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Taylor DA 《Environmental health perspectives》2006,114(4):A236-A239
With five of the largest harbors in the United States, California is beginning to take steps to manage the large amounts of pollution generated by these bustling centers of transport and commerce. One option for reducing diesel emissions is the use of fuel cells, which run cleaner than diesel and other internal combustion engines. Other technologies being explored by harbor officials are diesel-electric hybrid and gas turbine locomotives for moving freight within port complexes. 相似文献
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Lutz S 《Modern healthcare》1991,21(44):28-30, 32-3
Home infusion has been one of healthcare's healthiest businesses, but providers are concerned about the future in light of new "safe harbor" guidelines and recent crackdowns by the HHS inspector general's office. Despite that uncertainty, the industry continues to prosper: Revenues have risen at an estimated 25% annual rate, thanks to home infusion's ability to get patients out of hospitals quicker. 相似文献
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Strong JW 《Journal of healthcare materiel management》1994,12(9):20-23
As the United States healthcare delivery system evolves, the alternate care site market is creating challenges and opportunities for materiel managers, groups and alliances. To be effective, an alliance or GPO must provide value. Many network integrators are setting up wellness and "telephone triage" programs to keep people from entering the continuum of care at all. Alternate care sites will face the same cost constraints presently being felt in many hospitals. GPOs and alliances will therefore have to provide value to these sites in ease of use, meaningful benefits, easy administration, and working with the network and distributors. Materiel managers can play an important role by developing product standardization among sites, rationalizing distribution to sites by using one or perhaps two distributors to serve all of the alternate site providers in the network, using group contracts to lower acquisition prices and providing greater services. 相似文献
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Appel GL 《Materials management in health care》1996,5(1):16, 18, 20
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《Health care cost reengineering report》1999,4(10):150-152
Hospitals cut better medical/surgical supply deals in smaller, innovative group purchasing networks. Meridian Health System in New Jersey posted an annual $1.5 million savings by renegotiating about a dozen of its supply contracts over the past year. By ditching memberships with the big GPOs and creating its own group purchasing cooperative, administrators there are cutting competitive deals. Find out how they're doing it. 相似文献
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