Discusses changes in contemporary health care services for rural Appalachians. Examines how rural services are affected by rising costs, technological advancement, aging population, system reorganization, and physician and nurse shortages. Profiles Appalachian Rural Health Program and National Health Service Corps. (TES)

Discusses the National Commission to Prevent Infant Mortality's research concerning infant mortality and low birth weight. Also discusses the Commission's public policy efforts regarding the health of children, infants, and pregnant women. (RJC)

Outdoor experiential program providers must be aware of certain issues in order to reduce or eliminate liability claims against their organization and employees. These include liability insurance, liability education, risk control, and record keeping. Recommends that all outdoor program providers provide risk management training to employees and…

For many colleges, universities, and teaching hospitals, the need to expand, renovate, or replace aging structures and equipment is crucial. Institutions need not be large and well known to tap nationwide capital pools. By using municipal bond insurance when issuing tax-exempt bonds for financing, they improve their credit rating and increase…

The Teachers Insurance and Annuities Association (TIAA) is criticized for inadequate financial disclosure of its mortgage and real estate investments, especially in the current market. A TIAA vice president responds that the company has not been remiss in reporting changes to its constituents and outlines its present financial status. (MSE)

Boston University (Massachusetts) developed and marketed a dental care plan to three colleges and universities in the Boston area. After 5 academic years of operation, the dental program has 16 institutional affiliates, increased its patient pool by almost 1,500, generated substantial revenue, and exposed dental students to an alternative dental…

The American Dental Association has a role to play in the increasing computerization of dental practices, including involvement in electronic media claims for insurance processing, information dissemination, and development of guidelines for electronic patient records. (DB)

Feature articles include the following: "Engaging with Guidance: Twenty Years of Educational Guidance for Adults" (Eagleson); "What Is Educational Guidance?" (Brown); "Guidance and Unemployment in Canada" (Edwards); "The Great Training Debate: Let's Have One!" (Imeson); "Educational Guidance and…

Through membership in intergovernmental cooperatives designed to provide liability protection, school districts can achieve greater control over insurance products at all levels. Defines terms, lists self-insurance pool contract provisions, and discusses dangers and miscellaneous issues for self-insurance pools. (MLF)

School boards in contract negotiations with teachers' unions can expect demands for fewer hours in the classroom, higher salaries, and better health care to dominate the talks. In addition, teachers will demand more training and support in dealing with students with disabilities, especially medically fragile children. (MLF)

Numerous studies have reported the deteriorating conditions in school buildings. One of the primary causes of this national problem is lack of proper maintenance of school facilities. Outlines a comprehensive assessment and planning process to provide a district with a road map for making decisions about facility improvement. (MLF)

Describes the Children's Health Matters project, which helps eligible families enroll their uninsured children in Medicaid and the State Children's Health Insurance Program. Lists strategies to be used by Catholic schools: connect children to health insurance through the School Lunch Program; distribute outreach materials; discuss this issue at…

Reviews current literature on school enrollment-based health insurance programs underway or pending in the United States, focusing on initiatives in Florida, New Hampshire, Arkansas, and Texas and discussing programs in several other states. The paper discusses problems with uninsuredness in the United States and examines innovations in child…

Because of the rise in litigation involving colleges and universities, basic information about liability insurance is provided. Administrators are warned that previously purchased liability insurance may not cover damages and losses incurred today, and that insurance companies often benefit from extended litigation. College counsel must understand…

Discusses the options for securing funding to provide assistive technology devices and services in service settings. Options include Medicaid, The School Health and Related Services Program, and The Early Periodic, Screening, Diagnosis and Treatment Program. Considers Medicaid payment requirements and private insurance as a funding source.…