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Health Care Management Review

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https://www.readbyqxmd.com/read/27849647/hybrid-practices-as-a-means-to-implement-quality-improvement-a-comparative-qualitative-study-in-a-dutch-and-swedish-hospital
#1
Julia Quartz-Topp, Johan M Sanne, Heide Pöstges
BACKGROUND: Managers and scholars commonly perceive resistance from professionals as hampering the implementation of quality improvement (QI) and refer to the incompatibility of clinical and managerial approaches to QI as a reason. Yet a growing body of research indicates that, in practice, these two approaches rather blend into hybrid practices that embody different types of QI-related knowledge and values. This opens up a new perspective on implementation challenges that moves attention away from resistance against managerial QI toward difficulties for clinicians to draw together different types of knowledge and values within their clinical work...
November 15, 2016: Health Care Management Review
https://www.readbyqxmd.com/read/27849646/team-based-primary-care-the-medical-assistant-perspective
#2
Bethany Sheridan, Alyna T Chien, Antoinette S Peters, Meredith B Rosenthal, Joanna Veazey Brooks, Sara J Singer
BACKGROUND: Team-based care has the potential to improve primary care quality and efficiency. In this model, medical assistants (MAs) take a more central role in patient care and population health management. MAs' traditionally low status may give them a unique view on changing organizational dynamics and teamwork. However, little empirical work exists on how team-based organizational designs affect the experiences of low-status health care workers like MAs. PURPOSES: The aim of this study was to describe how team-based primary care affects the experiences of MAs...
November 15, 2016: Health Care Management Review
https://www.readbyqxmd.com/read/27819803/differences-in-work-environment-for-staff-as-an-explanation-for-variation-in-central-line-bundle-compliance-in-intensive-care-units
#3
Yuna S H Lee, Patricia W Stone, Monika Pogorzelska-Maziarz, Ingrid M Nembhard
BACKGROUND: Central line-associated bloodstream infections (CLABSIs) are a common and costly quality problem, and their prevention is a national priority. A decade ago, researchers identified an evidence-based bundle of practices that reduce CLABSIs. Compliance with this bundle remains low in many hospitals. PURPOSE: The aim of this study was to assess whether differences in core aspects of work environments-workload, quality of relationships, and prioritization of quality-are associated with variation in maximal CLABSI bundle compliance, that is, compliance 95%-100% of the time in intensive care units (ICUs)...
November 4, 2016: Health Care Management Review
https://www.readbyqxmd.com/read/27782973/giving-voice-to-all-patients-on-patients-at-the-margins-and-their-intention-and-perceived-ability-to-complain
#4
Torsten Oliver Salge, David Antons, Patrick Cichy, J Nils Foege, Julian Hannen, Antje S J Huetten
BACKGROUND: It is now widely established that health care organizations are well advised not only to identify and act upon the concerns of all patient groups but also to encourage and enable them to voice their concerns in the first place. That said, research has begun to reveal that patients differ substantially in their readiness to complain, with many deciding to remain silent even after experiencing severe adverse events. Little research has explored whether patients at the margins (e...
October 25, 2016: Health Care Management Review
https://www.readbyqxmd.com/read/27782972/professional-networks-and-the-alignment-of-individual-perceptions-about-medical-innovation
#5
Valentina Iacopino, Daniele Mascia, Americo Cicchetti
BACKGROUND: In recent decades, the role of technology in health care organizations has become increasingly relevant because it enhances health care outcomes and the achievement of clinical goals. Extant research demonstrates that the effectiveness of a medical innovation depends largely on health care professionals' perceptions of its usefulness and impact on their activities and practices. We also know that interaction among social actors contributes to the shaping of their judgments and opinions regarding innovation...
October 25, 2016: Health Care Management Review
https://www.readbyqxmd.com/read/27782971/building-trust-the-influence-of-mentoring-behaviors-on-perceptions-of-health-care-managers-trustworthiness
#6
Michelle M Fleig-Palmer, Cheryl Rathert, Tracy H Porter
BACKGROUND: In health care organizations, trust is critical for effective workplace relationships that ensure patient-centered outcomes. Although research has focused on trust in the relationship between patients and clinicians, less is known about what influences workers to trust their managers. An understanding is needed of the specific behaviors that influence health care workers' evaluations of their managers' trustworthiness. Mentoring research focuses on the developmental assistance that a more experienced worker provides to a less experienced worker...
October 25, 2016: Health Care Management Review
https://www.readbyqxmd.com/read/27782970/hospital-cultural-competency-as-a-systematic-organizational-intervention-key-findings-from-the-national-center-for-healthcare-leadership-diversity-demonstration-project
#7
Robert Weech-Maldonado, Janice L Dreachslin, Josué Patien Epané, Judith Gail, Shivani Gupta, Joyce Anne Wainio
BACKGROUND: Cultural competency or the ongoing capacity of health care systems to provide for high-quality care to diverse patient populations (National Quality Forum, 2008) has been proposed as an organizational strategy to address disparities in quality of care, patient experience, and workforce representation. But far too many health care organizations still do not treat cultural competency as a business imperative and driver of strategy. PURPOSES: The aim of the study was to examine the impact of a systematic, multifaceted, and organizational level cultural competency initiative on hospital performance metrics at the organizational and individual levels...
October 25, 2016: Health Care Management Review
https://www.readbyqxmd.com/read/27755175/leadership-development-programs-for-health-care-middle-managers-an-exploration-of-the-top-management-team-member-perspective
#8
Alan Whaley, William E Gillis
BACKGROUND: Hospitals throughout the United States establish leadership and management programs for their middle managers. Despite their pervasiveness and an increased emphasis on physician leadership, there is limited research regarding the development programs designed for clinical and nonclinical health care middle managers. PURPOSE: Using two theoretical lenses, signaling and institutional theory, this exploratory study investigates mid-sized hospital development programs from the perspective of top management team (TMT) members...
October 14, 2016: Health Care Management Review
https://www.readbyqxmd.com/read/27755174/the-protective-role-of-self-efficacy-against-workplace-incivility-and-burnout-in-nursing-a-time-lagged-study
#9
Roberta Fida, Heather K Spence Laschinger, Michael P Leiter
BACKGROUND: Incivility has negative consequences in the workplace and remains a prevalent issue in nursing. Research has consistently linked incivility to nurse burnout and, in turn, to poor mental health and turnover intentions. To retain high-quality nurses, it is important to understand what factors might protect nurses from the negative effects of workplace mistreatment. PURPOSE: The aim of the study was to investigate the role of relational occupational coping self-efficacy in protecting nurses from workplace incivility and related burnout and turnover intentions...
October 14, 2016: Health Care Management Review
https://www.readbyqxmd.com/read/27906781/appreciative-inquiry-positive-deviance-and-civility
#10
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
#11
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
#12
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
#13
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
#14
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
https://www.readbyqxmd.com/read/26415079/organizational-responses-to-accountability-requirements-do-we-get-what-we-expect
#15
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...
January 2017: Health Care Management Review
https://www.readbyqxmd.com/read/26415078/promoting-action-on-research-implementation-in-health-services-framework-applied-to-teamstepps-implementation-in-small-rural-hospitals
#16
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...
January 2017: Health Care Management Review
https://www.readbyqxmd.com/read/26317304/balancing-cognitive-diversity-and-mutual-understanding-in-multidisciplinary-teams
#17
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...
January 2017: Health Care Management Review
https://www.readbyqxmd.com/read/26317303/evaluating-the-link-between-human-resource-management-decisions-and-patient-satisfaction-with-quality-of-care
#18
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...
January 2017: Health Care Management Review
https://www.readbyqxmd.com/read/27603581/effects-of-organizational-context-on-lean-implementation-in-five-hospital-systems-erratum
#19
(no author information available yet)
No abstract text is available yet for this article.
October 2016: Health Care Management Review
https://www.readbyqxmd.com/read/27603580/politics-and-managing-health-care-organizations
#20
L Michele Issel
No abstract text is available yet for this article.
October 2016: Health Care Management Review
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