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Journal of Health Organization and Management

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https://www.readbyqxmd.com/read/30175682/integrated-care-mobilising-professional-identity
#1
Stephanie Best, Sharon Williams
Purpose Integrated care has been identified as essential to delivering the reforms required in health and social care across the UK and other healthcare systems. Given this suggests new ways of working for health and social care professionals, little research has considered how different professions manage and mobilise their professional identity (PI) whilst working in an integrated team. The paper aims to discuss these issues. Design/methodology/approach A qualitative cross-sectional study was designed using eight focus groups with community-based health and social care practitioners from across Wales in the UK during 2017...
August 20, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/30175681/caveats-for-high-reliability-in-healthcare
#2
Peter F Martelli, Peter E Rivard, Karlene H Roberts
Purpose Given the pace of industry change and the rapid diffusion of high reliability organization (HRO) approaches, lags and divergences have arisen between research and practice in healthcare. The purpose of this paper is to explore several of these theory-practice gaps and propose implications for research and practice. Design/methodology/approach Classic and cutting-edge HRO literature is applied to analyze two industry trends: delivery system integration, and the confluence of patient-as-consumer and patient-centered care...
August 20, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/30175680/dynamics-of-distributed-leadership-during-a-hospital-merger
#3
Charlotte Jonasson, Anne Mette Kjeldsen, Maria Shubhra Ovesen
Purpose Mergers have become an influential part of public hospital development, and the successful implementation of such mergers requires skillful management. Recent studies have pointed to the impact of the distribution of leadership tasks amongst employees for implementing planned radical changes, yet this lacks examination with regard to hospital mergers. The purpose of this paper is to investigate the emergence of distributed leadership and this leadership's influence on the implementation of a hospital merger...
August 20, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/30175679/determinants-of-good-and-poor-quality-as-perceived-by-us-health-care-managers
#4
Rebecca Amati, Amer A Kaissi, Annegret F Hannawa
Purpose The scientific literature evidences that the quality of care must be improved. However, little research has focused on investigating how health care managers - who are responsible for the implementation of quality interventions - define good and poor quality. The purpose of this paper is to develop an empirically informed taxonomy of quality care as perceived by US managers - named the Integrative Quality Care Assessment Tool (INQUAT) - that is grounded in Donabedian's structure, process and outcome model...
August 20, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/30175678/implementation-of-a-comprehensive-program-to-improve-coordination-of-care-in-an-urban-academic-health-care-system
#5
Ya Luan Hsiao, Eric B Bass, Albert W Wu, Melissa B Richardson, Amy Deutschendorf, Daniel J Brotman, Michele Bellantoni, Eric E Howell, Anita Everett, Debra Hickman, Leon Purnell, Raymond Zollinger, Carol Sylvester, Constantine G Lyketsos, Linda Dunbar, Scott A Berkowitz
Purpose Academic healthcare systems face great challenges in coordinating services across a continuum of care that spans hospital, community providers, home and chronic care facilities. The Johns Hopkins Community Health Partnership (J-CHiP) was created to improve coordination of acute, sub-acute and ambulatory care for patients, and improve the health of high-risk patients in surrounding neighborhoods. The paper aims to discuss this issue. Design/methodology/approach J-CHiP targeted adults admitted to the Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center, patients discharged to participating skilled nursing facilities (SNFs), and high-risk Medicare and Medicaid patients receiving primary care in eight nearby outpatient sites...
August 20, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/30175677/multi-professional-teamwork-in-human-services
#6
Ulrica Nylén
Purpose This paper investigates the prospects and difficulties of multi-professional teamwork in human services from a professional identity perspective. The purpose of this paper is to explore the mutual interplay between professional identity formation and team activities. Design/methodology/approach This is a process study of two cases of multi-professional teamwork in family care. Data were collected through in-depth interviews with team members and managers. The analysis follows a stepwise approach alternating between the individual and team levels...
August 20, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/30175676/inter-occupational-cooperation-and-boundary-work-in-the-hospital-setting
#7
Anna Cregård
Purpose The purpose of this paper is to add a little piece to the research on boundary work and inter-occupational cooperation by addressing two questions: how do actors perform boundary work in an inter-occupational cooperation project that seeks to improve the personnel health work in a hospital setting? What impact does the boundary work have on such cooperation in the personnel health project? Design/methodology/approach The study is based on individual, in-depth interviews and participative observations of focus group discussions conducted at a regional municipal organization in Sweden...
August 20, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29969353/no-one-can-whistle-a-symphony-how-hospitals-design-for-daily-cross-boundary-collaboration
#8
Thim Prætorius, Peter Hasle, Anders Paarup Nielsen
Purpose The purpose of this paper is to investigate how and with which mechanisms health care professionals in practice design for collaboration to solve collective hospital tasks, which cross occupational and departmental boundaries. Design/methodology/approach An in-depth multiple-case study of five departments across four hospitals facing fast to slow response task requirements was carried out using interviews and observations. The selected cases were revealing as the departments had designed and formalized their daily hospital operations differently to solve collaboration and performance issues...
June 18, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29969352/from-one-sized-to-over-individualized-service-logic-s-value-creation
#9
Erik Masao Eriksson, Lars Nordgren
Purpose There is a current trend in healthcare management away from produced and standardized one-size-fits-all processes toward co-created and individualized services. The purpose of this paper is to increase understanding of the value concept in healthcare organization and management by recognizing different levels of value (private, group and public) and the interconnectedness among these levels. Design/methodology/approach The paper uses social constructionism as a lens to problematize the individualization of service logic's value concept...
June 18, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29969351/funding-profiles-of-multisector-health-care-alliances-and-their-positioning-for-sustainability
#10
Larry Hearld, Jeffrey A Alexander, Laura J Wolf, Yunfeng Shi
Purpose The purpose of this paper is to examine the relationship between different aspects of alliance funding profiles (e.g. range of sources, dependence on specific sources) and participant' perceptions of how well the organization is positioned for the future. Design/methodology/approach A mixed method study in the context of eight alliances participating in the Robert Wood Johnson Foundation's Aligning Forces for Quality program. Data collection approaches included surveys of alliance participants and semi-structured interviews with alliance leaders...
June 18, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29969350/post-surgery-length-of-stay-using-multi-criteria-decision-making-tool
#11
Sandra C Buttigieg, Dorothy Gauci, Frank Bezzina, Prasanta K Dey
Purpose Length of stay (LOS) in hospital after surgery varies for each patient depending on surgeon's decision that considers criticality of the surgery, patient's conditions before and after surgery, expected time to recovery and experience of the surgeon involved. Decision on patients' LOS at hospital post-surgery affects overall healthcare performance as it affects both cost and quality of care. The purpose of this paper is to develop a model for deriving the most appropriate LOS after surgical interventions...
June 18, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29969349/digital-displacements-in-patient-professional-relations
#12
Anja Svejgaard Pors
Purpose The purpose of this paper is to examine the relational consequences of electronic patient records based on co-produced data from pregnant women's IT supported self-reporting. The analysis unfolds how the clinical encounter between patient and professional is reconfigured in the digitized society. Design/methodology/approach The paper provides a grounded theory analysis based on observations and interviews in an antenatal care unit. The study draws on empirical material generated through observations of the clinical encounters between pregnant women and midwifes, interviews with managers and midwifes, field notes and policy documents...
June 18, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29969348/the-persistent-problem-of-integrated-care-in-english-nhs-hospitals
#13
Jonathan Erskine, Michele Castelli, David Hunter, Amritpal Hungin
Purpose The purpose of this paper is to determine whether some aspects of the distinctive Mayo Clinic care model could be translated into English National Health Service (NHS) hospital settings, to overcome the fragmented and episodic nature of non-emergency patient care. Design/methodology/approach The authors used a rapid review to assess the literature on integrated clinical care in hospital settings and critical analysis of links between Mayo Clinic's care model and the organisation's performance and associated patient outcomes...
June 18, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29969347/impacts-of-continuous-quality-improvement-in-aboriginal-and-torres-strait-islander-primary-health-care-in-australia
#14
Beverly Sibthorpe, Karen Gardner, Mier Chan, Michelle Dowden, Ginny Sargent, Dan McAullay
Purpose Continuous quality improvement (CQI) programmes have been taken up widely by indigenous primary health care services in Australia, but as yet there has not been a systematic assessment of their focus and achievements. A scoping review of the literature from studies of CQI in indigenous primary health care services was undertaken to explore impacts on service systems, care and client outcomes with the aim of providing guidance on future evaluation efforts. The paper aims to discuss these issues, Design/methodology/approach Searches were conducted in MEDLINE, CINAHL and the Cochrane Database of Systematic Reviews to December 2016 and handsearching of key websites and publications...
June 18, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29771210/variables-affecting-hospital-length-of-stay-a-scoping-review
#15
Sandra C Buttigieg, Lorraine Abela, Adriana Pace
Purpose Tertiary hospitals have registered an incremental rise in expenditure mostly because of the increasing demands by ageing populations. Reducing the length of stay (LOS) of patients within tertiary hospitals is one of the strategies, which has been used in the last decades to ensure health care systems' sustainability. Furthermore, LOS is one of the key performance indicators, which is widely used to assess hospital efficiency. Hence, it is crucial that policy makers use evidence-based practices in health care to aim for optimal LOS...
May 21, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29771209/caring-for-the-healthcare-professional
#16
Keith Adamson, Nancy Searl, Sonia Sengsavang, John Yardley, Mark George, Peter Rumney, Judy Hunter, Sakeena Myers-Halbig
Purpose Hospitals must systematically support employees in innovative ways to uphold a culture of care that strengthens the system. At a leading Canadian academic pediatric rehabilitation hospital, over 90 percent of clinicians viewed Schwartz Rounds™ (SR) as a hospital priority, resulting in its formal implementation as a quality improvement initiative. The purpose of this paper is to describe how the hospital implemented SR to support the socio-emotional impact of providing care. Design/methodology/approach This quantitative descriptive study provides a snapshot of the impact of each SR through online surveys at four assessment points (SR1-SR4)...
May 21, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29771208/healthcare-managers-perceptions-of-managing-poor-performance
#17
Melanie Hill, Heather Gluyas, Martinique Sandy, Andrew Wingate
Purpose The purpose of this paper is to understand the perceptions and experiences of healthcare managers working within a community and ambulatory health service who manage poorly performing staff and, to identify the supports, and gaps in supports, that are available to these managers. Design/methodology/approach Data were collected via two focus groups using a semi-structured schedule. The data were transcribed, themed and conclusions summarised. Findings On analysis of the discussion of the line managers' experiences and perceptions of competence, six themes were identified, five themes common to both groups...
May 21, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29771207/the-stopit-programme-to-reduce-bullying-and-undermining-behaviour-in-hospitals
#18
Graham Benmore, Steven Henderson, Joanna Mountfield, Brian Wink
Purpose The impact of bullying and undermining behaviours on the National Health Service on costs, patient safety and retention of staff was well understood even before the Illing report, published in 2013, that reviewed the efficacy of training interventions designed to reduce bullying and harassment in the outputs. The purpose of this paper is to provide an example of a good programme well evaluated. Design/methodology/approach The methodology follows a broad realist approach, by specifying the underlying programme assumptions and intention of the designers...
May 21, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29771206/universal-healthcare-and-universal-basic-income
#19
Nathan Gerard
Purpose The purpose of this paper is to draw parallels between universal basic income (UBI) and universal healthcare, highlighting their conceptual alignment and combined implications for health management and organization. Design/methodology/approach The idea that everyone should receive a set amount of money regardless of employment finds renewed momentum amid increasingly precarious work arrangements and an uncertain job market. Less explored, however, is the connection between this idea and the more established notion of universal healthcare...
May 21, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29771205/organizational-health-management-through-metaphor-a-mission-based-approach
#20
Joseph M Woodside
Purpose The purpose of this paper is to identify the underlying metaphors that hospitals use to establish their organizational mission. Metaphors impact the direction and managerial decision making of organizations, and provide a method to more easily communicate to a variety of stakeholders. Design/methodology/approach A text analytics process is run to evaluate the mission statements from the largest hospitals by revenue in each of the 50 states of the USA and District of Columbia to identify the types of metaphor-based organizational health management methods...
May 21, 2018: Journal of Health Organization and Management
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