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Health Care Management Review

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https://www.readbyqxmd.com/read/28622200/service-line-structure-and-decision-maker-attention-in-three-health-systems-implications-for-patient-centered-care
#1
Christopher J Louis, Jonathan R Clark, Barbara Gray, Diane Brannon, Victoria Parker
BACKGROUND: Scholars have noted a disconnect between the level at which structure is typically examined (the organization) and the level at which the relevant coordination takes place (service delivery). Accordingly, our understanding of the role structure plays in care coordination is limited. PURPOSE: In this article, we explore service line structure, with an aim of advancing our understanding of the role service line structure plays in producing coordinated, patient-centered care...
June 15, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28614167/the-role-of-organizational-context-in-the-implementation-of-a-statewide-initiative-to-integrate-mental-health-services-into-pediatric-primary-care
#2
Melissa A King, Lawrence S Wissow, Rebecca A Baum
BACKGROUND: Although there is evidence that mental health services can be delivered in pediatric primary care with good outcomes, few changes in service delivery have been seen over the past decade. Practices face a number of barriers, making interventions that address determinants of change at multiple levels a promising solution. However, these interventions may need appropriate organizational contexts in place to be successfully implemented. PURPOSE: The objective of this study was to test whether organizational context (culture, climate, structures/processes, and technologies) influenced uptake of a complex intervention to implement mental health services in pediatric primary care...
June 13, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28614166/seven-years-after-meaningful-use-physicians-and-nurses-experiences-with-electronic-health-records
#3
Cheryl Rathert, Tracy H Porter, Jessica N Mittler, Michelle Fleig-Palmer
Although the federal government's Meaningful Use electronic health record (EHR) implementation program resulted in some successes, there have been many challenges. The purpose of this study was to obtain detailed empirical data to better understand physicians' and nurses' experiences with EHRs. We conducted in-depth interviews with 30 physicians and nurses from two large health systems that were focused on attaining Stage 3 Meaningful Use criteria. Thematic framework analysis identified themes related to perceived benefits and challenges with EHR use...
June 13, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28614165/magnet-hospital-recognition-in-hospital-systems-over-time
#4
Karen B Lasater, Michael R Richards, Nikila B Dandapani, Lawton R Burns, Matthew D McHugh
BACKGROUND: Magnet hospitals are recognized for nursing excellence and high-value patient outcomes, yet little is known about which and when hospitals pursue Magnet recognition. Concurrently, hospital systems are becoming a more prominent feature of the U.S. health care landscape. PURPOSE: The aim of the study was to examine Magnet adoption among hospital systems over time. APPROACH: Using American Hospital Association surveys (1998-2012), we characterized the proportion of Magnet hospitals belonging to systems...
June 13, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28537945/making-sense-of-effective-partnerships-among-senior-leaders-in-the-national-health-service
#5
Mahima Mitra, Timothy Hoff, Paul Brankin, Sue Dopson
BACKGROUND: Changing health care systems depend on strong organizational leadership that realizes the collaborative potential of both physician and nonphysician leaders. PURPOSE: The aim of this study was to seek insight into the everyday health care leader experience by examining 24 physician and nonphysician leaders working in the U.K. National Health Service. We explored (a) how they make sense of and act with respect to specific collaborative tensions in their interactions and (b) which aspects of their everyday leadership contexts heighten the probability for producing and resolving such tensions...
May 22, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28509711/trends-in-governance-structure-and-activities-among-not-for-profit-u-s-hospitals-2009-2015
#6
Olena Mazurenko, Taleah Collum, Nir Menachemi
BACKGROUND: In U.S. hospitals, boards of directors (BODs) have numerous governance responsibilities including overseeing hospital activities and guiding strategic decisions. BODs can help hospitals adapt to changes in their markets including those stemming from a shift from fee-for-service to value-based purchasing. The recent increase in market turbulence for hospitals has brought renewed attention to the work of BODs. PURPOSE: The aim of the study was to examine trends in hospital BOD structure and activities and determine whether these changes are commensurate with approaches designed to respond to market pressures...
May 15, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28498143/the-crucible-simulation-behavioral-simulation-improves-clinical-leadership-skills-and-understanding-of-complex-health-policy-change
#7
Daniel Cohen, Ivo Vlaev, Laurie McMahon, Sarah Harvey, Andy Mitchell, Leah Borovoi, Ara Darzi
BACKGROUND: The Health and Social Care Act 2012 represents the most complex National Health Service reforms in history. High-quality clinical leadership is important for successful implementation of health service reform. However, little is known about the effectiveness of current leadership training. PURPOSE: This study describes the use of a behavioral simulation to improve the knowledge and leadership of a cohort of medical doctors expected to take leadership roles in the National Health Service...
May 11, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28448307/explaining-performance-in-health-care-how-and-when-top-management-competencies-make-the-difference
#8
Milena Vainieri, Francesca Ferrè, Giorgio Giacomelli, Sabina Nuti
BACKGROUND: One of the most distinctive management competencies is related to the ability to structure the strategic vision, develop long-term plans, and communicate them efficiently to the employees in order to empower them to enact. These managerial competencies in complex organizations are strongly related to the capacity to engage professionals as a predictor of high-performing organizations. PURPOSE: The aim of this study was to investigate the relationship between top management competencies, information sharing, and organizational performance in public health care system and to look at the management role in assuring information sharing on organizational strategies to achieve professionals' engagement...
April 26, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28445325/doing-well-by-doing-good-evaluating-the-influence-of-patient-safety-performance-on-hospital-financial-outcomes
#9
Brad Beauvais, Jason P Richter, Forest S Kim
BACKGROUND: As financial pressures on hospitals increase because of changing reimbursement structures and heightened focus on quality and value, the association between patient safety performance and financial outcomes remains unclear. PURPOSE: The purpose of this study is to investigate if hospitals with higher patient safety performance are associated with higher levels of profitability than those with lower safety performance. METHODOLOGY/APPROACH: Using multinomial logistic regression, we analyzed data from the spring 2014 Leapfrog Hospital Safety Score and the 2014 American Hospital Association to determine the association between Leapfrog Hospital Safety Score performance and three dimensions of organizational profitability: operating margin, net patient revenue, and operating income...
April 25, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28445324/nurse-practitioner-physician-comanagement-of-primary-care-patients-the-promise-of-a-new-delivery-care-model-to-improve-quality-of-care
#10
Allison Andreno Norful, Kyleen Swords, Mickaela Marichal, Hwayoung Cho, Lusine Poghosyan
BACKGROUND: The U.S. primary care system is under tremendous strain to deliver care to an increased volume of patients with a concurrent primary care physician shortage. Nurse practitioner (NP)-physician comanagement of primary care patients has been proposed by some policy makers to help alleviate this strain. To date, no collective evidence demonstrates the effects of NP-physician comanagement in primary care. PURPOSE: This is the first review to synthesize all available studies that compare the effects of NP-physician comanagement to an individual physician managing primary care...
April 25, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28445323/examination-of-the-relationship-between-management-and-clinician-perception-of-patient-safety-climate-and-patient-satisfaction
#11
Olena Mazurenko, Jason Richter, Abby Swanson Kazley, Eric Ford
PURPOSE: The aim of this study was to explore the relationship between managers and clinicians' agreement on deeming the patient safety climate as high or low and the patients' satisfaction with those organizations. DATA SOURCES/STUDY SETTING: We used two secondary data sets: the Hospital Survey on Patient Safety Culture (2012) and the Hospital Consumer Assessment of Healthcare Providers and Systems (2012). METHODOLOGY/APPROACH: We used ordinary least squares regressions to analyze the relationship between the extent of agreement between managers and clinicians' perceptions of safety climate in relationship to patient satisfaction...
April 25, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28570421/time-for-more-creativity-in-health-care-management-research-and-practice
#12
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
#13
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
#14
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
#15
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
#16
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
https://www.readbyqxmd.com/read/27050926/evidence-that-electronic-health-records-can-promote-physician-counseling-for-healthy-behaviors
#17
Jaeyong Bae, Jason M Hockenberry, Kimberly J Rask, Edmund R Becker
BACKGROUND: Health behavior counseling services may help patients manage chronic conditions effectively and slow disease progression. Studies show, however, that many providers fail to provide these services because of time constraints and inability to tailor counseling to individual patient needs. Electronic health records (EHRs) have the potential to increase appropriate counseling by providing pertinent patient information at the point of care and clinical decision support. PURPOSE: This study estimates the impact of select EHR functionalities on the rate of health behavior counseling provided during primary care visits...
July 2017: Health Care Management Review
https://www.readbyqxmd.com/read/27050925/patient-experience-and-hospital-profitability-is-there-a-link
#18
Jason P Richter, David B Muhlestein
BACKGROUND: Patient experience has had a direct financial impact on hospitals since value-based purchasing was instituted by the Centers for Medicare & Medicaid Services in 2013 as a method to reward or punish hospitals based on performance on various measures, including patient experience. Although other industries have shown an indirect impact of customer experience on overall profitability, that link has not been well established in the health care industry. Return-to-provider rate and perceptions of health quality have been associated with profitability in the health care industry...
July 2017: Health Care Management Review
https://www.readbyqxmd.com/read/26939032/acceptance-of-lean-redesigns-in-primary-care-a-contextual-analysis
#19
Dorothy Hung, Caroline Gray, Meghan Martinez, Julie Schmittdiel, Michael I Harrison
BACKGROUND: Lean is a leading change strategy used in health care to achieve short-term efficiency and quality improvement while promising longer-term system transformation. Most research examines Lean intervention to address isolated problems, rather than to achieve broader systemic changes to care delivery. Moreover, no studies examine contextual influences on system-wide Lean implementation efforts in primary care. PURPOSE: The aim of this study was to identify contextual factors most critical to implementing and scaling Lean redesigns across all primary care clinics in a large, ambulatory care delivery system...
July 2017: Health Care Management Review
https://www.readbyqxmd.com/read/26863151/the-work-based-predictors-of-job-engagement-and-job-satisfaction-experienced-by-community-health-professionals
#20
Andrew J Noblet, Amanda F Allisey, Ingrid L Nielsen, Stacey Cotton, Anthony D LaMontagne, Kathryn M Page
BACKGROUND: Job engagement represents a critical resource for community-based health care agencies to achieve high levels of effectiveness. However, studies examining the organizational sources of job engagement among health care professionals have generally overlooked those workers based in community settings. PURPOSE: This study drew on the demand-control model, in addition to stressors that are more specific to community health services (e.g., unrewarding management practices), to identify conditions that are closely associated with the engagement experienced by a community health workforce...
July 2017: Health Care Management Review
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