Frontiers of Health Services Management最新文献_第2页

Essential Innovation: Thriving amid Significant Change. 本质创新：在重大变革中蓬勃发展。

Frontiers of Health Services Management Pub Date : 2025-06-01 Epub Date: 2025-05-27 DOI: 10.1097/HAP.0000000000000217

David E Entwistle

{"title":"Essential Innovation: Thriving amid Significant Change.","authors":"David E Entwistle","doi":"10.1097/HAP.0000000000000217","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000217","url":null,"abstract":"Healthcare systems worldwide are grappling with significant challenges, including rising costs, aging populations, and growing demands for care. The global pursuit of innovation has never been more critical to answering these challenges and ensuring that the mission of healthcare remains vital and strong. Prioritizing three areas for innovation, in particular, will be essential for systems navigating a rapidly changing industry: (1) ensuring access to timely care amid resource constraints, (2) fostering local innovation and knowledge sharing, and (3) strengthening support for healthcare workers globally. This article explores several approaches to driving progress in these domains. Artificial intelligence (AI) offers a unique opportunity to extend access to diagnostics and specialized care in low-resources settings. Effective collaborations can bridge persistent gaps in education, training, and infrastructure necessary for improving care quality and health outcomes for patients globally. And, amid a professional burnout crisis, the development of targeted \"copilots\" to support healthcare workers can help alleviate burdens that distract from what they do best. Ultimately, an ongoing commitment to innovation is vital for healthcare systems to not only sustain their missions but to meet the evolving needs of patients and clinicians everywhere.","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"41 4","pages":"26-33"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162819","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

Global Healthcare Enters a Transformative Era of Accelerating Technology. 全球医疗保健进入技术加速发展的变革时代。

Frontiers of Health Services Management Pub Date : 2025-06-01 Epub Date: 2025-05-27 DOI: 10.1097/HAP.0000000000000219

Harold F Wolf

引用次数: 0

Hearing the Voice of the Patient in Value-Based Care Initiatives: Lessons from International Experiences. 在基于价值的护理倡议中倾听病人的声音：来自国际经验的教训。

Frontiers of Health Services Management Pub Date : 2025-06-01 Epub Date: 2025-05-27 DOI: 10.1097/HAP.0000000000000216

Richard L Gundling

{"title":"Hearing the Voice of the Patient in Value-Based Care Initiatives: Lessons from International Experiences.","authors":"Richard L Gundling","doi":"10.1097/HAP.0000000000000216","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000216","url":null,"abstract":"Health outcomes that matter most to patients-those that affect their quality of life-are considered an integral yet underutilized element of value-based care and payment. These metrics, which are captured by reports that come directly from patients without clinician intervention, are known as patient-reported outcomes (PROs). Public and private payers in the US are increasingly calling for the use of PRO measures (PROMs), which will require hospitals, health systems, and physician practices to invest in developing new organizational capabilities. The first steps in adopting PROMs are determining what to measure and choosing the right instruments. Beyond that, common challenges of PROMs implementation-such as engaging patients and clinicians, mitigating barriers to data collection and analysis, and identifying and following best practices-transcend geographic boundaries. This article shares lessons learned about overcoming these challenges from hospitals that have implemented PROMs in clinical care in the Netherlands and Sweden, which are among the countries that have a long history with PROMs. Selected resources for healthcare organizations beginning their PROMs journey are also included in the article, which is intended as a brief introduction to the topic.","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"41 4","pages":"10-17"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162823","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

Achieving a Sea Change in World-Class Care, from Safety to Sustainability. 实现世界级护理的巨大变革，从安全到可持续性。

Frontiers of Health Services Management Pub Date : 2025-06-01 Epub Date: 2025-05-27 DOI: 10.1097/HAP.0000000000000221

Jonathan Perlin, Neelam Dhingra, Kevin Zacharyasz

引用次数: 0

Pursuing Enterprise Risk Management Excellence in Emergency Preparedness. 在应急准备中追求卓越的企业风险管理。

Frontiers of Health Services Management Pub Date : 2025-02-01 Epub Date: 2025-02-21 DOI: 10.1097/HAP.0000000000000211

Maxine dellaBadia Simon

{"title":"Pursuing Enterprise Risk Management Excellence in Emergency Preparedness.","authors":"Maxine dellaBadia Simon","doi":"10.1097/HAP.0000000000000211","DOIUrl":"10.1097/HAP.0000000000000211","url":null,"abstract":"Summary: Enterprise risk management (ERM) is a proactive strategy that, when effectively implemented, can support an organization in reducing risk, improving alignment, and building staff trust. An effective program includes leadership transparency and a range of initiatives focusing on regulatory and financial compliance, patient safety, overall risk reduction, information management, and the use of data in the decision-making process. An effective ERM program must include a highly functioning emergency preparedness program if it is to truly support risk reduction. Emergency preparedness is an integral component of ERM, and it is also a clear example of how proactive management within a high-reliability culture catalyzes an organization's pursuit of excellence. Today's healthcare challenges have shifted disaster planning from an operational requirement to a foundational imperative. Regardless of an organization's mission, structure, or size, operational continuity depends on a culture that supports sustained readiness. An organizational planning process that includes potential disruptions to daily activities is an important factor when preparing for and responding to the unexpected. Although operational leaders cannot predict every type of event, all efforts should be made to implement a fiscally sound readiness program that achieves the desired outcomes while minimizing workflow disruptions. Leaders need to ensure that their emergency preparedness program is adaptive enough to support mission-critical components of the organization when faced with unanticipated and potentially unfavorable events. In order for the program to be effective, it is important to holistically assess its necessary elements for excellence and determine how the program should be dynamically aligned with organizational culture.","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"41 3","pages":"19-29"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469641","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

Risk Management and Good Governance Support Organizational Value. 风险管理和良好治理支持组织价值。

Frontiers of Health Services Management Pub Date : 2025-02-01 Epub Date: 2025-02-21 DOI: 10.1097/HAP.0000000000000212

Sara U Gattie

引用次数: 0

Cedars-Sinai: Addressing Workforce Risks Through a New School. 雪松-西奈：通过新学校解决劳动力风险。

Frontiers of Health Services Management Pub Date : 2025-02-01 Epub Date: 2025-02-21 DOI: 10.1097/HAP.0000000000000213

Nicole Anderson

引用次数: 0

A Holistic Approach to Enterprise Risk Management, from Catastrophes to Resilience. 企业风险管理的整体方法，从灾难到恢复力。

Frontiers of Health Services Management Pub Date : 2025-02-01 Epub Date: 2025-02-21 DOI: 10.1097/HAP.0000000000000215

Carla Jackie Sampson

引用次数: 0

Tiered Accountability and Elements of an Effective Compliance Program Within High Reliability Organizations. 分级问责制和高可靠性组织中有效合规计划的要素。

Frontiers of Health Services Management Pub Date : 2025-02-01 Epub Date: 2025-02-21 DOI: 10.1097/HAP.0000000000000214

Brent Ibata

{"title":"Tiered Accountability and Elements of an Effective Compliance Program Within High Reliability Organizations.","authors":"Brent Ibata","doi":"10.1097/HAP.0000000000000214","DOIUrl":"10.1097/HAP.0000000000000214","url":null,"abstract":"Summary: Tiered accountability and the seven elements of an effective compliance program provide a scalable framework for enterprise risk management within high reliability healthcare organizations (HROs). However, these elements do not self-assemble into a mature system. They must be intentionally built into an effective compliance program that assesses, controls, and manages risks at an ongoing enterprise level. This starts with good governance from the governing body and passes through the organization's chief executive officer into a psychologically safe, fair, and just culture that embraces imperfections as teaching moments. In an HRO, detected deviances from desired practices are seen as opportunities to embark on short excursions of self-improvement on the longer journey toward zero events of preventable harm.The Centers for Medicare & Medicaid Services (CMS) and the US Department of Justice (DOJ) have published regulations and guidance that require and encourage organizations to proactively manage risk, with tiered accountability written into the CMS hospital conditions of participation (COP) and strongly encouraged in the DOJ newly revised Compliance Program Guidance containing its seven essential elements of an effective compliance program. Both CMS and the DOJ utilize a mixture of incentives and consequences to incentivize proactive risk management and compel reactive risk reduction. In these toolboxes of incentives and consequences, proactive healthcare executives can find the standards and rules to engineer and build highly reliable enterprise risk management systems with tiered accountability and risk-based talent management that focus available resources on high-risk, high-volume, and problem-prone areas.","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"41 3","pages":"5-13"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469644","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

Best Behaviors: Leveraging Neuroscience to Enhance Leadership Skills. 最佳行为：利用神经科学提高领导技能。

Frontiers of Health Services Management Pub Date : 2024-12-01 Epub Date: 2024-11-19 DOI: 10.1097/HAP.0000000000000205

Michael E Frisina

{"title":"Best Behaviors: Leveraging Neuroscience to Enhance Leadership Skills.","authors":"Michael E Frisina","doi":"10.1097/HAP.0000000000000205","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000205","url":null,"abstract":"Integrating neuroscience strategies in the creation of leadership development programs can significantly increase their effectiveness. Neuroscience offers insights into how the brain processes information, learns, and adapts, allowing program designers to tailor leadership training to specific individual needs and thereby generate optimal outcomes. Understanding brain functions related to leadership skills-such as decision-making, emotional regulation, and stress management-is crucial for effective leadership performance. Programs should leverage this knowledge by incorporating activities that stimulate the brain regions responsible for these skills. For instance, interactive and experiential learning can engage the brain's prefrontal cortex, which is essential for executive functions like problem-solving. Negative stress impacts brain performance in a variety of ways, disrupting leadership performance. Neuroscience confirms that managing stress improves cognitive flexibility and critical thinking abilities. Training that includes mindfulness practices and other stress management techniques can help leaders stay focused and manage their emotions more effectively. Finally, incorporating social and collaborative learning opportunities aligns with the brain's social networks, which are essential for leadership development. Peer interactions and mentorship can enhance learning through social feedback and shared experiences. By applying these neuroscience-based strategies, leadership development programs can more effectively foster the cognitive and emotional skills necessary for effective leadership.","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"41 2","pages":"4-12"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677247","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