of President Richard Davidson. Included are the survey's findings as well as an interview with Davidson.
As more hospitals acquire MRI and freestanding diagnostic imaging centers proliferate, strategies to develop market share must be combined with financial projections from the forecast of demand for MRI services. The second-generation MRI projection method developed by the American Hospital Association provides detailed estimates of inpatient and outpatient CT and MRI scans for 229 international Classification of Diseases codes, which can be used to target specific practitioners and product lines for MRI services.
The American Hospital Association has spent more than a year hammering out a national health care reform plan. Now, the AHA is putting the plan out for other stakeholders in health care and for Capitol Hill.
This article looks at the Governing Board Mentor Program, a special project designed to help boards evaluate their performance. The project, which was developed by the Hospital Research and Educational Trust, an affiliate of the American Hospital Association, and funded by the W. K. Kellogg Foundation, is based on the concept of having a peer serve as a facilitator and discussion leader during a one- to two-day retreat.
The American Hospital Association's initiative brings issue of common performance measures front and center. Organizations seem to be jockeying for position of pre-eminence. Having one set of standards would ease pressure on time-pressed staffs.
The Circle of Life awards were presented for the first time this year by the American Hospital Association to highlight breakthrough innovations in end-of-life care. The three award winners, profiled here, demonstrate that care, comfort, and compassion must go hand-in-hand in the final stage of life.
Cambridge Health Alliance, (CHA), Somerville, Mass., has been named for one of the five NOVA Awards given this year by the American Hospital Association. It is recognized for leading a program to improve community health by extending help to low-income and uninsured children and adults, as well as to the chronically ill and racial and ethnic minorities.
For years, Congress has been promising to balance the federal budget. Such talk has become commonplace and easy to ignore. However, if the Congressmen who addressed the American Hospital Association's Symposium on Federal Relations are typical, it's time to sit up and take notice. They mean business, they have a tough new law to prove it, and the consequences for health care providers could be dire.
By gobbling up the San Francisco-based Healthcare Forum, the American Hospital Association is increasing its stake in the healthcare publishing and management education business. When the new for-profit company--called the Health InfoSource--is created Sept. 1, Kathryn Johnson will be at the helm as its founding president and CEO.
Nosocomial infection is an infection associated with admission to health care facility. It is not known to be present or incubating at the time of admission. HIV(Human Immunodeficiency Virus) transmission spreads through parenteral exposure, sexual contact and perinatal exposure. HIV virus has been isolated from all body fluid. However only blood and blood products have been linked to the transmission of HIV. Every hospital should prospectively address the policy and management issues raised by treatment of patients with AIDS or HIV infection. Police and practices that reduce health care worker and patients in hospital exposure to blood and body fluids of all patients should be developed. Precautions and guidelines for all situations should documented. There are include in ward, ambulatory setting, dialysis unit, clinical laboratories, house keeping, laundry and waste disposal etc. We grouped for management of HIV infection in the hospital referred to AHA(American Hospital Association), CDC(Centers for Disease Control), OSHA(Occupational Safety and Health Administration) and guideline for AIDS in Severance hospital aspect of nosocomial infection control.
In the Nov. 26, 1991, issue of the Federal Register, the U.S. Food and Drug Administration (FDA) published its tentative final rule to implement the reporting requirements for the Safe Medical Devices Act (SMDA) of 1990. In the months before and after the rule's publication, the Chicago-based American Hospital Association studied the rule and offered guidance to its members and to the FDA on the act's reporting requirements. The rule's public-comment period ended March 27; here's a condensed version of what the AHA told the FDA.
The American Hospital Association awarded recognition to five of the nation's most innovative hospitals and health systems. See how the five hospitals created award-winning community service programs.
We must make sure that health care, despite its complexity, remains incredibly personal and patient-focused, says William Petasnick, chair-elect of the American Hospital Association. Hospital leaders need to find more effective ways to bring together all stakeholders in the community to build a shared vision for health care.
PURPOSE: To compare nurse staffing measures derived from two widely used data sources: the American Hospital Association (AHA) Annual Survey of Hospitals and the California Office for Statewide Health Planning and Development (OSHPD). DESIGN: Descriptive cross-sectional study with measures of nurse staffing level and skill mix constructed from each database for 372 nonfederal, acute care hospitals in California. METHODS: Discrepancies in nurse staffing estimates between the two databases were examined. Relationships of nurse staffing with risk-adjusted patient outcomes (decubitus ulcer, failure to rescue, and mortality) were assessed through multivariate analyses and compared for nursing measures derived from the two databases. FINDINGS: For small, rural, or nonteaching hospitals, AHA reported substantially higher registered nurse (RN) hours per patient day than did OSHPD. RN proportion among licensed nurses matched most closely in the two databases. RN hours per patient day derived from both databases showed significant inverse relationships with decubitus ulcer and mortality, and the association was stronger for the measure based on the OSHPD data. RN proportion derived from the OSHPD data was significantly associated with all three patient outcomes, but the AHA measure had a significant relationship only with decubitus ulcer. CONCLUSIONS: Compared with the AHA survey, the OSHPD data on hospital nurse staffing appear to be more complete and also were more closely associated with patient outcomes. Efforts to refine the AHA survey as a national database for nurse staffing will significantly enhance the capacity for monitoring nurse workforce and its effect on quality of care.
OBJECTIVE: To examine the characteristics of acute-care hospitals that report registered nurse shortages when a widespread shortage exists and when a widespread shortage is no longer evident. DATA SOURCE: Secondary data from the American Hospital Association's Nursing Personnel Survey from 1990 and 1992 were used. The study population was all acute-care hospitals in the United States. STUDY DESIGN: Outcome variables included whether a hospital experienced a shortage in 1990, when many hospitals reported a nursing shortage, or whether a hospital reported a shortage in both 1990 and 1992. Predictor variables included environmental, patient, and institutional characteristics. Associations between predictor and outcome variables were investigated using probit analyses. PRINCIPAL FINDINGS: Location in the South, a high percentage of nonwhite county residents, a high percentage of patients with Medicaid or Medicare as payer, a higher patient acuity, and use of team or functional nursing care delivery consistently predicted hospitals reporting shortages both when there was a widespread shortage and when there was no widespread shortage. CONCLUSIONS: Although some characteristics under the direct control of hospitals, such as nursing care delivery model, are associated with their reporting a shortage of nurses, shortage is also strongly associated with broader population characteristics such as minority communities and a public insurance payer mix. Awareness of these broader factors may help inform policies to improve the distribution of nurse supply.
Carolyn Roberts, president and CEO of Copley Health Systems Inc., Morrisville, VT, is the new chairman-elect designate of the American Hospital Association. In an exclusive interview with Hospitals Editor Mary Grayson, she shares her perspectives on health care reform, restructuring the delivery system, and the role of trustees.
This year's winners of the American Hospital Association's Circle of Life Awards exemplify the expanding nature of palliative care. They are finding creative ways to offer solace and pain relief not just at the end of life, but also earlier in the course of a life-threatening illness. And they're looking beyond the traditional hospice borders.