Colorectal cancer screening in a rural US population
International Journal of Health Governance,Volume 22, Issue 4, Page 283-291, December 2017. Purpose Colorectal cancer (CRC) screening saves patient suffering and health system expenses if the pathology is found in its early stages. Utilizing rapid process improvement cycles, the purpose of this paper is to improve the rate of CRC screening in a rural community in the USA. Design/methodology/approach Data were gathered from the authors ’ electronic medical record. Non provider staff were trained to do the majority of the work utilizing population health, clinic visit checklists, and standard work. The two tests used wer...
Source: International Journal of Health Governance - November 9, 2017 Category: International Medicine & Public Health Source Type: research

Examining gender diversity on hospital boards in Ghana
International Journal of Health Governance,Volume 22, Issue 4, Page 269-282, December 2017. Purpose The issue of gender diversity on hospital boards plays a significant role in the financial health and clinical performance of hospitals. The purpose of this paper is to examine the determinants of gender diversity of hospital boards in Ghana. Specifically, this study examined the proportion of females on hospital boards and considered how hospital-level characteristics such as hospital size, age, location and ownership structure explain the board gender diversity of hospital boards in Ghana. Design/methodology/approach A q...
Source: International Journal of Health Governance - November 9, 2017 Category: International Medicine & Public Health Source Type: research

Clinical leadership in paramedic services: a narrative synthesis
International Journal of Health Governance,Volume 22, Issue 4, Page 251-268, December 2017. Purpose In North America, delegated practice “medical direction” models are often used as a proxy for clinical quality and safety in paramedic services. Other developed countries favor a combination of professional regulatory boards and clinical governance frameworks that feature paramedics taking lead clinician roles. The purpose of this paper is to bring together the evidence for medical direction and clinical governance in paramedic services through the prism of paramedic self-regulation. Design/methodology/approach This na...
Source: International Journal of Health Governance - November 9, 2017 Category: International Medicine & Public Health Source Type: research

The clinical governance of multidisciplinary care
International Journal of Health Governance,Volume 22, Issue 4, Page 246-250, December 2017. Purpose Providers of health and social care services aim to deliver personalised care that is safe, effective, caring, responsive and well led. Multidisciplinary teams often have to work together, either within or across multiple provider organisations in order to achieve this aim. It is valuable to have a framework of clinical governance for such circumstances that enables a shared assurance of quality. To achieve these aims, the purpose of this paper is to present a clinical governance matrix framework developed by the author ’...
Source: International Journal of Health Governance - November 9, 2017 Category: International Medicine & Public Health Source Type: research

Patients ’ perspectives of emergency care quality and priorities for care improvement
International Journal of Health Governance,Volume 22, Issue 4, Page 234-245, December 2017. Purpose Studies have examined strategies implemented to strengthen quality of emergency care in healthcare provider institutions in Ghana. But few studies have focused on what determines quality of emergency care from the patient ’s perspective. The purpose of this paper is to fill that gap by examining factors salient to gauging quality of emergency care and priority areas for care improvement. Design/methodology/approach Cross-sectional data were collected from patients admitted in emergency units of public hospitals i n two r...
Source: International Journal of Health Governance - November 9, 2017 Category: International Medicine & Public Health Source Type: research

Another year in review
International Journal of Health Governance,Volume 22, Issue 4, Page 230-233, December 2017. (Source: International Journal of Health Governance)
Source: International Journal of Health Governance - November 9, 2017 Category: International Medicine & Public Health Source Type: research

Clinical governance review
International Journal of Health Governance,Volume 22, Issue 4, Page 302-306, December 2017. (Source: International Journal of Health Governance)
Source: International Journal of Health Governance - November 9, 2017 Category: International Medicine & Public Health Source Type: research

A regional collaborative working to improve health care quality, outcomes, and affordability
International Journal of Health Governance,Volume 22, Issue 4, Page 292-301, December 2017. Purpose The purpose of this paper is to describe the Bree Collaborative ’s background, history, structure, and work. Design/methodology/approach The Bree Collaborative was established by the Washington State Legislature to convene public and private health care stakeholders with the goal of identifying specific mechanisms to improve health care quality, outcomes, an d affordability. These members are appointed by the Washington State Governor and represent public health care purchasers for Washington State, private health care p...
Source: International Journal of Health Governance - November 9, 2017 Category: International Medicine & Public Health Source Type: research

Colorectal cancer screening in a rural US population
International Journal of Health Governance,Volume 22, Issue 4, Page 283-291, December 2017. Purpose Colorectal cancer (CRC) screening saves patient suffering and health system expenses if the pathology is found in its early stages. Utilizing rapid process improvement cycles, the purpose of this paper is to improve the rate of CRC screening in a rural community in the USA. Design/methodology/approach Data were gathered from the authors ’ electronic medical record. Non provider staff were trained to do the majority of the work utilizing population health, clinic visit checklists, and standard work. The two tests used wer...
Source: International Journal of Health Governance - November 9, 2017 Category: International Medicine & Public Health Source Type: research

Examining gender diversity on hospital boards in Ghana
International Journal of Health Governance,Volume 22, Issue 4, Page 269-282, December 2017. Purpose The issue of gender diversity on hospital boards plays a significant role in the financial health and clinical performance of hospitals. The purpose of this paper is to examine the determinants of gender diversity of hospital boards in Ghana. Specifically, this study examined the proportion of females on hospital boards and considered how hospital-level characteristics such as hospital size, age, location and ownership structure explain the board gender diversity of hospital boards in Ghana. Design/methodology/approach A q...
Source: International Journal of Health Governance - November 9, 2017 Category: International Medicine & Public Health Source Type: research

Clinical leadership in paramedic services: a narrative synthesis
International Journal of Health Governance,Volume 22, Issue 4, Page 251-268, December 2017. Purpose In North America, delegated practice “medical direction” models are often used as a proxy for clinical quality and safety in paramedic services. Other developed countries favor a combination of professional regulatory boards and clinical governance frameworks that feature paramedics taking lead clinician roles. The purpose of this paper is to bring together the evidence for medical direction and clinical governance in paramedic services through the prism of paramedic self-regulation. Design/methodology/approach This na...
Source: International Journal of Health Governance - November 9, 2017 Category: International Medicine & Public Health Source Type: research

The clinical governance of multidisciplinary care
International Journal of Health Governance,Volume 22, Issue 4, Page 246-250, December 2017. Purpose Providers of health and social care services aim to deliver personalised care that is safe, effective, caring, responsive and well led. Multidisciplinary teams often have to work together, either within or across multiple provider organisations in order to achieve this aim. It is valuable to have a framework of clinical governance for such circumstances that enables a shared assurance of quality. To achieve these aims, the purpose of this paper is to present a clinical governance matrix framework developed by the author ’...
Source: International Journal of Health Governance - November 9, 2017 Category: International Medicine & Public Health Source Type: research

Patients ’ perspectives of emergency care quality and priorities for care improvement
International Journal of Health Governance,Volume 22, Issue 4, Page 234-245, December 2017. Purpose Studies have examined strategies implemented to strengthen quality of emergency care in healthcare provider institutions in Ghana. But few studies have focused on what determines quality of emergency care from the patient ’s perspective. The purpose of this paper is to fill that gap by examining factors salient to gauging quality of emergency care and priority areas for care improvement. Design/methodology/approach Cross-sectional data were collected from patients admitted in emergency units of public hospitals i n two r...
Source: International Journal of Health Governance - November 9, 2017 Category: International Medicine & Public Health Source Type: research

The global vaccine enterprise
International Journal of Health Governance,Volume 22, Issue 3, Page 126-127, September 2017. (Source: International Journal of Health Governance)
Source: International Journal of Health Governance - August 22, 2017 Category: International Medicine & Public Health Source Type: research

Examining the structure and behavior of Afghanistan ’s routine childhood immunization system using system dynamics modeling
International Journal of Health Governance,Volume 22, Issue 3, Page 212-227, September 2017. Purpose The purpose of this paper is to demonstrate how public health and systems science methods can be combined to examine the structure and behavior of Afghanistan ’s routine childhood immunization system to identify the pathways through which health system readiness to deliver vaccination services may extend beyond immunization outcomes. Design/methodology/approach Using findings from an ecological study of Afghanistan’s immunization system and a litera ture review on immunization program delivery, the routine immunizatio...
Source: International Journal of Health Governance - August 22, 2017 Category: International Medicine & Public Health Source Type: research