Health and Medical Administration Commons^™

Health Literacy Improves Health Care Quality, Rebecca Cook

Applied Research Projects

A lack of knowledge about health literacy is a cause for quality healthcare concern as the world advances in health information technology. Many patients struggle to understand and navigate their health and well-being as a result of lack of understanding of the treatment plan due to low literacy skills. Several federal policy initiatives promote health literacy as the responsibility of the healthcare organization. Improving health outcomes through health literacy should be a commitment of healthcare organization through providing clear communication, simplified forms, assistance, and even follow-up calls. Three major initiatives will combat health literacy to include the Affordable Care Act; …

Maintaining The Master Patient Index: The Impact Of Patient Registration Processes On Data Integrity, Matthew Biddle

Applied Research Projects

The master patient index is one of the most important components within a healthcare system. It ensures that an individual patient is given a unique identifier that is used across the various separate clinical, financial and administrative systems and ensures that all information about that patient is organized and complete. Ensuring the MPI is accurate is critical since errors can have significant costs- both financially and in terms of patient outcomes. Patient registrars are the first line of defense when it comes to correctly identifying incoming patients and is where many errors in the MPI occur. Errors can be simple …

Analisis Besaran Biaya Obat Beberapa Penyakit Rawat Jalan Dan Faktor- Faktor Yang Mempengaruhi Di Rs. Awal Bros Bekasi Tahun 2014, Hastuti Hadiningsih

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The background of this study is the high bill outpatient drug costs when compared with the costs borne by BPJS by embracing INA CBG's tariff system. So, we need a more in-depth analysis of the factors that affect the amount of health care costs. This study uses a cross-sectional study with quantitative methods, by looking at factors of age, sex, prescription drugs, doctor and health insurance status in accordance with the secondary data obtained through medical records and bills medicine outpatient services. And based on the results of the study, factors that affect the cost of the drug is age, …

Analisis Faktor-Faktor Yang Berhubungan Dengan Efektivitas Komunikasi Perawat Dan Pasien Di Ruang Rawat Inap Rumah Sakit Harapan Mulia Kabupaten Bekasi Tahun 2015, Prasetyaningtyas Agustrianti

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The study aims to determine the factors associated with the effectiveness of nurse and patient communication atinpatient unit in Harapan Mulia Hospitallocated in Bekasi Regency.It is a quantitative study with cross-sectional design.Samples are the total population amounted to 30 nurses with 60 patients as respondentsconducted in March - May 2015. The results showed that 53.3% of patients perceived that nurses’s communication was effective, further analysis with logistic regression showed no significant relationship between the characters nurses, physical and mental fatigue, language, leadership and management support for hospitals, facilities and reward with the nurses and patients communication effectiveness.

Analisis Alur Proses Penerimaan Pasien Rawat Inap Di Rumah Sakit “X” Tahun 2015 Dengan Pendekatan Lean Hospital, Pretty Kristianti Dewi

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Lean hospital is lean methods used in hospitals, is a continuous effort made to eliminate waste and increase value added in patient care in hospitals. This method is very appropriate to analyze the process flow of inpatient admission in "X" hospital by making Current State Value Stream Map derived from observation, interviews and review of documents. Then through the application of Lean Tools, Future State Value Stream Map was made as the idea of improvement for short and medium/long term in the process. The results showed there were 31 total events with value added time process is just 44,9% at …

Penggunaan Konsep Lean Untuk Meningkatkan Efisiensi Pelayanan Instalasi Farmasi Rawat Jalan Di Rumah Sakit Anna Medika Bekasi, Dima Lintya Siti Karima Zahra

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The National Health Insurance which was launched on January 1, 2014, is a form of transformation and reformation of health services in Indonesia. In implementation of the JKN, Hospital Pharmacy Installation is forced to improve its quality service sustainably in order to achieve cost effective and efficient service. Lean is a management system that fully focuses on effiency with the objectives to reduce stock, service cycle time and cost. Research was conducted on outpatient pharmacy installation service at Anna Medika Bekasi Hospital in April to May 2016. It focuses on prescription process flow of non-pulvis medicine using action research method …

Analisis Faktor-Faktor Yang Berhubungan Dengan Kepatuhan Pasien Tuberkulosis Paru Tahap Lanjutan Untuk Minum Obat Di Rs Rumah Sehat Terpadu Tahun 2015, Dewi Hapsari Wulandari

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

This research discussed on the This thesis aims to determine the factors that associated compliance patien lung Tuberculosis to swallowing drug at Rumah Sehat Terpadu Dompet Dhuafa Hospital 2015This research used mix methods approach with cross sectional design. This research found that there is still non compliances patient lung tuberculosis to swallowing medicine. The compliance is related on behavior (Predisposisi, Enabling, dan Reinforcing) and non behavior factor. To increase the compliance this research suggest to hospital support fot TB DOTS program, intens of counseling, support the PMO, availability of drug, and frequent recording dan reporting.

Analisis Kualitas Dan Kuantitas Tenaga Keperawatan Terhadap Persepsi Insiden Keselamatan Pasien Di Rs X Jakarta Tahun 2015, Evelyne Sumihar Friyanti

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Patient safety has become a very important issue in health care. Everyone wants to get health care that is safe and free from unwanted injuries. Through this study, analyzed the quality and quantity of nurse perceptions of patient safety incidents in the hospital X. The study was conducted on 44 nurses and midwives using cross sectional design to examine the relationship between the variables of knowledge, education, ease of use tools, work experience, discipline and the number of nurses on patient safety incidents.

Analisis Faktor Yang Berhubungan Dengan Waktu Tunggu Pemeriksaan Foto Toraks Pasien Rawat Jalan Di Instalasi Radiologi Rumah Sakit Dr. Mohammad Hoesin Palembang Tahun 2015, Muhammad Yusri

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Department of Radiology Dr. Mohammad Hoesin hospital in Palembang 2014, many patients perform chest x ray examination, whom were patients radiographic outpatient. The waiting time radiographic services in RSMH not in accordance with the Standard Minimum Service Hospital less than 3 hours. This study aims to determine the factors associated with waiting time chest X-ray. This research was conducted by measuring the waiting time to 68 selected respondents The result showed radiographic waiting time 184.44 minutes. Based on statistical test found the waiting time in the reading room is the photo that most affect the length of waiting time radiographic.

Understanding The Value Of Multi-Sector Health System Interactions, Glen P. Mays

Health Management and Policy Presentations

Recent research examines the health and economic value of multi-organizational and multi-sectoral approaches for the delivery of public health services. This presentation examines how data on these multi-organizational delivery systems and their impact can be used to solve collective action problems and stimulate collaborative solutions in public health.

Kentucky’S Public Health Strategic Plan: Strengthening Foundational Services & Improving Population Health, Glen P. Mays

Health Management and Policy Presentations

This session examines recent progress toward the 2012 Institute of Medicine recommendation to identify the components and costs of a "minimum package" of public health services and foundational capabilities to be available across the U.S. Research about the health and economic benefits of Foundational Public Health Services has begun to shape Kentucky's strategic plan for transforming the public health system.

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]

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 …

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 …

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.

The National Health Security Preparedness Index: Proposed Updates For 2015-16, Glen P. Mays

Health Management and Policy Presentations

The U.S. Centers for Disease Control and Prevention (CDC) initiated development of the National Health Security Preparedness Index in 2012 to create a platform for measuring the nation’s progress in preparing for, responding to, and recovering from disasters and other large-scale emergencies that pose risks to health and well-being in the United States. As a measurement tool, the Index is designed to summarize levels of preparedness achieved within individual states and for the nation as a whole. This session summarizes proposed updates to the Index for 2015-16 that are designed to improve the validity and reliability of Index measures and …

Preparedness Of Hospitals In The Republic Of Ireland For An Influenza Pandemic, An Infection Control Perspective, Mary Reidy, Fiona Ryan, Dervla Hogan, Seán Lacey, Claire Buckley

Department of Mathematics Publications

When an influenza pandemic occurs most of the population is susceptible and attack rates can range as high as 40–50 %. The most important failure in pandemic planning is the lack of standards or guidelines regarding what it means to be ‘prepared’. The aim of this study was to assess the preparedness of acute hospitals in the Republic of Ireland for an influenza pandemic from an infection control perspective.

Using Research And Roi To Drive Partnerships In Public Health Delivery Systems, Glen P. Mays

Health Management and Policy Presentations

Stimulating public-private partnerships (PPP) for health and economic development initiatives requires research that can answer key questions: (1) what are the health and economic returns likely to be realized; (2) over what time frames and with what certainty; (3) what investments are required to achieve results; and (4) what are the implementation strategies most likely to succeed. This presentation reviews ongoing research on the PPPs used to deliver public health services in the U.S., and explores the lessons this research offers PPPs in low and middle income countries. We examine how scientific evidence on public health delivery systems and their …

How Has The Affordable Care Act Benefitted Medically Underserved Communities? : National Findings From The 2014 Community Health Centers Uniform Data System, Jessica Sharac, Peter Shin, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

Community health centers represent the single largest comprehensive primary health care system serving medically underserved communities, operating in more than 9,000 urban and rural locations. Newly-released data for 2014 from the Uniform Data System (UDS; the federal health center reporting system) shed important light on the impact of the Affordable Care Act in its first full year of implementation in medically underserved urban and rural communities across the U.S. These communities experience elevated poverty, heightened health risks, lack of access to primary health care, and a significantly greater likelihood that residents will be uninsured.

The UDS data show the ACA’s …

Estimating Patient-Centered And Community-Centered Treatment Effects: Examples From Medical Care And Public Health, Glen P. Mays

Health Management and Policy Presentations

Health services researchers face growing clinical and policy imperatives for estimating how the effectiveness of medical and public health interventions vary across patients, population groups, and community settings. Recent advances in local instrumental variables estimation techniques allow for the estimation of person-specific and community-specific treatment effects in the presence of unobserved heterogeneity. This presentation explores examples from both medicine and public health following the local IV methods developed by Basu et al. (2013).

Foundational Public Health Services And Health System Reform, Glen P. Mays

Health Management and Policy Presentations

The Institute of Medicine's 2012 report on public health financing recommended a national initiative to identify the components and costs of a "minimum package" of public health programs and infrastructure that should be available in every U.S. community. In response, efforts are now underway to reach consensus on a set of "Foundational Public Health Services" for the nation, and to identify resource requirements for implementing these services. This presentation reviews existing research on the current availability of Foundational Public Health Services across the U.S. and the health and economic effects attributable to these services. We also review progress on ongoing …

Fundamentals Of Economic Evaluation For Public Health, Glen P. Mays, Cezar Mamaril

Health Management and Policy Presentations

This workshop provides an overview of the design and implementation of economic evaluation studies of public health programs and policies. Strategies for integrating economic evaluation principles, measurement strategies, analytic approaches, and results into the routine operations of public health agencies are examined.

Medicaid Crowd-Out Of Other Public Health Spending: Modeling Economic & Health Effects, Glen P. Mays

Health Management and Policy Presentations

MOTIVATION: Thirty states are expanding Medicaid eligibility under the Affordable Care Act (ACA) as of 2015, and while federal funds cover most costs for newly eligible recipients, states must share the additional costs of covering previously-eligible state residents who enroll in Medicaid. States, together with their local government counterparts, also provide the vast majority (87%) of public sector funds for public health programs designed to promote health and prevent disease and injury on a population-wide basis. Fiscal constraints and generous federal matching funds create strong budgetary incentives for states to channel their health-related spending to Medicaid rather than to other …

Medicare At Fifty Needs To Grow, William H. Lane

English Faculty Publications

In America everybody has a healthcare story. A bill impossible to read, an inscrutable "additional" charge, trouble getting insurance, trouble keeping it, a friend or family member who's fallen between the coverage "cracks." [excerpt]

The Role Of Community Pharmacy-Based Vaccination In The Usa: Current Practice And Future Directions, Albert Bach, Jeffery A. Goad

Pharmacy Faculty Articles and Research

Community pharmacy-based provision of immunizations in the USA has become commonplace in the last few decades, with success in increasing rates of immunizations. Community pharmacy-based vaccination services are provided by pharmacists educated in the practice of immunization delivery and provide a convenient and accessible option for receiving immunizations. The pharmacist's role in immunization practice has been described as serving in the roles of educator, facilitator, and immunizer. With a majority of pharmacist-provided vaccinations occurring in the community pharmacy setting, there are many examples of community pharmacists serving in these immunization roles with successful outcomes. Different community pharmacies employ a number …

Research Proposal: Emrs Changing Patient Medication Errors, Kerry Moore

Applied Research Projects

In 2009 the federal government initiated the American Recovery and Reinvestment Act (ARRA) in efforts to improve timely and quality health care. This new initiative promised to provide great incentives to health care providers who took advantage of the program by implementing electronic medical records (EMRs) within their facilities, clinics, and practices. Coupled with tight deadlines and the incentive of reimbursement, the health care world has been witness to an influx of EMRs being developed by vendors and implemented at health care facilities. The rate at which these EMRs have been implemented has been astounding. So fast, the health care …

Airborne Infection In Healthcare Environments: Implications To Hospital Corridor Design, Ehsan Mousavi

Department of Construction Engineering and Management: Dissertations, Theses, and Student Research

Several studies have linked nosocomial transmission airborne diseases to airflow in healthcare settings. Quasi-experimental methods are developed to observe the aerodynamic transport behavior of synthetic respiratory particles in corridors of a hospital. Computational models, validated by experimental results, are then developed to explore the spatial relationships of supply-exhaust air ventilation in patient corridors. The aim of this study is to determine optimal HVAC design strategies to contain and remove airborne contaminants in healthcare environments.

In addition to occupant comfort, hospital HVAC systems are designed to provide ventilation and directional airflow to contain, dilute and remove contaminants including airborne disease. Of …

The Impact Of The Hospital Acquired Conditions (Hac) Initiative For Catheter-Associated Urinary Tract Infections: Is It Really Improving Patient Care?, Shannon Hargis

Applied Research Projects

This research study focuses on the CMS, pay-for-performance, inpatient initiative regarding hospital acquired conditions (HAC) and present on admission (POA) identification of illnesses and injuries and studies conducted upon the initiatives that have measured outcome since the implementation of the program. This study is a focused assessment of numerous studies regarding the overall outcome of the initiative thus far, which was implemented in 2007. The goal of this research is to ascertain the effectiveness of the HAC initiative and possible factors that have positively or negatively impacted the overall outcomes in regard to Catheter-Associated Urinary Tract Infections (CAUTI).