BACKGROUND Regionalization promotes planning and coordination of services across settings and providers to meet population needs. Despite the potential advantages of regionalization, no regional hospice palliative care program existed in Ontario, Canada, as of 2010. This paper describes the process and early results of the development of the first regional hospice palliative care program in Ont...

$ State governmentCOffices of rural health can use this method to identify places in their states that they should target with programs designed to support health care providers. These might include loan repayments as financial incentives, technical assistance to providers to help them achieve efficiencies within the constraints of lower revenues, incentives to establish regional systems of car...

Four primary care sites in the United States constitute "medical home runs" because their patients incur 15-20 percent less (risk-adjusted) total health care spending per year than patients treated by regional peers, without evidence of reduced quality. The sites achieved this result in a U.S. payment environment that usually penalizes physicians who invest to prevent costly near-term health cr...

Background Regional, national and global goals for improving maternal and newborn health outcomes focus on skilled care during labor and childbirth. The purpose of this study was to assess competence of midwives in providing care during labor, childbirth and immediate postpartum period in public hospitals and health centers located in Amhara Region, Ethiopia

This paper draws lessons from a review of primary health care services in Windhoek, the capital of Namibia, undertaken by a regional health management team. The review was carried out because of perceived increases in workload and inadequate staffing levels, arising from the rapid expansion of the city associated with inward migration. A survey of the utilization of government clinics was used ...

HCO: Health Care Organizations; PPACA: Patient Protection and Affordable Care Act; AHH: ACME Hospital Healthcare; P4P: Pay-for-Performance; FFS: Fee-for-Service; CMS: Centers for Medicare and Medicaid Services; AMI: Acute Myocardial Infarction; HF: Heart Failure; IOM: Institution of Medicine; IS: Information System; BI: Business Intelligence; NHIN: National Health Information Network; CDR: Clin...

Based on broad measures of health system quality and performance, states with more total health spending per capita have better-quality care. This fact contrasts with a previous finding that states with higher Medicare spending per enrollee have poorer-quality care. However, quality results from the total funds available and not from Medicare or any single payer. Moreover, Medicare payments are...

OBJECTIVE Rural north-central Liberia has one of the world's highest maternal mortality ratios. We studied health facility birthing service utilisation and the motives of women seeking or not seeking facility-based care in north-central Liberia. DESIGN Cross-sectional community-based structured interviews and health facility medical record review. SETTING A regional hospital and the surroun...

Chronic conditions impact on health systems is becoming more and more important as approximately 10% of patients receive 70% of total health system costs. Life expectancy increase is pushing up chronic conditions prevalence and thus patient polypharmacy treatments. Consequently, DRP percentages are rising up. To face this new front, health systems are setting policies in order to manage related...

BACKGROUND According to WHO (2013) report the number of under five-year mortality in Ethiopia was 195,504, out of this 84,437 was from neonatal death and this mortality is related to immediate obstetric and newborn care of babies provided by health care providers; But little was known about the level of knowledge and practice related to immediate newborn care and their associated factors among ...