Health and Medical Administration Commons^™

Root Cause Analysis To Improve Incident Reporting In An Ambulatory Care Setting, Lisa Ann Duncan

Doctor of Nursing Practice (DNP) Projects

Problem: The subject organization (SO) is a Federally Qualified Health Center (FQHC) with an internally developed incident reporting system. The SO wanted to improve patient and employee safety using data from incident reports, but the incident reporting system did not give enough information to recognize patterns and develop countermeasures.

Context: Supervisors welcomed the opportunity to learn more about incident report follow-up and conducting root cause analysis (RCA). Members of the Safety Committee were eager for data to use to develop countermeasures to improve patient and employee safety. Decreases in employee injuries can save the SO from increases in the …

Finding The Narrative In Incident Reports, La'eeqa Aslam

Master's Projects and Capstones

The Progress Foundation, as licensed by the state of California and the Community Care Licensing, is required to use incident reports for internal audits and remain in compliance as a health facility. Incident reports are used to record events or accidents that have occurred within an organization. Often times, reports are made, handed off, and given from the residence home to the Community Care Licensing with little to no information of how an incident was managed. The Progress Foundation is working towards tracking information from the incident reports to improve internal management and understand the trends in the reports.

In …

Essays On The Patient-Centered Medical Home In The United States Military Health System, Glen N. Gilson

Theses & Dissertations

The Patient-Centered Medical Home has been endorsed by the primary care community as the model of the future, with hopes that it will increase quality of care and the patient and provider experience while decreasing costs. Many aspects of the implementation of the Patient-Centered Medical Home model remain unexplored. This dissertation comprises three independent studies examining Patient-Centered Medical Home implementation in the Military Health System, including (1) the effects of environmental correlates on the time to implement the model, (2) the impact of differences in implementation on preventive care quality outcomes, and (3) the effect of differences in implementation on …

The Relationship Between Admission Criteria And Pre-Service Teacher Preparedness For A Small Rural Educator Preparation Provider, Gerald Mihelic, Chancey Bosch, Kim Boyd, Mary Lou Miller

Administrative Issues Journal

Pre-service teacher preparedness is a measurement of a teacher candidate’s ability to become an effective teacher (Clark, Byrnes, & Sudweeks, 2015). A growing number of Educator Preparation Providers’ (EPPs’) accrediting agencies are insisting that to improve pre-service teacher preparedness, EPPs must increase the rigor of their admission criteria. However, the research is inconclusive regarding whether a relationship exists between admission criteria and pre-service teacher preparedness. Therefore, the purpose of this study was to investigate the relationship between the Educator Preparation Provider’s (EPP’s) current teacher education program admission criteria and pre-service teacher preparedness measurements to determine if the EPP should increase …

Using Curriculum Mapping And Visualization To Maximize Effective Change, Kelli Schutte, Chris Mccullick, David Line

Administrative Issues Journal

This paper shares the process of developing a fully integrated assessment framework and model for a mapping curriculum. The foundational aspects of this model are the development of layered outcomes that occur at each level of the curriculum and the linking of courses together to ensure building blocks that are progressive within a program. The presented framework not only measures this integrated nature but also allows for assessment that is both summative and formative. A view of the different aspects of curriculum application—from knowledge building, application of knowledge, and transferability of knowledge to new contexts—is a focus of the course …

Letter From The Editors, Administrative Issues Journal Editors

Administrative Issues Journal

No abstract provided.

Examining The Relationship Of Textbooks And Labs On Student Achievement In Eighth Grade Science, Don Jones, Marie-Ann Mundy, Lavonne Fedynich, Anacita Sugalan

Administrative Issues Journal

One of the most important objectives of teachers, parents, school administrators, and students is to improve student scores on standardized tests, such as the State of Texas Assessment for Academic Readiness (STAAR) in eighth-grade science. This quasi-experimental study examined the science achievement scores between schools that used different textbooks and labs when delivering instruction. This study utilized a quantitative approach, using archival data and survey design. Analysis of covariance (ANCOVA) and multiple regression were used to analyze the data while controlling STAAR eighth-grade reading scores to reveal significant differences between classes. The sample and population for this study were predominantly …

"This Doesn't Happen Here": Child Sex Trafficking In Rural Oklahoma, Denise Blum, Tania Benoiton, Sean Kinder

Administrative Issues Journal

The sex trafficking of minors is a hard-to-detect and underreported crime. Its insidiousness makes it exceedingly difficult to recognize, and treatment, once a victim is recovered, is long-term and costly. Urban areas are in the spotlight when it comes to the trafficking of minors. However, the unsuspecting rural context consists of specific dynamics that may make children in the countryside more vulnerable than in the city. Using the case of an Oklahoma town, the researchers conducted a presentation on child sex trafficking for school personnel at a K-8 rural school. They administered pre- and post-surveys and conducted follow-up interviews with …

State Of Practice In Accessible Instructional Material Policy In Public Post-Secondary Settings, Veronica Mcgowan

Administrative Issues Journal

For many students, easy access to instructional materials is an expectation of course enrollment. However, for students with disabilities, obtaining instructional materials may involve hurdles such as transcription, captioning, and requesting a braille or large-print version. In order to explore themes related to accessibility and services for students with disabilities, the goal of this study was to examine the similarities and differences between publicly communicated policies related to accessible instructional materials in public post-secondary educational settings. To that end, this study consists of website-provided accessible instructional materials policy of 60 higher educational institutions, representing five American geographic areas and four …

Universities Can Learn Too: Extracting The Value Stram From Small-Dollar Transactions, Richard J. Palmer, Mahendra Gupta, James Brandt

Administrative Issues Journal

Based on survey responses of 350 colleges and universities in North America in 2017, we find that the majority of benefits from purchasing card use are falling to a minority of card-using educational institutions. This study examines the extent to which p-card programs at colleges and universities in North America “fail to launch,” and presents an outline for program selfassessment, identifies common obstacles in implementing a successful p-card program, and provides a roadmap to rehabilitate a languishing p-card program.

Macc Curriculum And Cpa Exam Passage Rates: An Exploratory Study, Evan M. Shough, Beth Stetson, Aubree Walton, Kaimee Tankersley

Administrative Issues Journal

The growing popularity of Master of Accounting programs can be attributed to multiple factors, but the states’ adoption of the 150-credit hour educational prerequisite for Certified Public Accountant licensure was clearly influential in stimulating enrollment growth. Despite the growth and importance of Master of Accounting programs, comparative data of program prerequisites and curriculum is scarce. Equally limited are empirical analyses of the effects of graduate curriculum upon CPA Exam passage rates. To address the paucity of information, we examined the program prerequisites and curriculum of 283 Master of Accounting programs, all of which are based in the United States and …

The Relationship Of Academic Indicators And Professional Disposition To Teaching Skills: A Secondary Data Analysis, Justin J. Wageman, Sarah K. Anderson, Stacy Duffield, James Nyachwaya

Administrative Issues Journal

This study compared teaching skill evaluations and professional disposition evaluations for candidates accepted and denied admission to an educator preparation program based upon GPA and testing requirements. The study sought to determine the relationship between academic and non-academic indicators and teaching skills. The data revealed academic indicators of GPA and test scores do not relate to teaching skills. A correlation was found between non-academic indicators, professional dispositions, and the teaching skills evaluation score. The results suggest professional dispositions may be a stronger indicator of success for admission to educator preparation programs and future licensure than GPA and test scores.

Ready For Action: Developing Classroom Teams To Prepare Students For The Business World, Bradley Wesner, Ashly Smith, Traci Austin

Administrative Issues Journal

The ability to work in teams is one of the most highly valued professional skills. Preparing students to operate effectively in workplace teams, therefore, is naturally a priority for business and management faculty. Managing course-based teams, however, can be a challenging and complicated process for many instructors. This article offers instructors practical solutions to those challenges. After a brief review of relevant literature on workplace and course-based teams, the authors provide the results of a survey of 207 current undergraduate business students conducted in the fall of 2015 in which the authors sought to determine: (1) the factors that influence …

Overcoming Employer Perceptions Of Online Accounting Education With Knowledge, Rhonda J. Richards, Robert Stevens, Lawrence Silver, Stephanie Metts

Administrative Issues Journal

Accounting education is moving toward an online learning environment. While many universities teach in the face-to-face environment, or at least offer that option, there are also many universities offering online accounting education. Attitudes and intentions of potential employers of accounting students need to be understood by academics as well as by university students. Accreditation and training can play a key role in effective online accounting education. The purpose of this study was to identify and examine factors that have a significant impact on employer perceptions of online accounting education. A survey was developed from literature review and interviews and then …

Teamwork, Communication, And Data: 3 Keys To Large- Scale Practice Change In Opioid Prescribing, Linda Cruz, Ryan Dix

Books, Presentations, Posters, Etc.

This session will share lessons learned from the four-year implementation of a pain-care pathway across 45 patient-centered medical home (PCMH) clinics in Oregon. Leveraging the PCMH team, communication, and data to improve pain management and reduce risk, Providence Medical Group was able to realize a 68% reduction of patients on high-dose opioids. After this presentation you will be able to:

1. Explain a scalable approach, using CDC guidelines, to implement a pathway to reduce opioid prescribing in primary care
2. Discuss three key principles of implementing a pain-care pathway in a team-based care environment
3. Develop an opioid care pathway action plan at …

What's Happening: December 10, 2018, Maine Medical Center

What's Happening

No abstract provided.

The Continuing Epidemic Of Hepatitis C In The United States: The Case Of West Virginia, David P. Paul Iii, Neha Botre, Maggie Phillips, Jumana Abboud, Alberto Coustasse

Alberto Coustasse, DrPH, MD, MBA, MPH

Hepatitis C virus (HCV) is one of the most significant public health problems currently facing the U.S. If it is left untreated, the likelihood of sustaining a treatment response decreases. While early identification has been identified as a critical focus in trying to obtain better health outcomes, new drug treatments appear quite promising.

11-06-18 Hsc Committee Meeting Minutes, Hsc Committee

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

No abstract provided.

What's Happening: December 3, 2018, Maine Medical Center

What's Happening

No abstract provided.

Service Operations Center Improves Hospital Flow And Reduces Ed Boarding!, Jeanne Rhynsburger, Patty Palmer, Michelle Hansen

Books, Presentations, Posters, Etc.

Swedish Edmonds 3 year journey to optimize hospital flow by opening a Service Operations Center – flow management hub.

Notable improvements included:

1. Patient visit times decreased 27 minutes per patient
2. Emergency department (ED) admit times decreased 68 minutes per patient
3. Boarding hours decreased 20%.