Health and Medical Administration Commons^™

The Experience Era Is Upon Us, Jason A. Wolf Phd

Patient Experience Journal

In this moment in healthcare, the challenges for those in the system are dynamically shifting and the perspectives, desires and needs of the healthcare consumer are putting positive and lasting pressures on how healthcare works that will shift healthcare from where it has been to where it must go. At the heart of this transition are the ideas framing an experience era, where collaborative, consumer-focused and purposeful actions can and will lead to a healthcare system returning to its fundamental calling, that of human beings caring for human beings. In doing so we can change the nature of healthcare and …

How Barriers To Using The Electronic Health Record Effects Behavioral Healthcare, Jennifer Woodard

Applied Research Projects

The healthcare scene is rapidly changing due to the introduction of the electronic health record (EHR) and advances in technology. This means more patient data is readily available for use and gives physicians and patients’ faster access to that data. With the passing of recent legislature such as the Health Information Technology for Economic and Clinical Health Act and the American Recovery and Reinvestment Act of 2009, resulting in the rapid adoption of electronic health records due to incentive payment programs. With this comes the push for use of the electronic health record to prepare for Meaningful Use and improved …

Is Cloud Computing In Healthcare Providing A Safe Environment For Storing Protected Health Information? A Systematic Review And Meta-Analysis, Ashley N. Hayes

Applied Research Projects

Over the past several years, cloud computing has become increasingly more popular for the use of storing, accessing, and maintaining electronic health records (EHRs). In comparison to conventional EHR management tools, such as installed software, cloud computing offers more capabilities for medical facilities and their patients. Experts claim that in addition to changing the face of health information technology, it will also advance healthcare services, and benefit medical research. As the use of cloud computing has increased, so has the amount of healthcare data breaches. This study is proposing that there is a correlation between the increase in cloud computing …

Adoption Rate Of A Certified Ehr At Medical Practices With Five Or Fewer Physicians, Nelda Onwualiaobu

Applied Research Projects

The adoption rate of a certified electronic health record (EHR) for small medical practices have been the subject of discussion because prior research shows that larger medical practices have a higher rate of adoption than small medical practices. The major reason for this disparity has been the cost of adoption and implementation as many small practices are not financially equipped to shoulder this burden. The purpose of this research was to determine the adoption rate of a certified EHR for medical practices with five or fewer physicians. Through a google search and filtering the results of the search, the office …

Are Bay County Florida Healthcare Facilities Ready For Pama Imaging Cds Mandate?, Kelly Johnson

Applied Research Projects

The Electronic Health Record (EHR) has been a major player on the healthcare scene in recent years. Its use has ushered in a new phase of focus on quality healthcare combined with and aided by technological integration. Within this technological integration have come adjutant tools including Clinical Decision Support (CDS) tools. Among these applications are those focused on appropriate imaging by use of CDS designed according to Appropriate Use Criteria (AUC). The imaging CDS tools are available to aid the provider in selecting the appropriate imaging study for the clinical indications present. The Protecting Access to Medicare Act (PAMA) passed …

Rencana Pengembangan Cssd (Central Sterile And Supplies Department) Berdasarkan Kebutuhan Di Rs Meilia Tahun 2015, Lintang Kusuma Delia

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

To meet the requirements of Peraturan Menteri Kesehatan RI number 56 2014 and JKN in 2015, RS Meilia need the planning of CSSD development that refers to the literature, regulations, guidelines and standards of the Ministry of Health of Indonesia and also refers to the analysis of internal and external factors in the RS Meilia CSSD to reach an ideal CSSD. The analytical results are RS Meilia has been preparing since the beginning of the construction of the hospital to hold a separate CSSD unit. In addition, there is a problem about the distribution flow of dirty goods and sterile …

Analisis Kepuasan Pasien Tni Sebelum Dan Sesudah Penerapan Jkn Di Ruang Rawat Inap Kelas Ii Rs Dik Pusdikkes Kodiklat Tni Ad, Ernawati Ernawati

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Patient satisfaction is one of indicator of health care quality measurement and can be used as a benchmark for the hospital. The purpose of this study was to describe the characteristic of TNI patients who are JKN’s based on age, sex, education and rank, determine the performance of member RS DIK PUSDIKKES Kodiklat TNI AD for TNI patients with Servqual method as well as knowing the difference of services before and after impletation of JKN. This is a quantitative study with cross sectional approach using descriptive analysis and cartesian diagram. The study was conducted for 3 months on 100 patients …

Analisis Perbedaan Tarif Rumah Sakit Dan Tarif Ina-Cbg’S Pelayanan Rawat Jalan Di Rsud Budhi Asih Jakarta Tahun 2015, Hotma Dumaris

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

There is a fundamental change of hospital’s payment system in Indonesia since the Indonesian National Health Insurance was implemented (January 2014). The former retrospective payment system was changed into prospective payment system with Indonesia Case Base Groups (INA-CBG) as expense base. This change forced hospital to propose a new efforts to adjust the rate difference between the previous hospital based-tariff system and the latter INA-CBG-based-tariff system in order to assure the health service quality. This study aims to find out hospital’s efforts to adjust the tariff difference between the hospital-based- tariff system and INA-CBG-based-tariff-system.This is a quantitative as well as …

Analisis Biaya Layanan Diabetes Melitus Dengan Komplikasi Dan Faktor Penentu Inefisiensi Penanganan Diabetes Melitus Di Rawat Inap Rsud Banyuasin Tahun 2015, Fahrul Rahman

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Since JKN was offiacially administered in general hospital on January 1st, 2014, there has been changing in hospital administration payment from the restrospective system (free for services) to the prospective system (INA-CBG’s). It is planned in 2019 that all the people in Indonesia is registered in BPJS (Universal Heath Coverage) as one of the facilities for public healt services provided by Banyuasin general hospital (RSUD Banyuasin) which ains to provide qualified services, yet still considering effiencies due to the lach of the government subsidies. This study aimed to analyze the cost and identify determinant factor in handling Diabetes Melitus with …

Analisis Perencanaan Dan Pengendalian Persediaan Obat Antibiotik Di Rsud Cicalengka Tahun 2014, Gita Gilang Kencana

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Poor planning and controlling of drug in RSUD Cicalengka has resulted excess inventory and potential Hospital losses. This operational research was using ABC Critical Index Analysis Method, Safety Stock, Economic Order Quantity (EOQ) and Reorder Point (ROP). Stock evaluation using Inventory Turnover Ratio (ITOR) was also conducted. The result of ABC Critical Index Analysis showed that were seven antibiotics need to be prioritized. The estimation of antibiotic drug in group A for year 2015 was done using Single Exponential Smoothing Method. Safety stock for Cefadroxil Kaps 500 mg (5x10) as much as 344, EOQ as much as 1476 and ROP …

Hubungan Faktor Risiko Ergonomi Dan Keluhan Cumulative Trauma Disorders Pada Dokter Gigi Di Pt. X Tahun 2014, Hany Winihastuti

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Dentist’s works have kind of risks related with Cumulative Trauma Disorders (CTDs). This research’s aim is to explain ergonomic factors and CTDs that happens to dentist. Cross sectional method is used in this research along with 44 dentis in hospitals and cliniques X as samples. The usage of RULA and MB Ruler in this research is supported the researcher to assess the work’s postures on the upper arm, forearm, wrist, neck, torso and leg.The study found that dentists who complained of CTDs as much as 72.7%. Bivariate analysis showed a relationship between the duration and the incidence of complaints CTDs …

Pengendalian Persediaan Obat Kemoterapi Melalui Pendekatan Analisis Abc Indeks Kritis Di Ruang Pencampuran Instalasi Farmasi Rsup Dr. Mohammad Hoesin Palembang Tahun 2015, Layla Izzatul Khuriyati

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

One of the featured services at RSMH is integrated chemotherapy services. One of the resources in support of these services is a pharmaceutical supplies including the Chemotherapy drugs are relatively expensive. In conducting the inventory control Dr. Mohammad Hoesin Hospital not classify drugs based on user value, investment value and criticality of drugs through certain methods. So in this study aims to conduct chemotherapy drug control approach ABC Analysis Critical Index in the Cytostatica Handling Room of Pharmacy Instalation RSUP Dr. Mohammad Hoesin Palembang. This study design using operational research with quantitative and qualitative descriptive analysis. The results showed that …

The Road Into The Future Of Health Care: The Importance Of Addressing Access To Health Facilities In Transportation Infrastructure Investment Decisions, Nicola (Nikki) Van Den Heever

Independent Study Project (ISP) Collection

Background: One school of thought argues that transportation infrastructure is not an ultimate end goal of development and therefore shouldn’t be addressed within development funding decisions while the other argues that transportation infrastructure is the crucial foundation from which all development efforts are based and therefore needs to be addressed within development funding decisions. Within this framework, there is a lack of academic and other research addressing how physical access to health care for pregnant women can better be addressed when making decisions regarding funding of transportation infrastructure projects.

Purpose: To demonstrate the importance of considering access to health care …

A Test Of The Behavioral Model Of Health Services Use On Non-Emergent Emergency Department Use, Moira Crosby Mcmanus

Health Services Research Dissertations

Even though emergency departments (EDs) were created to treat trauma and emergent cases, there has been an increase in emergency department (ED) utilization for non-emergent reasons over the past half of a century. As non-emergent utilization grows as a result of the ED becoming a prevalent substitute for primary care, overcrowding of the ED and increased wait times will continue. Additionally, unnecessary cost to both the ED and the patient will be incurred. Previous research has examined and determined various reasons and risk factors driving non-emergent ED use, among them the influence of living location and the number of non-emergent …

Financial Hardship From Purchasing Medications For Senior Citizens Before And After The Medicare Modernization Act Of 2003 And The Patient Protection And Affordable Care Act Of 2010: Findings From 1998, 2001, And 2015, Anthony W. Olson, Jon C. Schommer, David A. Mott, Lawrence M. Brown

Pharmacy Faculty Articles and Research

BACKGROUND: The Medicare Modernization Act of 2003 (Medicare Part D) added prescription drug coverage for senior citizens aged 65 years and older and applied managed care approaches to contain costs. The Patient Protection and Affordable Care Act of 2010 (ACA) had the goals of expanding health care insurance coverage and slowing growth in health care expenditures.

OBJECTIVES: To (a) describe the proportion of senior citizens who had prescription drug insurance coverage and the proportion who experienced financial hardship from purchasing medications in 2015, and (b) compare the findings with those collected in 1998 and 2001.

METHODS: Data were obtained in …

Implementation Of Survivorship Care Plans At Three Health System-Based Cancer Centers In A Rural State, Mary Isaacson, Polly Hulme, Jenna Cowan, Jennifer Kerkvliet, Mary Minton

College of Nursing Faculty Publications

The purpose of this project is to describe the development and implementation of cancer SCPs at three health systems’ cancer centers in a rural state. Collectively, these centers serve most cancer patients residing in SD, making the partnership across the cancer centers innovative. Each of the three health systems and their affiliated cancer centers is unique in its history, culture, and infrastructure. In addition, each cancer center was at a different point in the development and implementation of SCPs at the time of this project. Therefore, a description of the processes, successes, and challenges involved in the development and implementation …

Strategic Community Healthcare Management, Stephanie Penrod

Master's Projects and Capstones

Federally Qualified Health Centers(FQHC) and Community Health Centers are growing with the Affordable Care Act. This paper introduces literature that supports the need for Community Health Centers and management of low income patients with chronic illnesses. This paper also reviews the fieldwork experience at a FQHC. It reviews the goals, project, methods and findings of the fieldwork. This paper also elaborates on the scope of the project and a quality improvement report for the FQHC in observation. It discusses the future potential implementation of the recommendations and the benefits for both employees and patients. This paper concludes with follow up …

Abstracts From The 22nd Annual Health Care Systems Research Network Conference, April 13–16, 2016, Atlanta, Georgia

Journal of Patient-Centered Research and Reviews

This proceedings supplement includes selected abstracts presented at the 22nd annual conference of the Health Care Systems Research Network (HCSRN), held April 13–16, 2016, in Atlanta, Georgia. The HCSRN connects the resources and capabilities of research departments from its member health care systems. Collectively, the organization represents more than 1,900 scientists and research staff from an array of disciplines such as epidemiology, economics, disparities, outcomes and quality assessment, trials and genomics.

Reform Has Only Just Begun, Nick Turkal

Journal of Patient-Centered Research and Reviews

The head of a major Midwestern health care system outlines the long road facing the industry in terms of overhauling its infrastructure from volume-based to value-oriented. Quality is paramount and will require effective partnerships and an enhanced focus on consumers to achieve.

Surveillance, Epidemiological, And Virological Detection Of Highly Pathogenic H5n1 Avian Influenza Viruses In Duck And Poultry From Bangladesh, Wahedul Karim Ansari, Md Safiullah Parvej, Mohamed E. El Zowalaty, Sally Jackson, Stephen A. Bustin, Adel K. Ibrahim, Md Tanvir Rahman, Han Zhang, Mohammad Ferdousur Rahman Khan, Md Mostakin Ahamd, Md. Fasiur Rahman, Marzia Rahman, Khm Nazmul H. Nazir, Sultan Ahmed, Md Liakot Hossenn, Md Abdul Kafi, Mat Yamage, Nitish C. Debnath, Graba Ahmed, Hossam Ashour, Md Masoud, Ayman Noreddin, Md B. Rahman

Pharmacy Faculty Articles and Research

Avian influenza viruses (AIVs) continue to pose a global threat. Waterfowl are the main reservoir and are responsible for the spillover of AIVs to other hosts. This study was conducted as part of routine surveillance activities in Bangladesh and it reports on the serological and molecular detection of H5N1 AIV subtype. A total of 2169 cloacal and 2191 oropharyngeal swabs as well as 1725 sera samples were collected from live birds including duck and chicken in different locations in Bangladesh between the years of 2013 and 2014. Samples were tested using virus isolation, serological tests and molecular methods of RT-PCR. …

Using The Theory Of Planned Behavior To Predict Executives’ Intentions To Hire Psychologists In Federally Qualified Health Centers, Robert M. Tolliver

Electronic Theses and Dissertations

Health psychologists with training in integrated care are ideal candidates to work in Federally Qualified Health Centers (FQHCs). However, despite the large documented need for more behavioral health providers in FQHCs, psychologists are underrepresented in this setting compared to other behavioral health professions. The purpose of this study was to: 1) examine the specific beliefs that are most relevant to executives’ intentions to hire psychologists, 2) determine how executives’ perceived control over hiring psychologists varies by several demographic variables, and 3) examine how well the Theory of Planned Behavior (TPB) predicts executives’ intentions to hire psychologists. Method: Executives (N …

Association Between Alcohol Screening And Brief Intervention During Routine Check-Ups And Alcohol Consumption Among Adults Living In California, Gene Kilian Wells

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: Alcohol consumption accounts for 1 in 10 deaths among U.S. adults, and has cost upwards of $200 billion in a single year due to lost productivity. Alcohol Screening and Brief Intervention (ASBI) was developed as a treatment approach for use in primary care to identify and reduce hazardous and harmful substance use behaviors among the general population. Although ASBI has proven to be successful, implementation rates remain low. Few studies have been conducted in Nevada to encourage or improve ASBI implementation in primary care. In order to better support Nevada policy decisions, this study investigates the proportion of ASBI …

United States Health Care Reform Progress To Date And Next Steps, Barack H. Obama

United States Public Health Resources

IMPORTANCE The Affordable Care Act is the most important health care legislation enacted in the United States since the creation of Medicare and Medicaid in 1965. The law implemented comprehensive reforms designed to improve the accessibility, affordability, and quality of health care.

OBJECTIVES To review the factors influencing the decision to pursue health reform, summarize evidence on the effects of the law to date, recommend actions that could improve the health care system, and identify general lessons for public policy from the Affordable Care Act.

EVIDENCE Analysis of publicly available data, data obtained from government agencies, and published research findings. …

Will The Ebola Epidemic Serve To Make Reform Of The Broken Health Research And Development Framework Go Viral?, Jeremy Mcdonald

Indiana Journal of Global Legal Studies

The recent Ebola outbreak in West Africa has captured the public imagination as few other epidemics have, as its rapid spread and lethal effect demonstrated the devastating toll that infectious diseases can exact from a world unprepared to confront them. In light of the epidemic's tragic consequences, numerous experts have called for reform of the system of global health governance whose shortfalls allowed the epidemic to assume the horrifying dimensions it did. Among the many inadequacies that the outbreak uncovered is the insufficient amount of research into and development of treatments and vaccines for infectious diseases of poverty, among them …

Ehr Quality Documentation Research Thesis, Ashley Danielle Holmes

Applied Research Projects

This research proposal contains and introduction to my proposed research, background of the issue at hand, purpose of the research, significance of the research, research questions that I will be asking, definition of terms, limitations that I may be facing, literature review, SWOT Analysis, and Work Flow diagram on literature review. Also discussed are my proposed research methodology, research design, population sample, data collection procedures, as well as a table of survey variables that I propose to include. This proposal will go over why documentation quality and quantity is so important and the history behind why we are facing a …

Nutrition Informatics: Information Technology Transition For Registered Dieticians, Arlanda Bell

Applied Research Projects

The passing of the Health Information Technology for Economic and Clinical Health Act (HITECH) has created a growing push for healthcare organizations to no longer use paper based records and convert to an Electronic Health Record (EHR). Along with the adoption of an EHR comes a necessary change for ancillary services like nutrition and dietetic services because it affects patient care as well. In order to maintain a professional standard in patient healthcare as other health disciplines have done, the development of nutrition informatics model has become necessary. Nutrition informatics will prove to be a necessary addition to the developing …

Analisis Hubungan Budaya Organisasi, Komitmen Organisasi Dengan Turnover Intention Perawat Rumah Sakit Prikasih Tahun 2015, Erta Rahmawati

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The high rate of nurse turnover > 10% at Prikasih hospital causes a variety of problems, increased operating cost, disruption operations and raising moral issues in nurse who stay, This research is a quantitative analytical research aiming to describe the types of organizational culture (clan, adhocracy, market, hierarchy) and organizational commitment (affective, normative, continuance). The research also aims to illustrate the relations between the different types of organizational culture and organizational commitment, and the association with turnover intention at Prikasih hospital as well as to identify the most dominant factor of relations. The research uses cross-sectional method with 102 nurses as …

Analisis Perbandingan Biaya Pengelolaan Limbah Medis Padat Antara Sistem Swakelola Dengan Sistem Outsourcing Di Rumah Sakit Kanker “Dharmais”, Ari Purwohandoyo

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Based on the principle of "the polluter pays", every health care need to be financially responsible for the management of their waste safely. Such costs should be funded by a special allocation of hospital budgets. Total expenses generally consist of an initial capital investment, depreciation of equipment and buildings, the cost of operation of these elements such as personnel and consumables, vehicle operating costs, third-party management fees, license fees, and other expenses that everything must be carefully fastidiously if it will choose the lowest cost option.This study discusses The comparative cost analyse of solid medical waste management in the "Dharmais" …

Analisis Hubungan Waktu Pelayanan Dan Faktor Total Quality Service Terhadap Kepuasan Pasien Di Poliklinik Kebidanan Dan Kandungan Rsia Anugerah Medical Centre Kota Metro Tahun 2015, Fitriyuli Mayasari

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Outpatient services is one of unit working in hospitals that serve patients with outpatient including all diagnostic and therapeutic procedures. The waiting time is one important thing that will determine the initial image of hospital services. One of the tools for identifying customer needs hospital is the Total Quality Service (TQS). Patient satisfaction is a major factor and a measure of the success of the hospital which is given to customers who impact the number of visits increased and patients are satisfied tend to be returned. This research is a quantitative research with cross sectional design (cross-sectional) with correlation analysis …

Analisis Penyusunan Patient Safety Phatway Coronary Artery Disease (Cad) Pro Percutaneous Coronary Intervention (Pci) Di Instalasi Brain And Heart Centre Rs Dr. Moh. Hoesin Palembang Tahun 2015, Harjito Harjito

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

This studydiscusses the preparation of patient safety phatway Coronary artery disease (CAD) pro Percutaneous Coronary Intervention (PCI) in the Installation Brain And Heart Centre dr. Moh. Hoesin Palembang.Research a descriptive analytic with cross sectional observation through depth interviews with admissions personnel, nurses and doctors The results of research suggest especially the Committee on quality and patient safety Hospitals need to further improve and develop a patient safety program to make safety Patient Pathway most particularly diseases, have a high risk and has cost expensive.and established a working group to evaluate the implementation of the application of patient safety in hospitals