Medicine and Health Sciences Commons^™

An Interprofessional Education Opportunity For Future Health Care Leaders, Denise Neill, Jere Hammer

Administrative Issues Journal

Increasing emphasis on interprofessional collaborative practice to improve health care delivery quality and safety led nursing faculty in a small liberal arts university to explore a unique educational initiative with School of Business Administration faculty. While developing a master of science in nursing administration option, the opportunity to create a collaborative undergraduate health care administration concentration with the School of Business Administration developed. Common competencies and potential shared courses were identified. After launching the initiative, faculty from both schools collaborated to evaluate outcomes. Student response has been overwhelmingly positive. The ability to examine health care issues from both business and …

Reengineering Hospital Systems, Uche Nwabueze

Administrative Issues Journal

The paper suggests that effective systems implementation of Business Process Reengineering (BPR) is only possible in hospital organizations capable of building open, honest, and lasting relationship with employees, suppliers, customers, and business partners. The paper suggests that the use of Inter-relationship management is the most effective approach for reengineering. It is noted that interrelationship management is not customer relationship management (CRM), nor is it relationship marketing (RM); it is about managerial governance involving three inter-related parts: process planning, process improvement, and process redesign.

School Leadership’S Trials And Trails: A Hundred Leadership Paths Diverged, Intertwined And Bifurcated, Sometimes Coming Out At The Same Place, Charles R. Waggoner

Administrative Issues Journal

School Leadership comes in many manifestatins and nomenclatures. Though the course of a day, a school year, or a lifetime an individual’s leadership style will emerge in a variety of diasporic ways that will encompass the unique individual who has the title of school administrator. The literature is replete with leadership terms and stories. All of the leadership paths and stores are instructive to those who pursue a lifetime of learning and leading in this business we call “school administratin.”

Mentoring Post-Secondary Tenure-Track Faculty: A Theory-Building Case Study And Implications 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.

A Comparison Of Urban, Suburban, And Rural Principal Leadership Skills By Campus Student Achievement Level, Susan Erwin, Pam Winn, John Erwin

Administrative Issues Journal

Because of the importance of developing highly skilled school leaders, statewide assessments of 784 Texas public school administrators were compared to determine how leadership skills varied by type of campus (urban, suburban and rural) and by campus student achievement ratings. Important findings indicate differences exist by campus type and by campus student academic achievement as measured by state accountability ratings. In particular, leadership skills of urban, suburban, and rural principals at campuses with the state’s highest student academic achievement ratings differ from skills of principal at schools with lower student academic achievement ratings.

Creating Opportunities With Mentoring Relationships, Carrie J. Boden Mcgill

Administrative Issues Journal

Navigating the cultural environment of academia can be a difficult task, particularly for first-generation college students and those who belong to groups typically marginalized in doctoral programs. This study examines two cases of first-generation, African American female graduate students to determine which traits preclude success in doctoral programs and how mentoring relationships influence completion. The women in this study come from similar backgrounds, but they adopted very different strategies for coping with adversity. It is possible that the presence or absence of positive mentoring relationships in their lives influenced the strategies that the women chose. This article seeks to strengthen …

Workload And The Changing Health Care Environment, Denisse Neill

Administrative Issues Journal

Changes in the health care environment have impacted nursing workload, quality of care, and patient safety. Nurses perceive that the quality of their work has diminished. Traditional nursing workload measures do not guarantee efficiency and do not adequately capture the complexity of nursing workload. Studies have identified tasks associated with nursing work but not the perception of the nurse about the mental work required to meet the demands. Human factors research examines cognitive and perceptual abilities needed to perform tasks in a reasonable time without error. Researchers using a human factors framework have focused on mental processing to understand why …

Revisiting The Arts In The No Child Left Behind Era, Patricia Simons

Administrative Issues Journal

Schools are responding differently to the mandates of NCLB. The purpose of this comparative case study is to investigate how two Title I elementary schools, one a member of a school reform network focused on the arts and one not a member of the network, are able to exceed AYP targets in reading and mathematics and not compromise teaching and learning in other core subjects. Included in the study is an examination of thinking skills embedded in visual arts instruction and transfer of learning to other content areas. Findings reveal that schools that are committed to the arts that are …

Nursing Workload And The Changing Health Care Environment: A Review Of The Literature, Denise Neill

Administrative Issues Journal

Changes in the health care environment have impacted nursing workload, quality of care, and patient safety. Traditional nursing workload measures do not guarantee efficiency, nor do they adequately capture the complexity of nursing workload. Review of the literature indicates nurses perceive the quality of their work has diminished. Research has looked at tasks associated with nursing work, but not the nurse’s perception of workload demands. Human factors research principles examine cognitive and perceptual abilities needed to meet the workload demands. A human factors framework focuses on mental demands and adds an understanding of why some demands are handled easily while …

Breaking Bad News In Healthcare Organizations: Application Of The Spikes Protocol, C. W. Vonbergen, Robert E. Stevens, David Loudon

Administrative Issues Journal

Organizational downsizing has increased exponentially worldwide and is also affecting the healthcare industry. It is one thing to speak abstractly of the need to reduce costs and quite another to actually tell a worker the bad news that he or she has been laid off. This paper offers practical advice to healthcare managers on conducting unpleasant conversations with employees based on a widely used medical model—the SPIKES protocol. This strategy has been extensively employed by physicians and other health care professionals who frequently communicate negative information to patients and is offered as an approach that can be easily and effectively …

Navigating The Challenges Of Helping Teachers Use Data To Inform Educational Decisions, Kelli Thomas, Douglas Huffman

Administrative Issues Journal

In this paper we present a model of collaborative evaluation that has been used to engage teachers in data-based decision making for improving teaching and learning in mathematics and science. We examine three external challenges that threaten the process of continuous school improvement; namely, making sense of data, policy changes, and curriculum changes. In addition, we describe how the collaborative evaluation model facilitated progress beyond these challenges.

Enacting Social Justice: Perceptions Of Educational Leaders, Linda R. Vogel

Administrative Issues Journal

This qualitative study examines how educators who are either currently enrolled or who have completed an educational leadership preparation program in the past five years at one Rocky Mountain university understand social justice—as a concept and operationally—and the role of multicultural education in promoting social justice in P-12 school settings. Less than half (44%) of the educational leaders in this study were familiar with the concept of social justice, with those leaders who were familiar with the concept identifying full and equal participation (17%) and equal distribution of resources (11%) as the focus of school programs. Less than one third …

Helping Teachers Be Successful: Lessons For Administrators, Steven W. Neill, Paul Bland, Edwin Church, Climetine Clayburn, W. Michael Shimeall

Administrative Issues Journal

The goal of this study was to identify areas of teacher performance that were lacking to the point that the teacher was nonrenewed. Individual school districts can gain insight into why teachers are failing and make adjustments to their training and teacher induction programs that will improve professional practice. The study found that teachers failed primarily in the area of classroom management. Of the 22 possible teaching skills in which teachers could be deficient, four of the top five causes for nonrenewal came within the category of classroom management (Creating an Environment of Respect and Rapport, Managing Student Behavior, Managing …

Superintendent Length Of Tenure And Student Achievement, Scott Myers

Administrative Issues Journal

This quantitative study, utilizing the backward method of multiple regression, examined the relationship between the length of tenure of a superintendent and academic achievement as defined by the percentage of students who scored “Proficient” or better on the 2008 Third Grade Kansas Reading Assessment. To put this relationship into context, five other predictive variables were included as a part of this study: the individual’s total length of experience as a superintendent, the superintendent’s total length of experience in education, each district’s assessed valuation per pupil, each district’s percentage of students who qualified for free or reduced meal prices, and each …

International Evidence On Medical Spending., Robert D. Lieberthal, Phd

College of Population Health Lectures, Presentations, Workshops

The 46th Actuarial Research Conference, Poster session I, University of Connecticut, Storrs, CT. August 11, 2011.

Poster conclusions:

• U.S. spending is high.
• Long tailed medical linked insurance may be easier to write in the U.S.
• U.S. healthcare cost curve is not outrageous.
• Average spending
• Low volatility

Poster is associated with this paper: http://jdc.jefferson.edu/healthpolicyfaculty/45/

International Evidence On Medical Spending., Robert D. Lieberthal, Phd

College of Population Health Lectures, Presentations, Workshops

Presented for the American Statistical Association Health Policy Statistics Section.9th International Conference on Health Policy Statistics, Cleveland, OH.

14 PowerPoint slides

Presentation associated with this paper: http://jdc.jefferson.edu/healthpolicyfaculty/45/.

Childhood Loss And Ad/Hd: Program Implications For Education Administrators, Helen Wilson Harris, Marlene Zipperlen

Administrative Issues Journal

Evidence-based practice and evidence-informed practice are not just buzzwords in education. It is essential that administrators encourage both the development and the application of new knowledge in the field. This study of 1755 elementary age children in Central Texas indicates a positive association between the experience of childhood loss and grief and a diagnosis of AD/HD. Implications of this information for administrators in education are explored, including the training of counselors and classroom teachers in grief interventions and accommodations for grief related attention problems in children.

Strategies For Financing Healthcare Costs Over The Long Term., Robert D. Lieberthal, Phd

College of Population Health Lectures, Presentations, Workshops

Presented for the American Statistical Association Health Policy Statistics Section. 9th International Conference on Health Policy Statistics, Poster session I, Cleveland, OH.

Funding to support this work came from AHRQ grant R36 HS018835-01.

Policy Implications:

-Health insurance companies should use a broad, diversified investment portfolio as their optimal investment strategy -Insurance regulators should be focused on longer term lines of health insurance

High Frequency Evidence On Variation In Spending Growth., Robert D. Lieberthal, Phd

College of Population Health Lectures, Presentations, Workshops

Presented for the American Statistical Association Health Policy Statistics Section. 9th International Conference on Health Policy Statistics, Poster session I, Cleveland, OH.

Policy Implications:

• Health insurance regulation should include compensation for taking on riskier groups.
• Health programs should focus on changing needs for risk management versus health management throughout the life cycle.

Funding to support this work came from AHRQ grant R36 HS018835-01.

Assessment Training In Principal Preparation Programs, Bettye Grigsby, Winona Vesey

Administrative Issues Journal

The role of the administrator has evolved over the past 30 years from manager to instructional leader. As instructional leaders, administrators are now responsible for student achievement on high-stakes state-mandated assessments. Therefore, it is imperative principal preparation programs provide the necessary training instructional leaders need to analyze and interpret assessment data and make informed decisions toward school improvement. This descriptive study analyzes four syllabi components to determine the extent to which testing and measurement are covered in each course: objectives, classroom sessions, resources, and activities. Based on responses from 30 universities across the United States, less than 30% of principal …

A Comparison Of Urban, Suburban, And Rural Principal Leadership Skills By Campus Student Achievement Level, Susan Erwin, Pam Winn, John Erwin

Administrative Issues Journal

Because of the importance of developing highly skilled school leaders, statewide assessments of 784 Texas public school administrators were compared in a causal-comparison study to determine how leadership skills varied by type of campus (urban, suburban and rural) and by campus student achievement ratings. Data were collected from a 2006-2008 Texas state-approved principal performance assessment, Principal Assessment of Student Success (PASS). Principal leadership skills identified in PASS were compared within campus student achievement categories as measured by Texas (No Child Left Behind) public school accountability ratings, and data were disaggregated by campus type (urban, suburban, rural). Important findings indicate that …

Distance And Face-To-Face Learning Culture And Values: A Conceptual Analysis, Carmen Tejeda -Delgado, Brett J. Millan, John R. Slate

Administrative Issues Journal

With distance learning increasing in popularity across the country and the world, a review of the extant literature as it relates to distance learning and face-to-face learning is warranted. In particular, this paper examined distance learning, including a historical overview, prevailing themes in past research, and studies relating the importance of the community concept in distance education. Also analyzed were research studies in which the importance of culture and values were addressed. Subsequently, the rationale for the development of instruments to quantify values, including the Schwartz Value Scale (SVS), was provided. Growth in online education has created an environment where …

Administrative Issues Journal: Table Of Contents

Administrative Issues Journal

No abstract provided.

Letter From The Editor-In-Chief, Patsy Parker

Administrative Issues Journal

No abstract provided.

Federal Accommodation Policy In Practice: Implications For A Substantive Process, Lynn Hemmer, Candace Baker

Administrative Issues Journal

The design of governmental regulations creates an assumption that policy implementation is linear in nature and is unproblematic (Dorey, 2005). As states, local education agencies (LEAs), and eventually school leaders and teachers engage in the policy implementation process, it becomes evident that this hierarchal dissemination of policy results in various interpretations and actions (Spillane, 1996, 2002). In the 1997 Individuals with Disabilities Education Act (IDEA) and the 2001 No Child Left Behind (NCLB) Act, the legislative language clearly states that students with disabilities are to participate in assessments with accommodations as described on their Individualized Education Plan (IEP). Research suggests …

The Case For Strategic Talent Management In Academic Medicine, Shannon Fox, Sarah A. Bunton, Valerie Dandar

Educational Leadership and Policy Faculty Publications and Presentations

The Association of American Medical Colleges (AAMC) has encouraged academic medical centers to embrace an integrative approach to developing leaders and organizational cultures that will prepare the health care industry to meet imminent U.S. health care needs.1 This white paper was developed in support of this initiative and to encourage further consideration of the talent-related systems in academic medical centers that shape the organizational environment and its leaders. In this summary, we highlight the definition, value, and potential impact of strategic talent management within academic medicine and in other sectors. We hope to raise awareness of the transformative potential of …

What's Happening: October-November, 2011, Maine Medical Center

What's Happening

No abstract provided.

Understanding Social Marketing In A Not-For-Profit Ngo Setting: An Internship With Pace In Eastern Uganda, Veronica L. Tuerffs

Independent Study Project (ISP) Collection

The organization PACE (Programme for Accessible health, Communication and Education) focuses on generating a positive health impact throughout Uganda by the means of social marketing and other proven, evidence based techniques. An internship with the organization took place over the course of six weeks and was conducted under the A2L (Access to Life) program which is located in four of the country’s eastern districts. The focus of the health and sales communication internship was the implementation of PACE’s marketing scheme on their life-saving products and how the products and organization are perceived.

Any of the information gathered during this time …

Individual And Small-Group Market Health Insurance Rate Review And Disclosure: State And Federal Roles After Ppaca, Kathryn Linehan

National Health Policy Forum

Oversight of private insurance, including health insurance, is primarily a state responsibility. Each state establishes its own laws and regulations regarding insurer activities, including premium increases for the insurance products within its purview. The authority that state regulators have to review and deny requests for premium changes varies from state to state, as do the amount of resources available to state insurance departments for reviewing premium changes. In some markets where insurers have proposed or implemented steep increases, such changes have received considerable attention from the press, state regulators, and policymakers. The Patient Protection and Affordable Care Act (PPACA) requires …

Agenda Of 09/27/2011 Hsc Board Of Directors Mtg, Patrice Martin

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

No abstract provided.