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Innovation Pipeline: A framework for value-based decision making. 创新管道：基于价值的决策框架。
Healthcare Management Forum Pub Date : 2025-01-01 Epub Date: 2024-08-12 DOI: 10.1177/08404704241271186
Arianna Waye, Barbara Hughes, Kelly Mrklas, Nancy Fraser, Tracy Wasylak, Marc Leduc, Anderson Chuck
{"title":"Innovation Pipeline: A framework for value-based decision making.","authors":"Arianna Waye, Barbara Hughes, Kelly Mrklas, Nancy Fraser, Tracy Wasylak, Marc Leduc, Anderson Chuck","doi":"10.1177/08404704241271186","DOIUrl":"10.1177/08404704241271186","url":null,"abstract":"<p><p>The concept of value-based healthcare and focus on health outcomes is not new. While these ideas have been shared for decades, health systems still struggle to implement value-based decision making. This article describes the Innovation Pipeline, a framework that embeds value-based decision making in a healthcare organization. The Innovation Pipeline outlines the measurable evidence requirements needed to demonstrate organizational definitions of value. This evidence of value allows health leaders to make decisions supported by rigorous data, evidence, and evaluation, ensuring initiatives that bring organizational value progress from good ideas that require testing to evidence-based services embedded and sustained in operational workflows. The Innovation Pipeline is rigorous and customizable to all levels of the health system and designed to streamline evidence-generation activities, focusing on collecting evidence needed to demonstrate value and inform funding and resource allocation decisions.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"65-71"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972037","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
The call for an evidence-based integrated funding and service delivery system for newcomers. 呼吁为新移民建立以证据为基础的综合资助和服务提供系统。
Healthcare Management Forum Pub Date : 2025-01-01 Epub Date: 2024-07-22 DOI: 10.1177/08404704241267243
Eileen Florence Pepler, Lorraine Kinsman
{"title":"The call for an evidence-based integrated funding and service delivery system for newcomers.","authors":"Eileen Florence Pepler, Lorraine Kinsman","doi":"10.1177/08404704241267243","DOIUrl":"10.1177/08404704241267243","url":null,"abstract":"<p><p>As immigration continues to drive Canada's growth, the newcomer serving sector remains pivotal in facilitating newcomers' integration into communities. However, this sector grapples with ongoing challenges, exacerbated by the federal government's priority to increase immigration levels, thereby complicating the settlement landscape. This article examines the funding and service delivery difficulties organizations encounter. It underscores a system that fosters funding competition, impedes interorganizational collaboration, complicates program outcome reporting, and entails high administrative costs. Additionally, it addresses the specific challenges faced by newcomer children, youth, and families settling in Canada. The recommendations emphasize that no single agency can resolve the settlement sector crisis alone. Urgent actions include piloting integrated networks over integrated services and adopting a new Immigration, Refugees and Citizenship Canada funding model that aligns with population and cultural needs. Moreover, eliminating silos is essential to establish a cohesive and efficient service delivery network committed to public outcomes and accountability.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"9-15"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749256","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
An evaluation of pathology laboratory workforce performance during mergers and acquisitions. 并购期间病理实验室员工绩效评估。
Healthcare Management Forum Pub Date : 2025-01-01 Epub Date: 2024-07-22 DOI: 10.1177/08404704241266104
Paul Z Chiou, R Patti Herring, Yuane Jia
{"title":"An evaluation of pathology laboratory workforce performance during mergers and acquisitions.","authors":"Paul Z Chiou, R Patti Herring, Yuane Jia","doi":"10.1177/08404704241266104","DOIUrl":"10.1177/08404704241266104","url":null,"abstract":"<p><p>The effects of laboratory mergers and acquisitions on the clinical performance of its workforce remain largely unknown. This study examined laboratory professionals' work engagement and productivity, and investigated the role of social support as a moderator during mergers and acquisitions. A 51 question on-line survey was designed to cover demographics, work engagement, productivity, and levels of social support. A sample <i>t</i> test was used to measure work engagement levels between laboratory professionals with higher social support to others with lower support. The finding that laboratory professionals with higher levels of social support are more engaged and productive at the workplace has important policy implications for leaders managing laboratories in times of mergers and acquisitions.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"46-51"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735295","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
Health optimization of older people in prison. 优化监狱中老年人的健康。
Healthcare Management Forum Pub Date : 2025-01-01 Epub Date: 2024-05-28 DOI: 10.1177/08404704241255284
Ian Chan
{"title":"Health optimization of older people in prison.","authors":"Ian Chan","doi":"10.1177/08404704241255284","DOIUrl":"10.1177/08404704241255284","url":null,"abstract":"<p><p>This article examines the leadership challenges of prison healthcare, specifically focusing on the ageing inmate population. It highlights the distinct health burdens faced by this demographic, including higher disease prevalence and an accelerated ageing process. The concept of prison activities of daily living is central to addressing these challenges, emphasizing the need to tailor health assessments and care plans to the unique prisoner-environment interactions. This article advocates for inclusive person-centred care. It suggests that involving older prisoners in their care planning, aligned with the \"ageing in the right place\" principle, can significantly improve their quality of life. Additionally, it explores strategies to combat social isolation and loneliness among older prisoners, such as intergenerational activities and prison-community partnerships. Health leaders can echo these findings in policy development and incorporate collaborative, inclusive, diverse, and intergenerational models that address the complex health needs of older prisoners.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"35-40"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11650900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141159232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social accountability and improving care for sexual and gender diverse patients. 社会责任和改善对不同性取向和性别患者的护理。
Healthcare Management Forum Pub Date : 2025-01-01 Epub Date: 2024-06-07 DOI: 10.1177/08404704241256533
Amanda Bolderston
{"title":"Social accountability and improving care for sexual and gender diverse patients.","authors":"Amanda Bolderston","doi":"10.1177/08404704241256533","DOIUrl":"10.1177/08404704241256533","url":null,"abstract":"<p><p>Social Accountability (SA) in healthcare includes understanding and responding to how social determinants affect patient health. Altruistic healthcare professionals can improve socially accountable patient care at the individual patient or family level (micro), the population or community level (meso), and/or provincial, federal, or international levels (macro). There is a well-established healthcare equity gap for Sexual and Gender Diverse (SGD) people affected by cancer. In this article, I discuss how SA has played a role in my career. As a SGD healthcare professional, I offer some personal examples of SA in action that have made a difference. For socially accountable healthcare professionals, there is almost always something to contribute to improve care, from the patient to the policy level.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11650904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Self-identification and workplace experience surveys for equity and inclusion in healthcare. 医疗保健领域平等与包容的自我认同和工作场所经验调查。
Healthcare Management Forum Pub Date : 2025-01-01 Epub Date: 2024-07-24 DOI: 10.1177/08404704241266139
Naomi Mumbi Maina, Neila Miled, Melissa Crump
{"title":"Self-identification and workplace experience surveys for equity and inclusion in healthcare.","authors":"Naomi Mumbi Maina, Neila Miled, Melissa Crump","doi":"10.1177/08404704241266139","DOIUrl":"10.1177/08404704241266139","url":null,"abstract":"<p><p>Data and evaluation have become integral to efforts aimed at transforming organizational cultures. This is true in Diversity, Equity, and Inclusion (DEI), where organizations are assessing their employee make-up and the impact of their programs and services on systematically marginalized communities. This article presents a case study of a self-identification and workplace experience survey that was the first of its kind at the Provincial Health Services Authority in British Columbia. With a 30.7% response rate, we share an overview of the survey, lessons learned, and recommendations for other healthcare institutions embarking on their DEI journey. Key takeaways include engaging leaders early and allowing adequate time and resources for planning and executing the survey. Confidentiality is a crucial element to ensure that everyone feels confident to take the survey. Ultimately, adequate implementation of actions from survey results will build trust among staff and advance DEI priorities in organizations.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"41-45"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761580","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
Developing a system response to health and homelessness: The important role of health leaders. 针对健康和无家可归问题制定系统对策：健康领导者的重要作用。
Healthcare Management Forum Pub Date : 2025-01-01 Epub Date: 2024-07-24 DOI: 10.1177/08404704241266497
Kate Graham, Matthew Meyer
{"title":"Developing a system response to health and homelessness: The important role of health leaders.","authors":"Kate Graham, Matthew Meyer","doi":"10.1177/08404704241266497","DOIUrl":"10.1177/08404704241266497","url":null,"abstract":"<p><p>This article examines the role of health leaders in the early stages of a community response to address health and homelessness in London, Ontario. Specifically, we explore how leaders from large healthcare-providing organizations have influenced the dynamics of the entire community response. We argue that the high level of engagement from health leaders has been a key ingredient in the early successes of the new approach in London, in part because it validated the reframing of homelessness as a healthcare issue-importantly, changing perceptions about who shares the responsibility to address it.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"30-34"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11650899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Approaching collaboration in primary care differently: Exploring boundaries and boundary objects. 以不同的方式开展初级保健合作：探索边界和边界对象。
Healthcare Management Forum Pub Date : 2025-01-01 Epub Date: 2024-08-13 DOI: 10.1177/08404704241271150
Monique Walsh
{"title":"Approaching collaboration in primary care differently: Exploring boundaries and boundary objects.","authors":"Monique Walsh","doi":"10.1177/08404704241271150","DOIUrl":"10.1177/08404704241271150","url":null,"abstract":"<p><p>In recent primary care policy, collaboration is often understood as an outcome, such as the delivery of team-based care or an integrated health system. This outcome-based understanding of collaboration in policy has proven challenging to achieve in practice. This article introduces the concepts of constructing boundaries and boundary objects used in other disciplines, to support our understanding of collaboration by observing the collaborative process. Multiple methods, such as semi-structured interviews, discourse analysis, and member-checking, were used to compare primary care collaborations across three distinct time periods during the onset of COVID-19 within Interior British Columbia. Data analysis revealed the changing nature of boundaries and boundary objects, providing insights into the collaborative process. Through the exploration of boundaries and boundary objects, this article provides a way to approach collaboration in practice differently. By better understanding the process of collaboration, this research could potentially improve collaborative outcomes.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"58-64"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11650902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Resilience among family physicians during the COVID-19 pandemic in Canada. 加拿大COVID-19大流行期间家庭医生的复原力
Healthcare Management Forum Pub Date : 2024-11-28 DOI: 10.1177/08404704241302717
Anne Snowdon, Cindy Ly, Alexandra Wright
{"title":"Resilience among family physicians during the COVID-19 pandemic in Canada.","authors":"Anne Snowdon, Cindy Ly, Alexandra Wright","doi":"10.1177/08404704241302717","DOIUrl":"https://doi.org/10.1177/08404704241302717","url":null,"abstract":"<p><p>The purpose of this study was to investigate how the COVID-19 pandemic's inaugural wave impacted the professional autonomy of family physicians in Canada. This study highlights how family physician's resilience enabled them to overcome the many challenges they faced to provide health services to patients and has enabled them to rebuild their sense of purpose and duty of care. Four themes were found to summarize physician experiences: (1) loss of clinical autonomy and control; (2) abandonment and neglect by the health system; (3) a fear of patients \"falling through the cracks\" and moral injury; and (4) building resilience to support duty of care in family practice. These results highlight the emergence of resilience among family physicians to restore professional autonomy in family practice, overcoming moral injury in order to fulfil their \"duty of care\" to their patients. Physicians believe the health system's crisis preparedness efforts need to be dedicated to protecting the autonomy of practicing physicians to maintain the continuity of quality patient care in future health crises.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704241302717"},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751973","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
Determinants associated with receiving a medical appointment through the Primary Care Access Points for unattached adults in Quebec: A cross-sectional study. 魁北克无人陪伴的成年人通过初级医疗访问点接受医疗预约的相关决定因素：一项横断面研究。
Healthcare Management Forum Pub Date : 2024-11-24 DOI: 10.1177/08404704241301773
Mylaine Breton, Catherine Lamoureux-Lamarche, Véronique Deslauriers, Djamal Berbiche, Maude Laberge, Mélanie Ann Smithman, Annie Talbot, Isabelle Gaboury, Marie-Pascale Pomey, Marie Beauséjour
{"title":"Determinants associated with receiving a medical appointment through the Primary Care Access Points for unattached adults in Quebec: A cross-sectional study.","authors":"Mylaine Breton, Catherine Lamoureux-Lamarche, Véronique Deslauriers, Djamal Berbiche, Maude Laberge, Mélanie Ann Smithman, Annie Talbot, Isabelle Gaboury, Marie-Pascale Pomey, Marie Beauséjour","doi":"10.1177/08404704241301773","DOIUrl":"https://doi.org/10.1177/08404704241301773","url":null,"abstract":"<p><p>Canada is experiencing an unprecedented primary care crisis, with 6.5 million Canadians reporting lacking a family physician, including 31% of the Quebec population. To address this problem, the province of Quebec implemented Primary Care Access Points (GAPs) to help unattached patients navigate and access primary care services while awaiting attachment. We aimed to examine the determinants associated with unattached patients receiving a medical appointment compared to another service through the GAP. Cross-sectional data (n = 13,291) from two GAPs were collected (June 2022 to March 2023). Multivariable logistic regression was carried out. Being younger, calling for an acute health problem, medication renewal or to have administrative documentation filled, having a physical or mental health problem, and using GAP A (compared to GAP B) were associated with an increased likelihood of receiving a medical appointment. This study is the first to document the characteristics of patients using the GAP and their needs.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704241301773"},"PeriodicalIF":0.0,"publicationDate":"2024-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711184","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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