Health Care Manager最新文献

{"title":"A Trial Study of Static Telepathology in Iran.","authors":"Sadrieh Hajesmaeel Gohari,&nbsp;Kambiz Bahaadinbeigy,&nbsp;Reza Malekpour Afshar,&nbsp;Majid Asadi-Shekaari","doi":"10.1097/HCM.0000000000000227","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000227","url":null,"abstract":"<p><p>Static telepathology is one of the telepathology methods, in which the captured images of the slides are transmitted for consultation at a later time. This study aimed to compare the diagnostic accuracy of the conventional pathology and static telepathology systems. Eighty-two cases that had been selected randomly from 4 pathology centers in the city of Kerman were diagnosed by a pathologist, first based on light microscopy and then after 2 months based on static images (2 images per case) captured by a Nikon 50i microscopic camera. The images were sent to the pathologist via e-mail. The diagnostic accuracy of the telepathology system was calculated. The light microscopic diagnoses were concordant with the telepathologic diagnoses in 71 of 82 reviewed cases. Different diagnoses of 7 cases were due to the images captured from the inappropriate location of the slides. The diagnostic accuracy of the telepathology system was 86.5%. The results of this study showed that static telepathology is very accurate and can be widely used in Iran. However, efficient implementation and use of telepathology require paying attention to different issues such as educational, legal, ethical, financial, and security and observance of the standards related to this field.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000227","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36269206","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}

{"title":"Human Papilloma Virus and the Nurse's Role in Education and Prevention.","authors":"Jennifer S Sherry,&nbsp;Sandra K Collins,&nbsp;Richard C McKinnies,&nbsp;Anthony Fleege,&nbsp;Marcea L Walter","doi":"10.1097/HCM.0000000000000226","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000226","url":null,"abstract":"<p><p>In the United States, an estimated 20 million people, or 15% of the population, are currently infected with human papilloma virus (HPV). The prevalence of HPV is increasing in females aged 14 to 24 years. Assessing allied health students' knowledge, attitudes, and behaviors regarding HPV was performed using a 34-question survey. The survey was in four sections: general information, measuring knowledge of HPV and the vaccine, HPV vaccine, and HPV screening and diagnosis. Physicians were noted by 31.6% of the participants as the first individual who gave them information about HPV. There were 46.4% of the participants who stated that HPV education came from a school nurse. Nurses play a critical role in educating young people about the benefits of the HPV vaccine.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000226","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36224704","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}

{"title":"College Students' Knowledge Concerning Oropharyngeal Cancer, Human Papillomavirus, and Intent Toward Being Examined.","authors":"Kimberly Walker,&nbsp;Richard Jackson","doi":"10.1097/HCM.0000000000000225","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000225","url":null,"abstract":"<p><p>The purpose of this study was to assess college students' knowledge of oral/oropharyngeal cancer and the relationship of human papillomavirus (HPV) to oropharyngeal cancer. Data were also collected to determine their perceived susceptibility to oropharyngeal cancer and awareness of emotions toward and intentions to receive an oral cancer examination in order to design tailored messages for promoting oropharyngeal cancer prevention on college campuses. Two hundred ten baccalaureate students in nonhealth majors from a public southeastern university were surveyed. Descriptive statistics were calculated, and multiple regression analysis was conducted to determine the predictors of knowledge of oral/oropharyngeal cancer and the HPV and intentions to be examined. Results indicated most were unaware of oropharyngeal cancer, did not understand the purpose of an oral cancer examination, and could not affirm they had received one or had one explained to them. Results also indicated poor understanding of some of the signs and risk factors of oropharyngeal cancer, especially HPV. In addition, oral/oropharyngeal cancer knowledge and negative emotions were predictors of examination intentions, confirming current behavioral theories that postulate rational decisions require collaboration from both cognitive and affective systems. Recommendations are offered for tailored educational communications and strategies about oropharyngeal cancer on college campuses.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000225","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36249801","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}

{"title":"Developing a High-Fidelity Simulation Program in a Nursing Educational Setting.","authors":"Marsha King","doi":"10.1097/HCM.0000000000000217","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000217","url":null,"abstract":"<p><p>This change project was developed in response to the lack of a high-fidelity simulation program at a midwestern university in the United States. The use of clinical simulation as a teaching-and-learning strategy has significantly increased within nursing education. Unlike some colleges, this university had a dedicated simulation laboratory with two high-fidelity simulators; however, there was no clinical simulation program to use this equipment. The expensive simulation equipment sat unused because of the lack of funding for dedicated faculty, lack of a champion to implement, shortage of faculty time, minimal knowledge of the use of high-fidelity simulators, and a lack of curriculum integration. The purpose of the project was to create a simulation program, including faculty development and curriculum integration of simulation-based experiences. The framework of the program was based on the International Nurses Association of Clinical Simulation and Learning \"Standards of Best Practice: Simulation.\" The high-fidelity simulation program grew from 0 simulation encounter per year to greater than 250 per year from the onset of the project. Faculty accepted high-fidelity simulation as a new teaching strategy and incorporated a minimum of at least one simulation-based experience within their courses. Simulation has been integrated successfully into the current curriculum. Students and faculty have positively evaluated simulation as an effective teaching/learning strategy. Each semester has seen an increase in the number of simulations, types of simulations, and acuity of simulations offered in clinical courses for students.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000217","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36293633","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}

{"title":"Preprocedural Checklist for Magnetic Resonance Imaging Patients Undergoing General Anesthesia: A Process Improvement Plan to Enhance Reimbursement.","authors":"Susan Hartl,&nbsp;Andi N Rice,&nbsp;Dhanesh K Gupta,&nbsp;Victoria Goode","doi":"10.1097/HCM.0000000000000222","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000222","url":null,"abstract":"<p><p>Thorough documentation is essential for hospital reimbursement from payors such as the Centers for Medicare & Medicaid Services. Inconsistencies and incomplete documentation can occur if workflow is not standardized especially in cases with interdisciplinary involvement. Documentation for patients undergoing magnetic resonance imaging (MRI) with anesthesia services was examined and revealed an opportunity for improvement to avoid financial losses. A preprocedure checklist to improve documentation and standardize workflow was implemented. We compared documentation from preintervention MRI to postintervention MRI with anesthesia services. Documentation that met the reimbursement requirements increased from 5% in the preintervention group to 90% in the postintervention group after the preprocedural checklist implementation. A cost estimate showed a reduction in potential revenue loss from preimplementation to postimplementation groups. The standardization of workflow with the aid of checklists helped meet the documentation requirements for adequate reimbursements and reduced the risk of potential reimbursement losses from payors.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000222","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36249800","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}

{"title":"Attaining Gender Parity: Diversity 5.0 and 10 Best Practices for Global Health Care Organizations.","authors":"James J Gillespie,&nbsp;Deborah Dunsire,&nbsp;Carolyn Buck Luce","doi":"10.1097/HCM.0000000000000221","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000221","url":null,"abstract":"<p><p>In view of the increasing global importance of women as consumers/patients, employees, employers, and leaders, we discuss 10 best practices for the global health care organizations to attain greater gender parity: (1) make diversity and inclusion (D&I) an essential element of global strategy, (2), tailor global D&I to fit local needs, (3) embed D&I throughout organizations, (4) multiply D&I impact via external partnerships, (5) maximize the role of employee resource groups, (6) maximize the role of diversity councils, (7) leverage D&I for innovation, (8) leverage D&I for business development, (9) engage CEO, and (10) make sharing of D&I best practices a meta best practice. These are practical approaches that can be used in both overall strategic planning and in day-to-day management of health care institutions. We examine this in the context of what we call Gender Diversity 5.0, which will be an increasingly important part of today's health care environment as the business imperative grows for diversity, inclusion, and engagement at the patient, employee, and executive levels.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000221","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36270285","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}

{"title":"Examining the Benefits of the 340b Drug Discount Program.","authors":"Jarrett Gerlach,&nbsp;Sarah McSweeney,&nbsp;Angela Swearingen,&nbsp;Alberto Coustasse","doi":"10.1097/HCM.0000000000000220","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000220","url":null,"abstract":"<p><p>The 340B Drug Discount Program required drug manufacturers to provide discounted outpatient drugs to health care organizations serving vulnerable patient populations to allow these institutions to offer more services to more people. As the 340B program expanded, controversy centered on which entities have benefited from the program. Many health care organizations sold 340B drugs to well-insured patients at full price and have thus been financially rewarded. Amendments to the program have permitted 340B providers to use contract pharmacies to dispense 340B medications, furthering the debate over which stakeholders are benefiting from the program. The purpose of this study was to determine which stakeholders benefited because of the 340B Drug Discount Program and what have been the drivers of recent changes to the program. The study used a literature review. One database aggregator and six academic databases were used to collect 70 total sources. These sources were reviewed and reduced to 39 sources, which were used in the written research. Of these, 20 sources were used in the Results section. Research showed that 340B eligible entities and contract pharmacies have financially benefited from the 340B program. Patient benefit has been indirect, as qualified providers have expanded service offerings and increased access to health care services. Regulatory reform, as well as profit potential, has driven the expansion of 340B as more providers have expanded eligible service lines. Although the goal of the 340B program has often been misconstrued, direct financial benefits to eligible providers have allowed for this expansion of access.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000220","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36222159","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}

{"title":"From the Editor.","authors":"","doi":"10.1097/HCM.0000000000000216","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000216","url":null,"abstract":"Text is provided AS IS without warranty of any kind. The Haworth Press, Inc. further disclaims all implied warranties including, without limitation, any implied warranties of merchantability or of fitness for a particular purpose. The entire risk arising out of the use of the Electronic Text remains with you. In no event shall The Haworth Press, Inc., its authors, or anyone else involved in the creation, production, or delivery of this product be liable for any damages whatsoever (including, without limitation, damages for loss of business profits, business interruption, loss of business information, or other pecuniary loss) arising out of the use of or inability to use the Electronic Text, even if The Haworth Press, Inc. has been advised of the possibility of such damages. Examines the rapid advances in technology and scientific discovery that have changed the way sci/tech library users seek information and interact with library staff. Tells the stories of innovative libraries and librarians.. .. Strikes a good balance between technical specification and illustration/discussion of strategic issues.. .. Will appeal to a broad range of technologists, reference librarians, and managers. \" Explores aspects of the online data projects developed in various fields from ecological and environmental research programs. Examines case studies of innovative programs from special libraries in developing countries, with a focus on the management and leadersip skills that made these initiatives successful. Examines science and technology libraries' difficulties with maintaining expensive journal subscriptions for both researchers and tenure-ready scholars; offers advice and examples of efficient improvement to make fact-finding and publication easier and more cost-efficient. \" A lucid and in-depth presentation of key resources and information systems in this area. \" Shows how libraries are addressing new challenges and changes in today's publishing market, in interdisciplinary research areas, and in online access. Examines collection development, reference service, and information service in science and technology libraries. The range of topics is broad, from collections to user services. .. most of the authors provide extra value by focusing on points of special interest. Of value to almost all librarians or information specialists in academic or special libraries, or as a supplementary text for graduate library courses. \" Separates the hype about electronic journals from the realities that they will bring. This book provides a complete tutorial review of the literature that relates to the rise of electronic journals in the sciences and explores the many cost factors …","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000216","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36343780","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}

{"title":"Case in Health Care Management.","authors":"","doi":"10.1097/HCM.0000000000000219","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000219","url":null,"abstract":"","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000219","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36343782","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}

{"title":"The Challenges of Leadership.","authors":"Robert C Myrtle","doi":"10.1097/HCM.0000000000000215","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000215","url":null,"abstract":"<p><p>Perhaps in no other period in recent times have the challenges leaders face been so profound. In these times of uncertainty and turbulence, we look to leaders who create a sense of purpose, who generate feelings of trust and optimism, and who tap the passion, talent, and efforts of those so essential to the success of the organization and of the people it serves. Our research suggests that becoming the leader whom people look to and admire requires an active commitment to responding to 5 essential leadership challenges. These are (1) creating a sense of purpose, (2) devising means for aligning the actions of the followers with that sense of purpose, (3) establishing a context that enables others to behave in a way that is consistent with the vision and values of the organization, (4) ensuring that the work that is done provides meaning to those engaging in the work activities, and (5) adding to the sum of everyone's knowledge through learning through reflective actions. In this article, we describe these challenges and offer suggestions that you can take to become a more effective and respected leader.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000215","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35898302","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}