Designing a Performance Measurement System for Accountability, Quality Improvement, and Innovation
The purpose of this article is to detail a system for the design of performance measures that will be used to assess the achievement of a health care organization's strategic goals and its need for change. The article begins by emphasizing the importance of accountability and the need for the presence of a dynamic learning culture that is premised on a foundation of accountability, continuous improvement, learning, and innovation. This is followed by describing the importance of utilizing an interdisciplinary team with physician and patient involvement to guide the design and implementation of the performance measurement s...
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Global Challenges to Human Immunodeficiency Virus Prevention
This study reviewed the clinical development and political challenges associated with HIV infection. Organizing and disseminating clinical medical advances can help us eliminate social stigmas and the dishonor linked to MSM. In addition, dealing with the worldwide infection problem of MSM can help to reestablish international joint confrontation and political agendas to promote disease eradication efforts. In many countries, socioeconomic problems are not related to increased numbers of HIV infections. Improving social issues such as human rights and economic problems depending on the circumstances of each country should h...
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Organizational Factors Associated With Quality Perinatal Care
Perinatal care has been recognized as an integral part of ensuring quality health care in hospitals, and the focus on perinatal care quality is increasing. The previous hospital literature has focused much attention on measuring and improving quality of care generally, but recently there has been a call for a more comprehensive approach to measuring quality in the perinatal care setting. The perinatal literature is limited in addressing the association between organizational factors and perinatal quality. Using chart audit data for more than 10 000 maternity patients, we used multiple regression analysis to examine the ass...
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Patient-Centered Medical Home Graduate Internship, Benefits to a Practice Manager: Case Study
Graduate Health Information Management students can and should be involved in collaborations with the Patient-Centered Medical Home at primary care clinics. In this case, the student is not from a Health Services Management background as it was in the first internship article, but rather from a Health Information Management background. This case study is the second of 2 Patient-Centered Medical Home internship studies where the value of an intern to a practice manager is demonstrated. (Source: The Health Care Manager)
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Caffeine Intake Habits and the Perception of Its Effects on Health Among College Students
In conclusion, college students are aware of the negative effects of caffeine, yet 75% consumed one or more and some exceeding five servings daily. (Source: The Health Care Manager)
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Service Utilization and Costs of Patients at a Cash-Based Physical Therapy Clinic
This study is the first to present data regarding costs, utilization, and patient demographics for a cash-based physical therapy clinic. (Source: The Health Care Manager)
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Staff Perceptions of Improving Emergency Care for Children: A Qualitative Study
The objective of this study was to identify staff perceptions of a service improvement for pediatric emergency care at a university teaching hospital. Semistructured qualitative interviews of stakeholders were conducted, and grounded theory approach was used for analysis. Forty-one interviews were conducted with physicians, nurses, managers, and health care workers. Major themes emerging from the analysis included the physical space of and flow within the pediatric emergency department (ED), impact of technology, staffing in the ED, the effects of frontline pediatricians and emergency physicians managing children in the ED...
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Hospital Readmission and Costs of Total Knee Replacement Surgery in 2009 and 2014: Potential Implications for Health Care Managers
This report is among the first to describe changes in hospital readmissions and costs for TKR patients in a national sample of US acute care hospitals. Findings offer hospital managers a mechanism to benchmark their facilities' performances. (Source: The Health Care Manager)
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Job Satisfaction Among Physician Assistants Practicing Cardiovascular Medicine in the United States
We assessed overall job satisfaction and factors of job satisfaction among physician assistants (PAs) practicing cardiovascular medicine in the United States. Job satisfaction among health care providers is associated with provider satisfaction and retention, reduced health care costs, increased patient satisfaction, and improved health care. Research regarding job satisfaction among physicians and nurse practitioners has been conducted, but knowledge of job satisfaction among PAs is limited, dated, and inadequate. Job satisfaction among PAs in cardiology, a specialty with a disparity between provider supply and demand, ha...
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Still an Epidemic: The Burnout Syndrome in Hospital Registered Nurses
The number of registered nurses (RNs) in the United States is roughly 3 times the number of physicians and surgeons, making RNs a critically important component of the US health care system. Registered nurse burnout—the state of emotional exhaustion in which the individual feels overwhelmed by work to the point of feeling fatigued, unable to face the demands of the job, and unable to engage with others—is a real concern, having been reported in many hospitals. The purpose of this research was to examine the causes and consequences of burnout syndrome among RNs in US hospitals and its role in the RN shortage in hospital...
Source: The Health Care Manager - January 1, 2019 Category: Health Management Tags: Article Source Type: research

Interpersonal Competence in the Management of People
Interpersonal skills are those essential skills applied in dealing with and relating to other people largely on a one-to-one basis. The interpersonal communication behavior of many people suggests they assume an ability to communicate effectively that they do not possess, taking these skills for granted. One must work conscientiously to develop interpersonal competence by doing the rights things at all times and doing them repeatedly until they become ingrained. As with any human skills, interpersonal skills can be improved through conscious effort. Successful interpersonal communication involves shaping the behavior of ot...
Source: The Health Care Manager - October 1, 2018 Category: Health Management Tags: Article Source Type: research

Wolcott-Rallison Syndrome With Different Clinical Presentations and Genetic Patterns in 2 Infants
Wolcott-Rallison syndrome is a rare disease presenting with insulin-dependent diabetes mellitus (DM) before 6 months old, skeletal dysplasia after 6 months old, and liver failure. Other manifestations are renal failure, microcephaly, epilepsy, central hypothyroidism, neutropenia, and dental and dermal problems. The cases were 2 patients from 2 different states of Iran (Khoozestan and Fars) who had developed DM before 6 months old. The first one was a 7-month-old infant who was healthy; in the genetic study (screening), autosomal recessive pattern and novel deletion in EIF2AK3 were reported; her sister had died at 5.5 years...
Source: The Health Care Manager - October 1, 2018 Category: Health Management Tags: Article Source Type: research

Nurses’ Perceptions of Engaging With Patients to Reduce Restrictive Practices in an Inpatient Psychiatric Unit
Despite the evidence of harmful effects of restrictive practices on patients and nurses, restrictive practices are still commonly used in the inpatient psychiatric settings. There has been a paradigm shift of a collaborative approach and implementation of patient engagement to reduce the use of restrictive practices. The purpose of this study was to explore nurses' perceptions of engaging with patients to reduce the use of restrictive practices in an inpatient psychiatric unit. This qualitative-descriptive study was conducted on an inpatient psychiatric unit of a large university hospital in Canada. Semistructured individu...
Source: The Health Care Manager - October 1, 2018 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, 2018 Category: Health Management Tags: Case in Health Care Management Source Type: research

The Nationwide Health Information Network: The Case of the Expansion of Health Information Exchanges in the United States
The Nationwide Health Information Network (NHIN) implemented secure exchange of health records through utilization of the Internet. The NHIN has greatly assisted in achieving the goals of the Health Information Technology for Economic and Clinical Health Act by promoting the adoption of Meaningful Use. Epic introduced a Health Information Exchange platform, Care Everywhere, which has facilitated Health Information Exchange availability. The purpose of this research was to determine the impact of NHIN and Epic Care’s Care Everywhere on health care to determine whether their use in the emergency department (ED) has increas...
Source: The Health Care Manager - October 1, 2018 Category: Health Management Tags: Article Source Type: research