Health and Medical Administration Commons^™

Complementary And Alternative Medicine: Opportunities And Challenges, William Martin, Hugh Long

College of Business Faculty and Staff Works

Health care finance is complex in all sectors of the health care industry. This article highlights both the challenges and opportunities of financing and reimbursing care with a focus on CAM providers and CAM provider organizations.

Knowledge Integration: The Iaims Experience At Lvh., Donald L. Levick Md, Linda M. Schwartz Mde, Ahip, Cm, Bryan G. Kane Md

Administration & Leadership

No abstract provided.

Quality Models: Selecting The Best Model To Deliver Results, William Martin

College of Business Faculty and Staff Works

No abstract provided.

Applying Lean Manufacturing Techniques To Improve The Performance Of An Emergency Department, Ramesh Pondhe

All-Inclusive List of Electronic Theses and Dissertations

The research was an attempt to apply lean manufacturing (LM) techniques, to the healthcare setting specifically to Emergency Department (ED) of a local hospital and to improve its performance. An ED is meant to attend/provide immediate care to a patient who needs medical care immediately and also balancing the care to patients with lesser acuity who arrive at the ED for treatment. The data was collected from the ED by direct observation. The data was statistically analyzed to find out the bottlenecks in the process during the course of a patient's treatment to further provide solutions and improve the performance …

Inside Unlv, Diane Russell, Shane Bevell, Carol C. Harter, Lori Bachand, Cate Weeks, Mamie Peers

Inside UNLV

No abstract provided.

Effectiveness Of A Progress Note On Quality Care Indicators In A Get With The Guidelines Hospital, Michael A. Rossi Md, Zubina M. Mawji Md, Mph, Patricia Parker Rn, Joshua B. Skibba Md, Katrina A. Fritz Bsn, Tamara Masiado Ma, Thomas E. Wasser Phd

Administration & Leadership

No abstract provided.

Impact Of A Multifaceted Quality Improvement Initiative To Implement Jcaho Core Measures For Ami And Chf, Michael A. Rossi Md, Zubina M. Mawji Md, Mph, Patricia Parker Rn, Joshua B. Skibba Md, Katrina A. Fritz Bsn, Tamara Masiado Ma, Thomas E. Wasser Phd

Administration & Leadership

No abstract provided.

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

Management Faculty Research

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 …

Managing Unmanageable Physicians: Leadership, Stewardship, And Disruptive Behavior, Tim Keogh, William Martin

College of Business Faculty and Staff Works

Physician and health care leaders are seeking guidance and support on how to address disruptive behavior that has an impact on safety, quality, and performance. This article equips leaders with a model and process to prevent and address disruptive behavior.

Gaining Compliance And Losing Weight: The Role Of The Service Provider In Health Care Services, Stephanie Dellande, Mary C. Gilly, John L. Graham

Business Faculty Articles and Research

This research provides and empirically tests a conceptualization of health care services in which customer compliance outside of the service organization is necessary for successful health outcomes. Using data from service providers and customers in a weight-loss clinic, the authors examine the provider's role in gaining customer compliance. They find that provider expertise and attitudinal homophily play a role in bringing about customer role clarity, ability, and motivation. This study demonstrates that compliance leads to goal attainment, which results in satisfaction. More important, compliance also leads to satisfaction directly; consumers who comply with program requirements have greater satisfaction with the …

Designing And Implementing A Balanced Scorecard: Lessons Learned In Nonprofit Implementation, Andra Gumbus, Tom Wilson

WCBT Faculty Publications

The balanced scorecard has been referred to as the management innovation of the century, and extensive articles have been written using case studies of organizations that use this performance measurement system. This article addresses the key issues of design and implementation with a step-by-step guide to how to design a balanced scorecard and lessons to avoid implementation problems in government and nonprofit settings.

Designing A Strategy To Effectively Communicate The Balanced Scorecard, Andra Gumbus, Bridget Lyons, Tom Wilson

WCBT Faculty Publications

As increasing numbers of organizations adopt the balanced scorecard (BSC) to align strategy with operations and measure progress toward meeting strategic goals, the importance of successful communication of the scorecard throughout the organization has become apparent. Successful implementation and effective use of the BSC occurs when organizational stakeholders recognize its role, use, and benefits. In the March/April 2003 issue of Cost Management, we detailed how Bridgeport Hospital, a member of Yale New Haven Health System (YNHHS), adopted the BSC and used the scorecard to align capital investment decisions with strategy.1 In this article, we will profile how the hospital designed …

Aligning Capital Investment Decisions With The Balanced Scorecard, Andra Gumbus, Bridget Lyons, Dorothy E. Bellhouse

WCBT Faculty Publications

The Balanced Scorecard (BSC) has evolved from a measurement tool to a strategic management tool used by thousands of organizations. The Balanced Scorecard has proven to be a powerful tool in translating strategy into action in the for-profit sector and has recently been adopted by increasing numbers of not-for-profit organizations as well.

University of Bridgeport Hospital, part of the Yale-New Haven Health System, has been using the BSC for over three years to effectively translate strategy into dayto-day operations. The hospital has also linked the capital budgeting process to the BSC to ensure that resource allocation is aligned with strategic …

Applying Entrepreneurship To Health Care Organizations, Kristina L. Guo

New England Journal of Entrepreneurship

This study examines entrepreneurship and assesses its relevance to health care organizations through a detailed description of the optimal environment, organizational factors, and managerial roles in the entrepreneurship process. The article finds entrepreneurship processes to be especially useful to health care organizations as they struggle to survive in the competitive managed care environment.

Knowledge Management In The Healthcare Sector, Srinivas Krishna

IIMB Management Review

The healthcare sector across the globe is under going a cultural transformation, as the traditional passive and respectful patient opulation is replaced by an assertive and sceptical group of ‘customers’. As the educated and informed consumer moves through the healthcare system and begins to use more services, s/he is demanding information and choice, engaging in self-care and selfmanagement of diseases, and asserting a voice in making healthcare decisions with providers. The proliferation of clinical data, outcomes management, provider information and pricing transparency will allow consumers to be responsible for their own destinies in a historically anti-consumer healthcare system. In fact, …

The Drama Of Dysfunction: Value Conflict In Us Managed Care, Diana D. Mrotek

WCBT Faculty Publications

The transformation of the American health care environment from retrospective fee-for-service to managed care has been both rapid and chaotic. This period of change has been infected by value conflict, evoking unconscious processes in system participants as they have attempted to cope with personally threatening situations. This article attempts to elucidate this process by presenting an account of events and accompanying value conflict as it occurred over time. It also includes a systems analysis of the rapidly changing mosaic of unconscious processes that resulted from the divergent values held by the public and health care professionals, using various organization behavior …

Case Study On Costs And Efficiency Of Urgent Care Center Desert Valley Medical Group, Victorville, Hari Mallam Reddy

Theses Digitization Project

The purpose of this research project is to report on a comprehensive organizational audit of the Urgent Care Service of Desert Valley Medical Group in Victorville, California.

Latino Access To Health Care: The Role Of Insurance, Managed Care, And Institutional Barriers, J. Emilio Carrillo, Fernando M. Trevino, Joseph R. Betancourt, Alberto Coustasse

Management Faculty Research

The health care system in the United States is the most expensive and yet arguably among the least cost effective in the developed world (Anderson, 1998). Despite the highest per person health care spending among the Organization for Economic Cooperation and Development (OECD) nations, the United States still ranks below many along a variety of health indicators (Woolhandler & Himmelstein, 1991). In a complicated health care system where the rules are many and economic forces drive both structure and function, the needs of vulnerable populations inevitably suffer. This chapter explores the consequences of these market forces on a vulnerable population--Latinos …

The Role Of Institutional And Market Forces In Divergent Organizational Change, Thomas D'Aunno, Melissa Succi, Jeffrey A. Alexander

Business Faculty Articles and Research

This paper focuses on a radical change, in which organizations abandon an institutionalized template for arranging their core activities, that is likely to occur in organizational fields that have strong, local market forces and strong but heterogeneous institutional forces. We examine the role of market forces and heterogeneous institutional elements in promoting divergent change in core activities among all U.S. rural hospitals from 1984 to 1991. Results support the view that divergent change depends on both market forces (proximity to competitors, disadvantages in service mix) and institutional forces (state regulation, ownership and governance norms, and mimicry of models of divergent …

The Leader Who Serves (Duluth, Mn), C. William Pollard

C. William Pollard Papers

Speaking to a gathering of the Benedictine Health System's leaders in Duluth, MN, Pollard applauds the Benedictine tradition's emphasis on hospitality and encourages servant leadership as model for the system going forward.

An International Cross-Cultural Study Of The Role Of Chief Informational Officers In Healthcare, Wallace Saunders

Faculty Dissertations

The introduction and utilization of Information Systems (IS) in the hospital environment has had a significant and lasting impact on the practice of medicine. The development of this dissertation will attempt to explore a widely overlooked area: The comparison of Chief Information Officers (CIOs) in the United States and the United Kingdom.

Aspects of CIO experiences relating to assumed roles, CIO challenges, skills, frustrations, success, failure, leadership, management, involvement and perceptions about the role of Information Technology (IT) in healthcare are discussed with a comparative global model. This study investigates the managerial roles of the Chief Information Officer based on …

Positively Influencing Physicians: The Levers Of Influence, William Martin

College of Business Faculty and Staff Works

No abstract provided.

Building Web Sites That Attract Visitors, C. David Shepherd, Daniel Fell

Faculty Articles

The article discusses the use of web sites for health care service marketing. The potential benefits of Internet services for users and care providers are mentioned, but challenges in implementation are also listed. A three generation model of web site design is offered, distinguishing various levels of interactivity, customization, and perceived value. Suggestions are offered applying this model to health care service web sites and their marketing potential.

Jarrett W. Palmer Papers, Zach S. Henderson Library Special Collections

Finding Aids

Assembled by Dr. Jarrett W. Palmer (1874-1969), this collection features documents detailing Palmer's religious and medical practices in Ailey, Ga. Materials span 1895-1964, and include religious and medical publications, bank statements, financial and administrative forms, insurance paperwork, medical records and referrals, various artifacts from his practice, and other relevant documentation.

Find this collection in the University Libraries' catalog.

The Leader Who Serves (Scottsdale, Az), C. William Pollard

C. William Pollard Papers

In this address to the Baptist Healthcare Association (Scottsdale, AZ), Pollard applauds religious healthcare institutions for their commitment to the physical and spiritual welfare of the human person. With this holistic approach, they refuse to submit to the logic of simple economic efficiency and thus serve as a prime example of servant leadership.

Health Care Marketing And The Internet, C. David Shepherd, Daniel Fell

Faculty Articles

This article presents research on the growing number of health care providers using the Internet as a health care marketing tool in the U.S. The author notes that the Internet is changing the way consumers seek healthcare related information as well as the way it can be provided to them. The results of the study suggest that consumers will increasingly rely on sources like the Internet for information, that health information will be a commodity on the Internet, that the Internet will help build relationships between providers and consumers and that marketers will be expected to develop and manage Internet-related …

An Empirical Study Of Economies Of Scope In Home Healthcare, Theresa I. Gonzales

WCBT Faculty Publications

Objective: To apply the economic theory of economies of scope to the home healthcare industry. Data Sources: Data on 488 observations obtained from the Cost Report (HCFA Form 1728-86) of all Connecticut state-licensed, Medicare-certified home health agencies. Study Design: The Cost Report was the primary source of data for this study. Information on total cost, scope, and other related factors was collected. Logarithmic and nonlinear regression analyses were used to identify factors related to scope and also to test for economies of scope. Data Collection Method: Data collected were both cross-sectional and time series (from 1988-1992). Data accuracy was verified …

Factors Associated With Emergency Room Choice Among Medicare Patients, Judith L. Mack, Karen M. File, Jeffrey E. Horwitz, Russ Alan Prince

WCBT Faculty Publications

Changing macroenvironmental factors have caused hospital administrators to reassess their positions across all service lines and market segments. This pilot study explores relationships among the service experience, satisfaction and future patronage decisions among 368 Medicare patients, an often overlooked segmaent, who were recent users of a hospital emergency room.

The Effect Of A Self-Care Education Program On A Military Medical Beneficiary Population, Christopher S. Svehlak

Theses and Dissertations

Previous research in the area of self-care has focused on medical beneficiaries in a wide range of settings, but the current or former members of the United States Armed Services have largely been ignored. This research concentrates on designing, implementing, and reporting on a study of the impact of a self-care education program on a military beneficiary population. Specifically, retired and active-duty households, whose medical records are maintained by the Wright-Patterson Air Force Base Medical Center, were systematically randomly sampled and invited to participate in the study. Those households who responded were given their choice of a self-care book, and …

A Cipp Evaluation Of The Administrative Associate Training Program Through Sentara, Patricia A. Criswell

Community & Environmental Health Theses & Dissertations

Hospitals are facing change in today's environment. In order to meet these growing challenges, they are responding by providing value added services. Value added services have been defined as reducing inefficiencies and improving quality and service. Operational restructuring in the form of a new concept called patient-focused care has become the paradigm shift and structural revamping at several hospitals across the nation. Sentara Hospitals have adopted this program to improve the clinical and service quality delivered to the patient. An integral component of this new approach is the multiskilling of staff to reduce duplication, inefficiencies, and improve the quality provided …