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Apparent agency: how can hospitals combat the appearance?

This article examines one of the newer theories of liability which courts are using to hold hospitals liable for the negligence of their physicians. The authors suggest possible ways in which a hospital, including its medical record department, can attempt to avoid, or at least minimize, this liability risk.

Contract Services↗

Operations improvement. Opportunities for group practices. Part II.

An Operations Improvement system developed by the New York City consulting firm APM, Inc., applies rational analytical processes to streamline daily operational tasks through a team-approach that is democratic and cost-effective. OI was explained in Part I in the March/April 1989 issue of the Group Practice Journal, Vol. 38 No. 2. The second part printed here provides specific group practice examples of application of the system and the results.

Group Practice↗

Joint university-hospital appointments in physical therapy and occupational therapy schools in Canada.

A joint appointment is a position agreed to by a health service facility and an educational institution where the appointee holds a position in each affiliated institution and carries out defined responsibilities in each. In light of the growing costs of higher education, financial cut backs, the need to respond to manpower shortages and the expanding need for clinical research, the benefits of joint university-clinical appointments should be considered by academic and clinical institutions in physical therapy (PT) and occupational therapy (OT). To obtain data on existing joint university-clinical positions in Canadian PT and OT schools, mailed survey questionnaires were conducted. The purpose of the survey was to gain information on these appointments so that future faculty-clinical roles in PT and OT could be developed. An initial questionnaire was mailed to the 25 directors of the Canadian PT and OT education programs to obtain information on existing joint appointments and the names of joint appointees holding these positions. A second questionnaire was sent to 104 joint appointees to gather information on their perceptions of these positions. The results of this survey suggest that with continuing manpower shortages, demand for clinical research, increase in student enrollment and insufficient number of faculty members, there is a need to develop these roles further.

Canada↗

Health Care Financing Administration--Medicare program; reimbursement of hospital-based physicians. Rule, uniform implementation.

This Notice is to advise that HCFA will begin enforcing the regulations regarding Medicare reimbursement for services furnished by hospital-based physicians. It reaffirms the rule that identifiable professional services will be reimbursed under Part B on a reasonable charge basis only if: (a) The services require performance by a physician in person and (b) they contribute to the diagnosis or treatment of the patient. All other services performed by a hospital-based physician will be reimbursed to the hospital on a reasonable cost basis. This rule was established in a regulation published in 1966, after public comment, but has not been applied uniformly in recent years.

Institutional Practice↗