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How to start or improve your public relations program--without a large budget.

Many hospitals do not have a formal public relations program because they think they can't afford one. If your average gross revenue is only $400 per patient day and your public relations program increases your average census by only one, the results are $146,000 per year in increased gross revenue! The question should be; "Can we afford not to have a formal public relations program?"

Budgets↗

Clinical budgeting and drug management on long-stay geriatric wards.

Over-prescribing on long-stay wards for the elderly is a common problem. A scheme of senior doctor surveillance of prescribing on long-stay wards in a district general hospital is described, which involved stopping all drugs except those considered essential. A reduction of over 50% in the number of drugs taken per patient, and a saving of 34% in drug costs was achieved, without detriment to patients' well-being. Increased drug utilization on some wards is considered to occur because of the ward sister's demand for patients to be given drugs such as sedatives and tranquilizers. Regular re-education of nursing and junior medical staff to reduce over-prescribing is recommended.

Aged↗