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 launch of HealthCare.gov, the website of the Affordable Care Act (AKA Obamacare), was a major public relations disaster for the Obama administration. This case examines some of the factors that contributed to the failure of the launch and then details how Optum, an information technology service provider, considered the opportunity provided by…

A plan that offers college employees an incentive to contain health care insurance costs is outlined. It consists of three parts: the institution's offering of coverage for claims above a certain level; an employee deductible; and an accounting system that rewards employees for keeping health care costs down as well as involving them in management…

Factors affecting the optimal size of an integrated health care delivery system in an academic medical center are discussed, including: the institution's structure for survival; technology, innovation, and health care costs; and specific characteristics of the institution's education, research, and patient care missions. Several alternative…

The composition and functioning of three specific models of student involvement in university health services are examined for ways in which such involvement may facilitate smoother program operation and meeting of student needs. (Author/MJB)

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…

Health Maintenance Organization (HMO) "risk contracts," under which HMOs cover Medicare-eligible individuals, are explained; and the costs, benefits, and coverage are compared with those of other managed care options. Employers with retiree medical plans are encouraged to consider using HMO risk contracts for both short- and long-term…

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…

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…

This workbook is organized around 15 guidelines for improving health care for foreign students in the United States and U.S. students abroad. Each guideline is described in a chapter followed by self-assessment questions enabling the evaluation of the adequacy of campus health programs. Each chapter concludes with an invitation to outline goals…

A 1991 survey of 51 U.S. and Canadian dental schools and a 1993 survey of 43 schools investigated perceptions of the best ways to manage dental students' clinical experiences. Most schools used a comprehensive care system, suggesting a strong trend in this direction. (MSE)