Health and Medical Administration Commons^™

The Lived Experience Of Healthcare Leadership Dyads: Perceptions Of Agency, Susan Murphy Campanelli

All Theses And Dissertations

Healthcare leadership is evolving in response to recommendations from the Institute of Healthcare Improvement (IHI). Physicians and administrators are partnering to form leadership dyads. These leadership dyads are focusing on improving healthcare quality, decreasing costs, and improving access. Existing literature on healthcare dyads explores leadership training needs for physicians, focuses on the differences between physicians and administrators, and emphasizes the need to develop role clarity for dyad leaders. There is a lack of empirical literature exploring how the physician and the administrator develop into a leadership team and extend shared leadership into their organization.

This phenomenological study applies Bandura’s (1986) …

Letter From The Editors

Administrative Issues Journal

The summer 2019 edition of the AIJ begins with an exploration of the relationships between clients, headhunters, and candidates throughout the executive recruitment process in Executive recruitment triads from an agency theory perspective by Carlos Baldo, Ramón Valle-Cabrera, and Miguel Olivas-Lujan.

Executive Recruitment Triads From An Agency Theory Perspective, Carlos Miguel Baldo, Ramon Valle, Miguel Olivas-Lujan

Administrative Issues Journal

The relationships between clients, headhunters, and candidates during the executive search process has not been researched using agency theory as the theoretical framework. This is puzzling, as the existence of common objectives and information asymmetries between these three parties make agency theory an ideal one to explain the interactions between them. We addressed this gap by developing six testable propositions for researchers. Practitioners may also benefit from the study as understanding the human assumptions in the process of executive recruitment may help increase the chances of achieving positive outcomes.

A Review Of Some Diverse Models Of Summer Bridge Programs For First-Generation And At-Risk College Students, Berverlyn Grace-Odeleye, Jessica Santiago

Administrative Issues Journal

Many colleges are pursuing innovative alternative approaches for the development of education I that aims to accelerate students’ progress in gaining important academic competencies. Summer bridge programs are one such approach. These bridge programs offer underprepared and at-risk students the opportunity to advance toward college-level coursework during the summer before their freshman year. These summer bridge programs have grown increasingly popular, as a strategy for providing students with the foundational college courses, knowledge and skills required for college success. Many integrated programmatic approaches and resources have been developed to address this issue, including general education freshman courses in reading, writing, …

Introducing A Virtual Emergency Operations Center Into A Higher Education Curriculum, Harry Hueston, "Chip" George K. Orton Iii

Administrative Issues Journal

At West Texas A&M University, faculty members in the Criminal Justice and Emergency Management programs teach students how to deal with man-made and natural disasters. These program courses require students to learn about the National Incident Management Systems (NIMS) in addition to passing certain requirements. Each student must pass NIMS courses 100 and 200 as part of their coursework where students are given the opportunity to work through a table-top exercise involving a natural or man-made disaster. Over the past several years, due to the success of these exercises, one of the criminal justice professors proposed a funding project to …

Not Too Small To Be Strategic: The State Of Academic Program Review Guidelines And Instrumentation In Public Institutions, Veronica F. Mcgowan

Administrative Issues Journal

In higher educational settings, the academic program review process allows academic units to solicit feedback, make data-driven decisions regarding effectiveness and sustainability, and report to stakeholders. In order to discover trends and best practices in the current state of academic program review in higher education, examined was a sample of 53 processes representing a range of small-to-large public institutions in the United States in the categories of associate-degree granting, bachelors-degree granting, and masters-degree granting. Using a content analysis methodology, outcomes assessment and the use of data results featured prominently with 86.7% of the sample requiring their incorporation in academic program …

Less Than/More Than: Issues Associated With High-Impact Online Teaching And Learning, Ricardo Montelongo

Administrative Issues Journal

The increased presence of online education in higher education in the United States continues to challenge educators in their perceptions of teaching and learning experiences in virtual environments. While critiques of online education typically focus on its “less than” shortcomings, this literature review encourages educators to take a “more than” approach when providing institutional support. Online education provides beneficial outcomes for faculty, students, and administration when viewed for its potential in providing innovative teaching and learning. The financial challenges involved in providing these practices are addressed to justify investment in faculty effort, organizational support and professional development, and equitable student …

The Accounting Doctoral Shortage: Accounting Faculty Opinions On Hiring Jd-Cpas As Accounting Educators, Ramsey L. Cardwell, Ronald O. Cardwell, J.T. Norris, Michael P. Forrest

Administrative Issues Journal

Objectives: Prior studies have noted that the number of PhDs in accounting are far below the number needed to meet program hiring needs. This paper reviews how the JD-CPA alternative credential is viewed by three academic accreditation bodies (SACS, ACBSP, and AACSB), the American Bar Association (ABA), and current accounting faculty at SACS-accredited institutions of higher education. Methods: An online survey was distributed to accounting educators at 439 institutions accredited by SACS, with 248 complete responses received. Individual demographics and institutional information were summarized statistically. Responses to two questions assessing inclination to hire an otherwise-qualified JD-CPA candidate using …

June 2019, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

National Safety Month

Injuries are the leading cause of death for Americans ages 1 to 44. The good news? Everyone can get involved to help prevent injuries. During National Safety Month, SWOSU is working with community members to help reduce the risk of injuries. This June, we encourage you to learn more about important safety issues like preventing poisonings, transportation safety, and slips, trips, and falls.

Just Culture: It's More Than Policy, Linda Ann Paradiso, Nancy Sweeney

Publications and Research

Any healthcare organization’s top priority is effective and safe care. Despite this, medical error is the third-leading cause of death in the US. Hospitals are imperfect systems where nurses have competing demands and are forced to improvise and develop workarounds. Errors rarely occur in a vacuum, rather they’re a sequence of events with multiple opportunities for correction. Clinical nurses can have a significant impact on reducing errors due to their proximity to patients. When errors are identified, the events and impact on safe care need to be shared. Just culture is a safe haven that supports reporting. In a just …

Potential Savings From Consumer-Driven Health Plans, Jessica Mcnair, Brittany White, Christopher Miller, William Ferguson, Alberto Coustasse

Alberto Coustasse, DrPH, MD, MBA, MPH

Consumer Driven Health Plans (CDHPs) have been identified as a high-deductible insurance option that has increased consumer responsibility while health care expenditures have decreased. Anticipated savings through the use of CDHPs have drawn increased interest of employers and policymakers. The increased need to control healthcare costs as well as healthcare utilization have also fostered the development of increased use of CDHPs. As the use of CDHPs have expanded, educated consumers have become more engaged in their healthcare services and have increased demands for transparency of healthcare costs. Healthcare costs, utilization, and moral hazard of this study are further discussed.

Implications Of Upcoding On Medicare, Katrina Cremeans, Samantha Marcum, Carli Followay, Jessica Oldaker, Alberto Coustasse

Alberto Coustasse, DrPH, MD, MBA, MPH

The complexity of and amount of funds involved in Medicare has led to a significant increase in the incidence of Medicare fraud. A type of Medicare fraud, upcoding, has contributed to excessive and unnecessary health care spending. Upcoding has been an illegal strategy that some providers have used to increase their Medicare reimbursement for certain conditions. This is accomplished by coding a provided service as a more expensive service than what was actually performed. With the proliferation of upcoding, there has been an astonishing $12.5 billion in fraudulent Medicare charges since 2007. The fraudulent strategy of upcoding to increase Medicare …

Use Of Best Practice Alerts To Improve Adherence To Evidence-Based Screening In Pediatric Diabetes Care, Daniel Desalvo, Sara K. Bartz, Blair Mockler, Rona Y. Sonabend

Journal of Nursing & Interprofessional Leadership in Quality & Safety

Background: Youth with type 1 diabetes (T1D) are at increased risk for comorbid autoimmune conditions and long-term complications. To help with early identification of these complications, the American Diabetes Association (ADA) has published evidence-based screening guidelines. The aim of our quality improvement intervention was to improve and sustain adherence to the ADA recommended screening guidelines to >90% for youth with T1D in the Texas Children’s Hospital (TCH) Diabetes Center by utilizing best practice alerts (BPA) within the electronic medical record (EMR).

Methods: In accordance with the ADA Standards of Care screening guidelines for youth with T1D, we analyzed the database …

What's Happening: May 27, 2019, Maine Medical Center

What's Happening

No abstract provided.

Patient’S Utilization Of Health Information Technologies For Disease Self-Management, Mahmoud Hamzeh Altawalbih

Dissertations

Background: The rapid growth of Health Information Technologies (HITs) provides

patients with greater opportunity to take control over their health. HITs utilization has

been proven to be a critical component of disease self-management and can result in

positive outcomes. Its widespread adoption and utilization is still relatively low among

patients with chronic disease. It is important to understand the factors that may impact

HITs utilization, such as the perceived Task-Technology Fit (TTF). A very limited

number of studies have examined the relationship between HITs utilization and the

perceived fit between task and technology in the context of TTF theory.

Aims/ …

Implementation Of A Critical Incident Stress Management Program For Nurse Anesthetists., Peter C. Slivinski, Joanne V. Hickey

Journal of Nursing & Interprofessional Leadership in Quality & Safety

BACKGROUND: Healthcare is a stressful profession where in addition to routine stressors, there are critical incident (CI) events which are occurrences capable of overwhelming an individual’s normal coping mechanisms. The purpose of this quality improvement project was to improve the process by which certified registered nurse anesthetists (CRNAs) exposed to critical incident events are provided post-critical incident support thus mitigating the potential for CI stress

METHODS: We created a CI stress management pilot program for nurse anesthetists employed by an academic hospital located in the Southeastern United States. The program was based upon concepts introduced by Medically Induced Trauma Support …

6-4-2019 Hsc Committee Notice Of Cancellation, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

What's Happening: May 20, 2019, Maine Medical Center

What's Happening

No abstract provided.

What You Need To Know About Bar-Code Medication Administration, Marie E. Mcbee Dnp, Msn, Martha Kuhlmann Dnp, Msn, Rn, Fnp, Pmhcns-Bc, Aprn, Pam Patterson Dnp, Msn, Ne-Bc

Journal of Nursing & Interprofessional Leadership in Quality & Safety

Medication errors are the most common type of preventable error. Bar-code medication administration (BCMA) technology was designed to reduce medication administration errors. Poor system design, implementation and workarounds remain a cause of errors. This paper reviews the literature on BCMA, identifies a gap in the findings and identifies three evidence based practices that could be used to improve system implementation and reduce error. The literature review identified that Bar-code medication administration and system workarounds are well documented and affect patient safety. Based on the critical analysis of 10 studies, we identified gaps in the standardization of BCMA planning, implementation, and …

Peripheral Intravenous Infiltrates: Engaging Staff To Increase Reporting, Emily Weber, Kimberly Castrillon, Joyce Ramsey-Coleman

Journal of Nursing & Interprofessional Leadership in Quality & Safety

A large free standing children’s academic hospital aimed to improve patient safety and outcomes by decreasing the overall severity of peripheral intravenous infiltration and extravasations (PIVIEs). A care bundle was developed by creating a PIVIE measurement tool within the electronic medical record (EMR) and integrating the tool into standardized daily practice for nurses. The care bundle included creating a team of clinical leaders consisting of empowered bedside nurses acting as mobilized resources embedded into each unit. The initiative resulted in a large scale increase in reported PIVIEs system-wide within 1 month of education dissemination to bedside RN staff. The QI …