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1.
Transplant Proc ; 45(4): 1287-94, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23726553

RESUMO

The global organ shortage is the strongest factor for the increase in transplant wait time and deaths on waitlists. Here we describe a model for involving high school students in education research around organ donation and transplantation and capitalize on the strength of a pre-existing educational program offered by the local organ procurement organization (OPO). While training in education research at Cleveland Clinic, a high school student embarked on a collaborative project with the local OPO. The project involved evaluating three educational programs, selecting the most appropriate program for administration at her school, coordinating with the student's school administration and teachers, administering an assessment tool for the effectiveness of the program, and analyzing the results. The local OPO program that was selected for implementation consisted of a video presentation entitled "Share your life, share your decision" prepared by the United States Health Resources and Services Administration (HRSA), lectures by invited speakers and an educational assessment (pre- and post-education). The assessment survey included 3 multiple choice and 7 true/false questions. Compared to the over 2500 programs administered in the last 5 years by the local OPO, this program had a higher volume of participation (n = 353 compared to an average of 150 students/day). Students correctly classified transplantation status of more organ and tissues post-education (P < .0001 for both). For 5 out of the 7 true/false questions, students correctly answered questions more frequently post-education (P ≤ .002 for all). This experience included for the first time a formal assessment of the program which will be utilized to address targeted areas for specific improvements. This student collaborative model of involving students in organ donation and transplantation related education research has the potential to promote and maximize the effectiveness of educational programs targeting their peers.


Assuntos
Educação/métodos , Liderança , Modelos Educacionais , Transplante de Órgãos , Obtenção de Tecidos e Órgãos , Adolescente , Humanos , Estados Unidos , United States Health Resources and Services Administration
2.
Benefits Q ; 8(1): 17-27, 1992.
Artigo em Inglês | MEDLINE | ID: mdl-10170947

RESUMO

Economic and social forces combined with imprecise treatment standards are creating a virtual explosion in employer costs attributable to mental and chemical dependency disorders. To develop appropriate programs for managing these costs, the forces that drive utilization must be understood.


Assuntos
Custos de Saúde para o Empregador/tendências , Planos de Assistência de Saúde para Empregados/estatística & dados numéricos , Seguro Psiquiátrico/estatística & dados numéricos , Serviços de Saúde Mental/estatística & dados numéricos , Transtornos Relacionados ao Uso de Substâncias/economia , Adolescente , Adulto , Idoso , Criança , Controle de Custos/métodos , Feminino , Planos de Assistência de Saúde para Empregados/economia , Humanos , Pessoa de Meia-Idade , Transtornos Relacionados ao Uso de Substâncias/terapia , Estados Unidos
3.
Empl Benefits J ; 16(3): 31-5, 40, 1991 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10170846
5.
Benefits Q ; 7(1): 6-14, 1991.
Artigo em Inglês | MEDLINE | ID: mdl-10116952

RESUMO

Each year health care fraud drains millions of dollars from employer-sponsored health plans. Historically, employers have taken a rather tolerant view of fraud. As the pressure to manage health plan costs increases, however, many employers are beginning to see the detection and prosecution of fraud as an appropriate part of a cost management program. Fraud in medical insurance covers a wide range of activities in terms of cost and sophistication--from misrepresenting information on a claim, to billing for services never rendered, to falsifying the existence of an entire medical organization. To complicate matters, fraudulent activities can emanate from many, many sources. Perpetrators can include employees, dependents or associates of employees, providers and employees of providers--virtually anyone able to make a claim against a plan. This article addresses actions that employers can take to reduce losses from fraud. The first section suggests policy statements and administrative procedures and guidelines that can be used to discourage employee fraud. Section two addresses the most prevalent form of fraud--provider fraud. To combat provider fraud, employers should set corporate guidelines and should enlist the assistance of employees in identifying fraudulent provider activities. Section three suggests ways to improve fraud detection through the claims payment system--often the first line of defense against fraud. Finally, section four discusses the possibility of civil and criminal remedies and reviews the legal theories under which an increasing number of fraud cases have been prosecuted.


Assuntos
Fraude/prevenção & controle , Planos de Assistência de Saúde para Empregados/organização & administração , Coleta de Dados , Fraude/legislação & jurisprudência , Fraude/estatística & dados numéricos , Planos de Assistência de Saúde para Empregados/economia , Planos de Assistência de Saúde para Empregados/legislação & jurisprudência , Indústrias/economia , Indústrias/organização & administração , Responsabilidade Legal , Imperícia/estatística & dados numéricos , Modelos Teóricos , Objetivos Organizacionais , Médicos/legislação & jurisprudência , Técnicas de Planejamento , Estados Unidos
6.
J Hand Surg Am ; 12(3): 369-71, 1987 May.
Artigo em Inglês | MEDLINE | ID: mdl-3584883

RESUMO

A case of median nerve compression at the wrist caused by a reversed palmaris longus muscle is described. Symptoms included paresthesias in the median nerve distribution and swelling on the flexor aspect of the wrist resembling tenosynovitis. The patient was a 13-year old girl, which we believe is the youngest recorded case in the literature.


Assuntos
Nervo Mediano , Músculos/anormalidades , Síndromes de Compressão Nervosa/etiologia , Punho/inervação , Adolescente , Feminino , Humanos
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