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Results for “Health Plan Implementation”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

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At least 235 records · Page 13Linked to original sources
PubMed2004

Surveying perceptions of the progress of national mental health reform.

OBJECTIVE: To provide comment on the latest Australian government commitment to a 5 year plan under the National Mental Health Strategy. CONCLUSIONS: In the absence of a credible system of accountability for the implementation of mental health reform, the Mental Health Council of Australia, in association with the Brain and Mind Research Institute, has taken up the task of auditing. A national, government-supported system needs to be developed in order to monitor progress of genuine mental health reform in Australia.

Australia↗
PubMedDate not supplied

Early experience with 'new federalism' in health insurance regulation.

The authors monitored the implementation of the Health Insurance Portability and Accountability Act (HIPAA) from 1997 to 1999. Regulators in all states and relevant federal agencies were interviewed and applicable laws and regulations studied. The authors found that HIPAA changed legal protections for consumers' health coverage in several ways. They examine how the process of regulating such coverage was affected at the state and federal levels and under an emerging partnership of the two. Despite some early implementation challenges, HIPAA's successes have been significant, although limited by the law's incremental nature.

Career Mobility↗
PubMed1999

The collaboration process in HIV prevention and evaluation in an urban American Indian clinic for women.

Collaboration between providers and researchers can be key to doing women's HIV prevention that is holistic, gender sensitive, and responsive to communities. This report centers on providers' and evaluators' experiences in developing and implementing a project promoting "healthy relationships" with low-income women from different ethnicities at an urban American Indian clinic. During planning, decisions on the health problems to be targeted, division of labor, program goals, resource allocation, evaluation design, and outcome measures were jointly made. Other factors were the input of participants and the influence of American Indian values at the clinic. The implementation process was fully collaborative. There are implications for creating conditions for successful collaborations in health education.

Community Networks↗
PubMed2000

The implementation and evaluation of a healthy communities process in central Alberta: some implications for public health practice.

This article describes the implementation and evaluation of a Healthy Communities Initiative (HCI) by the David Thompson Health Region in central Alberta, Canada. The HCI model provided for a facilitated, community-based, strategic planning process. Its key steps include development of a shared vision of health, assessment of needs and strengths, selection of key priority areas for action, and implementation of strategies to achieve change. A three-level evaluation model was developed, which incorporates project-level evaluation, cluster-level evaluation, and critical reflection on the David Thompson Health Region's own capacity to engage in community development work.

Alberta↗
PubMed1996

Therapist-driven protocols for adult non-intensive care unit patients. Availability and efficacy.

As the growth of TDPs increases throughout the country, the need to evaluate the efficacy of TDPs becomes paramount. For TDPs to become a standard of practice they must respond adequately to their intended purpose. TDPs must reduce the amount of misallocation of respiratory services without compromising quality care. As the reduction of misallocation occurs, the results should show a reduction in department and patient costs. Protocols are not new to the medical community, but their need and use for respiratory care has increased. Preliminary studies thus far suggest that the use of TDPs can lessen misallocation of care without adverse events, and with the use of TDPs the number of respiratory modalities and the cost associated with these therapies have decreased. Further examinations of the efficacy of TDPs must be ongoing, however, in order to ensure that these preliminary studies truly reflect the outcomes of the use of TDPs.

Adult↗
PubMed2003

Possibilities and barriers in the implementation of a preconceptional screening programme for cystic fibrosis carriers: a focus group study.

OBJECTIVE: This qualitative study aimed to explore possibilities and barriers in the implementation of a nationwide preconceptional cystic fibrosis (CF) carrier screening programme. METHODS: Sessions were held with two focus groups of CF patients and CF relatives, one focus group of people from the target population (couples planning a pregnancy), and two focus groups of potential providers (general practitioners (GPs) and municipal health service workers). RESULTS: Important barriers in the implementation of a preconceptional CF carrier screening programme included the problem of reaching the target population, the heavy workload of GPs, the limited public knowledge about CF in general, and the absence of a preconceptional consultation setting. In general, there was a positive attitude among the participants towards CF carrier screening. CONCLUSION: This study revealed some important barriers in the implementation of CF carrier screening programmes. More research is needed to specify and quantify the importance of the various barriers. Eventually, different intervention strategies should be included in an implementation plan to overcome the most important barriers in the organization and execution of screening.

Adult↗
PubMed2006

The third wave of Massachusetts health care access reform.

In April 2006, Massachusetts passed its third major health care access reform law since 1988. This law establishes new structures and requirements that have never been attempted by any state. Key features include a shift of federal Medicaid dollars from institutional support to individual insurance subsidies, establishment of an insurance "Connector," individual and employer responsibility, a small-firm and individual insurance market merger, and provisions to address racial and ethnic health disparities. Massachusetts will engage in a multiyear implementation process. Only after this process is complete will the law's significance be clear.

Health Benefit Plans, Employee↗
PubMed2004

Reconstructing cancer services in Ontario.

This paper draws upon experience gained in the recent restructuring of cancer services in Ontario that can provide insights for broader regionalization efforts. Although Ontario is the only province in Canada not to regionalize its healthcare system, the Ontario cancer services system, like most others in Canada, is based on a regionalized system. However, the growing burden of cancer and predictable crises in cancer services in Ontario necessitated a rethinking of how the cancer system should be structured and how services should be delivered. Based on recommendations by the Cancer Services Implementation Committee in 2001, Ontario's cancer services system has recently gone through major restructuring, which has established new institutional arrangements for the Ministry of Health and Long-Term Care, Cancer Care Ontario (CCO) (the provincial cancer agency) , a new Quality Council and 11 new regionally based Integrated Cancer Programs (ICPs). This restructuring has created several levers for promoting regional change and motivating performance improvement, including (1) public reporting on performance with a new quality mandate, (2) fiscal and performance-based agreements between CCO and the ICPs, (3) leading and coordinating communities of practice and (4) direct ministerial access. While institutional relationships are still developing, these experiences may provide important insights for regionalization efforts in other jurisdictions and sectors in Canada.

Canada↗
PubMed2005

The Ghana community-based health planning and services initiative for scaling up service delivery innovation.

Research projects demonstrating ways to improve health services often fail to have an impact on what national health programmes actually do. An approach to evidence-based policy development has been launched in Ghana which bridges the gap between research and programme implementation. After nearly two decades of national debate and investigation into appropriate strategies for service delivery at the periphery, the Community-based Health Planning and Services (CHPS) Initiative has employed strategies tested in the successful Navrongo experiment to guide national health reforms that mobilize volunteerism, resources and cultural institutions for supporting community-based primary health care. Over a 2-year period, 104 out of the 110 districts in Ghana started CHPS. This paper reviews the development of the CHPS initiative, describes the processes of implementation and relates the initiative to the principles of scaling up organizational change which it embraces. Evidence from the national monitoring and evaluation programme provides insights into CHPS' success and identifies constraints on future progress.

Community Health Planning↗
PubMedDate not supplied

The politics of the health district reform in the Republic of Benin.

The analysis of health policy reform focuses mostly on the contents of reforms. Walt and Gilson (1994) draw attention to the fact that the environmental context as well as the actors involved are of crucial importance to the process of policy adoption. This paper describes and analyses the process of adoption of the new concept of so-called 'sanitary zones' in the Republic of Benin as part of the health sector reform. The analysis of the reform is based on the examination of documents and interviews carried out in Benin in February 1997. The main findings show that the reasons for the specific policy choice do not emerge clearly. The main problems identified are: the role of the hospital, the incongruous administration, resistance against the reform and the question whether the government actually has the political will to change. Possible solutions to these constraints are offered in the conclusion.

Benin↗
PubMed1992

Evaluating policy change in physician manpower planning.

The decade of the 1980s witnessed a revitalization of free-market interest in the use of incentives and voluntary participation to promote activities in a wide range of fields. Because of its history of decentralized control over physician residency training, the state of New Jersey found such an approach appealing when it sought to restructure its graduate medical education system. Two statewide task forces spent a year developing policy changes designed to produce voluntary changes in such areas as the size and growth of the state system. However, a 2-year follow-up survey of the directors of state residency programs revealed little perceivable change.

Education, Medical, Graduate↗
PubMed2001

A life cycle model of public policy issues in health care: the importance of strategic issues management.

Public policy affects health and social services organizations. Senior management has a responsibility to prevent inappropriate demands of stakeholders from predominating and to influence the outcome of public policy to the benefit of their organization through the strategic issues management process. This article presents a public policy issue life cycle model, life-cycle stages and suggested strategies, paths issues can take in the life cycle, and factors that affect issue paths. An understanding of these dynamics can aid senior managers in shaping and changing public policy issues and lessening external environment threats to their organization.

Decision Making, Organizational↗
PubMed2005

Raising the bar for trauma care in Minnesota: proposal for a statewide trauma system.

Minnesota is 1 of 9 states in the nation that have not implemented a formal system to coordinate the care that hospitals provide to victims of trauma. Past efforts to initiate such a system have floundered in part because they failed to consider the unique needs and capabilities of rural hospitals, which often are the first providers of care for trauma victims. This article describes a new effort to develop a statewide trauma system. The proposed system attempts to include all hospitals in the state in a voluntary network of trauma care. Key components of the plan include educating staff at small rural hospitals, instituting performance improvement programs, and establishing a trauma registry that will allow for statewide injury analysis.

Emergency Medical Services↗