The Perceived Importance of Role-Specific Competencies for Health Care Leaders Establishes the Need to Expand Role Theory
This study positively indicated that health care leadership’s perception of competencies does differ between the various leadership roles. (Source: The Health Care Manager)
Source: The Health Care Manager - April 1, 2016 Category: Health Management Tags: Article Source Type: research
Costs, Staffing, and Services of Assisted Living in the United States: A Literature Review
Assisted-living facilities (ALFs), which provide a community for residents who require assistance throughout their day, are an important part of the long-term-care system in the United States. The costs of ALFs are paid either out of pocket, by Medicaid, or by long-term-care insurance. Monthly costs of ALFs have increased over the past 5 years on an average of 4.1%. The purpose of this research was to examine the future trends in ALFs in the United States to determine the impact of health care on costs. The methodology for this study was a literature review, and a total of 32 sources were referenced. Trends in monthly cost...
Source: The Health Care Manager - April 1, 2016 Category: Health Management Tags: Article Source Type: research
Hospital Consumer Assessment of Healthcare Providers and Systems: An Ethical Leadership Dilemma to Satisfy Patients
This article examines the parameters and the dynamics of Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) that create an ethical leadership dilemma to satisfy patients in the hospital setting while still ensuring appropriate care for quality clinical outcomes. Under the Affordable Care Act, hospitals and health care systems are in a high-stakes struggle of winners and losers based on HCAHPS scores. This high-stakes struggle creates unintended consequences of an ethical dilemma of doing what is right for the patient versus doing whatever it takes to please the patient in order to achieve high scores...
Source: The Health Care Manager - April 1, 2016 Category: Health Management Tags: Article Source Type: research
A Performance Analysis of Long-term Acute-Care Hospitals Owned by Large, Multistate Investor-Owned Companies
This study provides a descriptive assessment of the operating performance of for-profit long-term acute-care hospitals owned by multistate, investor-owned companies (large FP LTCHs) compared with FP LTCHs owned by smaller FP companies (small FP LTCHs) and nonprofit LTCHs (NP LTCHs). The study used the Centers for Medicare & Medicaid Services cost report data for 290 LTCHs from 2010 through 2012 to compare the financial performance of large and small FP LTCHs and NP LTCHs. The study found that the median operating profit margin for large FP LTCHs was 8.06%, which was twice as high as that of the small FP LTCHs and NP LTCHs ...
Source: The Health Care Manager - April 1, 2016 Category: Health Management Tags: Article Source Type: research
Challenges of Multimorbidities in the Era of an Aging Population
The health care system introduced a reimbursement system based on the existing care when the prevalence rate of acute diseases was still. However, the types of diseases in developed countries are mostly noncommunicable diseases such as cancer or vascular disease, and thus, it impossible to fully recover from these chronic diseases. The increase in noncommunicable diseases is related to unhealthy lifestyle habits such as smoking, heavy drinking, and lack of exercise. Thus, the health care system is changing by improving the prevention of diseases and promoting healthy lifestyles. However, multimorbidities have emerged as an...
Source: The Health Care Manager - April 1, 2016 Category: Health Management Tags: Article Source Type: research
Managing Patient Falls in Psychiatric Inpatient Units: Part 2
Patient falls in the hospital psychiatric inpatient units are more frequent than in the medical-surgical units. The purpose of this study was to explore psychiatric unit directors’ perceptions of the factors that contribute to patient falls in the State of Michigan. A quantitative online questionnaire was sent to the directors of psychiatric units in Michigan. Two research questions (RQs) guided the study: (a) What are psychiatric unit directors’ perceptions of the possible intrinsic factors that contribute to patient falls in the psychiatric inpatient units, and (b) what are psychiatric unit directors’ perceptions o...
Source: The Health Care Manager - April 1, 2016 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 - April 1, 2016 Category: Health Management Tags: Article Source Type: research
Rightful Discharge: Making “Termination” Mean It’s REALLY Over Part 2—Proper Documentation
The importance of proper documentation when taking any type of disciplinary action, particularly a termination, cannot be overstated. Proper documentation is a fundamental requirement placed upon employers by the courts when determining whether a termination is “legal.” The following sample forms do not encompass all types of documentation that may be required for a given set of circumstances; they do provide the framework for health care managers to fashion their own forms to fit their employer’s needs. (Source: The Health Care Manager)
Source: The Health Care Manager - April 1, 2016 Category: Health Management Tags: Article Source Type: research
The Feasibility of the Nationwide Health Information Network
The Nationwide Health Information Network (NHIN) use in health care facilities was examined for utilization and efficacy; although the advantages are abundant, health care facilities have been reluctant to adopt it because of associated costs. The purpose of this study was to analyze the feasibility of a US NHIN by exploring and determining the benefits of an NHIN and assessing the barriers to its implementation. The research methodology applied in examining the implementation of NHIN in the United States was a qualitative literature review, which followed the basic guidelines of a systematic literature review, partnered w...
Source: The Health Care Manager - April 1, 2016 Category: Health Management Tags: Article Source Type: research
Cultural Diversity Training: The Necessity of Cultural Competence for Health Care Providers and in Nursing Practice
This study supports the theory that cultural competence is learned over time and is a process of inner reflection and awareness. The domains of awareness, skill, and knowledge are essential competencies that must be gained by health care providers and especially for nurses. Although barriers to providing culturally sensitive care exist, gaining a better understanding of cultural competence is essential to developing realistic education and training techniques, which will lead to quality professional nursing practice for increasingly diverse populations. (Source: The Health Care Manager)
Source: The Health Care Manager - April 1, 2016 Category: Health Management Tags: Article Source Type: research
From the Editor
No abstract available (Source: The Health Care Manager)
Source: The Health Care Manager - April 1, 2016 Category: Health Management Tags: Article Source Type: research
Deciding to Decide: How Decisions Are Made and How Some Forces Affect the Process
There is a decision-making pattern that applies in all situations, large or small, although in small decisions, the steps are not especially evident. The steps are gathering information, analyzing information and creating alternatives, selecting and implementing an alternative, and following up on implementation. The amount of effort applied in any decision situation should be consistent with the potential consequences of the decision. Essentially, all decisions are subject to certain limitations or constraints, forces, or circumstances that limit one’s range of choices. Follow-up on implementation is the phase of decisi...
Source: The Health Care Manager - January 1, 2016 Category: Health Management Tags: Article Source Type: research
Patient Access: Improving Wait Times in a Specialty Clinic
A vascular surgery clinic in an academic center faced many delays for patients in gaining access to an appointment. In January 2014, wait times from referral to patient appointment were estimated to be 3 to 4 weeks. A 6-month pilot project was conducted from January 2014 through June 2014 with the aim of scheduling 50% of new patients within 7 days of referral. The clinic manager, medical director, clinic staff, and clerical team worked in partnership to initiate a series of interventions to reduce the backlog of patients, implement scheduling guidelines, and use nurse practitioners to improve practice efficiencies. By Jun...
Source: The Health Care Manager - January 1, 2016 Category: Health Management Tags: Article Source Type: research
The Effects of Transformational Leadership and Mediating Factors on the Organizational Success Using Structural Equation Modeling: A Case Study
This study was undertaken to determine the effects of transformational leadership (TL) and mediating factors on organizational success (OS) from the administrative, financial, and support employees’ perspective in teaching hospitals affiliated with Shiraz University of Medical Sciences using structural equation modeling. Three hundred administrative and financial employees were selected, using stratified sampling proportional to size and simple random sampling. Data were collected using 5 questionnaires and analyzed using SPSS 21.0 and Lisrel 8.5 through Pearson correlation coefficient and path analysis and confirmatory ...
Source: The Health Care Manager - January 1, 2016 Category: Health Management Tags: Article Source Type: research
Developing a Successful Master of Health Administration Student Mentor-Mentee Program
This study compares past methods for implementing and running a mentor program, with newer program models. In addition, the various models of mentor programs will be discussed within the academic environment of an MHA program. (Source: The Health Care Manager)
Source: The Health Care Manager - January 1, 2016 Category: Health Management Tags: Article Source Type: research
