Journal of Hospital and Healthcare Administration最新文献

{"title":"Strategies to Promote Nursing Retention Among Millennials","authors":"Shannon L. Harris, Lori Prewitt Moore, Tochie Lofton","doi":"10.29011/2688-6472.000152","DOIUrl":"https://doi.org/10.29011/2688-6472.000152","url":null,"abstract":"The effect of registered nurse (RN) turnover causes a profound increase in costs to healthcare facilities’ which triggers an essential need for strategies to promote RN retention. In 2021, the nurse labor force shortage has continued to increase with 37.4% of hospitals feeling the squeeze [1]. Healthcare facilities are experiencing an increase in RN position vacancy rates due to the pandemic. The national hospital turnover rate is currently 19.5% and a third of hospitals in the United States are reporting a vacancy rate of greater than 10% [1]. The RN Recruitment Difficulty Index remains elevated at the level of an 89-day period to hire an experienced RN. This finding is evidence that the RN shortage will persist, and RN recruitment will continue to be a challenge for hospitals. Millennials currently represent one quarter of today’s population and will represent 75% of the workforce by the year 2030. A millennial is defined as a person born between the years 1981 and 1996 with a current age of 25 to 40 years old [1]. Promoting retention strategies for this cohort will be paramount for hospital administration to ensure safe and effective healthcare to hospitalized patients in future years.","PeriodicalId":194277,"journal":{"name":"Journal of Hospital and Healthcare Administration","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124782009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why the Proposed CMS Civil Monetary Penalties Imposed on Hospitals is DOOMED for Failure","authors":"","doi":"10.29011/2688-6472.000151","DOIUrl":"https://doi.org/10.29011/2688-6472.000151","url":null,"abstract":"","PeriodicalId":194277,"journal":{"name":"Journal of Hospital and Healthcare Administration","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126388972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers that Affect the Use of Patient Portals","authors":"Sajeesh Kumar, R. Stewart","doi":"10.29011/2688-6472.000017","DOIUrl":"https://doi.org/10.29011/2688-6472.000017","url":null,"abstract":"Technological advances have generated new resources that allow patients to be more involved in their health care. As different innovations find their way into the healthcare sector, physicians and patients experience some challenges as they try to adopt these innovations. One particular innovation in healthcare has been the use of patient portals to increase self-management of different conditions by patients. This study focused in exploring the barriers in the access of the My Chart portal at Baptist Memorial Health Care Corporation and, to some extent, how to handle this problem. An online survey questionnaire was sent to 22 help care desk agents who have been employed with the organization for more than 90 days and face-to-face interviews were scheduled with 5 of these participants. Data obtained from the 19 respondents who responded to the questions and the five interviewees revealed that the major barrier to patient portal access is the lack of computer or phone skills. At the same time, proxy access problems were identified as another challenge.","PeriodicalId":194277,"journal":{"name":"Journal of Hospital and Healthcare Administration","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126230526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Leadership Skills and The Poetic Vision","authors":"P. Vinod","doi":"10.29011/2688-6472.000018","DOIUrl":"https://doi.org/10.29011/2688-6472.000018","url":null,"abstract":"Clinical Leadership is likely to be perceived as a low priority skill for a clinical student or newly-qualified Health Care professional. However, all innovation and major changes in a health service relies on leaders of the future. Leadership is not just the skill in leading others, which is often needed, but also, the ability to follow and help others when necessary. Leadership operates on many levels, it is often seen just as an ability to lead others but the essential core of leadership is to lead yourself to become the healthcare professional you wish to be in terms of education, clinical service, personal aspirations withthe overarching aim of improving the lives of patients and the community. Leadership and management have overlapping competencies they are not synonymous and must not be confused. Leadership Versus Management","PeriodicalId":194277,"journal":{"name":"Journal of Hospital and Healthcare Administration","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117073648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of Fupi Ligan Method in Treating Obesity Type 2 Diabetes","authors":"Tang Xianyu","doi":"10.29011/2688-6472.000019","DOIUrl":"https://doi.org/10.29011/2688-6472.000019","url":null,"abstract":"Obesity Type 2 Diabetes (T2DM) is becoming a pandemic disease that is harmful to human health. Most of the factors such as congenital endowment, emotion, diet, lifestyle and other factors lead to spleen loss, liver loss and suffocation, poor air movement, and the water-salt and sweet things are transformed into phlegm and lipid accumulation. Among them, spleen and liver dysfunction plays an important role in the pathogenesis of this disease. Spleen deficiency and dampness are the constitutional basis of obesity T2DM, and poor airway is an important disease condition. Clinical diagnosis and treatment of obesity T2DM from the spleen deficiency and poor air intake, the use of Fupi Ligan method for the treatment of obesity T2DM is a useful exploration.","PeriodicalId":194277,"journal":{"name":"Journal of Hospital and Healthcare Administration","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132045955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Structural Factors Influencing the Standardization Process in Acute Care Hospitals","authors":"Kruparaj Shettian, T. Wan","doi":"10.29011/2688-6472.000015","DOIUrl":"https://doi.org/10.29011/2688-6472.000015","url":null,"abstract":"This paper is an attempt to explain how structural integration, innovativeness, and Information Technology (IT) capability influence the standardization process in acute care hospitals. Using the covariance structural equation modeling along with confirmatory factor analysis to measure the theoretical constructs for the data on acute care hospitals in the United States, the authors demonstrate that IT capability, hospital-physician integration, and innovativeness directly affected the variability in standardization. The authors recommend further studies to explore how standardization may mediate the relationship between the structural variables and hospital performance variables as standardization becomes more common through institutional isomorphism via coercive, mimetic, and normative mechanisms.","PeriodicalId":194277,"journal":{"name":"Journal of Hospital and Healthcare Administration","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115667073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unexpected Deaths in the Hospital: A Twelve Year Retrospective Review in a Belgian University Hospital","authors":"","doi":"10.29011/2688-6472.000145","DOIUrl":"https://doi.org/10.29011/2688-6472.000145","url":null,"abstract":"","PeriodicalId":194277,"journal":{"name":"Journal of Hospital and Healthcare Administration","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117244266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Review of the Barriers to Transitions of Care Between the Hospital and Community Pharmacy","authors":"M. Lang, Roxane L Took","doi":"10.29011/2688-6472.000023","DOIUrl":"https://doi.org/10.29011/2688-6472.000023","url":null,"abstract":"Objective: To address the barriers and implications of Transitions of Care (TOC) from the hospital to the community pharmacybased setting. Methods: A recently discharged patient presented to the community pharmacy for a Transitions of Care (TOC) service. Medication refill histories from the pharmacy and insurance company were gathered, and the patient’s discharge paperwork was requested from the hospital to identify any medication discrepancies and medication-related problems (e.g., medication non-adherence, duplicate therapy, drug-drug interactions). After obtaining this information, the pharmacist and an Advanced Pharmacy Practice Experience (APPE) student attempted to perform a medication reconciliation and identity medication-related problems to create a Personal Medication List (PML) and Medication Action Plan (MAP). Results: The community pharmacist and an APPE student were unable to effectively implement TOC in a community pharmacy-based setting due to several barriers in the healthcare system including misuse of the Health Insurance Portability and Accountability Act (HIPAA) and delayed response or nonresponse from Healthcare Providers (HCPs). As a result, the patient has been readmitted twice since the initial hospitalization. Conclusions: The patient continues to be at high risk for medication-related errors, health complications, and hospital readmissions due to unresolved medical issues and medication non-adherence. Community pharmacies should be part of the hospital’s TOC process to effectively reduce hospital readmission rates and to improve patient health outcomes.","PeriodicalId":194277,"journal":{"name":"Journal of Hospital and Healthcare Administration","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116336316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare Acquired Respiratory Infections-Considerations and Strategies for Prevention and Control","authors":"M. Catlin, H. Almossawi, N. Kak, A. Kaul","doi":"10.29011/2688-6472.000024","DOIUrl":"https://doi.org/10.29011/2688-6472.000024","url":null,"abstract":"This paper provides a critical review of existing procedures and practices, including surveillance methods and systems for identifying patients’ risk of acquiring healthcare associated respiratory infections, in different settings. The burden of healthcare associated respiratory infections afflicting patients and healthcare workers is underappreciated. Infection control measures for TB control have been strictly applied in the United States and have decreased rates of disease acquisition below that of the general population. However, in most other countries healthcare workers are greater risk of acquiring TB and other infections. The principles of these TB and general infection control measures can be applied in resource scarce settings and should reduce the transmission of TB in particular but may provide protection from other respiratory infections as well. As facilities vary widely in the complexity of care they provide, a framework of risk assessment should be used to identify and apply engineering controls, work practice controls, administrative controls, personal protective equipment and finally education. Novel and creative solutions, including use of telemedicine and mHealth solutions should be further explored. As care becomes more complex in resource constrained settings, the necessary infrastructure related to water, energy, medical records, ability to do preventive maintenance and sterilize (reprocess) devices must be put into place so that the benefits of invasive care exceed the risks to the patients. The volume of water available per patient and family in hospitalized patients is a crude indicator of the quality and sophistication of care that can be provided. As we seek improve infection control as much as possible with simple interventions, it is important to realize that once again, limits are reached without a broader system infrastructure strengthening. Safe care does not harm the patient, the provider or the community. Implementation of safe care requires risk assessments and provision of appropriate ventilation and adequate volumes of water. Because the preconditions for a safe environment of care cannot be assumed in resource scarce settings, there may be limitations in the effective application of US infection control “bundles”. Infection control measures will have to be tested prior to implementation. Unlike in the United States, the impact of infection control measures may have to be extrapolated from studies done at sentinel sites. Measures can then be applied to facilities and evaluated with process control measures. Examples of process control measures include compliance with respiratory symptom screening, available volumes of water, hand hygiene monitoring, employee absenteeism, presence of crowds in areas with low air exchanges, ventilation, and indications for treatment among others.","PeriodicalId":194277,"journal":{"name":"Journal of Hospital and Healthcare Administration","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130422867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Study on Healthcare ICT Systems and their Usefulness During CoVid-19 Focused in the European Environment","authors":"Konstantinos Milioris, K. Papageorgiou","doi":"10.29011/2688-6472.000149","DOIUrl":"https://doi.org/10.29011/2688-6472.000149","url":null,"abstract":"Recent rapid technological developments in the global environment are forcing countries to adapt their healthcare systems to current needs. Especially after the outbreak of Covid-19 pandemic multiple countries are updating and employing their ICT healthcare systems to facilitate the prevention and containment of the pandemic. Below literature review examines the efforts of multiple countries in Europe which employed Information Technology to monitor patients and control the spread of the pandemic. Additionally, security and privacy of sensitive medical data and tools for infection surveillance is also a crucial concern which is examined below.","PeriodicalId":194277,"journal":{"name":"Journal of Hospital and Healthcare Administration","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127054613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}