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Budgeting for Results. 为结果做预算。
Health Care Manager Pub Date : 2020-01-01 DOI: 10.1097/HCM.0000000000000285
Thomas K Ross
{"title":"Budgeting for Results.","authors":"Thomas K Ross","doi":"10.1097/HCM.0000000000000285","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000285","url":null,"abstract":"<p><p>Budgeting is a mandatory yet misunderstood function in most organizations because of its current focus on estimating revenues and expenses. A budget should be a roadmap specifying in dollars and cents organizational goals and how management performance will be assessed. Like a roadmap, its value is entirely dependent on whether the plan is followed. Improving treatment and controlling costs require implementing budgets that focus managers' attention on the elements of production systems that they control and lead directly to better results. The choice between using an incremental, flexible, zero-base, program, or activity-based budget to chart the desired path of departments and organizations should be made in light of organizational goals and the role of the manager within the organization.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000285","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37490858","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: 2
The Growing Problem of Hepatitis C Virus Infection: The Case of West Virginia. 日益严重的丙型肝炎病毒感染问题:以西弗吉尼亚州为例。
Health Care Manager Pub Date : 2020-01-01 DOI: 10.1097/HCM.0000000000000278
Maggie Phillips, Jumana Abboud, Bukola Abodunde, David P Paul, Alberto Coustasse
{"title":"The Growing Problem of Hepatitis C Virus Infection: The Case of West Virginia.","authors":"Maggie Phillips,&nbsp;Jumana Abboud,&nbsp;Bukola Abodunde,&nbsp;David P Paul,&nbsp;Alberto Coustasse","doi":"10.1097/HCM.0000000000000278","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000278","url":null,"abstract":"<p><p>Hepatitis C virus (HCV) is one of the most significant public health problems currently facing the United States, especially in West Virginia. If it is undetected and left untreated, the likelihood of sustaining a treatment response decreases. While early identification has been identified as a critical focus in trying to obtain better health outcomes, new drug treatments appear promising, if somewhat expensive. West Virginia is a predominantly rural state, where the incidence of HCV is 9 times the national average and Medicaid costs for treatment amounted to more than $27 million from 2014 to 2016. The purpose of this study was to conduct a systematic review of the effects of early identification and treatment for patients infected with HCV as it relates to West Virginia. A comprehensive systematic review was limited to 58 articles published from 2008 to 2018 and were in English. Findings from this review identified early detection as the first line of a preventive strategy to help reduce the evolving epidemic and that oral medications could reduce the risk of liver cancer and death. The cost associated with hospitalization of HCV more than tripled from $20 963 in 2005 to $64 867 in 2011 with the average charge per hospitalization at $53 626 due to HVC. The lack of adequate treatment options has led to increasing (and even more expensive) hospital care for untreated HCV. These facts suggest that this state might be facing an expected financial health care crisis due to its increasingly drug-related HCV-infected population.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000278","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37490855","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: 1
The Requirements of Strategic Purchasing of Health Services for Cancer Patients: A Qualitative Study in Iran. 伊朗癌症患者医疗服务战略购买需求的定性研究
Health Care Manager Pub Date : 2020-01-01 DOI: 10.1097/HCM.0000000000000286
Samereh Yaghoubian, Ghahraman Mahmoudi, Mohammad Ali Jahani
{"title":"The Requirements of Strategic Purchasing of Health Services for Cancer Patients: A Qualitative Study in Iran.","authors":"Samereh Yaghoubian,&nbsp;Ghahraman Mahmoudi,&nbsp;Mohammad Ali Jahani","doi":"10.1097/HCM.0000000000000286","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000286","url":null,"abstract":"<p><p>The strategic purchasing creates dynamics and providers' competitiveness among the internal market of governmental sector with ensuring appropriate payments and promoting quantity-quality of service delivery that lead to improve the health system efficiency. This study aimed to determine the requirements for the strategic purchasing of health services for cancer patients in Iran. As a qualitative research with a framework analysis, this study was conducted in Iran from July 2018 to February 2019. The participants were included some administrating managers, experts, and specialists of insurance selected purposefully by snowball sampling method. The framework analysis of the study included 5 steps. Data were saturated after 21 semistructured interviews. The main findings included 3 main themes (supply management, insurance trusteeship, and financial performance) and 14 subthemes (strategic purchasing infrastructures, practical guidelines, trusteeship structure, service package, service quality, service quantity, role of other organizations and groups, training, establishment of an insurance thought, strategic management, communication, price, efficiency and effectiveness, and resource provision). The strategic purchasing model of health services increases the power of service purchasers and payment based on defined priorities, resulting in providers' coordinating for care provision, enhancement of financial performance and cancer patients' better access to health services, improvement of life quality, and financial protection.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000286","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37495080","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: 1
Physician Social Media Abuse: What Would You Do? 医生滥用社交媒体:你会怎么做?
Health Care Manager Pub Date : 2020-01-01 DOI: 10.1097/HCM.0000000000000281
Dolly G Desai, Jordan P Mitchell
{"title":"Physician Social Media Abuse: What Would You Do?","authors":"Dolly G Desai,&nbsp;Jordan P Mitchell","doi":"10.1097/HCM.0000000000000281","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000281","url":null,"abstract":"<p><p>Over the past decade, physician social media use has been made popular and evolved from simple Facebook pages to rapid, instant media sharing. New social media applications, such as Snapchat and Instagram, are finding welcome homes in personal cell phones of physicians. The purpose of this article is to determine patients' views of not only physician use of these apps but also how they would react if their physician abused this technology. As outlined in the article below, physician abuse of social media is growing-and not strictly confined to one demographic group of physicians. The results of this study show patient concern over physician use of social media and the potential for patient to take legal action against physicians over social media abuse. Future policy directions should aim to increase transparency of physician social media use with the goal of eliminating social media abuse.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000281","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37490859","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: 2
Health Care Organizations as Complex Adaptive Systems. 作为复杂适应系统的卫生保健组织。
Health Care Manager Pub Date : 2020-01-01 DOI: 10.1097/HCM.0000000000000284
Savithiri Ratnapalan, Daniel Lang
{"title":"Health Care Organizations as Complex Adaptive Systems.","authors":"Savithiri Ratnapalan,&nbsp;Daniel Lang","doi":"10.1097/HCM.0000000000000284","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000284","url":null,"abstract":"<p><p>Health care organizations that deliver health care to a population are a major constituent of health care systems in many countries. Although some of the components of a health care organization may function as a simple or complicated system where interventions would yield the expected results, many parts of it function as complex systems within the organization. As such, is not always possible to predict changes or the effects of interventions on these systems due to their complex nature. Appreciation of the complex nature of health care systems and characteristics of these complex systems and their networks are necessary to manage health care organizations and changes in health care. This article described different types of systems and discusses why health care organizations are considered complex adaptive systems.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000284","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37490856","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: 15
To Catch a Thief: Protecting Proprietary Information Including Trade Secrets From Corporate Espionage. 抓贼:保护包括商业机密在内的专有信息免受商业间谍的侵害。
Health Care Manager Pub Date : 2019-10-01 DOI: 10.1097/HCM.0000000000000283
Clifford M Koen, Wm Brian London
{"title":"To Catch a Thief: Protecting Proprietary Information Including Trade Secrets From Corporate Espionage.","authors":"Clifford M Koen,&nbsp;Wm Brian London","doi":"10.1097/HCM.0000000000000283","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000283","url":null,"abstract":"<p><p>Corporate espionage is a multifaceted problem causing hundreds of billions of dollars in losses to businesses each year. Health care managers have a wide variety of options available to prevent theft of their organizations' trade secrets and other proprietary information. Organizations should protect their confidential and trade secret information by taking various security measures to limit access to protected material and by using appropriate types of restrictive covenants such as nondisclosure, noncompetition, and nonsolicitation agreements. This article provides helpful guidance for managers to maximize protection against theft of proprietary information.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000283","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40452050","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
Operating Room Culture and Interprofessional Relations: Impact on Nurse's Retention. 手术室文化与专业间关系:对护士保留率的影响。
Health Care Manager Pub Date : 2019-10-01 DOI: 10.1097/HCM.0000000000000280
Karine Laflamme, Annette Leibing, Mélanie Lavoie-Tremblay
{"title":"Operating Room Culture and Interprofessional Relations: Impact on Nurse's Retention.","authors":"Karine Laflamme,&nbsp;Annette Leibing,&nbsp;Mélanie Lavoie-Tremblay","doi":"10.1097/HCM.0000000000000280","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000280","url":null,"abstract":"<p><p>The purpose of this article is to describe interprofessional relations in order to better understand their impact on nurse retention, while considering the operating room culture and its specific context. A focused ethnography was performed between September and October 2017 at a university hospital in an urban center in the province of Quebec, Canada. This was a secondary analysis of 11 nurses' semistructured one-on-one interviews. Additional data were collected through 6 days of observations, informal conversations, field notes, and a journal. A thematic analysis followed. Interprofessional relations and the need for recognition are important for nurse retention. In addition, a nurse's personality appears to be an important aspect in the complex and specific context of the operating room. Nurse retention in the operating room is multifactoral, and like the need for recognition, interprofessional relations are important issues. Interventions to improve working relationships, recognition of nurses, and consideration of a nurse's personality during hiring appear to be promising avenues for improving retention in the operating room.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000280","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40452819","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: 4
The 340b Program, Contract Pharmacies, Hospitals, and Patients: An Evolving Relationship Impacting Health Care Delivery. 340b计划，合同药房，医院和患者:影响医疗保健服务的不断发展的关系。
Health Care Manager Pub Date : 2019-10-01 DOI: 10.1097/HCM.0000000000000279
Morgan Ruley, Morgan Belcher, Hannah Sayre, Alberto Coustasse
{"title":"The 340b Program, Contract Pharmacies, Hospitals, and Patients: An Evolving Relationship Impacting Health Care Delivery.","authors":"Morgan Ruley,&nbsp;Morgan Belcher,&nbsp;Hannah Sayre,&nbsp;Alberto Coustasse","doi":"10.1097/HCM.0000000000000279","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000279","url":null,"abstract":"<p><p>The 340B Drug Pricing Program, created by Congress in 1992 through the Veterans Health Care Act, has provided discounted drug prices to hospitals and other health care organizations serving a wide population of low-income patients. Some 340B programs use contract pharmacies, an arrangement whereby the hospital or health care organization signs a contract directly with a pharmacy to provide covered pharmacy services at discounted prices. The federal 340B Drug Pricing Program has provided access to reduced price prescription drugs to more than 35 000 individual health care facilities and sites certified by the US Department of Health and Human Services, and clinics have served more than 10 million people in all 50 states, plus commonwealths and US territories. The 340B program has increased profits for hospitals through contract pharmacies because they have still received the same reimbursement but acquired drugs at a lower rate.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000279","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40544420","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: 1
Managing Security Risk: Modeling the Root Causes of Data Breaches. 管理安全风险:数据泄露的根本原因建模。
Health Care Manager Pub Date : 2019-10-01 DOI: 10.1097/HCM.0000000000000282
Diane Dolezel, Alexander McLeod
{"title":"Managing Security Risk: Modeling the Root Causes of Data Breaches.","authors":"Diane Dolezel,&nbsp;Alexander McLeod","doi":"10.1097/HCM.0000000000000282","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000282","url":null,"abstract":"<p><p>Health care data breaches are occurring at unprecedented rates, but breach causes are challenging to identify. The purpose of this exploratory study was to identify potential root causes associated with health care data breaches and to create a model of potential data breach factors to inform risk assessment and future predictive analysis. We considered organizational factors, business processes, and technological tools that may be associated with health care data breach occurrences. Using legal requirements, security industry frameworks, and health care standards, we developed a testable health care data breach model. This security model can inform managers who are working to conduct risk assessments, allocate resources, and minimize security risks.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000282","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40723402","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: 7
Prenatal Opioid Maintenance in the United States and Its Effect on Neonatal Abstinence Syndrome: The Case of West Virginia's Opioid Epidemic. 美国产前阿片类药物维持及其对新生儿戒断综合征的影响:以西弗吉尼亚州阿片类药物流行为例
Health Care Manager Pub Date : 2019-07-01 DOI: 10.1097/HCM.0000000000000268
Morgan Ruley, Alberto Coustasse
{"title":"Prenatal Opioid Maintenance in the United States and Its Effect on Neonatal Abstinence Syndrome: The Case of West Virginia's Opioid Epidemic.","authors":"Morgan Ruley,&nbsp;Alberto Coustasse","doi":"10.1097/HCM.0000000000000268","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000268","url":null,"abstract":"<p><p>West Virginia's opioid epidemic has been the cause of more than 42 000 deaths each year. Opioid abuse has become an issue among pregnant mothers and has increased the effects of neonatal abstinence syndrome (NAS) in infants. The purpose of this study was to evaluate the participation of prenatal opioid maintenance to determine whether it has decreased the amount of treatment needed for NAS in infants in West Virginia. The methodology utilized a literature review complemented with a semistructured interview. Thirty-six sources were referenced for this literature review. It was found that buprenorphine maintenance therapy had the most positive effect on NAS after birth. This review also reported a lack of availability for addicted pregnant women to enroll in maintenance programs and a high dropout rate. Opioid maintenance therapy has permitted pregnant women to refrain from illicit drug use without experiencing withdrawal symptoms, and it has allowed the opportunity for their infants to have better health after birth.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000268","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37379863","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: 2
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