Determinants of Successful Community Health System Planning

Rohrer, James E.; Dominguez, Daniel G.

doi:10.1097/00115514-199803000-00009

Cited by 5 publications

(3 citation statements)

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confidence: 99%

“…15 In a 1995 Iowa study, success in community health planning efforts involving LHDs was associated with the use of more planning techniques and a broader representation of stakeholders on the steering committee. 16 In a literature review, Roussos and Fawcett found that factors reported as contributing to successful interorganizational collaboration included having a clear vision and mission, conducting action planning, developing and supporting leadership, having systems for documentation and evaluation, being able to access technical assistance, and securing necessary financial and staff resources. 11 The purposes of the present study were to explore the extent to which LHDs in one state (Wisconsin) were involved in interorganizational collaboration, to describe the characteristics of existing partnerships within local public health systems in the state, and to identify LHD and partnership characteristics that predict partnership effectiveness.…”

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Local Public Health System Partnerships

Zahner

2005

Public Health Rep

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SYNOPSISObjectives. Interorganizational collaboration aimed at community health improvement is an expectation of local public health systems. This study assessed the extent to which such collaboration occurred within one state (Wisconsin), described the characteristics of existing partnerships, and identified factors associated with partnership effectiveness.Methods. In Stage 1, local health department (LHD) directors in Wisconsin were surveyed (93% response rate). In Stage 2, LHDs completed self-administered mailed surveys for each partnership identified in Stage 1 (85% response rate). Two-level hierarchical logit regression methods were used to model relationships between partnership and LHD variables and partnership outcomes. Data from 924 partnerships associated with 74 LHDs were included in the analysis.Results. Partnerships most frequently addressed tobacco prevention and control, maternal and child health, emergency planning, community assessment and planning, and immunizations. Partnering was most frequent with other government agencies, hospitals, medical practices or clinics, community-based organizations, and schools. Partnership effectiveness was predicted by having a budget, having more partners contributing financially, having a broader array of organizations involved, and having been in existence for a longer period of time. A government mandate to start the partnership was inversely related to successful outcomes. Characteristics of LHDs did not predict partnership effectiveness.Conclusions. Financial support, having a broader array of partners, and allowing sufficient time for partnerships to succeed contribute to partnership effectiveness. Further study-using objective outcome measures-is needed to examine the effects of organizational and community characteristics on the effectiveness of local public health system partnerships.

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Local Public Health System Partnerships

Zahner

2005

Public Health Rep

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“…In other words, there is an increasing demand for health services above and beyond those traditionally provided (Rohrer, 1998). Managed care is a health care delivery system which meets this demand as well (Olden, 1998).…”

Section: Managed Carementioning

confidence: 99%

Effective Utilization Management in a Military Treatment Facility

Belisle¹

1999

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Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to a penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. REPORT DATE DEC 19992. REPORT TYPE SPONSOR/MONITOR'S REPORT NUMBER(S) 34-99 DISTRIBUTION/AVAILABILITY STATEMENT Approved for public release, distribution unlimited SUPPLEMENTARY NOTESThe original document contains color images. ABSTRACTHealthcare systems and facilities across the country have used utilization management as a response to the pressures of declining revenue, increasingly competitive markets, and escalating operating expenses. The result of utilization management is a reduction of inpatient operations, as well as excess capacity. Wilford Hall Medical Center was studied, using primarily the Medical Expense Performance Reporting System (MEPRS) and Corporate Executive Information System (CEIS) data systems, to determine the magnitude of inpatient activity reduction. In addition, other factors such as Department of Defense referral policy changes and changes in the beneficiary population were examined to determine their role in the decline of inpatient activity.

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Lapierre

Myrick

Russell

1999

Journal of Medical Systems

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We address the problem of designing new networks for the delivery of public health care services in the United States. The paper is based on a case study design conducted with the Fulton County Health Department (Atlanta, GA). The research contribution this paper makes is twofold. First, it presents a planning methodology to deliver health care services through a mix of fixed health centers, satellite facilities, and mobile facilities. Second, it gives insights on how to use geographic information systems to design new health care service networks.

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Determinants of Successful Community Health System Planning

Cited by 5 publications

References 0 publications

Local Public Health System Partnerships

Local Public Health System Partnerships

Effective Utilization Management in a Military Treatment Facility

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