Everyone is; should healthcare? Outsourcing: Issues in strategic planning, organizational culture, and organizational ethics

Expenditures for personal health services in the United States have doubled over the last decade. They continue to outpace the growth rate of the gross national product. Costs for medical care have steadily increased at an annual rate well above the rate of inflation and have gradually outstripped payers' ability to meet their premiums. This limitation of resources justifies the ongoing healthcare reform strategies to maximize utilization and minimize costs. The majority of the cost-containment effort has focused on hospitals, as they account for about 40 percent of total health expenditures. Although good patient outcomes have long been identified as healthcare's central concern, continuing cost pressures from both regulatory reforms and the restructuring of healthcare financing have recently made improving fiscal performance an essential goal for healthcare organizations. ^ The search for financial performance, quality improvement, and fiscal accountability has led to outsourcing, which is the hiring of a third party to perform a task previously and traditionally done in-house. The incomparable nature and overwhelming dissimilarities between health and other commodities raise numerous administrative, organizational, policy and ethical issues for administrators who contemplate outsourcing. This evaluation of the outsourcing phenomenon, how it has developed and is currently practiced in healthcare, will explore the reasons that healthcare organizations gravitate toward outsourcing as a strategic management tool to cut costs in an environment of continuing escalating spending. ^ This dissertation has four major findings. First, it suggests that U.S. hospitals in FY2000 spent an estimated $61 billion in outsourcing. Second, it finds that the proportion of healthcare outsourcing highly correlates with several types of hospital controlling authorities and specialties. Third, it argues that healthcare outsourcing has implications in strategic organizational issues, professionalism, and organizational ethics that warrant further public policy discussions before expanding its limited use beyond hospital “hotel functions” and back office business processes. Finally, it devises an outsourcing suitability scale that organizations can utilize to ensure the most strategic option for outsourcing and concludes with some public policy implications and recommendations for its limited use. ^

Intercultural Communication Between Forensic and Clinical Psychologists

While working in clinical and forensic psychology settings, a communication difficulty between the two professions became apparent. Forensic psychologists often appeared cold and callous from the clinical psychologist’s perspective, while clinical psychologists often appeared naïve or too client centered from the forensic psychologist’s perspective. I wondered if viewing each subfield of psychology as a culture could facilitate better communication through intercultural communication. Guided by Intercultural Communication in Contexts (Martin & Nakayama, 2010) in approaching intercultural communication between the two professions, I explored factors contributing to each profession’s cultural identities. Once this was established, I attempted to explore the different ways each culture could communicate more effectively. By recognizing and utilizing the strengths from each profession and understanding the possible pitfalls of one’s own, we may become competent in intercultural communication

Human Resources and Support ethics action plan.

Mode of access: Internet.

Kantian ethics and the ethics of evolution, a critical study.

Mode of access: Internet.

Of Elephants and Toothaches : Ethics, Politics, and Religion in Krzysztof Kieslowski's 'Decalogue' /

This collection is the first to offer a genuinely interdisciplinary approach to Krzysztof Kie?lowski’s Decalogue, a ten-film cycle of modern tales that touch on the ethical dilemmas of the Ten Commandments. The cycle’s deft handling of moral ambiguity and inventive technique established Kie?lowski as a major international director. Kie?lowski once said, “Both the deep believer and the habitual skeptic experience toothaches in exactly the same way.” Of Elephants and Toothaches takes seriously the range of thought, from theological to skeptical, condensed in the cycle’s quite human tales. Bringing together scholars of film, philosophy, literature, and several religions, the volume ranges from individual responsibility, to religion in modernity, to familial bonds, to human desire and material greed. It explores Kie?lowski’s cycle as it relentlessly solicits an ethical response that stimulates both inner disquiet and interpersonal dialogue.

How to trace crimes through the Illinois criminal justice system : a method for comparing police data to court and correctional data : revision of comparing Illinois police data to courts and corrections data /

"July 1981."

Management audit, Department of Corrections, Stateville Correctional Center and Correctional industries at Stateville Correctional Center.

Mode of access: Internet.

Task force report issued pursuant to Senate Resolution 0051 95th General Assembly : a study of electro-muscular disruption technology (EMDT) employed by Illinois law enforcement and correctional officers : standards, policy and training : task force deliberations and recommendations.

"Issued June 30, 2007"

Democracy and social ethics,

Series title also at head of t.-p.

Democracy and social ethics /

Introduction -- Charitable effort -- Filial relations -- Household adjustment -- Industrial amelioration -- Educational methods -- Political reform -- Index.

Remarks upon Aristotelian and Platonic ethics, as a branch of the studies pursued in the University of Oxford.

Mode of access: Internet.

Studies in political and social ethics,

Social evolution [International journal of ethics, January, 1896]--Equality [Contemporary review, October, 1892]--Law and liberty: the question of state interference [Society for the study of social ethics, Oxford. Journal, October, 1891]--Civic duties and party politics [Co-operative wholesale societies' annual for 1898]--1792--Year I [International journal of ethics, October, 1892]--War and peace [International journal of ethics, January, 1901]--The ultimate value of social effort.--Free will and responsibility [International journal of ethics, July, 1895]

Report of Legislative Committee on State Educational, Benevolent and Correctional Institutions to the General Assembly

Mode of access: Internet.

Extending the human life span : social policy and social ethics /

"NSF/RA 770123."