A mysterious—and lethal—chemical weapon goes missing in this Cold War thriller of nonstop intrigue and suspense. When an Afghan village becomes paralyzed by the Soviets’ new warfare, and a thick nerve gas suffocates innocent people, rumors of a deadly weapon find their way to the Pentagon—and into the hands of Lieutenant Colonel Mark Schad. Along with his three-man team, Lieutenant Colonel Schad will lead one of the riskiest covert operations known to the US Department of Defense in order to find one unexploded cylinder of Yellow Rain. But are these men up against something much greater than American intelligence is prepared to face?
New medical technologies--pharmaceuticals, medical devices, and procedures--often allow great improvements in the outcomes of medical care, but they are also widely believed to be a major cause of increasing costs. Selective adoption of new technologies is crucial in the quest to control health care costs while preserving or enhancing the quality of care. This report focuses on evaluation and adoption of innovative procedures and medical devices by managed care organizations (MCOs). The project had two primary objectives: (1) to understand current MCO processes for making coverage, medical-necessity, and payment decisions and how device developers and manufacturers prepare for and participate in these processes; and (2) to identify ways that private, voluntary action by the managed-care and medical-device industries might improve--for the benefit of society--these processes. The core data are from confidential interviews with eight companies that develop and manufacture medical devices and medical directors of nine MCOs. The findings should be of interest to medical-device developers and manufacturers, managed care organizations, public-policy makers, and researchers and analysts. A major impediment to socially appropriate adoption of emerging medical technologies is limited information about the performance of these technologies in day-to-day medical practice. The authors discuss prospects for improving four elements of information availability: --Developing better information before market introduction --Learning more from experience after market introduction --Evaluating and synthesizing clinical information --Disseminating information. They also discuss several other issues that warrant consideration: --Aligning private incentives of MCOs and payers with social values --Enhancing MCO capabilities to evaluate technologies and make decisions --Improving decisions by physicians --Reducing use of inappropriate or obsolete technologies --Reducing costs of decisionmaking for manufacturers and MCOs --Improving manufacturer understanding of the market environment --Helping MCOs and employers anticipate what is in the pipeline.
Covering the financial topics all nurse managers need to know and use, this book explains how financial management fits into the healthcare organization. You'll study accounting principles, cost analysis, planning and control management of the organization's financial resources, and the use of management tools. In addition to current issues, this edition also addresses future directions in financial management. Chapter goals and an introduction begin each chapter. Each chapter ends with Implications For The Nurse Manager and Key Concepts, to reinforce understanding. Key Concepts include definitions of terms discussed in each chapter. A comprehensive glossary with all key terms is available on companion Evolve? website. Two chapter-ending appendixes offer additional samples to reinforce chapter content. Four NEW chapters are included: Quality, Costs and Financing; Revenue Budgeting; Variance Analysis: Examples, Extensions, and Caveats; and Benchmarking, Productivity, and Cost-Benefit and Cost-Effectiveness Analysis. The new Medicare prescription bill is covered, with its meaning for healthcare providers, managers, and executives. Coverage now includes the transition from the role of bedside or staff nurse to nurse manager and nurse executive. Updated information includes current nursing workforce issues and recurring nursing shortages. Updates focus on health financing and the use of computers in budgeting and finance. New practice problems are included.
- NEW! Information about the Affordable Care Act details how changes and developments affects coverage for millions of Americans. - NEW! Value-Based Payment reimbursement information details what nurse executives need to know in order to use this new system - NEW! Coverage of Accountable Care Organizations provides current information on one of the emerging forms of managed care and how it works within the financial system of healthcare. - NEW! Team-and Population-Based care information covers how to work with healthcare professionals outside of nursing.
Skin, Steven Connor argues, has never been more visible. The Book of Skin explores the multiple functions of the skin in the cultures of the West. In this vividly illustrated book, Connor draws on evidence from a variety of sources including literary and other forms of public and private writing, especially medical texts, as well as painting, photography, and film, folklore and popular song. Because of its newfound visibility, skin has never been at once so manifest and so in jeopardy as it is today. This dilemma becomes evident, in Connor's view, if we examine how skin is displayed and manipulated as a site of inscription. In order to trace our culture's anxious concerns with the materiality and mortality of skin, Connor's analysis ranges from the human body itself to photography, from Medieval leprosy, Renaissance flaying, and eternal syphilis to cosmetics, plastic surgery, and skin cancers. Connor examines the chromatics of skin color and pigmentation, blushing, suntanning, paleness, darkening, tattooing, cutting, the Turin shroud, the Mummy, and the Invisible Man. He also offers engaging explanations for why particular colors are ascribed to feelings and conditions such as green for envy, purple for rage, and yellow for cowardice. Connor's insights into the obvious and yet unfamiliar terrain of the skin and its place in Western culture ameliorates the intensities and attenuations of touch in cultural history. The Book of Skin bears out James Joyce's claim that "modern man has an epidermis rather than a soul.
An in-depth guide to preparing accurate nursing budgets, this book will help you improve your financial skills and contribute to your organization's strategic planning. It discusses the different types of budgeting, the budgeting process, forecasting, variance analysis, and costing out nursing services. A variety of settings are included: hospitals, long-term care, home health, community health, managed care, and others. With this guide, you'll learn how to communicate effectively with financial managers, succeed in your role in the budgeting process, and assist in the delivery of high-quality patient care at the lowest possible cost. Each chapter includes Learning Objectives to focus your study and a Summary and Implications for Nurse Managers to reinforce what you've learned. Additional Suggested Readings provides helpful resources for further research and study. An appendix includes numerous sample budget forms and instructions, allowing you to see firsthand the various types of budgeting forms used in day-to-day practice. New "Budgeting for Information Systems" chapter describes how to budget for information technology (IT), what kind of personnel you should consider hiring to support the nursing IT function, and how to evaluate IT products. New "Budgeting for the Operating Room" chapter covers key stakeholders in the budget development process, developing the prioritization process, and specialized aspects of the operating room budget. A discussion of magnet hospitals has been added, including the cost implications of applying for "magnet" status. Coverage now includes different delivery care models and their potential budgetary impact to a health care organization, along with Clinical Ladders and the budgetary implications of nurses "testing-up" the ladder. Budgeting for clinics and same-day surgery facilities is described. Updated and expanded content discusses budget variance analysis and interpretation of budget reports that differ from the planned budget. Includes the budget implications of outsourcing, and how to determine whether outsourcing is cost-effective for a particular service.
The leading obstetrics reference for more than a century -- now in full-color and with a greater emphasis on evidence-based practice Written by a team of expert authors from world-renowned Parkland Hospital, this rigorously referenced, landmark resource tells you everything you need to know about the practice of obstetrics in a unified, consistent tone not found in other texts. For decades, ob-gyn practitioners and residents have hailed the book for its thoroughness, scientific orientation, and practical applicability at the bedside. Williams Obstetrics is reinforced throughout by a timely emphasis on evidence-based medicine, supported by state-of-the-art ultrasound images and original illustrations. The book's comprehensive coverage begins with an incisive look at maternal anatomy and physiology, and fetal growth and development. The text then progresses to the antepartum period, labor and delivery, the fetus and newborn, the peurperium period, obstetric complications, and medical and surgical complications. New to this Edition 1,100 brand-new, precisely rendered full-color illustrations Evidence-based medicine is highlighted in the text through the use of icons, better familiarizing you with the latest clinical guidelines and standards of care Greater use of headings and subheadings to quickly lead you to the content you need Improved algorithms and tables clearly and concisely present Class I evidence for diagnosis and treatment In-depth coverage of abnormal obstetrics -- from obstetrical hemorrhage and preterm birth, to reproductive tract abnormalities -- provides the most clinically relevant perspectives in this pivotal area
A mysterious—and lethal—chemical weapon goes missing in this Cold War thriller of nonstop intrigue and suspense. When an Afghan village becomes paralyzed by the Soviets’ new warfare, and a thick nerve gas suffocates innocent people, rumors of a deadly weapon find their way to the Pentagon—and into the hands of Lieutenant Colonel Mark Schad. Along with his three-man team, Lieutenant Colonel Schad will lead one of the riskiest covert operations known to the US Department of Defense in order to find one unexploded cylinder of Yellow Rain. But are these men up against something much greater than American intelligence is prepared to face?
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