In the early part of this century, physicians, most of them practicing alone, delivered 85 percent of all medical services in the country.
The Commission's findings clearly reveal an overwhelming imbalance in the record keeping relationship between an individual and an organization, and its policy recommendations aim at strengthening the ability of the individual to participate in that relationship.
Ms. Blasinsky is now at CSR, Inc. Dr. Patton is now at Westat. Dr. Barry is now at Yale University School of Medicine. While at ASPE, Dr. Hennessy initiated the evaluation and served as the initial Government Project Officer. Dr. Hennessy is now at SAMHSA. The PERT term general medical care is used in this paper to dis
Standards for Privacy of Individually Identifiable Health Information. Final Privacy Rule Preamble.. The Federal Response
There have been numerous federal initiatives aimed at protecting the privacy of especially sensitive personal information over the past several years -- and several decades. While the rules below are likely the largest single federal initiative to protect privacy, they are by no means alone in the field. Rather, the rules arrive in the context of
Reasons for Measuring Poverty in the United States in the Context of Public Policy — A Historical Review, 1916-1995. The Seventies and the Eighties
In 1974, in response to a legislative requirement, an interagency Poverty Studies Task Force was established under the leadership of the U.S. Department of Health, Education, and Welfare to undertake an intensive review of the current poverty measure and various alternative measurement schemes. The Task Force's final report 83 was submitted
Reasons for Measuring Poverty in the United States in the Context of Public Policy — A Historical Review, 1916-1995
The views expressed in this paper are those of the author and do not represent the position of the U.S. Department of Health and Human Services. August 1999, revised June 2000
Joshua M. Wiener, PhD, Sarita L. Karon, PhD, Mary McGinn-Shapiro, MPP, Brieanne Lyda-McDonald, MS, and Trini Thach, BS RTI International Diane Justice, MA, Scott Holladay, MPA, and Kimm Mooney, BA National Academy for State Health Policy Mary Sowers, BA National Association of State Directors of Developmental Disability Services August 2015
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 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
Ash OK, Impact of cost cutting on laboratories: new business strategies for laboratories. Clin Chem 1996;42(5):822-826. Association of State and Territorial Public Health Laboratory Directors. Task force report on the public health laboratory - a critical national resource, 1/29/93. Baker EL, Ross D. Information and surveillance systems and co
The growth of managed care has had a significant impact on the operations and profitability of clinical laboratories during the past five years. Cost reduction is the major driving force in the industry, and laboratories are in the process of planning strategically to adapt to these changes. As a result, the key market trends in clinical testing s
As the private sector counterparts to PHLs, and also as an increasing source of competition, private clinical laboratories are a central element of the PHL operating environment.
1 MeSH is the controlled vocabulary of some 18,000 terms used by the National Library of Medicine for its bibliographic databases, including MEDLINE and HealthSTAR. MeSH is a hierarchical controlled vocabulary arranged in a tree structure, in which broader MeSH headings lead to more specific MeSH headings. 2 Institute of Medicine, Committee
Various federal government agencies are currently involved, directly or indirectly, in clinical laboratory issues. From direct oversight of the quality of clinical laboratories to coordination of disease reporting efforts, federal agencies play a vital role in the practices of PHLs. At the present time, the CDC and FDA work most closely with PHLs
Public Health Laboratories and Health System Change . Policy Context and Background: Environmental Scan
The purpose of this environmental scan is to provide some general context on public health laboratories and the laboratory services marketplace. In this section, we report on the components that constitute the laboratory services marketplace. We describe the PHL's role as part of the public health infrastructure; provide an overview of PHL activit
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 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 state's adult day services licensing standards, developed after the legislature approved licensing authority in 2003, are currently voluntary due to lack of funding for the licensing agency to administer the licensing process. However, the Division of Aging Services has standards that must be met by providers in the statewide agin