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Documentation planning for the U.S. health care system online

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at, 171, 172
certificate and degree programs of, 117
education by, 161

as general medical professional associa-
tion, 153
guidelines of, on gifts to physicians from

industry, 134
health insurance and, 196, 197
JCAHOand, 166
legislative lobbying by, 162
policy formulation and regulation and,

162
specialty societies and, 1 54



253



254



INDEX



American Nurses Association, 2, 156, 162-

163
Analysis, institutional, 208-213, 220-227
Animals, laboratory, 89-90
Archives. See also Documentation; Records
health care delivery facilities and, 37-38
management programs for,

at academic health centers, 140-141
in health associations, 171-174
of research institutions, 98-99
state, 58-59
Archives committee, 219
Articulation of documentation plan, 219-

220
Association of Academic Health Centers

(AAHC), 137, 138
Association of State and Territorial Health

Officers (ASTHO), 55, 60
Associations

health. See Professional associations; Vol-
untary associations
professional. See Professional associations
umbrella, 165-166
voluntary. See Voluntary associations
ASTHO (Association of State and Territorial
Health Officers), 55, 60



Bartenieff, Irmgard, 81

Beaumont, William, 83-84

Biggs, Hermann, 60

Biomedical research. See Research

Bishop, George H., 75

Bureau of Medical Devices, 194

Bureau of Prisons, 20, 49



Cadet Nurse Corps, 53

Caglarian, Erol, 190

Califano, Joseph, 195

Case studies

American Heart Association, 168-171
Children's Hospital (Boston), 220-234
Illinois State Medical Society, 166-168
professional association, 166-168
voluntary association, 168-171

CDC. See Centers for Disease Control

Centers for Disease Control (CDC), 5, 49-50
educational programs at, 53
records of, 54
research facilities of, 76

Certification
defined, 124
regulatory environment and, 130

Children's Hospital, Boston
case study of, 220-234



core record series of, 209-210

organization of, 2 1 5, 2 1 6-2 1 7
Civilian Health and Medical Program of the

Uniformed Services, 49
Clinical trials, 90-91
Clinton, Hillary Rodham, 8
Clinton, William, administration of, 9-10
CME (continuing medical education), 132-

133
Continuing education, 7, 132-134

medical (CME), 132-133



Delivery facilities. See Health care delivery

facilities
Department of Agriculture (USDA)
animal welfare laws enforced by, 89-

90
health promotion by, 50
research facilities of, 76
Department of Defense, 49
health care education by, 5
hospitals operated by, 20
research and, 51, 76
Department of Education, 120-123
Department of Energy

Human Genome Project funded by, 95
research and, 51, 76
Department of Health and Human Services
(DHHS), 2, 5, 17
appropriations for, 75
clinical trials and, 90-91
education and, 53-54
health promotion by, 49-50
history of, 48
organization of, 48-49
policy formulation and regulation by, 51-

53
professional standards review organiza-
tions (PSROs) paid by, 28
records of, 54
research by, 50-51, 74
research facilities of, 76
Department of Justice, hospitals operated

by, 20
Department of Labor

classification of health care occupations
by, 119-120, 124
listed, 120
health promotion by, 50
Department of Transportation, 5, 20
Department of Veterans Affairs. See also Vet-
erans Administration
hospitals operated by, 5, 20
research facilities of, 76, 77
Detailing, 192



INDEX



255



DHHS. See Department of Health and Hu-
man Services
Diagnosis-related groups (DRGs), 29
Documentation. See also Archives; Records

of instructional programs, 141-142

of research institutions, 94-99
Documentation planning, 207-235

administrative foundation for, 218-219

analysis stage of, 208-213, 220-227

obstacles to, 96-98

plan articulation and, 219-220

practical aspects of, 218-220

selection stage of, 213-218, 227-229
DRGs (diagnosis-related groups), 29
Drug testing, 191

Education, 2

continuing, 7, 132-134
facilities for, 2, 3, 7. See a/so Academic
health centers
accreditation of, 117
administration of, 136-137
credential conferring, functions of,

131-137
listed. 1 1 3
types of, 110-113
federal health agencies and, 53-54
by foundations, 65
historical perspective on, 1 14—1 19
in hospitals, 32-33
in institutions that confer credentials,

132-134
by professional associations, 160-161
programs for,

accreditation of, 122, 124, 125-129
documentation of, 141-142
listed. 1 1 3

an overview of, 107-1 10
regulatory environment and, 129-

130
types of, 130-131
in research facilities, 92
by state health agencies, 58
by voluntary associations, 161-162
Educational institutions. See Education, facil-
ities for
Emergicenters, 4

Environmental Proteaion Agency (EPA)
educational programs at, 53
research by, 51
EPA. See Environmental Protection Agency

Facilities regulation, 27

FDA. See Food and Drug Administration



Federal Food, Drug, and Cosmetic Act, 184,

193
Federal health agencies. See Health agencies,

federal
Federal Records Act, 54
Federal Trade Commission, 185
Food and Drug Administration (FDA), 5
drug regulation by, 191
legal powers of, 185

medical supplies and equipment manufac-
turing and, 194
policy formulation and regulation by, 51-

52
records of, 54
Formulation of policy. See Policy formula-
tion
Foundation Center, 62, 63
Foundations, 2, 3, 62-67
defined, 6, 62
functions of, 64—66
records of, 66-67



Gillis W. Long Hansen's Disease Center, 5,

20,49
Goods, provision of. See Provision of goods

and services
Governmental health agencies. See Health

agencies
Group practice, 36
Guide to Historical Collections in Hospital and

Healthcare Administration (American

Hospital Association), 37-38
Guide to Repositories of the Science, Technology

and Health Care Round Table. 37



Health agencies, 2, 3, 4-6, 43-62. See also
specific agencies
federal, 5, 47-54
education by, 53
functions of, 47-54
health promotion by, 49-50
patient care by, 48-49
policy formulation and regulation by,

51-53
provision of goods and services by, 53-

54
records of, 54

research by, 50-5 1 . See also Research
facilities
functional analysis of, 45-47
listed. 44
local, 59-62

records of, 61-62



256



INDEX



Health agencies {Continued)
state, 54-59
education by, 58
health promotion by, 56-57
patient care by, 55-56
policy formulation and regulation by,

57
records of, 58-59

research by, 58. See also Research facili-
ties
Health associations. See Professional associa-
tions; Voluntary associations
Health care corporations, 22
Health care delivery facilities, 2, 3, 13-42
education in, 112, 113
types of, 4
listed, 14
Health Care Financing Administration, 5, 48
peer review organizations (PROs) and,

28-29
regulation and, 53
Health care professionals. See also Health oc-
cupations
certification of, 124, 130
classification of, 119-125
education of. See Education
licensure of, 29, 124, 129-130
Health care system
changing nature of, 9-1 1
defined, 1

education of professionals in. See Educa-
tion
functions of, 1-2

illustrated, 3
history of, 237-240
overview of, 1-12
reform of, 9-11
Heahh industries, 2, 3, 9, 181-205
corporate management in, 190
functions of, 187
listed, 188-189
insurance companies. See Health insur-
ance
medical publishing, 195
medical supplies and equipment manufac-
turing, 193-194
pharmaceutical. See Pharmaceutical com-
panies
records of, 200-201
research facilities in, 81-82
Health insurance, 195-200. See also Health
insurance industry
history of, 196
types of, 195-196
Health insurance industry, 198-200. See also
Health insurance



Health maintenance organizations (HMOs),
37
hospital ownership by, 22
Health occupations. See also Health care pro-
fessionals
certification of, 124, 130
classification of, 119-125
education of. See Education
licensure of, 124, 129-130
Health promotion, 1, 31
by federal health care agencies, 49-50
by foundations, 64-65
in health insurance industry, 200
by local health agencies, 60, 61
in pharmaceutical industry, 193
by professional associations, 159-160
by state health agencies, 56-57
by voluntary associations, 160
Health Resources and Services Administra-
tion (HRSA), 5
patient care by, 20, 49
records of, 54
Health-related discipline history centers,

241-251
Health-related foundations. See Foundations
Hedrick, Terry E., 98
HMOs. See Health maintenance organiza-
tions
Holding company, hospital ownership by,

22
Hospices, 35-36

archives programs and, 38
Hospitals, 5, 14, 16-33
accreditation of, 26, 27
administration of, 23, 24, 26-29
archives programs in, 37-38
education in, 7, 32-33
for-profit, 21-22
functions of, 16-17, 23-24
health care corporations and, 22
health maintenance organizations

(HMOs) and, 22
health promotion by, 31
independence of, 22-25
licensure of, 27, 29
multihospital systems of, 22-23
nonprofit, 2 1
organization of, 23-26
ownership or control of, 17, 20-22
government, 5, 17, 20-21
listed, 19
private, 21-22
regional patterns of, 23
patient care by, 30-31

quality and appropriateness of, 27-29
planning for, 27



INDEX



257



proprietary, 21-22

regulation of, 27-29

research in, 32

research facilities affiliated with, 78-

79
teaching, 32-33
types of, 17-23

listed, 18
university, 23
voluntary, 21
HRSA (Health Resources and Services

Administration), 5, 49
Human Genome Projert, 95-96, 97



Illinois State Medical Society, case study of,

166-168
Indian Health Service, 5, 20, 49
Industries, health. See Health industries
In-patient facilities, 4, 1 3

listed, 14
Institutional analysis, 208-213, 220-227



JCAHO. See Joint Commission on Accredita-
tion of Healthcare Organizations
Johns Hopkins Medical Institutions, 139-

140
Joint Commission on Accreditation of

Healthcare Organizations (JCAHO),
26
accreditation of instructional programs

by, 126, 128-129
hospice program evaluation by, 36
licensure and, 27, 33
professional associations and, 166
Jones, H. G., 61



Kidder, George H., 225
Kornberg, Arthur, 77, 85



Laban, Rudolf, 81
Laboratories. See Research facilities
Laboratory animal management, 89-90
Licensure:
defined, 124
of health care professionals and health

occupations, 29, 124, 129-130
of hospitals, 27, 29
of nursing homes, 33
regulatory environment and, 129-
130
Local health agencies. See Health agencies,
local



Major, Randolph T., 186
Marine Hospital Service, 48
Marketing

in health insurance industry, 199
in pharmaceutical industry, 191
Marketing research and planning, 191-

192
Mayo, William W., 36-37
Measday, Walter, 186
Medicaid, 6, 23

administration of, by states, 56

diagnosis-related groups (DRGs) and, 29

drug treatment and, 185

as health insurance, 196, 197

hospices and, 35

hospital care rate control and, 29

JCAHO standards and, 26

nursing homes and, 34

overseen by Health Care Financing

Administration, 5
professional standards review organiza-
tions (PSROs) and, 28
regulation and policy formulation and,

31, 52, 53
reimbursement through, 13, 21, 31
Medical Device Amendments of 1976,

193
Medical Practice Act, 124
Medical publishing, 195
Medical specialties, professional associations

for, 154
Medical supplies and equipment manufac-
turing, 193-194
Medicare, 23
diagnosis-related groups (DRGs) and,

29
drug treatment and, 185
as health insurance, 196, 197
hospices and, 35, 36
hospital care rate control and, 29
hospital reimbursement through, 13, 21
JCAHO standards and, 26
nursing homes and, 34
overseen by Health Care Financing

Administration, 5
peer review organizations (PROs) and,

28-29
professional standards review organiza-
tions (PSROs) and, 28
quality and appropriateness of care and,

27-28
regulation and policy formulation and,

31, 52, 53
reimbursement by, 24, 31, 45
Medicare Act of 1965, 118
Multihospital systems, 22-23



258



INDEX



National Archives, 173

predated by state archival agencies, 58
National Archives Act of 1934, 58
National Archives and Records Administra-
tion, 54
National Board of Medical Examiners, 129-

130
National Center for Biotechnology Informa-
tion (NCBI), 96
National Health Planning and Resources De-
velopment Act of 1974, 57
National Hospice Organization, 35, 36
National Institutes of Health (NIH), 5, 20, 32

educational programs at, 53

Human Genome Project and, 95, 96

records of, 54

research by, 50-51, 74, 85

research facilities of, 76, 77

research funding by, 86, 87, 95, 1 17
National Library of Medicine, 96
NCBI (National Center for Biotechnology

Information), 96
Nicholas, Joanna Grant, 93
Nightingale, Florence, 114, 115
NIH. See National Institutes of Health
Numbers, Ronald, 197
Nurse Practice Act, 124
Nursing homes, 33-34

archives programs and, 38



Occupational Safety and Health Administra-
tion (OSHA), 50

OSHA (Occupational Safety and Health
Administration), 50



Park, W. H., 60
Patient care, 1

by federal health care agencies, 48-49

by foundations, 64

in hospitals, 30-31

in institutions that confer credentials,
135-136

by local health agencies, 60, 61

in research facilities, 92

by state health agencies, 55-56
Peabody, George, 62
Peer review organizations (PROs), 28

regulation and policy formulation and,
52
Pharmaceutical companies, 183-193

functions of, 190-193

history of, 184-187

types of, 183-184



Physician ofhce, as ambulatory care setting,

36
Planning
defined, 27

documentation. See Documentation plan-
ning
Planning regulation, 27
Policy formulation, defined, 2

federal health agencies and, 51-53
by professional associations, 162-

163
state health agencies and, 57
voluntary associations and, 163
Production and distribution

in health insurance industry, 199
in pharmaceutical industry, 192-
193
Professional association(s), 2, 3, 8-9, 149-
179
accreditation of instructional programs

by, 125-128
archival/records management programs

in, 171-174
case study of, 166-168
functions of, 159-166
organization of, 149
types of, 151-158
listed, 152
Professional standards review organizations
(PSROs), 28
regulation and policy formulation and,
52
PROs. See Peer review organizations
Provision of goods and services, 2. See also
Health industries
by federal health agencies, 53-54
PSROs. See Professional standards review or-
ganizations
Public Health Service, 5, 17
educational programs and, 53
establishment of, 48
formulation and regulation by, 51
records of, 54
research by, 50, 5 1
research facilities of, 76
Pure Food and Drug Act of 1906, 184



RBRVS (resource-based relative value

scale), 29
Records. See also Archives; Documentation

of federal health agencies, 54

of foundations, 66-67

of health industries, 200-201

of local health agencies, 61-62



INDEX



259



management programs for,

at academic health centers, 140-

141
in health associations, 171-174
of state health agencies, 58-59
Regulation
defined, 2
facilities, 27

federal health agencies and, 51-53
health care instructional programs and,

129-130
hospital, 27-29
of payment, 29

in pharmaceutical industry, 191
planning, 27

by professional associations, 162-153
state health agencies and, 57
voluntary associations and, 163
Research, 2

basic, clinical, and applied, 84-86
communication and marketing of findings

of, 92-94
documentation of, 94-99
facilities for. See Research facilities
federal health agencies and, 50-51
findings of, 92-94
by foundations, 65
funding of, 86-87, 95, 117
in heahh insurance industry, 199
in hospitals, 32
in institutions that confer credentials,

134-135
by local health agencies, 60
partnerships in, 82-83
in pharmaceutical industry, 190-191
state health agencies and, 58
Research facilities, 2, 3, 6-7, 73-106
archival coverage of, 98-99
clinical trials in, 90-91
communication and marketing of findings

of, 92-94
documentation of, 94-99
documentation planning for, obstacles to,

96-98
educational activities of, 92
federal, 76-77
findings of, 92-94
functions and activities of, 83-94
hospital-affiliated, 78-79
independent nonprofit, 80-81
in industry, 81-82

laboratory animal management in, 89-90
management of, 89
patient care in, 92
staffing of, 87-88



types of, 75-83
university-affiliated, 78-79
Research Libraries Information Network

(RUN), 38, 201
Resource-based relative value scale

(RBRVS), 29
RLIN (Research Libraries Information Net-
work), 38, 201
Rose, Kenneth W., 66-67

SAA Directory, 171, 201
Sabin, Florence, 121
Sales

in health insurance industry, 199

in pharmaceutical industry, 191,
192
Schnee, Jerome E., 190
Schwartzman, David, 186
Scott, Richard L., 22
Services, provision of. See Provision of goods

and services
Shryock, Richard H., 151
Social Security Act of 1935, 34, 52
Social Security Administration, 5, 48
Society of American Archivists, 171,

201
Spector, Michael, 85
State health agencies. See Health agencies,

state
Substance Abuse and Mental Health Ser-
vices Administration, 5

patient care by, 17, 20, 49

research facilities of, 76
Surgicenters, 4
Swann, John, 200

Teaching. See Education
Teaching hospitals, 32-33
Testing, drug, 1 9 1

U.S. Department of. See Department of

U.S. health care system. See Health care sys-
tem

Umbrella associations, 165-166

Uniformed Services University of the Health
Sciences, 5, 53

University hospitals, 23

USDA. See Department of Agriculture

Veterans Administration. See also Depart-
ment of Veterans Affairs
hospitals operated by, 5, 49
records of, 54
Voluntary association(s), 2, 3, 8-9, 149-
179



260



Voluntary association(s) {Continued) types of, 151-158

archival/records management programs listed, 152

in, 171-174
case study of, 168-171 Waksman, Selman A., 186

functions of, 159-166
organization of, 1 50



INDEX





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Online LibraryJoan D KrizackDocumentation planning for the U.S. health care system → online text (page 26 of 26)