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How public hospitals respond to and use a national serious and sentinel events report: A qualitative study in New Zealand
This article provides examples of these themes and how they relate to the use of the SSE report as a quality improvement tool. The article concludes that an annual SSE report has the potential to be a very useful tool for health care leaders in addressing SSEs. However, it also suggests that the report is underutilised and consequently some of this potential is lost. This may be explained by hospital capacity to absorb information from, and respond to, the SSE report. (Source: Health Services Management Research)
Source: Health Services Management Research - October 13, 2015 Category: Health Management Authors: Hardy, L. N., Gauld, R., Holmes, J. Tags: Primary research Source Type: research

The relationships between access to and use of a patient-centered medical home and healthcare utilization and costs: A cohort study using Medical Expenditure Panel Survey data from 2007 to 2010
Conclusions Overall, the empirical evidence does not indicate whether patient-centered medical home models reduce healthcare utilization and costs, but it does suggest their potential as mechanisms for achieving healthcare system efficiency, when primary care practices have grown from early to middle stage of patient-centered medical home transformation. A longer observation window and holistic view on all stages of patient-centered medical home growth may be more informative on patient-centered medical home’s efficiency. (Source: Health Services Management Research)
Source: Health Services Management Research - October 13, 2015 Category: Health Management Authors: Xin, H., Kilgore, M. L., Menachemi, N., Sen, B. Tags: Primary research Source Type: research

A data envelopment analysis approach for measuring the efficiency of Canadian acute care hospitals
Data envelopment analysis is a methodology particularly well-suited to measuring the efficiency of hospitals because it is able to accommodate multiple heterogeneous inputs and outputs in order to model the complex relationships that exist within them. This research uses data envelopment analysis to develop a model of Canadian hospital production efficiency in collaboration with the Canadian Institute for Health Information. The model is intended to illustrate the utility of data envelopment analysis as a hospital performance measurement tool for Canadian Institute for Health Information and to augment their current hospit...
Source: Health Services Management Research - October 13, 2015 Category: Health Management Authors: Fixler, T., Paradi, J. C., Yang, X. Tags: Primary research Source Type: research

What constitutes high performance in priority setting and resource allocation? Decision maker narratives identified from a survey and qualitative study in Canadian healthcare organizations
Priority setting and resource allocation are key management functions; however, there may be different understandings as to what makes for a high-performing organization in this area. To interpret how decision makers actually approach this question, our research looks at what might contribute to one’s reputation as such. Two sets of qualitative data are used. Senior healthcare leaders were asked to nominate organizations which they considered high performers in priority setting and resource allocation and to justify their choices. This open-ended question was analyzed to identify themes. Rigorous process was most oft...
Source: Health Services Management Research - October 13, 2015 Category: Health Management Authors: Smith, N., Hall, W., Mitton, C., Bryan, S., Urquhart, B. Tags: Primary research Source Type: research

Unwarranted variations in healthcare: Time for a European agenda
(Source: Health Services Management Research)
Source: Health Services Management Research - December 2, 2014 Category: Health Management Authors: Giepmans, P., Dix, O. Tags: EHMA briefing Source Type: research

Interventions to reduce bullying in health care organizations: A scoping review
The problem of staff-to-staff bullying and its consequences in the health care sector has given rise to urgent knowledge needs among health care employers, union representatives, and professional associations. The purpose of this scoping review is to increase the uptake and application of synthesized research results of interventions designed to address bullying among coworkers within health care workplaces. The scoping review’s methodology uses an adapted version of the Arksey and O’Malley framework to locate and review empirical studies involving interventions designed to address bullying in health care workp...
Source: Health Services Management Research - December 2, 2014 Category: Health Management Authors: Quinlan, E., Robertson, S., Miller, N., Robertson-Boersma, D. Tags: Evidence Synthesis/Review Source Type: research

Leadership in academic health centers in the US: A review of the role and some recommendations
The leadership of the US's most complex academic health centers (AHCs)/medical centers requires individuals who possess a high level of clinical, organizational, managerial, and interpersonal skills. This paper first outlines the major attributes desired in a dean/vice president of health affairs before then summarizing the educational opportunities now generally available to train for such leadership and management roles. For the most part, the masters in health administration (MHA), the traditional MBA, and the numerous alternatives primarily available at universities are considered far too general and too lacking in emo...
Source: Health Services Management Research - December 2, 2014 Category: Health Management Authors: Weil, T. P. Tags: Primary research Source Type: research

Applying the concept of consumer confusion to healthcare: Development and validation of a patient confusion model
As patient autonomy and consumer sovereignty increase, information provision is considered essential to decrease information asymmetries between healthcare service providers and patients. However, greater availability of third party information sources can have negative side effects. Patients can be confused by the nature, as well as the amount, of quality information when making choices among competing health care providers. Therefore, the present study explores how information may cause patient confusion and affect the behavioral intention to choose a health care provider. Based on a quota sample of German citizens (n = ...
Source: Health Services Management Research - December 2, 2014 Category: Health Management Authors: Gebele, C., Tscheulin, D. K., Lindenmeier, J., Drevs, F., Seemann, A.-K. Tags: Primary research Source Type: research

Organisational readiness and Lean Thinking implementation: Findings from three emergency department case studies in New Zealand
This study goes beyond investigations of the use of Lean tools, changing improvement metrics and descriptive statistics to identify the contexts and variables which surround quality and process improvement implementations. (Source: Health Services Management Research)
Source: Health Services Management Research - December 2, 2014 Category: Health Management Authors: Rees, G. H. Tags: Primary research Source Type: research

Understanding patient nutrition: A case study of the organizational and managerial dimension to good clinical care
(Source: Health Services Management Research)
Source: Health Services Management Research - April 4, 2014 Category: Health Management Authors: Bremner, J. Tags: From the European Health Management Association Source Type: research

The use of memoranda of understanding in fostering inter-agency collaboration: A qualitative study of health services agencies serving vulnerable populations in Baltimore, USA
Conclusions: Although many agencies acknowledged the importance of collaboration, most respondents found that MOUs lacked practical utility. Grant-makers should consult sub-grantees to develop alternative means of fostering collaboration that would be perceived as relevant by both parties. (Source: Health Services Management Research)
Source: Health Services Management Research - April 4, 2014 Category: Health Management Authors: Khosla, N., Marsteller, J. A., Holtgrave, D. R. Tags: Primary research Source Type: research

Medical leadership arrangements in English healthcare organisations: Findings from a national survey and case studies of NHS trusts
This project sought to describe the involvement of doctors in leadership roles in the NHS and the organisational structures and management processes in use in NHS trusts. A mixed methods approach was adopted combining a questionnaire survey of English NHS trusts and in-depth case studies of nine organisations who responded to the survey. Respondents identified a number of challenges in the development of medical leadership, and there was often perceived to be an engagement gap between medical leaders and doctors in clinical roles. While some progress has been made in the development of medical leadership in the NHS in Engl...
Source: Health Services Management Research - April 4, 2014 Category: Health Management Authors: Dickinson, H., Ham, C., Snelling, I., Spurgeon, P. Tags: Primary research Source Type: research

Hospital characteristics affecting potentially avoidable emergency admissions: National ecological study
Some emergency admissions can be avoided if acute exacerbations of health problems are managed by emergency and urgent care services without resorting to admission to a hospital bed. In England, these services include hospitals, emergency ambulance, and a range of primary and community services. The aim was to identify whether characteristics of hospitals affect potentially avoidable emergency admission rates. An age-sex adjusted rate of admission for 14 conditions rich in avoidable emergency admissions was calculated for 129 hospitals in England for 2008–2011. Twenty-two per cent (3,273,395/14,998,773) of emergency ...
Source: Health Services Management Research - April 4, 2014 Category: Health Management Authors: O'Cathain, A., Knowles, E., Maheswaran, R., Turner, J., Hirst, E., Goodacre, S., Pearson, T., Nicholl, J. Tags: Primary research Source Type: research

A theoretical and empirical investigation into the willingness-to-pay function for new innovative drugs by Germany's health technology assessment agency (IQWiG)
Under the recently enacted pharmaceutical price and reimbursement regulation in Germany, new drugs are subject to a rapid assessment to determine whether there is sufficient evidence of added clinical benefits compared with the existing standard of treatment. If such added benefits are confirmed, manufacturers and representatives of the Statutory Health Insurance (SHI) are expected to negotiate an appropriate reimbursement price. If parties fail to reach an agreement, a final decision on the reimbursement price will be made by an arbitration body. If one of the parties involved wishes so, then the Institute for Quality and...
Source: Health Services Management Research - April 4, 2014 Category: Health Management Authors: Gandjour, A. Tags: Primary research Source Type: research

Innovation sustainability in challenging health-care contexts: embedding clinically led change in routine practice
This study addresses this lacuna, taking a longitudinal, qualitative case-study approach to understanding the paths to sustainability of four organizational innovations. It highlights the importance of the interaction between organizational context, nature of the innovation and strategies deployed in achieving sustainability. It discusses how positional influence of service leads, complexity of innovation, networks of support, embedding in existing systems, and proactive responses to changing circumstances can interact to sustain change. In the absence of cast-iron evidence of effectiveness, wider notions of value may be s...
Source: Health Services Management - April 3, 2013 Category: Health Management Authors: Martin, G. P., Weaver, S., Currie, G., Finn, R., McDonald, R. Tags: Primary Research Source Type: research