Business Commons^™

Consumer Attitude Toward Physician Practice Ownership: Propositions For Future Research, Gary Futrell

Association of Marketing Theory and Practice Proceedings 2024

Employed physicians now outnumber self-employed doctors, with approximately one-third of all U.S. physicians working for a hospital-owned or hospital-affiliated practice and many others employed at larger practices with 11 or more physicians. Consequently, the number of physicians working in small independent practices (those with 10 or fewer physicians) has dropped to nearly 15%. Management literature suggests that ownership of a firm can affect consumer attitudes. Specific to health care, significant research attention has been given to the implications of practice ownership from an operational, managerial, outcomes, and human resources perspective. However, little can be found to address the implications of …

Communication Use In Non-Profit Maternal Health, Marliatou Barry

Student Theses and Dissertations

The promotion of maternal health centrally involves a communication strategy. Effective communication aids in recognizing current issues, determining potential fixes, and persuading others to take action. Therefore, nowadays it is very difficult to dispute the significance of communication in the healthcare industry.In the early 1980s, the World Health Organization (WHO) acknowledged communication as one of the add-on strategies to be employed in promoting health as a result of its pivotal role (WHO, 1984).

This thesis project uses a case study method to explore how non-profit organizations use communication strategies to influence various stakeholders about issues of maternal health. First, a …

Evaluate 503b Facilities For Outsourced Compounds, Sarah Clemente, Brittany Riley, Alberto Coustasse

Pharmacy Practice & Administration

The US health care system has encountered long-standing, complex challenges, including growing costs, overuse of care, staffing shortages and supply chain weaknesses. COVID-19 revived these pressures, transforming the health care landscape. Medication and staffing shortages plague hospital systems, and pharmacies are not exempt. Most health systems have experienced high levels of pharmacy technician turnover, with most reporting a minimum turnover rate of 21% last year. In addition, medication shortages of critical medications and infusions create significant workflow barriers that hospitals must address to ensure patient safety. In the face of these obstacles, health systems are turning to 503B compounding facilities …

Patterns Of Health Care Use Among Rural-Urban Medicare Beneficiaries Age 85 And Older, 2010-2017, Yvonne Jonk Phd, Heidi O'Connor Ms, Amanda Burgess Mppm, Carly Milkowski Mph

Access / Insurance

The purpose of this study was to examine rural-urban differences in health care use among Medicare beneficiaries age 85+. Understanding these differences, and the socioeconomic characteristics that contribute to them, can have important implications for Medicare policies aimed at serving the age 85+ population. Using the Medicare Current Beneficiary Survey 2010-13 Cost and Use and 2015-17 Cost Supplement Files, we examined whether and how rural and urban Medicare beneficiaries age 85+ differ in terms of their:

1. socioeconomic and health characteristics that may inform health care use;
2. trends in health care use, including use of inpatient and emergency department (ED) care; …

Robotics: The Ponderings Of An Hospital Ceo In The Netherlands, Gerard Van Der Star, Arjen Van Klink Dr

Case Studies

A CEO of a Dutch public hospital contemplates about what he just read. This is disrupting news! It will have major consequences when this way of surgery becomes common good. It requires not only surgeons to rethink their profession but what is more important it requires a total new vision on healthcare in particular. The speed of development in the healthcare robot industry is impressive. How much longer does it take before developers find a way to transform robotic systems from being dependent to semi-autonomous to eventually, fully autonomous systems, like what he just read?

Executive Summary: Driving The Southern Nevada Health Economy Forward, Tripp Umbach

Policy Briefs and Reports

The University of Nevada, Las Vegas (UNLV) plans to develop an integrated academic health center within the Las Vegas Medical District (LVMD).1 The academic health center includes UNLV’s five health science schools and mental and behavioral health, which is distributed among several colleges (medicine, liberal arts, urban affairs, and education) in the university. University Medical Center (UMC), a major teaching hospital, will also be an important driver of the academic health center. For the purposes of this report, UNLV’s medical and health science entities along with UMC are referred to collectively as the UNLV Academic Health Center.

Driving The Southern Nevada Health Economy Forward: Benefits Of A Transformational Unlv Academic Health Center, Tripp Umbach

Policy Briefs and Reports

The University of Nevada, Las Vegas (UNLV) plans to develop an integrated academic health center within the Las Vegas Medical District (LVMD). The academic health center includes UNLV’s five health science schools and mental and behavioral health, which is distributed among several colleges (medicine, liberal arts, urban affairs, and education) in the university. University Medical Center (UMC), a major teaching hospital, will also be an important driver of the academic health center. For the purposes of this report, UNLV’s medical and health science entities along with UMC are referred to collectively as the UNLV Academic Health Center. Additional academic health …

Physician Authentic Leadership As Health Care Managers And Its Impact On Subordinates’ Ethical Strength, Eddie M. Christian

Walden Dissertations and Doctoral Studies

Physicians exercising the characteristics of authentic leaders may be better equipped to affect the ethical strength of health care staff and provide a vehicle for reducing corruption in the health care industry. This position suggests that physicians practicing with these particular qualities are more effective than those who are not genuine, transparent, or committed to maintaining emotional balance in their work relations. The purpose of this quantitative correlational study was to determine whether physician authentic leadership (AL) moderated the relationship between physician emotional intelligence (EI) and the moral potency of their billing and codes managers. Survey data were collected from …

Competencies For Successful Middle Managers In Healthcare And Medical Education, Ahmed Al Ansari

Antioch University Full-Text Dissertations & Theses

The Kingdom of Saudi Arabia (KSA) and the Kingdom of Bahrain (KB) are currently in the process of the rapid transformation of health care to a self-sustained autonomous system. Middle managers play a pivotal role in achieving this goal. The aim of this study is to develop a feasible, reliable, and valid scale for measuring the leadership and managerial competencies of MM in KSA and KB. Zhou’s (2019) conceptual framework using a mixed-method approach was followed. After procuring ethical clearance from concerned authorities and informed consent from all the participants (n = 27), semi-structured interviews were conducted across three groups: …

Locating Uncertainty In Hospital Leader Sensemaking And Sensegiving Of Organizational Change: A Single Case Study, Sara E. Barry

Antioch University Full-Text Dissertations & Theses

Leaders planning strategic change face significant ambiguity and uncertainty due to the complex, fast-paced, and volatile nature of organizational life. What one leader sees as an opportunity, another may view as a threat depending on their past experiences, their existing mental models, and their perceptions of uncertainty. Sensemaking and sensegiving theories provide a framework for how leaders retrospectively make sense of new and disorienting information through recursive cycles of interpretation, action, and learning, and seek to influence the meaning-making of others towards a shared vision of the strategic change. Despite decades of research using these theories, studies have yet to …

The Financial Implications Of The Chinese Healthcare System, Lilly Schneider, Chi Hung Kenneth Leung

DU Undergraduate Research Journal Archive

In 1949 one of the world’s most powerful and influential countries was born: The People’s Republic of China. Perhaps the greatest challenge the country has consistently faced since its inception has been ensuring a fiscally sound healthcare system. Today, China has the world’s largest population and a rapidly aging society with 330 million citizens over the age of 65 projected by 2050- nearly the same size as the total U.S. population. Living standards across China have been drastically increasing in recent decades and the Chinese people are desiring better, higher quality healthcare to complement their new lifestyles. With this desire …

Investing In Leadership Development: A Tool For Systems Change In The Community Health Center Field, Michael P. Arnold, Natalie J. Blackmur, Brenda Solórzano, Carolyn Wang Kong, Bobbie Wunsch, Sunita Mutha

The Foundation Review

Over the course of 12 years, the Blue Shield of California Foundation committed nearly $20 million to growing a pool of community health center leaders who were prepared to be effective agents of change in their organizations and in the safety net field. This signature investment, the Clinic Leadership Institute, was implemented in partnership with the Healthforce Center at University of California, San Francisco, in anticipation of a generation of California health center leaders beginning to transition into retirement.

During the institute's 10 cohorts, access to community health centers dramatically increased with the Affordable Care Act, and this — coupled …

A Mission To Improve Health: Lessons From Missouri’S Expanding Coverage Initiative, Anna Saltzman, Shayla Spilker, Megan Klenke-Isgriggs

The Foundation Review

To support the implementation of the Affordable Care Act, in 2013 Missouri Foundation for Health launched the Expanding Coverage Initiative. The fiveyear effort sought to reduce Missouri’s uninsured rate from 13% to less than 5% by developing a broad-based state coalition and employing a three-pronged approach of awareness building and outreach, enrollment assistance, and increasing health literacy.

While the initiative did not achieve its rate-reduction goal, the rate of uninsured Missourians dropped to 9% during the ECI’s time frame, a decrease on par with the national average despite the fact that at the time Missouri was one of 17 states …

Perceptions Of Nurse's Personal Smartphone Use At Work, Esperanza Criscuolo

Walden Dissertations and Doctoral Studies

Distracted nurses who use their personal smartphone at work has resulted in the diversion of attention from patient care. The specific problem is the personal smartphone use by nurses in the hospital settings has resulted in distracted patient care, leading to wrongful release of patient’s information, medical errors, injury or preventable patient death. The purpose of this qualitative study was to describe the perceptions of nurses regarding distracted patient care in their clinical workplace due to personal smartphone use by nurses. The study was grounded in the distraction-conflict theory conceptual framework. The key research question examined the perceptions of nurses …

Human Resource Outsourcing In Health Care: Strategic, Cost, And Technical Considerations, Mark P. Brown, Ross L. Fink

Southern Business Review

Mark P. Brown, PhD., is associate professor of management, Department of Business Management and Administration, Bradley University, Peoria, IL 61625.

Ross L. Fink, Ph.D., is professor of operations management, Department of Business Management and Administration, Bradley University, Peoria, IL 61625.

Understanding The Dimensions Of Medical Crowdfunding: A Visual Analytics Approach, Jie Ren, Viju Raghupathi, Wullianallur Raghupathi

Publications and Research

Background: Medical crowdfunding has emerged as a growing field for fundraising opportunities. Some environmental trends have driven the emergence of campaigns to raise funds for medical care. These trends include lack of medical insurance, economic backlash following the 2008 financial collapse, and shortcomings of health care regulations.

Objective: Research regarding crowdfunding campaign use, reasons, and effects on the provision of medical care and individual relationships in health systems is limited. This study aimed to explore the nature and dimensions of the phenomenon of medical crowdfunding using a visual analytics approach and data crawled from the GoFundMe crowdfunding platform in 2019. …

Health Care Related Education In Tyler Msa, Manuel Reyes-Loya

Hibbs Brief

In this issue of the Hibbs Brief, we discuss some facts related to the health care industry and the linkages it has to education in Tyler.

Strategies Health Care Leaders Use To Implement Strategic Change Initiatives Successfully, Sophia F. Brown

Walden Dissertations and Doctoral Studies

Health care organizations lose a significant competitive edge when leaders fail to align strategic change initiatives with necessary operational activities. Health care leaders who struggle to maintain a competitive edge are at high risk for failure. Pettigrew and Whipp's content, process, and context strategic change management and Hoshin Kanri (HK) program deployment models constituted the composite conceptual framework for this study. The purpose of this qualitative multiple case study was to explore strategies health care leaders use to implement strategic change initiatives successfully. The participants comprised of 4 strategic change leaders from 2 health care organizations in Manhattan, New York, …

Top Management Team Diversity, Equality, And Innovation: A Multilevel Investigation Of The Health Care Industry, A. Erin Bass

A. Erin Bass

The role of women on top management teams (TMTs) is an increasingly important topic for both academics and practitioners. Despite increased attention to gender diversity on TMTs, there remains limited understanding of how gender diversity influences important outcomes of the firm, such as innovation. To this end, I investigate the relationships between two dimensions of TMT diversity—TMT gender diversity and TMT compensation equality—and firm innovation, and consider how TMT size influences these relationships. Using a unique, multilevel, longitudinal sample of publicly traded firms in the U.S. health care industry, I find TMT size to be a key driver in the …

Top Management Team Diversity, Equality, And Innovation: A Multilevel Investigation Of The Health Care Industry, A. Erin Bass

Management Faculty Publications

The role of women on top management teams (TMTs) is an increasingly important topic for both academics and practitioners. Despite increased attention to gender diversity on TMTs, there remains limited understanding of how gender diversity influences important outcomes of the firm, such as innovation. To this end, I investigate the relationships between two dimensions of TMT diversity—TMT gender diversity and TMT compensation equality—and firm innovation, and consider how TMT size influences these relationships. Using a unique, multilevel, longitudinal sample of publicly traded firms in the U.S. health care industry, I find TMT size to be a key driver in the …

Healthcare Operations And Process Improvement Mhm 506, Andree Rathemacher

Library Impact Statements

No abstract provided.

Financial Management Of Health Care Organizations Mhm 503, Andree Rathemacher

Library Impact Statements

No abstract provided.

Strategic Marketing For Healthcare Professionals Mhm 510, Andree Rathemacher

Library Impact Statements

No abstract provided.

Involving Patient/Family Advisors And Advisory Councils With Patient And Family Engagement, Cortney D. Forward

Walden Dissertations and Doctoral Studies

Health care consumers are under-represented in literature when defining patient and family engagement. The proportion of people living longer is rapidly growing. Future research is needed to evaluate which strategies of patient and family engagement are most useful in real-world health care settings for patient and families. The purpose of this study was to describe the lived experiences of patient/family advisors working within patient family advisory councils at an academic medical center in the Midwestern United States. The conceptual framework is based on Greenleaf's servant leadership and Bass's transformational leadership. The research questions examined how patient/family advisors describe patient and …

How Liability Insurers Protect Patients And Improve Safety, Tom Baker, Charles Silver

All Faculty Scholarship

Forty years after the publication of the first systematic study of adverse medical events, there is greater access to information about adverse medical events and increasingly widespread acceptance of the view that patient safety requires more than vigilance by well-intentioned medical professionals. In this essay, we describe some of the ways that medical liability insurance organizations contributed to this transformation, and we catalog the roles that those organizations play in promoting patient safety today. Whether liability insurance in fact discourages providers from improving safety or encourages them to protect patients from avoidable harms is an empirical question that a survey …

Critical Success Factors For Adopting Telemedicine Applications, Arjen Maris, Anas Yousfi, Stefan V. Ramshorst, Pascal Ravesteyn

Communications of the IIMA

The use of IT within healthcare is increasing, but at a slow rate. In complex projects like the implementation of a telemedicine application within the context of physiotherapy processes where both practitioners and patients use the application, it is still unclear what factors should be taken into consideration for a successful adoption. Therefore, the research question for this study is: ‘what are the critical success factors for adopting a telemedicine application for primary physiotherapists and their patients within the Netherlands?’ A literature study is performed followed by a thematic analysis to determine the factors that are relevant for adoption of …

Hospital Cost Accounting: Saving Lives And Saving On Costs, Amanda Whitehouse

Honors Projects in Accounting

Within an industry constantly pursuing accuracy, a cost accounting system that addresses the ongoing concerns of saving money and increasing efficiency is a must. Now more than ever, hospitals require reliable information to combat the conflicting relationship between an increase in spending on new instruments and specialized staff, but a decrease in funding. This project explores potential avenues to find a successful cost accounting method using past research, analysis of hospitals’ current environments, and expert opinions from hospital and healthcare personnel. Each hospital is different based on their environment, surrounding population, type of services provided, and personal demands. This study …

Passion With Purpose A Case Study Of St. Jude Children’S Research Hospital, Allyson Favuzza

Honors Projects in Management

St. Jude Children’s Research Hospital is “leading the way the world understands, treats, and defeats childhood cancer and other life threatening diseases” (St. Jude Children’s Research Hospital). Fifty-five years ago when St. Jude opened its doors, the overall childhood cancer survival rate was 20 percent; today, the overall childhood cancer survival rate exceeds 80 percent. Through research and discovery, St. Jude has played a pivotal role in increasing this survival rate. St. Jude, a non-profit organization and hospital in Memphis, Tennessee, operates primarily through donations. St. Jude-American Lebanese Syrian Associated Charities (ALSAC) is the fundraising and awareness organization with the …

Achieving Meaningful Use Of Electronic Health Records: Prospects For Blockchain In Ontario's Health Care System, Amitha Carrnadin

Major Papers

Over the past decade, the Government of Ontario has devoted significant resources to the digitization of patient health records with the goal of improving data storage, management, transfers and, ultimately, patient care. Adoption rates for digitized records, known as electronic health records (EHR), and accompanying systems, has been high among health care providers in Ontario. Yet, research has demonstrated that a number of barriers appear to inhibit the effective use of EHRs among clinicians. These barriers can impede or delay meaningful use of EHRs and accordingly, limit their ability improve information exchanges, service delivery and patient care.

This paper reviews …

Are Hospital Efficiency And Quality Of Care Affordable Without External Revenue?, Frank Pieter M. Naus, Carol-Anne Faint, Rocky J. Dwyer

International Journal of Applied Management and Technology

This qualitative study explored strategies academic research hospital administrators in Ontario, Canada, apply to generate nongovernment revenue to remain sustainable. The participants in the study consisted of senior-level academic research hospital executives with extensive experience in the subject area from major academic research hospitals, ranking the hospitals from highest to lowest in revenue generation. From this study, five themes emerged: working within the fiscal reality, the impact of the political environment, the focus on the mission, nongovernment revenue generation, and opportunities for the Ontario academic research hospitals. Findings from this study may contribute to discussions on implementing change by encouraging …