Organizational characteristics associated with the provision of cultural competency training in home and hospice care agencies
We examined the associations between six organizational characteristics and the provision of CCT in home health care and hospice agencies.
Methodology:
We used cross-sectional data from the agency component of the 2007 National Home and Hospice Care Survey. The CCT provision composite was composed of three items: whether the agency provides mandatory cultural training to understand cultural differences/beliefs that may affect delivery of services to (a) all administrators, clerical, and management staff; (b) all direct service providers; and (c) all volunteers. Organizational characteristics were volume, ownership statu...
Source: Health Care Management Review - September 7, 2018 Category: American Health Tags: Features Source Type: research
Insights into nurses’ work: Exploring relationships among work attitudes and work-related behaviors
Conclusions:
Examining the relationships of these constructs in a single model is novel and provides new information regarding their complexity. Findings suggest that prior approaches to studying these relationships may have been undernuanced, and conceptualizations may have led to somewhat inaccurate conclusions regarding their associations.
Practice Implications:
With limited resources, knowledge of nurse work attitudes can inform human resource practices and operational policies involving training programs in employee communication, transparency, interaction, support, and performance evaluation. (Source: Health Care Management Review)
Source: Health Care Management Review - September 7, 2018 Category: American Health Tags: Features Source Type: research
Environmental market factors associated with electronic health record adoption among cancer hospitals
Background:
Although recent literature has explored the relationship between various environmental market characteristics and the adoption of electronic health records (EHRs) among general, acute care hospitals, no such research currently exists for specialty hospitals, including those providing cancer care.
Purpose:
The aim of the study was to examine the relationship between market characteristics and the adoption of EHRs among Commission on Cancer (CoC)-accredited hospitals.
Methods/Approach:
Secondary data on EHR adoption combined with hospital and environmental market characteristics were analyzed using logist...
Source: Health Care Management Review - September 7, 2018 Category: American Health Tags: Features Source Type: research
Designing a physician leadership development program based on effective models of physician education
Conclusion:
Results support the hypothesis that learning approaches known to be effective for other types of physician education are successful when applied to leadership development training. Across all four assessment levels, the program was effective in improving leadership competencies essential to meeting the complex needs of the changing health care system.
Practice implications:
Developing in-house programs that fit the framework established for continuing medical education can increase physician leadership competencies and add value to health care institutions. Active learning projects provide opportunities to...
Source: Health Care Management Review - September 7, 2018 Category: American Health Tags: Features Source Type: research
Board characteristics, governance objectives, and hospital performance: An empirical analysis of German hospitals
Conclusion:
High performance in hospitals can be the result of governance logics, which, compared to simple board characteristics, are associated with better financial outcomes.
Practice implications:
Hospitals can influence the emphasis placed on different governance objectives and enhance organizational success by creating boards that are small enough to be effective yet diverse enough to profit from a wide variety of expertise and experience. (Source: Health Care Management Review)
Source: Health Care Management Review - September 7, 2018 Category: American Health Tags: Features Source Type: research
Correlates of interorganizational relationship strategies among critical access hospitals
Conclusion:
CAHs’ construction of IOR portfolios may be more dependent on organizational attributes than by environmental conditions. (Source: Health Care Management Review)
Source: Health Care Management Review - September 7, 2018 Category: American Health Tags: Features Source Type: research
HCMR’s new impact factor: How it happened
No abstract available (Source: Health Care Management Review)
Source: Health Care Management Review - September 7, 2018 Category: American Health Tags: Department: Editorial Source Type: research
Contextual factors that influence quality improvement implementation in primary care: The role of organizations, teams, and individuals
Conclusions:
Successful QI implementation requires effective collaboration within cross-functional teams. Additional research is needed to assess how best to employ implementation strategies that promote cross-understanding of QI among team members and, ultimately, effective implementation of QI programs.
Practice Implications:
Health care managers in primary care settings should strive to create a strong teamwork climate, reinforced by opportunities for staff in various roles to discuss QI as a collective. (Source: Health Care Management Review)
Source: Health Care Management Review - June 1, 2018 Category: American Health Tags: Features Source Type: research
The influence of formal and informal policies and practices on health care innovation implementation: A mixed-methods analysis
We examined their role within the context of initiatives to increase palliative care consultation in inpatient oncology.
Methods:
We used a case study design in two organizational settings within one academic medical center: medical and gynecologic oncology. We completed semistructured interviews with medical (n = 12) and gynecologic (n = 10) oncology clinicians using questions based on organizational theory. Quantitative data assessed implementation effectiveness, defined as aggregated palliative care consult rates within oncology services from 2010 to 2016. Four palliative care clinicians were interviewed to gain addi...
Source: Health Care Management Review - June 1, 2018 Category: American Health Tags: Features Source Type: research
Team functioning as a predictor of patient outcomes in early medical home implementation
Background:
New models of patient-centered primary care such as the patient-centered medical home (PCMH) depend on high levels of interdisciplinary primary care team functioning to achieve improved outcomes. A few studies have qualitatively assessed barriers and facilitators to optimal team functioning; however, we know of no prior study that assesses PCMH team functioning in relationship to patient health outcomes.
Purpose:
The aim of the study was to assess the relationships between primary care team functioning, patients’ use of acute care, and mortality.
Methodology/Approach:
Retrospective longitudinal cohort...
Source: Health Care Management Review - June 1, 2018 Category: American Health Tags: Features Source Type: research
Types of internal facilitation activities in hospitals implementing evidence-based interventions
Conclusion:
There are four types of facilitation activities that hospitals engage in while implementing evidence-based practices, offering a parsimonious way to characterize facilitation activities. New theoretical and empirical research opportunities are discussed.
Practice Implications:
Understanding the types of facilitation activities and their distinguishing characteristics can assist managers in planning and executing implementations of evidence-based interventions. (Source: Health Care Management Review)
Source: Health Care Management Review - June 1, 2018 Category: American Health Tags: Features Source Type: research
The impact of middle manager affective commitment on perceived improvement program implementation success
Conclusion:
We, through this research, offer an important contribution by providing empirical support of factors that may influence successful implementation of an improvement program: middle manager affective commitment, frontline worker support, and organizational support for an improvement program.
Practice Implications:
Increasing levels of middle manager affective commitment to an improvement program could strengthen program implementation success by facilitating frontline worker support for the program. Furthermore, providing the organizational support items in our survey construct may bolster middle manager aff...
Source: Health Care Management Review - June 1, 2018 Category: American Health Tags: Features Source Type: research
The role of organizational context in the implementation of a statewide initiative to integrate mental health services into pediatric primary care
Conclusion:
Organizational culture, structures/processes, and technologies are important determinants of the uptake of activities to implement mental health services in pediatric primary care. Interventions may be able to change these aspects of context to make them more favorable to integration, but baseline characteristics more heavily influence the more proximal uptake of program activities.
Practice Implications:
Pediatric primary care practices would benefit from assessing their organizational context and taking steps to address it prior to or in a phased approach with mental health service implementation. (Sourc...
Source: Health Care Management Review - June 1, 2018 Category: American Health Tags: Features Source Type: research
Identifying and overcoming implementation challenges: Experience of 59 noninstitutional long-term services and support pilot programs in the Veterans Health Administration
This study highlights several common challenges programs can address during the program implementation. The most often mentioned strategy was effective communication. Strategies also targeted several components of the organization including organizational functions and processes (e.g., importance of coordination within a team and across disciplines to provide good care), infrastructure (e.g., information technology and human resources), and program fit with priorities in the organization (e.g., leadership support).
Implications:
Anticipating potential pitfalls of program implementation for future noninstitutional LTSS p...
Source: Health Care Management Review - June 1, 2018 Category: American Health Tags: Features Source Type: research
An exploratory analysis for Lean and Six Sigma implementation in hospitals: Together is better?
Conclusion:
Our research contributes to the quality management literature by supporting the possible complementary relationship between Lean and Six Sigma in hospitals.
Practice Implications:
Our study encourages practitioners and managers to pay more attention to Lean implementation. Although Lean seems to be conducted in a limited fashion in many hospitals, it should be expanded and combined with Six Sigma for better results. (Source: Health Care Management Review)
Source: Health Care Management Review - June 1, 2018 Category: American Health Tags: Features Source Type: research
