Administrator Jennifer Stanton attempts to adopt an Electronic Health Records system at ComprehensiveCare, a multispecialty healthcare practice. Consultants from the vendor provide guidance to the organization, but do not provide that guidance in a way that the non-technical administrator understands. The project experiences escalation of…

After a prior failed adoption, ComprehensiveCare plans for a second attempt in adopting Electronic Health Records. The owner-physicians on the board of directors have replaced the administrator due in part to the missteps of the prior adoption. William Shoemaker, the new administrator, must grapple with several important decisions to provide the…

ComprehensiveCare, a multi-specialty healthcare organization, struggles to implement Electronic Health Records. The first adoption failed outright because the customizations made the system unusable. The second attempted adoption has not officially failed yet, but the system fails to live up to the expectations. It lingers on the edge of…

The FNS Research Corner provides a continuing series to summarize recently completed and current research conducted by the U.S. Department of Agriculture's Food and Nutrition Service (FNS) in the area of child nutrition. Summaries of recently completed research projects and in-progress research are provided in this article.

This manuscript describes the development and testing of an Internet-based cost survey that was designed by the authors for the National Assembly on School-Based Health Care (NASBHC) to capture the costs of school-based health programs. The intent of the survey was twofold. First, the survey was designed to collect comprehensive data on costs in a…

The Universal Service Administrative Company (USAC) is an independent, not-for-profit corporation designated as the administrator of the federal Universal Service Fund (USF) by the Federal Communications Commission (FCC). USAC administers the Universal Service Fund and the four Universal Service programs: High Cost, Low Income, Rural Health Care,…

This paper presents the activities of the Universal Service Administrative Company (USAC) for 2009. The past year was one of accomplishment for USAC. USAC implemented a host of advances in operations, infrastructure, and outreach in an effort to continue to improve collection and disbursement of the Universal Service Fund (USF) support and to…

At the request of the government of Bangladesh the International Center for Diarrheal Disease Research, Bangladesh established the Maternal and Child Health-Family Planning (MCH-FP) Extension Project in 1982. This paper discusses: (1) the design of the MCH-FP; (2) the major characteristics of the national health and family planning program under…

This report reviews the financial history of one successful school health center, Commerce City Community Health Services (CHS), in Commerce City, Colorado. The report reviews the center's 20-year history to provide an example of how often and how notably a center's sources of financial support can change over years of operation. The story of…

This workshop was designed to provide opportunities for health professional schools to gain from an understanding of: (1) the major issues which face nutrition education; (2) promising practices in nutrition education from leaders in the field; (3) the need for nutrition education for all health professions; and (4) nutrition education curriculum…

A problem-oriented approach originally designed for patient record keeping by Dr. Lawrence Weed was adapted to facilitate decision making by administrators of student health care services at the University of Southern California. A description of the approach is given, and reactions of staff members are described. (PP)

The University of California (Davis) has revamped its workers' compensation program by improving accountability and safety, implementing safety training, informing workers of the costs of the workers' compensation program, designating a physician and physical therapist, giving light duty to injured employees, using sports medicine techniques, and…

The report provides Indian and Migrant Program Division managers and specialists in each of the 5 Head Start component areas with a comprehensive picture of the 43 home base learning centers operating between October 1978 and May 1979, with a total enrollment of 3,108 migrant children. Using data collected from the Head Start and center directors,…

An elective case study course involving graduate students from various health profession disciplines from two universities was developed to provide a forum for health care teams to discuss the philosophical and functional impact of situations and their alternative solutions. The nonclinical, administratively-oriented problem situations stressed…

A discussion of management issues at teaching hospitals reviews their history and examines specific challenges in this context, including the ill-defined middle management level, the relative roles of the manager and department heads, separation and integration of managerial, academic, and medical responsibilities, and financing from more than one…