Pickup Quality I)eakr ^•VEtSt 8111 That’s why the CMA program places so much stress on broad management skills. In fact, it’s the only professional program devoted exclusively to hands-on training in management accounting. The CMA designation starts wit a thorough grounding in finance - Faster medical treatment Citizen classifieds 562-6666 centre of British campaign by RANDI HUTTER EPSTEIN LONDON (AP) — Britain’s National Health Service is taking a page from the Michelin Guide. It now publishes star ratings for hospitals, much as the French guide ranks hotels and restaurants. But the medical evaluations give far more weight to quick service than to the quality of the food. The rating system is the latest of several steps intended to tone up a health care system that serves everyone but often makes them wait months or years for non-emergency treatment. That wait means that while Britons’ life expectancy is about the same as that of Americans and Canadians — about 76 years — when they become ill, their prospects diverge. By the time they get into the hospital, 75 per cent of Britons who need heart surgery require a triple bypass, says Stephen Westaby, a heart surgeon at Oxford University. British cancer patients also die sooner than Americans and other Europeans. The star system introduced at the end of June is designed to identify hospitals that need to do better — and prompt their patients to demand it. Concern about care has been around for years, but only recently have doctors and patients banded together to seek change. “We don’t have the same ethos of demanding the best care," says Gordon McVie of the Cancer Research Campaign. “We’ve been spoon-fed for so long, people assume they're getting the best care.” But the rating system is only a first step. Britons have to go to their nearest National Health Service hospital for care, so one-star hospitals will not lose patients. That means fewer than 40 per cent of cancer patients now are seen by specialists. A general surgeon rather than a breast-cancer expert may operate on a woman with a breast lump. In June, a group of cancer specialists issued a report calling for an overhaul of cancer treatment to make sure every patient is treated by a specialist at a cancer centre. “We’re first-class for primary care, but when it comes to cancer care, you get better results in the States,” says Karol Sikora, a cancer specialist at Hammersmith hospital in London. Higher cancer survival rates in the U.S. and Canada are mainly due to improvements in early detection and treatment, says Harmon Eyre, chief medical officer of the American Cancer Society. “When you turn around and ask why a country like Great Britain has not had the same improvement, we get into speculation,” Eyre says. “My answer is that they do not have as many cancer specialists and the level of treatment is not as good.” Australia attracts global clientele by PETER SPIELMANN SYDNEY, Australia (AP) — Foreign Minister Ali Alatas of Indonesia was on the golf course, getting some fresh air and exercise, when he had chest pains. Doctors in Jakarta quickly determined it was a heart attack. President Suharto didn’t want to lose the man who had articulated his foreign policy for years, so he found the best medical team — in an Australian hospital. Alatas, recovering at Epworth Hospital in Melbourne from a quadruple heart-bypass operation, is one of thousands of foreigners who come to Australia for medical treatment each year from Asia, the Pacific, the Middle East and the Americas. Australian surgeons and specialists are considered the equals of any in the world. With a strong social-welfare tradition and free medical care for all, there is broad political and public support for a first-rate medical system. Australian health care has two more advantages: lower prices for major surgery than in the United States and high-quality sterilization and postoperative care. That attracts patients from Third World countries. A heart-bypass operation costs $20,000 to $25,000, one-third to half the U.S. rates. The surgeon gets roughly one-third and the hospital the rest, largely for pathology and diagnostic services. Five or six of each 100 bypass patients die in Indonesia and other developing countries. In Australian hospitals, one or two is typical, a better rate than in many U.S. hospitals. The government has encouraged Australian hospitals to attract foreign patients as a way of helping pay for costly specialists, diagnostic machines and hospitals. “The reason hospitals are doing this is to diversify their revenue streams and to use excess capacity,” said John Popper, who helped Epworth Hospital build a foreign clientele. “These patients come in at a marginal cost and they’re quite profitable.” Hospitals and the government make sure Australians are cared for first. None wants to be accused of “wait-listing” Australians in favor of profitable foreign cases. Exact figures on the number of foreign patients are elusive, but Popper and other experts say the total is more than 3,000 a year. The five-year survival rate for women with breast cancer is about 60 per cent in Britain, 70 per cent in the rest of Europe, 75 per cent in Canada and 80 per cent in the United States. Doctors say the situation is similar for other diseases. “We’ve been pushing for more cardiologists for yonks (years),” says Douglas Chamberlain, former president of the British Cardiac Society, adding that U.S. has nearly 10 times more heart specialists than Britain in proportion to population. Those critical of British health care say only public demand will bring about a change in the system. Carolyn Faudler of Breast Cancer Care, a support group for patients, is helping launch Europadonna, a movement for quality care modelled after the U.S. National Breast Cancer Coalition. “Brits are becoming more assertive,” she says. “Women are starting to complain and say we are not getting a good enough deal. And doctors are joining us, too.” CMAs won’t survive the ’90s. They’ll MANAGE the ’90s. The graduates who become the managers of the ’90s and beyond will have the flexibility to manage any change. Even a change of inHi i^trv nr tuun r Please send me a copy of the Professional Program Guide 1994-95 1 ADDRESS starts with in finance -to provide an of all aspects of business, and how each contributes to the bottom line. That overview is constantly updated, too, because the CMA designation carries with it a mandatory requirement for continuing professional development. As a CMA, you’ll do more than just manage financial, information. You'll use financial information to manage. And that includes managing your own career. Enrolment for the Fall Seaalon doaea August 26,1994 For more information on your future as a CMA, mail this coupon now or telephone (604) 687-5891 or 1-800-663-9646 in B.C. PROVINCE POSTAL CODE Certified Management Accountants of British Columbia P.O. Box 11548 1575 - 650 West Georgia Street Vancouver, B.C. V6B 4W7 CMA j The “M” stands for Management (7. Expert warns mothers about breast-feeding VANCOUVER (CP) — Mothers unsuccessfully trying to breastfeed are placing their babies at risk of malnutrition, brain damage and death, says the head of the Vancouver Breastfeeding Centre. Within the past three years, two Greater Vancouver babies have suffered permanent brain damage because of not getting enough breastmilk, Dr. Verity Livingstone said this week. “What we’re seeing is an increasing number of babies at hospital and at the Breastfeeding Centre with what’s called insuffi-cient-milk syndrome,” said Livingstone, who is also a University of B.C. associate professor. “They are breastfed babies who are losing weight in the first few days of life because they don’t get enough breastmilk.” Insufficient milk-syndrome is a complex condition affecting about five per cent of breastfeeding women. The increase in the number of such cases recently prompted B.C.’s Women’s Hospital to give all breastfeeding mothers information alerting them to the signs of inadequate feeding. British Columbia’s Children’s Hospital has seen about 30 babies over the past three years suffering from a lack of breastmilk, Livingstone said. She said the syndrome usually develops around seven to 10 days after birth but some babies have become ill as young as four days old. “I didn’t even know anything was wrong,” said Gina Afan, 31, whose three-week-old daughter ended up in Children’s Hospital with severe dehydration six days after birth. 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