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Ethical issues in health care institutions. Lesson one: Professional virtues.

In this first lesson of a five-part WMU/AHRA magazine course on ethics, Dr. Pritchard concentrates on the virtues or character traits that professionals should possess. "This is an important factor," the author suggests, "because abuse of power can easily result when individuals have specialized knowledge and expertise." Through the use of three case studies, Dr. Pritchard demonstrates that having virtuous professionals actually does affect the quality of health care provided.

Ethics, Institutional↗

Ethical issues in health care institutions. Lesson 2: Ethical considerations in group decision making and groupthink.

In this second lesson of a five-part WMU/AHRA magazine course on ethics, Dr. Alie tackles an interesting concept--group-think. According to the author, this tendency occurs when cohesive groups lose their ability to critically evaluate alternatives in problem solving. Since groups such as committees or task forces frequently resolve issues and make policy in health care organizations, warning signs of this phenomenon are detailed as well as suggestions to help avoid the problem.

Decision Making, Organizational↗

Ethical issues in health care institutions. Lesson three: Hospital ethics committees.

The hospital ethics committee serves as the topic for this third lesson of a five-part WMU/AHRA magazine course on ethics. Proliferating during the last ten years and fostered by the Karen Ann Quinlan case, hospital ethics committees today function in three areas: education, development of guidelines and policies, and individual case consultation. Using specific examples in the discussion of each function, the authors give a detailed picture of the valuable contribution these committees make to the institutions they serve.

Aged↗

Ethical issues in health care institutions. Lesson Four: Allocation of medical resources.

Health care rationing is the subject of the fourth lesson in a five-part WMU/AHRA magazine course on ethics. Since not every citizen in our country is guaranteed the right to basic health care, there exists a rationing system in which health care is allocated on the basis of ability to pay and need, asserts Dr. Hartline. Ethical problems abound within this system. This article addresses the issues and proposes possible remedies.

Ethics, Institutional↗

Interior Design 1992 Buyers Guide issue.

The Interior Design Magazine Buyers Guide is compiled with you, the designer, in mind. So it's packed with the most comprehensive collection of sources available anyplace--arranged for fast, easy access. First, the Keyword Index presents all the Buyers Guide product categories alphabetically (see the first tab divider). Refer to the page number indicated in the Product Index (second tab divider) to view various manufacturers of products under each category heading. Addresses, phone and fax numbers, regional and international showroom/representatives are located in the A-Z Index (third tab divider) in alphabetical order. Consult the table of contents for trade associations, lighting consultants, marts, and other useful sections.

Catalogs, Commercial as Topic↗

Provider software buyer's guide.

To help long term care providers find new ways to improve quality of care and efficiency, Provider magazine presents its second annual listing of software firms marketing computer programs for all areas of nursing facility operations. On the following six pages, nearly 80 software firms display their wares, with programs such as minimum data set and care planning, dietary, accounting and financials, physician orders, and inventory software. The guide also charts support available to users, compatible hardware, integration ability, as well as telephone numbers and company contacts, and easy-to-use reader service numbers.

Catalogs, Commercial as Topic↗

Special report. CCTV (closed-circuit television) systems: why more hospitals are investing in them.

Advances in video technology and an increased variety in the use of closed-circuit television systems have health care security directors buying CCTVs in record numbers. Three of four health care security decision-makers purchased CCTVs last year, according to Security magazine. System manufacturers say that in addition to cameras that are smaller, more lightweight, and more durable has come the increased use of color and infrared lighting. In this report, we'll review some of these advances and their applications.

Color↗

Healthcare information systems: issues & answers.

In our April 1991 issue of Healthcare Informatics, I visited with several well-known consultants in our business about information systems trends and changes. Part way through this process, I was reminded of the several lesser-known healthcare systems consultants that are independent, and yet fulfill very important roles in their services to the healthcare community. Most of these consultants place ads in the classified section of our magazine and support Healthcare Informatics month after month. I have met many of them at HIMSS, ECHO, HFMA and other meetings around the country. They often have valuable insights to our marketplace. With these things in mind, I set about to ask them some important questions. The following answers are from this bright group of industry experts. Read what they have to say on the issues, and if you ever need their expertise, give them a call.

Consultants↗

Total quality management: care dealers vs. car dealers.

Let's turn our "flawed system into the Toyota City of world health care," proposes Fortune magazine. I shudder at the thought. Deming-Juran-type TQM procedures can help to ensure that cars and their drivers do not die on the road. Skillfully adapted for health care, these same procedures can help keep patients from dying on the operating table. These procedures can also respond to Fortune's indictment that the "U.S. medical system is as wasteful and managerially backward as Detroit before Henry Ford." However, people are not cars, and care dealers are not car dealers.

Empathy↗

Provider software buyer's guide.

To help long term care providers find new ways to improve quality of care and efficiency. Provider magazine presents the third annual listing of software firms marketing computer programs for all areas of nursing facility operations. On the following five pages, more than 80 software firms display their wares, with programs such as minimum data set and care planning, dietary, accounting and financials, case mix, and medication administration records. The guide also charts compatible hardware, integration ability, telephone numbers, company contacts, and easy-to-use reader service numbers.

Catalogs, Commercial as Topic↗

Unconventional therapies vie for professional acceptance.

A five-part documentary entitled "Healing and the Mind," which aired on PBS-TV stations nationwide February 22-24, explored the roles of thoughts and emotions in illness and health. It also raised some interesting questions regarding the relationship between mainstream Western medicine and alternative forms of therapies that are considered by most to be outside the mainstream. The Moyers documentary is reviewed by Frank Sabatino in the February 20 issue of Hospitals magazine (pp. 66-72). A companion volume to the PBS series, also titled Healing and the Mind, has been published (1993, New York City, Doubleday, $25). The TV series is but one of a number of events that signal a growing awareness and interest in alternative approaches to medicine, and the relationship between those who support these approaches and those in the bioethics field will most likely become entwined, as the following articles show.

Attitude to Health↗

1993 up & comers.

The achievements of the healthcare industry in the 21st century will depend on the quality of its leadership. In recognition of the contributions of the new generation of healthcare executives, MODERN HEALTHCARE salutes its 1993 Up & Comers. They are a group of healthcare professionals, all 40 or younger, who have refused to be restricted by the ways of the past. Instead, they have contributed to efforts to improve the quality of medical care, expand access to the system and reconfigure the delivery system. The group, whose accomplishments are outlined in the following pages, were selected from a field of nearly 50 candidates nominated by MODERN HEALTHCARE's editorial staff and magazine readers.

Adult↗

Automating the medical practice--promise and peril.

Pick up any newspaper or news magazine and chances are that an article on health care reform will be prominently featured. While we await the details of the plans for reform, we can divine some major implications. With certainty, one of these will be the need to access and integrate vast amounts of patient and provider data. These medical data, in electronic form, will fuel the interplay between provider, hospital, government organizations, and private health care management. These data will be used: to drive the outcome studies that will examine medical resource consumption; to track prescribing practices; to facilitate patient follow-up; and to monitor wellness programs. In short, data management will be an unseen, but very present, companion to all our practice decisions. The successful medical practitioners in the coming era will be those whose practices have an electronic infrastructure that allows comprehensive medical record keeping, inclusive of patient charting, billing, coding, scheduling, and data reporting to third parties.

Ambulatory Care Information Systems↗

DuPont/HFM forum on carpet in health care facilities.

DuPont and Health Facilities Management magazine invited 20 national experts to Dalton, GA--the carpet-manufacturing capital of the world--last year to take part in Dupont's first-ever Forum on Carpet in Health Care Facilities. During the two-hour roundtable discussion, moderated by DuPont's C. Jack Murph and HFM's Michael Hemmes, ender-users, interior designers and carpet mill representatives talked about the aesthetic, economic and performance aspects of using carpet in health care settings. Here's an edited version of what they said.

Floors and Floorcoverings↗

Provider software buyer's guide.

To help long term care providers find new ways to improve quality of care and efficiency, Provider magazine presents the fourth annual listing of software firms marketing computer programs for all areas of nursing facility operations. On the following five pages, more than 80 software firms display their wares, with programs such as minimum data set and care planning, dietary, accounting and financials, case mix, and medication administration records. The guide also charts compatible hardware, integration ability, telephone numbers, company contacts, and easy-to-use reader service numbers.

Catalogs, Commercial as Topic↗

The health care solution.

Following is Part II of an excerpt from the recently published book, The Health Care Solution: Understanding the crisis and the Cure, by C. Duane Dauner. Dauner paves the road to reform in his book by providing a step-by-step solution to ending the nation's health care crisis. Part I can be found in the January/February edition of California Hospitals magazine.

Community Health Services↗

First in a series. Preventing back injury in home care.

Home care organizations focus on patients and families. But caring for care providers--their employees--is another paramount responsibility. In this and the following two issues, CARING magazine will highlight and suggest strategies for preventing a major problem facing employees, employers, and patients: back injuries. This article will give an overview of the problem and focus on organizational needs and responses. The subsequent issues will cover ergonomic and personal approaches to preventing back injury.

Accidents, Occupational↗

NOVA Awards. Building healthier communities.

The following profiles of this year's winners of the second annual NOVA Awards, sponsored by the American Hospital Association and Hospitals & Health Networks magazine, exemplify humanity, which is what health care is all about. The winners all set out to boost the health and well-being of their communities. That frequently means expanding the traditional hospital mission to ensure that disadvantaged and underserved people not only get good health care, but also safer streets, nutritious food, a decent place to live, and a future for their children. They're all part of a community's ecology. None of these projects is finished. But you have to start somewhere to get somewhere else.

American Hospital Association↗