Inaugural address delivered before the House of Delegates of the American Hospital Association on taking office August 31, 1966, in Chicago.
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The influence of health-related political action committees (PACs) continued to grow during the 1990 election campaign. During the first 18 months of the election cycle, contributions from medical and health care PACs to congressional candidates reached a total of $7.7 million. Among the leading PACs were the American Medical Association, American Dental Association, and American Hospital Association, which contributed a total of $3.3 million to congressional races through September 1990. For its study, HealthWeek monitored the contributions and Federal Election Commission reports of 52 leading health care PACs, including professional and trade associations, drug companies, insurers, and other groups. Trade groups made up about two-thirds of all PAC dollars spent, and several of these groups increased their spending significantly in the 1990 election cycle. Key lawmakers on health-related congressional committees received nearly $1.5 million from health care PACs, the study found. In all, 16 senators and representatives received more than $30,000 each from health care PACs. Senator John D. Rockefeller IV (Democrat, West Virginia) and Representative Thomas Tauke (Republican, Iowa) led the Senate and House, respectively, in total PAC receipts.
OBJECTIVE: To determine the extent to which managed care has led to consolidation among hospitals and physicians. DATA SOURCES: We use data from the American Hospital Association, American Medical Association, and government censuses. STUDY DESIGN: Two stage least squares regression analysis examines how cross-section variation in managed care penetration affects provider consolidation, while controlling for the endogeneity of managed-care penetration. Specifically, we examine inpatient hospital markets and physician practice size in large metropolitan areas. DATA COLLECTION METHODS: All data are from secondary sources, merged at the level of the Primary Metropolitan Statistical Area. PRINCIPAL FINDINGS: We find that higher levels of local managed-care penetration are associated with substantial increases in consolidation in hospital and physician markets. In the average market (managed-care penetration equaled 34 percent in 1994), managed care was associated with an increase in the Herfindahl of .054 between 1981 and 1994, moving from .096 in 1981 to .154. This is equivalent to moving from 10.4 equal-size hospitals to 6.5 equal-sized hospitals. In the physician market place, we estimate that at the mean, managed care resulted in a 14 percentage point decrease of physicians in solo practice between 1986 and 1995. This implies a decrease in the percentage of doctors in solo practice from 38 percent in 1986 to 24 percent by 1995.
In answer to Rep. Daniel Rostenkowski's (D-IL) challenge to voluntarily reduce hospital costs, the American Hospital Association, the American Medical Association, and the Federation of American Hospitals joined forces in the two-year "Voluntary Effort." A detailed 15-point plan was adopted, touching on everything from patient demand to hospital suppliers, and it is hoped that the rate of increase in hospital expenditures will be lowered by two percentage points in 1978 and by two more in 1979.
This notice is a request for review and comment of the draft document, Preventing the Spread of Vancomycin Resistance--A Report From the Hospital Infection Control Practices Advisory Committee (HICPAC) Prepared by the Subcommittee on Prevention and Control of Antimicrobial-Resistant Microorganisms in Hospitals. The draft document was prepared in collaboration with the National Center for Infectious Diseases (NCID), CDC, and representatives of the American Hospital Association, American Society for Microbiology, Association for Professionals in Infection Control and Epidemiology, Infectious Diseases Society of America, Society for Healthcare Epidemiology of America, and Surgical Infection Society.
The following is an excerpt from a brochure titled "Principles of Medical Record Documentation" developed jointly by representatives of the American Health Information Management Association, the American Hospital Association, the American Managed Care and Review Association, the American Medical Association, the American Medical Peer Review Association, the Blue Cross and Blue Shield Association, and the Health Insurance Association of America. Although their joint development of this brochure is not intended to imply either endorsement of, or opposition to, specific documentation requirements, all seven groups share the belief that the fundamental reason to maintain an adequate medical record is its contribution to the high quality of medical care.
OBJECTIVE: This report explores the availability of neonatal special care services in the US and examines the variation in those services from both the staffing and service perspectives. STUDY DESIGN: The American Hospital Association survey of hospitals and a special national survey of hospitals with special care services were used as data sources to describe changes in the status of high-risk care between 1983 and 1997. The latter survey had a 69% response rate and was a collaborative effort among the March of Dimes, the Maternal and Child Health Bureau, the American Hospital Association, the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, Ross Labs, and the National Perinatal Information Center (NPIC). RESULTS: The study found that across all regions of the US, the special care supply has expanded. However, the study shows wide variation in medical staffing even among those hospitals offering the most intensive services; 25% had no physician in-house coverage 24 hr/d. CONCLUSION: There is wide availability of high-risk newborn care which is a possible oversupply; however, differential physician staffing raises issues regarding the need for more standardized care.
Freeing the consumer from the confusion of the current billing and payment process is a key long-term goal of the Patient Friendly Billing Project. This project is a joint effort of HFMA and the American Hospital Association, and with support from HCA; Mayo Clinic, Rochester, Minnesota; Northwestern Memorial Hospital, Chicago, Illinois; Quorum Health Resources, Nashville, Tennessee; SSM HealthCare, St. Louis, Missouri; Cap Gemini Ernst & Young; Deloitte & Touche/Deloitte Consulting/Ernst & Young; PricewaterhouseCoopers; Stevens & Lee, Reading, Pennsylvania; Greenwich Hospital, Greenwich, Connecticut; Medical Group Management Association; Centers for Medicare & Medicaid Services; and HFMA's PFS Forum Advisory Council. If the goal of this project is achieved, the healthcare industry can gain from both improved consumer relations and cost-efficient outcomes that benefit all involved.
The Department of Veterans Affairs (VA) is responding to changing requirements for decision-support data by maximizing the value of data contained in VA and non-VA sources. The data are used to answer questions relating to the accessibility and utilization of VA and non-VA health services. Access studies require accurate estimates of the number of persons served and the number of persons who could be served. To derive these population estimates, VA employs census data to develop projections of the veteran population at the national, state, and county levels. Data from many surveys are used to supplement the census data. Access studies also require quantitative and qualitative data on the characteristics of VA and non-VA health care delivery systems at the national, state, and local levels. The Department of Veterans Affairs obtains health care system data from external sources, including the US Department of Health and Human Services, the American Medical Association, and the American Hospital Association, and from internal sources, including VA surveys and the VA administration inpatient and outpatient files. Utilization studies need more detailed patient-level information than access studies. Data elements pertaining to the reason for health care encounters and the services rendered are obtained from survey data, the VA inpatient and outpatient administration files, the national Medicare database, and state Medicaid databases. The Department of Veterans Affairs'decision-support analyses for eligibility reform and health care system reform demonstrate the effectiveness of VA in analyzing data from many sources.
This year's AHA Environmental Assessment analyzes the trends and issues that are likely to affect the health care delivery system. Compiled from more than 30 sources, the Environmental Assessment looks at the present to plan for the future.
Once seen as stubborn naysayers, the American Medical Association and the American Hospital Association are trying a kinder, gentler approach to the health care reform debate. For both groups, it's a matter of survival.
OBJECTIVE: To describe trends in diarrhea- associated hospitalizations among American Indian and Alaska Native (AI/AN) children and to estimate the morbidity from rotavirus. DESIGN: Retrospective analysis of Indian Health Service hospital discharge records. PATIENTS: AI/AN children 1 month through 4 years of age with a diarrhea-associated diagnosis listed on the hospital discharge record. SETTING: Hospitals on or near US Indian reservations from 1980 through 1995. RESULTS: During 1980 through 1995, 21 669 diarrhea-associated hospitalizations were reported among AI/AN children. The annual incidence of diarrhea-associated hospitalizations declined by 76% from 276 per 10 000 in 1980 to 65 per 10 000 in 1995. The median length of hospital stay decreased from 4 days during 1980-1982 to 2 days during 1993-1995. Diarrhea-associated hospitalizations peaked during the winter months (October through March), especially among children 4-35 months of age, with the peaks appearing first in the Southwest during October and moving to the East in March. In the early years of the study (1980-1982), the rate of diarrhea-associated hospitalizations among AI/AN children (236 per 10 000) was greater than the national rate (136 per 10 000). By the end of the study period (1993-1995), the rate for AI/AN children (71 per 10 000) was similar to the national rate (89 per 10 000), although the rate for AI/AN infants remained higher than the national rate for infants. CONCLUSIONS: Diarrhea-associated hospitalization rates for AI/AN children have declined to a level similar to that of the national population. Rotavirus may be an important contributor to diarrheal morbidity among AI/AN children, underscoring the need for vaccines against this pathogen.
Congress is currently considering the American Medical Association and the American Hospital Association's proposed provider-sponsored organizations, which would possibly compete with MCOs. There are many reasons these plans have rapidly proceeded to the forefront of health plan innovation.
During the summer of 1994, the special prosecutor for health care fraud of the Department of Justice (DOJ), Washington, DC, paid a visit to each of the US Attorney's offices throughout major metropolitan cities in America. Representatives of the American Hospital Association and the American Medical Association in Chicago were invited by the DOJ to meet with the special prosecutor and his assistant to discuss the implications of the DOJ's recent reassignment of health care fraud from its number 11 to its number two priority, second only to violent crime.