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At least 1,747 records · Page 97Linked to original sources
PubMed1998

Developing an information management plan.

With demands for outcomes measurement data increasing, case managers can quickly become overburdened with data-collection responsibilities. That's why it's more important than ever to coordinate information flow and minimize redundant data gathering by case managers. The first step in developing an information management plan is to identify who in the organization is gathering, analyzing, and using performance data. That means being aware of what departments outside of case management are doing. Then the case management department can design electronic linkages with computerized databases that contain information necessary to support improvement efforts. Any information management plan should contain provisions governing the release of performance measurement data. Issues to consider include: the patient's right to confidentiality; JCAHO standards and state statutes pertaining to hospital information systems; hospital policies and procedures on departmental information systems; and physicians' and employees' right to confidentiality.

Case Management↗
PubMed1995

Control of the embryonic body plan by activin during amphibian development.

Embryonic induction plays an important role in establishing the fundamental body plan during early amphibian development. The factors mediating this embryonic induction have, however, only recently been discovered. In the mid-1980's, certain peptide growth factors belonging to the FGF and TGF-beta families were found to have a mesoderm-inducing effect on isolated Xenopus blastula ectoderm. The study of embryonic induction subsequently expanded rapidly and knowledge at the molecular level has gradually accumulated. One of these peptide growth factors, activin, a member of the TGF-beta superfamily, is present maternally in the Xenopus early embryo and induces various mesodermal and endodermal tissues in isolated presumptive ectoderm. After exposure of presumptive ectoderm to activin, many genes are expressed in the same manner as in normal embryogenesis. Ectoderm treated with activin can induce a complete secondary embryo, the same as the organizer does in transplantation experiments. These findings suggest that activin is one of the first induction signals responsible for establishing the embryonic body plan in early amphibian development. In this article we shall review to what extent we can control the embryonic body plan in vitro, referring to some significant findings in this field.

Activins↗
PubMed1999

[Health as premise for urban planning].

Concerns for health have been a foundation for planning in towns the cities in Norway from the 19th century up to the present. Doctors previously took active part in discussions of urban planning. Planners developed new concepts for urban design and town planning. Sun, air, low density and separation of functions were important tools to achieve a healthy city. Modern planning has led to dispersed cities requiring a great deal of transport. A more dense built-up urban area is necessary to achieve sustainable development. Higher population density and a mix of functions should be encouraged in order to reduce the need for transport. This strategy is contrary to the development of urban planning over the last 150 years. Health professionals must participate in the discussion on urban form and planning in order to avoid new health problems higher density and a mix of functions in our cities may cause.

Cities↗
PubMed1987

New Zealand.

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Altitude↗
PubMedDate not supplied

Costs, payments, and incentives in family planning programs: a review for developing countries.

Anxieties about financing health and family planning programs have grown in recent years, leading to discussions of cost-recovery measures that would raise charges to the consumer. Yet some governments wish to lower cost to encourage contraceptive use, and a few use incentives and disincentives. Data from numerous developing countries are presented on contraceptive cost topics: charges for contraceptive supplies and services, in both public and private sectors, and conversely, payments made to clients and providers to offset costs and to increase contraceptive use. The data show great diversity, and much inconsistency within countries, indicating that the structures of charges, payments, and incentives in many programs could be improved. Ethical considerations are discussed, and guidelines are suggested for developing effective financial policies.

Contraception↗
PubMed2000

Recruitment and retention: the development of an action plan for African-American health professions students.

This article presents results of a survey of African-American students enrolled in the colleges of medicine, dentistry, allied health, pharmacy, and nursing at the University of Kentucky. The survey was designed to determine the students' perceptions of factors that affect recruitment, enrollment, and academic progress of African-American students. Fifty-three of seventy students responded to survey questions addressing recruitment; admissions; and financial, social, personal, and academic support. Over 50% of medical students decided by junior high to enter a health career; only 15% of other students decided that early. The influence of a family member was more important in student decisions to enter nursing or medicine than in decisions by other students. Only 17% of medical students reported difficulty in locating sources of financial aid compared to 48% of those from other colleges. Perceptions regarding lack of social outlets were consistent among respondents from all colleges. Findings emphasize the importance of early exposure to the health professions, early outreach strategies, ongoing financial assistance, and the importance of establishing social networks for African-American students enrolled in a majority institution. The survey results were used to develop an action plan for the offices of minority affairs, student services, and academic affairs to address identified problems and concerns.

Adolescent↗
PubMed1987

Honduras.

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Americas↗
PubMed1993

Care plan for documenting pharmacist activities.

At a 393-bed hospital, a pharmaceutical care plan was developed and tested in a surgical intensive care unit (SICU). The trial care plan was developed and implemented with the following objectives: to integrate clinical and distributive elements of patient information in a care plan; to add new monitoring and intervention parameters to the pharmacy profile; and to assess and refine the care plan for implementation in other areas of the institution. One pharmacist performed and documented care for 10 patients in the SICU. The pharmacist planned appropriate drug administration schedules, noted appropriate indications for each medication ordered, established appropriate outcomes, monitored for drug-drug or drug-food interactions and allergies, recorded interventions and averted adverse drug reactions, and recorded the amount of time required for care according to disease state. Pharmacist involvement with medication administration and monitoring seemed to prevent many adverse effects and drug interactions. Because of the diversity of the patient population, there was substantial variation in the time spent on care. A trial pharmaceutical care plan in a surgical intensive care unit was useful for documenting pharmacists' productivity and effectiveness.

Colorado↗
PubMed1974

Obstetrical caudal anesthesia in a community hospital. A satisfactory plan.

The development of a program to provide complete anesthesia coverage for obstetrics in a community hospital was undertaken as a prospective project which emphasized continuous caudal techniques. Mutually acceptable guidelines were formulated by a group of anesthesiologists and the Department of Obstetrics and Gynecology. A computerized study involving 3,500 labor patients was carried out to thoroughly evaluate the experience over 16 months. The data confirmed the feasibility, safety and wide acceptance of the program. Major complications were few and the anesthesia service to patients was excellent.

Anesthesia, Epidural↗
PubMed1983

Developing a clinical faculty practice plan in a university clinic.

In this article, the authors explore the evolving concepts and procedures for developing clinical faculty practice plans in a university setting. The objectives of a clinical faculty practice plan are reviewed in the context of the initial planning process, which must be undertaken in order to develop a successful plan. Several types of organizational structures that may be tailored to the clearly identified missions of the university-related medical center are described. The authors then discuss various aspects of each of these types of organizational schemes, including the methods for structuring revenue participation between the clinic physicians and the medical school, the perceived need to control the amounts of earnings of the clinic physicians, and the factors to be considered in conducting the internal operations of a practice plan.

Academic Medical Centers↗
PubMedDate not supplied

Geography and destiny: local-market perspectives on developing Medicare Advantage regional plans.

The Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 established regional preferred provider organizations (PPOs) as a new private-plan option for beneficiaries in the Medicare Advantage (MA) program, starting in 2006. Developing network-based Medicare products uniformly priced across statewide or multistate regions presents unprecedented challenges and opportunities for health insurers. We held discussions with local health plan and hospital informants in six of the twelve Community Tracking Study (CTS) communities to obtain their perspectives on key considerations in evaluating whether they can and will offer regional PPO products under the MA program.

Aged↗
PubMed1984

Maldives.

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Asia↗