Rightful Discharge: Making “Termination” Mean It Is Really Over: Part 1—Issues and Legislation
One of the most difficult undertakings for any employer is carrying out a decision to terminate an employee. Of all the employment-related actions taken by employers, the act of termination creates the greatest risk of legal liability. Many claims of employment discrimination filed with the Equal Employment Opportunity Commission arise from the act of termination. In many federal courts, employment-related lawsuits account for more than 50% of all court filings; these lawsuits cover a wide range of subjects, such as failure to hire, defamation, breach of contract, and harassment, to name a few. However, most employees sue ...
Source: The Health Care Manager - January 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 - January 1, 2016 Category: Health Management Tags: Case in Health Care Management Source Type: research
Contingency Management of Health Care Organizations: It Depends
This article explains why and how managers should develop a contingency approach to managing HCOs. The development of contingency theory is briefly described. Practical application of contingency management is explained for leading, motivating, decision making, and resolving conflict. By using a contingency approach, managers can be more effective when managing their HCOs. (Source: The Health Care Manager)
Source: The Health Care Manager - January 1, 2016 Category: Health Management Tags: Article Source Type: research
Managing Patient Falls in Psychiatric Inpatient Units: Part 1
The problem addressed in the current quantitative, descriptive study was the significantly higher number of patient falls in hospital inpatient psychiatric units than in medical-surgical areas, resulting in patient-safety issues. 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. Two research questions 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...
Source: The Health Care Manager - January 1, 2016 Category: Health Management Tags: Article Source Type: research
Regional Interrelationships: A Leadership Opportunity for Health Care
Given the impact that the health care industry has on the national economy, health care executives need to move beyond simply providing health care treatments and instead focus on strategically leading their regions, including the other key industry contributors in their specific regions. Geographic and economic regions can be viewed as concentric circles of influence, with each circle recognizing the resources and contributions that are specific to a region. An acknowledgement by health care executives of the regional interrelationships that exist in a specific region is necessary for health care managers to strategically...
Source: The Health Care Manager - January 1, 2016 Category: Health Management Tags: Article Source Type: research
Concierge Medicine: A Viable Business Model for (Some) Physicians of the Future?
Concierge medicine is a medical management structure that has been in existence since the 1990s. Essentially, a typical concierge medical practice limits its number of patients and provides highly personalized attention that includes comprehensive annual physicals, same-day appointments, preventive and wellness care, and fast, 24/7 response time. Concierge medicine has become popular among both physicians and patients/consumers who are frustrated by the limitations imposed by managed care organizations. From many physicians’ perspectives, concierge medicine offers greater autonomy, the opportunity to return to a more man...
Source: The Health Care Manager - January 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 - January 1, 2016 Category: Health Management Tags: Article Source Type: research
Organizational Failure in an NHS Hospital Trust: A Qualitative Study
The objective was to explore the key factors associated with organizational failure in an NHS Hospital Trust. This case study adopted a qualitative design. Fifty-seven semistructured interviews and document analyses were conducted as well. Data were analyzed using a framework analysis method. A range of symptoms of organizational performance failure was identified. These relate to a financial deficit, lack of good external relationships, inability to meet core targets, a lack of clear management systems, and low staff morale. These markers had not been taken seriously by the previous senior management team. Symptoms of fai...
Source: The Health Care Manager - October 1, 2015 Category: Health Management Tags: Article Source Type: research
Lower Nurse Staffing Levels Are Associated With Occurrences of Inpatient Falls at a Large Pediatric Hospital
The objective of this study was to examine the relationship between nurse staffing levels and pediatric patient falls in a large children’s hospital. A case-control study design was used to compare the nurse staffing level during the shift of patient falls to the staffing level in the same units on shifts when patient falls did not occur. Nurse staffing levels were significantly lower in units when patient falls occurred, particularly during night shift. Targeted nurse staffing interventions in high-risk units could reduce the incidence of inpatient pediatric falls. (Source: The Health Care Manager)
Source: The Health Care Manager - October 1, 2015 Category: Health Management Tags: Article Source Type: research
Early Careerist Interest and Participation in Health Care Leadership Development Programs
This article reports on a study undertaken to determine how early careerists working in health care organizations view leadership development programs and their participation in such programs offered by their employers. Study findings are based on a survey of 126 early careerists who are graduates of an undergraduate health services administration program. We found varying levels of interest and participation in specific leadership development activities. In addition, we found that respondents with graduate degrees and those with higher compensation were more likely to participate in selected leadership development program...
Source: The Health Care Manager - October 1, 2015 Category: Health Management Tags: Article Source Type: research
User Satisfaction With Telehealth: Study of Patients, Providers, and Coordinators
The aim of this study was to examine the satisfaction with telehealth technologies of all users—patients, health care providers, and telehealth presenters. As the use of videoconferencing in health care is rapidly increasing to allow adequate and timely access to care for patients from rural areas, it is important to examine how these technologies are perceived and utilized. Three separate surveys were used to collect data: patient, provider, and telehealth coordinator. Patient surveys were collected in a paper format, while provider and coordinator surveys were done using REDCap (Research Electronic Data Capture) applic...
Source: The Health Care Manager - October 1, 2015 Category: Health Management Tags: Article Source Type: research
Impact of the Relocation of a Long-term Residential Care Facility on Staff
This article describes the relocation of residents and staff of a long-term residential care facility into a new state-of-the-art building in a Canadian province. All staff were surveyed about their perceptions of the moving process 2 months after the move occurred using a newly created 51-item questionnaire containing both open-ended and closed questions (5-point Likert scale). The results were positive for the 3 subscales of the survey, with average scores for premove, midmove, and postmove items of 3.67, 3.94, and 3.66, respectively. There was no significant difference in the means when comparing staff position, years o...
Source: The Health Care Manager - October 1, 2015 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, 2015 Category: Health Management Tags: Article Source Type: research
Patient and Practice Characteristics: Impact on Career Satisfaction of Obstetrician-Gynecologists
This study examined demographic and practice characteristics that affect the career satisfaction of obstetrician-gynecologists. Data were retrieved from the 2008 Health Tracking Physician Survey, conducted by the Center for Studying Health System Change. The survey consisted of a nationally representative sample of physicians belonging to the American Medical Association. A final sample of 290 obstetrician-gynecologists was obtained from the study. Results indicated more than 80% of obstetrician-gynecologists were either “somewhat satisfied” or “very satisfied” with their careers in medicine. Nearly 56% were older ...
Source: The Health Care Manager - October 1, 2015 Category: Health Management Tags: Article Source Type: research
The Concept of Advocacy in Nursing: A Critical Analysis
As health care professionals practice as a team, they take on responsibilities that are specific to their roles—responsibilities that are recognized and understood by the team and management as pertaining to their professional domain and expertise. Is advocacy part of the role of the nurse? Members of the nursing profession commonly maintain that it is, but is there a consensus on this issue, both within the profession and among other stakeholders? Is there a clear understanding of the term advocacy, and is this reflected in Codes of Practice and research into practice? An examination of significant documents and reports...
Source: The Health Care Manager - October 1, 2015 Category: Health Management Tags: Article Source Type: research
