Given the importance of care centers in helping with the children’s developmental processes, the management style and model employed therein becomes crucial in terms of its effectiveness. To define a framework for effective management in child care centers, a set of 163 articles/documents was reviewed and 55 of them, meeting the predetermined criteria, were identified. By synthesizing the findi...

Methods: This was a prospective cohort study of women receiving care in 79 midwifery-led birth centers in 33 US states from 2007 to 2010. Data were entered into the American Association of Birth Centers Uniform Data Set after obtaining informed consent. Analysis was by intention to treat, with descriptive statistics calculated for maternal and neonatal outcomes for all women presenting to birth...

Federally qualified health centers and small primary care practices have many challenges in common: uninsured patients; growing numbers of chronically ill patients with complex needs; inadequate reimbursements by commercial health plans; and persistent staffing problems. Smaller primary care practices also face sizable barriers to participating in new delivery and payment models that are likely...

Approaches to providing comprehensive coordinated care for individuals with complex diseases include the medical home approach, the chronic care model in primary care, and disease-specific, multidisciplinary specialty clinics. There is uneven availability and utilization of multidisciplinary specialty clinics for different genetic diseases. For 2 disorders (ie, hemophilia and cystic fibrosis), ...

OBJECTIVES To determine the community characteristics associated with non-hospital-based urgent care centres wherever they are located. DESIGN National cross-sectional study evaluating the association between non-hospital-based urgent care centers, and their demographic characteristics in a community, using descriptive statistics and multivariate logistic regressions. SETTING Communities in...

School-based health centers (SBHCs) are a policy innovation designed to increase health care access among youth. The centers offer primary and acute care, often to underserved populations. We describe SBHCs, trace their history, and analyze the three great political challenges they face: moral opposition triggered by concern about reproductive health services in schools; funding in a managed ca...

Pediatric cardiovascular centers should aim to provide high-quality therapeutic outcomes for infants and children with congenital and acquired heart diseases. This policy statement describes critical elements and organizational features of centers in which high-quality outcomes have the greatest likelihood of occurring. Center elements include noninvasive diagnostic modalities, cardiac catheter...

Managed care has brought about important changes in how the health care system is financed and services delivered. The authors describe the approaches adopted by community health centers to participate in Medicaid managed care and argue that these providers, commonly referred to as providers of last resort, have a role to play in this system. Many challenges lie ahead for these centers, such as...

In this issue All accredited nursing care centers must complete ICM tool; standards available on ICM profile AFRH vision proves, ‘There’s no place like Home’ Free e-learning module aims to reduce infections in long term care settings Be vigilant about environmental hazards that affect patient and resident safety R3 Report explains new memory care accreditation requirements for nursing care cent...

BACKGROUND North Carolina Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) resources improve child body mass index (BMI) when the resources are introduced by nurses to child care providers, and offered with workshops and incentives. In San Francisco, public health and child care agencies partnered to adapt NAP SACC resources into an annual "Healthy Apple" quality improv...