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At least 19 recordsLinked to original sources
PubMed1982

Redesignation; Iowa Health Service Area No. 1--Health Resources Administration. Proposed redesignation.

This notice announces the Secretary's proposal to revise Iowa Health Service Area No. 1. The Governor of Iowa requested that Iowa Health Service Area No. 1, served by Iowa Health Systems Agency, be revised to include the Iowa counties of Harrison, Shelby, Pottawattamie, Mills, Montgomery, Adams, Fremont, Page, and Taylor. These nine counties had been included in Nebraska Health Service Area No. 3, served by the Health Planning Council of the Midlands, Inc. The nine counties are currently not included in any health service area or served by any health systems agency because the Governor of Nebraska requested and received a Section 1536 designation for his State. Such a designation precludes the Secretary from establishing any health service areas and designating any health systems agencies in a State. As a result, the designation agreement of the Health Planning Council of the Midlands, Inc., was not renewed at the end of its grant year, and the nine counties in Iowa are therefore not included in any health service area.

Catchment Area, Health↗
PubMedDate not supplied

Challenges faced by the HIV health services planning council in Oakland, California, 1991-1994.

This study reports the findings of a case study of the health services planning council established in the Oakland, California, eligible metropolitan area (the Oakland EMA) under Title I of the Ryan White Comprehensive AIDS Resources Emergency Act of 1990 (the CARE Act). We gathered primary data through observation of planning council meetings, examination of documentary evidence, and in-depth interviews with key participants. An important finding of this study was the inconsistency observed between the rational, linear planning model embedded in the CARE Act legislation and the politicized, emergent, and, at times, chaotic planning process actually observed in the Oakland EMA. The primary reasons for this inconsistency included confusion among council members about the planning council's responsibilities and authority, as well as its relationship with the local health department; limitations on administrative support at the local level; reluctance of program administrators at the federal level to provide advice concerning development of the council; allegations of conflict of interest among members of the council; pre-existing societal tensions and divisions; concerns about the representativeness of the council's membership; competition among providers of services for funding; conflicting demands for services by persons affected by HIV disease; disagreements between the council and providers of services over policies and procedures for administering the services contracts; and concerns about the council's involvement in the selection of specific agencies for funding, its lapses in compliance with rules of order, and its failure to accurately record minutes of all of its meetings. Despite the challenges faced by the Oakland planning council, it was able to meet its Title I obligations, which resulted in significant increases in the availability of medical and social services for persons affected by HIV disease. However, dealing with the confusion and conflicts described above consumed a considerable amount of the planning council's time and energy and eventually required a complete reorganization of the council to assure its stability and the legitimacy of the Title I program at the local level. Medical Subject Headings (MeSH): health planning councils; health planning organizations; health care coalitions; organization and administration; organizational innovation; models, organizational.

California↗
PubMed1990

Setting community health goals: one District Health Councils experience.

The Niagara District Health Council has embarked on a strategic planning exercise to develop health goals, objectives and preliminary targets for action. This process was approached in three phases: establishment of a Health Goals Task Force and adoption of the five goals developed by the Premier's Council on Health Strategy; planning and implementation of a Health Goals Consultation Day to involve community members in the identification and priority ranking of objectives; and development of measurable and realistic preliminary targets through consultations with expert groups and individuals. This process is a practical planning tool applicable across sectors and communities.

Goals↗
PubMed1975

Whooping-cough vaccine. Statement by Joint Committee on Vaccination and Immunization of the Central Health Services Council and the Scottish Health Service Planning Council.

In 1974 it was recommended that pertussis vaccine should continue to be offered in a triple vaccine together with diphtheria and tetanus vaccines. Further data on the prevalence of whooping cough and the incidence of adverse reactions have shown no reason to change this policy; the hazard of whooping cough remains greater than that of immunization.

England↗
PubMedDate not supplied

Health planning in Ontario.

Stephen C. Hanson's article, "Health Planning: The Fourth Generation," (Hospital and Health Services Administration 27/4, 1982, pp. 55-65) comments on the possible "downsizing" of Health System Agencies (HSAs) because of severe budget cuts. Hanson suggests that they shift from regulatory to planning agencies. A relatively recent development in Ontario, Canada, involves the establishment of area-wide planning agencies known as district health councils (DHCs) which may provide a model for HSAs of the future. Although DHCs operate in a government-sponsored healthcare system and are advisory rather than regulatory in nature, the DHC concept can be adapted to HSAs in order to become true planning agencies. This article outlines the salient features of the Ontario DHC Program and compares its similarities and differences with Hanson's "Fourth Generation" model of HSAs. While Hanson proposes a model, Ontario's experience for which comparisons and insights are offered has gone beyond the conceptualization stage and has been operating for over ten years. The DHC Program is still evolving, tentative in some areas, and searching for the most appropriate role and means in other areas. As HSAs will be transformed out of necessity, a close look at the Ontario DHC program may prove to be both instructive and timely.

Health Plan Implementation↗