Content by Keyword: Patients

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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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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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Reduced reporting of diseases

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
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Reductions in testing volume

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
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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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Vermont

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

Overview
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New York

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
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Minnesota

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

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
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Kentucky

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

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.
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Studies of the Costs of Homelessness

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
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Toward Understanding Homelessness: The 2007

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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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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NOTES

Advance Care Planning and Public Engagement. Notes

Pew Research Center (2006).  More Americans Discussing -- and Planning -- End-of-Life Treatment . Available at http://people-press.org/reports/display.php3?PageID=1029.
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B. Factors Contributing to Unresolved Issues in

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
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B. Clinical and Provider Impacts on EOL Decision

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.
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A. Social Dimensions of the EOL Decision Making

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
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II. MANAGING OUR MIRACLES AND THE EMERGENCE OF A

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 “
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I. INTRODUCTION

Advance Care Planning and Public Engagement. I. Introduction

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
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Advance Care Planning and Public Engagement

Advance Care Planning and Public Engagement

Myra J. Christopher and John G. Carney Center for Practical Bioethics
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Discussion

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

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