When the Health Care Financing Administration implemented the Medicare prospective payment system (PPS), several types of hospitals and hospital units were excluded from the new reimbursement system, and they remained under the reasonable cost reimbursement system, subject to the target rate of increase limits. The implementation of PPS has been accompanied by several changes in hospital classi...

PURPOSE To determine whether a palliative care (PC) consult service in a long-term care (LTC) facility would result in a more favorable course of treatment and clinical outcomes for participating residents. DESIGN AND METHODS We used a historical control design within a single LTC facility. Outcome data and potential confounding variables were obtained using the Minimum Data Set. (Health Care...

the united states president’s emergency plan for aids relief (pepfar) emphasizes health systems strengthening as a cornerstone of programmatic success. health systems strengthening, among other things, includes effective capacity building for clinical care, administrative management and public health practice. avante zambéziais a district-level in-service training program for administrative sta...

Sterile compounding in hospital, home care, and ambulatory care settings is undergoing changes. Barrier-isolation technology for the preparation of sterile compounding is becoming available. The regulatory influence of state boards of pharmacy and the Food and Drug Administration (FDA) on maintaining the sterility of parenteral products and that of the Occupational Safety and Healthy Administra...

We are on the eve of a revolution in health policy that will forever change our way of thinking about health and healthcare. A few years from now, our vision of the organization and the administration of healthcare services will be transformed.   This is not a revolution born out of crisis, albeit the financial pressure on public and private funders of healthcare is clearly at play. It has not ...

Background Kenya introduced a free maternity policy in 2013 to address the cost barrier associated with accessing maternal health services. We carried out a mixed methods process evaluation of the policy to examine the extent to which the policy had been implemented according to design, and positive experiences and challenges encountered during implementation.   Methods We conducted a mixed met...