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Multi-agency working in support of people with intellectual disabilities.

Although health and social services in Northern Ireland are jointly commissioned and delivered, the recent emphasis in government policy on multi-agency working for people with learning disabilities has not extended as yet to the region. A qualitative research study, with informants drawn from a range of sectors and agencies beyond health and social services, nonetheless identified at least 24 different organizations who were participating in some form of joint working. The benefits were seen to outweigh potential difficulties and respondents identified the factors that they had found facilitated joint working as well as the obstacles to it. These centred on the need to build relationships among participants, creating opportunities for partnership working to occur and increasing the capacity of individuals and organizations to work together. The need for further evaluation and research into system change and user involvement is highlighted.

Cooperative Behavior↗

Current developments in Canadian privacy and information law: implications for telehealth.

An appropriate legal regime protecting privacy of personal information is an important element in assuring public confidence in telehealth initiatives while at the same time avoiding undue restrictions or difficulties for those implementing these technologies. In Canada there are several sources of legal protection of personal information but there is increasing emphasis on legislation. A bill recently passed by the Canadian House of Commons is expected have a significant impact on the way personal information, including health information, is handled in the private sector.

Canada↗

Air toxics: sources and monitoring in Texas.

Since the late 1980s, federal legislation has required industries to publicly report their annual emissions of toxic compounds. Industry reports show the largest contributor to toxic emission levels in Texas is the massive concentration of petrochemical industries along the Gulf Coast. It is interesting to note that although Texas produces over 50% of the nation's synthetic chemicals, it discharges less than 8% of the nation's toxic emissions. However, in response to growing concerns about the effects of these toxic emissions, the Texas Natural Resource Conservation Commission (TNRCC) initiated a long-term program for monitoring toxic chemicals in the air. This article provides details of this monitoring program as well as industry-funded toxic monitoring networks in Texas. This includes information on the technology currently being used for sample collection and analysis as well as plans for implementing methods that are on the technological horizon. Finally, details of some key measurements from the state's air toxics monitoring network will be provided along with an explanation of how they impact current air quality trends in Texas.

Air Pollutants↗

Health information policy: on preparing for the next war.

As policymakers demand more and better information about health care, the private health information technology industry is investing heavily to produce the "paperless clinical enterprise" of the future: the infrastructure that will be required to satisfy those demands. Developments on a number of policy fronts, however--from medical privacy legislation to clinical software regulation to "telehealth"--suggest the need for a conscious health information policy that will inform the debate in each niche area with a larger sense of whether public policy will promote or retard private innovation in this area. Given the stakes involved, and the immediacy of the issues, leadership in this direction is badly needed.

Confidentiality↗

Hospital performance reports: impact on quality, market share, and reputation.

This study builds on earlier work by assessing the long-term impact of a public hospital performance report on both consumers and hospitals. In doing so, we shed light on the relative importance of alternative assumptions about what stimulates quality improvements. The findings indicate that making performance data public results in improvements in the clinical area reported upon. An earlier investigation indicated that hospitals included in the public report believed that the report would affect their public image. Indeed, consumer surveys suggest that inclusion did affect hospitals' reputations.

Benchmarking↗

Net profits.

As Web traffic surges, health care has become a speed zone all its own. Sixth in Internet content, health sites draw two-thirds of all online users at least once. That's set off a race among the developers of specialized hubs aiming to organize it all--and cash in. "It's a land grab," says one player. "All of a sudden everyone woke up and said, 'We gotta do this.'"

Advertising↗

Available to commercial market, government 'secret' software integrates 70 health applications.

Government's secret weapon is yours for just $25! The Department of Veterans Affairs VISTA software system could be the answer to less expensive systems integration for many health care organizations. That's what a Georgia hospital has found since installing the core of the software, including the surgery module that tracks a variety of data and outputs nine different types of reports. Here are the details on the product, and how you can order it.

Costs and Cost Analysis↗