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The roles of the federal government in public health and public health crises. 联邦政府在公共卫生和公共卫生危机中的作用。
Healthcare Management Forum Pub Date : 2025-06-09 DOI: 10.1177/08404704251345060
Sudit Ranade
{"title":"The roles of the federal government in public health and public health crises.","authors":"Sudit Ranade","doi":"10.1177/08404704251345060","DOIUrl":"10.1177/08404704251345060","url":null,"abstract":"<p><p>This article outlines the key functions and practices of government in addressing a public health crisis. Governments are responsible for planning and coordinating, resourcing and responding, and revising and evaluating. These three core functions are supported by cross-cutting practices in governance, accountability, and communication. Health leaders are advised to ensure that their organizational emergency plans intersect with those of government, and that they have processes to work with public health, government, and other partners to support robust responses to health crises.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251345060"},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12534872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259097","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
Lived experience as a leadership asset. 作为领导资产的生活经验。
Healthcare Management Forum Pub Date : 2025-06-07 DOI: 10.1177/08404704251347532
Laurie Edmundson
{"title":"Lived experience as a leadership asset.","authors":"Laurie Edmundson","doi":"10.1177/08404704251347532","DOIUrl":"https://doi.org/10.1177/08404704251347532","url":null,"abstract":"<p><p>This article explores how living with complex mental health conditions can serve as a valuable asset in health leadership. It uses the author's personal journey after receiving a borderline personality disorder diagnosis before beginning a career in healthcare, and her decision to disclose her diagnosis despite the risks to her career. This decision was made in part due to her belief that personal disclosure could combat stigma, encourage understanding, and be an asset to her career rather than a detriment. The author reflects on reframing her disorder as a source of leadership strength rather than weakness. This article encourages other health leaders to lead by example, normalize discussions about mental health, and embrace the innovative ideas of individuals with lived experiences. Ultimately, this article serves as a call to action for reducing stigma surrounding borderline personality disorder and other mental health challenges, fostering inclusivity, and promoting authenticity in the workplace.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251347532"},"PeriodicalIF":0.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250156","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
Using the hierarchy of intervention effectiveness to improve the quality of recommendations developed during critical patient safety incident reviews. 使用干预有效性层次来提高在重症患者安全事件审查期间提出的建议的质量。
Healthcare Management Forum Pub Date : 2025-06-06 DOI: 10.1177/08404704251343260
Melissa F Lan, Hilary Weatherby, Elisa Chimonides, Lucas B Chartier, Laura D Pozzobon
{"title":"Using the hierarchy of intervention effectiveness to improve the quality of recommendations developed during critical patient safety incident reviews.","authors":"Melissa F Lan, Hilary Weatherby, Elisa Chimonides, Lucas B Chartier, Laura D Pozzobon","doi":"10.1177/08404704251343260","DOIUrl":"https://doi.org/10.1177/08404704251343260","url":null,"abstract":"<p><p>Our Canadian multi-site academic health sciences centre uses a standardized process to review critical patient safety incidents and develop recommendations to prevent incident reoccurrence. We recognized an opportunity to enhance recommendation development by integrating the Hierarchy of Intervention Effectiveness (HIE), a human factors framework, into the incident review process. This project aimed to increase the proportion of system-focused recommendations from critical incident reviews from 16 to 30% over 16 months. A multi-intervention strategy included (1) standardizing the incident analysis review template; (2) earmarking time for recommendation development during reviews; (3) providing participants with just-in-time education and tools; and (4) initiating HIE-based recommendation classification during incident reviews. Statistical process control p-Chart analysis showed an increase in system-focused recommendations from 16 to 30% over 16 months. The HIE promotes system-level change to prevent critical incidents, which other organizations may benefit from incorporating in their patient safety reviews.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251343260"},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250157","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
Comprehensive redesign of a rehabilitation program at Runnymede Healthcare Centre. 全面重新设计 Runnymede 医疗保健中心的康复计划。
Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2024-11-07 DOI: 10.1177/08404704241294220
Karimah Alidina, Phuntsok Namgyal, Joanna Armatys, Kerry-Ann Flowers
{"title":"Comprehensive redesign of a rehabilitation program at Runnymede Healthcare Centre.","authors":"Karimah Alidina, Phuntsok Namgyal, Joanna Armatys, Kerry-Ann Flowers","doi":"10.1177/08404704241294220","DOIUrl":"10.1177/08404704241294220","url":null,"abstract":"<p><p>The redesign of the rehabilitation program at Runnymede Healthcare Centre (RHC) was designed to enhance patient care, staff satisfaction, and rehabilitation capacity. Aligned with RHC's strategic vision to become a centre of excellence for ageing and wellness, the initiative introduced a range of initiatives such as group therapy models, specific, measurable, achievable, relevant and time-bound rehabilitation goals, and enhanced leadership practices under the healthy engagement of older adults in rehabilitation therapy philosophy. Evaluation was integral to the initiative, with patient satisfaction, staff engagement, and key performance indicators continuously measured. Patient satisfaction scores, operational efficiency metrics, and staff engagement scores improved considerably. This project exemplifies how structured change management and embedded evaluation can lead to sustained improvements in patient care, staff experience, and rehabilitation outcomes.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"255-262"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606679","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 perpetual pilots to sustainable transformation: Scaling up geriatric care. 从永久试点到可持续转型：扩大老年护理规模。
Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2024-11-14 DOI: 10.1177/08404704241299341
Jacobi Elliott, George Heckman, Karli Chalmers, Humberto Omana, Brad Hiebert, Sheri-Lynn Kane
{"title":"From perpetual pilots to sustainable transformation: Scaling up geriatric care.","authors":"Jacobi Elliott, George Heckman, Karli Chalmers, Humberto Omana, Brad Hiebert, Sheri-Lynn Kane","doi":"10.1177/08404704241299341","DOIUrl":"10.1177/08404704241299341","url":null,"abstract":"<p><p>With an ageing population, there is an increasing need to focus on the care of older adults, particularly those who are more medically complex. Frail older adults are more likely to require care from multiple providers across multiple settings. It is well recognized that the current Canadian healthcare system is not well-designed for this complex population. To address the health system challenges, health leaders are rapidly developing and implementing programs to better support the ageing population. Unfortunately, this often means that organizations are implementing and scaling health and social care programs with limited evidence or understanding of the specific context in which it was implemented. Drawing on regional experiences, this article will explore challenges and offer solutions related to the implementation, spread, and scale of healthcare programs for older adults.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"200-205"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630289","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 ecological approach to humanizing healthcare organizations for patients, providers, and communities. 为患者、医疗服务提供者和社区提供一种使医疗机构人性化的生态方法。
Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2024-11-18 DOI: 10.1177/08404704241293596
Andrea Frolic, Diana Tikasz, Kirsten Krull
{"title":"An ecological approach to humanizing healthcare organizations for patients, providers, and communities.","authors":"Andrea Frolic, Diana Tikasz, Kirsten Krull","doi":"10.1177/08404704241293596","DOIUrl":"10.1177/08404704241293596","url":null,"abstract":"<p><p>Healthcare delivery exposes care providers and leaders to suffering, loss, moral dilemmas, conflicts, and overwhelm. The cumulative effects of workplace stress and trauma have organizational impacts (turnover, cynicism, and conflict), personal impacts (burnout, mental illness, and traumatic stress), and patient care impacts (reduced empathy, poor communication, and errors). Organizations have attempted to address these issues largely through individual wellness offerings. A systematic approach is needed to create environmental conditions that support people to remain resilient, engaged, and compassionately connected in the face of constant trauma exposure. This article describes an ecological model for developing and sustaining resilience based in neuro and social science. It includes practical strategies to reshape leaders' understanding, perspectives, and competencies to enhance systemic well-being.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"247-254"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669569","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
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 : 2025-05-01 Epub Date: 2024-10-27 DOI: 10.1177/08404704241293316
Beatrise Edelstein, Denise Scott, Kathleen Kirk
{"title":"Long term care-acute system integration and transformation: Innovations in models of care.","authors":"Beatrise Edelstein, Denise Scott, Kathleen Kirk","doi":"10.1177/08404704241293316","DOIUrl":"10.1177/08404704241293316","url":null,"abstract":"<p><p>The article discusses innovations in integrating Long-Term Care (LTC) and acute systems, focusing on Humber River Health's (HRH) model. Older adults in LTC homes are vulnerable to avoidable Emergency Department (ED) visits due to frailty and medical complexity. HRH developed an integrated care model centred on LTC Remote Monitoring (RM) with LTC partners, leveraging nurse-led care models, digital tools, and virtual care hub to reduce avoidable ED transfers. Key components include the PREVIEW-ED© tool for early detection of clinical deterioration, LTC+ Hub and LTC++ Diagnostic Imaging and Transportation, supporting improved access to healthcare services. The program aligns with the Quintuple Aim, emphasizing patient and provider experiences, population health, cost reduction, and health equity. Results show significant reductions in ED visits, hospital lengths of stay, and associated costs, while enhancing resident and provider experiences. The LTC RM Model is positioned as a scalable solution for system transformation in integrated care.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"166-171"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509922","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
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 : 2025-05-01 Epub 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":"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 physicians' 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":"234-240"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751973","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
Implementing the pillars of value-based care: Leadership lessons from the CIUSSS Centre Ouest de l'Ile de Montreal. 实施基于价值的护理的支柱：来自蒙特利尔岛西部中心的领导经验。
Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2025-02-07 DOI: 10.1177/08404704251317872
Jennifer Gutberg, Erin Cook, Lawrence Rosenberg
{"title":"Implementing the pillars of value-based care: Leadership lessons from the CIUSSS Centre Ouest de l'Ile de Montreal.","authors":"Jennifer Gutberg, Erin Cook, Lawrence Rosenberg","doi":"10.1177/08404704251317872","DOIUrl":"10.1177/08404704251317872","url":null,"abstract":"<p><p>The Canadian healthcare landscape is characterized by its ambitious pursuit of innovation in response to challenges such as resource limitations and system restructuring. However, meaningful innovations cannot be sustained without leadership that empowers a patient-first integrated model of care. This article will explore the transformative changes of CIUSSS Centre Ouest de l'Île de Montréal directed to implanting the pillars of a value-based health system. We showcase our \"Hospital-at-Home\" program as an example to highlight the critical role of leadership in setting our vision of \"Care Everywhere,\" empowering our healthcare workforce, and in ensuring successful implementation and sustainment. Our manuscript aims to provide insights into the leadership strategies that have underpinned these achievements, focusing on how these innovations have anticipated emerging healthcare demands, and highlighting a sustainable model for health leaders and policy-makers who are addressing similar challenges.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"206-210"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374576","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
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 : 2025-05-01 Epub Date: 2024-09-04 DOI: 10.1177/08404704241271235
Kaiyan Fu, Sarah Tam Lee
{"title":"Art of leadership and science of implementation for sustainable impact of organizational model of care.","authors":"Kaiyan Fu, Sarah Tam Lee","doi":"10.1177/08404704241271235","DOIUrl":"10.1177/08404704241271235","url":null,"abstract":"<p><p>Necessitated by the healthcare crisis and exacerbated by the pandemic, and building on model of care experimentation over the last decade, SE Health executed on an organizational change to bring the innovative model to life. This model is titled H.O.P.E. MODEL™ of Care-Home, Opportunity, People, Empowerment. The innovation in model of care design and implementation is guided by the Integrated-Promoting Action on Research Implementation in Health Services (i-PARiHS) Framework. Our journey highlights the art of leadership and science of implementation for sustainable impact on care excellence and health system transformation. This implementation experience has also generated the following insights: reinforce the foundation, operationalizing practice, what gets measured gets done, technology enabling practice, and all roads lead to H.O.P.E.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"211-215"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134130","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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