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Leading public sector interorganizational collaboration in healthcare: Lessons from the intersection of climate and health. 领导公共部门在卫生保健方面的组织间合作：气候与卫生交叉的经验教训。
Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2025-02-03 DOI: 10.1177/08404704241311911
Amy Zidulka, Ingrid Kajzer Mitchell
{"title":"Leading public sector interorganizational collaboration in healthcare: Lessons from the intersection of climate and health.","authors":"Amy Zidulka, Ingrid Kajzer Mitchell","doi":"10.1177/08404704241311911","DOIUrl":"10.1177/08404704241311911","url":null,"abstract":"<p><p>It is generally accepted that wicked problems cannot be addressed by a single organization and require multiorganizational arrangements across governmental jurisdictions and sectoral boundaries. Health leaders increasingly are being called upon to lead collaborative initiatives. However, doing so is fraught with complexity. This article draws on relevant organizational literature and an empirical study focused on public sector collaboration for the purpose of fostering climate resilience in the health system to put forward four guidelines for collaborative leaders.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"241-246"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081480","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
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 : 2025-05-01 Epub 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":"10.1177/08404704241289095","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"229-233"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","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
Determining skill mix and optimal multidisciplinary team composition: A scoping review. 确定技能组合和最佳多学科团队组成：范围审查。
Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2024-11-05 DOI: 10.1177/08404704241293095
Donna Meadows, Joanne Maclaren, Alec Morton, Darcy Ross
{"title":"Determining skill mix and optimal multidisciplinary team composition: A scoping review.","authors":"Donna Meadows, Joanne Maclaren, Alec Morton, Darcy Ross","doi":"10.1177/08404704241293095","DOIUrl":"10.1177/08404704241293095","url":null,"abstract":"<p><p>Holistic care models aligned to population care needs are needed to help leaders shed pre-existing mindsets when determining skill mix and Multidisciplinary Team (MDT) composition. Using a PRISMA flowchart, a narrow eligibility criterion, and a research question, this scoping review resulted in 9 frameworks/models published between January 2000 and September 2023. Analysis showed common methodological elements such as a population needs-based approach, a systematic process, engagement, three or more professions reporting task or competency level analysis, change advocacy, and reliance on population and workforce supply data. Key system enablers were sponsorship, access to population needs-based and workforce supply data, a learning management system for MDT development, and health human resource policies and governance to drive health system redesign to distribute an equitable workforce. This scoping review offers health leaders and policy-makers options and next-step considerations to inspire fresh thinking for making evidence-informed decisions about skill mix and MDT composition.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"278-285"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584324","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
Gender and healthcare leadership: Addressing critical knowledge gaps by explicitly considering the gendered concept of care. 性别与医疗保健领导力：通过明确考虑护理中的性别概念，填补关键知识空白。
Healthcare Management Forum Pub Date : 2025-03-01 Epub Date: 2024-11-03 DOI: 10.1177/08404704241293947
Yvonne James, Billie Jane Hermosura, Ruth Decady, Ivy L Bourgeault
{"title":"Gender and healthcare leadership: Addressing critical knowledge gaps by explicitly considering the gendered concept of care.","authors":"Yvonne James, Billie Jane Hermosura, Ruth Decady, Ivy L Bourgeault","doi":"10.1177/08404704241293947","DOIUrl":"10.1177/08404704241293947","url":null,"abstract":"<p><p>This scoping review of gender and healthcare leadership synthesized the barriers and facilitators at multiple levels employing a framework that integrates a specific focus on the concept of care. The 71 sources identified focus predominantly on barriers to women's leadership at the individual and team level and, to a lesser extent, at the organizational and system level. Facilitators tend to be presented as recommended actions than evaluated interventions. Healthcare leadership tends to ignore the gendered context of care elevating leaders who are least likely to provide such care. Where personal caregiving circumstances are considered, they are individualized, reflecting the literature in general. More critical analysis is needed to focus on women's experiences and how their gender can predetermine their success in achieving and being in leadership positions. Healthcare leadership researchers are encouraged to include gender and care-focused analyses and interventions to address the under-representation of women in healthcare leadership.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"141-147"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570030","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
Integration as innovation in healthcare systems. 整合是医疗系统的创新。
Healthcare Management Forum Pub Date : 2025-03-01 Epub Date: 2024-10-23 DOI: 10.1177/08404704241292629
David A Petrie
{"title":"Integration as innovation in healthcare systems.","authors":"David A Petrie","doi":"10.1177/08404704241292629","DOIUrl":"10.1177/08404704241292629","url":null,"abstract":"<p><p>Healthcare systems in Canada are under pressure and require change-the status quo is no longer fit for purpose, if it ever was. Innovation is often held up as a cure for what ails us, but shiny new things or novel technologies alone have not been enough. This article will explore the concepts of differentiation and integration as being important drivers in the evolution of living organisms, ecosystems, and complex human organizations. The implications of this deep pattern of systems change are essential to understanding the roles of specialization in medicine, and optionality in primary care. Specifically, overspecialization without attention to the principles of healthcare integration can lead to fragmentation of care and worse patient outcomes. Finally, this article will describe some practical examples of system integration as innovation in the form of better public health and care delivery connections, health homes, and community care coordination centres.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"76-83"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509921","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
How the COVID-19 pandemic shaped Canadians' preferences for setting of dying: Comparison of two panel surveys. COVID-19 大流行如何影响加拿大人对死亡环境的偏好：两项小组调查的比较。
Healthcare Management Forum Pub Date : 2025-03-01 Epub Date: 2024-11-06 DOI: 10.1177/08404704241297037
Laura M Funk, Corey S Mackenzie, Li-Elle Rapaport, Maria Cherba, S Robin Cohen, Marian Krawczyk, Andrea Rounce, Kelli I Stajduhar
{"title":"How the COVID-19 pandemic shaped Canadians' preferences for setting of dying: Comparison of two panel surveys.","authors":"Laura M Funk, Corey S Mackenzie, Li-Elle Rapaport, Maria Cherba, S Robin Cohen, Marian Krawczyk, Andrea Rounce, Kelli I Stajduhar","doi":"10.1177/08404704241297037","DOIUrl":"10.1177/08404704241297037","url":null,"abstract":"<p><p>The purpose of this article is to assess whether COVID-19 shaped Canadians' preferred settings of dying. We compared data collected using the same survey from two independent but comparable sets of panel respondents, prior to and after the onset of the pandemic. A vignette methodology was used to assess preferences for dying in each of four settings: home, acute/intensive care, palliative care, and long-term residential care. Although preferences for dying at home, in acute/intensive care and palliative care units did not change, preferences for dying in nursing homes significantly declined. In the pandemic's first and second waves, the spread of knowledge about problems of poor care, visitation restrictions, and fears of contagion in Canadian long-term residential care may have shaped public perceptions of and preferences for dying these settings. If this change persists, it may influence advance care planning decisions. That preferences for dying at home did not shift is noteworthy.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"135-140"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591776","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
Implementation of the admission transfer unit to reduce emergency department boarding: A quality improvement initiative. 实施入院转运单元，减少急诊科住院人数：质量改进措施。
Healthcare Management Forum Pub Date : 2025-03-01 Epub Date: 2024-07-22 DOI: 10.1177/08404704241267317
Faisal Khan, Andreea Popescu, Nyla Chattergoon, Francesca Fiumara, Navneet Thandi, Hojat Galeh
{"title":"Implementation of the admission transfer unit to reduce emergency department boarding: A quality improvement initiative.","authors":"Faisal Khan, Andreea Popescu, Nyla Chattergoon, Francesca Fiumara, Navneet Thandi, Hojat Galeh","doi":"10.1177/08404704241267317","DOIUrl":"10.1177/08404704241267317","url":null,"abstract":"<p><p>Emergency Department (ED) boarding crowds the emergency department, strains resources, leads to higher hospital costs, and is associated with increased morbidity/mortality, a negative patient experience, and patient adverse events. The time Ontario patients wait in emergency departments for inpatient beds continues to rise, with the average time admitted patients spend in the ED increasing between 2015 and 2019 from 13.8 hours to 16.2 hours. As reported in this quality improvement initiative, one potential solution is to repurpose short-stay medical assessment units for complex admitted medicine patients using an objective patient selection tool. Objectively selecting admitted ED patients with the highest risk for adverse events and prioritizing them to move to a transitional unit advances safe quality patient care and decreases Time-to-Inpatient Bed (TIB). Results from this quality improvement initiative include reducing the organization's TIB by 13 hours.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"91-95"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749255","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
Discharge communication during transitions from emergency care to home. 从急救护理到居家护理过渡期间的出院沟通。
Healthcare Management Forum Pub Date : 2025-03-01 Epub Date: 2024-10-16 DOI: 10.1177/08404704241289252
Janet Curran, Holly McCulloch
{"title":"Discharge communication during transitions from emergency care to home.","authors":"Janet Curran, Holly McCulloch","doi":"10.1177/08404704241289252","DOIUrl":"10.1177/08404704241289252","url":null,"abstract":"<p><p>The healthcare system in Canada is overwhelmed and requires reform. Good discharge communication is a cornerstone of patient safety and quality care. In the Emergency Department (ED), good discharge communication means that patients leave with a clear understanding of their health condition, and the steps they need to take to continue their recovery at home. The fragmented nature of communication in the ED coupled with long wait times and high noise levels pose significant risks to the continuity of information exchange. Additional communication barriers arise for many patients due to a lack of control, language differences, low health literacy, and feelings of fear and uncertainty. Multiple interventions have been evaluated to improve ED discharge communication, but further work is needed to engage all end users in a theory-based approach. Addressing challenges related to successful discharge communication requires a multifaceted approach that includes improving institutional policies, adopting innovative co-designed interventions, and leveraging technology.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"114-119"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477042","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
Accountability frameworks: A critical evolution in healthcare. 问责制框架：医疗保健领域的重要演变。
Healthcare Management Forum Pub Date : 2025-03-01 Epub Date: 2024-10-25 DOI: 10.1177/08404704241290794
Grant Innes
{"title":"Accountability frameworks: A critical evolution in healthcare.","authors":"Grant Innes","doi":"10.1177/08404704241290794","DOIUrl":"10.1177/08404704241290794","url":null,"abstract":"<p><p>Canadians face prolonged waits for primary care, specialist care, hospital care, elective surgery, and advanced imaging relative to peer countries. A root problem is unclear queue management expectations. If programs have no mandate to provide timely care, the intuitive approach to demand challenges is not to innovate and improve, but to block access, create a queue, and force patients elsewhere. Patient care accountability frameworks define program expectations and accountability zones, clarifying that every patient has an accountable healthcare home and every program has a population (accountability zone). Program accountabilities include timely patient assessment and disposition; budget, space, and nursing care for program patients; and contingency plans for surges and queues. Accountability frameworks are an evolutionary stressor that would drive strategies to expedite appropriate care in the right place, to move patients out of queues into care. This article discusses accountability, accountability frameworks, and accountability strategies to improve system-wide access.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"84-90"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142516696","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
Artificial intelligence governance framework for healthcare. 医疗保健领域的人工智能治理框架。
Healthcare Management Forum Pub Date : 2025-03-01 Epub Date: 2024-10-29 DOI: 10.1177/08404704241291226
Masooma Hassan, Elizabeth M Borycki, Andre W Kushniruk
{"title":"Artificial intelligence governance framework for healthcare.","authors":"Masooma Hassan, Elizabeth M Borycki, Andre W Kushniruk","doi":"10.1177/08404704241291226","DOIUrl":"10.1177/08404704241291226","url":null,"abstract":"<p><p>Recent advancements in the field of Artificial Intelligence (AI) provide promising applications of this technology with the aim of solving complex healthcare challenges. These include optimizing operational efficiencies, supporting clinical administrative functions, and improving care outcomes. Numerous AI models are validated in research settings but few make their way into useful applications due to challenges associated with implementation and adoption. In this article, we describe some of these challenges, along with the need for a facilitating entity to safely translate AI systems into practical use. The authors propose a new AI governance framework to enable healthcare organizations with a mechanism to implement and adopt AI systems.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"125-130"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523323","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
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