Financial Analysis and Competitive Strategies for NORA

Author(s):  
Sanjana Vig ◽  
Steven Boggs

The scientific and technical principles that form the basis of anesthesia practice are transferrable to any location where patients require monitoring, analgesia, and hypnosis. Most growth seen in anesthesia services in the past decade has occurred in non–operating room anesthesia locations. Anesthesiologists are critical for the safe and efficient functioning of these locations. However, with the ever-increasing pressure to reduce total health care delivery costs, anesthesiologists need to understand some of the financial metrics that will be used to measure their contribution to these locations. Moreover, anesthesiologists must be willing to articulate the rationale for their presence in these areas: patient safety, patient comfort, and increased throughput, to name a few.

2021 ◽  
pp. 002203452110018
Author(s):  
J.T. Wright ◽  
M.C. Herzberg

Our ability to unravel the mysteries of human health and disease have changed dramatically over the past 2 decades. Decoding health and disease has been facilitated by the recent availability of high-throughput genomics and multi-omics analyses and the companion tools of advanced informatics and computational science. Understanding of the human genome and its influence on phenotype continues to advance through genotyping large populations and using “light phenotyping” approaches in combination with smaller subsets of the population being evaluated using “deep phenotyping” approaches. Using our capability to integrate and jointly analyze genomic data with other multi-omic data, the knowledge of genotype-phenotype relationships and associated genetic pathways and functions is being advanced. Understanding genotype-phenotype relationships that discriminate human health from disease is speculated to facilitate predictive, precision health care and change modes of health care delivery. The American Association for Dental Research Fall Focused Symposium assembled experts to discuss how studies of genotype-phenotype relationships are illuminating the pathophysiology of craniofacial diseases and developmental biology. Although the breadth of the topic did not allow all areas of dental, oral, and craniofacial research to be addressed (e.g., cancer), the importance and power of integrating genomic, phenomic, and other -omic data are illustrated using a variety of examples. The 8 Fall Focused talks presented different methodological approaches for ascertaining study populations and evaluating population variance and phenotyping approaches. These advances are reviewed in this summary.


PEDIATRICS ◽  
1994 ◽  
Vol 93 (4) ◽  
pp. 569-569
Author(s):  
J. F. L.

The direct costs of Canada's national health insurance are not as troublesome as the distortive effect they have on health care delivery. Health care facilities have been forced to cut back severely on their capital expenditures, thus depleting the availability of advanced medical equipment. As a result, many patients must seek advanced treatment elsewhere. According to a recent study reported in the New England Journal of Medicine, nearly one-third of Canada's doctors have sent patients outside the country for treatment during the past five years. About 10% of all British Columbia residents requiring cancer therapy have been sent to the U.S. In Toronto, because the government doesn't provide enough money for personnel, 3,000 beds have been removed from service, while thousands of patients are on waiting lists for admission. Even where advanced equipment is available, bureaucratic absurdities prevent proper use. According to the April issue of "Fraser Forum," dogs at York Central Hospital in metropolitan Toronto were able to get CAT scans immediately while humans were put on a waiting list. The reason? Canadian patients are not allowed to pay for CAT scans, and the procedure costs too much to operate more than a few hours a day for nonpaying customers. Dog owners, on the other hand, were permitted to pay to use it. The user fees paid by the dog owners allowed the machine to operate longer, thus more human patients could be scanned. When this information was released, instead of considering user fees for humans, the Canadian government banned the tests for dogs!


PEDIATRICS ◽  
1976 ◽  
Vol 57 (5) ◽  
pp. 813-814
Author(s):  
Robert D. Burnett ◽  

During the past several years as Chairman of the American Academy of Pediatrics' Committee on Pediatric Manpower I have witnessed the development of the concept of the pediatric nurse associate (PNA) within the specialty of pediatrics. In addition, I have also been aware of the controversies within the AAP membership regarding the role of the PNA in child health care delivery. Many of you will recall the concern of the mid-1960's which widely publicized an impending catastrophic shortage of pediatricians.


1977 ◽  
Vol 7 (3) ◽  
pp. 383-400 ◽  
Author(s):  
Sally Guttmacher ◽  
Ross Danielson

Since the popular revolution in 1959, alterations in the organization and delivery of health care in Cuba have paralleled the country's broader political, economic, and social changes. This paper discusses the evolution of the Cuban health care system during the past seventeen years within the wider context of societal development. The authors compare three “snapshots” of Cuba, the first in 1959, the second in 1970, and the last in 1976, and touch upon such issues as the organization of health care delivery, the recruitment and socialization of health workers, and aspects of the process of receiving health care. They point out that the Cuban experience should be of particular interest to the developing world. For though it is true that a larger portion of Cuban national resources has been directed to the health and social services than in other developing countries, nonetheless, it was largely through the reorganization and equalization of the prerevolutionary health care system that improvement in the health status of the population was achieved. It appears that Cuba could well serve as an example for those who are skeptical about the possibility of combining technical development with improvement in the humane quality of care.


Author(s):  
John J. Lucas

<p class="Style" style="text-align: justify; margin: 0in 36.1pt 0pt 0.5in;"><span style="font-size: 10pt; mso-bidi-font-style: italic;"><span style="font-family: Times New Roman;">This paper examines the health care delivery crisis that has emerged in corporate America. Health care costs now account for 17% of the total GDP with the United States spending two trillion in health care costs (Herzlinger, 2007). The paper also discusses the major strategies that business leaders have implemented to reduce health care delivery costs while maintaining quality care for their employees. The effectiveness of these strategies to contain health care costs will also be addressed. </span></span></p>


1981 ◽  
Vol 9 (4) ◽  
pp. 371-377 ◽  
Author(s):  
John L. Boor ◽  
Douglas C. Schaad ◽  
Franklin W. Evans ◽  
Charles W. Dohner ◽  
M. Roy Schwarz

In the past decade, communication satellites have assumed an increasingly significant role in meeting world communication needs. Advocates project vast arrays of potential utilization for this distance independent technology. Such expansion of use depends upon user acceptance, a variable which has as a requisite dimension, the perception of trouble-free operation and similarity with face to face verbal interaction. Following two hundred twenty-two satellite-mediated broadcasts, the authors review the variety of user-related pitfalls which occurred during this experiment in health education and health care delivery. Specific consideration is given to those problems which need to be remedied for a “user acceptable” system of satellite communication in the health care arena. Though the technical system works, it is suggested that additional emphases upon participant acceptance are necessary before the technology will be widely accepted and utilized.


1996 ◽  
Vol 5 (4) ◽  
pp. 493-499
Author(s):  
Jonathan D. Moreno

If economics has been the “dismal science” of the past century, health policy promises to be that of the next. Health policy issues evoke far less passion than the emotion-laden immediacies of bedside decision making. Nevertheless, it is patent that “macro” issues in all their obscurity and complexity are unavoidable if the health care delivery system of the future is to be fiscally sound and publicly acceptable. In addition, as Americans are now learning, options for care at the bedside are ineluctably constrained by seemingly distant societal choices.


1982 ◽  
Vol 7 (2) ◽  
pp. 119-128 ◽  
Author(s):  
E. Lambo

All national development plans of Nigeria in the past have stressed that the health care delivery system should be changed from its curative bias to a preventive bias because many of the diseases in the country are preventable. Nevertheless, they were "not able to achieve much success. In the current development plan, however, measures have been taken to correct some of the weakness of the earlier plans. The paper discusses these efforts to develop a health care delivery system in the country. Some of the factors to be considered in order to achieve Treasonable success are discussed in this paper. An optimization-simulation study of a rural health centre indicates the considerable improvements that can be brought about by a proper allocation of the personnel to the various activities and by appropriate changes in operating policies.


Author(s):  
Matthew H. Bonds ◽  
Andres Garchitorena ◽  
Paul E. Farmer ◽  
Megan B. Murray

Over the past two decades, the global health agenda has increasingly embraced the concept of sustainable development in pursuit of solutions at the “systems” level. A central challenge is that the relevant social, economic and biophysical systems that influence human health and well-being operate at difference spatial and temporal scales and scopes of problem solving. Here, we explore three interconnected self-reinforcing systems of central importance to planetary health: the ecology of poverty, the ecology of disease, and systems of health care delivery. We frame these issues to inform how practical interventions can be implemented and studied to create practical systems-level change at the ground level and establish methods for evaluating that change and produce transferable knowledge for scaling or replication.


PEDIATRICS ◽  
1988 ◽  
Vol 82 (3) ◽  
pp. 469-476 ◽  
Author(s):  
David O. Chastain ◽  
Joe M. Sanders ◽  
Robert H. DuRant

In an attempt to examine the extent of implementation of the recommendations issued by the Task Force on Pediatric Education for increased emphasis on adolescent medicine during residency training, pediatricians' perceptions of their skills and abilities to provide health care to adolescents were evaluated. A sample of 558 pediatricians selected at random and 385 members of the American Academy of Pediatrics' Section on Adolescent Health (SAH) completed a 41-item questionnaire. The physicians' perceived levels of skill in ten areas were analyzed while simultaneously assessing the impact of SAH membership, year of graduation from medical school, gender, and percentage of practice time devoted to adolescents on each issue. SAH members, as expected, ranked their levels of skill significantly higher than did the other pediatricians in all areas surveyed. A significant percentage of the SAH pediatricians, however, indicated that their skills were acquired through postresidency fellowship training. There was an increasing trend among all pediatricians in their perceived levels of skill to deliver health care to adolescents during the past several decades, but there has been no appreciable increase in such perceived skill levels since the task force issued its recommendations. In fact, pediatricians graduating from medical school in the decade prior to 1976 who are not SAH members ranked their skills higher than did non-SAH pediatricians who graduated in the past 10 years. These data lead to the conclusion that the recommendations of the Task Force on Pediatric Education have not been adequately implemented.


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