Healthcare Management White Papers Written by Healthcare Management Experts from the Healthcare Management Industry

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	White Paper on Medical Financing April 27,2007 Insurance fills a useful social role, over-insurance or pre-paid medical care distorts the marketplace, encouraging over consumption and causing disproportionate price increases. Tax policy should not Andrew Schlafly, Esq., Jane M. Orient, M.D., Arizona, Association of American Physicians and Surgeons, I

	Health Information Technology: The End of Medicine as We Know It? April 30,2007 The health information technology (HIT) juggernaut is promisingï¿½or threateningï¿½to ram medicine into the 21 century, leaving behind hapless private physicians who arenï¿½t wired in. Practices with Jane M. Orient, M.D., F.A.C.P, Association of American Physicians and Surgeons, I

	Automatic Identification of Medical Devices August 31,2006 In 2004, the U.S. Food and Drug Administration (FDA) published a final rule that will require bar codes on human drugs and biologics by 2006; however, this rule ECRI, -, ECRI

	Recognition of Delirium in ICU Patients: A Diagnostic Study of the NEECHAM Confusion Scale in ICU Patients August 31,2006 Background: A delirium, is a serious, high-frequency complication in intensive care unit (ICU) patients. The consequences of this complication range from high morbidity and mortality to greater need Henny EM Immers, Marieke J Schuurmans and Jaap J v, -, BMC Nursing

	A Coarse-To-Fine Approach To Prostate Boundary Segmentation In Ultrasound Images August 31,2006 Background: In this paper a novel method for prostate segmentation in transrectal ultrasound images is presented. Methods: A segmentation procedure consisting of four main stages is proposed. Farhang Sahba, Hamid R Tizhoosh and Magdy M Salama, -, University of Waterloo

	Is RFID ready for Healthcare? Yes, If RFID is focused on Addressing Healthcare's Needs December 01,2006 Mobile Aspects has taken the initial approach of aligning its RFID based solutions to meet those needs. In developing and deploying the IRI Supplyï¿½ system at some of Mobile Aspects, Pennsylvania, Mobile Aspects

	Clinical Characteristics of Emergency Department Heart Failure Patients Initially Diagnosed as Non-Heart Failure December 05,2006 Over 80% of heart failure inpatient admissions originate in the emergency department. Previous studies have suggested an emergency department misdiagnosis rate of 10–20% [1, 2]. Despite this high Sean P Collins,Christopher J Lindsell, W Frank Peacock,Daniel C Eckert, Jeff Askew,Alan B Storrow

	The Difficult Doctor - Characteristics of Physicians Who Report Frustration with Patients December 05,2006 Literature on difficult doctor-patient relationships has focused on the "difficult patient." Our objective was to determine physician and practice characteristics associated with greater physician-reported frustration with patients. Erin E Krebs,Joanne M Garrett, Thomas R Konrad, BioMed Central

	The Relationship between General Practice Characteristics and Quality of Care December 05,2006 The descriptive information now available for primary care in the UK is unique in international terms. Under the 'Quality and Outcomes Framework' (QOF), data for 147 performance indicators Mark Ashworth,David Armstrong, David Armstrong, London School of Medicine

	Terrorist Bombing December 05,2006 Bombings and explosion incidents directed against innocent civilians are the primary instrument of global terror. In the present review we highlight the major observations and lessons learned from Ami Mayo, Yoram Kluger, Bio Med Central

	Direct Hospital Costs of Chest Pain Patients Attending the Emergency Department December 05,2006 Chest pain is one of the most common complaints in the emergency department, but the cost of emergency department chest pain patients is unclear. The aim of this Jakob L Forberg,Louise S Henriksen, Lars Edenbrandt , Ulf Ekelund

	Business and Public Health Collaboration for Emergency Preparedness in Georgia December 05,2006 Governments may be overwhelmed by a large-scale public health emergency, such as a massive bioterrorist attack or natural disaster, requiring collaboration with businesses and other community partners to James W. Buehler,Ellen A. Whitney, Ruth L. Berkelman, Bio Med Central

	Effects of Self-Management Intervention on Health Outcomes of Patients with Heart Failure December 05,2006 Heart failure is the most common cause of hospitalization among adults over 65. Over 60% of patients die within 10 years of first onset of symptoms. The objective Aleksandra Jovicic,Jayna M Holroyd-Leduc , Sharon E Straus, University of Toronto

	Internal Medicine Specialists' Attitudes towards Working Part-Time December 05,2006 Although medical specialists traditionally hold negative views towards working part-time, the practice of medicine has evolved. Given the trend towards more part-time work and that there is no Marjolein Lugtenberg,Phil JM Heiligers, Judith D de Jong,Lammert Hingstman, BioMed Central

	Long-Term Consequences of Arsenic Poisoning During Infancy Due to Contaminated Milk Powder December 05,2006 Arsenic toxicity is a global health problem affecting many millions of people. The main source of exposure is drinking water contaminated by natural geological sources. Current risk assessment Miwako Dakeishi,Katsuyuki Murata , Philippe Grandjean, Bio Med Central

	Creating a Medical English-Swedish Dictionary Using Interactive Word Alignment December 05,2006 This paper reports on a parallel collection of rubrics from the medical terminology systems ICD-10, ICF, MeSH, NCSP and KSH97-P and its use for semi-automatic creation of an Mikael Nyström,,Magnus Merke, Lars Ahrenberg,Pierre Zweigenbaum, Håkan Petersson,Hans Ahlfeldt

	Dual use of Medicare and the Veterans Health Administration December 07,2006 Millions of veterans are eligible to use the Veterans Health Administration (VHA) and Medicare because of their military service and age. This article examines whether an indirect measure Fredric D Wolinsky,Thomas R Miller, Hyonggin An,Paul R Brezinski, Thomas E Vaughn,Gary E Rosenthal

	Conducting a Critical Interpretive Synthesis of the Literature on Access to Healthcare by Vulnerable Groups December 07,2006 Like many areas of healthcare practice and policy, the literature on access to healthcare is large, diverse, and complex. It includes empirical work using both qualitative and quantitative Mary Dixon-Woods, -, Bio Med Central

	Context-Sensitive Auto Associative Memories as Expert Systems in Medical Diagnosis December 07,2006 The complexity of our contemporary medical practice has impelled the development of different decision-support aids based on artificial intelligence and neural networks.Distributed associative memories are neural network models Andres Pomi, Fernando Olivera, Bio Med Central

	The Impact of Diabetes on One-Year Health Status Outcomes Following Acute Coronary Syndromes December 07,2006 Diabetes is an important predictor of mortality patients with ACS. However, little is known about the association between diabetes and health status after ACS. The objective of this Pamela N Peterson,John A Spertus,David J Magid, Fredrick A Masoudi,Kimberly Reid,Richard F Hamman, John S Rumsfeld

	Changes in Heart Failure Medications in Patients Hospitalized and Discharged December 07,2006 To date, evidence-based recommendations help doctors to manage patients with heart failure (HF). However, the implementation of these recommendations in primary care is still problematic as beneficial drugs Martin Scherer,Cordula Sobek, Dirk Wetzel,Janka Koschack , Michael M Kochen

	BMC Pregnancy and Childbirth January 01,2006 Background: This paper examines the practice implications of a policy initiative, namely, offering women in Ontario Canada up to a 60-hour postpartum in-hospital stay following an uncomplicated vaginal Dr. Susan Watt and Dr. Paul Krueger, Prof. Social Work & Asst dean; Sr. Research Asst, BioMed Central

	Wound Management: Using Levine’s Conservation Model to Guide Practice January 01,2006 Effective wound management is needed not only to generate positive patient outcomes, but also to reduce healthcare expenditure and demand on healthcare services. Implementing Levine’s four-principled conservation model Matthew Leach, Program Director, University of South Australia

	Improve Regulated Processes Right Now Through Large Scale Designed Experimentation January 01,2006 Nearly any change to FDA regulated manufacturing processes requires FDA approvals. Because of this, improvement efforts for already validated processes can prove time consuming, costly and Ronald D. Fritz, President and Founder , InSite Technologies, Inc.

	Why ``Radiation Oncology`` January 01,2006 Radiotherapy continues to be a major treatment for solid tumours and is a cornerstone of modern oncology. The term ‘radiation oncology’ describes the integration of radiation Claus Belka, Consultant in Radiation Oncology, Department of Radiation Oncology, University Tübin

	Assessing the Effect of HAART on Change in Quality of Life Among HIV-Infected Women January 01,2006 The impact of highly active antiretroviral therapy (HAART) on health related quality of life (QOL) of HIV-1 infected individuals in large prospective cohorts has not been well Stephen J. Gange, Associate Professor, Department Of Epidemiology

	Arsenic Contamination of Groundwater and Its Health Impact on Residents in a Village in West Bengal, India January 01,2006 An in-depth study was carried out in Rajapur, an arsenic-affected village in West Bengal, India, to determine the degree of groundwater contamination with arsenic and the impact of Dipankar Chakraborti, Dir. & Head, Jadavpur University

	From Zero to GUI January 01,2006 The Department of Health and Human Services (HHS) has been gearing up for some time in converting the entire US healthcare system into an electronic medical record. Rodney H. Kay, President, Healthcare Informatics Technology Services, Inc.

	Aventail SSL VPNs: The Right Prescription for Healthcare January 01,2006 The healthcare environment is changing, and this evolution is impacting healthcare providers, physicians, and the technology that must support them. Doctors are more mobile than ever, frequently Aventail, Aventail, Aventail

	Improving Motivation among Primary Health Care Workers in Tanzania: A Health Worker Perspective January 01,2006 In Tanzania access to urban and rural primary health care is relatively widespread, yet there is evidence of considerable bypassing of services; questions have been raised about how Rachel N. Manongi, Administrator of the MPH Program, Department of Community Health, Tumaini Medical Co

	Development and Evaluation of an Open Source Software Tool for Deidentification of Pathology Reports January 01,2006 Electronic medical records, including pathology reports, are often used for research purposes. Currently, there are few programs freely available to remove identifiers while leaving the remainder Bruce A Beckwith, Department of Pathology, Beth Israel Deaconess Medical Center

	The dbMotion Solution January 01,2006 The medical world has made astounding progress in the past decade. Tools available to the caregiver are improving constantly, increasing diagnosis and treatment options. This trend has dbMotion, dbMotion, dbMotion

	DICOM Calibration for Medical Displays January 01,2006 As medical institutions conquer the challenges of implementing PACS for enterprise-wide softcopy viewing., attention has increasingly turned to quality assurance of display performance., calibration and finding ways to Adi Abileah, Chief Research Scientist, Planar Systems Inc

	Comparison of Adjuvant and Neoadjuvant Chemotherapy in the Management of Advanced Ovarian Cancer January 01,2006 There is a lack of clinical data on the validity of neoadjuvant chemotherapy in the treatment of ovarian cancer. The aim of this study was to compare the Arturas Inciura, Kaunas university of Medicine, Clinic of Obstetrics and Gynaecology

	The Current State of Information Technology in Critical Care Medicine January 01,2006 Since the introduction of the Internet to academic centers for routine communications, medical researchers and clinicians have used this media to disseminate information amongst their peers. This instantaneous David H Walker, Clinical Consultant, Futuretechnow

	The Effect and Mechanisms of Ultrasound Transducer Degradation on the Quality and Clinical Efficacy of Diagnostic Ultrasound Examinations January 01,2006 This paper focuses on the mechanisms and affects that element damage has on the overall quality and efficacy of the ultrasound study. An acoustic stack, the performance G. Wayne Moore, President and CEO, Sonora Medical Systems.

	Cultural Approach to HIV/AIDS Harm Reduction in Muslim Countries January 01,2006 Muslim countries, previously considered protected from HIV/AIDS due to religious and cultural norms, are facing a rapidly rising threat. Despite the evidence of an advancing epidemic, the Memoona Hasnain, Director of Research, Department of Family Medicine

	Clinical Presentation and Prognostic Factors of Streptococcus Pneumoniae Meningitis According To the Focus of Infection January 01,2006 We conducted a nationwide study in Denmark to identify clinical features and prognostic factors in patients with Streptococcus pneumoniae according to the focus of infection. Based on a nationwide Christian Ostergaard, Helle Bossen Konradsen, Susa, Serum Institute, Statens Serum Institute Denmark

	Pneumomediastinum as Initial Presentation of Paralytic Rabies January 01,2006 Rabies is readily diagnosed when it presents as the classic furious form. Paralytic and atypical forms can pose significant problems in diagnosis. Catastrophic incidents included 7 organ transplant recipients Pongtorn Kietdumrongwong, Thiravat Hemachudha, Department of Emergency Medicine, Medicine, King Chulalongkorn Hospital, Bangkok, Thailand

	Toxicity after Prolonged Administration of Intravenous Colistin January 01,2006 The intravenous use of polymyxins has been considered to be associated with considerable nephrotoxicity and neurotoxicity. For this reason, the systemic administration of polymyxins had been abandoned Matthew E Falagas, Assistant Professor Medicine, Tufts-New England Medical Center

	Tuberculous Dilated Cardiomyopathy January 01,2006 Tuberculosis (TB) is a common public health problem in many parts of the world. TB is generally believed to spare these four organs-heart, skeletal muscle, thyroid and Ritesh Agarwal, Anshu Awasthi, Department of Pulmonary, Histopathology, Post-Graduate Institute of Medical Education and R

	Substituting Abacavir for Hyperlipidemia January 01,2006 Hyperlipidemia secondary to protease inhibitors (PI) may abate by switching to anti-HIV medications without lipid effects. An open-label, randomized pilot study compared changes in fasting lipids and HIV-1 Philip H Keiser, M.D. Chairman, University of Texas Southwestern Medical Center, D

	Emergency Vaccination of Rabies under Limited Resources – Combating or Containing? January 01,2006 Rabies is the most important viral zoonosis from a global perspective. Worldwide efforts to combat the disease by oral vaccination of reservoirs have managed to eradicate wildlife rabies Dirk Eisinger, Department of Ecological Modelling , UFZ-Centre for Environmental Research

	Bar Coding for Patient Safety January 01,2006 This whitepaper discusses about the various coding standards for the healthcare industry. The Institute of Medicine’s Quality Chasm report has crystallized attention on the human and economic HIMSS, HIMSS, HIMSS

	Optimizing Healthcare Facilities through a Workplace Resource Management Solution January 01,2006 Healthcare organizations face many parallel business issues, such as mergers and acquisitions, managing economic shifts, and eliminating redundant processes. By finding a way to Healthcare organizations, the CenterStone Software, CenterStone Software, CenterStone Software

	Achieving Complete Mobile Computing in Healthcare January 01,2006 Healthcare professionals continually strive to perfect the delivery of patient care. Over the past decade; technological advances have contributed to improvements in clinical productivity and reductions in medical Dr. Gregg Fine, Physician at Mount Auburn Hospital, Mount Auburn Hospital

	Efficacy of Two Distinct Ethanol-Based Hand Rubs for Surgical Hand Disinfection January 01,2006 Purpose of this whitepaper was to determine the efficacy of two distinct ethanol-based hand rubs for surgical hand disinfection in a controlled cross-over trial according to prEN 12791. Günter Kampf,Christiane Ostermeyer, Department of scientific affairs,microbiology, Bode Chemie GmbH

	Clinical-grade - A Foundation for Healthcare Communications Networks January 01,2006 Healthcare is adopting information technology as an integral part of clinical workflows and processes themselves. This places substantial demands upon the performance and behavior of such networks, especially Bruce Wallace,Lead Architect,Enterprise Soln.;, Alan Graves, Consultant, Advanced Network Soln, Nortel

	Purchasing Online Journal Access for a Hospital Medical Library: How to Identify Value in Commercially Available Products January 01,2006 Medical practice today requires evaluating large amounts of information which should be available at all times. This information is found most easily in a digital form. Some information Thomas P Carter, School of Clinical Medicine and Research, Librarian, Queen Elizabeth Hospital, St. Michaels

	On Pandemics and The Duty To Care: Whose Duty? Who Cares? January 01,2006 As a number of commentators have noted, SARS exposed the vulnerabilities of our health care systems and governance structures. Health care professionals (HCPs) and hospital systems that bore Carly Ruderman, Department of Family and Community Medicine, Primary Care Research Unit

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