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
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
Public Health Laboratories and Health System Change: Executive Summary. Reduced reporting of diseases
Several PHLs believe that MCOs' lack of awareness of and responsiveness to disease reporting requirements are negatively affecting the PHLs' disease reporting efforts. We did not uncover any formal information to support this contention, but it may well be correct – establishing this link is beyond any of the data that we encountered in conducti
Public Health Laboratories and Health System Change: Executive Summary. Reductions in testing volume
PHLs serving as providers of testing services for Medicaid populations have seen the number of specimens submitted to them decrease as MCOs have taken responsibility for the care of Medicaid patients. In some cases, reductions have been significant enough to stimulate operational change within the PHL. These reductions in test volume may be due to
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
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
Overview Minnesota Rules, Rule 223 and Minnesota Statutes, Chapter 245A establish procedures and standards for the licensure of adult day care centers or adult day services centers and family adult day services providers that regularly provide care for functionally impaired adults. Licensure and Certification Requirements
Overview Adult day care and adult day health care (ADHC) are regulated by the state Cabinet for Health and Family Services. The Division of Aging Services certifies facilities for the Adult Day Care and Alzheimer's Respite program, which is governed under Kentucky Administrative Regulations 910 KAR 1:160 and 1:230.
Toward Understanding Homelessness: The 2007 National Symposium on Homelessness Research. Accountability, Cost-Effectiveness, and Program Performance: Progress Since 1998.. Studies of the Costs of Homelessness
Researchers and others have been interested in documenting the costs of homelessness because it is believed that demonstrating high costs will inspire investments in alternative housing and services. Indeed, as will be discussed in the next section, several investments in alternative housing and service models have included evaluations to examine
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
Regulatory Review of Adult Day Services: Final Report SECTION 2. STATE REGULATORY PROFILES
Pew Research Center (2006). More Americans Discussing -- and Planning -- End-of-Life Treatment . Available at http://people-press.org/reports/display.php3?PageID=1029.
Advance Care Planning and Public Engagement. B. Factors Contributing to Unresolved Issues in Social Engagement
At the end of 2004 the National Institutes for Health sponsored a conference of experts to clarify key questions regarding the definition of "end of life," and the factors that contribute to improved or worsened outcomes for patients and their families. The clarification was addressed to health care providers, patients and the general public. The
Advance Care Planning and Public Engagement. B. Clinical and Provider Impacts on EOL Decision Making
As recent as 50 years ago, the location of death for the majority of Americans was the home setting.
Advance Care Planning and Public Engagement. A. Social Dimensions of the EOL Decision Making Process
Reducing death to a clinical event inappropriately diminishes the personal and social dimensions of dying. Although dying occurs more often than not within a clinical setting and is nearly always “attended” by a physician, it nevertheless contains a human existential element. Humans are social beings -- all of us live and die within the contex
Advance Care Planning and Public Engagement. II. Managing Our Miracles and the Emergence of a Social Consensus
The management of the effective use of penicillin in the early 1940s is often described as one of the most important moments in the history of medicine. 14 This turning point in medical treatment provided physicians the capacity to intervene routinely in the “natural process” by eradicating lethal infection. The effect was to elevate the “
Despite local, state, and national efforts since the mid-1970s to adopt health care advance directives as the central tool to ensure that one’s health care wishes are known, only a minority of Americans have adopted this formal approach to detail their wishes and name their proxy. 1 Meanwhile, medical innovation and technological complexity ha
Myra J. Christopher and John G. Carney Center for Practical Bioethics
Predictors of Job Satisfaction and Intent to Leave among Home Health Workers: An Analysis of the National Home Health Aide Survey. Discussion
This analysis is the first nationally representative study to examine the extent to which workplace and agency characteristics, job stressors/demands, and compensation are associated with agency-based home health workers’ job satisfaction and intent to leave the job. The findings support some of the hypothesized relationships articulated in the