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 combined fr...
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 may be ...
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 decision-makin...
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
