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Health Care Management Review

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https://www.readbyqxmd.com/read/29742523/barriers-and-facilitators-to-intraorganizational-collaboration-in-public-health-relational-coordination-across-public-health-services-targeting-individuals-and-populations
#1
J Mac McCullough, Eileen Eisen-Cohen, Breanne Lott
BACKGROUND: Modern public health emphasizes population-focused services, which may require collaborative work both across and within organizations. Studies have explored interorganizational collaborations, but there are little data regarding collaborations within public health organizations. PURPOSE: We measured intraorganizational collaboration and identified barriers and facilitators to collaboration within a large public health department through a mixed-methods study...
May 9, 2018: Health Care Management Review
https://www.readbyqxmd.com/read/29742522/the-effects-of-emotional-intelligence-training-on-the-job-performance-of-australian-aged-care-workers
#2
Leila Karimi, Sandra G Leggat, Timothy Bartram, Jiri Rada
BACKGROUND: Emotional intelligence (EI) training is popular among human resource practitioners, but there is limited evidence of the impact of such training on health care workers. PURPOSE: In the current article, we examine the effects of EI training on quality of resident care and worker well-being and psychological empowerment in an Australian aged care facility. We use Bar-On's (1997) conceptualization of EI. METHODOLOGY/APPROACH: We used a quasiexperimental design in 2014-2015 with experimental (training) and control (nontraining) groups of 60 participants in each group in two geographically separate facilities...
May 9, 2018: Health Care Management Review
https://www.readbyqxmd.com/read/29642088/retaining-nurses-in-a-changing-health-care-environment-the-role-of-job-embeddedness-and-self-efficacy
#3
James M Vardaman, Bryan L Rogers, Laura E Marler
BACKGROUND: Because nurses are on the front lines of care delivery, they are subject to frequent changes to their work practices. This change-laden environment puts nurses at higher risk for turnover. Given the frequent disruption to the way nurses perform their jobs, change-related self-efficacy (CSE), or confidence that one can handle change, may be vital to their retention. PURPOSE: The purpose of this article is to examine the roles of CSE and job embeddedness in reducing turnover intentions among nurses...
April 11, 2018: Health Care Management Review
https://www.readbyqxmd.com/read/29642087/market-and-organizational-factors-associated-with-hospital-vertical-integration-into-sub-acute-care
#4
Tory H Hogan, Christy Harris Lemak, Larry R Hearld, Bisakha P Sen, Jack R C Wheeler, Nir Menachemi
BACKGROUND: Changes in payment models incentivize hospitals to vertically integrate into sub-acute care (SAC) services. Through vertical integration into SAC, hospitals have the potential to reduce the transaction costs associated with moving patients throughout the care continuum and reduce the likelihood that patients will be readmitted. PURPOSE: The purpose of this study is to examine the correlates of hospital vertical integration into SAC. METHODOLOGY/APPROACH: Using panel data of U...
April 11, 2018: Health Care Management Review
https://www.readbyqxmd.com/read/29613860/a-systematic-review-of-vertical-integration-and-quality-of-care-efficiency-and-patient-centered-outcomes
#5
Rachel M Machta, Kristin A Maurer, David J Jones, Michael F Furukawa, Eugene C Rich
BACKGROUND: Small independent practices are increasingly giving way to more complex affiliations between provider organizations and hospital systems. There are several ways in which vertically integrated health systems could improve quality and lower the costs of care. But there are also concerns that integrated systems may increase the price and costs of care without commensurate improvements in quality and outcomes. PURPOSE: Despite a growing body of research on vertically integrated health systems, no systematic review that we know of compares vertically integrated health systems (defined as shared ownership or joint management of hospitals and physician practices) to nonintegrated hospitals or physician practices...
April 2, 2018: Health Care Management Review
https://www.readbyqxmd.com/read/29613859/magnetic-work-environments-patient-experience-outcomes-in-magnet-versus-non-magnet-hospitals
#6
Deirdre McCaughey, Gwen E McGhan, Cheryl Rathert, Jessica H Williams, Kristine R Hearld
BACKGROUND: The term Magnet hospital is an official designation ascribed by the American Nurses Credentialing Center for hospitals that meet specific criteria indicating they have a "magnetic work environment" for nurses. The objective of the Magnet designation is to encourage hospitals to design work in such a way as to attract and retain high-quality nurses and thus improve the quality of patient care. Empirical research has demonstrated that hospitals who earn a Magnet designation appear to have nurses who are more satisfied and committed to their work environments...
April 2, 2018: Health Care Management Review
https://www.readbyqxmd.com/read/29533273/relationships-between-organizational-and-individual-support-nurses-ethical-competence-ethical-safety-and-work-satisfaction
#7
Tarja Poikkeus, Riitta Suhonen, Jouko Katajisto, Helena Leino-Kilpi
BACKGROUND: Organizations and nurse leaders do not always effectively support nurses' ethical competence. More information is needed about nurses' perceptions of this support and relevant factors to improve it. PURPOSE: The aim of the study was to examine relationships between nurses' perceived organizational and individual support, ethical competence, ethical safety, and work satisfaction. METHODOLOGY: A cross-sectional questionnaire survey was conducted...
March 12, 2018: Health Care Management Review
https://www.readbyqxmd.com/read/29533272/team-functioning-as-a-predictor-of-patient-outcomes-in-early-medical-home-implementation
#8
Frances M Wu, Lisa V Rubenstein, Jean Yoon
BACKGROUND: New models of patient-centered primary care such as the patient-centered medical home (PCMH) depend on high levels of interdisciplinary primary care team functioning to achieve improved outcomes. A few studies have qualitatively assessed barriers and facilitators to optimal team functioning; however, we know of no prior study that assesses PCMH team functioning in relationship to patient health outcomes. PURPOSE: The aim of the study was to assess the relationships between primary care team functioning, patients' use of acute care, and mortality...
March 12, 2018: Health Care Management Review
https://www.readbyqxmd.com/read/29533271/contextual-factors-that-influence-quality-improvement-implementation-in-primary-care-the-role-of-organizations-teams-and-individuals
#9
Christopher M Shea, Kea Turner, Jordan Albritton, Kristin L Reiter
BACKGROUND: Recent emphasis on value-based health care has highlighted the importance of quality improvement (QI) in primary care settings. QI efforts, which require providers and staff to work in cross-functional teams, may be implemented with varying levels of success, with implementation being affected by factors at the organizational, teamwork, and individual levels. PURPOSE: The purpose of our study was to (a) identify contextual factors (organizational, teamwork, and individual) that affect implementation effectiveness of QI interventions in primary care settings and (b) compare perspectives about these factors across roles (health care administrators, physician and nonphysician clinicians, and administrative staff)...
March 12, 2018: Health Care Management Review
https://www.readbyqxmd.com/read/29533270/the-influence-of-formal-and-informal-policies-and-practices-on-health-care-innovation-implementation-a-mixed-methods-analysis
#10
Lisa D DiMartino, Sarah A Birken, Laura C Hanson, Justin G Trogdon, Alecia S Clary, Morris Weinberger, Katherine Reeder-Hayes, Bryan J Weiner
BACKGROUND: The implementation science literature has contributed important insights regarding the influence of formal policies and practices on health care innovation implementation, whereas informal implementation policies and practices have garnered little attention. The broader literature suggests that informal implementation policies and practices could also influence innovation use. PURPOSE: We used the Organizational Theory of Innovation Implementation to further understand the role of formal and informal implementation policies and practices as determinants of implementation effectiveness...
March 12, 2018: Health Care Management Review
https://www.readbyqxmd.com/read/29485523/theory-for-advances-in-health-care-management-research
#11
L Michele Issel
No abstract text is available yet for this article.
April 2018: 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...
April 2018: 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...
April 2018: 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
#14
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...
April 2018: Health Care Management Review
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
#15
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...
April 2018: Health Care Management Review
https://www.readbyqxmd.com/read/27849646/team-based-primary-care-the-medical-assistant-perspective
#16
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...
April 2018: 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
#17
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)...
April 2018: 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
#18
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...
April 2018: Health Care Management Review
https://www.readbyqxmd.com/read/27782972/professional-networks-and-the-alignment-of-individual-perceptions-about-medical-innovation
#19
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...
April 2018: Health Care Management Review
https://www.readbyqxmd.com/read/29438115/standardizing-a-federally-qualified-health-center-s-preventive-care-processes-use-of-failure-modes-and-effects-analysis
#20
Angela L Carman, Robin C Vanderpool, Lindsay R Stradtman, Stephanie C Moore
: A multisite federally qualified health center used a Failure Modes and Effects Analysis to identify and correct potential challenges to the implementation of the proactive office encounter model. This model is designed to proactively identify and close preventive care gaps through electronic medical record use, new workflows, and staff training.
February 13, 2018: Health Care Management Review
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