Journal of Healthcare Management最新文献

{"title":"PRACTITIONER APPLICATION: Lean Management and U.S. Public Hospital Performance: Results From a National Survey.","authors":"Tracy A Comer","doi":"10.1097/JHM-D-19-00198","DOIUrl":"https://doi.org/10.1097/JHM-D-19-00198","url":null,"abstract":"www.ache.org/journals 379 JHM-D-19-00198 Shortell, S. M., Blodgett, J. C., Rundall, T. G., & Kralovec, P. (2018). Use of Lean and related transformational performance improvement systems in hospitals in the United States: Results from a national survey. Joint Commission Journal on Quality and Patient Safety, 44(10), 574–582. doi.org/10.1016/j.jcjq.2018.03.002 Spear, S. J. (2004). Learning to lead at Toyota. Harvard Business Review, 82(5), 78–86. Taher, D., Landry, S., & Toussaint, J. (2016). Breadth vs. depth: How to start deploying the daily management system for your Lean transformation. Journal of Hospital Administration, 5(6), 90–96. doi: 10.5430/jha.v5n6p90 Toussaint, J., & Gerard, R. A. (2010). On the mend: Revolutionizing healthcare to save lives and transform the industry. Cambridge, MA: Lean Enterprise Institute. Vest, J. R., & Gamm, L. D. (2009). A critical review of the research literature on Six Sigma, Lean and Studer Group’s Hardwiring Excellence in the United States: The need to demonstrate and communicate the effectiveness of transformation strategies in healthcare. Implementation Science, 4(1), 35. doi.org/10.1186/1748-5908-4-35","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/JHM-D-19-00198","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49530445","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":"Process Improvement in Patient Pathways: A Case Study Applying Accelerated Longitudinal Design With Decomposition Method.","authors":"Aske Skouboe, Z. Hansen, Jan Kloppenborg MØller","doi":"10.1097/JHM-D-18-00224","DOIUrl":"https://doi.org/10.1097/JHM-D-18-00224","url":null,"abstract":"EXECUTIVE SUMMARY\u0000Evaluations of improvements in long chronic-patient pathways must include both short- and long-term effects on patients; that is, effects on the full patient pathway. Otherwise, costs might be cut without considering the long-term effects and, consequently, the overall cost of the pathway could increase. Unfortunately, current methods of evaluation present several issues: (1) they do not provide valid insights regarding the effects of a given improvement effort until several years later, (2) they provide imprecise and biased results, and (3) the aggregated results are not useful for identifying and disseminating the best practices that lead to an improvement. In this article, the accelerated longitudinal design with decomposition of total costs (ALDD) method is applied to evaluate the effects of improvement efforts on inpatient utilization for long cardiac pathways at a Danish hospital. The results show that the ALDD method can deliver valid results much faster than traditional methods and can uncover hidden improvements in the local work processes of clinical teams. Application of the ALDD method at a hospital in Denmark identified a significant reduction (15.4%) in the mean total bed utilization per cardiac pathway and revealed that this reduction was caused by improvements in the work processes.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/JHM-D-18-00224","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48510976","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":"The Value and Imperative of Diversity Leadership Development and Mentoring in Healthcare.","authors":"R. Zambrano","doi":"10.1097/JHM-D-19-00209","DOIUrl":"https://doi.org/10.1097/JHM-D-19-00209","url":null,"abstract":"","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"1 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/JHM-D-19-00209","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42733183","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":"Can Organizational Leaders Sustain Compassionate, Patient-Centered Care and Mitigate Burnout?","authors":"B. Lown, Andrew Shin, Richard N. Jones","doi":"10.1097/JHM-D-18-00023","DOIUrl":"https://doi.org/10.1097/JHM-D-18-00023","url":null,"abstract":"EXECUTIVE SUMMARY\u0000Organizational leaders are recognizing the urgent need to mitigate clinician burnout. They face difficult choices, knowing that burnout threatens the quality and safety of care and the sustainability of their organizations. Creating cultures and system improvements that support the workforce and diminish burnout are vital leadership skills. The motivation to heal draws many health professionals to their chosen work. Further, research suggests that compassion creates a sense of personal reward and professional satisfaction. Although many organizations stress compassion in mission and vision statements, their strategies to enhance well-being largely ignore compassion as a source of joy and connection to purpose.Passage of the HITECH (Health Information Technology for Economic and Clinical Health) Act in 2009 and the Affordable Care Act in 2010 ushered in a new era in healthcare. Little is known about how changes in the healthcare delivery system related to these legislative milestones have influenced health professionals' capacity to offer compassionate care. Further, advances such as artificial intelligence and virtual care modalities brought more attention to the elements that form the clinician-patient relationship.This study analyzed the views of U.S. healthcare providers on the status of compassionate healthcare compared with 2010. Postulating that compassion is inversely correlated with burnout, we studied this relationship and contributing factors. Our review of evidence-based initiatives suggests that leaders must define the organizational conditions and implement processes that support professionals' innate compassion and contribute to their well-being rather than address burnout later through remedial strategies.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/JHM-D-18-00023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43766943","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":"Strategies for Delivering Value-Based Care: Do Care Management Practices Improve Hospital Performance?","authors":"Sanjula Jain, K. Thorpe, J. Hockenberry, R. Saltman","doi":"10.1097/JHM-D-18-00049","DOIUrl":"https://doi.org/10.1097/JHM-D-18-00049","url":null,"abstract":"EXECUTIVE SUMMARY\u0000Value-based payment has the potential to rein in the volume incentive inherent in fee-for-service payment by holding providers accountable for the quality of patient care they deliver. Success under the new payment structure will depend on how effectively key organizational reforms are embraced by providers in the implementation of quality improvement processes for care delivery. This study examined the relationship between implementation of care management processes (CMPs, the specific tactics that enable the practice of value-based care) and hospital performance under value-based payment. Using the American Hospital Association's Survey of Care Systems and Payment and the Centers for Medicare & Medicaid Services' Hospital Compare, we estimated the relationship between hospital implementation of CMPs and performance as it relates to spending, patient satisfaction, readmission reduction, value-based purchasing, and clinical care outcomes. We found that hospitals increased implementation of CMPs from 2013 to 2014, which has led to modest changes in performance. We concluded that care coordination is associated with greater improvements in hospital performance. However, the long-term effects of resulting changes in care delivery may differ from the short-term effects. Thus, study findings underscore the importance of continued evaluation of care management practice as a strategy for optimizing delivery of high-quality, efficient patient care.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/JHM-D-18-00049","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46362136","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":"The Butterfly Effect in Healthcare: What Happens When an Organization Tackles Unconscious Bias and Promotes Diversity of Thought?","authors":"Ernie W Sadau, Tiffany Capeles","doi":"10.1097/JHM-D-19-00152","DOIUrl":"https://doi.org/10.1097/JHM-D-19-00152","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-19-00152","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46451647","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: Professional Satisfaction of Advanced Practice Providers in Primary Care Specialties.","authors":"K. Sanford","doi":"10.1097/JHM-D-19-00156","DOIUrl":"https://doi.org/10.1097/JHM-D-19-00156","url":null,"abstract":"290 Volume 64, Number 5 • September/October 2019 JHM-D-19-00156 Academy of Nurse Practitioners, 17(1), 27–32. doi:10.111/j.1041-2972.2005.0007.x Kirch, D. G., & Petelle, K. (2017). Addressing the physician shortage: The peril of ignoring demography. Journal of the American Medical Association, 317(19), 1947–1948. doi:10.1001/jama.2017.2714 Lelli, V. R., Hickman, R. L., Jr., Savrin, C. L., & Peterson, R. A. (2015). Retail clinics versus traditional primary care: Employee satisfaction guaranteed? Journal of the American Association of Nurse Practitioners, 27(9), 514–520. doi:10.1002/2327-6924.12220 Misener, T. R., & Cox, D. L. (2001). Development of the Misener Nurse Practitioner Job Satisfaction Scale. Journal of Nursing Measurement, 9(1), 91–108. O’Keeffe, A. P., Corry, M., & Moser, D. K. (2015). Measuring job satisfaction of advanced nurse practitioners and advanced midwife practitioners in the Republic of Ireland: A survey. Journal of Nursing Management, 23(1), 107–117. doi:10.1111/jonm.12096 Pasarón, R. (2013). Nurse practitioner job satisfaction: Looking for successful outcomes. Journal of Clinical Nursing, 22(17–18), 2593–2604. doi:10.1111/j.1365-2702.2012.04331.x Poghosyan, L., Liu, J., Shang, J., & D’Aunno, T. (2017). Practice environments and job satisfaction and turnover intentions of nurse practitioners: Implications for primary care workforce capacity. Health Care Management Review, 42(2), 162–171. doi:10.1097/ HMR.0000000000000094 Pron, A. L. (2013). Job satisfaction and perceived autonomy for nurse practitioners working in nurse-managed health centers. Journal of the American Association of Nurse Practitioners, 25(4), 213–221. doi:10.1111/j.1745-7599.2012.00776.x Quincy, B., Archambault, M., Sedrak, M., Essary, A. C., & Hull, C. (2012). Basic skills workshop for physician assistant educators: Effects of participation on perceived mastery of teaching skills and job satisfaction. Journal of Physician Assistant Education, 23(3), 12–20. Ryan, M. E., & Ebbert, D. W. (2013). Nurse practitioner satisfaction: Identifying perceived beliefs and barriers. Journal for Nurse Practitioners, 9(7), 428–434. doi:10.1016/j. nurpra.2013.05.014 Schiestel, C. (2007). Job satisfaction among Arizona adult nurse practitioners. Journal of the American Academy of Nurse Practitioners, 19(1), 30–34. doi:10.1111/j.1745-7599.2006.00187.x U.S. Department of Labor, Bureau of Labor Statistics. (2018, January 30). Employment projections: Fastest growing occupations. Retrieved from https://www.bls.gov/emp/ep_table_103.htm","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-19-00156","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49158197","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: Patient's Views about Patient Engagement and Representation in Healthcare Governance.","authors":"S. Hendrickson","doi":"10.1097/JHM-D-19-00155","DOIUrl":"https://doi.org/10.1097/JHM-D-19-00155","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-19-00155","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48067623","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":"Professional Satisfaction of Advanced Practice Providers in Primary Care Specialties.","authors":"Danielle J. O’Laughlin, Jennifer A Bold, D. Schroeder, Petra M. Casey","doi":"10.1097/JHM-D-18-00070","DOIUrl":"https://doi.org/10.1097/JHM-D-18-00070","url":null,"abstract":"EXECUTIVE SUMMARY\u0000This prospective study focuses on professional satisfaction among advanced practice providers (APPs) in primary care. We aimed to determine whether incorporating specialty care clinics within primary care practices increases professional satisfaction. We administered the validated Misener Nurse Practitioner Job Satisfaction Scale and a self-developed demographic questionnaire to all primary care APPs before and one year after implementation of a gynecology practice within the primary care setting. APPs practicing in a dual-role specialty practice reported higher overall professional satisfaction; professional growth; intrapractice partnership/collegiality; professional, social, and community interaction; and benefits than their primary care-only counterparts. We concluded that professional satisfaction among APPs may contribute to staff retention.","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-18-00070","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48099905","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":"Designing the Future of Healthcare.","authors":"S. Mawer, Barry Katz","doi":"10.1097/JHM-D-19-00158","DOIUrl":"https://doi.org/10.1097/JHM-D-19-00158","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-19-00158","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45287618","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}