Open Access. Powered by Scholars. Published by Universities.®
- Keyword
-
- E-business and e-government (7)
- Health Informatics (6)
- Information Systems Development (3)
- Internet (3)
- Local government (3)
-
- Municipal Councils (3)
- Patient Safety (3)
- Risk Management (3)
- Benefits (2)
- Complexity theory (2)
- E-Government (2)
- Health Information Technology (2)
- Health Management and Finance Research (2)
- Healthcare (2)
- Hospitals (2)
- Human factors (2)
- Mobile devices (2)
- Organizational development (2)
- Other (2)
- Patient safety (2)
- Quality Management (2)
- Action research (1)
- Adaptedness (1)
- Administration and Leadership (1)
- Adoption (1)
- Adverse event (1)
- All payer system (1)
- Attention economy (1)
- Attention spans (1)
- Attribution Theory (1)
- Publication Year
- Publication
- File Type
Articles 1 - 30 of 34
Full-Text Articles in Business
Continuing Development Of An All Payer Health Care System In Maryland, David P. Paul Iii, Taeko Matsumoto, Alberto Coustasse, Lama Mohammed Bakhamis, Mary Lynn Harshbarger
Continuing Development Of An All Payer Health Care System In Maryland, David P. Paul Iii, Taeko Matsumoto, Alberto Coustasse, Lama Mohammed Bakhamis, Mary Lynn Harshbarger
Alberto Coustasse, DrPH, MD, MBA, MPH
The state of Maryland, in collaboration with the Centers for Medicare and Medicaid, developed the first all-payer system model in the U.S. in 1971, and some 35 years later in response to financial pressures, modernized this program. The focus of the modernized program was to improve overall per capita expenditure, quality of care, and the outcome of Marylanders’ health. This study showed positive change in moving its healthcare delivery model from volume-driven care to value-driven coordinated care. Maryland hospitals have changed their mindsets to achieve the Triple Aim of cost reduction, health improvement, and quality of care improvement for the …
Post-Project Debriefings As Part Of Performance Improvement, Laura A. Sefton, Judith A. Savageau, Linda M. Cabral
Post-Project Debriefings As Part Of Performance Improvement, Laura A. Sefton, Judith A. Savageau, Linda M. Cabral
Judith A. Savageau
Blog post to AEA365, a blog sponsored by the American Evaluation Association (AEA) dedicated to highlighting Hot Tips, Cool Tricks, Rad Resources, and Lessons Learned for evaluators. The American Evaluation Association is an international professional association of evaluators devoted to the application and exploration of program evaluation, personnel evaluation, technology, and many other forms of evaluation. Evaluation involves assessing the strengths and weaknesses of programs, policies, personnel, products, and organizations to improve their effectiveness.
Is The Nationwide Health Information Network Feasible?, Tyler Godby, Christian Gomes, Jazmine Valle, Alberto Coustasse
Is The Nationwide Health Information Network Feasible?, Tyler Godby, Christian Gomes, Jazmine Valle, Alberto Coustasse
Alberto Coustasse, DrPH, MD, MBA, MPH
Nationwide Health Information Network (NHIN) use in healthcare facilities was examined for utilization and efficacy, although the advantages are abundant, healthcare facilities have been reluctant to adopt it due to associated costs. The purpose of this study was to analyze the feasibility of a U.S NHIN by exploring and determining the benefits of and assessing the barriers to its implementation. The results of this study suggest that implementation and utilization of NHIN by healthcare industry stakeholders leads to an increased quality of patient care, increased patient-provider communication, and cost savings opportunities. Increased quality of care is achieved by reducing adverse …
How Could, Should, And Would Physicians Use Facebook With Patients, Joy Peluchette, Katherine Karl, Alberto Coustasse
How Could, Should, And Would Physicians Use Facebook With Patients, Joy Peluchette, Katherine Karl, Alberto Coustasse
Alberto Coustasse, DrPH, MD, MBA, MPH
After reviewing the benefits and risks of social media, we examine online discussion boards to determine the thoughts of physicians and patients regarding the use of Facebook to communicate with one another about health-related issues. Of the 290 comments analyzed, we found 42 percent were opposed to physicians using Facebook. Additionally, most (51.7 were opposed to physicians being Facebook “friends” with patients. Most opponents expressed concerns about privacy and the need to maintain professional boundaries in the physician-patient relationship. We provide suggestions for how healthcare administrators can effectively manage their social media presence and provide assistance to physicians.
When Does Marketisation Lead To Privatisation? Profit-Making In English Health Services After The 2012 Health And Social Care Act, Nick Krachler, Ian Greer
When Does Marketisation Lead To Privatisation? Profit-Making In English Health Services After The 2012 Health And Social Care Act, Nick Krachler, Ian Greer
Ian Greer
Governments world-wide have attempted to use market mechanisms and privatisation to increase the quality and/or reduce the cost of healthcare. England’s Health and Social Care Act 2012 is an attempt to promote privatisation through marketisation in the National Health Service (NHS). While the health policy literature tends to assume that privatisation follows from private-sector entry points, we argue that this is more likely if firms expect to make a profit. This paper examines the link between privatisation and marketisation in England drawing on 32 semi-structured interviews with private-sector and public-sector respondents, campaigners, and other experts conducted 6-10 months after the …
The Neighborhood Cancer Center, Gregory R. Harper Md, Phd, Debbie Salas-Lopez Md, Mph, Keith J. Weinhold Mha, Elliot J. Sussman Md, Mba
The Neighborhood Cancer Center, Gregory R. Harper Md, Phd, Debbie Salas-Lopez Md, Mph, Keith J. Weinhold Mha, Elliot J. Sussman Md, Mba
Debbie Salas-Lopez MD, MPH
No abstract provided.
Rate Setting And Disclosure In Continuing Care Retirement Communities (Ccrcs), Seth C. Anderson, Jeffrey E. Michelman, Raymond M. Johnson, Kristi Quick
Rate Setting And Disclosure In Continuing Care Retirement Communities (Ccrcs), Seth C. Anderson, Jeffrey E. Michelman, Raymond M. Johnson, Kristi Quick
Jeffrey E Michelman
By 2026, the population of Americans age 65 and older will double to 71.5 million. According to a recent study by Metlife, et al., there are five important issues that impact both current and future retirees: Increased longevity with Americans living longer; Changing economic factors such as increased health care costs; A growing skills shortage in many industries; Different beliefs about work among the aging Baby Boomer generation; and Financial resources available for retirement. All five of these factors affect both the ways seniors plan for retirement and the ways that organizations providing services to seniors must respond. Continuing care …
Comparative Cost Analysis Of Crrt In Icu/Ccu Patients Undergoing Cardiovascular Surgery Vs. Other Procedures At A Texas Hospital, Tejaswi Belavadi, Alberto Coustasse, Douglas Mains, Antonio A. Rene
Comparative Cost Analysis Of Crrt In Icu/Ccu Patients Undergoing Cardiovascular Surgery Vs. Other Procedures At A Texas Hospital, Tejaswi Belavadi, Alberto Coustasse, Douglas Mains, Antonio A. Rene
Alberto Coustasse, DrPH, MD, MBA, MPH
The purpose of this study was to conduct a comparative analysis of hospital costs incurred by patients undergoing Cardiovascular Surgery (CVS) and patients undergoing other medical procedures who received Continuous Renal Replacement Therapy (CRRT) in a teaching hospital. A total of 117 patients were identified through review of medical charts for the period of January 1999 to August 2002. Twenty one percent of them were identified having CVS. Eighty-eight percent of the CVS patients admitted to the ICU for CRRT died compared to 67% for non-CVS patients (p=0.047). Average actual costs of hospitalization were $47,225 for CVS patients and $51,724 …
Physician Incentives: Managed Care And Ethics, Douglas A. Mains, Alberto Coustasse, Kristine Lykens
Physician Incentives: Managed Care And Ethics, Douglas A. Mains, Alberto Coustasse, Kristine Lykens
Alberto Coustasse, DrPH, MD, MBA, MPH
The authors review the principle features of the managed care system in an effort to understand the ethical assumptions inherent in managed care. The interrelationships among physician incentives, responsibilities of patients and the physician-patient relationship are examined in light of the ethical concerns identified in the managed care system. The managed care system creates ethical tensions for those who influence the allocation of scare resources. Managed care's administrative controls have increasingly changed the doctor-patient relationship to the businessperson-consumer relationship. Managed care goals of quality and access demand that physicians be both patient advocate and organizational advocate, even though these roles …
From Dog Licenses To Democracy: Local Government Approcahes To Eservice Delivery In Australia, Peter Shackleton, Julie Fisher, Linda Dawson
From Dog Licenses To Democracy: Local Government Approcahes To Eservice Delivery In Australia, Peter Shackleton, Julie Fisher, Linda Dawson
Associate Professor Linda Dawson
Municipal councils worldwide are recognizing the need and value of the Internet to deliver information and services. The move to e-Government in Australia and across the world has been prompted by factors such as government reform and the need to reduce cost, and to improve the efficiency and effectiveness of service delivery. Only recently, however, have there been more significant moves towards local e-Government in many countries. This research paper reports on the progress local governments in Victoria, Australia have made towards e-Government implementation. The paper provides a background to types of electronic information and services provided by local government …
Rqf Publication Quality Measures: Methodological Issues, John W. Lamp, Simon K. Milton, Linda Dawson, Julie Fisher
Rqf Publication Quality Measures: Methodological Issues, John W. Lamp, Simon K. Milton, Linda Dawson, Julie Fisher
Associate Professor Linda Dawson
The Research Quality Framework uses Thomson-ISI citation benchmarks as its main set of objective measures of research quality. The Thomson-ISI measures rely on identifying a core set of journals in which the major publications for a discipline are to be found. The core for a discipline is determined by applying a nontransparent process that is partly based on Bradford’s Law (1934). Yet Bradford was not seeking measures about quality of publications or journals. How valid then is it to base measures of publication quality on Bradford’s Law? We explore this by returning to Bradford’s Law and subsequent related research asking …
Understanding It Adoption And Consumption Within The Social Structure Of A Consumer’S Economy, Sherman Ting, Linda Dawson, Chris Dubelaar
Understanding It Adoption And Consumption Within The Social Structure Of A Consumer’S Economy, Sherman Ting, Linda Dawson, Chris Dubelaar
Associate Professor Linda Dawson
Research into adoption, acceptance and consumption of Information Technology (IT) within its diffusion cycle has been extensively studied in Information Systems (IS) and marketing. However, research often focused too narrowly on technology adoption rates and drivers leading to technology adoption and acceptance. This paper discusses how understanding the social structure of a consumer’s economy, a consumer’s portfolio of capital resources, can reveal the individual’s approach and experiences towards technology adoption and consumption present and future. It provides a novel multi-disciplinary and practical approach into understanding the technology consumer by looking at how economic, cultural, social, educational, technological and political capital …
Defining The Mobile Work Domain, Linda Dawson, Julie Fisher, Helana Scheepers
Defining The Mobile Work Domain, Linda Dawson, Julie Fisher, Helana Scheepers
Associate Professor Linda Dawson
There is increasing interest in the application of ubiquitous computing concepts to the use of mobile and wireless technologies in business. This paper presents the results of a conceptual study of the literature in ubiquitous and mobile computing and related areas. The outcome of the conceptual study is a context model of an identified Mobile Work Domain (MWD) which is focussed on mobile commerce and the use of new technologies and approaches to business processes in the workplace. This framework and context model comprises existing domains of activity and research, including electronic commerce, computer mediated communication and computer supported collaborative …
Does It Really Matter? First Impressions From A Company.S Web Site, Linda Dawson, Joze Kuzic
Does It Really Matter? First Impressions From A Company.S Web Site, Linda Dawson, Joze Kuzic
Associate Professor Linda Dawson
No abstract provided.
Modus Vivendi Of E-Business, Joze Kuzic, Julie Fisher, Angela Scollary, Linda Dawson, Milan Kuzic, Rod Turner
Modus Vivendi Of E-Business, Joze Kuzic, Julie Fisher, Angela Scollary, Linda Dawson, Milan Kuzic, Rod Turner
Associate Professor Linda Dawson
This paper reports on an investigation into relationships between challenges and success factors in e-business, from the perspective of the acknowledged benefits achieved by large organizations operating within the Australian context. To enable organisations to achieve benefits from e-business, it is imperative for companies to recognise challenges before them as well as to identify critical success factors necessary for their success. The outcome of the research reported in this paper is a key set of critical success factors, challenges and benefits that can be used as a modus vivendi to overcome problems by applying appropriate solutions in order to achieve …
Women In Ict: Guidelines For Evaluating Intervention Programmes, Annemieke Craig, Julie Fisher, Linda Dawson
Women In Ict: Guidelines For Evaluating Intervention Programmes, Annemieke Craig, Julie Fisher, Linda Dawson
Associate Professor Linda Dawson
Many intervention programmes to increase the number of women in theInformation and Communications Technology (ICT) profession have been implemented over the last twenty years. Detailed evaluations help us to determine the effectiveness of these programmes yet few comprehensive evaluations appear in the literature.The research reported here describes an investigation of the evaluation of the intervention programmes focusing on increasing the enrolment and retention of females in ICT in Australia. This paper describes an empirical study which explores how evaluation has been and might be conducted and concludes with guidelines for evaluation for those developing programmes for increasing the participation of …
The Adoption And Adaptation Of Object Oriented Methodologies In Requirements Engineering Practice, Linda Dawson, Peta Darke
The Adoption And Adaptation Of Object Oriented Methodologies In Requirements Engineering Practice, Linda Dawson, Peta Darke
Associate Professor Linda Dawson
The move towards the use of object-oriented methods for information system development has led to the need for object-oriented approaches to requirements engineering. Research into current system development practices in object-oriented requirements specification is necessary for techniques and tools to evolve and improve. This paper describes a set of four case studies that examined the use of object-oriented methodologies in professional requirements engineering practice by experienced system developers. In these studies, it was found that the widely published and commonly available methodologies were rarely used in their entirety, if they were used at all. Rather, most consultants interviewed developed in-house …
Town Hall Egovernment: A Study Of Local Government Electronic Service Delivery, Peter Shackleton, Julie Fisher, Linda Dawson
Town Hall Egovernment: A Study Of Local Government Electronic Service Delivery, Peter Shackleton, Julie Fisher, Linda Dawson
Associate Professor Linda Dawson
Australian municipal councils recognize the need to use the Internet to deliver information and services. The move to eGovernment has been prompted both by local government reform and pressure from controlling State governments. Only recently, however, have there been more significant moves towards local eGovernment. This research paper reports on the progress local governments in Victoria, have made towards electronic service delivery. The paper provides a background to types of electronic information and services provided by local government and the stages of electronic maturity. The research found that although the web sites of Victorian municipal councils provide far more information …
Victorian Local Government Websites: Tracking Information Provision And E-Service Maturity, Peter Shackleton, Julie Fisher, Linda Dawson
Victorian Local Government Websites: Tracking Information Provision And E-Service Maturity, Peter Shackleton, Julie Fisher, Linda Dawson
Associate Professor Linda Dawson
Local and municipal governments worldwide are embracing and using the Internet to deliver services and therefore better value to their communities. Current research has identified the use made of the Internet by higher levels of government. There has been limited research, however, examining the lowest tier; local government’s approach to Internet use. This paper presents the results of a content analysis undertaken on Victorian local government Websites over four years and describes the results of usability testing also conducted on local government sites. The results identify the changes in e-service delivery over that time and the usefulness of the information …
Implementing A Mobile Wireless Environment In A Hospital Ward: Encouraging Adoption By Nursing, Julie Fisher, Linda Dawson, Stephen Weeding, Liza Heslop
Implementing A Mobile Wireless Environment In A Hospital Ward: Encouraging Adoption By Nursing, Julie Fisher, Linda Dawson, Stephen Weeding, Liza Heslop
Associate Professor Linda Dawson
Sophisticated technology is commonplace in most hospitals and increasingly mobile devices are being used in hospitals by clinical staff. Although the growth in mobile device usage in hospitals has the potential to contribute to better health and medical services delivery, nurses and doctors are still very reliant on paper-based information. Much of the research reported to date has focused on technical and design issues around mobile devices. Research that has focused on mobile device use in practice has tended to be from the perspective of doctors. This paper describes research which investigated key issues that arose as a result of …
The Use Of Object-Oriented Models In Requirements Engineering: A Field Study, Linda Dawson, Paul Swatman
The Use Of Object-Oriented Models In Requirements Engineering: A Field Study, Linda Dawson, Paul Swatman
Associate Professor Linda Dawson
No abstract provided.
Laptops On Trolleys: Lessons From A Mobile-Wireless Hospital Ward, Stephen Weeding, Linda Dawson
Laptops On Trolleys: Lessons From A Mobile-Wireless Hospital Ward, Stephen Weeding, Linda Dawson
Associate Professor Linda Dawson
Most hospital-based staff can be considered to be mobile but many hospital information systems (HIS) are based on fixed desk top computers. Wireless networks allow HIS to be brought to the point of care using mobile devices such as laptops on trolleys thus providing data which can aid in clinical decision-making. The research objective of this project focusses on the collaborative design of a laptop solution for providing data at the point of care. The research approach was based on a combination of action research and design science. Action research techniques including participant observation and informal oneto- one discussions were …
Cognitive Processes In Object-Oriented Requirements Engineering Practice: Analogical Reasoning And Mental Modelling, Linda Dawson
Cognitive Processes In Object-Oriented Requirements Engineering Practice: Analogical Reasoning And Mental Modelling, Linda Dawson
Associate Professor Linda Dawson
This paper presents a background in cognitive processes such as problem solving and analogical reasoning for considering modeling from an object-oriented perspective within the domain of requirements engineering. The paper then describes a research project and the findings from a set of four cases which examine professional practice from perspective of cognitive modeling for object-oriented requirements engineering. In these studies, it was found that the analysts routinely built models in their minds and refined them before committing them to paper or communicating these models to others. The studies also showed that objectoriented analysts depend on analogical reasoning where they use …
Technological Iatrogenesis: The Manifestation Of Inadequate Organizational Planning And The Integration Of Health Information Technology., Patrick Albert Palmieri
Technological Iatrogenesis: The Manifestation Of Inadequate Organizational Planning And The Integration Of Health Information Technology., Patrick Albert Palmieri
Patrick Albert Palmieri
The Institute of Medicine (IOM) views Health Information Technology (HIT) as an essential organizational prerequisite for the delivery of safe, reliable, and cost effective health services. However, HIT presents the proverbial double-edged sword in generating solutions to improve system performance while facilitating the genesis of novel iatrogenic problems. Incongruent organizational processes give rise to technological iatrogenesis or the unintended consequences to system integrity and the resulting organizational outcomes potentiated by incongruent organizational–technological interfaces. HIT is a disruptive innovation for health services organizations but remains an overlooked organizational development (OD) concern. Recognizing the technology–organizational misalignments that result from HIT adoption is …
Ssrn As An Initial Revolution In Academic Knowledge Aggregation And Dissemination, David Bray, Sascha Vitzthum, Benn Konsynski
Ssrn As An Initial Revolution In Academic Knowledge Aggregation And Dissemination, David Bray, Sascha Vitzthum, Benn Konsynski
Sascha Vitzthum
Within this paper we consider our results of using the Social Science Research Network (SSRN) over a period of 18 months to distribute our working papers to the research community. Our experiences have been quite positive, with SSRN serving as a platform both to inform our colleagues about our research as well as inform us about related research (through email and telephoned conversations of colleagues who discovered our paper on SSRN). We then discuss potential future directions for SSRN to consider, and how SSRN might well represent an initial revolution in 21st century academic knowledge aggregation and dissemination. Our paper …
Implementation Issues For Mobile-Wireless Infrastructure And Mobile Health Care Computing Devices For A Hospital Ward Setting, Liza Heslop, Stephen Weeding, Linda Dawson, Julie Fisher, Andrew Howard
Implementation Issues For Mobile-Wireless Infrastructure And Mobile Health Care Computing Devices For A Hospital Ward Setting, Liza Heslop, Stephen Weeding, Linda Dawson, Julie Fisher, Andrew Howard
Associate Professor Linda Dawson
mWard is a project whose purpose is to enhance existing clinical and administrative decision support and to consider mobile computers, connected via wireless network, for bringing clinical information to the point of care. The mWard project allowed a limited number of users to test and evaluate a selected range of mobile-wireless infrastructure and mobile health care computing devices at the neuroscience ward at Southern Health’s Monash Medical Centre, Victoria, Australia. Before the project commenced, the ward had two PC’s which were used as terminals by all ward-based staff and numerous multidisciplinary staff who visited the ward each day. The first …
Safety Culture As A Contemporary Healthcare Construct: Theoretical Review And Research Assessment, Patrick Albert Palmieri
Safety Culture As A Contemporary Healthcare Construct: Theoretical Review And Research Assessment, Patrick Albert Palmieri
Patrick Albert Palmieri
GOAL. To analyze the theoretical underpinnings of safety culture and to provide an assessment about the state of safety culture research in healthcare. METHODS. First, we reviewed the concept of safety culture, including its origination, disciplinary influences, and associated theoretical tenets. By describing the literature and discussing the interchangeable use of the terms “safety attitude,” “safety climate,” and “safety culture,” we are able to present the conceptual attributes associated with safety culture and present a definition of safety culture. Then, we discuss the psychometric properties for the most widely used instruments in healthcare. The article concludes with a discussion of …
Safety Culture As A Contemporary Healthcare Construct: Theoretical Review, Research Assessment, And Translation To Human Resource Management., Patrick Albert Palmieri
Safety Culture As A Contemporary Healthcare Construct: Theoretical Review, Research Assessment, And Translation To Human Resource Management., Patrick Albert Palmieri
Patrick Albert Palmieri
Through a number of comprehensive reviews, the Institute of Medicine (IOM) has recommended that healthcare organizations develop safety cultures in order to align delivery system processes with the workforce requirements to improve patient outcomes. Until health systems can provide safer care environments, patients remain at risk for suboptimal care and adverse outcomes. Health science researchers have begun to explore how safety cultures might act as an essential system feature to improve organizational outcomes. Since safety cultures are established via modification in employee safety perspective and work behavior, human resource professionals need to contribute to this developing organizational domain. The IOM …
Action Research In Emerging Technologies In Health Information Systems: Creating A Mobile Information Environment In A Hospital Ward, Linda Dawson, Julie Fisher, Stephen Weeding, Liza Heslop, Andrew Howard
Action Research In Emerging Technologies In Health Information Systems: Creating A Mobile Information Environment In A Hospital Ward, Linda Dawson, Julie Fisher, Stephen Weeding, Liza Heslop, Andrew Howard
Associate Professor Linda Dawson
Wireless networks, mobile devices and associated applications are key emerging technologies ideal for nomadic workers such as clinicians in hospital ward settings. These mobile information environments can potentially enhance clinicians’ use of patient management and clinical systems by providing decision support and clinical information at the bedside or point of care. Such technologies need to be critically assessed in a hospital environment for their wider potential and application for delivery of information at the point of care. This paper describes the use of action research methods in a project which analysed an existing clinical Information Communication Technology (ICT) environment in …
A Means To An End – A Web-Based Client Management System In Palliative Care, Margaret O'Connor, Trudi Erwin, Linda Dawson
A Means To An End – A Web-Based Client Management System In Palliative Care, Margaret O'Connor, Trudi Erwin, Linda Dawson
Associate Professor Linda Dawson
Home-based palliative care (hospice) services require comprehensive and fully integrated information systems to develop and manage the various aspects of their business, incorporating client data and management information. These systems assist in maintaining the quality of client care as well as improved management effi ciencies. This article reports on a large not-for-profi t home-based palliative care service in Australia, which embarked on a project to develop an electronic data management system specifi cally designed to meet the needs of the palliative care sector. This web-based client information management system represents a joint venture between the organization and a commercial company …