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
Examination of the relationship between management and clinician perception of patient safety climate and patient satisfaction
Purpose:
The aim of this study was to explore the relationship between managers and clinicians' agreement on deeming the patient safety climate as high or low and the patients' satisfaction with those organizations.
Data Sources/Study Setting:
We used two secondary data sets: the Hospital Survey on Patient Safety Culture (2012) and the Hospital Consumer Assessment of Healthcare Providers and Systems (2012).
Methodology/Approach:
We used ordinary least squares regressions to analyze the relationship between the extent of agreement between managers and clinicians' perceptions of safety climate in relationship to pati...
Source: Health Care Management Review - December 1, 2018 Category: American Health Tags: Features Source Type: research
When peers count: The effects on integrated type II diabetes care of communication within general practitioner-only subgroups in interprofessional primary care teams
Background:
Primary care teams (hereafter referred to as primary care units [PCUs]) composed of general practitioners (GPs), nurses, and specialist doctors have recently been established in the Italian context, with the main aim of improving integrated care for chronic diseases.
Purposes:
The aim of the study was to assess whether the increased professional diversity of PCUs has resulted in an improvement in the integrated care of type II diabetes and to identify a potential mechanism mediating this effect.
Methodology/Approach:
We analyzed 213 PCUs, comparing their performance in integrated type II diabetes care a...
Source: Health Care Management Review - December 1, 2018 Category: American Health Tags: Features Source Type: research
Common predictors of nurse-reported quality of care and patient safety
Conclusion:
Increasing nurses’ job satisfaction and reducing organizational constraints may be areas to focus on to improve quality of care and patient safety.
Practical Implications:
Our results provide direction for hospitals and nurse managers as to how to allocate finite resources to achieve improvements in quality of care and patient safety alike. (Source: Health Care Management Review)
Source: Health Care Management Review - December 1, 2018 Category: American Health Tags: Features Source Type: research
Service line structure and decision-maker attention in three health systems: Implications for patient-centered care
Conclusion:
Our exploratory results suggest that service line structures influence attention in two ways: (a) by regulating the type and intensity of the problems facing service line participants and (b) by encouraging (or discouraging) a shared purpose around patient needs.
Practice Implications:
Patient-centered attention—a precursor to coordinated, patient-centered care—depends on the internal choices organizations make around service line structure. Moreover, a key task for organizational and service line leaders is to structure service lines to create a context that minimizes distractions and enables care pro...
Source: Health Care Management Review - December 1, 2018 Category: American Health Tags: Features Source Type: research
Seven years after Meaningful Use: Physicians’ and nurses’ experiences with electronic health records
Although the federal government’s Meaningful Use electronic health record (EHR) implementation program resulted in some successes, there have been many challenges. The purpose of this study was to obtain detailed empirical data to better understand physicians’ and nurses’ experiences with EHRs. We conducted in-depth interviews with 30 physicians and nurses from two large health systems that were focused on attaining Stage 3 Meaningful Use criteria. Thematic framework analysis identified themes related to perceived benefits and challenges with EHR use. Participants appreciated benefits such as real-time patient data a...
Source: Health Care Management Review - December 1, 2018 Category: American Health Tags: Features Source Type: research
Magnet hospital recognition in hospital systems over time
Conclusions:
Hospital systems take an organizational perspective toward Magnet adoption, whereby more system affiliates achieve Magnet recognition over time.
Practice Implications:
The findings are relevant to health care and nursing administrators and policymakers interested in the diffusion of an empirically supported organizational innovation associated with quality outcomes, particularly in a time of increasing hospital consolidation and system expansion. We identify factors associated with Magnet adoption across system hospitals and demonstrate the importance of considering diffusion of organizational innovations...
Source: Health Care Management Review - December 1, 2018 Category: American Health Tags: Features Source Type: research
Hospitals’ use of hospitalists: Implications for financial performance
Background:
Hospitalists, or physicians specializing in hospital-based practice, have grown significantly since they were first introduced in the United States in the mid-1990s. Prior studies on the impact of hospitalists have focused on costs and length of stay. However, there is dearth of research exploring the relationship between hospitals’ use of hospitalists and organizational performance.
Purpose:
Using a national longitudinal sample of acute care hospitals operating in the United States between 2007 and 2014, this study explores the impact of hospitalists staffing intensity on hospitals’ financial performa...
Source: Health Care Management Review - December 1, 2018 Category: American Health Tags: Features Source Type: research
Doing well by doing good: Evaluating the influence of patient safety performance on hospital financial outcomes
Background:
As financial pressures on hospitals increase because of changing reimbursement structures and heightened focus on quality and value, the association between patient safety performance and financial outcomes remains unclear.
Purpose:
The purpose of this study is to investigate if hospitals with higher patient safety performance are associated with higher levels of profitability than those with lower safety performance.
Methodology/Approach:
Using multinomial logistic regression, we analyzed data from the spring 2014 Leapfrog Hospital Safety Score and the 2014 American Hospital Association to determine th...
Source: Health Care Management Review - December 1, 2018 Category: American Health Tags: Features Source Type: research
Disasters and Health Care Management Research
No abstract available (Source: Health Care Management Review)
Source: Health Care Management Review - December 1, 2018 Category: American Health Tags: Department: Editorial Source Type: research
Predicting HCAHPS scores from hospitals’ social media pages: A sentiment analysis
Conclusion:
Consistent with crowd wisdom, ordinary consumers may have valid insights that can help others to assess patient experience at a hospital. Given that some people will judge hospital quality based on opinions voiced in social media, further research should continue to explore associations between anecdotal commentary and a variety of quality indicators.
Practice Implications:
Administrators can tap into the wealth of commentary on social media as the forum continues to expand its influence in health care. Comments on social media may also serve as an early snapshot of patient-reported experiences, alerting a...
Source: Health Care Management Review - September 7, 2018 Category: American Health Tags: Features Source Type: research
When open access might not work: Understanding patient attitudes in appointment scheduling
Conclusion:
Risk-seeking patients have more favorable attitudes toward OA systems.
Practice Implications:
Risk-seeking patients are primarily driven by speed to access at the potential expense of continuity of care. Organizations that better understand patient motives in scheduling medical appointments can introduce more effective interventions and positively impact patient experiences of care. (Source: Health Care Management Review)
Source: Health Care Management Review - September 7, 2018 Category: American Health Tags: Features Source Type: research
Job demands, job resources, and behavior in times of sickness: An analysis across German nursing homes
In this study, a sample of 212 nurses from German nursing homes was used for an ordinal logistic regression analysis.
Results:
Our results show that role overload significantly increases the frequencies of both absenteeism and presenteeism. A good team climate decreases absenteeism and increases the tendency to choose presenteeism rather than absenteeism, whereas strategic training and development opportunities decrease presenteeism and increase the tendency to choose absenteeism rather than presenteeism. (Source: Health Care Management Review)
Source: Health Care Management Review - September 7, 2018 Category: American Health Tags: Features Source Type: research
