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Results for “Facility Regulation and Control”

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At least 109 records · Page 6Linked to original sources
PubMed1993

Collaborative strategies for survival.

Pathology and laboratory medicine face major challenges, including multiplying government regulations, increasing competition, decreasing reimbursement, and loss of directorial control. Other industries facing similar threats have found solutions in a variety of collaborative strategies. Several examples of laboratory collaboration and a template for evaluation of potential joint operations are presented. Successful strategies will make it easier to handle meddlesome regulations, increase productivity and decrease costs, allow pathologists to retain control, and make the laboratory more profitable and competitive.

Cost Control↗
PubMed1980

Regulating the bed supply in nursing homes.

Federal and state regulation of capital expenditures has been advanced as a means both to ensure rational allocation of resources and to control costs. But evidence drawn from eight states suggests that limiting the supply of nursing home beds ("certificate of need"), without refining conflicting standards of eligibility, quality control, and reimbursement policies (Medicaid and "rate-setting"), effectively discriminates against persons most in need of medical care. Alternative strategies for achieving economy, equity, and efficiency are explored.

Certificate of Need↗
PubMed1980

Why neither competition nor regulation is the whole answer.

The full potential of competitive marketplace incentives and governmental regulatory incentives in the health field will be achieved only in effective interaction with voluntary incentives. This article examines the relationships among regulation, competition, and voluntary discipline and the implications of a balanced approach in health planning.

Capitation Fee↗
PubMed1997

Health human resource development in rural China.

China has made significant progress in increasing the quantity of health workers in rural areas. Attention is shifting to improving the quality of health workers. This article documents several features of health workers in rural China. Many have not received formal training to a level implied by their rank and title, and there is no clear relationship between the skills of health workers and the functions they perform. Many better-qualified personnel have left lower level health facilities for more attractive employment in higher level and urban facilities. A system of professional licensing is currently being considered that will link educational requirements to employment and promotion. This article outlines some of the issues that should be taken into consideration in formulating this system. In particular, licensing may have unequal impacts on rich and poorer areas. This article argues that other regulatory measures will be necessary if licensing is to be an effective mechanism for controlling the quality of health workers, and contribute to the provision of affordable health services in both rich and poor areas.

China↗
PubMed1993

The influence of the Occupational Safety and Health Administration on infection control practice.

Beginning with the Occupational Safety and Health Administration's (OSHA) activities to enforce the Centers for Disease Control (CDC) and Prevention guidelines on Universal Precautions in 1987, this agency has had a direct and sustained impact on infection control programs. This article details how OSHA works, the OSHA inspection process, the bloodborne pathogens standard, current promulgation activities, other OSHA standards, OSHA reform, and the future of this agency.

Facility Regulation and Control↗
PubMed1986

Competition versus regulation: some empirical evidence.

In response to dramatic rises in health care costs, policymakers have been debating the relative merits of regulatory and competitive strategies as a means of containing costs. One major activity espoused by proponents of competition is the growth of health maintenance organizations (HMOs) which, in their opinion, will result in the market better determining efficient levels of utilization and costs. Extending this argument, the larger the percent of the population in a market area who enroll in HMOs, the greater the market-forcing effect of HMOs in reducing overall hospital expenditures; that is, if HMOs are providing lower-cost care, then the fee-for-service system will be forced to reduce costs in order to be competitive. The authors studied the 25 largest SMSAs from 1971-1981, and controlling for environmental conditions in each market, they examined the impact of both HMO growth and regulatory activity on costs and utilization. They conclude that neither competition nor regulation had a significant impact in reducing overall hospital costs. While there may have been some impact in specific communities, no generalizable effect could be observed. However, the authors did find that increases in costs and utilization were essentially driven by supply factors such as the number of hospital beds or medical specialists in a given community.

Catchment Area, Health↗
PubMed1999

Let's merge competitive and regulatory strategies to achieve cost containment.

Whether market-driven or government-driven approaches should be used to curtail future health care expenditures has become the debate of the decade on Capitol Hill and in state legislatures. After examining both the competitive and the regulatory models to constrain health care costs, it is argued that to achieve an effective and efficient health care system, a properly structured market-driven approach should be blended with a minimal number of safety and soundness regulations. To successfully implement such a half-competitive, half-regulatory system in the United States, it will be necessary, for example, to empower thirdparty payers and providers to negotiate prices without direct government involvement; to modify enormous regional differences in use rates and health care costs for various treatments with more rigid treatment protocols that are promulgated by the managed care plans; to minimize administrative-type expenditures that have no visible, beneficial effect in improving quality patient care; and to curtail the supply of underutilized health care resources as another means to constrain health care expenditures. These strategies would have significant political, social, economic, and patient care implications for the United States but might result in our health care cost dilemma appearing to the public as finally being "under control."

Cost Control↗
PubMedDate not supplied

Update on federal regulatory trends.

How did the United States arrive at its current system of federal healthcare regulation? This overview of the sociological forces that have shaped the way that American medicine is practiced and regulated, in addition to more detailed information on specific regulations, will help the medical group manager understand the current, federal cost control initiatives.

Facility Regulation and Control↗
PubMed2001

External threats and nursing home administrator turnover.

External threats and volatility in the long-term-care sector in recent decades have posed serious challenges for nursing home administrators. Greater job complexity and administrative responsibilities resulting from public policies and more specialization and competitiveness in nursing home markets have made turnover a significant issue. This article examines administrator turnover from 1970 through 1997 in New York State and describes how turnover increased markedly in the late 1980s and early 1990s.

Attitude of Health Personnel↗