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PubMed2002

Organizational and provider characteristics fostering smoking cessation practice guideline adherence: an empirical look.

We examined the relationship between physician adherence with a smoking cessation guideline and organizational structures, policies, leadership support, and physician knowledge and attitudes. A random sample of 844 physicians practicing in 127 VHA hospitals was surveyed. Survey results were aggregated to the hospital level and linked with data on organizational characteristics from the 1998 annual survey of hospitals by the American Hospital Association. Significant predictors of adherence included organizational policies related to nicotine replacement prescriptions, the timing and effectiveness of guideline implementation, physicians' knowledge of VHA clinical guidelines generally, and physicians' beliefs about the receptiveness of patients to smoking cessation.

American Hospital Association↗
PubMed1979

How the AHA meets the challenge of change.

The American Hospital Association and its member institutions have always adapted, and must continue to adapt, to change. Socioeconomic developments that must be reckoned with include the energy crisis, an economic recession, and the growth of consumer consciousness. Political developments include the growing similarity of the two major political parties, increased fiscal conservatism, and an antigovernment mood.

American Hospital Association↗
PubMed1992

Good energy management: 8 factors ensure success.

In June 1984, the Chicago-based American Hospital Association convened a national forum on energy management in health facilities. The conference generated a report titled "Cost Containment through Energy Management: a Guide for Executive Action". Recently, the AHA's Institutional Practices Committee updated the contents of and reaffirmed the message of that management advisory. The following article was adapted from the revised version of the original report.

American Hospital Association↗
PubMed1990

The AHA's priorities for 1990.

The American Hospital Association will confront a number of key issues in the coming year, writes Carol McCarthy, AHA president. The association expects to face unprecedented challenges in its efforts to promote an environment conducive to the continuation of high-quality health care services. In addition, a number of forces may combine to create a sense of urgency--inside and outside of government--for major reforms in our current system.

American Hospital Association↗
PubMed2002

The critical role of hospitals involved in national bioterrorism preparedness.

This article is excerpted from a speech by Homeland Security Director Ridge on April 8, 2002 at the annual meeting of the American Hospital Association. In it he spells out what is expected from hospitals in preparing for the next terror attack, with the emphasis on bioterrorism and what assistance is being and will be provided.

American Hospital Association↗
PubMed1997

Do the right thing. When it comes to your community, do you know what that is? Roundtable discussion.

What is the health care organization's responsibility to maintaining a healthy community, and how does the board fit into that role? Has the field's understandable fixation on costs and the penetration of managed care into most markets affected that role? Leaders of both for-profit and not-for-profit organizations often believe that they are fulfilling their community obligations as long as they provide uncompensated care to the indigent and the uninsured. But is that really being accountable to the community? And if it's not, then what is community accountability? The American Hospital Association's Division of Trustee Leadership and Trustee magazine posed these questions to 13 health care and community leaders last December. Their different perspectives provide for some surprising answers.

American Hospital Association↗
PubMed1995

A man for the people. Interview by Kevin Lumsdon.

The new chairman-elect of the American Hospital Association believes passionately in the social mission of health care. His 25-year career in health care has taught the CEO of PMH Health Resources Inc. exactly what the terms "community" and "commitment" mean, and given him a clear notion of the challenges facing the AHA as it strives to meet the needs of health care executives in the coming years.

American Hospital Association↗
PubMed1998

Hospitals' vertical integration into skilled nursing: a rational approach to controlling transaction costs.

Using 1985 and 1988 American Hospital Association data, this study examines 1,523 hospitals nationwide and concludes that hospitals' ownership of skilled nursing facilities helps minimize the transaction costs associated with post-acute patient transfers while productively using empty hospital beds. Unfortunately, such ownership creates complex cost, quality, and accessibility trade-offs in terms of the skilled nursing care provided.

American Hospital Association↗
PubMed2002

Ready, aim, litigate. AHA takes feds to court to stop HHS from eliminating Medicaid loophole.

The American Hospital Association and several other groups are doing their best to stop HHS from eliminating the upper payment limit loophole, and the AHA is even suing HHS, but time is running out for the payment plan worth $27 billion over the next 10 years to State Medicaid programs. This is only the fourth time in the past decade that the AHA has sued the federal government.

American Hospital Association↗
PubMedDate not supplied

Automated indirect blood pressure measurement--a point of view.

A review of a recent American Hospital Association guideline report on automated indirect blood pressure measurement devices prompted the author's reflections on the general efficacy of this technology and on the preoccupation of modern medicine with "high technology." He urges physicians to moderate their increasing reliance on technology and to more critically assess the actual vs perceived benefits of the ever-more-sophisticated electronic monitoring tools available in the health care marketplace.

American Hospital Association↗
PubMed1999

Spotlight on ... the American Organization of Nurse Executives. The new nursing shortage.

The American Organization of Nurse Executives (AONE) strives to provide its members with timely and useful information. In this article, the author describes AONE's work to guide the policy process about nurse shortages. The results of this survey will help you practice in your position and in your state, regional, and national policy work. AONE's policy agenda is driven by its mission and commitment to patient care. One of the most current, compelling policy issues is ensuring an adequate supply of nurses to meet the patient care demand. In response to the increasing reports of nurse shortages, AONE engaged the HSM Group, Ltd. to conduct a survey to determine if hospitals were experiencing a shortage. The survey questions were developed with the Health Resources and Services Administration (HRSA), Division of Nursing, the American Nurses Association, and the American Society for Healthcare Human Resources of the American Hospital Association. The Research on Nursing Staff Shortage was published in 1999.

Humans↗
PubMed1991

Nurse execs see staffs, roles and salaries grow.

Nurse executives continue to witness an increase in their responsibilities and influence, finds a new survey conducted by Witt Associates Inc., Oak Brook, IL, and the Association of Nurse Executives (AONE) of the American Hospital Association, Chicago. The survey of the senior nurse position within U.S. hospitals states that "hospitals are hiring more nurses to cope with a sicker patient population and ... are assigning to senior nurse executives larger areas of responsibility, especially for outpatient services."

Budgets↗
PubMed1993

The AHA's new chairman-elect designate: Gail Warden. Interview by Mary Grayson.

Gail L. Warden, president and CEO of Henry Ford Health System, Detroit, has been named chairman-elect designate of the American Hospital Association. He will become chairman of the board of trustees in January 1995. In many ways, Warden is the right man at the right time to head the AHA. His integrated system is described by many as light-years ahead of others in health care. This, plus his background as president and CEO of Group Health Cooperative of Puget Sound, Seattle, makes him one of the field's leading experts on managed care. And at a time when the association itself is revisiting its mission and goals, he is uniquely qualified to offer guidance. A former executive vice president of the AHA, he is now a member of the board of trustees and has served on numerous councils and committees, most recently the Special Committee on New Directions Evaluation.

American Hospital Association↗
PubMed1983

Toward an inventory of U.S. health care data bases.

Because researchers have lacked convenient and comprehensive sources of information about data available to them from the health care data bases maintained by others in their field, many health care data collection activities are unnecessarily duplicative and many data bases have not been fully exploited. This paper presents the preliminary results of work by the Hospital Data Center of the American Hospital Association on an inventory of current (1976 to the present), nonbibliographic, computer-readable data bases containing national health care information that have been collected by organizations and agencies throughout the United States and that are, or can be, made available to outside researchers. The 30 public and private sector organizations identified as having such data bases are listed, together with the titles and main subject areas of their 112 data bases.

American Hospital Association↗
PubMed2002

Davidson and O'Leary talk to each other--and Modern Healthcare. Interview by John Morrissey.

The heads of the American Hospital Association and the Joint Commission on Accreditation of Healthcare Organizations waged a war of words this spring. At issue was the JCAHO's plan to seek a contract that the AHA contended would push the commission into the role of a regulator. Modern Healthcare broke the story about the disagreement. Now, Richard Davidson and Dennis O'Leary tell Modern Healthcare in an exclusive interview that they have patched up their differences.

Accreditation↗
PubMed1997

"Best hospitals": a description of the methodology for the Index of Hospital Quality.

Starting in 1991, U.S. News & World Report has published an annual cover story. "America's Best Hospitals," for which the National Opinion Research Center (NORC) has provided the underlying data. Since 1993, the rankings have been based on a combination of data, including physicians' nominations, the American Hospital Association's Annual Survey of Hospitals database, and mortality data from the Health Care Financing Administration. This article reports on the theoretical framework and methodological design of the "Index of Hospital Quality" used in the U.S. News & World Report rankings.

American Hospital Association↗
PubMed1983

Results of the Nursing Personnel Survey, Part 2: RN vacancies and turnover.

The second of a three-part series of articles analyzing the results of the American Hospital Association's Nursing Personnel Survey, this article examines data about RN vacancies and turnover among community hospitals in general and community hospitals classified by bed size, control, and geographic region. It discusses the implications of the findings for nursing administrators.

American Hospital Association↗