States pursue waste reduction strategies.
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This final rule with comment period conforms our regulations to changes made to section 1834 of the Social Security Act (the Act) by section 131 of the Social Security Act Amendments of 1994. Section 1834(j) of the Act requires that suppliers meet additional standards related to compliance with State and Federal licensure requirements, maintaining a physical facility on an appropriate site, and proof of appropriate liability insurance. This final rule retains existing regulatory standards and incorporates the three additional standards specifically cited from the statute.
To study the efficacy of America's current market-driven approaches to constrain health care expenditures, an analysis was undertaken of 1993 hospital discharge costs and related data of the 15 states in the United States with the highest percent of HMO market penetration. What is proposed herein to enhance hospital cost containment efforts is for a state to almost simultaneously use both market-driven and regulatory strategies similar to what was implemented in California over the last three decades and in Germany for the last 100 years.
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The article discusses the Americans With Disabilities Act, signed into law by President Bush on July 26, 1990, and its potential effects on the health care industry. The author offers advice on how health care facilities can insure compliance with this sweeping legislation.
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The development of nursing home special care units for Alzheimer's Disease is linked to the political emergence of the disease in the past two decades. This article will explore the response of the nursing home industry to Alzheimer's Disease in the way of special care programs. Similarities and differences between the demented population and other groups served in nursing homes will be highlighted. Issues to be addressed before special care programs are developed for other populations will be suggested.
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The potential for violence is a growing concern in all healthcare facilities. Violent acts may be perpetrated by visitors, patients, employees, or outsiders. There are no simple answers to preventing or defusing such violence, but greater attention to the total climate for violence and a realistic approach to treating its different aspects are essential. In this report, Fredrick Roll, executive vice president, Hospital Shared Services, Denver, CO, which provides security services for more than 140 hospitals in six states, discusses the different aspects of violence that must be considered by all hospitals when setting up programs to deal with the problem.
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