Content by Keyword: Communicable Diseases

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Issues Inherent in Health Market Change

Public Health Laboratories and Health System Change . Issues Inherent in Health Market Change

Changes in health markets and environment faced by PHLs naturally raise the question of whether the core functions of laboratories must change in response, or - to take a more activist position - whether more leadership from the laboratories can improve the public health. Our study suggests that while the overall charge of laboratories (e.g., invo
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Difficulty in Obtaining Payment

Public Health Laboratories and Health System Change . Difficulty in Obtaining Payment

Several PHL directors reported concern related to difficulty in obtaining reimbursement from MCOs for testing services rendered for their members. For example, Florida's PHL director reported that some managed care clients seek treatment at a county health department without authorization from the managed care organization, have tests performed by
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Concerns About Reporting

Public Health Laboratories and Health System Change . Concerns About Reporting

Another concern of PHLs is that MCOs' member-driven focus (rather than public health / population-driven focus) will reduce disease reporting and thereby hamper national disease surveillance activities. While we did not uncover any empirical evidence to support this contention, three PHL directors, two state epidemiologists, and a CDC official in
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Inter-Laboratory Communication

Public Health Laboratories and Health System Change . Inter-Laboratory Communication

An important element of the public and private laboratory function is to communicate with other laboratories, health care practitioners, and public health officials. Electronic reporting of laboratory test results to the ordering physician has become routine in most large hospitals. But this function is also critical in PHLs, since much of the tes
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Computerization of Laboratory Functions

Public Health Laboratories and Health System Change . Computerization of Laboratory Functions

Automation of key functions promises to dramatically improve the way that laboratories operate in the future. Internal operations, epidemiologic surveillance, communication with private laboratories, and use of test results could all be enhanced through the implementation of consistent laboratory information systems (LISs). In the private sector,
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Centers for Disease Control and Prevention and

Public Health Laboratories and Health System Change . Centers for Disease Control and Prevention and PHLs

Because of the close tie between the PHL core laboratory functions and the disease surveillance and epidemiology functions of the CDC, the greatest potential for collaboration between PHLs and the federal government lies within the CDC. The PHL relationship with the CDC is robust, and one that is important for national disease surveillance.
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PHL Structure, Organization, and Activities

Public Health Laboratories and Health System Change . PHL Structure, Organization, and Activities

The PHL is a central part of the public health infrastructure. PHLs support the public health infrastructure in each of the three core public health functions. Descriptions of PHL activities within these core functions have been previously described by the CDC and the ASTPHLD: 3, 4, 5
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The Public Health Infrastructure

Public Health Laboratories and Health System Change . The Public Health Infrastructure

Before discussing the specific activities of PHLs, it is first important to characterize the larger public health infrastructure in which PHLs reside. In a 1988 report entitled The Future of Public Health by the Institute of Medicine (IOM), the report attributed many of the major improvements in the health of the American people to the success o
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Introduction

Public Health Laboratories and Health System Change . Introduction

This study examines the role of public health laboratories (PHLs) in the changing health care market, with an emphasis on delineating the relationship between PHLs and managed care. The topic is becoming the focus of considerable attention, particularly as the growth of managed care continues to alter the landscape of health care, and as emerging
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Conclusions

Public Health Laboratories and Health System Change: Executive Summary. Conclusions

Changes in health markets and the environment faced by PHLs naturally raise the questions of whether the core functions of laboratories must change in response or whether more leadership from the laboratories can improve public health. Our study suggests that while the overall charge of PHLs (involvement in assessment, assurance, and policy develo
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Public Health Laboratories and Health System

Public Health Laboratories and Health System Change: Executive Summary

As part of its ongoing research program in public health infrastructure, The Office of the Assistant Secretary for Planning and Evaluation (ASPE) of the Department of Health and Human Services (DHHS) commissioned The Lewin Group to study the relationship between public health laboratories (PHLs) and managed care organizations (MCOs). As the study
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Massachusetts

Regulatory Review of Adult Day Services: Final Report - Section 2. Massachusetts

Overview Massachusetts provides adult day health services through its Medicaid state plan program, MassHealth. Provider services are governed by regulations published in the Adult Day Health Provider Manual under a contract between MassHealth and the provider.
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Arizona

Regulatory Review of Adult Day Services: Final Report - Section 2. Arizona

Overview The Department of Health Services licenses adult day health care facilities. The Arizona  Administrative Code  R9-10-501 to 514 serves as the basis for the licensing requirements. Tribal providers need approval from the tribal government or the Bureau of Indian Affairs to operate an adult day care/adult day health care facility. Med
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Regulatory Review of Adult Day Services: Final

Regulatory Review of Adult Day Services: Final Report - Section 2

Regulatory Review of Adult Day Services: Final Report SECTION 2. STATE REGULATORY PROFILES
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Direct Impacts of the Medicare Modernization Act

Medicare Part B Reimbursement of Prescription Drugs . Direct Impacts of the Medicare Modernization Act

Following the MMA changes to the Medicare Part B drug payment system, MedPAC issued two Congressionally-mandated reports, which found that health care providers could still purchase most covered drugs at prices below the Medicare Part B reimbursement rate. 15, 16
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III. Types of Information Disseminated by NCHS to

HHS Guidelines for Ensuring and Maximizing the Quality, Objectivity, Utility, and Integrity of Information Disseminated to the Public. III. Types of Information Disseminated by NCHS to the Public

Annually, CDC produces hundreds of publications of various types and provides over 100,000 pages of Web content for access by the public. All publications that carry the CDC logo are considered official publications or releases, and must follow CDC policy and procedures for preparation, review, approval, and distribution ( www.cdc.gov/od/foia/poli
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I. Agency Mission

HHS Guidelines for Ensuring and Maximizing the Quality, Objectivity, Utility, and Integrity of Information Disseminated to the Public. I. Agency Mission

The Centers for Disease Control and Prevention (CDC) and the Agency for Toxic Substances and Disease Registry (ATSDR) are two of the operating components of the HHS. CDC has remained at the forefront of public health efforts to prevent and control infectious and chronic diseases, injuries, workplace hazards, disabilities, and environmental and occ
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a. The HHS Mission

HHS Guidelines for Ensuring and Maximizing the Quality, Objectivity, Utility, and Integrity of Information Disseminated to the Public. a. The HHS Mission

The Department of Health and Human Services is the United States government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves. The Department includes more than 300 programs, covering a wide spectrum of activities. Program responsibilities
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HHS Guidelines for Ensuring and Maximizing the

HHS Guidelines for Ensuring and Maximizing the Quality, Objectivity, Utility, and Integrity of Information Disseminated to the Public

This site describes the HHS Information Quality Guidelines as well as the supporting administrative mechanisms to request correction of information covered under the guidelines. The HHS Guidelines were developed in accordance with the provisions of P.L. 106-554 and OMB government-wide requirements directing all federal agencies to issue guidelines
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Subacute Care: Review of the Literature

Subacute Care: Review of the Literature

Lewin-VHI, Inc.
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