The Organizational Climate Audit...or How Healthy Is Your Hospital?

Article Abstract:

The survey techniques for an organizational audit, as conducted by an impartial outside consultant, are outlined. Organizational climate is recognized as an attitudinal ascription relating to how an individual interfaces with other company employees in terms of behavior, perception and goals. A model for this reaction and its variables, was conceived by W.M. Evan, and concentrates on the disparate frames of reference and evaluation criteria of hospital personnel. The problems and limitations of the sample questionnaire, fashioned by Litwin and Stringer, serve to depict changing values and commitment objectives. Climate surveys uncovered the precise issues, and defined the necessary focus to improve health care delivery and management, and to protect employees from job loss intimidation. Information feedback and data collection enables the health care system to obtain a handle on health climate, with knowledge acquired for hospital evaluation, development potential and viability.

Officials and employees, Hospitals, Telecommunications systems, Natural history, Questionnaires, Automatic data collection systems

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A Second Opinion: The Prospects of Medicare's Hospital Insurance Trust Fund

Article Abstract:

Approaches to solving Medicare's deficit problem are detailed. A Congressional Budget Office Report focuses on the Hospital Insurance Trust Fund deficit and how to resolve it. Hospital costs, covered earnings and inpatient utilization are expected to grow. Solutions suggested involve increased co-insurance, prospective reimbursement, higher payroll taxes and general revenue financing. Statistics relevant to this problem are outlined in table form. Other forms of treatment are being explored. Health Maintenance Organizations (HMOs) could reduce the inpatient utilization rate, but public attitudes are against it. This issue is complex with no easy answers.

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The Basis of the Coming Medicare Crisis

Article Abstract:

The financial future of the Medicare program is uncertain. Medicare deficits are predicted in 1989. The shift from cost-based to fixed-price reimbursement requires adequate price levels. The federal government must reexamine the political premises outlined to avoid a financial crisis. Hospital care is for all Americans. Medicare patients should receive equal care and should have free choice of hospitals. Other components involve Medicare payments, a means test and hospital reimbursement restrictions.

Analysis, Laws, regulations and rules, National government, Federal government

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