'Ultimate' partnerships benefit community health care delivery.
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They are called street kids, and they bring paralyzing elements to communities and hospitals--long-term repercussions from untreated disease, poverty, drug abuse, prostitution, teen pregnancy, and mental illness. The president of Covenant House has some practical suggestions for how hospitals can help now and save money--and lives--in the long run.
Maximum capacity for mammography services had been reached at the Kaweah Delta Health Care District, a 504-bed, multicampus hospital district in Visalia, Calif., so the community supported the idea of better and easier access to cancer care. Kaweah Delta Foundation, the hospital's development arm, helped raise funds for a new community breast center after hearing from local women that they disliked traveling to Los Angeles or San Francisco for state-of-the-art technology in diagnosis. They also requested better education and quicker exam results. The new Center was the result of a collaborative effort between imaging services and the cancer care program at Kaweah Delta. A nearby hospital, with more space for parking and room to offer an education program, became the site of the new Center. New equipment that met MQSA guidelines was purchased. An architectural firm designed a layout for patient comfort and privacy and efficient throughput for high volume work. The purchase of a second mammography unit allowed the Center to offer same-day and next-day appointments, which increased both physician and patient satisfaction. Consultation services with a radiologist are now offered. An education program that includes group support meetings and referrals to an oncology clinical nurse specialist are also offered. A new mobile mammography unit, housed at a newly acquired hospital 13 miles away, serves the needs of women in the two-county rural area who have no transportation. With careful planning and collaboration, the volume of mammography services has doubled in a year. Customer service ratings have soared.
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The work of catchment management groups throughout Australia represents a significant economic and social investment in natural resource management. Institutional structures and policies, the role of on-ground coordinators, facilitation processes, citizen participation and social capital are critical factors influencing the success of catchment management groups. From a participant-researcher viewpoint, this paper signposts research directions and themes that are being pursued from the participant/coordinator, catchment group, and lead government/non-government agency perspective on the influence of these factors on the success of a catchment management group in the Pumicestone Region of Southeast Queensland, Australia. Research directions, themes and discussion/reflection points for practitioners include--the importance of understanding milieu; motivation; success; having fun; "networking networks"; involvement of "nontraditional" stakeholders; development of stakeholder/participant partnerships; learning from other practitioners; methods of stakeholder/participant representation; evaluation; the need for guiding principles or philosophy; the equivalence of planning, implementation, evaluation, and resourcing; catchments as fundamental units of Nature; continuity of support for groups; recognising a new role for government; working with existing networks; and the need for an eclectic approach to natural resource management.
The ability to identify a community's needs and respond to those needs in a way that helps everyone is a key attribute of today's hospitals. A hospital is a community's primary center for health care education, resources and support. The 2001 Ludwig Community Benefit Award winners are examples of what hospitals can do when they look beyond the hospital doors and help the communities that surround them. They partner with local individuals, schools, businesses and organizations to give back generously without asking for anything in return. They realize that caring for people in their community means creating a better place for everyone to live.
Healthcare facilities have emergency preparedness plans (EPPs) in place to respond to both natural disasters, such as earthquakes and floods, and man-made disasters, such as terrorist acts and transportation accidents. During the terrorist attacks on September 11, 2001, hospitals implemented their EPPs and met the needs of injured people. Is your facility ready to handle large-scale disasters, including such events as terrorist attacks? If not, now's the time to review and update your EPP. This article provides an overview of the hospital's role in handling major disasters and a discussion of how to ensure that you have an effective EPP. It also includes a list of useful Web sites related to emergency preparedness.
This study explores difficulties, supporting factors and benefits of networking to studied enterprises and other network partners (focus on OHS and client enterprises). The study also explores social capital as a resource produced in network relations, and trust as a core dimension of social capital, and trust as a binding element in networking. The study is a mixed methods research (both qualitative and quantitative research materials). The most important supporting factors were: committed and active focus person, teamwork skills, long relationships, familiarity, trust and two-way communication in co-operation, shared goals, norms and values, an equal cost and benefit ratio, and the high quality of services. The biggest problems were the lack of skills to operate in the network and difficulties in maintaining the network, weak communication, lack of confidence, inconvenient size or composition of the network, overlapping information, cliques, nodes and missing links. The benefits were versatile: knowledge and skills accumulate, the network multiplies resources, fluency of co-operation, innovations, commitment and trust increase, good practices expand, and moreover, the quality, many-sidedness and appropriateness of operations improve. Networking is beneficial but demanding. There are many limitations. Networks are not equal for every network partner (inequality in cost and benefit ratio). Networks produce social capital for participants. Successful networking requires trust relations between network partners.
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The quintessential difference between most successful rural health programs and unsuccessful ones is local leadership. The ways in which a community invites, values, develops, nurtures, and supports the involvement of diverse stakeholder groups form an important part of the base for local rural health program success. Successful programs are initiated by local stakeholder groups who are committed to collaboration, have a working governance structure, a good understanding of their health and healthcare challenges, and a plan for sustainability. A key first step for rural community health planning is to contact one's local state Office of Rural Health. Most ORHs will provide information, guidance, and technical assistance. There are many challenges in rural health, but there are also great successes. North Carolina communities fare better than many because the North Carolina Office of Rural Health has demonstrated how effective state and local leadership work together to directly benefit rural communities and rural people.
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The Study Model for Future Occupational Health (funded by a research grant from the Ministry of Health, Welfare and Labor) is a joint research project involving various organizations and agencies undertaken from 2002 to 2004. Society has undergone a dramatic transformation due to technological developments and internationalization. At the same time a low birth rate and an aging population have resulted in an increase in both the percentage of workers experiencing strong anxiety and stress in relation to their jobs and the working environment and the number of suicides. As a natural consequence, occupational health services are now expected to provide EAP, consulting and other functions that were formerly considered outside the realm of occupational health. In consideration of this background, the present study propose the following issues to provide a model for future occupational health services that meet the conditions presently confronted by each worker. 1. How to provide occupational health services and occupational physicians' services: 1) a basic time of 20 minutes of occupational health services per year should be allotted to each worker and to all workers; 2) the obligatory regulations should be revised to expand the obligation from businesses each with 50 or more employees under the present laws to businesses each with 30 or more employees. 2. Providers of occupational health services and occupational physicians' services: (1) reinforcement of outside occupational health agencies; (2) fostering occupational health consultant firms; (3) development of an institute of occupational safety and health; (4) support of activities by authorized occupational physicians in the field; (5) expanding of joint selection of occupational physicians including subsidy increase and the extension of a period of subsidy to five hears; (6) licensing of new entry into occupational health undertaking. 3. Introduction of new report system: (1) establishment of the obligation to submit reports on risk evaluation and improvement measures; (2) establishment of the obligation to prepare a report on results of medical examinations in all sizes of businesses. 4. Introduction of a merit system into businesses in establishment of a new system: the application of the special merit system of the workers' compensation insurance shall be revised to add occupational health activities, cover business with 20 or more to 100 or less employees and expand the period of application for three years under the present laws to five years. 5. Ensuring of international coordination: harmonization of standards of individual countries for occupational health and safety; thorough (1) ensuring of international agreement on high-level specialist qualifications; (2) mutual recognition of qualifications of occupational physician, nurse, occupational hygienist, ergonomist, and counselor; (3) preparation of guidelines for occupations relating to occupational health businesses.