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Checklist for efficient operation of an MRI facility.

As a sizable dollar investment, a magnetic resonance imaging (MRI) facility must be operated efficiently to achieve initial expectations. A recent survey has indicated that patient volume management is the critical factor affecting profitability. Based on the survey findings, this article identifies factors that affect an MRI site's efficiency, suggests corrective measures and discusses staffing requirements.

Appointments and Schedules↗

New equipment for 1989 capital budgets. A checklist of new technologies that may improve your hospital's competitive position.

With growing constraints on all categories of inpatient revenue, many hospitals face their tightest-ever capital budgets in 1989. Yet pressures continue for hospitals to acquire new technologies in order to remain competitive and attract patients and physicians. This summary of new technologies that many hospitals should be considering will aid in prioritizing capital budget requests.

Capital Expenditures↗

New technologies for your hospital to consider. A strategic planning and capital budgeting checklist.

This report discusses important new technologies to which hospital CEOs, planners, and clinicians should devote close attention as they plan their capital acquisitions for 1988. Technologies of great current interest, such as magnetic resonance imaging and extracorporeal shock-wave lithotripsy, are reviewed thoroughly; more than 30 other technologies are reviewed somewhat more briefly.

Capital Expenditures↗

A DRG checklist.

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Costs and Cost Analysis↗

[Behavior problems in language-impaired children: therapy evaluation using child behavior checklist].

Speech and language impaired children often show accompanying behavioral and emotional problems, putting an additional burden on their developmental course. In a sample of 57 children with a specific speech and language disorder we evaluated the behavioral changes after therapeutic intervention. The children got intensive treatment for about 15 months. Before the beginning of the treatment, all children were assessed using clinical psychiatric interviews and observations and were diagnosed according to the multiaxial classification scheme. The CBCL was filled in by the same parent before and after the treatment program. The Total Behavior Problem Score was used to assess changes in behavioral problems. The school type as well as the still necessary therapeutic interventions after the completion of the treatment program were used as global measures of psychosocial adaptation. 45 of 57 children had a psychiatric diagnosis on axis 1 of the multiaxial classification scheme. Hyperkinetic disorder, with or without conduct disorders were the most commonly given diagnoses, in addition to emotional disorders and adjustment problems. Before treatment, the children with a psychiatric diagnosis had higher scores on the Total Behavior Problem Score than the children without a psychiatric diagnosis. The children with psychiatric problems showed a significant decrease in the Total Behavior Problem Score of the CBCL. Although the children with a conduct disorder also showed improvement after treatment, their CBCL scores remained high. The stability of their problems was associated with a worse school prognosis and with further institutional care after the end of the treatment.

Adolescent↗