[Federal Register: December 28, 2000 (Volume 65, Number 250)] [Rules and Regulations] [Page 82461-82510] [DOCID:fr28de00-29] BILLING CODE: 4150-04M DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary 45 CFR Parts 160 through 164 Rin: 0991-AB08 Standards for Privacy of Individually Identifiable Health
Moving People from Welfare to Work. Lessons from the National Evaluation of Welfare-to-Work Strategies.. Education and Training Reconsidered: Can they be made more effective?
The NEWWS findings should not be taken as a general indictment of the benefits of education and training in welfare-to-work programs.
Reasons for Measuring Poverty in the United States in the Context of Public Policy — A Historical Review, 1916-1995. The Period Leading Up to the War on Poverty
In December 1959, the Joint Economic Committee of Congress published a paper on the low-income population by Robert Lampman, an economics professor at the University of Wisconsin at Madison; the paper was prepared in connection with a Committee study of employment, growth, and price levels. 27 The paper had been requested by the Committee,
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 We interviewed the following individuals during our site visit to Washington State: Dorothy Canavan, Lab Manager, Dynacare Jon Counts, Dr.P.H., Director, Public Health Laboratories Jac Davies, Health Services Administrator, Public Health Laboratories Daniel Jernigan, Medical Epidemiologist, Public Health Laborator
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
A central finding of this report is that there appears to be a widening gap between the public and private sectors in the area of information technology. Private sector funding appears to be outstripping public funding, and, as a result, the information infrastructure is simply not being built in PHLs. While the CDC does have a number of small gra
Just as the laboratory system in the private sector is consolidating in light of new technology and the need to achieve economies of scale, many believe that consolidation would also be desirable in the public sector. Why should there be 50 state PHLs when geographic borders bear little relation to population centers and disease burdens?
Public Health Laboratories and Health System Change . Positioning PHLs for the Future: The Federal Role
It was striking to us how many times interviewees stressed the need for federal leadership. While our report stresses the need for proactive change among states in defining, protecting, and enhancing the role of PHLs, some consideration of the federal role is clearly in order. The fragmentation of responsibilities vis-à-vis the labs within the CD
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
The growth of managed care is forcing clinical laboratories to produce rapid, efficient testing services and to focus on cost reduction. The clinical testing services market is highly competitive, with large independent reference laboratories increasing the standard in terms of technology, speed of testing, and price.
Many laboratorians interviewed suggested that the future of the commercial reference laboratory industry centered on the development of sophisticated informatics products that will be able to integrate laboratory results data with outcomes data from other health system players. Some large clinical laboratory companies have reported making large in
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
Most federal involvement with state PHLs is via the CDC. In addition, several other federal health agencies operate laboratories related to public health. FDA, EPA, USDA
Public Health Laboratories and Health System Change . Centers for Disease Control and Prevention and PHLs
Because of the close tie between the PHL core laboratory functions and the disease surveillance and epidemiology functions of the CDC, the greatest potential for collaboration between PHLs and the federal government lies within the CDC. The PHL relationship with the CDC is robust, and one that is important for national disease surveillance.
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 . 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
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
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