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Health Care Management Review

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https://www.readbyqxmd.com/read/28786881/examining-the-impact-of-succession-management-practices-on-organizational-performance-a-national-study-of-u-s-hospitals
#1
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
#2
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
#3
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
#4
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
#5
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/28622200/service-line-structure-and-decision-maker-attention-in-three-health-systems-implications-for-patient-centered-care
#6
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
#7
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
#8
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
#9
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
#10
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/28570421/time-for-more-creativity-in-health-care-management-research-and-practice
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
https://www.readbyqxmd.com/read/28509711/trends-in-governance-structure-and-activities-among-not-for-profit-u-s-hospitals-2009-2015
#20
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
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