Health Policy

Lobbyists: Ten Myths About Power and Influence

Lobbyists: Ten Myths About Power and Influence
Health Politics & Policy, Jan 2008, 4th ed.

Kersh, R.
01/01/2008

The fourth edition of Health Politics and Policy examines the political arena in which United States health care policies are made, and provides a framework for understanding how the process works. This book conveys the excitement of health care politics and covers the issues facing the American health care system. Factors that shape health policy are discussed in detail, including values, private players, and government, as well as the resulting dynamic of these forces. A comparison of the U.S. system to others offers a foundation for understanding our system within an international context.

Race Realities in New York City

Race Realities in New York City
The Human Rights Project At the Urban Justice Center

Women of Color Policy Network
12/01/2007

Released in partnership with the Human Rights Project of the Urban Justice Center, this shadow report highlights the persistent discrimination experienced by people of color and immigrants in NYC and brings attention to the failure of the City to meet its full obligations under CERD.

Improving The Management Of Care For High- Cost Medicaid Patients

Improving The Management Of Care For High- Cost Medicaid Patients
Health Affairs, Nov/Dec 2007, Vol. 26 Issue 6, p1643-1655, 13p.

Billings, J. & Mijanovich, T.
11/01/2007

The article discusses the improvement of care management for high-cost Medicaid patients. It explores on Medicaid budgets which have prompted policymakers to redouble efforts to explore ways of boosting efficiency in care delivery, particularly for people with high-cost and chronic conditions. It also illustrates John Billings and Tod Mijanovich's article which examines the cost-effectiveness of care management for chronic disease patients treated in fee-for-service practice. The authors present an algorithm that identifies patients at high risk of future hospitalizations and offer a business-case analysis about the rate of reduction in future hospitalization and the cost of the intervention.

Some Reflections On A Few Of The Pitfalls In The World Of Foundation Grant Making

Some Reflections On A Few Of The Pitfalls In The World Of Foundation Grant Making
Health Affairs, Nov/Dec 2007, Vol. 26 Issue 6, p1772-1775, 4p.

Billings, J.
11/01/2007

This paper offers some reflections on the grant-making process from a former foundation executive. Some of the opportunities, challenges, and pitfalls inherent in the foundation world are described, and one approach to grant making, the "call for proposals," is examined as an example of the need for greater attention to and investment in the science of grant making itself, to maximize the potential return from philanthropy.

The President's Proposed Standard Deduction for Health Insurance: Evaluation and Recommendations

The President's Proposed Standard Deduction for Health Insurance: Evaluation and Recommendations
National Tax Journal, Sep 2007, Vol. 60 Issue 3, p433-454, 22p.

Burman, L.E., Furman, J., Leiserson, G. & Williams Jr, R.C.
09/01/2007

The President's proposal to replace the current exclusion of employer-paid health insurance premiums with a standard deduction for qualifying health insurance would level the playing field for employment-based coverage and private plans but would risk the loss of insurance for many workers, threaten existing risk- sharing pools, and unfairly favor the wealthy. This paper evaluates the President's plan, suggests changes that would improve it, and assesses alternatives that would address the plan's shortcomings and improve its likelihood of expanding coverage to many families who now lack insurance.

Notes from the Field: Jumpstarting the IRB Approval Process in Multicenter Studies

Notes from the Field: Jumpstarting the IRB Approval Process in Multicenter Studies
Health Services Research, Volume 42, Number 4, August 2007 , pp. 1773-1782(10) Blackwell Publishing.

Blustein, J., Regenstein, M., Seigel, B. & Billings, J.
08/01/2007

Objective. To identify strategies that facilitate readiness for local Institutional Review Board (IRB) review, in multicenter studies.

Study Setting. Eleven acute care hospitals, as they applied to participate in a foundation-sponsored quality improvement collaborative.

Study Design. Case series.

Data Collection/Extraction. Participant observation, supplemented with review of written and oral communications.

Principal Findings. Applicant hospitals responded positively to efforts to engage them in early planning for the IRB review process. Strategies that were particularly effective were the provisions of application templates, a modular approach to study description, and reliance on conference calls to collectively engage prospective investigators, local IRB members, and the evaluation/national program office teams. Together, these strategies allowed early identification of problems, clarification of intent, and relatively timely completion of the local IRB review process, once hospitals were selected to participate in the learning collaborative.

Conclusions. Engaging potential collaborators in planning for IRB review may help expedite and facilitate review, without compromising the fairness of the grant-making process or the integrity of human subjects protection.

The Effects of Acculturation on Asthma Burden in a Community Sample of Mexican American Schoolchildren

The Effects of Acculturation on Asthma Burden in a Community Sample of Mexican American Schoolchildren
American Journal of Public Health, Jul 2007, Vol. 97 Issue 7, p1290-1296, 7p.

Martin, M.A., Shalowitz, M.U., Mijanovich, T., Clark-Kauffman, E., Perez, E. & Berry, C.
07/01/2007

We sought to determine whether low acculturation among Mexican American caregivers protects their children against asthma. Methods. Data were obtained from an observational study of urban pediatric asthma. Dependent variables were children's diagnosed asthma and total (diagnosed plus possible) asthma. Regression models were controlled for caregivers' level of acculturation, education, marital status, depression, life stress, and social support and children's insurance. Results. Caregivers' level of acculturation was associated with children's diagnosed asthma (P=.025) and total asthma (P=.078) in bivariate analyses. In multivariate models, protective effects of caregivers' level of acculturation were mediated by the other covariates. Independent predictors of increased diagnosed asthma included caregivers' life stress (odds ratio [OR]= 1.12, P=.005) and children's insurance, both public (OR=4.71, P=.009) and private (OR = 2.87, P=.071). Only caregiver's life stress predicted increased total asthma (OR = 1.21, P=.001). Conclusions. The protective effect of caregivers' level of acculturation on diagnosed and total asthma for Mexican American children was mediated by social factors, especially caregivers' life stress. Among acculturation measures, foreign birth was more predictive of disease status than was language use or years in country. Increased acculturation among immigrant groups does not appear to lead to greater asthma risk.

Financial Management for Nurse Managers and Executives

Financial Management for Nurse Managers and Executives
3rd Edition, W.B. Saunders/Elsevier, Spring

Finkler, S.A., Kovner, C.T. & Jones, C.
04/01/2007

Covering the financial topics all nurse managers need to know and use, this book explains how financial management fits into the healthcare organization. You'll study accounting principles, cost analysis, planning and control management of the organization's financial resources, and the use of management tools. In addition to current issues, this edition also addresses future directions in financial management.

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