How different governance models may impact physician–hospital alignment
Conclusions: Employment models promote greater alignment on some (but not all) dimensions, controlling for physician selection. The impact of employment on alignment is not large, however. Practice Implications: Hospitals and accountable care organizations that rely on employment may achieve higher physician alignment compared to the other two models. It is not clear that the gain in alignment is worth the cost of employment. Given the small impact of employment on alignment, it is also clear that they are not identical. Hospitals may need to go beyond structural models of integration to achieve alignment with their p...
Source: Health Care Management Review - February 29, 2020 Category: American Health Tags: Features Source Type: research

Individual and organizational psychosocial predictors of hospital doctors’ work-related well-being: A multilevel and moderation perspective
This study uses a multilevel perspective to examine individual (i.e., job demands and resources) and organizational-level psychosocial predictors of three measures of work-related well-being: perceived stress, presenteeism, and work engagement. The job demands–resources theory underpins the postulated relationships. Methodology: The 2014 National Health Service Staff Survey was analyzed using multilevel modeling in MPlus. The data set involved 14,066 hospital-based doctors grouped into 157 English hospital organizations (i.e., Trusts). Results: Congruent with job demands–resources theory, job demands (wor...
Source: Health Care Management Review - February 29, 2020 Category: American Health Tags: Features Source Type: research

Advancing theory on the multilevel role of leadership in the implementation of evidence-based health care practices
Discussion: Findings advance leadership theory in health care, highlighting the importance of middle managers’ implementation leadership in transmitting the influence of top managers’ transformational leadership on staff attitudes toward EBPs. The full path model shows the extent to which transformational leadership may influence staff implementation of innovative practices as mediated through staff attitudes toward EBPs and middle managers’ implementation leadership. Practice Implications: Our findings have implications for developing a multilevel leadership approach to implementation in health care...
Source: Health Care Management Review - February 29, 2020 Category: American Health Tags: Features Source Type: research

“Paying it forward”: The link between providers’ civility climate, civility toward patients and patient experience outcomes
Conclusion and Practice Implications: This is one of the first studies theorizing and testing the extent to which relationship climate among providers affect their interactions with patients. The findings provide support that providers who experience a positive civility climate are more likely to pay forward this relationship experience and engage in civility toward patients. The results point to the importance of a civility climate for ensuring and potentially improving patient experience of care. (Source: Health Care Management Review)
Source: Health Care Management Review - February 29, 2020 Category: American Health Tags: Features Source Type: research

The boundary-spanning behavior of nurses: The role of support and affective organizational commitment
Conclusions: Perceived support has an important influence on the boundary-spanning behavior of nurses. This study emphasizes the importance on how support exerts an influence on boundary-spanning behavior and underscores the importance of affective organizational commitment. Health care organizations, supervisors, and coworkers are essential in fostering boundary-spanning behaviors of nurses, both directly and through the development of affective organizational commitment. These actors should therefore be aware of the way they behave and the implications their behavior may have. (Source: Health Care Management Review)
Source: Health Care Management Review - February 29, 2020 Category: American Health Tags: Features Source Type: research

Goal importance, use of performance measures, and knowledge exchange: An empirical study on general practitioners’ performance
Background: In many health systems, general practitioners (GPs) exhibit high levels of isolation and, at the same time, low levels of organizational identification, which can hinder their individual performance. The extant health care literature suggests that the physicians’ belief that organizational goals are important, the adoption of performance measurement systems, and knowledge-sharing practices affect their individual performance. Most research has investigated these constructs in isolation, however, rather than explored their collective impact on GPs’ individual performance. Purpose: The aim of thi...
Source: Health Care Management Review - February 29, 2020 Category: American Health Tags: Features Source Type: research

The association between organizational cultural competence and teamwork climate in a network of primary care practices
Background: A health system's commitment to delivering culturally competent care is essential in creating a culture of respect for patients, clinicians, and administrative staff. As the diversity of the health care workforce grows, gaining an understanding of the perspectives among different health care personnel and the value that they place on organizational cultural competence is a first step in developing more effective team environments. Purpose: The aim of the study was to determine whether an association exists between perceptions of organizational cultural competence and teamwork climate among employees in a h...
Source: Health Care Management Review - February 29, 2020 Category: American Health Tags: Features Source Type: research

A relational perspective on care coordination
Conclusion: Care coordination may entail limited interactions with patients and community partners, especially at program inception. As care coordination programs mature, interactions may become more frequent and influence with partners may expand. Practice Implications: Decision makers should support care coordinators in improving the quality of their communication with both patients and community partners, as well as allow time for these relationships to develop. (Source: Health Care Management Review)
Source: Health Care Management Review - February 29, 2020 Category: American Health Tags: Features Source Type: research

Value Added of Management to Health Care Organizations
No abstract available (Source: Health Care Management Review)
Source: Health Care Management Review - February 29, 2020 Category: American Health Tags: Department: Editorial Source Type: research

Moving organizational theory in health care forward: A discussion with suggestions for critical advancements
This article is the transcript of that plenary discussion. It is shared to capture the intellectual history of the field and help surface the critical advancements still needed in organizational theory and practice in health care. The closing remarks of the panelists summarize recommendations for both practice and scholarship in health care organization management. (Source: Health Care Management Review)
Source: Health Care Management Review - November 27, 2019 Category: American Health Tags: Online Only Source Type: research

Relationships between organizational and individual support, nurses’ ethical competence, ethical safety, and work satisfaction
Conclusions: Organizational and individual support for nurses’ ethical competence should be strengthened, at least in Finland, by providing more ethics education and addressing ethical problems in multiprofessional discussions. Findings confirm that organizational level support for ethical competence improves nurses’ work satisfaction. They also show that individual level support improves nurses’ sense of ethical safety, and both organizational and individual support strengthen nurses’ ethical competence. Practice Implications: These findings should assist nurse leaders to implement effective s...
Source: Health Care Management Review - November 27, 2019 Category: American Health Tags: Features Source Type: research

Strategy and risk sharing in hospital–postacute care integration
Conclusion: The design of care management models could benefit from elevating the role of postacute care providers in the current array of risk-based payment models, and these providers should consider developing deeper relationships with select postacute care providers to achieve cost containment. (Source: Health Care Management Review)
Source: Health Care Management Review - November 27, 2019 Category: American Health Tags: Features Source Type: research

Barriers and facilitators to intraorganizational collaboration in public health: Relational coordination across public health services targeting individuals and populations
Background: Modern public health emphasizes population-focused services, which may require collaborative work both across and within organizations. Studies have explored interorganizational collaborations, but there are little data regarding collaborations within public health organizations. Purpose: We measured intraorganizational collaboration and identified barriers and facilitators to collaboration within a large public health department through a mixed-methods study. Methodology/Approach: Our study occurred at the Maricopa County (Arizona) Department of Public Health, the third largest local public health juri...
Source: Health Care Management Review - November 27, 2019 Category: American Health Tags: Features Source Type: research

Retaining nurses in a changing health care environment: The role of job embeddedness and self-efficacy
Background: Because nurses are on the front lines of care delivery, they are subject to frequent changes to their work practices. This change-laden environment puts nurses at higher risk for turnover. Given the frequent disruption to the way nurses perform their jobs, change-related self-efficacy (CSE), or confidence that one can handle change, may be vital to their retention. Purpose: The purpose of this article is to examine the roles of CSE and job embeddedness in reducing turnover intentions among nurses. Specifically, this article tests a model in which CSE is the intervening mechanism through which job embeddedn...
Source: Health Care Management Review - November 27, 2019 Category: American Health Tags: Features Source Type: research

The effects of emotional intelligence training on the job performance of Australian aged care workers
This study demonstrates the practical process through which EI training can improve the work experiences of aged care workers, as well as the quality of care for residents. (Source: Health Care Management Review)
Source: Health Care Management Review - November 27, 2019 Category: American Health Tags: Features Source Type: research

Soft Factors, Smooth Transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care
Background: Intrahospital patient transports (IHTs) in intensive care involve an appreciable risk of adverse events (AEs). Research on determinants of AE occurrence during IHT has hitherto focused on patient, transport, and intensive care unit (ICU) characteristics. By contrast, the role of “soft” factors, although arguably relevant for IHTs and a topic of interest in general health care settings, has not yet been explored. Purpose: The study aims at examining the effect of safety climate and team processes on the occurrence of AE during IHT and whether team processes mediate the effect of safety climate. ...
Source: Health Care Management Review - November 27, 2019 Category: American Health Tags: Features Source Type: research

Magnetic work environments: Patient experience outcomes in Magnet versus non-Magnet hospitals
Conclusions: Evidence from this study suggests that it would be worthwhile for hospital leaders to consider organizational policies and practices consistent with the criteria put forth for Magnet hospital designation. (Source: Health Care Management Review)
Source: Health Care Management Review - November 27, 2019 Category: American Health Tags: Features Source Type: research

Impact of relational coordination on staff and patient outcomes in outpatient surgical clinics
This study asks whether staff well-being can be achieved in ways that are also beneficial for the patient’s experience of care. It explores whether relational coordination can contribute to both staff well-being and patient satisfaction in outpatient surgical clinics where time constraints paired with high needs for information transfer increase both the need for and the challenge of achieving timely and accurate communication. Methodology/Approach: We studied relational coordination among surgeons, nurses, residents, administrators, technicians, and secretaries in 11 outpatient surgical clinics. Data were combine...
Source: Health Care Management Review - November 27, 2019 Category: American Health Tags: Features Source Type: research

Hospitals’ adoption of medical device registers: Evidence from the German Arthroplasty Register
Conclusion: Important factors influencing adoption of medical device registers for the first time were revealed in this study, providing a starting point to influence adoption proactively and avoid nonadoption. Practice Implications: The results provide important guidelines for decision-makers at hospitals, registers, and health insurance companies and policy makers about how to foster register adoption and encourage hospitals toward adopting medical device registers. (Source: Health Care Management Review)
Source: Health Care Management Review - November 27, 2019 Category: American Health Tags: Features Source Type: research

Rethinking Critical Advancements: Taking Stock and Moving Forward Conceptually
No abstract available (Source: Health Care Management Review)
Source: Health Care Management Review - November 27, 2019 Category: American Health Tags: Department: Editorial Source Type: research

Examining the impact of succession management practices on organizational performance: A national study of U.S. hospitals
Background: Spearheaded by the industry's transition from volume- to value-based care, the health care reform movement has spurred both unprecedented challenges and opportunities for developing more effective and sustainable health care delivery organizations. Whereas the formidable challenges of leading hospitals and health systems have been widely discussed, including reimbursement degradation, the rapidly aging workforce, and the imminent wave of executive retirements, the opportunity to leverage succession management and talent development capabilities to overcome these challenges has been largely overlooked. Purpos...
Source: Health Care Management Review - September 6, 2019 Category: American Health Tags: Features Source Type: research

A population ecology perspective on the functioning and future of health information organizations
Conclusion: HIOs compete for similar resources and are reacting to environmental pressures to better position themselves for continued survival and success. Our ecological research perspective helps move the discourse away from situation of a single exchange organization type toward a view of the broader dynamics and relationships of all organizations involved in facilitating HIE activities. Practice Implications: HIOs are attempting to partition the environment and differentiate services. HIE options should not be construed as an “either/or” decision, but one where multiple and complementary participation...
Source: Health Care Management Review - September 6, 2019 Category: American Health Tags: Features Source Type: research

Processing of intended and unintended strategic issues and integration into the strategic agenda
Conclusion: There is systematic neglect of medical expertise in processes of generating strategies. Practice Implications: Our study reveals that the decentralized structure of medical centers is an adequate template for both the operationalization of intended strategic issues and the development of unintended strategic issues. However, tasks, roles, responsibility, resources, and administrative support are necessary for effective management of strategy formation. Similarly, criteria, procedures, and decision-making are prerequisites for effective strategy formation. (Source: Health Care Management Review)
Source: Health Care Management Review - September 6, 2019 Category: American Health Tags: Features Source Type: research

Making sense of effective partnerships among senior leaders in the National Health Service
Conclusion: This study outlines the organizational and individual characteristics that lend to effective collaboration among senior health care leadership and the types of collaborative tensions likely to be experienced by senior health care leaders. Practice Implications: Organizations should provide greater role clarity for senior leadership roles, promote “soft” interpersonal competencies within them, and better assess potential leaders for success in senior roles. Organizational support in the form of facilitation, time, and spaces to learn together can provide a better context for collaborative decisi...
Source: Health Care Management Review - September 6, 2019 Category: American Health Tags: Features Source Type: research

Explaining performance in health care: How and when top management competencies make the difference
Conclusion: Systematic information sharing process regarding performance results, goals, and organizational structure provided by top management seems an effective strategy to engage professionals. Control variables suggest that top management tenure and turnover do not have an effect, whereas bigger health care organizations seem to negatively influence this relation. Practice Implications: Information sharing is the basis for clinicians’ engagement and adds value to organizational performance. (Source: Health Care Management Review)
Source: Health Care Management Review - September 6, 2019 Category: American Health Tags: Features Source Type: research

Work–family culture within hospitals: An interdepartmental analysis of employee engagement and retention
Conclusion: Our study sheds further light on the importance of a positive work–family culture within hospitals. The key to instilling a positive, organization-wide work–family culture may be through a department-by-department focus. Practice Implications: Benefits of positive work–family cultures within departments can extend beyond job-related attitudes and can potentially enhance recruitment strategies, improve a hospital’s external image to the public, and lead to improvements in patient care and more positive patient experiences. (Source: Health Care Management Review)
Source: Health Care Management Review - September 6, 2019 Category: American Health Tags: Features Source Type: research

Social identity and the prison health worker: Implications for practitioner satisfaction and turnover intentions
Conclusion: This article adds originality and value to the literature by using social identity theory to address the occupational perceptions of a large, yet often underrepresented and underexplored, subsector of the health workforce. Practice Implications: The results highlight several areas where health care managers, whether from correctional or noncorrectional environments, could implement policy and procedure changes to further engage and retain the clinical workforce. To engage and retain the health worker population, managers must consider identification-reinforcing interventions that align with the self-concep...
Source: Health Care Management Review - September 6, 2019 Category: American Health Tags: Features Source Type: research

Linking Care Micro Tasks with System Macro Savvy
No abstract available (Source: Health Care Management Review)
Source: Health Care Management Review - September 6, 2019 Category: American Health Tags: Department: Editorial Source Type: research

Organizational and environmental factors influencing hospital community orientation
Background: Community orientation refers to hospitals' efforts to assess and meet the health needs of the local population. Variations in the number of community orientation-related activities offered by hospitals may be attributed to differences in organizational and environmental characteristics. Therefore, hospitals have to strategically respond to these internal and external constraints to improve community health. Understanding the facilitators and barriers of hospital community orientation is important to health care managers facing pressure from the external environment to meet the expectations of the community as...
Source: Health Care Management Review - May 31, 2019 Category: American Health Tags: Features Source Type: research

Trends in governance structure and activities among not-for-profit U.S. hospitals: 2009–2015
We examined hospital level data from The Governance Institute Survey (2009, 2011, 2013, and 2015) and corresponding years of the American Hospital Association Annual Survey in a pooled, cross-sectional design. We conducted individual multivariate models with adjustments for hospital and market characteristics, comparing the changes in BOD structures, demographics, and activities over time. Findings: The sample included 1,811 hospital-year observations, including 682 unique facilities. We found that BODs in 2015 had less internal management (β = −2.25, p (Source: Health Care Management Review)
Source: Health Care Management Review - May 31, 2019 Category: American Health Tags: Features Source Type: research

Does physician leadership affect hospital quality, operational efficiency, and financial performance?
Conclusions: Large hospital systems led by physicians in 2015 received higher USNWR ratings and bed usage rates than did hospitals led by nonphysicians, with no differences in financial performance. This study suggests that physician leaders may possess skills, qualities, or management approaches that positively affect hospital quality and the value of care delivered. Practice Implications: Hospital quality and efficiency ratings vary significantly and can impact consumer decisions. Hospital systems may benefit from the presence of physician leadership to improve the quality and efficiency of care delivered to patient...
Source: Health Care Management Review - May 31, 2019 Category: American Health Tags: Features Source Type: research

The Crucible simulation: Behavioral simulation improves clinical leadership skills and understanding of complex health policy change
Conclusions: This study systematically demonstrates the effectiveness of behavioral simulation for clinical management training and understanding of health policy reform. Potential future uses and strategies for analysis are discussed. Practice Implications: High-quality care requires understanding of health systems and strong leadership. Policymakers should consider the use of behavioral simulation to improve understanding of health service reform and development of leadership skills in clinicians, who readily adopt skills from simulation into everyday practice. (Source: Health Care Management Review)
Source: Health Care Management Review - May 31, 2019 Category: American Health Tags: Features Source Type: research

Nurse practitioner–physician comanagement of primary care patients: The promise of a new delivery care model to improve quality of care
Background: The U.S. primary care system is under tremendous strain to deliver care to an increased volume of patients with a concurrent primary care physician shortage. Nurse practitioner (NP)–physician comanagement of primary care patients has been proposed by some policy makers to help alleviate this strain. To date, no collective evidence demonstrates the effects of NP–physician comanagement in primary care. Purpose: This is the first review to synthesize all available studies that compare the effects of NP–physician comanagement to an individual physician managing primary care. Methods: The P...
Source: Health Care Management Review - May 31, 2019 Category: American Health Tags: Features Source Type: research

The role of collective labor contracts and individual characteristics on job satisfaction in Tuscan nursing homes
Conclusion: Although working conditions play a relevant role in the job satisfaction of aides, labor contracts do not seem to affect it. Interestingly, aides of the NHs with the contract having the best conditions register a significantly lower level of satisfaction compared to the NHs with the worst contract conditions. This suggests that organizational factors such as culture, team work, and other characteristics, which were not explicitly considered in this study, may be more powerful sources of worker satisfaction than labor contracts. Practice Implications: Our analysis has value as a management tool to consider ...
Source: Health Care Management Review - May 31, 2019 Category: American Health Tags: Features Source Type: research

Clinicians’ ability, motivation, and opportunity to acquire and transfer knowledge: An age-driven perspective
Conclusion: This study contributes to existing research by offering a set of testable propositions for future research. These propositions will hopefully encourage empirical research into this important topic and lead to guidelines for reducing the risks of organizational knowledge loss due to aging. Practice Implications: We suggest several ways that health care organizations can tailor managerial practices in order to help capitalize on the knowledge-based resources held by their younger and older clinicians. Such initiatives may affect employees’ ability (e.g., by providing specific training programs), motiva...
Source: Health Care Management Review - May 31, 2019 Category: American Health Tags: Features Source Type: research

Employee organizational commitment and hospital performance
Conclusion: The findings highlight the importance of providing adequate facilities and EOC within hospitals and suggest that CEOs and general managers should try to enhance the provision of such resources in an attempt to elicit EOC within their hospitals. Practice Implications: The findings suggest that managers should try to enhance their provision of adequate facilities in order to elicit EOC and enhance hospital performance. With regard to medical facilities, they should consider and incorporate the latest technology and up-to-date equipment. They should also provide adequate staff resources, including appropriate...
Source: Health Care Management Review - May 31, 2019 Category: American Health Tags: Features Source Type: research

Let’s be civil: Elaborating the link between civility climate and hospital performance
Background: The importance of interpersonal behavior at the workplace is increasingly recognized in the health care industry and related literature. An unresolved issue in the existing health care research is how a climate of courteous interpersonal behavior may form the foundation for strong hospital care performance. Purpose: The aim of this study was to test the link between a climate of courteous interpersonal behavior, termed “civility climate,” and hospital care performance. We conceptualize a multidimensional model of care performance by contrasting two dimensions: performance as perceived by employ...
Source: Health Care Management Review - May 31, 2019 Category: American Health Tags: Features Source Type: research

Managing the Internet of Things in Health Care Organizations
No abstract available (Source: Health Care Management Review)
Source: Health Care Management Review - May 31, 2019 Category: American Health Tags: Department: Editorial Source Type: research

Sustaining multistakeholder alliances
This study addresses the question: “Under what conditions do participants in alliances consider that their alliances are well positioned for the future, will perform well over time, and will be able to deal effectively with future challenges?” Methods: We draw on cross-sectional survey data collected in the summer of 2015 from a total number of 638 participants in 15 alliances that participated in the Robert Wood Johnson Foundation’s Aligning Forces for Quality program. Results: Results from regression analyses indicate that alliance participants are more likely to view their alliances as sustainabl...
Source: Health Care Management Review - March 7, 2019 Category: American Health Tags: Features Source Type: research

Market and organizational factors associated with hospital vertical integration into sub-acute care
Background: Changes in payment models incentivize hospitals to vertically integrate into sub-acute care (SAC) services. Through vertical integration into SAC, hospitals have the potential to reduce the transaction costs associated with moving patients throughout the care continuum and reduce the likelihood that patients will be readmitted. Purpose: The purpose of this study is to examine the correlates of hospital vertical integration into SAC. Methodology/Approach: Using panel data of U.S. acute care hospitals (2008–2012), we conducted logit regression models to examine environmental and organizational facto...
Source: Health Care Management Review - March 7, 2019 Category: American Health Tags: Features Source Type: research

Sustaining multistakeholder alliances
This study addresses the question: “Under what conditions do participants in alliances consider that their alliances are well positioned for the future, will perform well over time, and will be able to deal effectively with future challenges?” Methods: We draw on cross-sectional survey data collected in the summer of 2015 from a total number of 638 participants in 15 alliances that participated in the Robert Wood Johnson Foundation’s Aligning Forces for Quality program. Results: Results from regression analyses indicate that alliance participants are more likely to view their alliances as sustainabl...
Source: Health Care Management Review - March 5, 2019 Category: American Health Tags: Features Source Type: research

The role of accountable care organization affiliation and ownership in promoting physician practice participation in quality improvement collaboratives
Background: Quality improvement collaboratives (QICs) have emerged as an important strategy to improve processes and outcomes of clinical care through interorganizational learning. Little is known about the organizational factors that support or deter physician practice participation in QICs. Purpose: The aim of this study was to examine organizational influences on physician practices' propensity to participate in QICs. We hypothesized that practice affiliation with an accountable care organization (ACO) and practice ownership by a system or community health center (CHC) would increase the propensity of physician pra...
Source: Health Care Management Review - March 5, 2019 Category: American Health Tags: Features Source Type: research

A systematic review of vertical integration and quality of care, efficiency, and patient-centered outcomes
Background: Small independent practices are increasingly giving way to more complex affiliations between provider organizations and hospital systems. There are several ways in which vertically integrated health systems could improve quality and lower the costs of care. But there are also concerns that integrated systems may increase the price and costs of care without commensurate improvements in quality and outcomes. Purpose: Despite a growing body of research on vertically integrated health systems, no systematic review that we know of compares vertically integrated health systems (defined as shared ownership or joi...
Source: Health Care Management Review - March 5, 2019 Category: American Health Tags: Features Source Type: research

The impact of accountable care organization participation on hospital patient experience
Conclusion: ACO participation improved some aspects of patient experience among hospitals with prior good performance. However, hospitals with historically poor performance did not benefit from ACO participation. Practice Implications: Prior care coordination and quality improvement experience position Medicare ACOs for greater success in terms of patient experience. Hospital leaders need to consider the potential negative consequences of ACO participation and the hospital’s preparedness for care coordination. (Source: Health Care Management Review)
Source: Health Care Management Review - March 5, 2019 Category: American Health Tags: Features Source Type: research

Market and organizational factors associated with hospital vertical integration into sub-acute care
Background: Changes in payment models incentivize hospitals to vertically integrate into sub-acute care (SAC) services. Through vertical integration into SAC, hospitals have the potential to reduce the transaction costs associated with moving patients throughout the care continuum and reduce the likelihood that patients will be readmitted. Purpose: The purpose of this study is to examine the correlates of hospital vertical integration into SAC. Methodology/Approach: Using panel data of U.S. acute care hospitals (2008–2012), we conducted logit regression models to examine environmental and organizational facto...
Source: Health Care Management Review - March 5, 2019 Category: American Health Tags: Features Source Type: research

Clinical coordination in accountable care organizations: A qualitative study
Background: Accountable care organizations (ACOs) are becoming a common payment and delivery model. Despite widespread interest, little empirical research has examined what efforts or strategies ACOs are using to change care and reduce costs. Knowledge of ACOs' clinical efforts can provide important context for understanding ACO performance, particularly to distinguish arenas where ACOs have and have not attempted care transformation. Purpose: The aim of the study was to understand ACOs' efforts to change clinical care during the first 18 months of ACO contracts. Methods: We conducted semistructured interviews betw...
Source: Health Care Management Review - March 5, 2019 Category: American Health Tags: Features Source Type: research

Coping with interdependencies related to patient choice: Boundary-spanning at four accountable care organizations
Background: Accountable care organizations (ACOs) are responsible for outcomes that are only partially under their control because patients may choose to self-refer outside the ACO, overuse resource-intensive services, or underuse evidence-based care. ACOs must devise boundary-spanning practices to manage these interdependencies related to patient choice. Purpose: The aim of this study was to identify, conceptualize, and categorize ACO efforts to cope with interdependencies related to patient choice. Approach: We conducted qualitative organizational case studies of four ACOs. We interviewed 89 executives, mid-level...
Source: Health Care Management Review - March 5, 2019 Category: American Health Tags: Features Source Type: research

Factors associated with hospital participation in Centers for Medicare and Medicaid Services' Accountable Care Organization programs
Conclusion: MSSP ACOs may look for broader organizational capabilities from participating hospitals that may be reflective of a wide range of providers participating in diverse markets. Pioneer ACOs may rely on specific hospital and environmental characteristics to achieve quality and spending targets set for two-sided contracts. Practice Implications: Hospital and ACO leaders can use our results to identify hospitals with certain characteristics favorable to their participation in either one- or two-sided ACOs. (Source: Health Care Management Review)
Source: Health Care Management Review - March 5, 2019 Category: American Health Tags: Features Source Type: research

A taxonomy of hospitals participating in Medicare accountable care organizations
Conclusion: Distinct subgroups of hospitals exist in both the MSSP and Pioneer programs, suggesting that individual hospitals serve different roles within an ACO. Health information technology and physician linkages appear to be particularly important features in ACO hospitals. Practice Implications: ACOs need to consider not only geographic and service mix when selecting hospital participants but also their vertical integration features and management competencies. (Source: Health Care Management Review)
Source: Health Care Management Review - March 5, 2019 Category: American Health Tags: Features Source Type: research

Themed issue: Accountable care organizations and vertical integration
No abstract available (Source: Health Care Management Review)
Source: Health Care Management Review - March 5, 2019 Category: American Health Tags: Department: Guest Editorial Source Type: research