{"title":"Complaint-driven clinical policies and guidelines in emergency medicine.","authors":"E E Smith, Z R Chandler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Most clinical guidelines that have been promulgated are based on an established clinical diagnosis. Complaint driven, instead of diagnosis driven, clinical policies and guidelines are the norm in Emergency Medicine and present several unique challenges. This discussion is intended to help identify these issues and offer insights and practical solutions. An actual case study is also provided to illustrate the process.</p>","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"2 3","pages":"93-111"},"PeriodicalIF":0.0,"publicationDate":"1997-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20244946","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}
{"title":"A summary of U.S. physician workforce requirement: its impact on orthopedic surgery and otolaryngology.","authors":"R Puchalski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As healthcare experts continue to reform the United States healthcare system, greater attention is being given to the issue of the United States physician workforce. This article provides a synopsis of the present workforce issue and then addresses these issues from the perspective of subspecialty surgery by using two fields as examples.</p>","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"2 3","pages":"123-35"},"PeriodicalIF":0.0,"publicationDate":"1997-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20244950","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}
{"title":"The impact of surgical physician assistants on the delivery of modern healthcare.","authors":"J L DeLamielleure","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article will examine the impact of the use of physician extenders, specifically physician assistants and surgical physician assistants, on various pertinent healthcare issues. These issues include cost containment strategies, physician productivity, reimbursement, liability, manpower issues, and continuity and quality of patient care.</p>","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"2 3","pages":"136-41"},"PeriodicalIF":0.0,"publicationDate":"1997-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20244952","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}
{"title":"Self-reported cost of illness and health-related quality of life.","authors":"T G Ganiats, W J Sieber, M Weisman","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate how well a rapid, self-report of the costs of illness correlates with health-related quality of life.</p><p><strong>Methods: </strong>A total of 211 patients, participating in a clinical trial of an arthritis medication, completed a Quality of Well-being scale interview and an 18-item self-assessment of healthcare utilization. Subjects completed both these instruments at each of three time points during the trial.</p><p><strong>Results: </strong>Correlations between the measures and across time suggest that patient-reported costs are associated with quality of life and function.</p><p><strong>Conclusions: </strong>A self-reported cost of illness measure may provide valuable information. With the increase move to assess cost as well as health outcomes, such rapid self-report techniques may prove useful to health services researchers, healthcare system managers, and clinicians.</p>","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"2 2","pages":"57-62"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20159549","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}
{"title":"Clinical pathway for pneumonia.","authors":"H Zhang","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"2 2","pages":"88"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20159551","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}
{"title":"Benchmarking emergency medical services/trauma systems funding in the United States.","authors":"D G Goodspeed","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"2 2","pages":"45-51"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20159536","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}
{"title":"The \"success test:\" validating the competencies required for healthcare leadership.","authors":"M D McCorcle, N S Heet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A leadership competency model was tailored to the culture and strategic direction of BJC Health System by correlating indicators of effective leader behavior with measures of success in the organization. We present the competency model, describe how it was derived, and enumerate ways it will be used to support BJC's transition to an integrated healthcare delivery and financing system.</p>","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"2 2","pages":"63-70"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20159539","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}
{"title":"Benchmarking outcomes for diagnosis and AMI: a multidisciplinary hospital performance improvement project.","authors":"A H Rosenstein, A Swedlow, T Simons","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A multihospital process improvement study was designed to evaluate outcomes related to the treatment of Acute Myocardial Infarction (AMI). Time to diagnosis, time to intervention and outcomes of treatment were assessed through a risk adjusted database allowing individual hospital comparisons to benchmark results.</p>","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"2 2","pages":"71-81"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20159541","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}
M A Schnitzler, R S Woodward, L M Mundy, R D Sutter, S B Boxerman, W C Dunagan
{"title":"Impact of risk adjustment estimators on ranking physician costs for pneumonia.","authors":"M A Schnitzler, R S Woodward, L M Mundy, R D Sutter, S B Boxerman, W C Dunagan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"2 2","pages":"82-7"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20159545","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}
{"title":"Are gatekeepers necessary?","authors":"L K Brunner, M M McKnight","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Primary care physicians, acting as gatekeepers, are being used in an attempt to better control rising healthcare costs. However, the success of gatekeepers is difficult to measure because of the lack of data. The purpose of this article is to outline the function of gatekeepers, address the complications in measuring the benefits, and propose methods for further studies. In addition, we hope to foster a sense of responsibility and emphasize the importance of sharing data among organizations involved in the delivery of healthcare.</p>","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"2 2","pages":"52-6"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20159535","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}