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Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

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PubMed1993

Employee orientation: the key to lasting and productive results.

A large body of research emphasizes the importance of planning, commitment, and communication of the corporate culture, and the role of key personnel, supervisors, and colleagues in shaping the attitude of the new employee. Ineffective orientation programs usually fall short in meeting these requirements and therefore are costly to the organization. An endless cycle ensues: recruitment, selection, ineffective orientation, improper training, job dissatisfaction, poor performance, turnover, and loss of productivity; recruitment, selection, and so on. Effective orientation programs are designed as a process, customized to meet the needs of the organization, and they consider all of the requirements needed to be successful. The resulting picture can be painted differently: recruitment, selection, effective orientation, training, job satisfaction, improved performance, retention, and increased productivity. Of course this cycle also must be repeated under certain circumstances, but not for the same reasons and certainly not as often. Instead of increased costs, there is actually a cost savings.

Cost Savings↗
PubMed1992

Health services: the real jobs machine.

In terms of employment, the best performer over the last decade was health services; the industry added nearly 3 million jobs, accounting for 1 of every 6 new jobs in the economy since 1980.

Data Collection↗
PubMed1993

Family feuds.

Once brothers in arms, large and small companies within the same trade associations are realizing that the main thing they have in common is competition with one another.

Health Policy↗
PubMed1993

Communication gap exacerbates health care crisis.

Mercer-B&H survey shows employers, doctors, insurers, and workers do not understand each other's most basic concerns. For example, respondents disagree on such issues as how to define quality care and whether freedom to choose a doctor is important.

Attitude to Health↗
PubMed1993

Network unites payers, physicians, hospitals. System participants work together to improve access to care and to design cost-saving incentives.

Through Sacred Heart Health System (SHHS), Eugene, OR, physicians, payers, and hospitals are designing a network that will integrate care and improve access by reducing healthcare costs. Together, system members design cost-saving incentives and the products the system offers the community. They promote managed care as the most efficient means to coordinate care and reduce costs. All participants share in the risks of a capitated payment system. Since the system pulled together the payers, physician groups, and hospitals, many of these entities' management functions were consolidated at the system level to avoid duplication and reduce administrative costs. Bringing in physicians was the most difficult yet important aspect of forming a successful network. Working with two physician groups in the community, the system's sponsor-the Sisters of St. Joseph of Peace, Health and Hospital Services-developed the Physician Practice Board. The board, representing 300 physicians, meets weekly and makes recommendations on issues that affect physicians. SHHS also added innovative new functions such as an integrated medical cost management and continuous quality improvement program. Another key to success is a clinically oriented information system, which will allow the system to track patients once they leave the hospital. It also will provide a better understanding of what things have an impact on outcomes and will reduce paperwork. A portion of the system's revenue is designated for initiatives to improve access. And the system recently appointed a tack force on access to explore what they can do in cooperation with others in the community.

Capitation Fee↗
PubMed1993

The coming health care shakeout.

No matter what the Clintons do, this mammoth industry--even bigger than you think--is in for turmoil. A safe prediction: Plenty of people will lose their jobs.

Data Collection↗
PubMed1993

The purchaser-driven reformation in health care: alternative approaches to leveling our cathedrals.

Slowly mounting interest in the provider community in delivery system reform badly underestimates the extent to which major reconfiguration is already being engineered by aggressive purchasers. The once widely held view that provider-sponsored integrated firms represent the ideal health care system is being challenged by purchasers who are crafting, through short- and long-term selective contracting, provider networks that offer many of the same advantages ascribed to integrated firms. Three alternative approaches to restructuring delivery systems are examined and appraised in terms of how each may or may not be able to satisfy purchaser demands. The relentless pursuit of better cost management will have profound consequences for health care providers and their managers. Major redeployment of resources will occur as the industry converts from a hospital-centered to a continuum of care-centered management philosophy.

Comprehensive Health Care↗