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A Component-Based Framework for Comparing Emergency Department Flow Models Across Health Systems: A Critical Narrative Review. 一个基于组件的框架比较急诊部门流动模型跨卫生系统：一个关键的叙述回顾。
IF 2.4
Healthcare Management Forum Pub Date : 2026-09-10 DOI: 10.1177/08404704261481489
Carmelo Villani, Maria Monte
{"title":"A Component-Based Framework for Comparing Emergency Department Flow Models Across Health Systems: A Critical Narrative Review.","authors":"Carmelo Villani, Maria Monte","doi":"10.1177/08404704261481489","DOIUrl":"https://doi.org/10.1177/08404704261481489","url":null,"abstract":"<p><p>Emergency departments use named flow models to address crowding, yet the same label may describe very different selection rules, staffing, authority, space, and access to diagnostics. The objective of this article is to compare model components and identify conditions governing cross-system transfer. PubMed, CINAHL, and Scopus were searched for reports published from 2000 through August 3, 2026. Of 1,271 unique records, 188 reports were sought, 135 assessed, and 120 included. Across six model families, five recurring mechanisms were identified: demand segmentation, front-loaded assessment, parallel task completion, spatial substitution, and redistribution of professional authority. Their effects varied with staffing, operating conditions, diagnostic access, and downstream congestion. These findings informed the seven-domain MODEL-ED framework. Managers and other leaders should transfer components rather than model names, match each configuration to the local constraint, and evaluate safety, equity, experience, workload, and sustainability alongside speed.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261481489"},"PeriodicalIF":2.4,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931531","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}
引用次数: 0
Prevalence and Applications of interRAI Scales and Algorithms for Children and Youth Across Populations and Care Settings. 跨人群和护理设置的儿童和青少年rai量表和算法的流行和应用。
IF 2.4
Healthcare Management Forum Pub Date : 2026-09-06 DOI: 10.1177/08404704261477329
Danielle Fearon, Amanda Mofina, Shannon L Stewart
{"title":"Prevalence and Applications of interRAI Scales and Algorithms for Children and Youth Across Populations and Care Settings.","authors":"Danielle Fearon, Amanda Mofina, Shannon L Stewart","doi":"10.1177/08404704261477329","DOIUrl":"https://doi.org/10.1177/08404704261477329","url":null,"abstract":"<p><p>Rising mental health needs among children and youth underscore the importance of reliable, evidence-informed data to support effective service planning and policy development. The interRAI Child and Youth Mental Health (ChYMH) and Child and Youth Mental Health-Developmental Disabilities (ChYMH-DD) assessments provide standardized information across clinical, functional, and social aspects to support care planning and service delivery. This study highlights common scales and algorithms embedded within the ChYMH and ChYMH-DD and illustrates their prevalence across instruments and settings. Prevalence rates for thirteen scales and algorithms are presented. Higher prevalence of functional dependence was observed among children with developmental disabilities; while higher proportions of mental health concerns were recognized among children without developmental disabilities. Patterns across measures demonstrate overlap in mental health and functioning across settings. Overall, this article highlights the clinical utility of embedded interRAI scales and algorithms in capturing meaningful clinical information and supporting evidence-informed care and policy.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261477329"},"PeriodicalIF":2.4,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901196","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}
引用次数: 0
Responsive Policy Making and Implementation: An Analysis of Ongoing Licensure Reforms for Internationally Educated Nurses in Canada. 响应政策的制定和实施：对加拿大国际教育护士执照改革的分析。
IF 2.4
Healthcare Management Forum Pub Date : 2026-09-04 DOI: 10.1177/08404704261470452
Natalie J Thiessen, Patrick Chiu, Rio Li, Geetanjali Sharma, Kathleen Leslie
{"title":"Responsive Policy Making and Implementation: An Analysis of Ongoing Licensure Reforms for Internationally Educated Nurses in Canada.","authors":"Natalie J Thiessen, Patrick Chiu, Rio Li, Geetanjali Sharma, Kathleen Leslie","doi":"10.1177/08404704261470452","DOIUrl":"https://doi.org/10.1177/08404704261470452","url":null,"abstract":"<p><p>Between 2022 and 2024, Canadian nursing regulators significantly reformed licensure pathways for Internationally Educated Nurses (IENs) to address worsening workforce shortages. Since then, pathways have continued to evolve, illustrating a dynamic policy area. The objective of this article is to examine factors shaping changes to IEN licensure policy discourse and pathway design between 2024 and 2026. A comparative qualitative policy analysis of six nursing regulators across four provinces was conducted using publicly available grey literature, guided by the 3I + E framework and the READ approach. The findings suggest that IEN licensure reforms continue to be shaped by ongoing labour mobility, political, and economic pressures. Regulatory pathways increasingly emphasize substantial equivalence pathways with increased verification and competency oversight measures. Despite an increased supply of licensed nurses, ongoing integration challenges indicate that licensure is only one component of the solution. Findings also highlight the need for adaptive and coordinated policy responses across interconnected workforce, immigration, education, and healthcare systems.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261470452"},"PeriodicalIF":2.4,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892555","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}
引用次数: 0
Leadership in Canadian Healthcare: Navigating Change Through Effective Governance. 加拿大医疗保健的领导力：通过有效治理引导变革。
IF 2.4
Healthcare Management Forum Pub Date : 2026-09-02 DOI: 10.1177/08404704261476679
Renée Légaré, Ian Cullwick
{"title":"Leadership in Canadian Healthcare: Navigating Change Through Effective Governance.","authors":"Renée Légaré, Ian Cullwick","doi":"10.1177/08404704261476679","DOIUrl":"https://doi.org/10.1177/08404704261476679","url":null,"abstract":"<p><p>This article examines the evolving internal governance dynamics of Canadian hospitals, with a focus on the triangular leadership relationship between the Board of Directors, Chief Executive Officer, and Chief of Staff. Drawing on research from seven eastern Ontario healthcare institutions, it identifies three distinct governance interaction models and highlights how, post-pandemic, there has been an accelerated shift toward more integrated, collaborative leadership. Key findings include persistent gaps in non-financial delegated authorities, sub-optimal Chief of Staff performance management, and succession planning, and reinforcing that trust and transparency between the Board Chair, Chief Executive Officer, and Chief of Staff remain the ultimate foundational pillars of governance effectiveness.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261476679"},"PeriodicalIF":2.4,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881935","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}
引用次数: 0
Operationalizing the Pan-Canadian Health Data Charter Through Common Standards and AI-Enabled Nursing Data. 通过通用标准和人工智能支持的护理数据实施泛加拿大健康数据宪章。
IF 2.4
Healthcare Management Forum Pub Date : 2026-09-01 Epub Date: 2026-06-16 DOI: 10.1177/08404704261458190
Steven Tam, Glynda Rees, Lynn Nagle, Peggy White
{"title":"Operationalizing the Pan-Canadian Health Data Charter Through Common Standards and AI-Enabled Nursing Data.","authors":"Steven Tam, Glynda Rees, Lynn Nagle, Peggy White","doi":"10.1177/08404704261458190","DOIUrl":"10.1177/08404704261458190","url":null,"abstract":"<p><p>Principle 4 of the Pan-Canadian Health Data Charter calls for common standards to enable interoperability, access, and portability of health data. Yet clinically meaningful information, particularly nursing documentation, remains largely unstructured and siloed across care settings. This article argues that nursing data represent a critical but under-leveraged asset for improving patient safety and continuity of care, as nursing data capture early indicators of deterioration, functional decline, and social context often absent from structured datasets. While traditional approaches to standardization have relied on behavioural change, emerging Artificial Intelligence (AI) tools offer a practical alternative by translating narrative documentation into standardized, interoperable formats. Drawing on institutional examples and current evidence, this article examines the possibilities and potential benefits of leveraging AI to fully realize the promise of common standards in practice without creating undue burdens for clinicians.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"436-441"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260060","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}
引用次数: 0
Shaping Ethical Use of Health Data: Moving Beyond Compliance to Relational Governance in Canada. 塑造健康数据的道德使用：在加拿大超越合规性到关系治理。
IF 2.4
Healthcare Management Forum Pub Date : 2026-09-01 Epub Date: 2026-06-14 DOI: 10.1177/08404704261455828
Angela Power, Anika Affleck
{"title":"Shaping Ethical Use of Health Data: Moving Beyond Compliance to Relational Governance in Canada.","authors":"Angela Power, Anika Affleck","doi":"10.1177/08404704261455828","DOIUrl":"10.1177/08404704261455828","url":null,"abstract":"<p><p>Ethical health data use in Canada is often reduced to compliance with privacy requirements, limiting its role in governance and decision-making. This article reframes ethical data use as a relational practice that supports trust, transparency, participation, and shared accountability across institutions, patients, and communities. Grounded in Principle 7 of the Pan-Canadian Health Data Charter, it examines tensions between risk-averse data protection and the need to enable responsible data use for care, research, and system improvement, arguing that this divide constrains both innovation and public benefit. Trust and social licence are positioned as foundational to participation, data quality, and legitimacy, underscoring the need to redistribute decision-making power to patients and communities. Relational governance offers a practical pathway to move beyond compliance and support ethical, effective, and publicly trusted health data use in Canada.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"460-464"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254002","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}
引用次数: 0
Balancing Harm Reduction With Maximizing Benefits: A Review of Principle 5 of the Pan-Canadian Health Data Charter. 平衡减少危害与利益最大化：对《泛加拿大健康数据宪章》原则5的审查。
IF 2.4
Healthcare Management Forum Pub Date : 2026-09-01 Epub Date: 2026-06-16 DOI: 10.1177/08404704261458795
Geoff Gregson, Tory Hibbitt
{"title":"Balancing Harm Reduction With Maximizing Benefits: A Review of Principle 5 of the Pan-Canadian Health Data Charter.","authors":"Geoff Gregson, Tory Hibbitt","doi":"10.1177/08404704261458795","DOIUrl":"10.1177/08404704261458795","url":null,"abstract":"<p><p>Principle 5 of the Pan-Canadian Health Data Charter highlights the importance of maximizing public benefit from reusing health data with minimizing harm, focusing on quality, security, privacy, and reliable governance. This article brings together findings showing that Canada's fragmented and non-interoperable data landscape, along with inconsistent governance, leads to reduced clinical safety, slower research and innovation progress, and significant economic setbacks. Moreover, prioritizing privacy above all can unintentionally hinder valuable data sharing. Our recommendations are to mandate data sharing with protective safeguards, implement national interoperability standards, shift towards stewardship models, and create culturally grounded health data governance for Indigenous and equity-seeking groups.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"454-459"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260010","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}
引用次数: 0
From Commitment to Practice: Advancing Indigenous Data Sovereignty in Health Systems. 从承诺到实践：推进卫生系统中的土著数据主权。
IF 2.4
Healthcare Management Forum Pub Date : 2026-09-01 Epub Date: 2026-04-29 DOI: 10.1177/08404704261444735
Harmony Johnson, Laurel Lemchuk-Favel, Lindsay Beck
{"title":"From Commitment to Practice: Advancing Indigenous Data Sovereignty in Health Systems.","authors":"Harmony Johnson, Laurel Lemchuk-Favel, Lindsay Beck","doi":"10.1177/08404704261444735","DOIUrl":"10.1177/08404704261444735","url":null,"abstract":"<p><p>Health systems across Canada are increasingly committing to support First Nations, Inuit, and Métis data sovereignty and Indigenous-led data governance frameworks. However, many organizations struggle to translate these commitments into practice. Uncertainty regarding Indigenous data governance, combined with concerns about misusing Indigenous data or violating emerging sovereignty principles, has produced a \"freezing effect,\" where Indigenous data are collected but under-analyzed, under-reported, or avoided altogether. This hesitation can perpetuate the invisibility of anti-Indigenous racism and inequities in care. This article provides a brief overview of Indigenous data sovereignty and its grounding in Indigenous rights frameworks, including the United Nations Declaration on the Rights of Indigenous Peoples. Drawing on the experience of Providence Health Care in British Columbia, the article describes how Indigenous-led governance structures, data stewardship, and improvements in Indigenous self-identification processes can enable the ethical use of Indigenous health data to monitor inequities and inform quality improvement in health systems.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"420-424"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784557","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}
引用次数: 0
Harmonization of Health Data Governance, Oversight, and Policy: Reimagining Stewardship. 卫生数据治理、监督和政策的协调：重新构想管理。
IF 2.4
Healthcare Management Forum Pub Date : 2026-09-01 Epub Date: 2026-05-22 DOI: 10.1177/08404704261450227
Bartha M Knoppers, Alexander Bernier
{"title":"Harmonization of Health Data Governance, Oversight, and Policy: Reimagining Stewardship.","authors":"Bartha M Knoppers, Alexander Bernier","doi":"10.1177/08404704261450227","DOIUrl":"10.1177/08404704261450227","url":null,"abstract":"<p><p>The Pan-Canadian Health Data Charter advocates for new legal institutions, that would empower organizations to steward health data for future use. We propose three potential legal mechanisms to realize this vision: (i) data stewards as fiduciaries, (ii) licensed data stewards, and (iii) licensed data trusts. These mechanisms would enable representative decision-makers acting on behalf of affected communities and publics to make binding choices about whether proposed health information uses respect applicable norms. This would help to foster public trust in health sector use of information. It would also enable data stewards to base their decisions on data re-use upon actionable feedback from affected populations regarding their preferences in balancing competing norms, which these institutions would produce. Our proposals hope to move the literature beyond narrow debates about the benefits of increasing or reducing regulation, towards an actionable vision of adaptive data governance in practice.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"425-429"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148006999","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}
引用次数: 0
Building Canada's Health Information Ecosystem Through Equitable Approaches to Public, Patient, and Community Engagement. 通过公平对待公众、患者和社区参与，建立加拿大的卫生信息生态系统。
IF 2.4
Healthcare Management Forum Pub Date : 2026-09-01 Epub Date: 2026-05-22 DOI: 10.1177/08404704261451161
Roma Dhamanaskar, James Shaw
{"title":"Building Canada's Health Information Ecosystem Through Equitable Approaches to Public, Patient, and Community Engagement.","authors":"Roma Dhamanaskar, James Shaw","doi":"10.1177/08404704261451161","DOIUrl":"10.1177/08404704261451161","url":null,"abstract":"<p><p>The Pan-Canadian Health Data Charter (the Charter) provides a strong foundation for Canada's strategy to building a trustworthy and adaptable health information ecosystem. A key requirement is to ensure that governance mechanisms are informed by the views of the public, raising important questions about what constituencies make up \"the public\" and what inclusion looks like in practice. In this article, we use health data justice as the theoretical basis to justify the importance of centring equity in inclusionary efforts and outline key considerations for involving diverse members of the public, patients, and communities in advising health information systems and policy. We suggest that engagement should be fit-for-purpose, marrying the methods and selection of participants with overarching goals, and multi-modal, employing multiple methods to facilitate wider participation from individuals with varying needs. We also recognize the importance of long-term partnerships between civil society organizations, policy actors, and researchers to ensure that the needs and preferences of structurally marginalized groups are prioritized in engagement initiatives and downstream policy decisions.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"430-435"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148006922","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}
引用次数: 0
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