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A rapidly growing caseload led this home healthcare agency in New England to develop and implement a new management structure built around the belief that 1) Professionals can manage their own practice and function as part of a self-directed work team; 2) Management's role is to foster an organizational culture which facilitates this; and 3) Total quality management is based on people-oriented service. A "flex-time" system, competitive compensation and empowerment stemming from responsible autonomy have begun to reduce turnover and enhance "word of mouth" advertising.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
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This paper describes a model for forensic family evaluations (FFE) that arise from issues of child custody and maltreatment. FFEs are comprehensive assessments that utilize a variety of data collection methods. The FFE has three basic stages: beginning the evaluation, collecting data, and presenting the evaluation findings. In each stage there are a number of professional and administrative stations. Each stage of the FFE presents unique challenges: maintaining internal and external independence, managing issues of convergent validity, and monitoring written and verbal output. Each of these stages, stations, and challenges is discussed.
The changes which our health delivery system must undergo in order to respond to the health needs of our society by the year 2000 are presented. The discussion centers on two sets of forces: the necessity for institutionalization and the need for knowledge, information and understanding. Specialization as a means for division of labor among health professionals is predicted to increase.
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A great deal of effort and resources are currently being directed at developing an evidence-based approach to healthcare delivery. The success of the evidence-based movement will depend upon the provision of necessary support to help GDPs achieve change. This paper aims to give an overview of current knowledge on what types of interventions are most effective at changing health professionals' clinical practices. Barriers to change are highlighted and the implications for the development of evidence-based dentistry are considered. Further research on organisational, social and personal influences affecting the application of evidence-based practice is necessary.