Life cycle assessment as decision support tool for environmental management in hospitals: A literature review
Background
Life cycle assessment (LCA) is an environmental accounting tool aimed at determining environmental impacts of products, processes, or organizational activities over the entire life cycle. Although this technique already provides decision-makers in other sectors with valuable information, its application in the health care setting has not yet been examined.
Purpose
The aim of this study was to provide a comprehensive overview of scientific research on the application of LCA in hospitals and its contribution to management decision-making.
Method
We perform a systematic literature review by search...
Source: Health Care Management Review - November 28, 2020 Category: American Health Tags: Features Source Type: research
Explaining variations in hospitals’ use of strategic human resource management: How environmental and organizational factors matter
Background
Against the background of increasing workforce-related challenges such as staff shortages, strategic human resource management (SHRM) has gained importance in hospitals. Although the positive implications of SHRM for hospital performance are well known and commonly accepted in research and practice, hospitals still vary in its use. However, the sources of variations in hospitals’ use of SHRM are largely unknown.
Purpose
Various organizational and environmental factors were used in this study to explain the variations in hospitals’ use of SHRM for physicians and nurses.
Methodology
Data were...
Source: Health Care Management Review - November 28, 2020 Category: American Health Tags: Features Source Type: research
Publishing World Clarified
No abstract available (Source: Health Care Management Review)
Source: Health Care Management Review - November 28, 2020 Category: American Health Tags: Department: Editorial Source Type: research
How hospitals select their patient safety priorities: An exploratory study of four Veterans Health Administration hospitals
Background
Hospitals face ongoing pressure to reduce patient safety events. However, given resource constraints, hospitals must prioritize their safety improvements. There is limited literature on how hospitals select their safety priorities.
Purpose
The aim of this research was to describe and compare the approaches used by Veterans Health Administration (VA) hospitals to select their safety priorities.
Methodology
Semistructured telephone interviews with key informants (n = 16) were used to collect data on safety priorities in four VA hospitals from May to December 2016. We conducted a directed content analysis o...
Source: Health Care Management Review - August 29, 2020 Category: American Health Tags: Online Only Source Type: research
Bridging worldviews: Toward a common model of leadership across the health professions
This study was pursued to revise and revalidate a widely used health sector leadership competency model and assess its potential for providing greater interoperability across the professions.
Methodology/Approach
Using the National Center for Healthcare Leadership’s interprofessional competency model Version 2.1 as the starting point, we developed a revised and revalidated model in four phases: (a) we completed a future scan using methods described in Garman et al. [Garman, A. N., Johnson, T. J., & Royer, T. (2011). The future of healthcare: Global trends worth watching. Chicago, IL: Health Administration Press.]; (b)...
Source: Health Care Management Review - August 29, 2020 Category: American Health Tags: Online Only Source Type: research
Hospital ownership of postacute care providers and the cost of care
Conclusion
The effects of PAC ownership vary by the type of PAC provider owned. Our results suggest that ownership of SNFs and HHAs may be a viable strategy for success in reimbursement programs that reward hospitals for managing the total costs for episodes of care. (Source: Health Care Management Review)
Source: Health Care Management Review - August 29, 2020 Category: American Health Tags: Online Only Source Type: research
Systematic review of the hospice performance literature
Background
Hospice is the key provider of end-of-life care to patients. As the number of U.S. hospice agencies has rapidly increased, the performance has been scrutinized more deeply.
Purpose
To foster understanding of how hospice performance is measured and what factors are associated with performance, we conducted a systematic review of empirical research on hospice performance in the United States.
Methods
Both structure–process–outcome and structure–conduct–performance frameworks were applied to categorize and summarize the hospice performance literature. A total of 36 studies were included in the syste...
Source: Health Care Management Review - August 29, 2020 Category: American Health Tags: Online Only Source Type: research
The patient-centered oncology care on health care utilization and cost: A systematic review and meta-analysis
Background
Optimal cancer care entails coordination among multiple providers and continued follow-up and surveillance over time. The patient-centered care brings opportunities to improve the delivery of cancer care. The adoption of patient-centered oncology care (PCOC) is in its infancy. Evidence synthesis on the model’s effectiveness is scant.
Purposes
This is the first systemic review and meta-analysis on associations of PCOC with cancer patients’ adverse health care utilization, cost, patient satisfaction, and quality of care.
Methods
Our study was guided by the PRISMA (Preferred Reporting Items for Systemat...
Source: Health Care Management Review - August 29, 2020 Category: American Health Tags: Features Source Type: research
Variability in skilled nursing facility screening and admission processes: Implications for value-based purchasing
Conclusions:
We found facility behavior was driven by internal and external factors with implications for equitable access to care in the era of value-based purchasing.
Practice Implications:
SNFs can most effectively respond to these pressures by increasing their agency within hospital–SNF relationships and prioritizing more careful patient screening to match patient needs and facility capabilities. (Source: Health Care Management Review)
Source: Health Care Management Review - August 29, 2020 Category: American Health Tags: Features Source Type: research
Integration of cardiologists with hospitals: Effects on physician compensation and productivity
This study was a quantitative, retrospective, longitudinal analysis, comparing the compensation and work RVUs of integrated cardiologists to their compensation and work RVUs as independent cardiologists. Data from the MedAxiom Annual Survey from 2010 to 2014 were used. Participants included 4,830 unique cardiologists that provided 13,642 pooled physician-year observations, with ownership status, compensation, work (RVUs), and other characteristics as variables for analysis.
Results
Results from the multivariate regressions indicate that average compensation for cardiologists increases by $129,263.1 (p (Source: Health Ca...
Source: Health Care Management Review - August 29, 2020 Category: American Health Tags: Features Source Type: research
Variation of hospital-based adoption of care coordination services by community-level social determinants of health
Conclusion
Greater hospital-initiated care coordination practices and innovative ACO models were available in well-resourced areas. Policymakers may consider increasing resources for care coordination practices in rural, underserved, and high-poverty–high-uninsured areas to ensure that vulnerable populations can benefit from these services. (Source: Health Care Management Review)
Source: Health Care Management Review - August 29, 2020 Category: American Health Tags: Features Source Type: research
A taxonomy of hospitals based on partnerships for population health management
Background:
Hospitals face growing pressures and opportunities to engage with partner organizations in efforts to improve population health at the community level. Variation has been observed in the degree to which hospitals develop such partnerships.
Purpose:
The aim of this study was to generate a taxonomy of hospitals based on their partnerships with external organizations, employing the theoretical notion of organizations’ focus on exploration versus exploitation.
Methodology:
With 1,238 valid cases from the 2015 American Hospital Association Population Health Survey, our study uses items asking about the lev...
Source: Health Care Management Review - August 29, 2020 Category: American Health Tags: Features Source Type: research
Organizational facilitators and barriers to optimal APRN practice: An integrative review
Background:
The organizational environment can foster or impede full deployment of advance practice registered nurses (APRNs), affecting the quality of care and patient outcomes. Given the critical role APRNs play in health care, it is important to understand organizational factors that promote or hinder APRN practice to maximize the potential of this workforce in health care systems.
Purpose:
The aim of this study was to synthesize evidence about APRN practice environments, identify organizational facilitators and barriers, and make recommendations for better APRN utilization.
Methods:
A literature search was cond...
Source: Health Care Management Review - August 29, 2020 Category: American Health Tags: Features Source Type: research
The influence of leadership facilitation on relational coordination among primary care team members of accountable care organizations
Background
Teamwork is a central aspect of integrated care delivery and increasingly critical to primary care practices of accountable care organizations. Although the importance of leadership facilitation in implementing organizational change is well documented, less is known about the extent to which strong leadership facilitation can positively influence relational coordination among primary care team members.
Purpose
The aim of this study was to examine the association of leadership facilitation of change and relational coordination among primary care teams of accountable care organization-affiliated practices and...
Source: Health Care Management Review - August 29, 2020 Category: American Health Tags: Features Source Type: research
Examining the role of value congruence, professional identity, and managerial job engagement in the budgetary participation–performance link
Background:
In health care, important phenomena of perceived incompatibility between professional and managerial values have emerged as consequences of New Public Management reforms. Although there is a growing evidence on the variation in the enactment of hybrid roles by medical managers, existing research in health care management is mostly descriptive with little emphasis on the conditions under which hybrid roles are enacted and, importantly, on the effects of this variation on performance.
Purpose:
In this article, we seek to fill this research gap by empirically examining (a) whether budgetary participation alig...
Source: Health Care Management Review - August 29, 2020 Category: American Health Tags: Features Source Type: research
