Healthcare Management Forum最新文献_第7页

Long term care-acute system integration and transformation: Innovations in models of care. 长期护理-急诊系统整合与转型：护理模式的创新。

Healthcare Management Forum Pub Date : 2024-10-27 DOI: 10.1177/08404704241293316

Beatrise Edelstein, Denise Scott, Kathleen Kirk

引用次数: 0

The Integrated Care Team: A primary care based-approach to support older adults with complex health needs. 综合护理小组：以初级保健为基础，为有复杂健康需求的老年人提供支持。

Healthcare Management Forum Pub Date : 2024-10-22 DOI: 10.1177/08404704241293051

George A Heckman, Sarah Gimbel, Chantelle Mensink, Brittany Kroetsch, Aaron Jones, Anooshah Nasim, Melissa Northwood, Jacobi Elliott, Adam Morrison

{"title":"The Integrated Care Team: A primary care based-approach to support older adults with complex health needs.","authors":"George A Heckman, Sarah Gimbel, Chantelle Mensink, Brittany Kroetsch, Aaron Jones, Anooshah Nasim, Melissa Northwood, Jacobi Elliott, Adam Morrison","doi":"10.1177/08404704241293051","DOIUrl":"https://doi.org/10.1177/08404704241293051","url":null,"abstract":"Many older adults have complex needs and experience high rates of acute care use and institutionalization. Comprehensive Geriatric Assessment (CGA) is a specialized multidimensional interprofessional intervention to prevent such outcomes, but access to CGA in the community is limited. The Integrated Care Team (ICT) is a proactive case-finding intervention to support older adults with complex needs in primary care. The ICT provides nurse practitioner-led shared-care supported by a pharmacist, family physician, and geriatrician. Patients undergo a CGA, and a person-centred plan of care is implemented. We conducted a mixed-methods evaluation of the ICT. Patients were 81 ± 9.2 years old, 71% were women. Patients had a high burden of dementia and multimorbidity and received 12.8 ± 5.8 prescriptions daily. The ICT improved prescribing and reduced emergency department visits by 49.5% (P = 0.0001). Patients, care partners, and referring physicians reported high satisfaction with care. The ICT is currently being expanded to support additional primary care providers.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704241293051"},"PeriodicalIF":0.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477044","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

Attendance, Wellness, and Engagement: The AWE Model of Workplace Satisfaction. 出勤、健康和参与：工作场所满意度 AWE 模型。

Healthcare Management Forum Pub Date : 2024-10-13 DOI: 10.1177/08404704241289095

Loren Tisdelle

{"title":"Attendance, Wellness, and Engagement: The AWE Model of Workplace Satisfaction.","authors":"Loren Tisdelle","doi":"10.1177/08404704241289095","DOIUrl":"https://doi.org/10.1177/08404704241289095","url":null,"abstract":"The Attendance, Wellness, and Engagement (AWE) Model of Workplace Satisfaction is an innovative approach to promoting a sustainable, healthy, and engaged workforce. Implemented at Louis Brier Home and Hospital, the AWE Model encapsulates a people strategy aimed at nurturing a supportive and fulfilling work environment. Attendance promotion is accomplished by acknowledging absences while providing a comprehensive support system to address personal challenges faced by healthcare workers. The wellness component is underscored by increasing resource utilization, offering on-site health services, and cultivating social groups to enhance holistic well-being. Additionally, engagement is characterized by staff recognition rituals, community-building initiatives, and celebratory events. Importantly, this article presents a compelling position that the AWE Model creates a positive impact on reducing absenteeism, enhancing staff satisfaction, and transforming organizational culture. As health leaders grapple with workforce challenges, the AWE Model serves as a pragmatic framework to cultivate environments where employees regularly attend work healthy and engaged.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704241289095"},"PeriodicalIF":0.0,"publicationDate":"2024-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477041","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

A new patient navigation model of care to support older adults in transitions of care: Key considerations for implementation for policy-makers and health system leaders. 支持老年人护理过渡的新患者导航护理模式：供政策制定者和医疗系统领导者参考的实施要点。

Healthcare Management Forum Pub Date : 2024-10-06 DOI: 10.1177/08404704241288458

Grace Liu, Kristina Kokorelias, Amanda Knoepfli, Tracey DasGupta, Naomi Ziegler, Emma Elliot, Sara J T Guilcher, Sander L Hitzig

引用次数: 0

Art of leadership and science of implementation for sustainable impact of organizational model of care. 领导的艺术和实施的科学，促进组织关怀模式的可持续影响。

Healthcare Management Forum Pub Date : 2024-09-04 DOI: 10.1177/08404704241271235

Kaiyan Fu, Sarah Tam Lee

引用次数: 0

Advancing equity, diversity, inclusivity, and accessibility in primary care: The development of an integrated educational experience model. 促进初级保健的公平性、多样性、包容性和可及性：开发综合教育体验模式。

Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-07-24 DOI: 10.1177/08404704241264236

Cassandra Barber, L Jayne Beselt, Jade Alcantara, Bizav Jaffer, Kelly Bute-Seaton, Wendy Chong, Tamara Carver, Heather MacNeill, Bukola Salami, Lyn K Sonnenberg, J Cristian Rangel, Constance LeBlanc, Kannin Osei-Tutu, Aimée Bouka, Arun Radhakrishnan, Jerry M Maniate

{"title":"Advancing equity, diversity, inclusivity, and accessibility in primary care: The development of an integrated educational experience model.","authors":"Cassandra Barber, L Jayne Beselt, Jade Alcantara, Bizav Jaffer, Kelly Bute-Seaton, Wendy Chong, Tamara Carver, Heather MacNeill, Bukola Salami, Lyn K Sonnenberg, J Cristian Rangel, Constance LeBlanc, Kannin Osei-Tutu, Aimée Bouka, Arun Radhakrishnan, Jerry M Maniate","doi":"10.1177/08404704241264236","DOIUrl":"10.1177/08404704241264236","url":null,"abstract":"This article presents the development of the Equity, Diversity, Inclusivity, and Accessibility (EDIA) Cross-Cutting Theme Project within the Team Primary Care (TPC) initiative, aimed at addressing systemic inequities through innovative educational strategies. Grounded in the social accountability of health professions framework, this project aims to equip primary care teams with the knowledge, skills, and attitudes necessary to promote health equity. The EDIA Integrated Educational Experience (IEE) model includes a self-assessment tool, digital learning space, and national mentorship network, providing a comprehensive approach for primary care teams to promote health equity. The IEE model utilizes a layered micro, meso, and macro approach to support cultural transformation within highly complex healthcare environments. Key lessons learned involve trust- and relationship-building processes to help dismantle historical silos and encourage open dialogue. Future efforts focus on implementation, ensuring adaptability, scalability, and sustainability, positioning the model as a catalyst for equitable primary care delivery.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"371-376"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761578","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

Integrating Indigenous midwives into a comprehensive primary care setting. 将土著助产士纳入综合初级保健机构。

Healthcare Management Forum Pub Date : 2024-09-01 DOI: 10.1177/08404704241259906

Cecilia Benoit, Andrea Mellor, Brett Koenig, Nathalie Pambrun, Melanie Mason

引用次数: 0

Academic hospitals in the Toronto region collaborate to optimize occupational health and safety. 多伦多地区的学术医院合作优化职业健康与安全。

Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-06-03 DOI: 10.1177/08404704241252910

Anum Aftab, Tamara Dus, Christopher Aiken, Arlene Gladstone, Wendy Morgan, Nicholas Tomiczek, Laura Alexander

{"title":"Academic hospitals in the Toronto region collaborate to optimize occupational health and safety.","authors":"Anum Aftab, Tamara Dus, Christopher Aiken, Arlene Gladstone, Wendy Morgan, Nicholas Tomiczek, Laura Alexander","doi":"10.1177/08404704241252910","DOIUrl":"10.1177/08404704241252910","url":null,"abstract":"In March 2020, as the COVID-19 cases began to rise in Ontario, Canada, the central role of Occupational Health and Safety (OHS) to ensure the well-being of hospital workforce became highly visible. While Ontario's hospitals concentrated efforts to meet each challenging and uncertain wave stressing the system, it was apparent that there is a lack of consistency in best practices and policy response across the healthcare sector. Additionally, the unprecedented pressure on healthcare workforce as they attempted to meet the pandemic's new surging demands resulted in workforce shortages and increased levels of burnout, making it difficult to engage, support, and retain the staff necessary for delivering highest quality of services. The Toronto Academic Health Science Network (TAHSN), a dynamic consortium of 14 healthcare organizations, established a collaborative to implement an integrated effort and align on structure, processes, and standards that will increase strength and defensibility of TAHSN programs. To foster community building, identify areas of common concern, and co-create practices during and beyond the COVID-19 pandemic, a structured network of 14 OHS directors across the healthcare organizations was established. This article discusses the origin of the TAHSN collaborative, the thriving community vision for partnership, and the case study methodology used to combine capabilities to showcase innovation and excellence in care together.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"351-358"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200538","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

Cultivating a psychological health and safety culture for interprofessional primary care teams through a co-created evidence-informed toolkit. 通过共同创建的循证工具包，培养跨专业初级保健团队的心理健康和安全文化。

Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-07-23 DOI: 10.1177/08404704241263918

Jelena Atanackovic, Melissa Corrente, Sophia Myles, Houssem Eddine Ben-Ahmed, Karina Urdaneta, Kamlesh Tello, Magdalena Baczkowska, Ivy L Bourgeault

{"title":"Cultivating a psychological health and safety culture for interprofessional primary care teams through a co-created evidence-informed toolkit.","authors":"Jelena Atanackovic, Melissa Corrente, Sophia Myles, Houssem Eddine Ben-Ahmed, Karina Urdaneta, Kamlesh Tello, Magdalena Baczkowska, Ivy L Bourgeault","doi":"10.1177/08404704241263918","DOIUrl":"10.1177/08404704241263918","url":null,"abstract":"The psychological health and safety of healthcare workers workplaces and learning environments impacts the quality of healthcare services. To facilitate the psychological health and safety of interprofessional primary care teams, we curated a bilingual toolkit of 122 psychological health and safety resources comprising a multi-level categorization addressing individual, team, organization, and system-level interventions. The resources in the toolkit are organized by 7 themes, based on a clustering of the 15 psychosocial factors. Adopting the framework built on the 7 themes, this article describes the toolkit development process and how it addresses the key factors for psychologically healthy and safe workplaces to foster interprofessional collaboration. Implementation of the interventions in the toolkit is an important next step for which health system leadership is critical. Additionally, we identify several gaps and call on researchers, educators, and health leaders to address them in their future work.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"334-339"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348618/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141752976","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

Shaping the future of healthcare in British Columbia: Establishing provincial clinical governance for responsible deployment of artificial intelligence tools. 塑造不列颠哥伦比亚省医疗保健的未来：建立省级临床治理，负责任地部署人工智能工具。

Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-07-20 DOI: 10.1177/08404704241264819

Angel Arnaout, Prabjot Gill, Alice Virani, Alexandra Flatt, Natasha Prodan-Balla, David Byres, Megan Stowe, Alireza Saremi, Michael Coss, Michael Tatto, May Tuason, Shannon Malovec, Sean Virani

{"title":"Shaping the future of healthcare in British Columbia: Establishing provincial clinical governance for responsible deployment of artificial intelligence tools.","authors":"Angel Arnaout, Prabjot Gill, Alice Virani, Alexandra Flatt, Natasha Prodan-Balla, David Byres, Megan Stowe, Alireza Saremi, Michael Coss, Michael Tatto, May Tuason, Shannon Malovec, Sean Virani","doi":"10.1177/08404704241264819","DOIUrl":"10.1177/08404704241264819","url":null,"abstract":"As healthcare embraces the transformative potential of Artificial Intelligence (AI), it is imperative to safeguard patient and provider safety, equity, and trust in the healthcare system. This article outlines the approach taken by the British Columbia (BC) Provincial Health Services Authority (PHSA) to establish clinical governance for the responsible deployment of AI tools in healthcare. Leveraging its province-wide mandate and expertise, PHSA establishes the infrastructure and processes to proactively and systematically intake, assess, prioritize, and evaluate AI tools. PHSA proposes a coordinated approach in AI tool deployment in collaboration with regional health authorities to prevent duplication of efforts and ensure equitable access to existing and emerging AI tools across the province of BC, incorporating principles of anti-Indigenous racism, cultural safety, and humility. The proposed governance structure underscores the identification of clinical needs, proactive ethics review, rigorous risk assessment, data validation, transparent communication, provider training, and ongoing evaluation to ensure success.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"320-328"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731494","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