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Articles 1 - 30 of 34
Full-Text Articles in Business
Ransomware In Healthcare Facilities: The Future Is Now, Nikki Spence, David P. Paul Iii, Alberto Coustasse
Ransomware In Healthcare Facilities: The Future Is Now, Nikki Spence, David P. Paul Iii, Alberto Coustasse
Alberto Coustasse, DrPH, MD, MBA, MPH
Cybercriminals have begun to target the healthcare industry with a type of malware called ransomware, malware that encrypts an infected device and any attached devices or network drives. After encryption, cybercriminals demand a sum of money, also known as a “ransom,” to release the devices from encryption. Without adequate disaster recovery and backup plans, many businesses are forced to pay the ransom. The purpose of this study was to determine the extent of recent ransomware infections in healthcare settings, the risk liabilities and cost associated with such infections, and to determine possible risk mitigation tactics. Financial costs associated with business …
Complementary Or Conflictual? Formal Participation, Informal Participation, And Organizational Performance, Adam Seth Litwin, Adrienne Eaton
Complementary Or Conflictual? Formal Participation, Informal Participation, And Organizational Performance, Adam Seth Litwin, Adrienne Eaton
Adam Seth Litwin
Most studies of worker participation examine either formal participatory structures or informal participation. Yet, increasingly, works councils and other formal participatory bodies are operating in parallel with collective bargaining or are filling the void left by its decline. Moreover, these bodies are sprouting in workplaces in which workers have long held a modicum of influence, authority, and production- or service-related information. This study leverages a case from the healthcare sector to examine the interaction between formal and informal worker participation. Seeking to determine whether or not these two forces—each independently shown to benefit production or service delivery—complement or undermine one …
What’S Next For Obamacare?, Peter E. Hilsenrath, Liam O'Neill
What’S Next For Obamacare?, Peter E. Hilsenrath, Liam O'Neill
Peter E. Hilsenrath
No abstract provided.
Icd-10 Implementation: Is The Workforce Ready?, David P. Paul Iii, D.D.S., M.B.A., Ph.D, Patricia A. Sacconi, Pamela Ann Glover, Robert Marriot, Alberto Coustasse Dr. Ph, Md, Mba
Icd-10 Implementation: Is The Workforce Ready?, David P. Paul Iii, D.D.S., M.B.A., Ph.D, Patricia A. Sacconi, Pamela Ann Glover, Robert Marriot, Alberto Coustasse Dr. Ph, Md, Mba
Alberto Coustasse, DrPH, MD, MBA, MPH
After many delays, the U.S. finally implemented ICD-10-CM/PCS on October 1, 2015, bringing the U.S. into line with other industrialized nations, most of which have been using ICD-10 for many years. We outline the benefits and challenges to the preparatory activities of the ICD-10-CM/PCS implementation for the U.S. healthcare industry. To ease the transition, CMS allowed healthcare facilities to submit test claims prior to the implementation date, and delivered feedback on the acceptability of those claims. Early results indicated a relatively smooth transition, although some questions regarding the available data remain. Additional data, especially data concerning outcomes, is required.
Medicare Fraud, Waste And Abuse, Jamie Bush, Leslie Sandridge, Cierra Treadway, Kimberly Vance, Alberto Coustasse Dr. Ph, Md, Mba
Medicare Fraud, Waste And Abuse, Jamie Bush, Leslie Sandridge, Cierra Treadway, Kimberly Vance, Alberto Coustasse Dr. Ph, Md, Mba
Alberto Coustasse, DrPH, MD, MBA, MPH
In 2014, the U.S. spent approximately $3 trillion on health care. Medicare accounted for $554 billion of these costs and around $60 billion were squandered due to incorrect billing methods, abuse, and fraud. Types of fraud included: kickbacks, up coding, and organized fraudulent crimes. To reduce the financial burden associated with these activities, the U.S. has created various fraud prevention programs. The purpose of this study was to identify methods of Medicare fraud, examine the various programs implemented by the U.S. government to combat fraud and abuse, and determine the effectiveness of these programs. While fraud prevention strategies have proven …
Mhealth: A Better Alternative For Healthcare In Developing Countries, Saradhi Motamarri, Shahriar Akter, Pradeep Ray, Chung-Li Tseng
Mhealth: A Better Alternative For Healthcare In Developing Countries, Saradhi Motamarri, Shahriar Akter, Pradeep Ray, Chung-Li Tseng
Shahriar Akter
Propelled by the continual improvements in mobile wireless communications, mobile health (mHealth) is emerging as a significant player in addition to conventional services. Health care Researchers have focused on quality which is an antecedent to service design. There is a significant gap in the literature with respect to both inter and intra health care service delivery systems. A quantitative comparison of health care services provides insights into whether service alternatives are distinguishable from each other and if so, what factors contribute to the differentiation from the patients' perspective. With this motivation, a multiple discriminant analysis is performed on various health …
Effect Of Certificate Of Need Law On Emergency Department Quality Of Care, Jomon Aliyas Paul, Huan Ni, Aniruddha Bagchi
Effect Of Certificate Of Need Law On Emergency Department Quality Of Care, Jomon Aliyas Paul, Huan Ni, Aniruddha Bagchi
Jomon Aliyas Paul
No abstract provided.
A Process Flow Based Framework For Nurse Demand Estimation To Address Nurse Shortage., Jomon Paul, Leo Macdonald
A Process Flow Based Framework For Nurse Demand Estimation To Address Nurse Shortage., Jomon Paul, Leo Macdonald
Leo MacDonald
The nursing shortage in the United States poses a serious problem to hospitals, given that nurses provide an indispensable service within the healthcare system. This issue is expected to worsen, especially given the aging population of baby-boomers, which includes those that are part of the nurse workforce. This has resulted in a wide variety of problems, including patient safety issues, inability to detect complications, and potential patient mortality rate increases. Nurse shortage implications go beyond healthcare quality, extending to health economics as well. Inaccurate estimates of the nursing resources required to satisfy patient demand in a hospital environment could make …
Models Using The Benefits Of Cross Training Policies To Tackle Nurse Shortage Crisis, Jomon Paul, Leo Macdonald
Models Using The Benefits Of Cross Training Policies To Tackle Nurse Shortage Crisis, Jomon Paul, Leo Macdonald
Leo MacDonald
This paper seeks to offer insight into cross training strategies that could be effective in aiding in alleviating the nurse shortage issue and its potential to negatively impact on patient safety and mortality. We develop optimization models to evaluate the benefits of cross-training, in particular chaining practices, on nurse workforce planning under stochastic demand, and determine the optimal allocation of both regular and cross-trained staff at a minimum cost. We demonstrate the benefits of cross-training in terms of a reduction in the total number of nurses required to satisfy demand across multiple departments as well as from an economic (i.e. …
A Model To Study Disparities And Lifetime Medical Costs, Jomon Aliyas Paul, Leo Macdonald, Govind Hariharan
A Model To Study Disparities And Lifetime Medical Costs, Jomon Aliyas Paul, Leo Macdonald, Govind Hariharan
Leo MacDonald
We develop a mathematical model that captures the complex interactions within the health service system featuring chronic diseases and provides valuable lessons that could assist in controlling escalating healthcare costs. We utilize a Monte Carlo simulation framework to simulate the evolution of a population subject to deaths, births, and disease conditions. The model estimates the lifetime health expenditures of individuals based on demographics including race, age, and gender, as well as risk factors that contribute to the development of specific disease conditions. We further incorporate interactions between multiple disease conditions and the effect of risk factors in chronic disease incidence …
Determination Of Number Of Dedicated Or's And Supporting Pricing Mechanisms For Emergent Surgeries, Leo Macdonald, Jomon Aliyas Paul
Determination Of Number Of Dedicated Or's And Supporting Pricing Mechanisms For Emergent Surgeries, Leo Macdonald, Jomon Aliyas Paul
Jomon Aliyas Paul
Inefficient management of emergent surgeries in hospitals can, in part, be attributed to a lack of rigorous analysis appropriate to capturing the underlying uncertainties inherent to this process and a pricing mechanism to ensure its financial viability. We develop a non-preemptive multi-priority queueing model that optimally manages emergent surgeries and supports the resource allocation decision-making process. Specifically, we utilize queueing and discrete event simulation to develop empirical models for determining the required number of emergent operating rooms for a hospital surgical department. We also present algorithms that estimate the appropriate pricing for patient surgeries differentiated by priority level given the …
The Ins And Outs Of Change Of Shift Handoffs Between Nurses: A Communication Challenge, John S. Carroll, Michele Williams, Theresa M. Gallivan
The Ins And Outs Of Change Of Shift Handoffs Between Nurses: A Communication Challenge, John S. Carroll, Michele Williams, Theresa M. Gallivan
Michele Williams
Background: Communication breakdowns have been identified as a source of problems in complex work settings such as hospital-based healthcare. Methods: The authors conducted a multi-method study of change of shift handoffs between nurses, including interviews, survey, audio taping and direct observation of handoffs, posthandoff questionnaires, and archival coding of clinical records. Results: The authors found considerable variability across units, nurses and, surprisingly, roles. Incoming and outgoing nurses had different expectations for a good handoff: incoming nurses wanted a conversation with questions and eye contact, whereas outgoing nurses wanted to tell their story without interruptions. More experienced nurses abbreviated their reports …
A Model To Study Disparities And Lifetime Medical Costs, Jomon Aliyas Paul, Leo Macdonald, Govind Hariharan
A Model To Study Disparities And Lifetime Medical Costs, Jomon Aliyas Paul, Leo Macdonald, Govind Hariharan
Jomon Aliyas Paul
We develop a mathematical model that captures the complex interactions within the health service system featuring chronic diseases and provides valuable lessons that could assist in controlling escalating healthcare costs. We utilize a Monte Carlo simulation framework to simulate the evolution of a population subject to deaths, births, and disease conditions. The model estimates the lifetime health expenditures of individuals based on demographics including race, age, and gender, as well as risk factors that contribute to the development of specific disease conditions. We further incorporate interactions between multiple disease conditions and the effect of risk factors in chronic disease incidence …
Models Using The Benefits Of Cross Training Policies To Tackle Nurse Shortage Crisis, Jomon Paul, Leo Macdonald
Models Using The Benefits Of Cross Training Policies To Tackle Nurse Shortage Crisis, Jomon Paul, Leo Macdonald
Jomon Aliyas Paul
This paper seeks to offer insight into cross training strategies that could be effective in aiding in alleviating the nurse shortage issue and its potential to negatively impact on patient safety and mortality. We develop optimization models to evaluate the benefits of cross-training, in particular chaining practices, on nurse workforce planning under stochastic demand, and determine the optimal allocation of both regular and cross-trained staff at a minimum cost. We demonstrate the benefits of cross-training in terms of a reduction in the total number of nurses required to satisfy demand across multiple departments as well as from an economic (i.e. …
A Tool To Evaluate Your Website For Patient Engagement, Lynne L. Ornes Phd, Rn, Kimberlee Snyder Phd, Pat Paulson Ms
A Tool To Evaluate Your Website For Patient Engagement, Lynne L. Ornes Phd, Rn, Kimberlee Snyder Phd, Pat Paulson Ms
Lynne L Ornes PhD, RN
No abstract provided.
Organizational Strategies For The Adoption Of Electronic Medical Records: Toward An Understanding Of Outcome Variation In Nursing Homes, David B. Lipsky, Ariel C. Avgar, James Ryan Lamare
Organizational Strategies For The Adoption Of Electronic Medical Records: Toward An Understanding Of Outcome Variation In Nursing Homes, David B. Lipsky, Ariel C. Avgar, James Ryan Lamare
David B Lipsky
[Excerpt] An important element in president-elect Obama's economic stimulus proposal is his plan to invest a significant proportion of federal dollars in installing electronic medical records (EMR) in U.S. healthcare institutions. In emphasizing the need for EMR, Obama is following the advice of numerous healthcare experts who have pointed out that the healthcare sector lags behind other industries in the use of computer technology. They believe the widespread use of EMR would help reduce medical errors, control the costs of healthcare, and lead to significant improvements in the quality of care Americans receive. In this paper we present preliminary results …
Bias In White: A Longitudinal Natural Experiment Measuring Changes In Discrimination, Brian Rubineau, Yoon Kang
Bias In White: A Longitudinal Natural Experiment Measuring Changes In Discrimination, Brian Rubineau, Yoon Kang
Brian Rubineau
Many professions are plagued by disparities in service delivery. Racial disparities in policing, mortgage lending, and healthcare are some notable examples. Because disparities can result from a myriad of mechanisms, crafting effective disparity mitigation policies requires knowing which mechanisms are active and which are not. In this study we can distinguish whether one mechanism—statistical discrimination—is a primary explanation for racial disparities in physicians’ treatment of patients. In a longitudinal natural experiment using repeated quasi-audit studies of medical students, we test for within-cohort changes in disparities from medical student behaviors as they interact with white and black patient actors. We find …
Analysis United Kingdom And United States Healthcare, Joyce K. Kutin
Analysis United Kingdom And United States Healthcare, Joyce K. Kutin
Joyce K Kutin RN, MSN, MOL
United Kingdom and the United States are two dissimilar health systems each having uniquely differing focuses, where the primary differences are a parliamentary verses a republic government application toward the socioeconomic requirements of the populace. The United Kingdom’s National Health Service interprets health care as a public service rather than the commodity. The United States healthcare system is riddled with disparities regarding quality, access and cost. The socioeconomic poor and or homeless are less likely to utilize the healthcare system when compared to others who are more fortunate. Health care systems are facing the same challenges around the world with …
A Process Flow Based Framework For Nurse Demand Estimation To Address Nurse Shortage., Jomon Paul, Leo Macdonald
A Process Flow Based Framework For Nurse Demand Estimation To Address Nurse Shortage., Jomon Paul, Leo Macdonald
Jomon Aliyas Paul
The nursing shortage in the United States poses a serious problem to hospitals, given that nurses provide an indispensable service within the healthcare system. This issue is expected to worsen, especially given the aging population of baby-boomers, which includes those that are part of the nurse workforce. This has resulted in a wide variety of problems, including patient safety issues, inability to detect complications, and potential patient mortality rate increases. Nurse shortage implications go beyond healthcare quality, extending to health economics as well. Inaccurate estimates of the nursing resources required to satisfy patient demand in a hospital environment could make …
Efficient Operating Room Redesign Through Process Improvement And Optimal Handling Of Scheduled And Emergent Surgeries, Jomon Paul, Arun Jotshi
Efficient Operating Room Redesign Through Process Improvement And Optimal Handling Of Scheduled And Emergent Surgeries, Jomon Paul, Arun Jotshi
Jomon Aliyas Paul
This article is focused on the benefits of reducing variability and the role of Operations Research techniques in efficient operating room (OR) redesign through process improvement and optimal management of scheduled and emergent surgeries at hospitals. Issues at a participant hospital are studied which are presented in this article where in the authors develop a three step OR redesign model to address them. The three step redesign was carried out as follows. Firstly, the process bottlenecks affecting OR performance were identified with the help of a Discrete Event Simulation Model (DES). Once the DES model focusing on the “As-Is” operations …
Hipaa - What Rns Need To Know, Kip Klingman
Hipaa - What Rns Need To Know, Kip Klingman
Kip Klingman
“HIPAA regulations were instituted to protect the privacy of individuals by safeguarding individually identifiable healthcare records, including those housed in electronic media.”
Evaluating The Impact Of Health Information Technology On Quality, Ken Pinaire, Surendra Sarnikar
Evaluating The Impact Of Health Information Technology On Quality, Ken Pinaire, Surendra Sarnikar
Surendra Sarnikar
There is an important need to understand how health information technology impacts healthcare quality. In this systematic review we analyze recent literature to understand the relationship between health information technology and healthcare quality. We report preliminary findings and offer recommendations for future study.
Mhealth: A Better Alternative For Healthcare In Developing Countries, Saradhi Motamarri, Shahriar Akter, Pradeep Ray, Chung-Li Tseng
Mhealth: A Better Alternative For Healthcare In Developing Countries, Saradhi Motamarri, Shahriar Akter, Pradeep Ray, Chung-Li Tseng
Shahriar Akter
Propelled by the continual improvements in mobile wireless communications, mobile health (mHealth) is emerging as a significant player in addition to conventional services. Health care Researchers have focused on quality which is an antecedent to service design. There is a significant gap in the literature with respect to both inter and intra health care service delivery systems. A quantitative comparison of health care services provides insights into whether service alternatives are distinguishable from each other and if so, what factors contribute to the differentiation from the patients' perspective. With this motivation, a multiple discriminant analysis is performed on various health …
Combining Equity And Utilitarianism In A Mathematical Programming Model, John Hooker, H Williams
Combining Equity And Utilitarianism In A Mathematical Programming Model, John Hooker, H Williams
John Hooker
We discuss the problem of combining the conflicting objectives of equity and utilitarianism, for social policy making, in a single mathematical programming model. The definition of equity we use is the Rawlsian one of maximizing the minimum utility over individuals or classes of individuals. However, when the disparity of utility becomes too great, the objective becomes progressively utilitarian. Such a model is particularly applicable not only to health provision but to other areas as well. Building a mixed-integer/linear programming (MILP) formulation of the problem raises technical issues, because the objective function is nonconvex and the hypograph is not MILP representable …
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 …
Letter To Deputy Administrator Blum (Cms) On Medicare Auction, Peter Cramton
Letter To Deputy Administrator Blum (Cms) On Medicare Auction, Peter Cramton
Peter Cramton
No abstract provided.
Reducing Healthcare Costs Requires Good Market Design, Peter Cramton, Brett Katzman
Reducing Healthcare Costs Requires Good Market Design, Peter Cramton, Brett Katzman
Peter Cramton
No abstract provided.
Letter From 167 Concerned Auction Experts On Medicare Competitive Bidding Program, Peter Cramton
Letter From 167 Concerned Auction Experts On Medicare Competitive Bidding Program, Peter Cramton
Peter Cramton
No abstract provided.
Managing Costs Through Structural Re-Arrangement Of Hospitals: An Activity Based Management Perspective, W. Lee, Sakthi Mahenthiran
Managing Costs Through Structural Re-Arrangement Of Hospitals: An Activity Based Management Perspective, W. Lee, Sakthi Mahenthiran
Sakthi Mahenthiran
We examine a structural deficiency in the healthcare system that hinders implementation of a meaningful cost accounting system, and suggest an alternative organizational arragement that can facilitate introducing cost control mechanisms. We argue that hospitals need structural rearrangement so that cost-driving activities can be traced, and their costs allocated to responsibility centers. We suggest that this structural rearrangement is a precondition for implementing any meaningful activity-based cost management system. We also suggest a basic framework for value analysis of activities for healthcare providers, and discuss how this framework can be used as a vehicle for controlling diagnostic costs.
Managing Costs Through Structural Re-Arrangement Of Hospitals: An Activity Based Management Perspective, W. Lee, Sakthi Mahenthiran
Managing Costs Through Structural Re-Arrangement Of Hospitals: An Activity Based Management Perspective, W. Lee, Sakthi Mahenthiran
Sakthi Mahenthiran
We examine a structural deficiency in the healthcare system that hinders implementation of a meaningful cost accounting system, and suggest an alternative organizational arragement that can facilitate introducing cost control mechanisms. We argue that hospitals need structural rearrangement so that cost-driving activities can be traced, and their costs allocated to responsibility centers. We suggest that this structural rearrangement is a precondition for implementing any meaningful activity-based cost management system. We also suggest a basic framework for value analysis of activities for healthcare providers, and discuss how this framework can be used as a vehicle for controlling diagnostic costs.