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transparency and leadership

Lotte Elton
Purpose This paper aims to describe and analyse some of the ways in which good leadership can enable those working within the National Health Service (NHS) to weather the changes and difficulties likely to arise in the coming years, and takes the format of an essay written by the prize-winner of the Faculty of Medical Leadership and Management's Student Prize. The Faculty of Medical Leadership and Management ran its inaugural Student Prize in 2015-2016, which aimed at medical students with an interest in medical leadership...
October 3, 2016: Leadership in Health Services
Jullet A Davis
Purpose Globally, in 1980, approximately 5.8 per cent of the world population was 65 years old and older. By 2050, this number will more than triple to 16 per cent. From a leadership perspective, there is at least one challenge (among many others challenges) to consider. This paper (viewpoint) aims to provide support for the growing need for academically prepared managers. Design/methodology/approach This paper is a viewpoint which presents several characteristics of the long-term care (LTC) field that support the need for academically trained leaders...
October 3, 2016: Leadership in Health Services
Varley Dias Sousa, Pedro I Ramalho, Dâmaris Silveira
Regulatory transparency is an imperative characteristic of a reliable National Regulatory Authority. In the region of the Americas, the process of building an open government is still fragile and fragmented across various Health Regulatory Agencies (HRAs) and Regional Reference Authorities (RRAs). This study assessed the transparency status of RRAs, focusing on various medicine life-cycle documents (the Medicine Dossier, Clinical Trial Report, and Inspection Report) as tools for strengthening health systems...
May 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
Dorjan Marušič, Valentina Prevolnik Rupel
In large systems, such as health care, reforms are underway constantly. The article presents a definition of health care reform and factors that influence its success. The factors being discussed range from knowledgeable personnel, the role of involvement of international experts and all stakeholders in the country, the importance of electoral mandate and governmental support, leadership and clear and transparent communication. The goals set need to be clear, and it is helpful to have good data and analytical support in the process...
September 1, 2016: Zdravstveno Varstvo
Dana R Thomson, Muhammed Semakula, Lisa R Hirschhorn, Megan Murray, Vedaste Ndahindwa, Anatole Manzi, Assumpta Mukabutera, Corine Karema, Jeanine Condo, Bethany Hedt-Gauthier
BACKGROUND: To guide efficient investment of limited health resources in sub-Saharan Africa, local researchers need to be involved in, and guide, health system and policy research. While extensive survey and census data are available to health researchers and program officers in resource-limited countries, local involvement and leadership in research is limited due to inadequate experience, lack of dedicated research time and weak interagency connections, among other challenges. Many research-strengthening initiatives host prolonged fellowships out-of-country, yet their approaches have not been evaluated for effectiveness in involvement and development of local leadership in research...
September 29, 2016: Health Research Policy and Systems
Kristy D M Wittmeier, Gayle Restall, Kathy Mulder, Brenden Dufault, Marie Paterson, Matthew Thiessen, Lisa M Lix
BACKGROUND: Children with complex needs can face barriers to system access and navigation related to their need for multiple services and healthcare providers. Central intake for pediatric rehabilitation was developed and implemented in 2008 in Winnipeg Manitoba Canada as a means to enhance service coordination and access for children and their families. This study evaluates the process and impact of implementing a central intake system, using pediatric physiotherapy as a case example...
2016: BMC Health Services Research
Emma-Louise Aveling, Desalegn Tegabu Zegeye, Michael Silverman
BACKGROUND: Access to safe surgical care represents a critical gap in healthcare delivery and development in many low- and middle-income countries, including Ethiopia. Quality improvement (QI) initiatives at hospital level may contribute to closing this gap. Many such quality improvement initiatives are carried out through international health partnerships. Better understanding of how to optimise quality improvement in low-income settings is needed, including through partnership-based approaches...
2016: BMC Health Services Research
Alyssa Westring, Jennifer M McDonald, Phyllis Carr, Jeane Ann Grisso
In 2008, the National Institutes of Health funded 14 R01 grants to study causal factors that promote and support women's biomedical careers. The Research Partnership on Women in Biomedical Careers, a multi-institutional collaboration of the investigators, is one product of this initiative.A comprehensive framework is needed to address change at many levels-department, institution, academic community, and beyond-and enable gender equity in the development of successful biomedical careers. The authors suggest four distinct but interrelated aspects of culture conducive to gender equity: equal access to resources and opportunities, minimizing unconscious gender bias, enhancing work-life balance, and leadership engagement...
August 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Hope Witmer, Marcela Sarmiento Mellinger
BACKGROUND: Organizational resilience refers to the ability to respond productively to significant disruptive change and transform challenges into opportunities. There is a gap in the literature about resilient nonprofit organizations and its application for identifying organizational conditions for successful adaption to external variables that threaten their existence. OBJECTIVE: The aim of this study was to identify organizational characteristics that point to the resilience of nonprofit behavioral healthcare organizations as they successfully adapt to funding changes...
May 24, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
Rebecca E Rosenberg, Liana Klejmont, Meghan Gallen, Jackie Fuller, Christina Dugan, Wendy Budin, Ingrid Olsen-Gallagher
BACKGROUND AND OBJECTIVES: Pediatric procedural pain management (PPPM) is best practice but was inconsistent in our large multisite general academic medical center. We hypothesized that quality improvement (QI) methods would improve and standardize PPPM in our health system within inpatient pediatric units. We aimed to increase topical anesthetic use from 10% to 40%, improve nursing pediatric pain knowledge, and increase parent satisfaction around procedures for children admitted to a general tertiary academic medical center...
June 2016: Hospital Pediatrics
Tina Janamian, Lisa Crossland, Claire L Jackson
Value co-creation redresses a key criticism of researcher-driven approaches to research - that researchers may lack insight into the end users' needs and values across the research journey. Value co-creation creates, in a step-wise way, value with, and for, multiple stakeholders through regular, ongoing interactions leading to innovation, increased productivity and co-created outcomes of value to all parties - thus creating a "win more-win more" environment. The Centre of Research Excellence (CRE) in Building Primary Care Quality, Performance and Sustainability has co-created outcomes of value that have included robust and enduring partnerships, research findings that have value to end users (such as the Primary Care Practice Improvement Tool and the best-practice governance framework), an International Implementation Research Network in Primary Care and the International Primary Health Reform Conference...
April 18, 2016: Medical Journal of Australia
Amy B Fraser, Emma J Stodel, Alan J Chaput
PURPOSE: Certain pressures stemming from within the medical community and from society in general, such as the need for increased accountability in resident training and restricted resident duty hours, have prompted a re-examination of methods for training physicians. Leaders in medical education in North America and around the world champion competency-based medical education (CBME) as a solution. The Department of Anesthesiology at the University of Ottawa launched Canada's first CBME program for anesthesiology residents on July 1, 2015...
July 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
Gabriella A Butler, Diane S Hupp
Patient safety and quality are 2 of many competing priorities facing health care providers. As safety and quality rise on the agenda of executives, payers, and consumers, competing priorities, such as financial sustainability, patient engagement, regulatory standards, and governmental demands, remain organizational priorities. Nursing represents the largest health care profession in the United States and has the ability to influence the culture of patient safety and quality. It is essential for hospital leadership to provide a culture whereby nurses and staff are actively engaged and feel comfortable speaking up...
April 2016: Pediatric Clinics of North America
Samuel A Silver, Rory McQuillan, Ziv Harel, Adam V Weizman, Alison Thomas, Gihad Nesrallah, Chaim M Bell, Christopher T Chan, Glenn M Chertow
To achieve sustainable change, quality improvement initiatives must become the new way of working rather than something added on to routine clinical care. However, most organizational change is not maintained. In this next article in this Moving Points in Nephrology feature on quality improvement, we provide health care professionals with strategies to sustain and support quality improvement. Threats to sustainability may be identified both at the beginning of a project and when it is ready for implementation...
May 6, 2016: Clinical Journal of the American Society of Nephrology: CJASN
Mohamed S Al-Moamary, Hanan M Al-Kadri, Hani M Tamim
AIM: To study authentic leadership characteristics between academic leaders in a health sciences university. METHODS: Cross-sectional study at a health sciences university in Saudi Arabia. The Authentic Leadership Questionnaire (ALQ) was utilized to assess authentic leadership. RESULTS: Out of 84 ALQs that were distributed, 75 (89.3%) were eligible. The ALQ scores showed consistency in the dimensions of self-awareness (3.45 ± 0.43), internalized moral prospective (3...
2016: Medical Teacher
Nancy R Angoff, Laura Duncan, Nichole Roxas, Helena Hansen
PROBLEM: Medical student mistreatment, as well as patient and staff mistreatment by all levels of medical trainees and faculty, is still prevalent in U.S. clinical training. Largely missing in interventions to reduce mistreatment is acknowledgement of the abuse of power produced by the hierarchical structure in which medicine is practiced. APPROACH: Beginning in 2001, Yale School of Medicine has held annual "Power Day" workshops for third year medical students and advanced practice nursing students, to define and analyse power dynamics within the medical hierarchy and hidden curriculum using literature, guest speakers, and small groups...
June 2016: Journal of Bioethical Inquiry
Afaf Ibrahim Meleis
Stepping up from leadership is a protracted transition that involves a complex set of interactions with many constituents. It begins with making the personal decision to step up to integrating the role of the dean in existing repertoire of roles that the person enacts. Deliberate planning, awareness of phases, challenges, goals and strategies, clear communication, transparency, and supportive interactions enhance the potential of experiencing a smooth and a healthy transition for the dean who is stepping up, the incoming dean, and the organization...
March 2016: Nursing Outlook
Tolbert G Nyenswah, Francis Kateh, Luke Bawo, Moses Massaquoi, Miatta Gbanyan, Mosoka Fallah, Thomas K Nagbe, Kollie K Karsor, C Sanford Wesseh, Sonpon Sieh, Alex Gasasira, Peter Graaff, Lisa Hensley, Hans Rosling, Terrence Lo, Satish K Pillai, Neil Gupta, Joel M Montgomery, Ray L Ransom, Desmond Williams, A Scott Laney, Kim A Lindblade, Laurence Slutsker, Jana L Telfer, Athalia Christie, Frank Mahoney, Kevin M De Cock
The severe epidemic of Ebola virus disease in Liberia started in March 2014. On May 9, 2015, the World Health Organization declared Liberia free of Ebola, 42 days after safe burial of the last known case-patient. However, another 6 cases occurred during June-July; on September 3, 2015, the country was again declared free of Ebola. Liberia had by then reported 10,672 cases of Ebola and 4,808 deaths, 37.0% and 42.6%, respectively, of the 28,103 cases and 11,290 deaths reported from the 3 countries that were heavily affected at that time...
February 2016: Emerging Infectious Diseases
Peter B Angood
No abstract text is available yet for this article.
November 2015: Physician Leadership Journal
Michael A Rosen, Christine A Goeschel, Xin-Xuan Che, Joseph Oluyinka Fawole, Dianne Rees, Rosemary Curran, Lillee Gelinas, Jessica N Martin, Keith C Kosel, Peter J Pronovost, Sallie J Weaver
INTRODUCTION: Simulation is a powerful learning tool for building individual and team competencies of frontline health care providers with demonstrable impact on performance. This article examines the impact of simulation in building strategic leadership competencies for patient safety and quality among executive leaders in health care organizations. METHODS: We designed, implemented, and evaluated a simulation as part of a larger safety leadership network meeting for executive leaders...
December 2015: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
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