151
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Moore JD. Farewell to controversy. Joint Commission decides to drop its IMSystem. MODERN HEALTHCARE 1998; 28:2, 14. [PMID: 10185552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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152
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Moore JD. Going to market. Preparation helps small hospitals land high ratings as they tap capital markets. MODERN HEALTHCARE 1998; 28:43-4. [PMID: 10182791] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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153
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Moore JD. JCAHO revenues, pay rise. MODERN HEALTHCARE 1998; 28:3. [PMID: 10182787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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154
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Moore JD. On the home front. Deadlines set for home-care agencies' data reporting. MODERN HEALTHCARE 1998; 28:36, 39. [PMID: 10183085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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155
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Moore JD. BJC chief to step down. Brown will resign to focus on AHA chairman post. MODERN HEALTHCARE 1998; 28:2-3. [PMID: 10183059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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156
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Moore JD. Good news, bad news. BJC earns coveted rating, but outlook downgraded. MODERN HEALTHCARE 1998; 28:36-7. [PMID: 10183055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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157
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Moore JD. Surprise inspection. AHERF's financial woes prompt visit by JCAHO. MODERN HEALTHCARE 1998; 28:2-3. [PMID: 10183049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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158
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Moore JD. Counsel or co-conspirator? Inclusion of lawyers in K.C. indictment raises questions. MODERN HEALTHCARE 1998; 28:14. [PMID: 10183036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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159
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Moore JD. Baptist execs indicted. Hospital CEO, VPs among 7 charged with Medicare fraud. MODERN HEALTHCARE 1998; 28:2, 14, 16. [PMID: 10182355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
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160
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Moore JD. Bedsores: $1 billion burden. N.Y. peer review organization tries education to stop a preventable problem. MODERN HEALTHCARE 1998; 28:43. [PMID: 10182362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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161
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Moore JD. Short supply. In California, consolidation threatens emergency care. MODERN HEALTHCARE 1998; 28:36-8, 40, 47. [PMID: 10182360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
In the wake of hospital downsizing wrought in large part by managed care, California is witnessing an alarming shortage of emergency services capacity. In one prominent case last year, a woman injured in an automobile accident died after emergency personnel carted her to three hospitals trying to find an ER that was staffed to care for her properly. Officials warn that it's an issue that has national significance.
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162
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Yang J, Bardes ES, Moore JD, Brennan J, Powers MA, Kornbluth S. Control of cyclin B1 localization through regulated binding of the nuclear export factor CRM1. Genes Dev 1998; 12:2131-43. [PMID: 9679058 PMCID: PMC317017 DOI: 10.1101/gad.12.14.2131] [Citation(s) in RCA: 263] [Impact Index Per Article: 10.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/1997] [Accepted: 05/18/1998] [Indexed: 01/19/2023]
Abstract
Activation of the Cyclin B/Cdc2 kinase complex triggers entry into mitosis in all eukaryotic cells. Cyclin B1 localization changes dramatically during the cell cycle, precipitously transiting from the cytoplasm to the nucleus at the beginning of mitosis. Presumably, this relocalization promotes the phosphorylation of nuclear targets critical for chromatin condensation and nuclear envelope breakdown. We show here that the previously characterized cytoplasmic retention sequence of Cyclin B1, responsible for its interphase cytoplasmic localization, is actually an autonomous nuclear export sequence, capable of directing nuclear export of a heterologous protein, and able to bind specifically to the recently identified export mediator, CRM1. We propose that the observed cytoplasmic localization of Cyclin B1 during interphase reflects the equilibrium between ongoing nuclear import and rapid CRM1-mediated export. In support of this hypothesis, we found that treatment of cells with leptomycin B, which disrupted Cyclin B1-CRM1 interactions, led to a marked nuclear accumulation of Cyclin B1. In mitosis, Cyclin B1 undergoes phosphorylation at several sites, a subset of which have been proposed to play a role in Cyclin B1 accumulation in the nucleus. Both CRM1 binding and the ability to direct nuclear export were affected by mutation of these phosphorylation sites; thus, we propose that Cyclin B1 phosphorylation at the G2/M transition prevents its interaction with CRM1, thereby reducing nuclear export and facilitating nuclear accumulation.
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163
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Moore JD. Performance payback. Survey shows most execs must hit bonus targets to maintain total pay. MODERN HEALTHCARE 1998; 28:39-40, 42-6. [PMID: 10181361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
More than ever, hospital executives are being judged, and paid, based on performance, a hurdle most of them are making, according to a compensation survey by Hewitt Associates. Meanwhile, system managers, who are more experienced with being paid this way, are having a harder time meeting performance benchmarks. The survey includes 241 healthcare organization respondents.
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164
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Krock JL, Padda GS, Moore JD. Ohmeda 7900 Ventilator Flow Sensor failure. Anesth Analg 1998; 87:231-2. [PMID: 9661583 DOI: 10.1097/00000539-199807000-00052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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165
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Moore JD. Speaking terms. Case raises debate about academic freedom of speech. MODERN HEALTHCARE 1998; 28:82. [PMID: 10182349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
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166
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Moore JD. No answer book. Atlas raises questions about practice variations. MODERN HEALTHCARE 1998; 28:104. [PMID: 10182321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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167
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Moore JD. Groups weigh in on Medicare changes. MODERN HEALTHCARE 1998; 28:84, 86. [PMID: 10182350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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168
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Moore JD. Market profile. Market pressures? Say what? St. Louis providers profit amid excess capacity. MODERN HEALTHCARE 1998; 28:150-2, 154-6, 168. [PMID: 10182330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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169
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Moore JD. Struggle in St. Louis. Medicare rollbacks cause providers to exit home care. MODERN HEALTHCARE 1998; 28:34, 39. [PMID: 10180954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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170
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Moore JD. VHA, White House launch quality programs. MODERN HEALTHCARE 1998; 28:3. [PMID: 10180953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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171
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Moore JD. Noting ER trends could help avert health disasters. MODERN HEALTHCARE 1998; 28:76. [PMID: 10181123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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172
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Moore JD. JCAHO surveys Ravenswood. MODERN HEALTHCARE 1998; 28:24. [PMID: 10182312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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173
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Moore JD. Standardizing standards. Accrediting agencies form council to end confusion. MODERN HEALTHCARE 1998; 28:22-3. [PMID: 10182310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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174
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Moore JD. Real results. Pa. report gives consumers outcomes data they can use. MODERN HEALTHCARE 1998; 28:46. [PMID: 10179693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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175
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Moore JD. Suing the messenger. Union reps who deliver bad news may face legal action. MODERN HEALTHCARE 1998; 28:22-3. [PMID: 10179157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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176
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Moore JD. Minorities see glass ceiling. MODERN HEALTHCARE 1998; 28:3, 17. [PMID: 10179139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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177
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Moore JD. In with the old. Federation urges JCAHO to reverse system survey policy. MODERN HEALTHCARE 1998; 28:66, 68. [PMID: 10179147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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178
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Moore JD. Healthy marriage. Ga. Blues, med school unite via center to improve care. MODERN HEALTHCARE 1998; 28:126. [PMID: 10179134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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179
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Moore JD. Malpractice insurance. JCAHO pushes bill to protect hospitals that report errors. MODERN HEALTHCARE 1998; 28:12. [PMID: 10178311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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180
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Moore JD. Going global. JCAHO to accredit foreign healthcare organizations. MODERN HEALTHCARE 1998; 28:44, 46. [PMID: 10178298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
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181
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Moore JD. Treacherous waters. Capitation drove hospital-owned HMO into red. MODERN HEALTHCARE 1998; 28:2, 6. [PMID: 10178279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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182
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Moore JD. CNA, Kaiser sign truce. Fierce labor dispute ends with HMO, nurses inking pact. MODERN HEALTHCARE 1998; 28:6. [PMID: 10178288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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183
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Moore JD. Fighting the law. La. hospitals think legislation opens door to poor care. MODERN HEALTHCARE 1998; 28:24, 26. [PMID: 10178272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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184
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Moore JD. Risk pushes PHO over the edge. MODERN HEALTHCARE 1998; 28:42, 44. [PMID: 10178261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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185
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Moore JD. Team approach. Ga. hospital uses protocols to improve care, reduce costs. MODERN HEALTHCARE 1998; 28:84. [PMID: 10178270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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186
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Moore JD. Do as they say ... AHA, AMA: disclosure needed for HMOs, not providers. MODERN HEALTHCARE 1998; 28:22-3. [PMID: 10177176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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187
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Moore JD. Seating themselves. For-profit hospitals seek spot on JCAHO board. MODERN HEALTHCARE 1998; 28:24. [PMID: 10177177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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188
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Moore JD. JCAHO urges 'Do tell,' in sentinel event fight. Aviation's lesson: learn from experience. MODERN HEALTHCARE 1998; 28:60, 62, 64-6. [PMID: 10176990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
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189
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Moore JD. Columbia's new ethics policy could cost Texas hospital its accreditation. MODERN HEALTHCARE 1998; 28:8, 14. [PMID: 10176996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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190
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Moore JD. Going for-profit. St. Louis Catholic hospital gets OK for sale to Tenet. MODERN HEALTHCARE 1998; 28:35. [PMID: 10176983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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191
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Moore JD. CEOs settle down. Turnover drops sharply as boards, CEOs sit tight. MODERN HEALTHCARE 1998; 28:2. [PMID: 10176967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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192
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Moore JD. ACHE preview. Looking for payoff from patient-focused care. MODERN HEALTHCARE 1998; 28:45. [PMID: 10176678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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193
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Moore JD. JCAHO firestorm. Hospitals, trade groups rebel on self-reporting policy. MODERN HEALTHCARE 1998; 28:2, 14. [PMID: 10176331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
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194
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Buchanan BG, Carenini G, Mittal VO, Moore JD. Designing computer-based frameworks that facilitate doctor--patient collaboration. Artif Intell Med 1998; 12:169-91. [PMID: 9520223 DOI: 10.1016/s0933-3657(97)00049-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
A current trend in medicine involves establishing collaborative problem solving between patients and physicians in order to involve patients more in their own care. Neither diagnosis nor therapy can be completely successful unless the patient and the doctor understand each other and collaborate with each other in an effort to gauge the other's requests, needs and concerns. This is made even more difficult by the fact that there is often a big difference between the doctors and patients in terms of expectations, vocabulary used, and other factors. For diagnosis of many disorders, a detailed description of the problem and of the patient's history are required. For therapy, patients must understand how and when to take prescribed drugs, what changes to make in diet, exercise, or lifestyle and why they are important. This paper describes a model of asynchronous collaboration between people with very different knowledge of medicine in which a computer framework attempts to mediate between patients and physicians and reduce some of the differences in communication. It allows patients to pace themselves in familiarizing themselves with the relevant domain terms, some of the medical factors underlying the conditions under question, and the justifications and implications of the prescribed treatment plan. It also allows physicians to request more information of patients and gives patients contextual information to help them understand the underlying reasons for the questions. This framework has been partially implemented in the domain of migraines. As described in the paper, not only is the system designed to cooperate with the patient, but using the system also results in better mutual understanding between the doctor and the patient, thus leading to better collaboration between them.
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195
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Moore JD. JCAHO policy altered. Controversial 'watch' program pushed down line. MODERN HEALTHCARE 1998; 28:20-1. [PMID: 10175921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
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196
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Moore JD. Quality, schmality. Lack of marketplace demand causes Calif. doc group accreditor to go belly up. MODERN HEALTHCARE 1998; 28:39. [PMID: 10175934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
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197
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Moore JD. 5 plead guilty in nurse visa scheme. MODERN HEALTHCARE 1998; 28:13. [PMID: 10175917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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198
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Moore JD. What downsizing? Hospitals adding nurses as part of work-force expansion. MODERN HEALTHCARE 1998; 28:12. [PMID: 10175916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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199
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Moore JD. Quality is in. Medicare will base participation on performance. MODERN HEALTHCARE 1998; 28:12. [PMID: 10175902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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200
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Bellandi D, Limbacher PB, Pinto C, Shinkman R, Pallarito K, Kertesz L, Jaklevic MC, Japsen B, Morrissey J, Moore JD, Hensley S. Embracing change. The only thing you can count on in healthcare is that nothing will stay the same. MODERN HEALTHCARE 1998; 28:27-30, 32-8. [PMID: 10175897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
From more woes for managed-care firms to continued hospital mergers, particularly among not-for-profits, the staff of Modern Healthcare makes its predictions for the healthcare industry in the new year. And--which should come as no surprise to seasoned executives--1998 should turn out to be memorable, possibly invigorating and most certainly full of change.
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