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Healthcare Management Forum

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https://www.readbyqxmd.com/read/29952257/using-simulation-modelling-to-test-the-impact-of-future-demand-for-end-of-life-care
#1
Eileen Florence Pepler, Janet Davidson, Douglas McGregor, Keith Poore, Stephen Brown, Joy Pridie
Health systems globally are exploring new models of care to address the increasing demand for palliative, hospice, and end-of-life care. Yet few tools exist at the population level to explore "what if" scenarios and test, in a "cost avoidance environment," the impact of these new care models on policy, workforce, technology, and funding. This article introduces the application of scenario-based "what if" thinking and discrete event simulation in strategic planning for a not-for-profit hospice organization...
July 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/29952256/delivering-improved-patient-and-system-outcomes-for-hospitalized-older-adults-through-an-acute-care-for-elders-strategy
#2
Samir K Sinha, Jocelyn Bennett, Rebecca Ramsden, Joanne Bon, Tyler Chalk
Acute care hospitals are widely recognized as potentially high-risk environments for older adults. In 2010, Mount Sinai Hospital conceived its Acute Care for Elders (ACE) Strategy as a multi-component intervention to improve the care of hospitalized older adults. In order to determine its effectiveness, we conducted a quasi-experimental time series analysis of 12,008 older patients admitted non-electively for acute medical issues over a 6-year period. Despite a 53% increase in annual admissions of older patients between 2009/2010 and 2014/2015, Mount Sinai decreased total lengths of stay and readmissions and reduced the direct cost of care per patient, leading to net savings of CDN$4...
July 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/29952255/establishing-an-integrated-model-of-subacute-care-for-the-frail-elderly
#3
Mary Boutette, Akos Hoffer, Jennifer Plant, Benoit Robert, Danielle Sinden
The current health system in Ontario is not designed to meet the needs of frail older adults. This is particularly true for older adults hospitalized due to exacerbation of chronic illness or medical crisis. This article describes the Subacute Care Unit for the Frail Elderly (SAFE) program, one which is designed to serve frail older patients who are at risk of deconditioning or disability associated with prolonged hospitalization but who may safely return home or to a retirement home following up to 4 weeks of subacute care in a restorative environment...
July 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/29860867/a-message-from-the-guest-editor
#4
Don Carmichael
No abstract text is available yet for this article.
July 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/29717650/the-shadows-in-healthcare-leadership
#5
Tracey Lynn Nigro
This article outlines personality traits such as psychopathy, narcissism, Machiavellianism, and sadism which, when elevated in health leaders, may have negative effects upon teams, the organizations they work for, and ultimately the public. The implications of such traits for specific core health leadership competency domains are explored as well as potential mitigation approaches to minimize and possibly redirect such personality traits.
May 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/29717649/a-neuroscience-based-approach-to-changing-organizational-behaviour
#6
David Rock
The greatest challenge in healthcare management is not identifying what changes are needed but actually changing behaviour on a long-term basis. Traditional approaches to organizational change are doomed to fail because they focus almost entirely on raising awareness. But countless studies show that the mere intention to change is not sufficient to reshape behaviour. In this article, we propose a new approach to organizational change informed by the principles of neuroleadership. The framework is called PHS: Priorities, Habits, Systems...
May 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/29717648/neuroleadership-themes-and-limitations-of-an-emerging-interdisciplinary-field
#7
Naila Kuhlmann, Chelsie A Kadgien
The relationship between brain and behaviour has perplexed philosophers and scientists since the time of the ancient Greeks. Recent technological advances have allowed neuroscience to flourish, alongside growing romanticism that reductionist studies will allow us to understand complex interpersonal behaviours. Organizational cognitive neuroscience and neuroleadership are newly established interdisciplinary fields that use neuroscientific techniques to answer questions about behaviours within organizations. Neuroleadership aims to discover screening tools for good leaders, to improve leadership skills, and to identify unconscious factors affecting behaviour in hopes of improving management and leadership practices...
May 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/29717647/a-three-step-model-of-stress-management-for-health-leaders
#8
Elizabeth Hartney
The current healthcare system is often as highly stressful environment for patients, their families, and for the employees of the system. Health leaders also experience stress, which can have profound repercussions if not well managed. This article describes the impact of stress on the brain and nervous system functioning of health leaders, then, drawing on evidence from the literature, presents a three-step model for managing stress at the individual, team/organizational, and system levels.
May 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/29717646/enhancing-health-leadership-performance-using-neurotherapy
#9
Paul G Swingle, Elizabeth Hartney
The discovery of neuroplasticity means the brain can change, functionally, in response to the environment and to learning. While individuals can develop harmful patterns of brain activity in response to stressors, they can also learn to modify or control neurological conditions associated with specific behaviors. Neurotherapy is one way of changing brain functioning to modify troubling conditions which can impair leadership performance, through responding to feedback on their own brain activity, and enhancing optimal leadership functioning through learning to maximize such cognitive strengths as mental efficiency, focus, creativity, perseverance, and executive functioning...
May 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/29717645/medication-adherence-monitoring-implications-for-patients-and-providers
#10
Bobby Gheorghiu, Seema Nayani
Non-adherence to medication is a key worldwide issue and can lead to adverse patient outcomes and increased health system costs. Would a process facilitating notification of non-adherence infringe upon the autonomy of individuals or breach expectations of privacy? In contrast, patients who are not taking their medication could unknowingly be putting themselves at risk and all the while prescribers are unaware and without the opportunity to intervene. With the advent of electronic methods of medication adherence monitoring, this ethical dilemma now involves a new layer of complexity...
May 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/29717644/surveiller-l-observance-des-m%C3%A3-dicaments-les-cons%C3%A3-quences-pour-les-patients-et-les-dispensateurs-de-soins
#11
Bobby Gheorghiu, Seema Nayani
La non-observance des médicaments est un enjeu mondial primordial qui peut être responsable de résultats cliniques indésirables chez les patients et accroître les coûts pour le système de santé. Un processus facilitant la transmission d'avis de non-observance violerait-il l'autonomie individuelle ou les attentes en matière de confidentialité? En revanche, les patients qui ne prennent pas leurs médicaments se rendent peut-être à risque sans le savoir et sans que les prescripteurs en soient informés et puissent intervenir...
May 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/29658321/the-neurobiology-of-focus-and-distraction-the-case-for-incorporating-mindfulness-into-leadership
#12
Paul Mohapel
Increasingly health leaders are experiencing greater demands and pressures, which require the need for better focus while limiting unwarranted distractions. This article offers a neurobiological explanation of how the brain focuses and becomes distracted, in order to help health leaders gain insight into their own effectiveness. Two main neural circuits are contrasted: the mind-wandering default mode circuit and the attentional central executive system. These two systems act in an antagonistic pairing, where the degree of toggling between systems is associated with the degree a person can sustain focus and filter out unwarranted distractions...
May 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/29614886/a-message-from-the-guest-editor
#13
Elizabeth Hartney
No abstract text is available yet for this article.
May 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/29488408/patient-and-family-engagement-in-alberta-health-services-improving-care-delivery-and-research-outcomes
#14
Sarah Singh, Katharina Kovacs Burns, Jennifer Rees, Deanna Picklyk, Jessica Spence, Nancy Marlett
Engaging patients and families in research and the design of quality improvement is an essential component of Patient and Family Centred Care (PFCC). Alberta Health Services (AHS) has been engaging patients and families to promote a cultural shift towards PFCC. The AHS trains patient and family advisors to share their experiences and encourages staff to work with advisors to co-design improvements in care. This article briefly describes the role and growth of patient and family advisors, advisory groups, and the participation of advisors in research initiatives through AHS' Strategic Clinical NetworksTM ...
March 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/29451028/l-%C3%A3-thique-du-silence-le-conflit-d-int%C3%A3-r%C3%A3%C2%AAts-explique-t-il-le-silence-des-employ%C3%A3-s
#15
James Anderson
Le silence des employés constitue une menace importante pour la réussite des organisations. Dans le présent article, les auteurs avancent que le silence dérive du conflit d'intérêts (CdI) structurel entre les employés et leur employeur. Cet argument repose sur la thèse également défendue dans l'article selon laquelle les leaders, qu'ils l'acceptent ou non, dépendent de leurs employés pour obtenir de l'information fiable sur le travail effectué, car ceux-ci connaissent intimement ce qu'ils font...
March 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/29409360/british-columbia-ministry-of-health-patients-as-partners-a-transformational-approach
#16
Sherry Bar, Kristen Grant, Sirisha Asuri, Shannon Holms
Patients as Partners is a quality improvement initiative of the British Columbia Ministry of Health (the Ministry) that aims to bring patient voice, choice, and representation to the forefront of healthcare through collaboration with patients, families, non-governmental organizations, funded partners, regional health authorities, and healthcare providers. A spectrum of patient engagement activities, including capacity building and self-management support, occur through partnerships at the individual patient and provider, community, and system levels...
March 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/29400092/partnering-with-parents-to-advance-child-health-research
#17
Janet A Curran, Andrea Bishop, Jill Chorney, Lauren MacEachern, Rebecca Mackay
Although patient engagement in research is widely touted as an important foundation for improving the relevance and sustainability of research findings, there is little consensus on how to do it in practice. This article describes our research team's experiences working with and engaging parents throughout the entire research process to reach full partnership in the identification, management, and dissemination of research. Our report of these experiences includes lessons learned along the way regarding how healthcare and research organizations can better support researchers and patients to achieve successful partnerships...
March 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/29400091/fellowship-program-in-health-system-improvement-a-novel-approach-integrating-leadership-development-and-patient-centred-health-system-transformation
#18
Donald J Philippon, Stephanie Montesanti, Tania Stafinski
This article highlights a novel approach to professional development, integrating leadership, development and patient-centred health system transformation in the new Fellowship Program in Health System Improvement offered by the School of Public Health at the University of Alberta. Early assessment of the program is also provided.
March 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/29390890/the-ethics-of-silence-does-conflict-of-interest-explain-employee-silence
#19
James Anderson
Employee silence constitutes a significant threat to organizational success. This article argues that silence is a by-product of a structural Conflict of Interest (COI) between employees and their employers. This argument turns on the claim, also defended here, that employees are in a privileged position vis-à-vis knowledge of their work and that leaders-whether they recognize it or not-are dependent on their employees for reliable information about the work they are doing. Employee voice, therefore, is an organizational necessity...
March 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/29390889/engaging-patients-as-partners-in-health-research-lessons-from-bc-canada
#20
Bev J Holmes, Stirling Bryan, Kendall Ho, Colleen McGavin
Canada is seeing increased interest in engaging patients in health research, recognizing the potential to improve its relevance and quality. The momentum is promising, but there may be a tendency to ignore the challenges inherent when lay people and professionals collaborate. We address some of these challenges as they relate to recruitment, training, and support for patients at the British Columbia (BC) Support for People and Patient-Oriented Research Unit, part of Canada's Strategy for Patient-Oriented Research...
March 2018: Healthcare Management Forum
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