Hospital progress最新文献_第2页

Report of the Catholic Health Assembly. 天主教卫生大会报告。

Hospital progress Pub Date : 1984-07-01

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CEO's challenge: balance fiscal solvency, service to poor. CEO的挑战:平衡财政偿付能力，服务差。

Hospital progress Pub Date : 1984-07-01

W C Finlayson

{"title":"CEO's challenge: balance fiscal solvency, service to poor.","authors":"W C Finlayson","doi":"","DOIUrl":"","url":null,"abstract":"Competitive practices and the prospective payment system are among factors challenging Catholic health care facilities' commitment to serve the poor and elderly and to provide individualized care. To concentrate their mission on services to the marginated and thus alienate other payer groups through inability to compete in either services or price is fiscal suicide. Sponsors and CEOs of Catholic facilities are exploring creative solutions to this dilemma: Revising the mission statement. The facility may restate its goals--e.g., to provide an \"adequate\" level of care and technology, rather than \"the best care possible;\" Changing delivery methods to focus on outreach services, ambulatory care centers, surgicenters, etc.; Finding new ways of providing charity care through endowment, trust, foundation, and unrelated business income. Corporate restructuring to generate income and protect the facility's asset base is being widely studied. Because many congregations sponsor several institutions, Catholic health facilities are well positioned to enter multi-institutional systems and participate in networking as a means to save money and to market services. Catholic health care facilities must form a nationwide system of influence in the growing public policy debate about access to and rationing of health care. Before these issues are resolved; Catholic facilities will continue to feel pressure to provide services beyond their means. The chief executive officer has four particular tasks during this period: To use an entrepreneurial approach to generate funds to support the facility's mission activity; To guide the board of trustees to accept multi-institutional arrangements; To raise legislators' and citizens' awareness of the institution's fiscal challenges; To motivate the institution's staff to provide individualized, compassionate care in spite of the depersonalizing effects of DRGs.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":75914,"journal":{"name":"Hospital progress","volume":"65 7","pages":"66-72, 84"},"PeriodicalIF":0.0,"publicationDate":"1984-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21134160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Interview with Sr. Mary Roch Rocklage, RSM. 采访玛丽·罗奇·罗奇，首席注册经理。

Hospital progress Pub Date : 1984-07-01

M R Rocklage

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How should Catholic hospitals allocate ICU admissions? 天主教医院应如何分配重症监护病房?

Hospital progress Pub Date : 1984-07-01

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Volunteer staff, hospital support free clinic for needy children. 志愿人员、医院支持贫困儿童免费诊所。

Hospital progress Pub Date : 1984-07-01

引用次数: 0

Cluster approach allows budgeting, planning with DRGs. 集群方法允许使用drg进行预算和计划。

Hospital progress Pub Date : 1984-07-01

P L Grimaldi

{"title":"Cluster approach allows budgeting, planning with DRGs.","authors":"P L Grimaldi","doi":"","DOIUrl":"","url":null,"abstract":"Measuring costs and revenues on a diagnosis related group (DRG) basis allows health care managers to define product lines, identify market shares, and examine the effects of case mix and physician behavior on profitability. It also enables public agencies to predict bed needs and evaluate certificate-of-need applications. The large number of DRGs, however, and other managerial considerations may discourage the use of DRG-based budgeting and planning. To save time and enhance data usefulness, financial officers may consolidate the DRGs into fewer groups. Revenue, for example, can be estimated by grouping the DRGs into 23 major diagnostic categories or by clustering them according to cost weight or into one group. Comparisons of payment rates and costs will identify the DRGs that lose money and will determine whether departmental costs are excessive. Strategic planning units formed from the 468 DRGs will help health care managers analyze and project performance. Product lines for this purpose may be clustered according to major diagnostic category, physician specialty, or clinical department. Since a potentially enormous amount of DRG-based clinical and financial information could be generated, hospitals should create data committees to ensure that managers receive only the information they need.","PeriodicalId":75914,"journal":{"name":"Hospital progress","volume":"65 7","pages":"73-9"},"PeriodicalIF":0.0,"publicationDate":"1984-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21180768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Reflections on Sr. Mary Angelina's dying. 对老玛丽·安吉利娜之死的反思。

Hospital progress Pub Date : 1984-06-01

R G Lanning

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The search for meaning: a pastoral response to suffering. 寻找意义:对苦难的牧灵回应。

Hospital progress Pub Date : 1984-06-01

R A Patterson

{"title":"The search for meaning: a pastoral response to suffering.","authors":"R A Patterson","doi":"","DOIUrl":"","url":null,"abstract":"To help those who suffer, pastoral care ministers must understand what suffering is, its meaning, and the hope that is offered in the Christian message. Suffering involves the entire person--body and spirit. Fear, stress, guilt, and other kinds of emotional distress are as much a part of suffering as physical symptoms. The sufferer sees his or her wholeness being threatened, and seeks explanations for the suffering. The pastoral care minister must help the sufferer to understand that suffering is not divine retribution but a call to discipleship . Because in Jesus' person God has suffered and known powerlessness, pain, and death, he not only understands the sufferer's needs but shares in them with compassion. To help the patient transcend suffering and find its meaning in the context of faith and revelation, the minister must appreciate the patient as a complete, unique, and spiritual being. The minister must be the sufferer's friend, offering respect, tenderness, and love--not merely because the patient is suffering but because as a human being he or she is entitled to such care . Patients who experience such concern from another will be better able to value themselves in moral and ethical terms, experience oneness with the suffering Christ, and triumph over suffering and death.","PeriodicalId":75914,"journal":{"name":"Hospital progress","volume":"65 6","pages":"46-9"},"PeriodicalIF":0.0,"publicationDate":"1984-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21134807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Prospective payment's impact on ancillary services. Pastoral care, social services: role in reducing medical costs. 预期付款对辅助服务的影响。教牧关怀、社会服务:在降低医疗费用方面的作用。

Hospital progress Pub Date : 1984-06-01

L C Homer, M A Hamilton

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Bioethics course helps care providers clarify values. 生物伦理学课程帮助护理人员澄清价值观。

Hospital progress Pub Date : 1984-06-01

引用次数: 0