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Biomedical subjects

M D Fottler

Publications and source records attributed to M D Fottler.

At least 55 records · Page 3Linked to original sources
PubMed1987

Public release of hospital specific death rates. Guidelines for health care executives.

Recent changes in the regulatory guidelines of the Freedom of Information Act have allowed greater public access to hospital specific data concerning Medicare patients. The result has been a significant increase in media attention to hospital outcomes, particularly death rate data. This article outlines the changes and potential problem areas, discusses how hospitals in Birmingham, Alabama were affected, and how they responded. Proactive strategies for managing the public release of hospital specific death rates are proposed as part of an ongoing quality management program.

Alabama↗
PubMed1987

Marketing physician services in an academic medical center.

As a result of recent environmental changes in the health care industry, marketing has become a vital necessity for the survival of most hospitals. Kotler's conceptual framework is used to study and evaluate an innovative program for marketing physician services in a large urban medical center. This program was quite successful in increasing admissions and referrals and won a national award in 1984.

Academic Medical Centers↗
PubMed1985

Does prospective payment encourage nursing home efficiency?

The health-care field is increasingly sensitive to the effect of third-party reimbursement policies on health-care organization performance. The ability to attain low costs and high net income, for example, is particularly affected by prospective reimbursement. Theoretically, prospective payments should provide an incentive to health-care organizations to implement better control over performance. These ideas are examined in a study of nursing homes. Results of this analysis indicate that management control practices contribute to efficient performance. The association of this finding with prospective reimbursement is discussed from the perspective of implications for health-care organizations.

Efficiency↗
PubMed1984

Improving health care planning--some lessons from immunization.

This article presents a managerial perspective on health planning by the Federal Government illustrated by the case of the Swine Flu Immunization Program. The recent national program in the U.S.A. for immunizing the entire population against the swine flu is examined in terms of the processes of health planning. It is concluded that this program was poorly planned and therefore doomed to failure from the beginning. Recommendations for improved planning of similar programs are made.

Centers for Disease Control and Prevention, U.S.↗
PubMed1982

Evaluating the effectiveness of nursing home administrations.

There has been little previous research on the determinants of the effectiveness of health care administrators. This research gap pertains to virtually all health care areas but is especially germane to the long-term care field, which has only recently witnessed professional growth in nursing home associations and administrator licensing, education, and ethical behavior. The present study examines the effectiveness of nursing home administrators according to economic criteria (costs and profits per patient per day). Multiple regression analysis was used to determine structure and process variables related to those effectiveness measures. Results indicate that process variable which are controllable by administrators themselves account for the bulk of the variability in nursing home administrator effectiveness.

California↗
PubMed1981

Is management really generic?

Four classes of organizations can be identified along the continuum between classical private profit-making firms and strictly governmental agencies: private for-profit, private non-profit, private quasi-public, and public. These four organization prototypes have different management functions because they receive their support from different subsectors of the society. Dependence on different individuals, groups, and organizations in the external environment creates different values, incentives, and constraints for management. The resulting differences in how the basic managerial processes are implemented may be more significant than the generic theory of management had acknowledged.

Organization and Administration↗
PubMed1981

Cost containment in health care: a model for management research.

Cost containment is a dominant problem in the health care field, but it has not been addressed from a comprehensive management perspective. To fill this gap, we have developed an inclusive model of the cost containment process. The model has implications for management research in several areas: cost containment baselines, incentive systems, organization structures, cost/quality trade-offs, and cost containment constraints.

Cost Control↗
PubMed1981

Costs and cost containment in nursing homes.

The study examines the impact of structural and process variables on the cost of nursing home care and the utilization of various cost containment methods in 43 california nursing homes. Several predictors were statistically significant in their relation to cost per patient day. A diverse range of cost containment techniques was discovered along with strong predictors of the utilization of these techniques by nursing home administrators. The trade-off between quality of care and cost of care is discussed.

California↗
PubMed1979

Physician attitudes toward physician extenders: a comparison of nurse practitioners and physician assistants.

A survey of all physicians in the Eighth District Medical Society (Western New York) was conducted in 1975 to determine physician attitudes toward employment of and task delegation to nurse practitioners. The results of this study and one other similar study of nurse practitioners are compared to results of two previous studies examining physician attitudes toward physician assistants. It appears that physicians are somewhat more willing to employ and delegate tasks to a physician's assistant. Some correlates of physician attitudes toward each of the two types of physician extenders are also compared and discussed.

Attitude of Health Personnel↗
PubMed1979

[Guidelines to productivity bargaining in the health care industry].

A potential conflict exists between the recent growth of unionization in the health care industry and management efforts to increase productivity. One method of managing this conflict is to link employee rewards to employee productivity through productivity bargaining.

Collective Bargaining↗