keyword
https://read.qxmd.com/read/34754280/the-value-of-merging-medical-data-from-ambulance-services-and-general-practice-cooperatives-using-triple-aim-outcomes
#21
JOURNAL ARTICLE
Rosa Naomi Minderhout, Hedwig M M Vos, Pierre M van Grunsven, Isabel de la Torre Y Rivas, Sevde Alkir-Yurt, Mattijs E Numans, Marc A Bruijnzeels
BACKGROUND: Acute care services are currently overstretched in many high income countries. Overcrowding also plays a major role in acute care in the Netherlands. In a region of the Netherlands, the general practice cooperative (GPC) and ambulance service have begun to integrate their care, and the rapid and complete transfer of information between these two care organisations is now the basis for delivering appropriate care. The primary aim of this mixed-methods study is to evaluate the Netherlands Triage System (NTS) merger project and answering the question: What is the added value of implementing a digital NTS merger in terms of healthcare use and healthcare costs? A secondary question is: What are the experiences of patients and care professionals in different acute healthcare organisations following implementation of the digital NTS merger? METHODS: Patients who made an acute care request during the 12 months before the NTS merge intervention (control period) were compared with matched patients in the 12 months following the start of the NTS merge...
October 2021: International Journal of Integrated Care
https://read.qxmd.com/read/34688287/complexity-and-involvement-as-implementation-challenges-results-from-a-process-analysis
#22
JOURNAL ARTICLE
Yvette Emond, André Wolff, Gerrit Bloo, Johan Damen, Gert Westert, Hub Wollersheim, Hiske Calsbeek
BACKGROUND: The study objective was to analyse the implementation challenges experienced in carrying out the IMPROVE programme. This programme was designed to implement checklist-related improvement initiatives based on the national perioperative guidelines using a stepped-wedge trial design. A process analysis was carried out to investigate the involvement in the implementation activities. METHODS: An involvement rating measure was developed to express the extent to which the implementation programme was carried out in the hospitals...
October 23, 2021: BMC Health Services Research
https://read.qxmd.com/read/34606343/access-to-obstetric-behavioral-health-and-surgical-inpatient-services-after-hospital-mergers-in-rural-areas
#23
JOURNAL ARTICLE
Rachel Mosher Henke, Kathryn R Fingar, H Joanna Jiang, Lan Liang, Teresa B Gibson
Despite rural hospitals' central role in their communities, they are increasingly in financial distress and may merge with other hospitals or health systems, potentially reducing service lines that are less profitable or duplicative of services that the acquirer also offers. Using hospital discharge data from thirty-two Healthcare Cost and Utilization Project State Inpatient Databases from the period 2007-18, we examined the influence of rural hospital mergers on changes to inpatient service lines at hospitals and within their catchment areas...
October 2021: Health Affairs
https://read.qxmd.com/read/34487452/financial-profit-in-medicine-a-position-paper-from-the-american-college-of-physicians
#24
JOURNAL ARTICLE
Ryan Crowley, Omar Atiq, David Hilden
The steady growth of corporate interest and influence in the health care sector over the past few decades has created a more business-oriented health care system in the United States, helping to spur for-profit and private equity investment. Proponents say that this trend makes the health care system more efficient, encourages innovation, and provides financial stability to ensure access and improve care. Critics counter that such moves favor profit over care and erode the patient-physician relationship. American College of Physicians (ACP) underscores that physicians are permitted to earn a reasonable income as long as they are fulfilling their fiduciary responsibility to provide high-quality, appropriate care within the guardrails of medical professionalism and ethics...
October 2021: Annals of Internal Medicine
https://read.qxmd.com/read/34436772/covid-19-response-unites-perioperative-teams-at-a-recently-merged-health-care-system
#25
JOURNAL ARTICLE
Brenda G Larkin, Cindy Mahal-van-Brenk
Advocate Aurora Health, located in the north-central United States, is the result of a merger between two large health care organizations in April 2018. The health care system comprises 26 hospitals, offers more than 500 sites of care, and employs 75,000 team members. This article discusses the effects that coronavirus disease 2019 had on the perioperative services departments while directors and site leaders were still managing the complexities of the merger. Included are strategies used to address the challenges created by the pandemic, special considerations based on level-of-care capacity, the effect that the hold on elective surgeries had on staffing assignments, the reactivation process when elective surgery resumed, and the importance of keeping the perioperative team members informed and safe...
September 2021: AORN Journal
https://read.qxmd.com/read/34407741/smoothing-it-out-military-health-care-supply-chain-in-transition
#26
JOURNAL ARTICLE
George Ramos, Eugene S Schneller
Health care provision in the US can be characterized by its ongoing consolidation of systems and facilities in its efforts to achieve clinical and business integration. An important goal in health care systems is integration to reduce fragmentation and gain value. Functional integration has a long history of association with clinical performance. Supply chain can dramatically support the goals of cost avoidance, improved clinical outcomes, and buffer the system from external dependencies. This paper examines the efforts by the Department of Defense to consolidate the medical supply chain and explores lessons for and from the civilian health sector supply chain...
August 19, 2021: Hospital Topics
https://read.qxmd.com/read/34097521/soft-consolidation-in-medicare-acos-potential-for-higher-prices-without-mergers-or-acquisitions
#27
JOURNAL ARTICLE
Peter F Lyu, Michael E Chernew, J Michael McWilliams
Antitrust guidance specifies that participation in Medicare accountable care organizations (ACOs) is sufficient to meet clinical integration standards for separately owned providers to jointly negotiate with insurers. Accordingly, ACO participation may facilitate price increases through a less conventional, "softer" consolidation that would not be categorically challenged as price fixing. Using commercial claims and data on health system membership and ACO participation, we found some abrupt, large price increases for independent primary care practices that joined health system-led ACOs but were not acquired by systems...
June 2021: Health Affairs
https://read.qxmd.com/read/33988483/investor-owned-health-care-the-hidden-blight-on-america-s-system
#28
JOURNAL ARTICLE
John Geyman
Investor ownership of US health care has grown exponentially in the past 50 years through ever closer ties with Wall Street corporate interests. More recently, private equity firms have accelerated this process, invariably with harmful impacts on access to affordable care, its quality, and profiteering, with little accountability. These impacts are fueled by several concurrent trends: (1) increasing privatization, (2) consolidation and mergers, (3) increasing bureaucracy and waste, and (4) profiteering that may bleed into outright fraud...
May 14, 2021: International Journal of Health Services: Planning, Administration, Evaluation
https://read.qxmd.com/read/33921426/administration-of-strategic-agreements-in-public-hospitals-considerations-to-enhance-the-quality-and-sustainability-of-mergers-and-acquisitions
#29
JOURNAL ARTICLE
Javier Cerezo-Espinosa de Los Monteros, Antonio Castro-Torres, Juan Gómez-Salgado, Javier Fagundo-Rivera, Carlos Gómez-Salgado, Valle Coronado-Vázquez
Merger processes between hospitals have high benefit potential for patients, staff and managers. This integration of health centres can improve the quality and safety in patient care. Additionally, cooperative processes enhance the sustainability of the health system, by increasing team spirit, giving innovative ideas and improving staff satisfaction. In this article, the critical factors for successful hospital mergers and acquisitions in the Public Health System were considered to develop a brief guide to help with the organisation of a merger process...
April 12, 2021: International Journal of Environmental Research and Public Health
https://read.qxmd.com/read/33868621/multiconstraint-aware-routing-mechanism-for-wireless-body-sensor-networks
#30
JOURNAL ARTICLE
Javed Iqbal Bangash, Abdul Waheed Khan, Asfandyar Khan, Atif Khan, M Irfan Uddin, Qiaozhi Hua
The merger of wireless sensor technologies, pervasive computing, and biomedical engineering has resulted in the emergence of wireless body sensor network (WBSN). WBSNs assist human beings in various monitoring applications such as health-care, entertainment, rehabilitation systems, and sports. Life-critical health-care applications of WBSNs consider both reliability and delay as major Quality of Service (QoS) parameters. In addition to the common limitations and challenges of wireless sensor networks (WSNs), WBSNs pose distinct constraints due to the behavior and chemistry of the human body...
2021: Journal of Healthcare Engineering
https://read.qxmd.com/read/33779108/mergers-may-enhance-the-legitimacy-of-community-health-organisations-in-neoliberal-environments
#31
JOURNAL ARTICLE
Veronique Roussy, Grant Russell, Charles Livingstone, Therese Riley
PURPOSE: Comprehensive primary health care (PHC) models are seldom implemented in high income countries, in part due to their contested legitimacy in neoliberal policy environments. This article explores how merging affected the perceived legitimacy of independent community health organisations in Victoria, Australia, in providing comprehensive PHC services. DESIGN/METHODOLOGY/APPROACH: A longitudinal follow-up study (2-3 years post-merger) of two amalgamations among independent community health organisations from the state of Victoria, Australia, was conducted...
March 30, 2021: Journal of Health Organization and Management
https://read.qxmd.com/read/33624788/the-bigger-the-better-a-systematic-review-on-the-impact-of-mergers-on-primary-care-organizations
#32
JOURNAL ARTICLE
Gianfranco Damiani, Domenico Pascucci, Alessandro Sindoni, Rosario Mete, Walter Ricciardi, Paolo Villari, Corrado De Vito
BACKGROUND: Primary care services are the first point of contact in a healthcare system; in the last years, many mergers and reconfigurations have taken place in this setting. The aim of this study is to summarize the literature evidence on the relationship between the increase in the size of these organizations and their performance. METHODS: A systematic review of the literature was carried out querying EMBASE, MEDLINE and Web of Science databases, from their inception to January 2020...
February 24, 2021: European Journal of Public Health
https://read.qxmd.com/read/33331217/documenting-horizontal-integration-among-urologists-who-treat-prostate-cancer
#33
JOURNAL ARTICLE
Jean M Mitchell, Carole Roan Gresenz
Relatively little is known about the extent and effects of horizontal mergers among physician specialists. We developed and implemented a methodology to document changes in physician practice structure resulting from horizontal integration among urology groups. We merged cancer registry records from four large states with Medicare Part B claims to identify all urologists who treated men with prostate cancer. We added information from SK & A surveys and extensive internet searches to assign a practice structure to each urologist-year (2005-2014)...
December 17, 2020: Medical Care Research and Review: MCRR
https://read.qxmd.com/read/33233979/impacts-of-health-care-industry-consolidation-in-pittsburgh-pennsylvania-a-qualitative-study
#34
JOURNAL ARTICLE
Claire E O'Hanlon
While most studies of health care industry consolidation focus on impacts on prices or quality, these are not its only potential impacts. This exploratory qualitative study describes industry and community stakeholder perceptions of the impacts of cumulative hospital, practice, and insurance mergers, acquisitions, and affiliations in Pittsburgh, Pennsylvania. Since the 1980s, Pittsburgh's health care landscape has been transformed and is now dominated by competition between 2 integrated payer-provider networks, health care system UPMC (and its insurance arm UPMC Health Plan) and insurer Highmark (and its health care system Allegheny Health Network)...
January 2020: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://read.qxmd.com/read/32925532/better-together-an-examination-of-the-relationship-between-acute-care-hospital-mergers-and-patient-experience
#35
JOURNAL ARTICLE
Timothy Attebery, Larry R Hearld, Nathan Carroll, Jeff Szychowski, Robert Weech-Maldonado
The United States is experiencing another wave of hospital mergers. Whether patients benefit from these mergers, however, remains an open issue for many interested stakeholders. One measure of the potential benefit of hospital mergers is how they affect patient experience. This study used a quasi-experimental design to examine the relationship between hospital mergers and four different Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) ratings (i.e., overall, physician communication, nurse communication, and staff responsiveness)...
September 2020: Journal of Healthcare Management / American College of Healthcare Executives
https://read.qxmd.com/read/32849170/harnessing-real-world-data-to-inform-decision-making-multiple-sclerosis-partners-advancing-technology-and-health-solutions-ms-paths
#36
JOURNAL ARTICLE
Ellen M Mowry, Robert A Bermel, James R Williams, Tammie L S Benzinger, Carl de Moor, Elizabeth Fisher, Carrie M Hersh, Megan H Hyland, Izlem Izbudak, Stephen E Jones, Bernd C Kieseier, Hagen H Kitzler, Lauren Krupp, Yvonne W Lui, Xavier Montalban, Robert T Naismith, Jacqueline A Nicholas, Fabio Pellegrini, Alex Rovira, Maximilian Schulze, Björn Tackenberg, Mar Tintore, Madalina E Tivarus, Tjalf Ziemssen, Richard A Rudick
Background: Multiple Sclerosis Partners Advancing Technology and Health Solutions (MS PATHS) is the first example of a learning health system in multiple sclerosis (MS). This paper describes the initial implementation of MS PATHS and initial patient characteristics. Methods: MS PATHS is an ongoing initiative conducted in 10 healthcare institutions in three countries, each contributing standardized information acquired during routine care. Institutional participation required the following: active MS patient census of ≥500, at least one Siemens 3T magnetic resonance imaging scanner, and willingness to standardize patient assessments, share standardized data for research, and offer universal enrolment to capture a representative sample...
2020: Frontiers in Neurology
https://read.qxmd.com/read/32310755/rushing-the-value-cockpit
#37
JOURNAL ARTICLE
Peter W Vaughan
The 2015 merger of health authorities in Nova Scotia was aggressive in pursuit of greater value. The goal was to create an integrated, accountable care network across the entire province. Years of pent-up frustration, death by a thousand cuts, declining service and growing expectations merged into a slow, insidious bleeding of support for change. The lessons learned from Nova Scotia are vital to achieving a value-based health system. The article describes some of the barriers to progress and the steps needed to achieve the goal of a value-based healthcare system for Canadians...
February 2020: HealthcarePapers
https://read.qxmd.com/read/32168190/merging-cultures-organizational-culture-and-leadership-in-a-health-system-merger
#38
JOURNAL ARTICLE
Colin G Chesley
Health system mergers and acquisitions have increased exponentially in recent years as an apparent result of the Affordable Care Act. Mergers and acquisitions are seen as a way to control interdependencies within the market, control costs, leverage debt, and negotiate better rates among health insurers. Regardless of the impetus for a merger, the largest predictor of its success or failure lies within the organizational culture. The purpose of this research was to assess the current organizational culture and preferred organizational culture of two competing health organizations prior to a planned merger, and then to determine whether there were significant differences between the premerger cultures and the postmerger preferred organizational culture using the Competing Values Framework (CVF)...
March 2020: Journal of Healthcare Management / American College of Healthcare Executives
https://read.qxmd.com/read/32134869/complexity-leadership-in-the-nursing-context
#39
JOURNAL ARTICLE
Mary Uhl-Bien, Danika Meyer, Justin Smith
Consolidation through mergers and acquisitions is occurring across health care as a strategic move to address the disruptive forces of complexity. While consolidation is improving the overall fitness and viability of health care organizations, it is having the opposite effect on the professionals working within them who are reporting increasing rates of burnout from ongoing complexity in the health care environment. This happens in all organizations that try to respond to complexity with traditional bureaucratic leadership approaches...
April 2020: Nursing Administration Quarterly
https://read.qxmd.com/read/32008240/sentiment-of-media-coverage-and-reputation-of-the-pharmaceutical-industry
#40
JOURNAL ARTICLE
Valentina Pampulevski, Jessica R Giaquinto, Mark Rametta, Michael Toscani, Joseph Barone, Juan C Nadal
BACKGROUND: Patients and health care professionals receive information about pharmaceutical companies through various sources, including but not limited to print media, social media, and electronic media. The objective of this research was to benchmark the sentiment of electronic newspaper media coverage between 2014 and 2016 and investigate the potential relationship to the public perception of the select pharmaceutical companies. METHODS: Reputation Institute's RepTrak System report was used for selection of 5 highly rated pharmaceutical companies (A-E)...
January 2020: Therapeutic Innovation & Regulatory Science
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