This report describes the Children's Hospitals Graduate Medical Education (CHGME) program's (1) purpose and structure, (2) history, and (3) authorizations and appropriations. It also provides select program data, including the number of hospitals supported under the program, their location, the amount of funding they receive, and the number of…

Studies have shown the United States faces a shortage of physicians, making it increasingly difficult for people to access needed health care. Physicians need graduate medical education (GME) training before they can practice medicine independently and often practice in the same geographic area as their training. The vast majority of federal…

Since the U.S. military began fighting in Iraq and Afghanistan in 2002, approximately two million military children have seen a parent deploy into harm's way at least once, and many families have experienced multiple deployments. Most deployments end with a parent's safe return home, but more than 50,000 service members have been…

The governance options matrix is provided to offer a way for state and university policymakers to examine the functioning environments of specific university-owned public teaching hospitals. With it, they can consider the benefits and problems involved with different options for governance. The issues related to the environmental factors affecting…

Modern American medical education has its roots in the mid-nineteenth century when the idea of medical practice as an assortment of independent private ventures became institutionalized, and when the wealth of the industrial revolution led to the adoption of German standards of academic medical research. These events set the stage for our…

This report concerns the medical malpractice situation in the United States and contains information on the cost of malpractice insurance for physicians and hospitals. The report contains an executive summary and four chapters. Chapter 1 reviews the background of the problem and the objectives, scope, and methodology of the report. Chapter 2…

This book of essays focuses on the diminution of trust resulting from a perceived diminution in individual and institutional integrity as they relate to our university-based health educational and care programs. Following an introduction titled "Covenant, Leadership, and Value Formation in Academic Health Centers" (Roger J. Bulger), the first…

Comparison of the hospitalization experiences of 36 people with mental retardation under a managed care program model with those not enrolled (n=50) found that patients in the care coordination group had shorter hospital stays, fewer readmissions, and were less severely ill upon admission. Costs of care coordination were partially offset by…

This report concerns the Health Care Financing Administration's (HCFA) contracting with Utilization and Quality Control Peer Review Organizations (PROs) as a means of monitoring the medical necessity and quality of in-hospital care provided to Medicare beneficiaries. Findings from a HCFA survey of PROs in California, Florida, and Georgia are used…

At the request of Congressman William Green, the General Accounting Office (GAO) evaluated the validity of allegations about deficiencies in the New York State Department of Health's nursing home and hospital inspection processes for certification for participation in the Medicare and Medicaid programs. Health Care Financing Administration and…

The American Hospital Association's Commission on Workforce for Hospitals and Health Systems identified the workforce development related challenges facing health care institutions and issued a series of recommendations regarding how hospital leaders can build a thriving workforce. The change strategies identified by the commission were as…

This document presents the text of the Congressional hearing called to discuss the provision of health care services to people with Acquired Immune Deficiency Syndrome (AIDS) outside of hospitals, including home health care, hospice care, nursing home care, personal care and counseling, and other support services for patients and their families.…

This monograph presents state-wide financial data for higher education in New York. The information source was the Higher Education Data System. The data is presented in four tables for fiscal year ending 1991 that provide the following information: (1) a summary of current funds revenues by source in institutions of higher education; (2) a…

This report evaluates a Department of Defense (DOD) demonstration program that would provide trauma care training for military medical personnel through one or more public or nonprofit hospitals. Specifically, it examines DOD's actions to meet legislative requirements of the demonstration program; identifies other initiatives aimed at training…

This report summarizes the third phase of the Telecommunications Information Network (TIN), which provides a telecommunications link between four remote southwest Ohio hospitals and the University of Cincinnati Medical Center, thereby reducing the isolation of healthcare providers at the remote hospitals. A description of the system explains the…