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The new charitable foundations being created when tax-exempt hospitals and HMOs go for-profit are enriching their communities with grants for health, education, housing and other worthy causes, but critics charge some deals shortchange the public. HSL Founding Publisher Barry S. Badfer looks at what the conversion foundations are doing and how to increase their accountability to serve the public good.
Methods to produce change in physician practice patterns are of increasing importance to payers and regulators as well as to physicians themselves. Because some of the strategies being adopted occur without physician input and participation, they have aroused concern in the medical community. We describe the methods used and results achieved by the Maine Medical Assessment Foundation, a nonprofit education and research organization, that has been active in practice pattern analysis since the late 1970s. The foundation has successfully engaged clinicians in a program of systematic assessment of medical care provided to residents of Maine. Significant change in practice patterns has been documented. Physicians have become active participants in the process of voluntary self-assessment, education, and quality improvement.
The values statement of Medford Clinic is "dedication to excellence in health care, serving our communities with integrity, respect and compassion." Contributing directly to the community is a natural extension of our basic values as health care providers and professionals. Medford Clinic Foundation was created in 1996 to communicate our values and to express our gratitude by contributing to our community directly and personally. Our foundation was formed to generate funds to invest in the future of our community. We chose youth as the theme for our contributions. Generally, we make small grants to individual children rather then supporting on-going programs or non-profit agencies. We target the special one-time needs of unique children in our community.
Kansas Health Foundation overcomes smokers' built-in defenses by applauding those who protect others from their smoke. Rather than depend on public service announcements to get the word out on the dangers of second-hand smoke, the Foundation insisted on paid commercials, pumping $4 million into the statewide campaign.
In recent years, interest in separately incorporated development foundations as a vehicle for the solicitation, management, and disbursement of charitable contributions has increased dramatically. Answers to some of the questions most frequently asked about hospital development foundations are discussed in this article.
Private foundations should be considered as a potential resource of funding projects initiated by recreation therapists. This article acquaints the reader with the viability of the private sector. Attention is given to exploring the various types of foundations and methods to research potential resources. Some of the procedures that would be useful in securing funds are also presented.
Thousands of dominoes, a 21 year old toppling champ and an enthusiastic publicity campaign were the principal components of success for the Foundation's innovative "Domino Spectacular." The author describes how this special event boosted the Foundation's image and income.
The author gives information about the foundation "Voet en Schoeisel" (foot and shoe). He describes in brief the origin, the compostion, the aims and also the works. He hopes to give publicicty to the foundation what possible leads to more international contacts.
The Rockefeller Foundation's malaria control work in Italy provides an important and instructive episode in the history of malariology. The pattern of the Rockefeller Foundation's early malaria control work, using its role in Italy in the 1920s and 1930s is an example of its strategy and methods. Although the history of malaria control usually is written with a focus on the scientific and laboratory achievements of scientists and physicians, the technology of malaria control also has been very important as in the case of Italy in the 1920s and 1930s.
Wolfson's Children's Hospital in Jacksonville, Fla., and Cardinal Glennon Children's Hospital in St. Louis, were participants in PaintFest, a program by the Foundation for Hospital Art to provide colorful, soothing artwork for hospitals. More than 500 hospitals have participated since the Foundation began in 1984. Seasoned veterans express amazement at the overwhelming reaction by news media.
Foundation trusts will in theory have greater freedoms over pay, non-pay rewards and recruitment, although details are still unclear. Foundations are likely to differ in their use of these powers, partly because of desire and partly because of practical limits. Taking advantage of new powers for short-term gain, at the expense of other trusts, will have negative effects if not part of a wider development of HR practice.
These consensus guidelines have been compiled with input from the Scientific Advisors of the International Myeloma Foundation. Their production involved several steps including: A 3-day Scientific Advisors meeting, during which each specific area was presented and discussed (May 2002). Review of key literature, especially randomized study results, but also Medline, Internet, Cochrane database searches, and prior guidelines (Br J Haematol 115: 522-540, 2001). Feedback from patients participating in the International Myeloma Foundation, patient programs. These guidelines encompass both the published literature and expert opinions. Recommendations based upon expert opinions are identified as such. The intent is for the guidelines to be international in scope, plus provide recommendations for both clinical practice and research approaches. 'Consensus' reflects general, although not necessarily unanimous, agreement. Details are discussed as appropriate. For convenience, the recommendations are divided into: 1. Diagnostic criteria. 2. Staging and prognostic factors. 3. Frontline therapy. 4. High-dose therapy and transplant. 5. Maintenance therapy. 6. Supportive care and management of specific complications. 7. Novel therapies and new technologies.
The paper is devoted to a small but significant episode in the history of the 19th century philanthropy. It describes one of numerous scholarship foundations existing then and a person of its founder, Leon Szancer (1802-1879). The Szancer's Foundation was created for students of medicine of the Jagiellonian University and 25 persons used its help. Szancer himself was a representative of Poles of Mosaic religion. He had graduated from the Jagiellonian University and afterwards he worked as physician in the Army of the Congress Kingdom of Poland. He participated in the Polish November Insurrection and after its fall he emigrated. He was working in Opatów for many years and spent his last years of life in Krakow.
PFI payments could become a huge burden to foundation trusts if they are unable to maintain income levels. Monitor has deferred some foundation applications due to concerns over unrealistic PFI figures. There have been calls for guidance on the tariff system to help trusts. HSJ readers can access more information on this subject
In 1973 the Arthritis Foundation established a research training program for nonphysician health professionals in fields related to nonmedicinal care such as physical therapy, occupational therapy, psychology and health education. This program is primarily designed for individuals performing the research involved in a predoctoral program. For trained investigators in this field the Foundation offers a research grants program as well.
In order to attract competent students with backgrounds in biology to the field of medical librarianship, the Medical Library Group of Southern California decided to expand their scholarship program. Funds were appropriated to establish a nonprofit, tax exempt foundation whose objective is to provide two full annual scholarships for the Master's degree program in librarianship. Details of the procedure followed in establishing the foundation are described along with criteria for selecting students.
A highly productive method for aiding medical education in the Americas has been developed that involves using a revolving fund to buy large quantities of essential textbooks at low cost. The procedure, which utilizes medical schools as intermediaries, has made it feasible to sell books directly to medical students. Establishment of the revolving fund was made possible by a loan of US$2 million from the Inter-American Development Bank. To facilitate the operation an independent nonprofit corporation, the Pan American Health and Education Foundation (PAHEF), was created to receive and administer the funds. The foundation works closely with PAHO. In the first six years since its establishment the PAHEF program has grown rapidly, involving a total of 146 medical schools in the PAHEF-sponsored distribution of 335,000 texts. The program has also been extended successfully to nursing schools, and plans are now underway to extend it still further to a wide variety of other health workers.
This chapter discusses certain Medicare reimbursement and fraud and abuse considerations for management services organizations (MSOs), medical foundations, and integrated delivery systems. It stresses the necessity of a business plan, the sources of capitalization that might be used in creating an integrated delivery system, and their effect on Medicare reimbursement. It also discusses related party principles and considerations and the Medicare "incident to" regulations. Furthermore, it discusses the application of certain Medicare safe harbor regulations on MSOs' structures and services, and those of medical foundations and integrated delivery systems.