Clinical Data Warehouse: An Effective Tool to Create Intelligence in Disease Management
Clinical business intelligence tools such as clinical data warehouse enable health care organizations to objectively assess the disease management programs that affect the quality of patients’ life and well-being in public. The purpose of these programs is to reduce disease occurrence, improve patient care, and decrease health care costs. Therefore, applying clinical data warehouse can be effective in generating useful information about aspects of patient care to facilitate budgeting, planning, research, process improvement, external reporting, benchmarking, and trend analysis, as well as to enable the decisions needed t...
Source: The Health Care Manager - October 1, 2017 Category: Health Management Tags: Article Source Type: research
Comparison of the Effects of Using Physiological Methods and Accompanying a Doula in Deliveries on Nulliparous Women's Anxiety and Pain: A Case Study in Iran
This study aimed to assess the anxiety and pain level of nulliparous women giving birth using physiological methods (without doula support) during labor and those women supported by a doula at Towhid Hospital of Jam, Bushehr, Iran in 2015. In this interventional study, 150 women were randomly assigned to either an intervention (with doula support) or a control group (with no doula support). The intrapartum, postpartum, and hidden anxiety levels were measured using Spielberger standard questionnaire used for assessing anxiety. The labor pain rate was evaluated using McGill questionnaire. Results showed that the average rate...
Source: The Health Care Manager - October 1, 2017 Category: Health Management Tags: Article Source Type: research
Going Beyond Compliance: A Strategic Framework for Promoting Information Security in Hospitals
This article provides an analysis of the literature related to health information security and offers a suggested strategy for hospital administrators to follow in order to create a more secure environment for patient health information. (Source: The Health Care Manager)
Source: The Health Care Manager - October 1, 2017 Category: Health Management Tags: Article Source Type: research
Advantages and Disadvantages of the Patient-Centered Medical Home: A Critical Analysis and Lessons Learned
This article provides a detailed examination of the pros and cons associated with patient-centered medical homes (PCMHs). Opinions and findings from those who have studied PCMHs and those who have been directly involved with this type of health care model are outlined. Key lessons from providers are detailed, and critical success factors are highlighted. This synthesized analysis serves to lend evidence to health care managers and providers who are considering implementation of the PCMH model. (Source: The Health Care Manager)
Source: The Health Care Manager - October 1, 2017 Category: Health Management Tags: Article Source Type: research
Case in Health Care Management
No abstract available (Source: The Health Care Manager)
Source: The Health Care Manager - October 1, 2017 Category: Health Management Tags: Case in Health Care Management Source Type: research
Night Shift Work and Its Health Effects on Nurses
The purpose of this research was to study night shift work and its health effects on nurses. This was a quantitative study using descriptive design; it also incorporated three qualitative open-ended questions to complement the study. The data were collected using Survey Monkey, with an Internet-based confidential data collection tool. The population of relevance to this study was nurses employed in hospital settings in the United States. E-mail addresses and Facebook were used to recruit participants. Results indicated that there is an increased risk of sleep deprivation, family stressors, and mood changes because of worki...
Source: The Health Care Manager - October 1, 2017 Category: Health Management Tags: Article Source Type: research
Patient-Centered Organizational Statements: Merely Rhetoric? A Survey of Health Care Leaders
Health care organizations have embraced the concept of patient-centered care, but there is concern that the mere inclusion of those words in mission and value statements does not equate to implementation at the health care delivery level. Despite initiatives to align the patient-clinician encounter with broader patient-centered values, there have been mixed results, often creating a gap between practice and the organization’s stated position. This preliminary study aims to assess the extent to which patient-centered values are reflected in actual patient care. The survey was sent electronically to Dartmouth’s Masters i...
Source: The Health Care Manager - October 1, 2017 Category: Health Management Tags: Article Source Type: research
Relative Importance Assigned to Health Care Rationing Principles at the Bedside: Evidence From a Portuguese and Bulgarian Survey
Activity was undertaken to develop a Prioritization Scoring Index for Portugal and Bulgaria that weights the importance given to ethical rationing principles that should guide decisions at the bedside. Data from two random samples of 355 Portuguese and 298 Bulgarian members of the public were collected from an online questionnaire. Questions asked about the level of importance given to specific issues related to patient's prioritization criteria. Responses were analyzed quantitatively with the SPSS. In the process of selecting the patient to treat, Portuguese and Bulgarian respondents seem unanimous in giving greater impor...
Source: The Health Care Manager - October 1, 2017 Category: Health Management Tags: Article Source Type: research
Insurance Companies Adapting to Trends by Adopting Medical Tourism
Health care costs in the United States are rising every year, and patients are seeking new ways to control their expenditures and save money. Going abroad to receive health care is a cheaper alternative than receiving the same or similar care at home. Insurance companies are beginning to realize the benefits of medical tourism for both themselves and their beneficiaries and have therefore started to introduce medical tourism plans for their clients as an option for their beneficiaries. This research study explores the benefits and risks of medical tourism and examines the US insurance market's reaction to the trend of incr...
Source: The Health Care Manager - October 1, 2017 Category: Health Management Tags: Article Source Type: research
E-Scripts and Cell Phones: A Blessing or Curse?
E-scripts have been used as part of computerized provider order entry implementation for several years now, particularly with the passage of the American Recovery and Reinvestment Act, Meaningful Use, the Health Information Portability and Accountability Act, the Health Information Technology for Economic and Clinical Health Act, and other laws and regulations. This case study seeks to focus on 2 specific aspects of the effect of increasing electronic technology within health care: e-prescriptions and cell phones or smartphones. (Source: The Health Care Manager)
Source: The Health Care Manager - October 1, 2017 Category: Health Management Tags: Article Source Type: research
Hospital Value-Based Purchasing: The Association Between Patient Experience and Clinical Outcome
The objective of this study was to examine the association between the Patient Experience of Care and Outcome domains. The Donabedian model of structure, process, and outcome was used as a conceptual framework for this study. Data from the 2015-2016 Area Health Resource File, the 2016 American Hospital Association database, and the 2016 Hospital Value-Based Purchasing were used. Univariate, bivariate, and multivariate analyses were conducted to examine the impact of patient experience on outcome of care and hospitals. From a sample of 1866 hospitals across the United States, patient experience was significantly and positiv...
Source: The Health Care Manager - October 1, 2017 Category: Health Management Tags: Article Source Type: research
From the Editor
No abstract available (Source: The Health Care Manager)
Source: The Health Care Manager - October 1, 2017 Category: Health Management Tags: From the Editor Source Type: research
Teleradiology in Southeast Iran: Evaluating the Views of Senior Executives and Radiologists
Teleradiology is considered as one of the important forms of telemedicine. Positive views of the users and providers of these services play an important role in its successful implementations. The aim of this study was to investigate the views of radiologists used in the radiology departments of teaching hospitals in the Zahedan University of Medical Sciences through teleradiology, as well as evaluate the executive possibility of teleradiology in these hospitals by the views of chief executive officer and comparison between these two views. The current cross-sectional research was performed in 2014 at Zahedan teaching hosp...
Source: The Health Care Manager - July 1, 2017 Category: Health Management Tags: Article Source Type: research
Use of Smartphones for Clinical and Medical Education
Smartphone use in clinical settings and in medical education has been on the rise, benefiting both health care and health care providers. Studies have shown, however, that some health care facilities and providers are reluctant to switch to smartphones due to the threat of mixing personal apps with clinical care applications and the possibility that distraction created by smartphone use could lead to medication errors and errors linked to procedures, treatments, or tests. The purpose of this research was to examine the effects of smartphones in a clinical setting and for medical education, to determine their overall impact...
Source: The Health Care Manager - July 1, 2017 Category: Health Management Tags: Article Source Type: research
The Compatibility of Chlorhexidine and a Skin Care Product Line: A Real-World Analysis of Hospital-Acquired Infection Rates
Chlorhexidine gluconate (CHG) use helps reduce hospital-acquired infections (HAIs). Chlorhexidine gluconate effectiveness can be reduced by use of skin care products. Although laboratory work can be performed to prove compatibility, such work has limitations. The purpose of this study was to compare HAI rates when CHG antiseptic wipes were used in conjunction with a silicone- and micronutrient-based skin care product line (SMSP) and when CHG wipes were used without the SMSP. Using commercial distribution data, 17 hospitals that purchased both CHG wipes and SMSP were identified. Hospital-acquired infection rates from this g...
Source: The Health Care Manager - July 1, 2017 Category: Health Management Tags: Article Source Type: research
