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Advances in Health Care Management

Sandra C Buttigieg, Cheryl Rathert, Wilfried von Eiff
No abstract text is available yet for this article.
2015: Advances in Health Care Management
Wilfried von Eiff
PURPOSE: Hospitals worldwide are facing the same opportunities and threats: the demographics of an aging population; steady increases in chronic diseases and severe illnesses; and a steadily increasing demand for medical services with more intensive treatment for multi-morbid patients. Additionally, patients are becoming more demanding. They expect high quality medicine within a dignity-driven and painless healing environment. The severe financial pressures that these developments entail oblige care providers to more and more cost-containment and to apply process reengineering, as well as continuous performance improvement measures, so as to achieve future financial sustainability...
2015: Advances in Health Care Management
Sandra C Buttigieg, Wilfried von Eiff, Patrick Farrugia, Maximilian C von Eiff
PURPOSE: Point-of-care testing (POCT) at the Emergency Department (ED) attains better objectives in patient care while aiming to achieve early diagnosis for faster medical decision-making. This study assesses and compares the benefits of POCT in the ED in Germany and Malta, while considering differences in their health systems. METHODOLOGY/APPROACH: This chapter utilizes multiple case study approach using Six Sigma. The German case study assesses the use of POCT in acute coronary syndrome patients, compared to the central lab setting...
2015: Advances in Health Care Management
Bita A Kash, Kayla M Cline, Stephen Timmons, Rahil Roopani, Thomas R Miller
PURPOSE: Health care institutions in many Western countries have developed preoperative testing and assessment guidelines to improve surgical outcomes and reduce cost of surgical care. The aims of this chapter are to (1) summarize the literature on the effect of preoperative testing on clinical outcomes, efficiency, and cost; and (2) to compare preoperative testing guidelines developed in the United States, the United Kingdom, and Canada. DESIGN/METHODOLOGY/APPROACH: We reviewed the literature from 1975 to 2014 for studies and preoperative testing guidelines...
2015: Advances in Health Care Management
Deirdre McCaughey, Jami DelliFraine, Cathleen O Erwin
PURPOSE: Hospitals in North America consistently have employee injury rates ranking among the highest of all industries. Organizations that mandate workplace safety training and emphasize safety compliance tend to have lower injury rates and better employee safety perceptions. However, it is unclear if the work environment in different national health care systems (United States vs. Canada) is associated with different employee safety perceptions or injury rates. This study examines occupational safety and workplace satisfaction in two different countries with employees working for the same organization...
2015: Advances in Health Care Management
Gang Nathan Dong
PURPOSE: Amid increasing interest in how government regulation and market competition affect the cost and financial sustainability in health care sector, it remains unclear whether health care providers behave similarly to their counterparts in other industries. The goal of this chapter is to study the degree to which health care providers manipulate accruals in periods of financial difficulties caused, in part, by the rising costs of labor. METHODOLOGY: We collected the financial information of health care provider in 43 countries from 1984 to 2013 and conducted a pooled cross-sectional study with country and year fixed-effects...
2015: Advances in Health Care Management
Maria Cristina Longo
PURPOSE: The research analyzes good practices in health care "management experimentation models," which fall within the broader range of the integrative public-private partnerships (PPPs). Introduced by the Italian National Healthcare System in 1991, the "management experimentation models" are based on a public governance system mixed with a private management approach, a patient-centric orientation, a shared financial risk, and payment mechanisms correlated with clinical outcomes, quality, and cost-savings...
2015: Advances in Health Care Management
Karin Schnarr, Anne Snowdon, Heidi Cramm, Jason Cohen, Charles Alessi
PURPOSE: While there is established research that explores individual innovations across countries or developments in a specific health area, there is less work that attempts to match national innovations to specific systems of health governance to uncover themes across nations. DESIGN/METHODOLOGY/APPROACH: We used a cross-comparison design that employed content analysis of health governance models and innovation patterns in eight OECD nations (Australia, Britain, Canada, France, Germany, The Netherlands, Switzerland, and the United States)...
2015: Advances in Health Care Management
Jim Goes, Grant T Savage, Leonard H Friedman
PURPOSE: Explores recent approaches to international best practices and how they relate to context and innovation in health services. DESIGN/METHODOLOGY/APPROACH: Critical review of existing research on best practices and how they created, diffused, and translate in the international setting. FINDINGS: Best practices are widely used and discussed, but processes by which they are developed and diffused across international settings are not well understood...
2015: Advances in Health Care Management
Andrew N Garman, Tricia J Johnson
PURPOSE: Interest has grown among U.S. academic medical centers in developing international benchmarks for excellence in process and outcomes. Drivers behind this trend, as well as barriers to the development of useful benchmarks, are explored in this invited commentary. DESIGN/METHODOLOGY/APPROACH: The commentary is based on the authors' conversations with members of the U.S. Cooperative for International Patient Programs as well as the University Healthsystem Consortium (UHC)...
2015: Advances in Health Care Management
Sandra C Buttigieg, Cheryl Rathert, Thomas A D'Aunno, Grant T Savage
PURPOSE: This commentary argues in favor of international research in the 21st century. Advances in technology, science, communication, transport, and infrastructure have transformed the world into a global village. Industries have increasingly adopted globalization strategies. Likewise, the health sector is more internationalized whereby comparisons between diverse health systems, international best practices, international benchmarking, cross-border health care, and cross-cultural issues have become important subjects in the health care literature...
2015: Advances in Health Care Management
Sandra C Buttigieg, Cheryl Rathert, Wilfried von Eiff
No abstract text is available yet for this article.
2015: Advances in Health Care Management
Timothy R Huerta, Jennifer L Hefner, Ann Scheck McAlearney
PURPOSE: To survey the policy-driven financial controls currently being used to drive physician change in the care of populations. DESIGN/METHODOLOGY/APPROACH: This paper offers a review of current health care payment models and discusses the impact of each on the potential success of PHM initiatives. We present the benefits of a multi-part model, combining visit-based fee-for-service reimbursement with a monthly "care coordination payment" and a performance-based payment system...
2014: Advances in Health Care Management
Randell K Wexler
No abstract text is available yet for this article.
2014: Advances in Health Care Management
Jason S Turner, Connie Evashwick
PURPOSE: Population, community, and public health notions are addressed separately in the Patient Protection and Affordable Care Act (ACA), have different foci and stakeholders, build on different frameworks to achieve their aims, and apply different measures to determine the long-term impact of interventions. This paper attempts to clarify each concept and proposes a method of evaluating each of these sets of health-related activities based on the benefits that accrue to the respective stakeholders...
2014: Advances in Health Care Management
Cynthia J Sieck, Thomas Wickizer, Laurel Geist
PURPOSE: Individuals suffering from serious mental illness (SMI) face many challenges of navigating a complex and often fragmented health care system and may die significantly earlier from co-morbid physical health conditions. Integrating mental and physical health care for individuals with SMI is an emerging trend addressing the often-neglected physical health care needs of this population to better coordinate care and improve health outcomes. DESIGN/METHODOLOGY/APPROACH: Population Health Management (PHM) provides a useful friamework for designing integrated care programs for individuals with SMI...
2014: Advances in Health Care Management
Erik L Carlton
PURPOSE: The Affordable Care Act is transforming health care practice nationwide through emphasis on population health and prevention. Health care organizations are increasingly required to address population health needs. However, they may be ill equipped to answer that call. DESIGN/METHODOLOGY/APPROACH: This study identified ways that health care organizations might better integrate public and population health efforts to better respond to this new emphasis on population health...
2014: Advances in Health Care Management
James Langabeer, Jeffrey Helton, Jami DelliFraine, Ebbin Dotson, Carolyn Watts, Karen Love
PURPOSE: Community health clinics serving the poor and underserved are geographically expanding due to changes in U.S. health care policy. This paper describes the experience of a collaborative alliance of health care providers in a large metropolitan area who develop a conceptual and mathematical decision model to guide decisions on expanding its network of community health clinics. DESIGN/METHODOLOGY/APPROACH: Community stakeholders participated in a collaborative process that defined constructs they deemed important in guiding decisions on the location of community health clinics...
2014: Advances in Health Care Management
Sarah Lewis, Joan Bloom, Jennifer Rice, Arash Naeim, Stephen Shortell
PURPOSE: This study sought to identify the organizational factors associated with team and network effectiveness of the Athena Breast Health Network, a multi-site collaboration between five University of California health systems. DESIGN/METHODOLOGY/APPROACH: Providers, managers, and support staff completed self-administered surveys over three years. Statistical analyses at the network and medical center levels tested hypotheses regarding the correlates of effective teams and perceived network effectiveness over time...
2014: Advances in Health Care Management
Susan Moffatt-Bruce, Ann Scheck McAlearney, Alison Aldrich, Tina Latimer, Edmund Funai
PURPOSE: Clinical front-line staff are best positioned within the organizations to identify patient safety problems and craft solutions. However, in traditional models, safety committees are led by senior executives who are not clinically responsible for patients. This top-down approach can result in missed opportunities to address patient-centered challenges and better manage the health of the defined populations served by these organizations. DESIGN/METHODOLOGY/APPROACH: To foster teamwork, enhance empowerment, and improve the patient care environment, Operations Councils led by trained front-line staff were deployed in 15 clinical areas at the Ohio State University Wexner Medical Center (OSUWMC) as a performance improvement tool...
2014: Advances in Health Care Management
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