Despite recommendations from numerous health care bodies, some hospitals that care for children have struggled to establish or expand pediatric pharmacy services. The current state of dedicated pediatric operational and clinical pharmacy services was characterized by results from a survey of hospitals that provide care to pediatric patients. The discussion of quality of care, safety, and financial impact is meant to provide concepts for justification of pediatric pharmacy service expansion.
In the current state of healthcare in the UK there is an urgent need for medical leadership and an increasing requirement for clinicians to become involved in management. The government's proposed reform of the NHS only reinforces the imperative for medical leadership to engage in setting standards, commissioning services, taking ownership of the agenda and thus seeking to restore professionalism. Success will drive up the quality of care for patients.
California’s state superintendent for the California Department of Corrections and Rehabilitation’s Office of Correctional Education explains how the department provides programming and teaches skills to both prisoners and parolees to reduce their reconviction or return-to-prison rate, three years after release from a CDCR institution.
This article focuses on some of the theoretical and practical issues involved with public proprietary correctional facilities as compared to private proprietary facilities as they are operated in California. Questions are raised about whose interests are served by public proprietary facilities and what some of the problems are. The California experience with contracting for public proprietary facilities is analyzed based on an audit done by the State Controller's Office that showed expenditures viewed as outside contract agreements. Six public proprietary facilities are in court with the California Department of Corrections to retain these funds. It appears that the process for contracting with public proprietary facilities in California was flawed. The fact that the experiment with public proprietary facilities in California had some problems may contain some lessons for the future operation of both public and private proprietary operations.
Pediatric Pharmacy Services: Current Models and Justification for Expansion