Assessing the relationship of the human resource, finance, and information technology functions on reported performance in hospitals using the Lean management system
Conclusion
HR, finance, and IT functions are positively associated with self-reported Lean impact on performance and primarily explained by the overall degree of Lean implementation.
Practice Implications
Efforts to align HR, finance, and IT functions with overall Lean implementation can help to ensure that frontline caregivers and managers have the data and skills required to meet transformational improvement goals. (Source: Health Care Management Review)
Source: Health Care Management Review - March 11, 2021 Category: American Health Tags: Features Source Type: research
The impact of interpersonal support, supervisory support, and employee engagement on employee turnover intentions: Differences between financially distressed and highly financially distressed hospitals
Conclusions
Our results are consistent with the social exchange theory upon which our hypotheses and model are built and demonstrate the value of using the degree of organizational financial distress as a contextual variable when studying motivational factors influencing employee turnover intentions.
Practical Implications
In addition to advancing management theory as applied in the CAH context, our study presents the practical insight that employee perceptions of their employer’s financial condition should be considered when organizations develop employee retention strategies. Specifically, employee engagemen...
Source: Health Care Management Review - March 11, 2021 Category: American Health Tags: Features Source Type: research
Optimizing patient partnership in primary care improvement: A qualitative study
Conclusion
Establishing practice improvement partnerships remains challenging, but partnering with patients on improvement journeys offers distinctive gains for high-quality patient-centered care.
Practice Implications
Engaging diverse patient partners requires significant disruption to organizational norms and routines, and the trend toward team-based primary care offers a fertile context for patient partnerships. Material, technical, and sociocultural resources should be evaluated not only for whether they overcome specific challenges but also for how they enhance the shared learning journey. (Source: Health C...
Source: Health Care Management Review - March 11, 2021 Category: American Health Tags: Features Source Type: research
What makes health services usable?: Insights from a qualitative study of caregivers of children with disabilities
Background
The concept of usability from the field of user-centered design addresses the extent to which a system is easy to use, including under extreme conditions. Apart from applications to technologies, however, little attention has been given to understanding what shapes usability of health services more generally. Health service usability may impact the extent to which patients avail themselves of and benefit from those services.
Purpose
The aim of the study was to develop the concept of usability as it applies to health services, particularly for a high-need, complex patient population.
Approach
We...
Source: Health Care Management Review - March 11, 2021 Category: American Health Tags: Features Source Type: research
Associations between hospital structures, processes and patient experiences of preparation for discharge in breast cancer centers: A multilevel analysis
Conclusion
The results suggest that timely and informative communication, well-organized care processes, and the network structure of centers allow for an improvement of preparation for discharge. Current and future approaches for the improvement of hospital discharge should consider the identified hospital resources.
Practice Implications
Hospital management should increase the focus on structured communication and coordination processes to improve the discharge process. Cooperating networks should be expanded to increase expertise and resources. Results can be generalized to other care domains with caution. Pa...
Source: Health Care Management Review - March 11, 2021 Category: American Health Tags: Features Source Type: research
Publishing in HCMR: What are we looking for in a manuscript?
No abstract available (Source: Health Care Management Review)
Source: Health Care Management Review - March 11, 2021 Category: American Health Tags: Department: Editorial Source Type: research
Adoption of Lean management and hospital performance: Results from a national survey
We examined the relationships between Lean and hospital financial performance, patient outcomes, and patient satisfaction in a large national sample of hospitals, controlling for relevant organizational and market factors.
Methodology/Approach
A mixed effects linear regression analysis was performed to assess the relationships between adoption of Lean and 10 measures of hospital performance using data from 1,152 hospitals that responded to the 2017 National Survey of Lean/Transformational Performance Improvement in Hospitals. Hospital performance, organizational, and market data over the period 2011–2015 come from...
Source: Health Care Management Review - November 28, 2020 Category: American Health Tags: Online Only Source Type: research
Home sweet home? How home health aide compensation, benefits and employment security influence the quality of care delivered by home health organizations
Conclusion
Compensation and benefits practices impact quality, and the effect these practices have on quality varies under conditions of employment insecurity created by the organization’s use of contract home health aides.
Practice Implications
Home health organizations should employ a nuanced approach to improving quality, increasing compensation to permanent home health aides when the organization increases their use of contract home health aides and equally distributing benefits to home health aides when the organization does not rely as heavily on contract home health aides. (Source: Health Care Management Review)
Source: Health Care Management Review - November 28, 2020 Category: American Health Tags: Online Only Source Type: research
Hospital risk-based payments and physician employment: Impact on financial performance
Conclusions
Hospitals that hold some degree of financial responsibility for patient care have learned how to deploy employed hospitalists to their financial advantage. The unique role of hospitalists in expediting and coordinating patient care may yield the cost control that hospitals need to succeed under risk-based payment arrangements.
Practice Implications
Hospitals are still on a learning curve in determining how to structure incentives for their nonhospitalist employed physicians. To the extent that employment of these nonhospitalist physicians has not yet had a detrimental effect on hospital profits, a wi...
Source: Health Care Management Review - November 28, 2020 Category: American Health Tags: Features Source Type: research
How teams impact patient satisfaction: A review of the empirical literature
Background
The increased use of health care teams merits further investigation in terms of their impact on patient satisfaction. Patient satisfaction and patient experience generally have come front-and-center given trends within the health care industry around “patient-centered care” and “consumer engagement.”
Purpose
This review examines research published between 2000 and 2017 that includes analysis of potential team–patient satisfaction linkages, taking the conceptual perspective that both the mere presence of health care teams and specific team features like cohesion may each be impactful.
Meth...
Source: Health Care Management Review - November 28, 2020 Category: American Health Tags: Features Source Type: research
A reason to renovate: The association between hospital age of plant and value-based purchasing performance
This study evaluates the association between age of hospital infrastructure and VBP outcomes.
Methodology
Data on 1,911 hospitals from three sources (the American Hospital Association Annual Survey Database, the American Hospital Association DataViewer Financial Module, and the Centers for Medicare & Medicaid Services Hospital VBP Total Performance Scores data set) were evaluated. Age of health care facilities was represented by the “average age of plant” financial ratio. VBP performance was measured by an aggregate Total Performance Score composed of four equally weighted domains, including Efficiency and Cost ...
Source: Health Care Management Review - November 28, 2020 Category: American Health Tags: Features Source Type: research
Infusing, sustaining, and replenishing compassion in health care organizations through compassion practices
Conclusion
Organizations enable compassion through common organizational practices that perform three functions: (a) infusing the organization with new members and resources to enact compassion, (b) sustaining compassion by reinforcing its appropriateness in the workplace, and (c) replenishing compassion resources by improving and restoring employee well-being and ability to provide high-quality compassionate care.
Practice Implications
This study provides managers with a detailed guide for how health care organizations use compassion practices as a managerial tool to address two key challenges: (a) high rates o...
Source: Health Care Management Review - November 28, 2020 Category: American Health Tags: Features Source Type: research
Health care staff responses to disinvestment—A systematic search and qualitative thematic synthesis
Background
Health care services must deliver high-quality, evidence-based care that represents sound value. Disinvestment is the process of withdrawing resources from any existing health care practices that deliver low gain for their cost and reallocating these toward practices that are more effective, efficient, and cost-effective, thus benefiting patients and the community.
Purpose
This is the first review to examine the responses of health care staff to disinvestment and investigate the factors that increase the likelihood of these staff accepting disinvestment or reallocation of resources from the health ser...
Source: Health Care Management Review - November 28, 2020 Category: American Health Tags: Features Source Type: research
Organizational factors affecting successful physician–system integration: A qualitative study of Washington State health executives
Conclusion
Our work indicates that health systems should focus on the pathway to integration success through the alignment of structure (not just the integration contract), culture, and resources and not on an end goal of the physician employment model.
Practice Implications
Health system executives are key drivers for when and how physician groups are integrated into health services organizations. This article provides executives with an evidence-based model to aid in formulating integration approaches that combine elements of organizational structure, organizational culture, and strategic resources. (Source: H...
Source: Health Care Management Review - November 28, 2020 Category: American Health Tags: Features Source Type: research
Ethical problems in nursing management: Frequency and difficulty of the problems
Background
Nurse managers (NMs) lead the biggest personnel group in health care—nurses. They have various responsibilities in clarifying an organization’s values to their staff and overseeing and supporting continuous upholding of ethical standards and nurses’ ethical competence.
Purpose
The purpose of the study was to investigate the frequency and difficulty of the ethical problems NMs encounter in their work and to determine the background factors correlating with the problems.
Methodology
Cross-sectional survey design was used. Ethical problems were approached by five categories related to patien...
Source: Health Care Management Review - November 28, 2020 Category: American Health Tags: Features Source Type: research
