Journal of Healthcare Management最新文献

{"title":"Patients' Views About Patient Engagement and Representation in Healthcare Governance.","authors":"M. Decamp, Vadim Dukhanin, Lindsay C Hebert, Sarah Himmelrich, Scott A Feeser, S. Berkowitz","doi":"10.1097/JHM-D-18-00152","DOIUrl":"https://doi.org/10.1097/JHM-D-18-00152","url":null,"abstract":"EXECUTIVE SUMMARY\u0000Health systems increasingly engage with patient representatives on their governance boards or with patient and family advisory councils to improve care delivery. Little is known about how general patients regard those engagement activities. The objective of this study was to assess the importance of patient representation. We mailed a survey to 31,687 Medicare beneficiaries attributed to a Medicare accountable care organization. We examined relationships between respondents' views and their health characteristics and performed thematic analysis on free-text responses. Among 3,061 respondents, the majority believed that having a patient representative (74.1%) or a patient council (74.0%) mattered \"some\" or \"a lot.\" The main factors respondents considered in answering were that \"patients deserve a voice\" (64%) and \"having a patient on the [governance] board increases my trust\" in this organization (46%). Our analysis of free-text responses illuminated why patient representatives are important, keys to successful engagement, and reasons behind the skepticism. This study indicates that most patients believe representation in health system governance is important, and that realizing its potential requires engagement activities that improve general patients' awareness of, and interaction with, their representatives.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/JHM-D-18-00152","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46055586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PRACTITIONER APPLICATION: Measuring Nonprofit Hospitals' Provision of Charity Care Using IRS and CMS Data.","authors":"Erin Yale","doi":"10.1097/JHM-D-19-00154","DOIUrl":"https://doi.org/10.1097/JHM-D-19-00154","url":null,"abstract":"","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/JHM-D-19-00154","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43860640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring Nonprofit Hospitals' Provision of Charity Care Using IRS and CMS Data.","authors":"D. Gaskin, B. Herring, H. Zare, G. Anderson","doi":"10.1097/JHM-D-18-00141","DOIUrl":"https://doi.org/10.1097/JHM-D-18-00141","url":null,"abstract":"EXECUTIVE SUMMARY\u0000We explore whether nonprofit hospitals report similar amounts of charity care to the Internal Revenue Service (IRS) and Centers for Medicare & Medicaid Services (CMS). We use nonprofit hospitals' financial reports to the IRS and the CMS Medicare costs report for 2011 and 2012. In 2012, hospitals reported spending 7.6% more in charity care to the IRS than to CMS: 2.54% of revenues ($5.74 million per hospital) to the IRS versus 2.36% ($5.16 million) to CMS. While the averages are close, there are wide discrepancies for individual hospitals. For example, despite efforts for standardization, 80% of hospitals reported charity care to the CMS that was 40% greater in absolute value than what they reported to the IRS, and only 10% of hospitals reported charity care to CMS that was within 20% of what they reported to the IRS. Our findings suggest that individual hospitals routinely report different amounts of charity care to the IRS and CMS, yet we find relatively few hospital or market characteristics that may explain these differences.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/JHM-D-18-00141","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49207927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PRACTITIONER APPLICATION: Activities and Sensemaking Associated With Frontline Role Expansion in Primary Care Settings.","authors":"Zachary Almer","doi":"10.1097/JHM-D-19-00153","DOIUrl":"https://doi.org/10.1097/JHM-D-19-00153","url":null,"abstract":"Over the past several decades, the Patient-Centered Medical Home (PCMH) model has evolved from an isolated, physician-focused approach to a collaborative method of care delivery. This shift in mentality empowers medical staff and patients to share information, anticipate needs, and attain a higher quality of care. Typically, primary care practices are the first point of contact for patients seeking treatment. To optimize the quality of these visits, I would encourage all primary care practices to stay connected with larger health systems and specialists in their communities. In this study, Hoff identifies numerous ways that the PCMH model can affect patient care. Examples include thorough medication reconciliation, frequent outreach to external specialists involved in their patient’s health, direct contact with patients for information prior to initial visits, and information sharing among primary care teams. One of the study’s significant conclusions is that physicians should allot time for team members to practice newly developed skills. He also posits that upskilling, or the teaching of additional skills, must be a regular component of continuing education for clinical and nonclinical personnel to combat burnout. What I find especially interesting about Hoff ’s research is that he demonstrates how the PCMH model approach expands the role of lower-level practitioners and affects them socially and psychologically. Clinicians interviewed in this study repeatedly mentioned the close bonds they formed with patients and coworkers because of the expansion of their roles. Healthcare organizations tackle many internal and external challenges, yet one area to be continually mindful of is staff development. Many frontline staff members get stuck in mundane routines that can stifle creative energy and team engagement. As a hospital manager and team leader, I would suggest that soft-skill development exerts a direct impact on employee engagement and retention at an organizational level, particularly in the current healthcare environment. I have been involved in numerous quality improvement projects that called for an expansion of clinical and administrative responsibilities, and they have benefited practitioners as well as their clinical teams. In one extensive project, we asked advanced practice providers to call patients before their first visit to understand their personal needs, establish rapport, anticipate and arrange future appointments, and truncate the amount of time spent completing treatment at our facility.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/JHM-D-19-00153","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44986957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Activities and Sensemaking Associated With Frontline Role Expansion in Primary Care Settings.","authors":"T. Hoff","doi":"10.1097/JHM-D-18-00187","DOIUrl":"https://doi.org/10.1097/JHM-D-18-00187","url":null,"abstract":"EXECUTIVE SUMMARY\u0000Many healthcare settings are embracing a dynamic of role expansion across occupational boundaries. This dynamic is particularly evident in organizations that are early adopters of innovations designed to improve care delivery. This study explores role expansion of frontline healthcare workers in primary care settings associated with early adoption of the patient-centered medical home. Qualitative data in the form of interviews were collected from 2012 to 2014 from six primary care practices functioning as early adopters of patient-centered medical homes. Fifty-one staff members were interviewed across the six practices. The author identified three forms of role expansion among frontline workers in these primary care practices. This role expansion was accompanied by key instances of work improvisation and enhanced social connections among staff and patients that fed into particular forms of sensemaking. Transformation of primary care delivery may be enhanced through expansion of frontline workers' roles, particularly at the early adoption phase.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/JHM-D-18-00187","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47070834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stop Making Sense? Seeking Clarity in a Chaotic or Complex World.","authors":"","doi":"10.1097/JHM-D-19-00159","DOIUrl":"https://doi.org/10.1097/JHM-D-19-00159","url":null,"abstract":"","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"1 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/JHM-D-19-00159","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61781558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Paint the Stick Orange: Incentives, Rewards, and the Innovation Imperative.","authors":"","doi":"10.1097/JHM-D-19-00205","DOIUrl":"https://doi.org/10.1097/JHM-D-19-00205","url":null,"abstract":"","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"1 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/JHM-D-19-00205","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61781620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alan B. Keesee, FACHE, President and CEO, Capital Regional Medical Center, Tallahassee, Florida.","authors":"","doi":"10.1097/JHM-D-19-00143","DOIUrl":"https://doi.org/10.1097/JHM-D-19-00143","url":null,"abstract":"","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"1 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/JHM-D-19-00143","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61781533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstracts From the Forum on Advances in Healthcare Management Research","authors":"","doi":"10.1097/jhm-d-18-00197","DOIUrl":"https://doi.org/10.1097/jhm-d-18-00197","url":null,"abstract":"","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"1 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/jhm-d-18-00197","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45220727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PRACTITIONER APPLICATION","authors":"Phillip D Robinson","doi":"10.1097/00115514-201609000-00008","DOIUrl":"https://doi.org/10.1097/00115514-201609000-00008","url":null,"abstract":"","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"61 1","pages":"350–351"},"PeriodicalIF":1.8,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00115514-201609000-00008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61660187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}