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Health Care Management Review

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https://www.readbyqxmd.com/read/28915166/factors-associated-with-hospital-participation-in-centers-for-medicare-and-medicaid-services-accountable-care-organization-programs
#1
Askar S Chukmaitov, David W Harless, Gloria J Bazzoli, Yangyang Deng
BACKGROUND: In 2012, the Centers for Medicare and Medicaid Services (CMS) initiated the Medicare Shared Savings Program (MSSP) and Pioneer Accountable Care Organization (ACO) programs. Organizations in the MSSP model shared cost savings they generated with CMS, and those in the Pioneer program shared both savings and losses. It is largely unknown what hospital and environmental characteristics are associated with the development of CMS ACOs with one- or two-sided risk models. PURPOSE: The aim of this study was to assess the organizational and environmental characteristics associated with hospital participation in the MSSP and Pioneer ACOs...
September 15, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28915165/employee-organizational-commitment-and-hospital-performance
#2
Kevin M Baird, Amy Tung, Yanjie Yu
BACKGROUND: There is widespread evidence of the purported benefits of employee organizational commitment (EOC) and its impact on both individual and organizational performance. This study contributes to this literature by providing a unique insight into this relationship, focusing on the interrelationship between EOC with hospital performance and the role of the provision of adequate facilities in eliciting EOC. PURPOSE: The aim of this study was to introduce and empirically examine a new theoretical model in which it is argued that the performance of hospitals with regard to the provision of adequate facilities (medical facilities, support facilities, and staff resources) influences the level of EOC, which in turn influences hospital performance with regard to patient care and operational effectiveness...
September 15, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28915164/organizational-and-environmental-factors-influencing-hospital-community-orientation
#3
JʼAime C Jennings, Amy Y Landry, Larry R Hearld, Robert Weech-Maldonado, Scott W Snyder, Patricia A Patrician
BACKGROUND: Community orientation refers to hospitals' efforts to assess and meet the health needs of the local population. Variations in the number of community orientation-related activities offered by hospitals may be attributed to differences in organizational and environmental characteristics. Therefore, hospitals have to strategically respond to these internal and external constraints to improve community health. Understanding the facilitators and barriers of hospital community orientation is important to health care managers facing pressure from the external environment to meet the expectations of the community as well as Affordable Care Act guidelines...
September 15, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28837502/let-s-be-civil-elaborating-the-link-between-civility-climate-and-hospital-performance
#4
Eva-Maria Oppel, David C Mohr, Justin K Benzer
BACKGROUND: The importance of interpersonal behavior at the workplace is increasingly recognized in the health care industry and related literature. An unresolved issue in the existing health care research is how a climate of courteous interpersonal behavior may form the foundation for strong hospital care performance. PURPOSE: The aim of this study was to test the link between a climate of courteous interpersonal behavior, termed "civility climate," and hospital care performance...
August 23, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28837501/social-identity-and-the-prison-health-worker-implications-for-practitioner-satisfaction-and-turnover-intentions
#5
Amber L Stephenson, Nicolette Bell
BACKGROUND: Delivering health care within the prison walls poses distinct and arduous challenges to the practitioner. Correctional health workers regularly face issues of overcrowding, increased prevalence of infectious disease, advancing age, deteriorating conditions, and patients with an inclination for violence. Still, regardless of the sizeable workforce, costs, and impact on community well-being, correctional health is often overlooked in health services delivery research. PURPOSE: The aim of this study was to better understand the unique nature of delivering services in the prison context through the lens of social identity theory and further explore practitioner satisfaction and retention...
August 23, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28837500/the-role-of-collective-labor-contracts-and-individual-characteristics-on-job-satisfaction-in-tuscan-nursing-homes
#6
Milena Vainieri, Pierluigi Smaldone, Antonella Rosa, Kathleen Carroll
BACKGROUND: The role played by remuneration strategies in motivating health care professionals is one of the most studied factors. Some studies of nursing home (NH) services, while considering wages and labor market characteristics, do not explicitly account for the influence of the contract itself. PURPOSE: This study investigates the relationship between the labor contracts applied in 62 Tuscan NHs and NH aides' job satisfaction with two aims: to investigate the impact of European contracts on employee satisfaction in health care services and to determine possible limitations of research not incorporating these contracts...
August 23, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28786881/examining-the-impact-of-succession-management-practices-on-organizational-performance-a-national-study-of-u-s-hospitals
#7
Kevin S Groves
BACKGROUND: Spearheaded by the industry's transition from volume- to value-based care, the health care reform movement has spurred both unprecedented challenges and opportunities for developing more effective and sustainable health care delivery organizations. Whereas the formidable challenges of leading hospitals and health systems have been widely discussed, including reimbursement degradation, the rapidly aging workforce, and the imminent wave of executive retirements, the opportunity to leverage succession management and talent development capabilities to overcome these challenges has been largely overlooked...
August 3, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28700509/does-physician-leadership-affect-hospital-quality-operational-efficiency-and-financial-performance
#8
Michael C Tasi, Aakash Keswani, Kevin J Bozic
BACKGROUND: With payers and policymakers' focus on improving the value (health outcomes achieved per health care dollar spent) of health care delivery, physicians are increasingly taking on senior leadership/management positions in health care organizations (Carsen & Xia, 2006). Little research has been done to understand the impact of physician leadership on the delivery of care. PURPOSE: The aim of this study was to examine whether hospital systems led by physicians were associated with better U...
July 11, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28700508/hospitals-use-of-hospitalists-implications-for-financial-performance
#9
Josué Patien Epané, Robert Weech-Maldonado, Larry Hearld, Nir Menachemi, Bisakha Sen, Stephen O'Connor, Zo Ramamonjiarivelo
BACKGROUND: Hospitalists, or physicians specializing in hospital-based practice, have grown significantly since they were first introduced in the United States in the mid-1990s. Prior studies on the impact of hospitalists have focused on costs and length of stay. However, there is dearth of research exploring the relationship between hospitals' use of hospitalists and organizational performance. PURPOSE: Using a national longitudinal sample of acute care hospitals operating in the United States between 2007 and 2014, this study explores the impact of hospitalists staffing intensity on hospitals' financial performance...
July 11, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28678045/the-impact-of-middle-manager-affective-commitment-on-perceived-improvement-program-implementation-success
#10
Ashley-Kay Fryer, Anita L Tucker, Sara J Singer
BACKGROUND: Recent literature suggests that middle manager affective commitment (emotional attachment, identification, and involvement) to an improvement program may influence implementation success. However, less is known about the interplay between middle manager affective commitment and frontline worker commitment, another important driver of implementation success. PURPOSE: We contribute to this research by surveying middle managers who directly manage frontline workers on nursing units...
July 3, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28671876/sustaining-multistakeholder-alliances
#11
Thomas D'Aunno, Larry Hearld, Jeffrey A Alexander
BACKGROUND: Multistakeholder alliances that bring together diverse organizations to work on community-level health issues are playing an increasingly prominent role in the U.S. health care system. Yet, these alliances by their nature are fragile. In particular, low barriers to exit make alliances particularly vulnerable to disruption if key stakeholders leave. What factors are linked to the sustainability of alliances? One way to approach this question is to examine the perceptions of alliance participants, whose on-going involvement in alliances likely will matter much to their sustainability...
June 30, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28885990/financial-performance-employee-well-being-and-client-well-being-in-for-profit-and-not-for-profit-nursing-homes-a-systematic-review
#12
Aline Bos, Paul Boselie, Margo Trappenburg
BACKGROUND: Expanding the opportunities for for-profit nursing home care is a central theme in the debate on the sustainable organization of the growing nursing home sector in Western countries. PURPOSES: We conducted a systematic review of the literature over the last 10 years in order to determine the broad impact of nursing home ownership in the United States. Our review has two main goals: (a) to find out which topics have been studied with regard to financial performance, employee well-being, and client well-being in relation to nursing home ownership and (b) to assess the conclusions related to these topics...
October 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28885989/the-role-of-health-information-technology-in-advancing-care-management-and-coordination-in-accountable-care-organizations
#13
Frances M Wu, Stephen M Shortell, Thomas G Rundall, Joan R Bloom
BACKGROUND: To be successful, accountable care organizations (ACOs) must effectively manage patient care. Health information technology (HIT) can support care delivery by providing various degrees of coordination. Few studies have examined the role of HIT functionalities or the role of different levels of coordination enabled by HIT on care management processes. PURPOSES: We examine HIT functionalities in ACOs, categorized by the level of coordination they enable in terms of information and work flow, to determine which specific HIT functionalities and levels of coordination are most strongly associated with care management processes...
October 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28885306/community-population-health-and-health-care-organizations
#14
L Michele Issel
No abstract text is available yet for this article.
October 2017: Health Care Management Review
https://www.readbyqxmd.com/read/27428788/an-intraorganizational-model-for-developing-and-spreading-quality-improvement-innovations
#15
Katherine C Kellogg, Lindsay A Gainer, Adrienne S Allen, Tatum OʼSullivan, Sara J Singer
BACKGROUND: Recent policy reforms encourage quality improvement (QI) innovations in primary care, but practitioners lack clear guidance regarding spread inside organizations. PURPOSE: We designed this study to identify how large organizations can facilitate intraorganizational spread of QI innovations. METHODOLOGY/APPROACH: We conducted ethnographic observation and interviews in a large, multispecialty, community-based medical group that implemented three QI innovations across 10 primary care sites using a new method for intraorganizational process development and spread...
October 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28570421/time-for-more-creativity-in-health-care-management-research-and-practice
#16
Ingrid M Nembhard, Yuna S H Lee
No abstract text is available yet for this article.
July 2017: Health Care Management Review
https://www.readbyqxmd.com/read/27309191/contextual-factors-associated-with-hospitals-decision-to-operate-freestanding-emergency-departments
#17
Nitish Patidar, Robert Weech-Maldonado, Stephen J O'Connor, Bisakha Sen, J M Mickey Trimm, Carlos A Camargo
BACKGROUND: Freestanding emergency departments (FSEDs) are fast growing entities in health care, delivering emergency care outside of hospitals. Hospitals may benefit in several ways by opening FSEDs. PURPOSE: The study used the resource dependence theory as a means to analyze the relationship between market and organizational factors and the likelihood of hospitals to operate FSEDs. METHODOLOGY: All acute care hospitals in 14 states with FSEDs present during the study period from 2002 to 2011...
July 2017: Health Care Management Review
https://www.readbyqxmd.com/read/27309190/integrating-a-managerial-practice-that-enables-implementation-in-fragmented-health-care-environments
#18
Michaela Kerrissey, Patricia Satterstrom, Nicholas Leydon, Gordon Schiff, Sara Singer
BACKGROUND: How some organizations improve while others remain stagnant is a key question in health care research. Studies identifying how organizations can implement improvement despite barriers are needed, particularly in primary care. PURPOSES: This inductive qualitative study examines primary care clinics implementing improvement efforts in order to identify mechanisms that enable implementation despite common barriers, such as lack of time and fragmentation across stakeholder groups...
July 2017: Health Care Management Review
https://www.readbyqxmd.com/read/27280581/aligning-for-accountable-care-strategic-practices-for-change-in-accountable-care-organizations
#19
Brian Hilligoss, Paula H Song, Ann Scheck McAlearney
BACKGROUND: Alignment within accountable care organizations (ACOs) is crucial if these new entities are to achieve their lofty goals. However, the concept of alignment remains underexamined, and we know little about the work entailed in creating alignment. PURPOSE: The aim of this study was to develop the concept of aligning by identifying and describing the strategic practices administrators use to align the structures, processes, and behaviors of their organizations and individual providers in pursuit of accountable care...
July 2017: Health Care Management Review
https://www.readbyqxmd.com/read/27050927/the-strategic-nature-of-individual-change-behavior-how-physicians-and-their-staff-implement-medical-home-care
#20
Timothy Hoff, Sarah Scott
BACKGROUND: The patient-centered medical home (PCMH) model of care is central to primary care system success and transformation. Less is known about which PCMH activities primary care workers most frequently perform, if or why they might view that work more favorably, and how such work may function strategically to advance individual and organizational adaptation to new demands, as well as deliver good patient care. PURPOSE: Understanding better how primary care physicians and staff perceive, experience, and use certain types of PCMH work for adapting to new demands looms a key imperative for gaining insights into PCMH implementation at the workplace level...
July 2017: Health Care Management Review
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