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Health Care Management Review

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https://www.readbyqxmd.com/read/28157831/board-characteristics-governance-objectives-and-hospital-performance-an-empirical-analysis-of-german-hospitals
#1
Andrea Thiel, Vera Winter, Vera Antonia Büchner
BACKGROUND: There is a growing need for hospital supervisory boards to support hospital management in different areas, including (financial) monitoring, resource provision, stakeholder relationships, and strategic decision-making. Little is currently known about how boards' emphases on these various governance objectives contribute to performance. PURPOSE: Using a dominant logics perspective, this article aims to detect the governance logics that hospital boards emphasize, to determine whether there are distinct clusters of hospitals with the same sets of emphases, and to show how cluster membership relates to board characteristics and financial performance...
February 2, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28157830/designing-a-physician-leadership-development-program-based-on-effective-models-of-physician-education
#2
Joseph Hopkins, Magali Fassiotto, Manwai Candy Ku, Dagem Mammo, Hannah Valantine
BACKGROUND: Because of modern challenges in quality, safety, patient centeredness, and cost, health care is evolving to adopt leadership practices of highly effective organizations. Traditional physician training includes little focus on developing leadership skills, which necessitates further training to achieve the potential of collaborative management. PURPOSE: The aim of this study was to design a leadership program using established models for continuing medical education and to assess its impact on participants' knowledge, skills, attitudes, and performance...
February 2, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28125459/identifying-and-overcoming-implementation-challenges-experience-of-59-noninstitutional-long-term-services-and-support-pilot-programs-in-the-veterans-health-administration
#3
Jennifer L Sullivan, Omonyêlé L Adjognon, Ryann L Engle, Marlena H Shin, Melissa K Afable, Whitney Rudin, Bert White, Kenneth Shay, Carol VanDeusen Lukas
BACKGROUND: From 2010 to 2013, the Department of Veterans Affairs (VA) funded a large pilot initiative to implement noninstitutional long-term services and supports (LTSS) programs to support aging Veterans. Our team evaluated implementation of 59 VA noninstitutional LTSS programs. PURPOSE: The specific objectives of this study are to (a) examine the challenges influencing program implementation comparing active sites that remained open and inactive sites that closed during the funding period and (b) identify ways that active sites overcame the challenges they experienced...
January 25, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28125458/when-open-access-might-not-work-understanding-patient-attitudes-in-appointment-scheduling
#4
Stacey R Finkelstein, Nan Liu, David Rosenthal, Lusine Poghosyan
BACKGROUND: Open-access (OA) systems aim to reduce delays to care. However, recent evidence suggests that OA systems might reduce patient satisfaction and result in poorer patient experiences due to patients' inability to obtain appointments with their usual care provider. We conducted a series of experiments to explore the role of risk attitudes, an individual difference variable that measures preferences for risky options, in patients' perception of OA systems. PURPOSE: The aim of the study was to investigate the relationship between patient's risk attitudes and attitudes toward OA systems and demonstrate whether patients' attitudes toward OA systems will vary as a function of their risk attitudes...
January 25, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28125457/insights-into-nurses-work-exploring-relationships-among-work-attitudes-and-work-related-behaviors
#5
Tyrone Perreira, Whitney Berta, Liane Ginsburg, Jan Barnsley, Monique Herbert
BACKGROUND: Work attitudes have been associated with work productivity. In health care, poor work attitudes have been linked to poor performance, decreased patient safety, and quality care. Hence, the importance, ascribed in the literature, of work that clearly identifies the relationships between and among work attitudes and work behaviors linked to performance. PURPOSE: The purpose of this study is to better understand the relationships between work attitudes-perceived organizational justice, perceived organizational support (POS), affective commitment-consistently associated with a key type of performance outcome among nurses' organizational citizenship behaviors (OCBs)...
January 25, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28125456/coping-with-interdependencies-related-to-patient-choice-boundary-spanning-at-four-accountable-care-organizations
#6
Brian Hilligoss, Ann Scheck McAlearney, Paula H Song
BACKGROUND: Accountable care organizations (ACOs) are responsible for outcomes that are only partially under their control because patients may choose to self-refer outside the ACO, overuse resource-intensive services, or underuse evidence-based care. ACOs must devise boundary-spanning practices to manage these interdependencies related to patient choice. PURPOSE: The aim of this study was to identify, conceptualize, and categorize ACO efforts to cope with interdependencies related to patient choice...
January 25, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28125455/the-role-of-accountable-care-organization-affiliation-and-ownership-in-promoting-physician-practice-participation-in-quality-improvement-collaboratives
#7
Vanessa B Hurley, Hector P Rodriguez, Stephen M Shortell
BACKGROUND: Quality improvement collaboratives (QICs) have emerged as an important strategy to improve processes and outcomes of clinical care through interorganizational learning. Little is known about the organizational factors that support or deter physician practice participation in QICs. PURPOSE: The aim of this study was to examine organizational influences on physician practices' propensity to participate in QICs. We hypothesized that practice affiliation with an accountable care organization (ACO) and practice ownership by a system or community health center (CHC) would increase the propensity of physician practices to participate in a QIC...
January 25, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28125454/types-of-internal-facilitation-activities-in-hospitals-implementing-evidence-based-interventions
#8
Jure Baloh, Xi Zhu, Marcia M Ward
BACKGROUND: Implementation models, frameworks, and theories recognize the importance of activities that facilitate implementation success. However, little is known about internal facilitation activities that hospital personnel engage in during implementation efforts. PURPOSE: The aim of the study was to examine internal facilitation activities at 10 critical access hospitals in rural Iowa during their implementation of TeamSTEPPS, a patient safety intervention, and to identify characteristics that distinguish different types of facilitation activities...
January 25, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28005677/an-exploratory-analysis-for-lean-and-six-sigma-implementation-in-hospitals-together-is-better
#9
Jung Young Lee, Kathleen L McFadden, Charles R Gowen
BACKGROUND: Despite the increasing interest for Lean and Six Sigma implementations in hospitals, there has been little empirical evidence that goes beyond descriptive case studies to address the current status and the effectiveness of the implementations. PURPOSE: The aim of this study was to explore existing patterns of Lean and Six Sigma implementation in U.S. hospitals and compare the performance of the different patterns. METHODOLOGY/APPROACH: We collected data from 215 U...
December 22, 2016: Health Care Management Review
https://www.readbyqxmd.com/read/27984407/organizational-characteristics-associated-with-the-provision-of-cultural-competency-training-in-home-and-hospice-care-agencies
#10
Azza AbuDagga, Robert Weech-Maldonado, Fang Tian
BACKGROUND: Despite the increasing interest in community-based health care, little information exists on cultural competency training (CCT) and its predictors in this setting. PURPOSE: We examined the associations between six organizational characteristics and the provision of CCT in home health care and hospice agencies. METHODOLOGY: We used cross-sectional data from the agency component of the 2007 National Home and Hospice Care Survey. The CCT provision composite was composed of three items: whether the agency provides mandatory cultural training to understand cultural differences/beliefs that may affect delivery of services to (a) all administrators, clerical, and management staff; (b) all direct service providers; and (c) all volunteers...
December 15, 2016: Health Care Management Review
https://www.readbyqxmd.com/read/27984406/correlates-of-interorganizational-relationship-strategies-among-critical-access-hospitals
#11
Larry R Hearld, Nathaniel W Carroll, Kristine R Hearld, William Opoku-Agyeman
BACKGROUND: Interorganizational relationships (IORs) between hospitals and other health care providers have many potential benefits for critical access hospitals (CAHs) that operate in resource-constrained environments. Given the potential benefits of IORs, especially for CAHs, it is important to identify the conditions that support or hinder IOR development. However, most research examining IORs isolates individual types of relationships while ignoring the practical reality that many hospitals participate in a portfolio of relationships simultaneously...
December 15, 2016: Health Care Management Review
https://www.readbyqxmd.com/read/27984405/the-quality-perception-gap-between-employees-and-patients-in-hospitals
#12
Jurgen Willems, Stefan Ingerfurth
BACKGROUND: To assess hospital performance, quality perceptions of various stakeholders are increasingly taken into account. However, because of substantial background differences, various stakeholder groups might have different and even contrasting quality perceptions. PURPOSE: We test the hypothesis that an overall perception gap exists between employees and patients with respect to perceived hospital quality. We additionally elaborate on how various employee groups differ from each other and from patients...
December 15, 2016: Health Care Management Review
https://www.readbyqxmd.com/read/27984404/determinants-of-knowledge-sharing-networks-in-primary-care
#13
Daniele Mascia, Francesca Pallotti, Roberto Dandi
BACKGROUND: Around the world, health reforms are increasingly fostering collaboration and integration among primary care physicians with the aim of facilitating knowledge sharing and evidence-informed decision-making. Although extant research on this topic is abundant, the evidence and results regarding social and organizational factors affecting the formation of knowledge-sharing networks in this setting are inconclusive. PURPOSE: The aim of this article is to explore multiple theoretical mechanisms explaining the formation of knowledge-sharing networks among primary care physicians across relevant clinical areas...
December 15, 2016: Health Care Management Review
https://www.readbyqxmd.com/read/27926614/clinical-coordination-in-accountable-care-organizations-a-qualitative-study
#14
Valerie A Lewis, Karen Schoenherr, Taressa Fraze, Aleen Cunningham
BACKGROUND: Accountable care organizations (ACOs) are becoming a common payment and delivery model. Despite widespread interest, little empirical research has examined what efforts or strategies ACOs are using to change care and reduce costs. Knowledge of ACOs' clinical efforts can provide important context for understanding ACO performance, particularly to distinguish arenas where ACOs have and have not attempted care transformation. PURPOSE: The aim of the study was to understand ACOs' efforts to change clinical care during the first 18 months of ACO contracts...
December 6, 2016: Health Care Management Review
https://www.readbyqxmd.com/read/27922462/fostering-evidence-based-quality-improvement-for-patient-centered-medical-homes-initiating-local-quality-councils-to-transform-primary-care
#15
Susan E Stockdale, Jessica Zuchowski, Lisa V Rubenstein, Negar Sapir, Elizabeth M Yano, Lisa Altman, Jacqueline J Fickel, Skye McDougall, Timothy Dresselhaus, Alison B Hamilton
BACKGROUND: Although the patient-centered medical home endorses quality improvement principles, methods for supporting ongoing, systematic primary care quality improvement have not been evaluated. We introduced primary care quality councils at six Veterans Health Administration sites as an organizational intervention with three key design elements: (a) fostering interdisciplinary quality improvement leadership, (b) establishing a structured quality improvement process, and (c) facilitating organizationally aligned frontline quality improvement innovation...
December 3, 2016: Health Care Management Review
https://www.readbyqxmd.com/read/27906781/appreciative-inquiry-positive-deviance-and-civility
#16
L Michele Issel
No abstract text is available yet for this article.
January 2017: Health Care Management Review
https://www.readbyqxmd.com/read/26545207/work-related-factors-influencing-home-care-nurse-intent-to-remain-employed
#17
Ann E Tourangeau, Erin Patterson, Margaret Saari, Heather Thomson, Lisa Cranley
BACKGROUND: Health care is shifting out of hospitals into community settings. In Ontario, Canada, home care organizations continue to experience challenges recruiting and retaining nurses. However, factors influencing home care nurse retention that can be modified remain largely unexplored. Several groups of factors have been identified as influencing home care nurse intent to remain employed including job characteristics, work structures, relationships and communication, work environment, responses to work, and conditions of employment...
January 2017: Health Care Management Review
https://www.readbyqxmd.com/read/26545206/team-dynamics-clinical-work-satisfaction-and-patient-care-coordination-between-primary-care-providers-a-mixed-methods-study
#18
Hummy Song, Molly Ryan, Shalini Tendulkar, Josephine Fisher, Julia Martin, Antoinette S Peters, Joseph P Frolkis, Meredith B Rosenthal, Alyna T Chien, Sara J Singer
BACKGROUND: Team-based care is essential for delivering high-quality, comprehensive, and coordinated care. Despite considerable research about the effects of team-based care on patient outcomes, few studies have examined how team dynamics relate to provider outcomes. PURPOSE: The aim of this study was to examine relationships among team dynamics, primary care provider (PCP) clinical work satisfaction, and patient care coordination between PCPs in 18 Harvard-affiliated primary care practices participating in Harvard's Academic Innovations Collaborative...
January 2017: Health Care Management Review
https://www.readbyqxmd.com/read/26488239/what-roles-do-middle-managers-play-in-implementation-of-innovative-practices
#19
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...
January 2017: Health Care Management Review
https://www.readbyqxmd.com/read/26469705/integrated-versus-fragmented-implementation-of-complex-innovations-in-acute-health-care
#20
Jaana Woiceshyn, Kenneth Blades, Sachin R Pendharkar
BACKGROUND: Increased demand and escalating costs necessitate innovation in health care. The challenge is to implement complex innovations-those that require coordinated use across the adopting organization to have the intended benefits. PURPOSE: We wanted to understand why and how two of five similar hospitals associated with the same health care authority made more progress with implementing a complex inpatient discharge innovation whereas the other three experienced more difficulties in doing so...
January 2017: Health Care Management Review
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