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Recent changes in the healthcare industry have greatly complicated the hospital management task. For management and accounting purposes, clear lines of authority and clear definitions of responsibilities must be established. A chart of accounts is a system for organizing accounting information. This guide suggests ways to organize a chart of accounts of individual hospitals.
The ability to see deeply affects how human beings perceive and interpret the world around them. For most people, eyesight is part of everyday communication, social activities, educational and professional pursuits, the care of others, and the maintenance of personal health, independence, and mobility. Functioning eyes and vision system can reduce an adult's risk of chronic health conditions, death, falls and injuries, social isolation, depression, and other psychological problems. In children, properly maintained eye and vision health contributes to a child's social development, academic achievement, and better health across the lifespan. The public generally recognizes its reliance on sight and fears its loss, but emphasis on eye and vision health, in general, has not been integrated into daily life to the same extent as other health promotion activities, such as teeth brushing; hand washing; physical and mental exercise; and various injury prevention behaviors. A larger population health approach is needed to engage a wide range of stakeholders in coordinated efforts that can sustain the scope of behavior change. The shaping of socioeconomic environments can eventually lead to new social norms that promote eye and vision health. Making Eye Health a Population Health Imperative: Vision for Tomorrow proposes a new population-centered framework to guide action and coordination among various, and sometimes competing, stakeholders in pursuit of improved eye and vision health and health equity in the United States. Building on the momentum of previous public health efforts, this report also introduces a model for action that highlights different levels of prevention activities across a range of stakeholders and provides specific examples of how population health strategies can be translated into cohesive areas for action at federal, state, and local levels.
Politics in Alaska have changed significantly since the last major book on the subject was published more than twenty years ago, with the rise and fall of Sarah Palin and the rise and fall of oil prices being but two of the many developments to alter the political landscape. This book, the most comprehensive on the subject to date, focuses on the question of how beliefs, institutions, personalities, and power interact to shape Alaska politics and public policy. Drawing on these interactions, the contributors explain how and why certain issues get dealt with successfully and others unsuccessfully, and why some issues are taken up quickly while others are not addressed at all. This comprehensive guide to the political climate of Alaska will be essential to anyone studying the politics of America’s largest—and in some ways most unusual—state.
Photobiological data from other species indicate that light can be both beneficial and detrimental to many biological processes. The time has come to evaluate the risk-benefit ratio of this modality of therapy for hyperbilirubinemia of the neonate. There has been little, thus far, to indicate immediate hazards from this form of therapy, but long-term sequelae have not been adequately assessed. A review of the experience of the past 15-17 years with this agent was thought to be useful. In. April 1974, the Pregnancy and Infancy Branch of the National Institute of Child Health and Human Development sponsored a conference to assess the photobiological processes involved in phototherapy, as well as to document the long-term clinical experience of clinicians from all parts of the world who have used light in the treatment of hyperbilirubinemia since 1958. The papers and discussions presented in this book by distinguished investigators from the clinical and basic sciences illustrate not only the breadth of the problem, but also the value of an interdisciplinary approach to its resolution.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
The reported population of American Indians and Alaska Natives has grown rapidly over the past 20 years. These changes raise questions for the Indian Health Service and other agencies responsible for serving the American Indian population. How big is the population? What are its health care and insurance needs? This volume presents an up-to-date summary of what is known about the demography of American Indian and Alaska Native populationâ€"their age and geographic distributions, household structure, employment, and disability and disease patterns. This information is critical for health care planners who must determine the eligible population for Indian health services and the costs of providing them. The volume will also be of interest to researchers and policymakers concerned about the future characteristics and needs of the American Indian population.
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.