So many kinds of health data are collected that it would be distracting and soporific to do more here than take note of the major categories. But it is essential to recognize: (a) that great research power resides in a diversity of health data, and (b) that privacy issues surround many kinds of data beyond those in primary medical records. Healt
An inevitable logical starting-point is the hallowed medical privacy tradition dating back at least as far as Hippocrates—but one doesn't have to be cynical to surmise that even Dr. H's own receptionist may have gossiped about patients' foibles and maladies.... The precept of nondisclosure is an ideal. But it has been, and should still be, centr
Health data of concern for ethics and policy, and for this Report, include not only primary medical and hospital records, but also pharmacy and laboratory data; vital records; administrative and financial data; data from surveys, clinical trials, adverse-drug-event reports, and outcomes and health-economics studies; registries organized by disease
Market Barriers to the Development of Pharmacotherapies for the Treatment of Cocaine Abuse and Addiction: Final Report. Critical Barrier 2: A Substance Abuse Treatment System that Limits Access to the Market
There are multiple, interrelated aspects of the current substance abuse treatment system that limit the market prospects for any new pharmacotherapy for cocaine addiction. These limitations are apparent in the case studies, were raised by company executives interviewed for this study, and are corroborated by modeling of certain scenarios. Sales of
Market Barriers to the Development of Pharmacotherapies for the Treatment of Cocaine Abuse and Addiction: Final Report. Critical Barrier 2: A Substance Abuse Treatment System that Limits Access to this Market
There was consensus among the pharmaceutical company representatives that the current substance abuse treatment system constitutes a great market barrier that severely limits opportunities for market penetration.
HHS Strategic Goals and Objectives - FY 2001 . Objective 3.4 - Protect and Improve the Health and Satisfaction of Beneficiaries in Medicare and Medicaid
How We Will Accomplish Our Objective We will promote the use of preventive services for our beneficiaries. Our efforts will focus on:
 In addition to the reforms noted, as per the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA), all health insurance contracts for employer-groups of 2-50 employees must be issued on a guarantee-issue basis.
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Summary and Conclusions
Washington State was chosen for a site visit because it has a long-standing, statewide technical assistance program, called the "Quality Assurance Nurse" (QAN) program. The QAN program evolved from an earlier UR program.
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Aspects of Washington's Quality Improvement Program Noted to be Less Successful
Virtually all with whom we spoke said that it would be better if the QANs had more time for QANing. As one provider put it "What's discouraging is that [the QAN program] seems to have been out of commission for a while; they must be doing surveys." Several providers with whom we spoke reported not having a QAN visit in over a year; one reported on
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Observation of a QAN visit
We observed part of a QAN visit, which was said to be "fairly typical." In preparation for the visit, the QAN nurse reviewed the following: the facility's Quality Indicator (QI) reports and trends, trends in casemix, complaint issues, and discharge issues. QAN visits were said to be generally focused on issues identified by the QAN in advance of t
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Overview of the QAN Program
As noted above, QAN staff are responsible for a number of activities such as conducting surveys in addition to their role providing information exchange (technical assistance). The latter activity is referred to as "QANing" and is the heart of the state's unique program.
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Impetus for Washington's Quality Improvement Program
Washington's QAN program has evolved over time. The state traces its origins to a program in the 1970s in which a "Nursing Care Consultant" from the state was in each facility about once a month to perform utilization review. Transformation of this role to include additional aspects of quality was spurred by Congressional passage of OBRA '87--the
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Quality Monitoring Program
The Quality Monitoring program was mandated by SB 1839 that was passed in 2001. The program was implemented in April 2002, and had been in operation for only a few months at the time of our site visit to the state in August 2002.
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Impetus for Texas's Quality Improvement Programs
Over the last several years, policy-makers in Texas have undertaken several initiatives designed to address long-standing quality issues. According to those we spoke with, legislative activities and related administrative actions in recent years up through the 2000-2001 biennium tended in the direction of toughening regulations, enforcement, overs
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Role of the Federal Government in Quality Improvement
Marilyn Rantz believes that the Federal Government should support and expand programs like QIPMO into other states. The partnership between the university and the Department of Health and Senior Services could serve as a model for other states. She also believes that the partnership could be expanded to include the state QIO as well as the state s
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Impetus for Missouri's Quality Improvement Programs
The QIPMO programs originated from the vision of Marilyn Rantz and supporters at the Division of Aging. Dr. Rantz holds a Ph.D. in Nursing from the University of Wisconsin-Milwaukee, Masters of Science in Nursing from Marquette University, and Master of Arts in Teaching from the University of Wisconsin-Whitewater. She has also been a nursing home
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Sustainability and Lessons Learned
There was no discussion among those we spoke to of any of the nursing home reform legislation being repealed, or any quality initiatives being at risk of termination due to budget cuts or other reasons. This lack of discussion or concern, combined with a generally positive attitude among the provider community about the quality initiatives, indica
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Aspects of QIPs that were Noted to Work Well
Both the QA Plan requirement and the Second Survey were noted by those we spoke with to be positive aspects of the Maryland quality initiatives. Comments regarding the QA Plan were that a requirement that "formalized" quality assurance was good, and encouraged providers to look at whether they had a comprehensive enough approach. One provider stat
This is an evaluation of the extremely popular Pets on Wheels program. It is designed to provide quantitative data on the positive impact of pets in the nursing home environment on the quality of life. OHCQ has supplied funding ($51,000) from the Civil Money Penalty Account to do a literature review and conduct resident satisfaction surveys with
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. State Technical Assistance Unit--Quality Assurance Survey
In November 2000, a Technical Assistance Unit was established in the OHCQ to encourage compliance efforts and best practices. The unit consists of a team of five nurses, one dietician, and a manager who are separate from and independent of the federal survey team. This unit is supported by $400,000 in state general funds. The state believed that t