Addresses issues related to administration of adventure programs, including liability, hiring well-trained staff, conducting safe activities, supervising safe adventure programs, maintaining appropriate facilities and equipment, keeping accurate records, posting information about potentially unsafe sites and activities, carrying adequate insurance…

The importance of communication between the college or university and its employees over health care reform is discussed. Communication needs that have emerged from the health care reform debate are examined, and elements in a successful organizational communication strategy are outlined. (MSE)

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…

Emergency department charts of 186 suspected preadolescent victims of sexual abuse (SSA) were compared with 623 patients evaluated for upper limb fracture. Hospital costs of SSA patients were more often and to a greater degree underwritten by the hospital itself because of lower reimbursement and a higher percentage of uninsured and publicly…

Describes duties and responsibilities of outdoor instructors under British criminal and civil law. Discusses elements of negligence under civil law including damage, duty of care, standard of care, in loco parentis, students' duty of care, foreseeability, and employer's legal duty. Presents risk management in terms of primary, secondary, and…

Explores the problems that embezzlement can cause to a child-care center and suggests ways to recover embezzled losses. Proposes accounting controls, fidelity insurance purchases, and criminal record checks of all prospective employees as some solutions for reducing the risk of embezzlement. (AA)

Increases in costs to colleges and universities for employee health insurance have risen as much as 20 to 30 percent annually, requiring adjustments to control costs, a new philosophy of sharing costs with employees, increased proportions of payroll (now 6.1 percent) going for health care costs, and reductions in work force size. (DB)

Increasingly, colleges are finding it hypocritical to have nondiscrimination policies protecting gay faculty and staff but deny benefits available to married employees. Institutions have adopted different criteria to determine who qualifies as a "spousal equivalent." The standards may face legal challenges from unmarried heterosexual couples. (MSE)

Health care reform needs to assure coverage to all children regardless of income level or illnesses; address benefits, financing, administration, and delivery systems; provide substantial subsidies to low-income families; be equitable for all people; provide better monitoring of child health; protect and strengthen health providers who assist…

Examines how health care reform might be structured to provide support for a package of primary care services for children of all socioeconomic strata. An insurance-like financing system, such as the special Medicaid payment system adopted by New York State for public and nonprofit primary health care programs, may be useful as a model for a…

Discusses the implications of the Medicare program's rate setting system on health care reform and considers whether such a procedure could be applied to a health insurance system that included children. Examines desirable characteristics of a provider payment system, special health needs of children, and hospital and physician payment issues.…

This article reviews court litigation to prevent school systems from drawing on a family's health insurance or other family resources to pay for required educational benefits such as physical and occupational therapy. Parents are encouraged to withhold insurance information from schools and get help from advocacy organizations. (DB)

Data were collected retrospectively from insurance information forms and histories of 111 patients (ages 14-84) referred to physical therapy for evaluation of back and/or neck pain. Analysis indicated that patients with compensable (work-related or motor vehicle accident) injuries infrequently acknowledged prior episodes of back or neck pain. (JDD)

Presents an annotated bibliography of 34 sources of information on various aspects of financial planning for libraries interested in building a core collection. Highlights include general advice, insurance guidelines, buying and selling homes, investment guides, women's special needs, retirement planning, periodicals, and investment newsletters.…

This article explains why college faculty benefit by taking large portions of their compensation in fringe benefits, presents data showing trends in the provision of fringe benefits to college and university employees, and suggests that academic supply and demand conditions during the 1990s may lead to resumption of the upward trend in…