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At least 163 records · Page 9Linked to original sources
PubMed1995

Using Medicaid fee-for-service data to develop community health center policy.

This article presents an analysis of fee-for-service Medicaid data for King County, Washington. This analysis was conducted using Department of Social and Health Services billing records for patients of the community health centers of Seattle-King County (14 primary care sites), the Seattle-King County Department of Public Health (9 primary care sites), and Harborview Medical Center (a large tertiary facility with a primary care outpatient clinic associated with the University of Washington) from January through June, 1992. The complete billing records of all patients who utilized any one of the 24 sites were made available. These records were used to review utilization patterns and patient costs. The implications for community health centers regarding Medicaid managed care, health care reform, and population-based management are discussed.

Aid to Families with Dependent Children↗
PubMedDate not supplied

Building community: developing skills for interprofessional health professions education and relationship-centered care. Interdisciplinary Health Education Panel of the National League for Nursing.

The restructuring of the health care system has raised numerous questions about the nursing work Force: Are we preparing too many nurses? Are nurses being prepared to work in a market-driven, managed care health delivery system? Should some schools be closed? Should enrollments be reduced? Should new kinds of programs be offered? As the 1993-1995 National League for Nursing Board of Governors struggled with policy decisions surrounding the preparation of the nursing work force for a restructured health care system, it was thought that such decisions needed to reflect a futuristic view of both health care and education. Specific questions about nursing education and the nursing work force could then be answered in terms of opportunities within that future. section Because of the complexity of nursing work force issues, the Board endorsed the creation of a President's Commission to address them. The Commission on a Workforce for a Restructured Health Care System was chaired by Richard Lamm, health reform advocate and the former Governor of Colorado. The final report of the Commission is available in its entirety on the NLN website (http:(/)/www.nln.org). Only the conclusions and recommendations are published here, starting on page 91. section In 1995, the NLN commissioned an interdisciplinary Health Education Panel to examine issues related to interdisciplinary education and make recommendations for future implementation. The Panel's work spanned 1995 through 1996. The final report of the panel is presented here and available on the NLN website.

Clinical Competence↗
PubMed1991

Developing community mental health services for indigenous people of northern Ontario.

Inadequacies of three common models of mental health service delivery have been presented but each of these can contribute to an adequate system if the approach aims at the totality of mental health care. The key to service delivery and the provision of services in the local community by adequately trained and supervised mental health workers familiar with the culture and language and who are involved with other community workers in an inter-agency process. A major and the most important part of the work occurs in this level. This front line work must have the back-up and support of the system which has three roots. The clinical root is that of a support team of professionals, the local nursing station, hospital and the tertiary institutions. The second root is in training and education by recognized courses and other resources and the third in an adequate administration in which the indigenous population has been put in control.

Adolescent↗