The Changing Relationships in Transfusion Medicine

1999 ◽  
Vol 123 (8) ◽  
pp. 668-671
Author(s):  
Kathleen Sazama
Keyword(s):  
Risk Sharing ◽  
The United States ◽  
Marketing Strategies ◽  
Blood Collection ◽  
Bottom Line ◽  
For Profit ◽  
Not For Profit ◽  
Quality Of Patient Care ◽  
The Face

Abstract Maintaining quality in provision of transfusion services in the face of mergers, acquisitions, affiliations, and risk-sharing relationships between organizations that formerly conducted business in a traditional vendor-purchaser model is the ultimate challenge. Publications, both lay and professional, highlight the speed and nature of the impetus for change, especially in the United States, where managed care philosophies are driving a bottom-line mentality. Blood collection and transfusion organizations are developing new relationships, including entry of for-profit entities into a formerly virtually exclusively not-for-profit environment, provision of transfusion services by formerly exclusive blood collection entities and vice versa, outsourcing of selected portions, and other innovative relationships, with significantly more competitive marketing strategies. Measures of quality of transfusion services should benchmark current practices, if possible, before entering into new relationships to ensure that the quality of patient care remains high. Concerns about the fiscal viability of organizations should not minimize safety and availability of blood for transfusion when needed.

Multitasking in Nursing Homes: Differences Between For-Profit and Nonprofit Quality Outcomes

2018 ◽  
Vol 59 (6) ◽  
pp. 1034-1043
Author(s):  
Jennifer Gaudet Hefele ◽  
Xiao (Joyce) Wang ◽  
Christine E Bishop ◽  
Adrita Barooah
Keyword(s):  
Nursing Homes ◽  
Quality Measures ◽  
The United States ◽  
Quality Outcomes ◽  
For Profit ◽  
Not For Profit ◽  
Resource File ◽  
Improved Performance ◽  
Design And Methods

Abstract Background and Objectives Nursing homes (NHs) in the United States face increasing pressures to admit Medicare postacute patients, given higher payments relative to Medicaid. Changes in the proportion of residents who are postacute may initiate shifts in care practices, resource allocations, and priorities. Our study sought to determine whether increases in Medicare short-stay census have an impact on quality of care for long-stay residents. Research Design and Methods This study used panel data (2005–2010) from publicly-available sources (Nursing Home Compare, Area Health Resource File, LTCFocus.org) to examine the relationship between a 1-year change in NH Medicare census and 14 measures of long-stay quality among NHs that experienced a meaningful increase in Medicare census during the study period (N = 7,932). We conducted analyses on the overall sample and stratified by for- and nonprofit ownership. Results Of the 14 long-stay quality measures examined, only one was shown to have a significant association with Medicare census: increased Medicare census was associated with improved performance on the proportion of residents with pressure ulcers. Stratified analyses showed increased Medicare census was associated with a significant decline in performance on 3 of 14 long-stay quality measures among nonprofit, but not for-profit, facilities. Discussion and Implications Our findings suggest that most NHs that experience an increase in Medicare census maintain long-stay quality. However, this may be more difficult to do for some, particularly nonprofits. As pressure to focus on postacute care mount in the current payment innovation environment, our findings suggest that most NHs will be able to maintain stable quality.

THE INCEPTION AND EVOLUTION OF FINANCIAL REPORTING IN THE PROTESTANT EPISCOPAL CHURCH IN THE UNITED STATES OF AMERICA

1986 ◽  
Vol 13 (2) ◽  
pp. 55-63 ◽  
Author(s):  
G. A. Swanson ◽  
John C. Gardner
Keyword(s):  
United States ◽  
Financial Reporting ◽  
United States Of America ◽  
The United States ◽  
Episcopal Church ◽  
For Profit ◽  
Not For Profit ◽  
The Church

This research documents the emergence of accounting procedures and concepts in a centrally controlled not-for-profit organization during a period of change and consolidation. The evolution of accounting as prescribed by the General Canons is identified and its implementation throughout the church conferences is examined.

scholarly journals Purchasing Quality Nursing Home Care in the Veterans Health Administration

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Orna Intrator ◽  
Edward Alan Miller ◽  
Portia Y Cornell ◽  
Cari Levy ◽  
Christopher W Halladay ◽  
...  
Keyword(s):  
The United States ◽  
Veterans Affairs ◽  
Nursing Home Care ◽  
Veterans Health ◽  
Health Administration ◽  
Star Rating ◽  
For Profit ◽  
Veterans Affairs Medical Centers ◽  
And Performance

Abstract Background and Objectives U.S. Department of Veterans Affairs Medical Centers (VAMCs) contract with nursing homes (NHs) in their community to serve Veterans. This study compares the characteristics and performance of Veterans Affairs (VA)-paid and non-VA-paid NHs both nationally and within local VAMC markets. Research Design and Methods VA-paid NHs were identified, characterized, and linked to VAMC markets using data drawn from VA administrative files. NHs in the United States in December 2015 were eligible for the analysis, including. 1,307 VA-paid NHs and 14,253 non-VA-paid NHs with NH Compare measures in 128 VAMC markets with any VA-paid NHs. Measurements were derived from the Centers for Medicare and Medicaid Services (CMS) five-star rating system, NH Compare. Results VA-paid NHs had more beds, residents per day, and were more likely to be for-profit relative to non-VA-paid NHs. Nationally, the average CMS NH Compare star rating was slightly lower among VA-paid NHs than non-VA-paid NHs (3.05 vs. 3.21, p = .04). This difference was seen in all 3 domains: inspection (3.11 vs. 3.23, p < .001), quality (2.68 vs. 2.83, p < .001), and total nurse staffing (3.36 vs. 3.42, p < .10). There was wide variability across VAMC markets in the ratio of average star rating of VA-paid and non-VA-paid NHs (mean ratio = 0.93, interquartile range = 0.78–1.08). Discussion and Implications With increased community NH use expected following the implementation of the MISSION Act, comparison of the quality of purchased services to other available services becomes critical for ensuring quality, including for NH care. Methods presented in this article can be used to examine the quality of purchased care following the MISSION Act implementation. In particular, dashboards such as that for VA-paid NHs that compare to similar non-VA-paid NHs can provide useful information to quality improvement efforts.

Implementation of Wireless “Intelligent” Pump IV Infusion Technology in a Not-for-Profit Academic Hospital Setting

2007 ◽  
Vol 42 (9) ◽  
pp. 832-840 ◽  
Author(s):  
Lor Siv-Lee ◽  
Linda Morgan
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Hospital Setting ◽  
The United States ◽  
Main Campus ◽  
For Profit ◽  
Not For Profit ◽  
Drug Concentrations ◽  
Wireless Infrastructure ◽  
Infusion System

Purpose This paper describes the implementation of wireless “intelligent” pump intravenous (IV) infusion technology in a not-for-profit academic, multicampus hospital system in the United States. Methods The process of implementing a novel infusion system in a multicampus health care institution (main campus plus three satellite campuses) is described. Details are provided regarding the timelines involved, the process for the development of the drug libraries, and the initial implementation within and across campuses. Results In early 2004, with the end of the device purchase contract period nearing, a multidisciplinary committee evaluated potential IV infusion pumps for hospital use. In April 2004, the committee selected the Plum A+ infusion system with Hospira MedNet software and wireless capabilities (Hospira Inc., Lake Forest, IL). Implementation of the single-channel IV infusion system took place July through October 2005 following installation of the wireless infrastructure throughout the multicampus facility. Implementation occurred in July, one campus at a time; the three smaller satellite campuses went “live” before the main campus. Implementation of the triple-channel IV infusion system took place in March 2006 when the wireless infrastructure was completed and fully functional throughout the campuses, software was upgraded, and drug library revisions were completed and uploaded. Conclusion “Intelligent” pump technology provided a framework to standardize drug concentrations used in the intensive care units. Implementation occurred transparently without any compromise of patient care. Many lessons were learned during implementation that explained the initial suboptimal compliance with safety software use. In response, the committee developed strategies to increase software utilization rates, which resulted in improved acceptance by nursing staff and steadily improving compliance rates. Wireless technology has supported remote device management, prospective monitoring, the avoidance of medication error, and the timely education of health care professionals regarding potential medication errors.

scholarly journals Impact of a Dashboard to Improve Antimicrobial Stewardship in the Largest Not-For-Profit Healthcare System in the United States

2015 ◽  
Vol 2 (suppl_1) ◽  
Author(s):  
Roy Guharoy ◽  
Mohamad G. Fakih ◽  
Jeffrey Seggerman ◽  
Karen Smethers ◽  
Ann Hendrich
Keyword(s):  
United States ◽  
Healthcare System ◽  
Antimicrobial Stewardship ◽  
The United States ◽  
For Profit ◽  
Not For Profit

scholarly journals Data Discovery Systems for Not-for-Profit Organizations

2021 ◽  
pp. 536-548
Author(s):  
Joanna Palonka
Keyword(s):  
Resource Management ◽  
Information And Communications Technologies ◽  
Data Discovery ◽  
For Profit ◽  
Contemporary World ◽  
Not For Profit ◽  
Communications Technologies ◽  
Not For Profit Organizations ◽  
For Profit Organizations

Information and communications technologies (ICTs) change the organization's rules of functioning in the contemporary world. The major challenge facing each organization is the necessity to acquire/develop its ability to create, implement and use innovative ICT methods and techniques in all processes it carries out. The study is aimed at not-for-profit organizations. They are in need of organizational, financial, and technological changes in order to fulfil their mission and build their potential effectively. Under existing circumstances these organizations are forced to efficiently use data in resource management. They have to understand that modern ICTs bring internal benefits and contribute to higher efficiency as well as enhanced quality of the services they provide. Data Discovery Systems (DD) are one of the modern technologies which help in achieving these goals. The aim of this chapter is to present the possibility of using DD systems in effective resource management of not-for-profit organizations based on the case study of a selected organization.

scholarly journals PENGARUH STRATEGI PEMASARAN TERHADAP KEPUASAN WISATAWAN MELALUI KUALITAS PELAYANAN (STUDI KASUS OBYEK WISATA KEPULAUAN SERIBU)

2018 ◽  
Vol 13 (1) ◽  
pp. 90-104
Author(s):  
Sukarni Novita Sari
Keyword(s):  
Quality Of Service ◽  
Marketing Strategy ◽  
Structural Equation ◽  
Marketing Strategies ◽  
Equation Modeling ◽  
Tourist Satisfaction ◽  
Tourism Sector ◽  
Analysis Technique ◽  
The Face

Tourism sector became strategic and significant when it taken seriously and done professionally. Selling tourism products and services need not only a coordination, but a good cooperation between all organizations that are responsible for developing tourism sector and all parties involved or associated with tourism activities. One effort that can be done is to develop a marketing strategy that is expected to attract tourists back and also can create self-satisfaction in tourists.To obtain optimal results, this marketing strategy has a broad scope in the field of marketing of which is a strategy in the face of competition, pricing strategy, product strategy, service strategy and so on. Therefore, this study will analyze about the influence of marketing strategies and quality of service to tourist satisfaction.The method used in this research is quantitative with the questionnaire as a data collection tool to obtain the responses of the respondents regarding the variables in this study. The data analysis technique used in this research is Structural Equation Modeling (SEM). Respondents involved in this study are 120 tourists that also customers of CV Ryzqi Samudra.The research proves that the marketing strategy has a positive and significant impact on the quality of services and satisfaction of tourists. Variable quality of service also has a positive and significant impact on tourist satisfaction.

Governing Homelessness through Running

2019 ◽  
Vol 25 (2) ◽  
pp. 88-118 ◽  
Author(s):  
Bryan C Clift
Keyword(s):  
Social Life ◽  
The United States ◽  
The Body ◽  
Self In Relation ◽  
For Profit ◽  
Not For Profit ◽  
Development Organizations ◽  
Self Sufficiency ◽  
The Social ◽  
A Site

In the context of social welfare austerity and non-state actors’ interventions into social life, an urban not-for-profit organization in the United States, Back on My Feet, uses the practice of running to engage those recovering from homelessness. Promoting messages of self-sufficiency, the organization centralizes the body as a site of investment and transformation. Doing so calls to the fore the social construction of ‘the homeless body’ and ‘the running body’. Within this ethnographic inquiry, participants in recovery who ran with the organization constructed moralized senses of self in relation to volunteers, organizers, and those who do not run, while in recovery. Their experiences compel consideration of how bodily constructions and practices reproduce morally underpinned, self-oriented associations with homeless and neoliberal discourses that obfuscate systemic causes of homelessness, pose challenges for well-intentioned voluntary or development organizations, and service the relief of the state from social responsibility.

A Republic, If You Can Keep Its Elections Secure, Accurate, and Fair

2020 ◽  
Vol 48 (6) ◽  
pp. 667-669
Author(s):  
Martha Kropf
Keyword(s):  
United States ◽  
Data Collection ◽  
The United States ◽  
The World ◽  
The Face

We have kept our republic through a variety of localized disasters and various problem elections. The research presented here highlights the field of “Election Science and Administration” (ESA). Research in our field maximize our probability of continuing to keep our republic—even in the face of a pandemic which is a national—and international challenge. As the United States and the world deal with the specter of a pandemic election, the growth of the scholarly field designed to advocate for transparency in data collection and to improve the quality of elections is more important than ever.

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