HIV Infections

Public Health Laboratories and Health System Change . Tennessee State Case Study

Background/Objectives The Tennessee case study report consists of four sections: (a) PHL Interview Findings; (b) Private Clinical Laboratory Interview Findings; (c) MCO Interview Findings; and (d) TennCare Interview Findings.

Public Health Laboratories and Health System Change . Michigan State Case Study Summary

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

Public Health Laboratories and Health System Change . Site Visit Protocols

Public Health Infrastructure And The Private Sector: Public Health Laboratories And Managed Care Draft Site Visit Protocol Questions for Public Health Laboratory Interviewees State Public Health Laboratory Infrastructure Laboratory Size, Organization, and Funding : Briefly describe the size and organization of the public healt

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

Public Health Laboratories and Health System Change . Other PHL Responses to Managed Care and Health Market Change

Aside from engaging in contracting with MCOs and/or private laboratories for clinical services and collaborating on laboratory issues with the private sector, a number of state PHLs have, or are beginning, strategic planning efforts to address the changes in the clinical laboratory services marketplace. These responses include narrowing down the t

Public Health Laboratories and Health System Change . PHL Contracts With MCOs and Private Laboratories

Nine PHL directors reported involvement in contractual arrangements: four specified contracts with MCOs, four specified contracts with private laboratories, and one specified contracting with a provider. In terms of the scope of these activities, five PHLs reported outsourcing testing services to commercial laboratories. Examples of these tests in

Public Health Laboratories and Health System Change . Collaboration Around Specific Public Health Priorities

While not reported in our informal poll, interviews with PHL directors revealed that state PHLs, North Dakota and Oregon, have worked specifically to open communication lines with MCOs and private laboratories to avoid duplicative efforts in laboratory services. In North Dakota, the state PHL director negotiated an arrangement with Blue Cross of N

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

Public Health Laboratories and Health System Change . Literature Review

Because our subject matter has not been widely studied, we initiated a broad literature review consisting of four components: (1) search of peer reviewed literature; (2) search of grey literature; (3) internet search; and (4) review of the CDC's Morbidity and Mortality Weekly Report (MMWR). We also accessed literature by asking our interviewees fo

Beginning Too Soon: Adolescent Sexual Behavior, Pregnancy and Parenthood. A Review of Research and Interventions.

by : Kristin A. Moore, Brent C. Miller, Barbara W. Sugland, Donna Ruane Morrison, Dana A. Glei, Connie Blumenthal,

Beginning Too Soon: Adolescent Sexual Behavior, Pregnancy and Parenthood. A Review of Research and Interventions.. Introduction

Infants and young children are totally dependent on nurturance from their parents and/or other caregivers. Parenting is demanding because meeting the needs of children, let alone maximizing their potential, requires personal, social, and economic resources. Thus, becoming a parent too soon, before adult abilities are attained and before the necess

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

Overview New York State (NYS) law provides general standards under which some adult day programs operate, and the NYS Department of Health (DOH) is responsible for quality assurance of adult day programs. The standards to which the services must adhere relate to admission, assessment, staffing qualifications, and patients rights. There are thr

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

Overview Adult day health care (ADHC) providers in New Jersey (NJ) are licensed by the state Department of Health and Senior Services Division of Long Term Care Systems under NJ Administrative Code (NJAC) , Chapter 8:43F, whose provisions are summarized in this profile.

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

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.

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

Overview The Hawaii Department of Health licenses adult day health centers (ADHC) under the state administrative rules for freestanding adult day health centers, and also under the state administrative rules for skilled nursing/intermediate care facilities (for nursing facility-based adult day health centers).

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

Overview

Toward Understanding Homelessness: The 2007 National Symposium on Homelessness Research. Accountability, Cost-Effectiveness, and Program Performance: Progress Since 1998.. References

Caton, C. M., Dominguez, B., Schanzer, B., Hasin, D. S., Shrout, P. E., Felix A., et al. (2005). Risk factors for long-term homelessness: Findings from a longitudinal study of first-time homeless single adults. American Journal of Public Health, 95, 1753–1759. Clark, C., & Rich, A. (2003).Outcomes of homeless adults with mental illness

Case Study: The Arizona Evaluation Project on

Toward Understanding Homelessness: The 2007 National Symposium on Homelessness Research. Accountability, Cost-Effectiveness, and Program Performance: Progress Since 1998.. Case Study: The Arizona Evaluation Project on Homelessness

The Arizona Evaluation Project on Homelessness was designed to address the need to improve the measurement of program impacts at the client level. The Project was designed to use aggregate impact measures to assess the effectiveness of particular agencies as well as the overall effectiveness of the various continuums of care in the state.

Toward Understanding Homelessness: The 2007 National Symposium on Homelessness Research. Accountability, Cost-Effectiveness, and Program Performance: Progress Since 1998.. Supportive Housing

Published studies of various housing interventions have demonstrated that housing does indeed resolve homelessness, though to varying degrees depending on the nature of the intervention, and with varying cost offsets. An experimental study in Boston (Dickey et al., 1997) of people who were homeless with severe mental illness compared people who we

Toward Understanding Homelessness: The 2007 National Symposium on Homelessness Research. Accountability, Cost-Effectiveness, and Program Performance: Progress Since 1998.

The authors summarize the progress made in the past decade toward making homeless assistance programs more accountable to funders, consumers, and the public. They observe that research on the costs of homelessness and cost offsets associated with intervention programs has been limited to people who are homeless with severe mental illness. But this

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