Medicine and Health Sciences Commons^™

The Challenge Of Organizational Change: Before, During, And After, Richard Parsells

Administrative Issues Journal

Aligning with the theme of this conference, this paper addresses actions, as reported in the literature, that are purported to assist organizations in successfully accomplishing change initiatives. This paper presents factors related to the development of a robust culture for the handling of change, actions to be taken during a change, and suggestions for action after a change. Implications for practice are explored.

Using Emergence Theory-Based Curriculum To Teach Compromise Skills To Students With Autistic Spectrum Disorders, Lance Fein, Don Jones

Administrative Issues Journal

This study addressed the compromise skills taught to students with autistic spectrum disorders (ASD) and related social and communication deficits. A private school in the southeastern United States implemented an emergence theory-based curriculum to address these skills, but no formal analysis was conducted to determine its effectiveness. Guided by cognitive development and constructivist theories, a concurrent, mixed-methods case study design was used to investigate the impact of this curriculum on teaching compromise skills to middle school students with ASD and related deficits. Teacher observations and compromise interventions were open coded and analyzed thematically using descriptive statistics. For the quantitative sequence, …

Performance Theory And Nonprofit Organizational Effectiveness, Jeffrey Aulgur

Administrative Issues Journal

This abridged article reports on a review of the literature of performance theory and its relationship to the effectiveness of nonprofit organizations. Specifically, the article explores the challenges in defining organizational effectiveness in the Third Sector due to the wide disparity in the size, scope and mission of nonprofit organizations. The following theoretical models, and their application to the Third Sector, are explored: Agency Theory, Resource Dependency Theory, Group/Decision Process Theory, Stakeholder Theory, Institutional Theory, Policy Governance Theory and Contingency Theory. The review indicates there is not a single theory or hypothesis capable of meeting the challenges of nonprofit governance. …

An Analysis Of Fertilizer Markets In Bric Countries, Robert Lloyd

Administrative Issues Journal

Over the previous decade the collection of countries known as the BRIC nations has worked together to advance social and economic agendas. These four nations represent unique challenges and immense opportunities for MNC’s searching to expand their business into these countries. This paper reviews these opportunities and challenges in the context of the fertilizer industry and provides an overall outlook for this international market. Recommendations are provided for how an international business might succeed in each of the BRIC nations.

An Investigation Of Factors Contributing To All But Dissertation Status: Doctor Of Education Students, Jacqueline M. Gaffner, Celia M. Wilson

Administrative Issues Journal

Literature regarding advanced degree completion illustrates multiple factors attributing to completion or abandonment of dissertation research. Contributing factors are typically linked to the environment associated with the institution in which a doctoral candidate is enrolled, or personality characteristics held by individual candidates. The purpose of this qualitative case study was to gather data from current doctoral candidates regarding factors that inhibited their completion of the doctor of education degree. Initial responses from participants appeared to confirm findings from similar research studies exploring dissertation non-completers. Most participants noted personal factors for non-completion, while a few mentioned institutional factors. In order to …

Leadership Opportunities In Education For Individuals With Disabilities, Sean Daniel Kinder

Administrative Issues Journal

This study examines the perceptions of individuals with disabilities concerning employment opportunities as administrative leaders in public school contexts. A discussion of the Americans with Disabilities Act of 1990, as well as the definition of what is considered a legal disability, as provided in Section 504 of the Rehabilitation Act of 1973. Additionally, this piece explains Critical Disability Theory as a theoretical lens that provides perspective and highlights the methods used in the data collection process. It reports preliminary findings and concludes with a discussion of why this educational issue is of significance.

Experiential Learning Approaches To Principles Of Management, Robert Lloyd

Administrative Issues Journal

This paper describes a lesson plan that can be used in an undergraduate course in principles of management. The lesson plan helps students learn the basic concepts of management and the functions performed by managers – planning, organizing, leading, and controlling. Through traditional lecture and classroom discussion, the students will better understand these concepts. This lesson plan also helps students recognize these functions through observation. Finally, to ensure that student’s have fully internalized each function of management, they will have the opportunity to apply the concepts through a group project. Upon completion of this lesson plan, the students should be …

What's Happening: October 19, 2015, Maine Medical Center

What's Happening

No abstract provided.

Innovation By Design: New Innovation Design Lab Officially Opens Its Doors, Children's Mercy Hospital

Our Story Continues

The Center for Pediatric Innovation at Children's Mercy opens its Innovation Design Lab where employees, patients and families are empowered to think differently and to collaboratively exchange ideas to solve old challenges and new.

What's Happening: October 12, 2015, Maine Medical Center

What's Happening

No abstract provided.

Analytic Approaches For Causal Inference With Complex Multi-Component Interventions, Glen P. Mays, Arnold J. Stromberg, Jing Li, Mark V. Williams

Health Management and Policy Presentations

Estimating the causal effects of complex, multi-component health interventions is a task with many challenges in measurement and methodology. This presentation profiles the methods being used as part of the PCORI-funded Project Achieve, a national study to estimate the comparative effectiveness of heterogeneous care transition programs designed to help hospitalized patients and their caregivers navigate care delivery systems effectively and return back to the community with optimal health and wellbeing.

Way Forward On Healthcare?, William H. Lane

English Faculty Publications

In the wake of a remarkable visit from Pope Francis, is it time to ask, WWFD? What would Francis do with our half-fixed, highly fragmented healthcare system? [excerpt]

What's Happening: October 5, 2015, Maine Medical Center

What's Happening

No abstract provided.

Medicare's Post-Acute Care Payment: An Updated Review Of The Issues And Policy Proposals, Sally Coberly

National Health Policy Forum

Medicare spending on post-acute care provided by home health agencies, skilled nursing facilities, inpatient rehabilitation facilities, and long-term care hospitals accounted for about 10 percent of total program outlays in 2013. The Medicare Payment Advisory Commission and others have noted several long-standing problems with the payment systems for post-acute care and have suggested refinements to Medicare's post-acute care payment systems that are intended to encourage the delivery of appropriate care in the right setting for a patient's condition. The Patient Protection and Affordable Care Act of 2010 contained several provisions that affect the Medicare program's post-acute care payment systems, as …

Agenda Of 10/02/2015 Hsc Board Of Directors Mtg, Patrice Martin

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

No abstract provided.

Minutes Of 10/02/2015 Hsc Board Of Directors Mtg, Patrice Martin

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

No abstract provided.

Notice Of 10/02/2015 Hsc Board Of Directors Mtg, Patrice Martin

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

No abstract provided.

Administrative Issues Journal Conference Proceedings: Welcome And Table Of Contents

Administrative Issues Journal

No abstract provided.

Dental Practice Success Vol. 2 No. 3, American Dental Association, Publishing Division

Dental Practice Success

No abstract provided.

Application Of Goldratt’S Thinking Process To Constraints Within An Emergency Department—A Case Study, Augustine O. Amonge

Masters Theses & Specialist Projects

Emergency department (ED) acts as a feeder to many hospitals as it determines a large proportion of admissions. ED also acts as a buffer zone for many patients who cannot get care in other institutions due to insurance issues. Most hospitals are trying to invest heavily on their EDs, but cannot meet patients’ satisfaction in terms of cost and quality of care. There is great need for EDs to understand customers’ expectation given the rising cost of healthcare.

The focus of this study is at an ED center in Bowling Green Kentucky, using theory of constraints (TOC) thinking process application …

Ut Gsbs News, Fall/Winter 2015, Graduate School Of Biomedical Sciences, University Of Texas Health Science Center At Houston/M.D. Anderson Cancer Center

GSBS News

No abstract provided.

Policy Options For Recruiting And Retaining Rural Primary Care Physicians In Maine, Casey Lancaster

Muskie School Capstones and Dissertations

Maine faces a challenge providing primary care services to over half of its residents, as they live in rural areas – even though Maine has enough primary care physicians practicing in the state to service the needs of the population. Maine has a primary care physician distribution problem. Androscoggin, Oxford, Sagadahoc, Somerset, Waldo, Washington, and York Counties, all fall well below the national average of primary care physicians per 100,000 residents. Maine has no true financial incentive program to help rural area’s recruit and retain primary care physicians, though Maine does have two programs that attempt to get primary care …

Challenges Of Providing Timely Feedback To Residents: Faculty Perspectives, Tabassum Zehra, M. Tariq, Afaq Motiwala, Syeda Kauser Ali, John Boulet

Department for Educational Development

Objective

To explore faculty's perceptions of challenges in providing verbal feedback to the Residents and suggest ways to overcome the barriers.

Methods

As part of a larger study on feedback assessment, five focus group discussions were conducted at the Department of Medicine, Aga Khan University Hospital, Karachi, during faculty development workshops held from January to June 2010. Qualitative grounded theory was used to explore faculty perceptions of challenges in providing verbal feedback to the Residents.

Results

Of the 54 faculty members, 49(91%) participated. Four themes that emerged were 'time constraint' indicating high patient load; 'faculty related issues' indicating faculty's apprehension …

Challenges Of Forecasting Physician Workforce Needs Amid Delivery System Transformation, Rob Cunningham

National Health Policy Forum

As population growth and the aging of the overall population increase demand for health care, policymakers and analysts grapple with whether sufficient health care providers, particularly physicians, will be available to meet that demand. Some argue there are too few physicians already; others say our current supply-demand problems lie with efficiency. But suppose both are correct? Perhaps the real challenge is to understand how the provision of health care services is changing in response to market forces such as payment changes, patients' expectations, provider distributions, and technology innovations. This issue brief revisits what is known about evolving practice organizations, professional …

Missed Opportunities: Public Health Disaster Management In Canada, Lisa Gorman, Christopher Stoney

Journal of Public Management & Social Policy

Three recent Canadian public health crises present an illustration of both the opportunities for reform and the challenges that may impede progress and public health renewal in federalist nations. While the three crises examined exposed serious flaws in emergency preparedness and fuelled demands for vital public health reform, evidence indicates that fundamental challenges have not been addressed and may have even heightened over the last decade given a move to “open federalism” and the significant fiscal impacts of ongoing austerity measures. With future pandemics inevitable, we identify the missed opportunities to optimize Canada’s emergency response capacity and procedures and examine …

What's Happening: September 28, 2015, Maine Medical Center

What's Happening

No abstract provided.

What's Happening: September 21, 2015, Maine Medical Center

What's Happening

No abstract provided.

What's Happening: September 14, 2015, Maine Medical Center

What's Happening

No abstract provided.

Trends In Health Care Delivery Systems: Implications For Cancer Prevention And Control, Glen P. Mays

Health Management and Policy Presentations

The Affordable Care Act and larger economic forces are leading both health care providers and public health agencies to renegotiate their roles and responsibilities within the U.S. health system. This session reviews major changes occurring in both health care and public health delivery systems, with a focus on the implications for cancer prevention and control. The information infrastructure created by cancer registries and other health information systems are increasingly important for enabling greater coordination, alignment and accountability within the nation's changing delivery systems.

Designing A State-Of-The-Science, Accredited, Commercially-Successful Biorepository Utilizing Iso:9001(2008) Quality Management System Requirements To Construct The Framework, Kimberly S. Gonzalez

Master's Theses and Doctoral Dissertations

The research community relies upon biorepositories’ ability to prepare for the scientific advancement that can precipitate the discoveries of the future. Furthermore, as the complexities, financial pressure, and quality issues biorepositories face continue to unfold, it is imperative to explore unmet needs researchers may have for biorepository services as well as evaluate the commercial potential, funding, and competitiveness of a new biorepository. With the goal of contributing to medical and scientific research and the biorepository field, this paper utilizes principles from ISO 9001:2008 “Quality management systems- Requirements” to outline and explore the challenges in establishing a state-of-the-science, accredited, commercial BSL-2 …