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PubMedDate not supplied

Leaping into patient safety.

Last November, the Leapfrog Group unveiled an ambitious effort to improve patient safety across the nation. Sponsored by the Business Roundtable, the Leapfrog Group is a consortium of Fortune 500 companies and other large private and public health care purchasers. The group is working to mobilize employer purchasing power to affect big "leaps" in patient safety by educating consumers and rewarding health care providers who meet defined safety standards.

Hospital Administration↗
PubMed1993

Pharmacists' perceptions and practices regarding the purchase of multisource pharmaceuticals.

This article describes the results of a survey of the perceptions and practices of pharmacists towards the purchase of multisource pharmaceuticals. A questionnaire was mailed to 1,000 randomly selected hospital pharmacists, 670 managed-care pharmacy directors, and 900 consultant pharmacists in June, 1991. Recipients were asked to provide educational background data, information on pertinent aspects of their work setting, and responses to a variety of questions about multisource pharmaceuticals. Of the 2,570 surveys mailed, 531 (20.7%) usable responses were received. Although not completely satisfied, pharmacists perceive the quality of multisource products to be better than 2 years ago. A variety of factors were found to influence purchasing decisions. Differences among the three groups were evident in several areas including: the importance of purchasing groups, institutional criteria, and patient preference. Overall, pharmacists made their decisions based on a number of issues, and attitudes among the three groups regarding the purchase of multisource products were quite similar.

Attitude of Health Personnel↗
PubMed1995

Wise purchasing under healthcare reform.

Group Health Cooperative of Puget Sound (Seattle, WA) believes that wise purchasing practices contribute both to cost efficiency and high quality healthcare delivery. At Group Health Cooperative, we came by this belief through a variety of forces all pushing for healthcare reform--legislative-, market-, and consumer-driven forces. At nearly fifty years of age, Group Health Cooperative of Puget Sound is the oldest health maintenance organizations (HMO) in the country. As in the beginning, Group Health is still a consumer-governed cooperative that has grown to over 400,000 enrollees, 44,000 of whom are seniors. The Co-op has a mixed staff/group/network physician model. Its 1994 budget was over $1 billion, with Medicare revenue accounting for about 30% of the budget. For nearly its first four decades, Group Health was just about the only show in town. If you wanted prepaid healthcare or independent consumer oversight for quality of care, you joined Group Health. But by the mid-1980s, there were over twenty other managed care competitors. Some were local health plans with a sideline managed-care business, but, increasingly, competitors included huge, national, for-profit corporations. In addition, two other streams of change pressured healthcare in the Seattle area and elsewhere--legislative and market reform. In Washington, legislative reform started in 1989 with the Basic Health Plan, a program to aid the working poor by subsidizing their healthcare insurance premiums based on financial need.(ABSTRACT TRUNCATED AT 250 WORDS)

Capitation Fee↗
PubMed1996

Purchasing. The wasted millions.

In the wake of the Child B rationing controversy, the Anti-Rationing Group challenged purchasers to allow them to scrutinise their practice. Eight health authorities accepted and, say Colin Roberts and colleagues, the results show public money being needlessly wasted on a staggering scale.

Community Health Services↗