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Health Care Management Review

Ryann L Engle, Emily R Lopez, Katelyn E Gormley, Jeffrey A Chan, Martin P Charns, Carol VanDeusen Lukas
BACKGROUND: Middle managers play key roles in hospitals as the bridge between senior leaders and frontline staff. Yet relatively little research has focused on their role in implementing new practices. PURPOSE: The aim of this study was to expand the understanding of middle managers' influence in organizations by looking at their activities through the lens of two complementary conceptual frameworks. METHODOLOGY/APPROACH: We analyzed qualitative data from 17 Veterans Affairs Medical Centers with high and low potential to change organizational practices...
October 20, 2016: Health Care Management Review
Carolyn Steele Gray, Whitney Berta, Raisa Deber, Janet Lum
BACKGROUND: In health care, accountability is being championed as a promising approach to meeting the dual imperatives of improving care quality while managing constrained budgets. PURPOSES: Few studies focus on public sector organizations' responsiveness to government imperatives for accountability. We applied and adapted a theory of organizational responsiveness to community care agencies operating in Ontario, Canada, asking the question: What is the array of realized organizational responses to government-imposed accountability requirements among community agencies that receive public funds to provide home and community care? METHODOLOGY/APPROACH: A sequential complementary mixed methods approach was used...
September 23, 2016: Health Care Management Review
Marcia M Ward, Jure Baloh, Xi Zhu, Greg L Stewart
BACKGROUND: A particularly useful model for examining implementation of quality improvement interventions in health care settings is the PARIHS (Promoting Action on Research Implementation in Health Services) framework developed by Kitson and colleagues. The PARIHS framework proposes three elements (evidence, context, and facilitation) that are related to successful implementation. PURPOSES: An evidence-based program focused on quality enhancement in health care, termed TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), has been widely promoted by the Agency for Healthcare Research and Quality, but research is needed to better understand its implementation...
September 23, 2016: Health Care Management Review
Rebecca Mitchell, Brendan Boyle, Rachael O'Brien, Ashish Malik, Karen Tian, Vicki Parker, Michelle Giles, Pauline Joyce, Vico Chiang
BACKGROUND: Interprofessional health care teams are increasingly utilized in health care organizations. Although there is support for their capacity to solve complex problems, there is also evidence that such teams are not always successful. In an effort to understand the capacity of interprofessional teams to innovate successfully, we investigate the role of cognitive diversity to establish whether and how knowledge differences lead to innovation. PURPOSES: The aim of this study was to construct and investigate a model of team innovation predicted by cognitive diversity...
August 27, 2016: Health Care Management Review
Eva-Maria Oppel, Vera Winter, Jonas Schreyögg
BACKGROUND: Patient satisfaction with quality of care is becoming increasingly important in the competitive hospital market. Simultaneously, the growing shortage of clinical staff poses a considerable challenge to ensuring a high quality of care. In this context, a question emerges regarding whether and how human resource management (HRM) might serve as a means to reduce staff shortage problems and to increase patient satisfaction. Although considerable efforts have been devoted to understanding the concepts of patient satisfaction and HRM, little is known about the interrelationships between these concepts or about the link between staff shortage problems and patients' satisfaction with quality of care...
August 27, 2016: Health Care Management Review
Jason P Richter, Ann Scheck McAlearney
BACKGROUND: Approximately 250,000 central line-associated bloodstream infections (CLABSIs) occur annually in the United States, with 30,000 related deaths. CLABSIs are largely preventable, and the Comprehensive Unit-Based Safety Program (CUSP) is a proven sustainable model that can be used to reduce CLABSIs. CUSP is a resource intensive program that, although widely used, has not been universally adopted. PURPOSE: The purpose of this study is to identify the significant factors of safety culture prior to CUSP implementation associated with a reduction or elimination of CLABSIs...
August 15, 2016: Health Care Management Review
Alicia C Bunger, Rebecca Lengnick-Hall
BACKGROUND: Collaborative learning models were designed to support quality improvements, such as innovation implementation by promoting communication within organizational teams. Yet the effect of collaborative learning approaches on organizational team communication during implementation is untested. PURPOSE: The aim of this study was to explore change in communication patterns within teams from children's mental health organizations during a year-long learning collaborative focused on implementing a new treatment...
August 15, 2016: Health Care Management Review
Ferhat D Zengul, Robert Weech-Maldonado, Bunyamin Ozaydin, Patricia A Patrician, Stephen J OʼConnor
BACKGROUND: U.S. hospitals have been investing in high-technology medical services as a strategy to improve financial performance. Despite the interest in high-tech medical services, there is not much information available about the impact of high-tech services on financial performance. PURPOSE: The aim of this study was to examine the impact of high-tech medical services on financial performance of U.S. hospitals by using the resource-based view of the firm as a conceptual framework...
July 27, 2016: Health Care Management Review
Danielle Mercer, Arlene Haddon, Catherine Loughlin
BACKGROUND: Health care organizations are considered complex systems that represent both formal leadership as well as more informal and shared leadership models. Implementing these models is essential for optimizing care and patient outcomes. The paramedic profession specifically, although considered informally, leads out of hospital patient care. PURPOSE: To date, few empirical studies investigate shared leadership in health care settings. In paramedicine specifically, studies of leadership are scarce, despite paramedics' essential role in leading on the front lines of care...
July 27, 2016: Health Care Management Review
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No abstract text is available yet for this article.
October 2016: Health Care Management Review
L Michele Issel
No abstract text is available yet for this article.
October 2016: Health Care Management Review
Hector P Rodriguez, Xiao Chen, Ana E Martinez, Mark W Friedberg
BACKGROUND: Early experiences of patient-centered medical home implementation indicate that redesigning primary care is an intensive organizational change that is most effectively undertaken by high-functioning interdisciplinary teams. Team effectiveness research indicates that consistent availability of team members and other aspects of team structure can impact teamwork and organizational outcomes. METHODS: We conducted a survey of 766 adult primary care providers and staff in 34 California safety net practices to assess primary care team structure (team size, team member availability, and access to interdisciplinary expertise), teamwork, and readiness for change...
October 2016: Health Care Management Review
Matthew B Perrigino, Benjamin B Dunford
BACKGROUND: The principle of compatibility suggests that specific attitudes should target specific behaviors. The attitude-behavior relationship is contingent upon the consistency between the two. PURPOSE: This aim of this study was to examine the strength of relationships involving general versus specific support perceptions and attitudes regarding smart pump technology in hospitals. Specifically, we hypothesized that organizational support perceptions would be more strongly related to general positive work attitudes than it would to smart pump satisfaction...
October 2016: Health Care Management Review
William Opoku-Agyeman, Nir Menachemi
BACKGROUND: Despite the potential of health information exchange (HIE) to improve safety and reduce cost, hospitals have been slow to adopt HIE with only 30% of U.S. hospitals doing so in 2012. PURPOSE: The aim of this study was to explore the relationship between different health system types and how they engage in HIE. METHODS: Data on health system types and engagement in HIE activity were combined with secondary hospital characteristics...
October 2016: Health Care Management Review
Michael Schiffinger, Markus Latzke, Johannes Steyrer
BACKGROUND: Safety climate (SC) and more recently patient engagement (PE) have been identified as potential determinants of patient safety, but conceptual and empirical studies combining both are lacking. PURPOSES: On the basis of extant theories and concepts in safety research, this study investigates the effect of PE in conjunction with SC on perceived error occurrence (pEO) in hospitals, controlling for various staff-, patient-, and hospital-related variables as well as the amount of stress and (lack of) organizational support experienced by staff...
October 2016: Health Care Management Review
Ae-Sook Kim
BACKGROUND: With the aging of our society, concerns about the quality of nursing homes have been increasing. The Nursing Home Compare (NHC) report card is believed to reduce information asymmetry between the facility and potential residents and, consequently, improve nursing home quality. However, there is limited evidence about how nursing homes use this publicly disseminated performance information. PURPOSE: The aim of this study was to analyze the performance gap between nursing home administrators' self-assessment and the NHC report card performance ratings and explore the factors contributing to the gap...
October 2016: Health Care Management Review
Jessica M Tullar, Benjamin C Amick, Shelley Brewer, Pamela M Diamond, Steven H Kelder, Osama Mikhail
BACKGROUND: Turnover hurts patient care quality and is expensive to hospitals. Improved employee engagement could encourage employees to stay at their organization. PURPOSE: The aim of the study was to test whether participants in an employee engagement program were less likely than nonparticipants to leave their job. METHODS: Health care workers (primarily patient care technicians and assistants, n = 216) were recruited to participate in an engagement program that helps employees find meaning and connection in their work...
October 2016: Health Care Management Review
Nicholas Edwardson, Sean Gregory, Larry Gamm
BACKGROUND: A nurse's optimism or skepticism toward an organization-mandated change initiative largely depends on their experience with similar change initiatives and their unit's and organization's track record with previous change efforts. Thus, depending on the context, organization tenure can work in favor or against any particular change initiative. However, few studies have examined the impact of organization tenure on perceptions toward change initiatives. The few studies that have been conducted have yielded mixed results and have only targeted single or similar work initiatives...
October 2016: Health Care Management Review
Olena Mazurenko, Nir Menachemi
PURPOSE: In the context of value-based purchasing, this study examines the association between the utilization of foreign-educated registered nurses (RNs) and patient satisfaction among U.S. acute care hospitals. DATA SOURCES/STUDY SETTING: We utilized data from the Hospital Consumer Assessment of Healthcare Providers and Systems to measure patient satisfaction and data from the American Hospital Association regarding the utilization of foreign-educated RNs in 2012...
October 2016: Health Care Management Review
Mona Al-Amin, Suzanne C Makarem, Michael Rosko
BACKGROUND: Efficiency has emerged as a central goal to the operations of health care organizations. There are two competing perspectives on the relationship between efficiency and organizational performance. Some argue that organizational slack is a waste and that efficiency contributes to organizational performance, whereas others maintain that slack acts as a buffer, allowing organizations to adapt to environmental demands and contributing to organizational performance. PURPOSES: As value-based purchasing becomes more prevalent, health care organizations are incented to become more efficient and, at the same time, improve their patients' experiences and outcomes...
October 2016: Health Care Management Review
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