OBJECTIVES: Continuous quality improvement (CQI) offers opportunities to improve care in small-scale office-based practice. Little is yet known about the implementation of CQI in small primary care practices. We studied the attitudes of physicians and staff in small family practices to a model of CQI tailored to office-based practice setting. ...

OBJECTIVE: There is at present no comprehensive directory of medicines available in European countries. Such a directory would be valuable to policy analysts, clinicians, regulatory agencies, pharmaceutical companies and consumer groups. The aim of this project was to compile such a directory of all medicines marketed in each of the ...

The paper gives an account of the development and implementation of a stakeholder management framework at Ream National Park, Cambodia. Firstly, the concept of stakeholder is reviewed in management and in conservation literatures. Secondly, the context in which the stakeholder framework was implemented is described. Thirdly, a five-step methodological framework ...

While much of diagnostic radiology is practiced in a private setting, many of the papers and presentations describing picture archiving and communications systems (PACS) implementation to date have been sponsored by university and government health facilities. We will present a 4-year retrospective review of a private practice PACS project. The ...

Although any decision to purchase a piece of capital equipment involves a number of the organization's functions, the department manager has some significant responsibilities in the selection and acquisition of capital equipment. Except for unavoidable replacement of essential equipment that fails unexpectedly, capital purchases must ordinarily be planned in advance ...

The Interdisciplinary Generalist Curriculum (IGC) Project was a competitive, seven-year demonstration project funded by the Health Resources and Services Administration (HRSA). It was established to determine whether specific interdisciplinary innovations in preclinical medical school curricula could affect students' selection of careers in family medicine, general internal medicine, or general pediatrics. ...

OBJECTIVE: To develop and test a system for delivering a completed audit cycle for summative assessment of general practitioner registrars in the United Kingdom. DESIGN: A trainer-based questionnaire on criteria for a completed audit cycle, followed by two marking exercises of audit projects submitted by general practice registrars. SETTING: Training ...

Nova Southeastern University College of Osteopathic Medicine (Nova Southeastern) proposed for its IGC Project to match students with community-based generalist physician role models through partnership with a managed care organization (MCO). An unanticipated corporate merger between the initial managed care partner and another health plan resulted in Nova Southeastern's negotiating ...

Management is part of everyday life in emergency care. This project will hopefully bring alive management issues, give a "real" framework to assist the discussion of management theory and hopefully to entertain. We look forward to your feedback on the tasks and welcome ideas on how the St Jude's should ...

The five Nordic countries (Denmark, Finland, Iceland, Norway and Sweden) have a long tradition of collaboration in communicable disease epidemiology and control. The state epidemiologists and the immunisation programme managers have met regularly to discuss common challenges and exchange experiences in surveillance and control of communicable diseases. After the three ...

Accepted practice has been to design and operate reservoirs to fill with sediment, generating benefits from remaining storage over a finite period of time. The consequences of sedimentation and project abandonment are left to the future. This 'future' has already arrived for many existing reservoirs and most others will eventually ...

PROBLEM: Inefficiencies in managing office practices and costs. SOLUTION: Installation of an EMR in ambulatory practices to integrate clinical data from patient visits and use it to improve efficiencies "downstream". RESULTS: Marked reduction in costs of ambulatory practice management and major improvements in revenue capture, improved patient satisfaction. KEYS TO ...

Conventional wisdom has it that we already have enough science to address the problems causing degradation of our environment, including rivers. This is not true. However it is the case that we could be using existing knowledge better, and that we could be doing more to learn the lessons from ...

A main outcome of this paper is supposed to be a model of an effective management of projects in specific conditions of foreign aid programmes funded by the European Union. It was decided to fund three basic projects focused on the Health Care Financing, Health Management and Privatisation. All these ...

Program evaluation and review techniques (PERT) is an efficient tool for large project management. In actual project control decisions, PERT has successfully been applied to business management, industry production, project scheduling control, logistics support, etc. However, classical PERT requires a crisp duration time representation for each activity. This requirement is ...

The PACS committee plays a crucial role in attaining successful outcomes from a PACS implementation. However, most radiology departments do not organize and manage their PACS committees well. This has resulted in poor outcomes and inability to realize projected benefits and return on investment. Ideally, there are two PACS committees: ...

This project draws on scholarship of feminist and womanist scholars, and on results of interviews with scientists currently involved in molecular genetics. With reference to Margaret Urban Walker's "practices of moral responsibility," the social practices of molecular geneticists are explored, and strategies identified through which scientists negotiate their moral responsibilities. ...

Managing a group practice requires constant attention to financial and operational data to achieve a sustainable business concern. By identifying key performance areas, a group practice can gather, report, and analyze data that are readily available but often overlooked. Although performance indicators will not solve all management problems, the insight ...

Restoring an ecosystem to its preindustrial state can be very difficult or impossible. The great majority of restoration projects put a high priority on the biological requirements of endangered species, often drawing ecologists into volatile political controversies over the rights of humans versus those of wildlife. Meanwhile, resource managers struggle ...

Acedb is one of the more venerable pieces of Genomics software. Acedb was originally created in 1992 by Richard Durbin and Jean Thierry-Mieg to manage the data from the Caenorhabditis elegans mapping project and subsequently the C. elegans sequencing project. From beginnings as a C. elegans-specific tool, it has been ...

OBJECTIVE: To project the future supply of practicing subspecialists in obstetrics and gynecology based on the most recent numbers of physicians entering fellowships. METHODS: A discrete actuarial model was developed, and supply projections were examined using 1999 subspecialty fellowship numbers from the American Board of Obstetrics and Gynecology. RESULTS: The ...

OBJECTIVE: To develop an effective and practical self-administered obstetric audit program for use by clinicians within their own practice. SETTING: The private and public practices of specialists in provincial practice. SAMPLE: Two periods of 3 months in each Fellow's practice, separated by a period of 3 months to allow for ...

Telemedicine is widely defined as medicine performed at a distance by the means of telecommunication. It often proofs to fulfil both medical and technical acquirements, but often fails to reach large-scale use. The focus in evaluation of telemedicine projects generally concerns efficiency and economic issues. In this thesis I try ...

The purpose of this article is to describe the results of a clinical trial in which telephonic case management was evaluated as a supplement to substance abuse treatment. An interactive voice response system (IVR) was developed by the research team for use in the case management of randomly assigned participants ...

This paper reports the experience of a quality management project leading to an ISO 9001 certification in a Swiss regional hospital. It describes the motivations for the project, the process that was followed and the benefits of the approach. It also shows its limitations, problems encountered as well as costs ...

MedView is a joint project with participants from oral medicine and computer science. The aim of the project is to build a large database from patient examinations and produce computerized tools to extend, view, and analyze the contents of the database. The contents of the data base is based on ...

In clinical practice, technical skills often outweigh interpersonal and leadership skills as success factors--you can be a great doctor and a so-so person. But the reverse seems to be true in the physician executive role; it is precisely the intangible leadership skills that contribute to and determine potential success. And ...

Project management's ultimate measurement is the successful integration of new technology into the culture of the organization. The first and most crucial step in any implementation is the specification and subsequent selection of the equipment or technology. It is important to make the "right" choice--one where the technology provides value-added ...

Managing the renovation of an operating room is both challenging and rewarding. Good organizational and negotiating skills are needed for dealing with all of the various individuals and groups you will encounter as the project unfolds. Developing an operational plan will assist you to ensure your department continues to function ...

/ An important measure of the effectiveness of environmental impact assessment (EIA) is the extent to which it achieves its goals for environmental protection and management. To determine this requires an examination of environmental outcomes for projects that have undergone EIA. The utility of the predecision stages of EIA in ...

Construction and renovation of an operating room suite is an expensive and challenging project. Perioperative managers must use their knowledge and expertise to ensure that the vision of the facility is realized. Managers may be unfamiliar with facility planning and design and lack understanding of how to communicate effectively with ...

Making a wrong choice can severely affect even the best-managed implementation (and project manager's careers). There is simply no margin for error, so getting it right the first time is not merely an option--it is a prerequisite for success. This article will first review why projects fail, then highlight the ...

Projects often fall short of achieving their anticipated results, not due to a lack of project management, but rather from a lack of project leadership. Because project success is a direct reflection of the project manager, it is his or her responsibility not just to manage the details and report ...

In the Department of Defense (DoD), US Army Medical Command is now embarking on an extremely exciting new project--creating a virtual radiology environment (VRE) for the management of radiology examinations. The business of radiology in the military is therefore being reengineered on several fronts by the VRE Project. In the ...

This paper describes an audit of management supervision of tasks delegated to staff, covering general management, such as meeting health and safety requirements, and clinical management, such as changing of disinfectant solutions according to protocols. The project resulted in the establishment of a series of management check-lists which are illustrated.

OBJECTIVES: To evaluate the feasibility of a model for continuous quality improvement in small scale general practice and the improvement projects that practices ran after the introduction of continuous quality improvement. DESIGN: A descriptive study. SETTING: Twenty general practices in the Netherlands tested the model in an intervention period of ...

The nose is the most prominent aesthetic feature of the facial profile. Nasal length, tip rotation, and tip projection are integral aspects in analysis of the nasal profile. In most rhinoplasties the surgeon has the difficult task of increasing or maintaining tip projection of an underprojected or normally projected nasal ...

The RATEMA project is an international cooperation between the University of Ulm in Germany and the Urals Research Centre for Radiation Medicine in Chelyabinsk, Russia. For one year we conducted weekly conferences between the two sites, based on a satellite link with a 384 kbit/s connection. During the videoconferences the ...

The integration of outcomes management into organizational reengineering projects is often overlooked or marginalized in proportion to the entire project. Incorporation of an integrated outcomes management program strengthens the overall quality of reengineering projects and enhances their sustainability. This article presents a case study in which data, systems, and processes ...

Beginning researchers may not fully appreciate the complexity of implementing a study, or the degree of rigor and precision involved. Successful project management requires careful planning, conscientious follow-through, and continuous monitoring. Several aspects of project implementation are discussed: defining roles and responsibilities of project personnel, overseeing progress of the project, ...

In 1994, a Ph.D-study started regarding pharmacy, organization and management (APOM) in the Netherlands. The APOM-project deals with the structuring and steering of pharmacy organization. This article describes the summary of the empirical results of a survey in a relatively large sample (n = 169). Generalization to the population of ...

In 1994, a Ph.D.-study started regarding pharmacy, organization and management (APOM) in the Netherlands. The APOM-project deals with the structuring and steering of pharmacy organization. This article describes a summary of the theoretical background of the project and the empirical results of a pilot study (n = 24). No generalization ...

1. Project management skills are important to develop because occupational and environmental health nurses are increasingly asked to implement and manage health related projects and programs. 2. Project management is the process of planning and managing project tasks and resources, and communicating the progress and results. This requires the coordination ...

The influence of history on an organization is a powerful but often overlooked force. Managers, in their haste to build companies, frequently fail to ask such critical developmental questions as, Where has our organization been? Where is it now? and What do the answers to these questions mean for where ...

Change rarely comes easy. There are frequently obstacles of various shapes and sizes throughout the implementation process, and in order to ensure success a project manager must have the right tools and know how to use them. Just as craftspeople master the tools of their trade, so too must project ...

The formation of Kenyir Lake as part of a hydroelectric project in the 1980s caused much forest area to be submerged. From 1991, underwater divers were employed to log these sunken trees at depths of up to 100 meters. At least 6 mishaps involving underwater logging personnel were recorded from ...

(From the text): "Over the last couple of years I have led or been involved in several projects that have changed how the Department of Natural Resources, Washington State: approaches management of its assets. In the process the Department has challenged other agencies (Federal, State and local), private landowners, and ...

The objective of this article is to present real life examples of how one general dental group practice has integrated concepts of total quality management successfully into their practice. The specific steps taken include initial training, development of Personal Action Plans, Pre and Post Schedule Meeting project, Clinical Care Guidelines, ...

Effective delegation is a large of a manager's position. Physician executives are expected to be skilled delegators and able to lead team efforts to meet larger organizational goals. Delegation should be a five-step process: (1) Describe the results you want; (2) Listen for suggestions about how the task should be ...

OBJECTIVES: To assess the extent of junior doctor involvement in clinical audit, the degree of support from audit staff, and the perceived value of the resulting audits. DESIGN: Postal survey of National Health Service (NHS) junior doctors. SUBJECTS AND SETTINGS: 704 junior doctors in central Leeds hospitals, June 1996. RESULTS: ...