Frontiers of Health Services Management最新文献

Funding North Carolina's Rural Healthcare Workforce, Before and After OBBBA. 资助北卡罗莱纳州的农村医疗工作者，前后OBBBA。

Frontiers of Health Services Management Pub Date : 2026-07-01 DOI: 10.1097/HAP.0000000000000250

Monica M Taylor, Ciara Zachary, Arrianna Marie Planey

{"title":"Funding North Carolina's Rural Healthcare Workforce, Before and After OBBBA.","authors":"Monica M Taylor, Ciara Zachary, Arrianna Marie Planey","doi":"10.1097/HAP.0000000000000250","DOIUrl":"10.1097/HAP.0000000000000250","url":null,"abstract":"Summary: North Carolina's (NC) healthcare workforce shortages have been a major concern, as geographic health disparities become more pronounced and health outcomes decline in rural communities compared to those in urban areas. Rural residents face severe challenges accessing primary and specialized care and behavioral health services, especially in counties designated as Health Professionals Shortage Areas (HPSAs). NC will continue to experience these challenges as its overall population grows.Historically, NC had to pivot and reimagine policies and programs to improve its workforce crisis with federal assistance. Medicaid expansion and transformation, provider incentives, international labor recruitment, and innovative federal funding sources helped mitigate critical provider gaps and enhance access to care. However, in the wake of state budget challenges and fiscal restraints, persistent provider differentials remain.This article discusses how federal assistance has impacted the rural healthcare workforce crisis in North Carolina prior to the passage of the H.R.1 One Big Beautiful Bill Act (OBBBA) of 2025 (Congress.gov 2025). It also examines OBBBA's policy provisions and NC's plan for workforce improvements with the $213 million funding awarded through the Rural Health Transformation Program.","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"42 4","pages":"23-30"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151615","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 Unified Yet Tailored Approach to Employee Well-Being at The University of Texas MD Anderson Cancer Center. 在德克萨斯大学MD安德森癌症中心，一种统一而量身定制的员工幸福感方法。

Frontiers of Health Services Management Pub Date : 2026-07-01 DOI: 10.1097/HAP.0000000000000245

Jennifer Bickel, Miranda Phillips

{"title":"A Unified Yet Tailored Approach to Employee Well-Being at The University of Texas MD Anderson Cancer Center.","authors":"Jennifer Bickel, Miranda Phillips","doi":"10.1097/HAP.0000000000000245","DOIUrl":"10.1097/HAP.0000000000000245","url":null,"abstract":"Summary: While healthcare leaders increasingly recognize that workforce well-being matters, many organizations still approach wellness with a focus on programs and benefits housed within human resources (HR). These initiatives frequently appear misaligned with the clinical realities that clinicians face and are insufficient in addressing the underlying drivers of burnout. This often leads to efforts that generate activity but have little long-term effect.Healthcare organizations could never manage quality and safety through isolated departmental efforts; instead, a similar, unified approach is required for workforce well-being. Quality and safety initiatives are treated as shared organizational responsibilities and tailored to specific roles and environments. Workforce well-being demands the same discipline. When strategies are siloed and \"owned\" separately by different departments-e.g., HR, nursing leadership, physician groups, or individual units-they risk duplication, inconsistency, and misalignment with daily work.A unified approach does not imply uniformity. Instead, it creates shared governance, common goals, and expectations while allowing for role-specific tailoring. A busy nurse may benefit from a brief, five-minute intervention embedded in the workflow, while another role may require more in-depth training, such as a half-day workshop. Both approaches can be appropriate when guided by a common framework and aligned with organizational goalsUsing the National Academy of Medicine (NAM) clinician well-being framework as a starting point, this article examines how national guidance can be translated into an actionable, systems-level strategy. We also introduce a Four Pillars approach as an organizational translation of the NAM guidance, providing leaders with a roadmap for moving beyond fragmented wellness efforts toward coordinated, sustainable action.","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"42 4","pages":"5-12"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151618","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

Transforming Rural Health Through Strategic Affiliation: Lessons from St. Lawrence Health's Integration with Rochester Regional Health. 通过战略合作转变农村卫生：圣劳伦斯卫生与罗切斯特地区卫生一体化的经验教训。

Frontiers of Health Services Management Pub Date : 2026-07-01 DOI: 10.1097/HAP.0000000000000246

Sinéad Ingersoll

{"title":"Transforming Rural Health Through Strategic Affiliation: Lessons from St. Lawrence Health's Integration with Rochester Regional Health.","authors":"Sinéad Ingersoll","doi":"10.1097/HAP.0000000000000246","DOIUrl":"10.1097/HAP.0000000000000246","url":null,"abstract":"Summary: Rural hospitals across the United States face growing financial and operational pressures, with many at risk of closure due to workforce shortages, aging infrastructure, and limited access to capital. In response, many rural healthcare organizations are exploring strategic affiliations with larger health systems as a pathway to long-term sustainability. In January 2021, St. Lawrence Health, a three-hospital system serving a geographically large and medically underserved region in northern New York, formally affiliated with Rochester Regional Health.This article examines the experience of integrating a rural health system into a larger regional network and highlights key outcomes, challenges, and lessons learned. At the same time, the integration process presented important challenges common to rural health system affiliations. Geographic distance between organizations, integration during the COVID-19 pandemic, differences in labor environments between unionized and non-unionized workforces, and concerns about community identity required thoughtful leadership and sustained engagement.The experience of St. Lawrence Health provides a practical example of how system affiliation can support rural healthcare delivery while also revealing the operational, cultural, and workforce complexities that accompany rural-urban health system integration.","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"42 4","pages":"31-39"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151575","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

How Vanderbilt Health Resources Allied Health Professionals to Alleviate Workforce Shortages. 范德比尔特卫生资源联合卫生专业人员如何缓解劳动力短缺。

Frontiers of Health Services Management Pub Date : 2026-07-01 DOI: 10.1097/HAP.0000000000000247

Lee Ann Liska

{"title":"How Vanderbilt Health Resources Allied Health Professionals to Alleviate Workforce Shortages.","authors":"Lee Ann Liska","doi":"10.1097/HAP.0000000000000247","DOIUrl":"10.1097/HAP.0000000000000247","url":null,"abstract":"Summary: This article explores allied health professionals in light of persistent and increasing workforce shortages in multiple healthcare roles, along with the growing demand for services, adapting to technological advancements, and evolving patient expectations. While expectations for access, experience, and value increase, the national projections indicate an uneven availability of physicians and nurses. Vanderbilt Health's allied health professionals are a reliable and important asset in the delivery of care and represent a key workforce strategy for health systems. They are also in short supply.Allied health professionals-including respiratory therapists, radiology technologists, rehabilitation therapists, neurodiagnostic technicians, speech language pathologists, medical laboratory scientists, and others-are critical, as physician and nursing shortages increase. Training pipelines, credentialing reforms, and retention strategies can ensure these specialists are adequately resourced to support patient care. Our allied health partners provide extensive patient interaction, supporting care plans when nursing resources are stretched thin.","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"42 4","pages":"13-17"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151628","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

Virtua Health: A CEO-CHRO Blueprint for Culture, Trust, and Transformation. 虚拟健康：CEO-CHRO的文化、信任和转型蓝图。

Frontiers of Health Services Management Pub Date : 2026-07-01 DOI: 10.1097/HAP.0000000000000248

Dennis W Pullin

{"title":"Virtua Health: A CEO-CHRO Blueprint for Culture, Trust, and Transformation.","authors":"Dennis W Pullin","doi":"10.1097/HAP.0000000000000248","DOIUrl":"10.1097/HAP.0000000000000248","url":null,"abstract":"Summary: Healthcare organizations operate amid persistent complexity, yet the success of strategy, transformation, and performance ultimately depends on workforce engagement, trust, and alignment with purpose. This article examines the partnership between the CEO and chief human resources officer (CHRO) as a critical, yet often underleveraged, driver of organizational effectiveness in healthcare, and how the CHRO can serve as a strategic partner to the CEO for navigating disruption and sustaining performance.Using real-world examples from periods of significant change at Virtua Health, the article outlines six practices that strengthen the CEO-CHRO partnership: (1) embracing constructive discomfort and candid dialogue, (2) ensuring direct access and alignment between the CEO and CHRO, (3) extending trust into the boardroom, (4) treating employee listening as operational intelligence, (5) investing in long-term workforce pathways rather than short-term staffing needs, (6) and leading with adaptability rather than command-and-control authority. Central to these practices is recognizing the CHRO as the organization's \"chief culture champion,\" uniquely positioned to interpret workforce data, translate strategy into behavior, and steward shared values.The article concludes that the rapport between the CEO and CHRO materially shapes how change is experienced-either as purposeful progress or uninformed, imposed disruption. In healthcare, where human connection underpins quality, safety, and access, this partnership is a catalyst for workforce resilience and organizational performance. Strengthening the CEO-CHRO partnership represents one of the most practical and impactful levers available to healthcare leaders confronting today's challenges and future uncertainty.","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"42 4","pages":"18-22"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151669","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

Leading Academic Integration Through a Foundational Communication Strategy. 以基础传播策略引领学术整合。

Frontiers of Health Services Management Pub Date : 2026-04-01 DOI: 10.1097/HAP.0000000000000242

Poonam Sharma

引用次数: 0

From Benefits to AI: How BJC Health Is Embracing Change While Strengthening Culture. 从福利到人工智能：BJC健康如何在加强文化的同时拥抱变革。

Frontiers of Health Services Management Pub Date : 2026-04-01 DOI: 10.1097/HAP.0000000000000240

Jackie Tischler, Russell Hoffmann, Seth Doria

{"title":"From Benefits to AI: How BJC Health Is Embracing Change While Strengthening Culture.","authors":"Jackie Tischler, Russell Hoffmann, Seth Doria","doi":"10.1097/HAP.0000000000000240","DOIUrl":"10.1097/HAP.0000000000000240","url":null,"abstract":"Summary: In a time of dramatic change on multiple fronts, health systems must evolve with a mindset of persistent flexibility, where change is treated as normal rather than episodic or exceptional. At BJC Health (BJC), one of the nation's largest nonprofit health systems, treating patients in Illinois, Missouri, and Kansas, our change leadership approach emphasizes deliberate planning, leadership development, and communication to drive acceptance, ability, and accountability.This article describes two use cases that draw on this discipline: (1) the integration of employee benefits following the merger of BJC and Saint Luke's Health System, which required careful stakeholder engagement, extensive leader training, and transparent communication to address employee anxiety while maintaining operational stability; and (2) the implementation of artificial intelligence aimed at reducing administrative burden, improving provider well-being, and enhancing patient care. In both cases, success depended not only on the quality of solutions but on leaders' ability to guide people through change.By investing in change leadership capabilities, BJC has established a consistent and sustainable process for minimizing disruption, preserving our culture, and positioning ourselves to thrive amid continual transformation.","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"42 3","pages":"5-10"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356971","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

Ardent Health: An AI-Enabled Virtual Care Model, from Pilot to Production. 热心健康：人工智能支持的虚拟医疗模式，从试点到生产。

Frontiers of Health Services Management Pub Date : 2026-04-01 DOI: 10.1097/HAP.0000000000000243

Anika Gardenhire

{"title":"Ardent Health: An AI-Enabled Virtual Care Model, from Pilot to Production.","authors":"Anika Gardenhire","doi":"10.1097/HAP.0000000000000243","DOIUrl":"10.1097/HAP.0000000000000243","url":null,"abstract":"Summary: Healthcare leaders face sustained uncertainty: workforce volatility, financial pressure, and accelerating technology change. In 2024-2025, Ardent Health advanced an AI-enabled virtual care model from pilot to production across multiple markets. The model integrates virtual nursing, virtual attending physicians and providers, virtual sitting, and hospital-to-home remote patient monitoring (RPM) into routine care, with artificial intelligence (AI), providing earlier risk detection and workflow relief. Specifically, AI systems (1) analyze video streams to detect fall risks and unsafe behaviors, prompting earlier alerts to staff; (2) continuously evaluate vital sign trends from wearable sensors to identify clinical deterioration sooner; and (3) support ambient documentation with speech recognition and natural language processing (NLP) that improves note quality and coding accuracy.At Ardent's East Texas location, five months of virtual nursing contributed to reductions in contract labor, a decrease in voluntary RN turnover, and improvements in salaries, wages, and benefits (SWB) per patient day despite an increase in volume. Meanwhile, virtual attending physicians and providers increased virtual patient consultations resulting in patient retention and, generated bed-day capacity; AI-assisted vitals monitoring correlated with lower mortality and shorter length of stay; and the RPM program improved discharge continuity and avoided readmissions.This article presents a case study and playbook to help leaders manage risk, scale safely, and measure value. Readiness includes updating consent form language; data-use and retention policies; training staff to obtain patient consent; establishing algorithm oversight with internal data, analytics, and data science capabilities; and investing in network, data center, and hardware upgrades. We close with lessons learned and an organizational performance tracking accountability structure.","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"42 3","pages":"26-32"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356884","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

If You're Relying on the Org Chart in Times of Uncertainty, You're Already Behind. 如果你在不确定的时代还依赖组织结构图，那么你已经落后了。

Frontiers of Health Services Management Pub Date : 2026-04-01 DOI: 10.1097/HAP.0000000000000239

Michael Nurok, Robert S Kaplan, Bruce L Gewertz

引用次数: 0

Managing Today's Healthcare Policy Changes on the Frontlines. 在第一线管理当今医疗保健政策的变化。

Frontiers of Health Services Management Pub Date : 2026-04-01 DOI: 10.1097/HAP.0000000000000241

Elizabeth Wolff

引用次数: 0