Medicine and Health Sciences Commons^™

Keep Your Friends Close…And Your Critics Closer, Philip Bernard Md, Janice Marks, Tara Crane, Louis Bezold Md, Erich C. Maul Do, Mph

Erich C. Maul DO MPH

No abstract provided.

What's Happening: March-April, 2011, Maine Medical Center

What's Happening

No abstract provided.

Linking Ambulance, Emergency Department And Hospital Admissions Data: Understanding The Emergency Journey, Julia Crilly, John O'Dwyer, Marilla O'Dwyer, James Lind, Julia Peters, Vivienne Tippett, Marianne Wallis, Nerolie Bost, Gerben Keijzers

Gerben Keijzers

Objective: To assess the accuracy of data linkage across the spectrum of emergency care in the absence of a unique patient identifier, and to use the linked data to examine service delivery outcomes in an emergency department (ED) setting.

Design: Automated data linkage and manual data linkage were compared to determine their relative accuracy. Data were extracted from three separate health information systems: ambulance, ED and hospital inpatients, then linked to provide information about the emergency journey of each patient. The linking was done manually through physical review of records and automatically using a data linking tool (Health Data Integration) …

Detecting Hospital Quality With Pridit., Robert D. Lieberthal, Phd

College of Population Health Lectures, Presentations, Workshops

Presented for the Temple University, Fox School of Business Department of Risk, Insurance & Healthcare Management. Robert A. Hedges Research Seminar Series, Philadelphia, PA.

25 PowerPoint slides

Associated papers available at: http://onlinelibrary.wiley.com/doi/10.1111/j.1475-6773.2007.00821.x/abstract

and the 2008 Proceedings of the Joint Statistical Meeting.

University Reading: How Do We Turn It On?, John-Nathan Trice, Barbara Johnson Wilmes

Administrative Issues Journal

Universities and colleges are experiencing increasing challenges of educating millennial students, individuals who lack motivation and tenacity to engage in the learning process. Ideally, university students have read materials and are prepared to engage in collegial interaction. The purpose of this study was to determine whether university students are preparing for class and whether instructional reading strategies are effective to engage them in meeting course requirements. Results indicated that participants overwhelmingly do not read prior to class, but with research-based interventions, millennial students engaged in reading assignments and obtained content information relevant to the course.

Administrative Strategies For Preparing Teaching Candidates To Be Building-Level Technology Change Agents, Richard Rose

Administrative Issues Journal

Teacher education graduates in their early years of service are ill-prepared to act as building-level change agents who can advocate for the enhanced use of technology in the classroom. In this study, a group of experienced teachers seeking the M.Ed. in Educational Technology suggest that the lack of confidence which new teachers show in relation to technology can be traced back to the absence of rigorous technical skill-building in both their Introduction to Educational Technology class and methods classes. These tech-savvy mid-career teachers then identify obstacles to enhancing pre-service teacher education programs with more effective preparation in teaching with technology …

A Connection Between Moral Imperative And Women’S Leadership?, Sarah W. Nelson, Patricia L. Guerra, B. Genise Henry

Administrative Issues Journal

This paper describes a qualitative study of two school districts’ efforts to support school leaders in developing the knowledge and skills to analyze, understand, and transform system inequities. The results suggest that, despite being armed with knowledge and skills, leaders may be reluctant to act even when doing so is within the scope of their authority. This work draws from Fullan’s (2003) concept of moral imperative and examines the connection between moral imperative and women’s ways of leading. The findings have implications for educational leadership programs that seek to prepare school leaders capable of challenging and changing inequitable systems.

University Technology Transfer Factors As Predictors Of Entrepreneurial Orientation, Dorothy M. Kirkman

Administrative Issues Journal

University technology transfer is a collaborative effort between academia and industry involving knowledge sharing and learning. Working closely with their university partners affords biotechnology firms the opportunity to successfully develop licensed inventions and gain access to novel scientific and technological discoveries. These factors may enhance a firm’s entrepreneurial orientation by supporting innovative, proactive, and risk-taking behaviors. This study investigates whether university technology transfer characteristics such as the transfer process, transfer modes (formal and informal), and transfer terms influence entrepreneurial orientation. Using survey data from biotechnology firms that develop human health therapies, the findings suggest that the transfer process and informal …

University In Transition: Faculty Sense-Making And Responses, Leslie D. Gonzales, Rodolfo Rincones

Administrative Issues Journal

Across the institutional spectrum, universities are attempting to reposition themselves as more research dominant institutions, a pattern referred to as “mission creep.” Such changes in university missions have several critical implications for faculty members and their work. In this qualitative study, we interviewed ten tenure-track faculty members to explore how they make sense of and respond to Sun University’s creeping university mission. Through qualitative data analysis, we found that faculty use organizational scripts to construct and make sense of their role, yet they do so towards different ends. Some faculty members own the transition and attempt to contribute to its …

Radical Change In Faculty And Student Evaluation: A Justifiable Heresy?, Jeffery Gentry

Administrative Issues Journal

This article addresses the connection between two continuing trends in higher education: semester evaluation of faculty by students (SE’s) and grade inflation. The two phenomena are explored historically; then a two-part plan is proposed to enhance the evaluation of both students and faculty. This solution does not replace current evaluation practices; it merely adds information on each student’s relative performance. Although subject to criticism as radical reform, the plan is offered as a feasible check on grade inflation and diminished student responsibility—one that is consistent with long held higher education values, as well as recent calls for increased educational accountability. …

Innovation In Competency-Based Program Development: Leveraging The Advisory Board Faculty Alliance, Esmeralda De Los Santos, Daniel G. Dominguez, Kevin Lafrance

Administrative Issues Journal

This paper describes the use of advisory boards in the development of two competency-based business programs: one graduate and the other undergraduate. Though the programs varied significantly in structure and content, both used focus group methodology to collect comprehensive and relevant input from advisory board members comprised of local subject matter experts. Analysis of each program’s developmental efforts demonstrates that, while the programs varied significantly in many aspects, both achieved the intended outcome. In both cases, advisory board input contributed to the development of a competency model and associated program curriculum that closely aligned with the program’s specific disciplines.

Pedagogical Design For A Cross-Functional Course In The Accelerated Mba Program, Bhanu Balasubramnian, Tanja Steigner, Kevin R. Coulson

Administrative Issues Journal

The sub-prime financial crisis exposed weaknesses in the financial risk management of several prominent firms. A deficient risk management is mainly attributed to the lack of integration of finance with other business disciplines. In this paper, we describe a tested implementation of a cross-functional project that improves students’ understanding of firm-value creation and risk management. While this approach can be implemented in any MBA program, we focus specifically on accelerated MBA programs with tight time constraints. Our methods are different from most other integrated courses in several ways. Our cross-functional project bridges the knowledge gaps of students in the area …

Behavioral Health Providers And Electronic Health Records: An Exploratory Beliefs Elicitation And Segmentation Study, Nancy C. Shank

College of Education and Human Sciences: Dissertations, Theses, and Student Research

The widespread adoption of electronic health records (EHRs) is a public policy strategy to improve healthcare quality and reduce accelerating health care costs. Much research has focused on medical providers’ perceptions of EHRs, but little is known about those of behavioral health providers. This research was informed by the theory of reasoned action, and the technology acceptance model. This mixed methods research was conducted in two studies. The first study interviewed behavioral health providers (n = 32) to elicit beliefs about EHRs. Using the elicited beliefs from the first study, a survey of 38 Likert-scaled belief statements was administered to …

Final Report: The Practice And Impact Of Shared Decision-Making, Shared Decision-Making Study Group For The Dirigo Health Agency’S Maine Quality Forum

Population Health & Health Policy

Several recent developments are likely to address those factors seen as contributing to shared decision-making’s mixed results: the lack of a nationally recognized certification process; insufficient funds to adequately invest in the training and infrastructure to support shared decision-making; and adequate methods for monitoring its effectiveness.

What's Happening: February, 2011, Maine Medical Center

What's Happening

No abstract provided.

Administrative Issues Journal: Table Of Contents

Administrative Issues Journal

No abstract provided.

The Interim Superintendent: A Case Study, Gary Bigham, Susan J. Nix

Administrative Issues Journal

Considering the vitally important role that the superintendent plays in the overall functioning and wellbeing of any school district, the filling of that position should never be done in haste. Due to the importance of this process and the time it requires, school districts often employ an interim superintendent. In this single case study, one researcher engaged in qualitative research by actually assuming the role of an interim superintendent in a small West Texas school. The findings that emerged from this study consisted of identifying duties and roles of the interim superintendent in comparison with those of the regular superintendent. …

Letter From The Editor-In-Chief, Tami Moser

Administrative Issues Journal

No abstract provided.

Mentoring Postsecondary Tenure-Trackfaculty: A Theory-Building Case Study Andimplications For Institutional Policy, Dannielle Joy Davis, Patricia Boyer, Isela Russell

Administrative Issues Journal

The featured research uses theory-building case study to understand the experiences of junior faculty in a mentoring program. Findings suggest the importance of professional interaction for faculty members’ integration into their campus communities. An explanatory model illustrates the findings and supplements discussion of the implications for administrators in terms of retention of new faculty members in postsecondary settings.

The District-Wide Sustainability Of A Professionallearning Community During Leadership Changesat The Superintendency Level, Chuey Abrego, Anita Pankake

Administrative Issues Journal

The purpose of this mixed methods follow-up single case study was two-fold: to determine if a school district was able to sustain a professional learning community (PLC) and to identify factors that enhanced, inhibited, or promoted the sustainability of a PLC from a district-wide perspective, with particular focus on how a change in leadership, i.e. a new superintendent, affected the sustainability of PLC attributes. In addition, the role of trust in influencing the sustainability of a professional learning community will be discussed in this paper.

Sticker Shock: Management Professors’Perspectives On The Rising Costs Of Collegetextbooks, Stan Williamson, Robert E. Stevens, Lawrence S. Silver, Kenneth E. Clow

Administrative Issues Journal

This study uses Internet survey methodology to target management instructors’ views on the cost of textbooks and the strategies that might be exercised by universities, publishers, and legislatures to control cost increases. From a random sample of 2,893 management professors selected, using university websites, from universities throughout the United States, 228 provided useable responses. Findings suggest that management instructors, particularly those with years of experience, acknowledge the concerns their students have over high textbook prices. They are willing to have legislation enacted to force changes in the marketing of the textbooks by publishers, but they do not want university policies …

The Incidence Of Hip Fracture Associated With Proton Pump Inhibitor (Ppi) And/Or H2 Receptor Antagonist (H2ra) Use In The Kentucky Medicaid Population, Timothy C. Umeh

MPA/MPP/MPFM Capstone Projects

No executive summary.

Nyc Budget Cuts: A Counter-Productive Method To Effective Government-Nonprofit Contracting Relationships?, Anna-Kay Sinclair

Wilson Center for Social Entrepreneurship

This study examines the relationship between New York City budget cuts and the expenditure of human service nonprofits specifically involved in the government contracting relationship. With a focus on the Department for the Aging (DFTA), I examine nonprofits that provide a variety of services to the aging population on behalf of the DFTA. Correlations and regressions are presented examining the relationship between DFTA budget and nonprofit spending. The results of my analysis do not indicate a positive relationship between these two variables.

Accountable Care Organization Musical Chairs: Will There Be A Seat Remaining For The Small Group Or Solo Practice?, Amy Vaughan, Alberto Coustasse

Management Faculty Research

When it was introduced in the Affordable Care Act of 2010 as the new 2012 payment model for Medicare, an accountable care organization (ACO) was a new and untested concept in healthcare delivery and payment. The authors estimated the likelihood of engagement in ACOs by small group and solo healthcare practitioners. An evaluation of five case studies showed that significant organizational, financial, and technological challenges had to be met in order to launch an ACO. Sufficient resources to meet those challenges were best supplied by large organizations. Small or solo practices participated only through varying levels of integration as salaried …

The Queen Elizabeth Hospital Library Collection Management Policy, Lindsay Harris

Lindsay Harris

The Queen Elizabeth Hospital Library Collection Management Policy Lindsay Harris, Government of South Australia, SA Health Abstract This Collection Management Policy contains guidelines for the development and management of the Library collections of The Queen Elizabeth Hospital (hereafter referred to as TQEH). The policy defines the client groups served by the Library and describes its general role in supporting the information needs of the staff, researchers and students of The Queen Elizabeth Hospital, and by extension, the staff of SA Health as a whole. The Library’s relationship to external entities in the development of its collections is also outlined.

Wisdom In Medicine, William T. Branch Jr. Md, Macp

William T.Branch Jr.MD

We attribute wisdom to our heroes in medicine: Dr John Hickam was a wise man. It is a quality attributed sparingly and thoughtfully. When asked, most doctors will think long and hard before naming a few wise teachers or mentors. Though obviously important in medicine, little has been written about the nature of medical wisdom, or about how it is acquired or transmitted from one generation of doctors to the next.

Disruptive Behaviors: Impact On Communication And The Bottom Line, Joshua M. Benson

Joshua M Benson

The ramifications of disruptive behavior are detrimental and systemic. This article defines disruptive behaviors and identifies some stressors that cause such behavior. We will also look at what impact disruptive behaviors have on hospitals economically, the emotional toll on health-care teams, and patient safety and quality. Finally, we will discuss how to successfully address and curb disruptive behaviors.

The Hippocratic Myth: Why Doctors Are Under Pressure To Ration Care, Practice Politics, And Compromise Their Promise To Heal, Frank Pasquale

Faculty Scholarship

Not many policymakers or scholars can write with the authority of Gregg Bloche. Bloche is not only a law professor, but a physician, who knows his way around a hospital. Throughout The Hippocratic Myth, Bloche cements his authority in the mind of the reader by relating stories of his experience as a clinician. In each of these stories, his humane and insightful approach as psychiatrist shines through. I do not say this to imply that Bloche uses his book to brag about his own abilities. Rather, these fluently-written passages strike one as the work of one of those rare practitioners …

Children's Mercy Hospital Annual Report 2010, Children's Mercy Hospital

Children's Mercy Annual Reports

Annual report for The Children's Mercy Hospital in Kansas City MO, a pediatric medical center.

Equity & Diversity 2010 Annual Report, Children's Mercy Hospital

Equity & Diversity Annual Reports

A report on equity and diversity at Children's Mercy Hospitals & Clinics, in the care it provides, the people it serves, and in its workforce. Specifically discusses the Equity & Diversity Council, The Office of Equity and Diversity, the Patient and Family Experience, Community Engagement, International Connections, Health Literacy, Interpreter Services, Quality Indicators and Health Outcomes, and Education and Training.