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Management Information Systems Commons™
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Full-Text Articles in Management Information Systems
A State-Sponsored Approach To Quality Improvement In Nursing Homes: Insights From Providers, Kathleen Abrahamson, Priscilla Arling, Greg Arling
A State-Sponsored Approach To Quality Improvement In Nursing Homes: Insights From Providers, Kathleen Abrahamson, Priscilla Arling, Greg Arling
Priscilla Arling
In 2006, the Minnesota Performance-based Incentive Payment Program (PIPP) was launched to fund provider-initiated quality improvement (QI) projects addressing a wide range of persistent quality issues in nursing homes (eg, falls, pain, mobility, psychotropic medication reduction, care transitions). In this article, the authors describe the perceptions of nursing home providers who participated in a PIPP-funded QI project and completed a survey addressing a variety of QI-related concerns. Respondents noted the importance of support from top leadership, reported being challenged by resource constraints, and generally thought that their project positively impacted quality within their facility. These findings highlight the importance of …
An Application Of The Socio-Technical Systems Approach To Implementation Of Electronic Evidence Into Practice: The Clinical Practice Model Framework, Kathleen Abrahamson, Priscilla Arling, Bonnie Wesorick, James Anderson
An Application Of The Socio-Technical Systems Approach To Implementation Of Electronic Evidence Into Practice: The Clinical Practice Model Framework, Kathleen Abrahamson, Priscilla Arling, Bonnie Wesorick, James Anderson
Priscilla Arling
Implementation of electronic evidence into the practice environments of clinical staff is an ongoing challenge in health care organizations. Despite localized efforts to integrate point-of-care technology with clinical practice, system-wide transformation across multiple clinical settings has not commonly occurred. This paper examines a framework designed to guide the implementation of evidence-based practice using technology in health care settings from the theoretical lens of the Socio-Technical Systems (STS) approach. The framework under study is called the CPM Framework™, developed by the Clinical Practice Model Resource Center (CPMRC). The CPMRC is a collaborative consortium of health care providers representing over 300 rural, …
Comparing Electronic And Face-To-Face Communication In The Success Of A Long-Term Care Quality Improvement Collaborative, Priscilla Arling, Edward Miech, Greg Arling
Comparing Electronic And Face-To-Face Communication In The Success Of A Long-Term Care Quality Improvement Collaborative, Priscilla Arling, Edward Miech, Greg Arling
Priscilla Arling
Researchers have long debated the effectiveness of electronic communication for getting work done in organizations, with many arguing that face-to-face interaction is key to high quality work and desired outcomes. Yet in healthcare quality improvement (QI) collaboratives, membership is frequently comprised of individuals from different, geographically dispersed organizations. This study examines the relationship between electronic and face-to-face interaction and the outcomes of a specific QI collaborative, the Empira Fall Prevention project in Minnesota. Outside of regularly scheduled meetings, the level of electronic communication reported by participants was associated with better outcomes in terms of reducing the percentage of new falls …
Communication And Effectiveness In A Us Nursing Home Quality-Improvement Collaborative, Priscilla Arling, Kathleen Abrahamson, Edward J. Miech, Thomas S. Inui, Greg Arling
Communication And Effectiveness In A Us Nursing Home Quality-Improvement Collaborative, Priscilla Arling, Kathleen Abrahamson, Edward J. Miech, Thomas S. Inui, Greg Arling
Priscilla Arling
In this study, we explored the relationship between changes in resident health outcomes, practitioner communication patterns, and practitioner perceptions of group effectiveness within a quality-improvement collaborative of nursing home clinicians. Survey and interview data were collected from nursing home clinicians participating in a quality-improvement collaborative. Quality-improvement outcomes were evaluated using US Federal and State minimum dataset measures. Models were specified evaluating the relationships between resident outcomes, staff perceptions of communication patterns, and staff perceptions of collaborative effectiveness. Interview data provided deeper understanding of the quantitative findings. Reductions in fall rates were highest in facilities where respondents experienced the highest levels …
Knowledge Sharing And Knowledge Management System Avoidance: The Role Of Knowledge Type And The Social Network In Bypassing An Organizational Knowledge Management System, Susan A. Brown, Alan R. Dennis, Diana Burley, Priscilla Arling
Knowledge Sharing And Knowledge Management System Avoidance: The Role Of Knowledge Type And The Social Network In Bypassing An Organizational Knowledge Management System, Susan A. Brown, Alan R. Dennis, Diana Burley, Priscilla Arling
Priscilla Arling
Knowledge sharing is a difficult task for most organizations, and there are many reasons for this. In this article, we propose that the nature of the knowledge shared and an individual's social network influence employees to find more value in person-to-person knowledge sharing, which could lead them to bypass the codified knowledge provided by a knowledge management system (KMS). We surveyed employees of a workman's compensation board in Canada and used social network analysis and hierarchical linear modeling to analyze the data. The results show that knowledge complexity and knowledge teachability increased the likelihood of finding value in person-to-person knowledge …