Background/Objectives We interviewed the following individuals during our site visit to Washington State: Dorothy Canavan, Lab Manager, Dynacare Jon Counts, Dr.P.H., Director, Public Health Laboratories Jac Davies, Health Services Administrator, Public Health Laboratories Daniel Jernigan, Medical Epidemiologist, Public Health Laborator
Background/Objectives The Michigan case study consisted of four in depth interviews coordinated with the help of Robert Martin, Dr.P.H., Director of the State Department of Community Health's Bureau of Laboratories. In addition to his own two hour session with Lewin, Dr. Martin coordinated interviews with: Francis Downs, Dr.P.H., Managed Car
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
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.
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
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
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
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
Long-Term Care Awareness and Planning: What Do Americans Want?. Long-Term Care Awareness and Planning Survey Discrete Choice Experiment
Goals of the DCE Analysis Gather data on respondents’ preferences about long-term care insurance to better understand what factors are more and less important to them To test these preferences, we developed a series of paired comparisons of alternative long-term care insurance plans Background and Methods
Overview Standards for licensing day care facilities for adults are promulgated by the Department of Health and Environmental Control (DHEC) and administered by the Division of Health Licensing. The Community Long Term Care (CLTC) Medicaid waiver program authorizes adult day health care (ADHC) as a covered service. ADHC providers must maintain
Overview Providers of adult day care and day health services must meet certification standards. The Division of Aging and Adult Services in the Department of Health and Human Services oversees the standards, which are based on North Carolina Administrative Code. These standards are summarized in this profile.
Overview All facilities offering adult day or adult day health care (ADHC) must be licensed by the Bureau of Licensure and Certification in the Department of Human Resources Division.
Overview The Nebraska Department of Health and Human Services (DHHS) Regulation and Licensure provides regulations to govern licensure of adult day services in the Nebraska Administrative Code (NAC). The regulations are authorized by and implement the Health Care Facility Licensure Act, Nebraska Revised Statutes . This profile contains bot
Overview The Mississippi Department of Human Services, Division of Aging and Adult Services, administers and monitors adult day care centers that wish to enter into an agreement to provide services through the Area Agencies on Aging under Older Americans Act funding under a set of Quality Assurance Standards described in this profile.
Overview Maryland licenses two types of adult day services--day care and medical day care--through the Office of Health Care Quality (OHCQ) in the Department of Health and Mental Hygiene. Day care services are offered and managed by the Department's Office of Health Services (OHS) through state-funded contracts, and are subject to the state's
Overview Adult day health care (ADHC) in Louisiana is regulated by the Department of Health and Hospitals (DHH), Bureau of Community Supports and Services (BCSS) under Title 50 of the Louisiana Administrative Code . Providers are licensed to provide service to Medicaid adult day health care waiver clients, to private pay clients, and under p
Overview The District of Columbia (DC) provides adult day care, also called geriatric day care, through District of Columbia Office on Aging grants issued under the District of Columbia State Plan on Aging to providers who are governed by geriatric day care requirements issued and administered by the Office on Aging. These requirements are cit