Health and Medical Administration Commons^™

Factors Contributing To Successful Transitions Into The Role Of A New Superintendency In Texas: A Mixed Methods Triangulation Convergence Inquiry, Nancy B. Jones

Administrative Issues Journal

The purpose of this study was to examine the factors contributing to a successful transition into the role of a new superintendency in Texas. A triangular designed mixed methodology with a convergence model was employed. The setting was urban, suburban, and rural school districts in Texas. The participants were superintendents of public school districts in Texas. Quantitative data were collected through the use of an electronic survey, while a focus group was conducted to collect the qualitative data. Participating superintendents indicated that the training and education they received had adequately prepared them for the role of a new superintendent and …

Business Education And Gender Bias At The ‘C-Level', Gina L. Miller, Faye A. Sisk

Administrative Issues Journal

Women in business are perceived to have been successful; however, the numbers of women in ‘C-level’ positions (e.g., CEO, CFO, CIO, etc.) provide evidence to the contrary. This paper examines obstacles to women rising to ‘C-level’ positions and how business education contributes to, but may ultimately help resolve these problems by identifying ways to increase the effectiveness of business education and educators regarding gender bias. Barriers that prevent women from advancement and contributing factors in business education are identified. Recommendations for strategies in business education to reduce, manage, and create awareness of gender bias in the classroom are presented. For …

Combating Hegemonic Discourse In An Online Multicultural Leadership Course: A Narrative Study Of An Instructor And Student Working At Tandem For Social Justice, Azadeh F. Osanloo, Tim W. Hand

Administrative Issues Journal

This narrative study examines hegemonic discourse in an online multicultural leadership course by translating e-narrative analysis findings into implications for social justice and recommendations for andragogical strategies. These strategies specifically address hegemonic discourse within an online educational environment. The setting for this article is a graduate level class in Multicultural Leadership geared toward Masters’ students in an educational leadership program. Through the e-narrative analysis, four themes emerged that characterized the hegemonic discourse: rejecting social justice; wooing white privilege; he oppressive “other,” and telling it straight. Based on the findings and implications surrounding the research questions, four andragogical strategies were recommended: …

When Government Is No Longer Employer Of Choice; What May The Sector Perceptions Of Public Managers Be Like After The Economy Recovers?, Craig Boardman, Branco Ponomariov

Administrative Issues Journal

In today’s economic climate, government is now considered by many to be the “employer of choice.” However, employers at all levels of government may eventually lose their recent gains in the war for talent, as the economy improves. Accordingly, it is important to explain how public sector managers viewed the relative advantages and disadvantages of government employment before the economic downturn along specific parameters, including opportunities for women and minorities, managerial autonomy, and employee talent and innovativeness. This paper assesses these views for state-level public managers across a broad range of public services, using survey data that preceded the economic …

Effects Of Presence, Copresence, And Flow Onlearning Outcomes In 3d Learning Spaces, Martin D. Hassell, Sandeep Goyal, Moez Limayem, Imed Boughzala

Administrative Issues Journal

The level of satisfaction and effectiveness of 3D virtual learning environments were examined. Additionally, 3D virtual learning environments were compared with face-to-face learning environments. Students that experienced higher levels of flow and presence also experienced more satisfaction but not necessarily more effectiveness with 3D virtual learning environments. There were no significant differences between satisfaction and effectiveness of 3D virtual learning environments and face-to-face environments. These findings suggest that 3D virtual learning environments can be made to provide high levels of learning satisfaction. Additionally, these findings suggest that 3D virtual learning environments may be a viable delivery method for instruction and …

Teacher Preferences For Alternative School Site Administrative Models, Paul M. Hewitt, George S. Denny, John C. Pijanowski

Administrative Issues Journal

Public school teachers with high leadership potential who stated that they had no interest in being school principals were surveyed on their attitudes about six alternative school site administrative organizational models. Of the 391 teachers surveyed, 53% identified the Co-Principal model as the preferred school site administrative structure. In order of preference were the Co-Principal model, the Principal/Business Manager model, the Multi-Principal model, the Principal/Associate Principal model, the Principal Teacher/Principal Administrator model, and the Principal/Educational Specialist model. Among teachers at the elementary, middle, and secondary levels, the only significant difference was on the Multi-Principal model, which was favored more by …

Reviewing The Roots Of Response To Intervention:Is There Enough Research To Support The Promise?, Tammi R. Ridgeway, Debra P. Price, Cynthia G. Simpson, Chad A. Rose

Administrative Issues Journal

In the United States, Response to Intervention (RtI) is used to promote the use of evidence-based instruction in educational institutions, with the goal of supporting general and specialized educators and enabling these professionals to work together in a comprehensive, integrated manner. In doing so, RtI provides a protocol for identifying students with specific academic deficits and who demonstrate the need for individualized forms of instruction. Specifically, professional educators utilize quantitative data accumulated from common student assessment scores, which is thought to reflect a student’s response to instruction in the general classroom, in addition to his or her response to more …

Socialization Processes Of Engineering Students: Differences In The Experiences Of Females And Males, Mark R. Riney, Janet Froeschle

Administrative Issues Journal

The primary purpose of this study was to explore the personal experiences of female and male engineering students in both Division I (17 females and 16 males) and Division II (11 females and 11 males) programs. Analyses of narratives of 55 undergraduate engineering students revealed that the sociocultural experiences of female and male students differ in substantial ways in that socialization processes into engineering are problematic for women, who often rely on one another to bolster their self-efficacy perceptions and resiliency. Another important finding is that Division II female students were provided much more support by both professors and male …

Do No Harm: Perceptions Of Short-Term Health Camps In Nepal, Dena Seabrook

Independent Study Project (ISP) Collection

Short-term health camps are a growing form of delivering health care services to needy populations. Often these camps, usually lasting around 2 weeks, are led by I/NGOs in developing nations like Nepal and are staffed with volunteers from the Global North. These camps are largely ungoverned, and there are no evaluative techniques in place to monitor the effectiveness of the work done, raising concerns about the unintended consequences of short-term health camps camps. Nepal is particularly vulnerable to this issue because of the vast number of I/NGOs currently operating within its boundaries.

This research sought to expand the conversation surrounding …

Human Papillomavirus: How Social Ideologies Influence Medical Policy And Care, Fadi Hachem

Annual Undergraduate Conference on Health and Society

The purpose of this paper is to discuss the ways in which new advances in the production of a vaccine against human papillomavirus (HPV) have been received by both the general public and the medical community. Despite its high prevalence in the general population, as a sexually transmitted infection, there is a great deal of shame and stigma associated with contracting the virus (Waller, et. al. 2007). HPV is a disease of disparities in that ethnic and sexual minorities are disproportionately affected. Since the HPV vaccine is most effective at both a younger age, and before the first sexual experience, …

Estimating Medical Cost Offsets Attributable To Public Health Spending, Glen P. Mays

Health Management and Policy Presentations

Uncertainty about the magnitude and timing of economic returns associated with spending on public health services has contributed to policy debates about the optimal role of the federal government in financing these services.

Public Health Spending, Preventable Outcomes, And Medical Cost Offsets: Questions For Health Reform, Glen P. Mays

Health Management and Policy Presentations

Uncertainty continues to surround the health and economic effects that can be expected from increased federal spending on public health and prevention strategies. Recent research provides some insight into the question of whether spending on public health strategies can offset the need for future spending on medical care.

The Geographic Value Of Patient-Carried Medical Records In Improving Healthcare In The Us, Lauren Edmundson

The Macalester Review

American medical records have typically been maintained in a single location. However, patient-carried medical records (PCMRs) present an opportunity to alter the space in which health records and information operate. While past research has evaluated PCMRs from a largely economic perspective, this research examines potential benefits of PCMRs through a geographic framework. In total, while further work is needed to perfect the PCMR system, they can ultimately serve as a tool to alleviate four specific complaints made by American patients: lack of communication between provider and patient, lack of communication between providers, medical error, and high costs.

Purging Healthcare Of Conventional "Wisdom" - An Interview With Liak Teng Lit, Lien Centre For Social Innovation

Social Space

Liak Teng Lit is known for his iconoclastic views and for pushing the envelope on healthcare and other social causes. Social Space visits the maverick in his award-winning Khoo Teck Puat Hospital for some wake-up calls.

The Emergence And Potential Impact Of Medicine 2.0 In The Healthcare Industry, Terra Stump, Sarah Zilch, Alberto Coustasse

Management Faculty Research

Medicine 2.0 has emerged within healthcare information technology to enable more defined relationships among providers and patients. Physicians, hospitals, and patients are using Medicine 2.0 through social networking to maintain their foothold in the evolution of medical technologies. The authors’ purpose was to determine potential improvements that Medicine 2.0 has on communication and collaboration of healthcare information. Research has shown that Medicine 2.0 has integrated into the healthcare industry and is enabling an increase in communication in healthcare matters. The provider-patient relationship is improving through the use of Medicine 2.0 and has positively impacted society so far.

The Patient Protection And Affordable Care Act And Medicaid Expansion: Leadership Strategies For Effective Change Management In Managed Care Organizations, Emily Aurand

Theses and Graduate Projects

As a result of tlie 2010 Patient Protection and Affordable Care Act (ACA), eligibility requirements for the Medicaid program were revised resulting in a greater number of people eligible to enroll in tlie government healthcare program. These circumstances require numerous organizational changes for Medicaid managed care organizations (MCOs) that administer the Medicaid program in order to accommodate the healthcare needs of the growing Medicaid population and comply with applicable regulatory requirements. This case study sought to identify effective leadership strategies employed by Minnesota Medicaid MCO change leaders guiding organizational change processes and seeking quality change outcomes, resulting from the externally …

"First Impression": Creating An Intake Procedure That Is Welcoming To Clients And Useful To Clinicians, Brandi Embacher

All Graduate Theses, Dissertations, and Other Capstone Projects

Have you ever contacted an agency and felt doubtful about their ability to help you due to the phone interaction or written correspondence you received? The significance of this Capstone project is to create an intake procedure that will leave a positive first impression for individuals seeking services with Mankato Marriage and Family Therapy Center (MMFTC).

Electronic Health Records: Eliciting Behavioral Health Providers’ Beliefs [Brief Reports], Nancy C. Shank, Elizabeth Willborn, Lisa M. Pytlik Zillig, Harmonijoie Noel

Nancy Shank Publications

Interviews with 32 community behavioral health providers elicited perceived benefits and barriers of using electronic health records. Themes identified were (a) quality of care, (b) privacy and security, and (c) delivery of services. Benefits to quality of care were mentioned by 100% of the providers, and barriers by 59% of providers. Barriers involving privacy and security concerns were mentioned by 100% of providers, and benefits by 22%. Barriers to delivery of services were mentioned by 97% of providers, and benefits by 66%. Most providers (81%) expressed overall positive support for electronic behavioral health records.

Association Between Hospitals Caring For A Disproportionately High Percentage Of Minority Trauma Patients And Increased Mortality: A Nationwide Analysis Of 434 Hospitals., Adil H. Haider, Sharon Ong'uti, David T. Efron, Tolulope A. Oyetunji, Marie L. Crandall, Valerie K. Scott, Elliott R. Haut, Eric B. Schneider, Neil R. Powe, Lisa A. Cooper, Edward E. Cornwell

Manuscripts, Articles, Book Chapters and Other Papers

OBJECTIVE: To determine whether there is an increased odds of mortality among trauma patients treated at hospitals with higher proportions of minority patients (ie, black and Hispanic patients combined).

DESIGN: Hospitals were categorized on the basis of the percentage of minority patients admitted with trauma. The adjusted odds of in-hospital mortality were compared between hospitals with less than 25% of patients who were minorities (the reference group) and hospitals with 25% to 50% of patients who were minorities and hospitals with more than 50% of patients who were minorities. Multivariate logistic regression (with generalized linear modeling and a cluster-correlated robust …

Policies In Hospital Social Work, Jolene L. Reisdorfer

All Graduate Theses, Dissertations, and Other Capstone Projects

The goal of this project was to create an environment that provides a professional standard of care to ensure patient safety. This project will address the absence of policies in the Social Service Department at Mayo Clinic Health System, Southwest Region. A standard of care is a detailed standardized model of an intervention process that discusses the goals, objectives, settings, process, procedures and interventions (Gayle, 2005). Policy development must occur to assure that patients with social service needs are being identified appropriately and are being provided necessary interventions to meet their needs (Gordon & Rehrs, 1969). The project also identified …

Mental Health Inpatient Hospitalization And Smoking Cessation, Susan Warring

All Graduate Theses, Dissertations, and Other Capstone Projects

Forty- four percent of cigarettes purchased, are by persons with serious mental illness. This population dies approximately twenty- five years earlier than the general population. In 1993, American hospitals were mandated to become smokefree. At that time, psychiatric facilities requested variances amid concerns that their patients may present adverse behaviors due to nicotine withdrawal. Within the last five years, smoking bans have become more prevalent, resulting in many psychiatric facilities adhering to a no smoking policy. The Owatonna Mental Health Unit at the Owatonna hospital currently has a variance to allow smoking breaks for their mentally ill inpatients.

Research Questions: …

Facilitating Emergence: Complex, Adaptive Systems Theory And The Shape Of Change, Peter Martin Dickens

Antioch University Dissertations & Theses

This study used Principal Component Analysis to examine factors that facilitate emergent change in an organization. As organizational life becomes more complex, today’s dominant management paradigms no longer suffice. This is particularly true in a health care setting where multiple sources of disease interacting with each other meet with often-competing organizational priorities and accountabilities in a highly complex world. This study identifies new ways of approaching complexity by embracing the capacity of complex systems to find their own form of order and coherence. Based on a review of the literature, interviews with hospital CEOs, and my organization development practice experience …

An Examination Of Factors Affecting Non-Urgent Use Of Emergency Department Services By Patients With "Universal" Healthcare, Gregory Smith Feltenberger

Health Services Research Dissertations

The purpose of this research is to examine the factors affecting non-urgent utilization of emergency department (ED) services by individuals with "universal" healthcare using the Behavioral Model of Health Services Use. Since Air Force Medical Service beneficiaries have free and unlimited use of the full-range of healthcare services, they are ideally suited for this study. The findings of this research may also apply to other populations with free or low-cost access to healthcare (i.e., universal or single-payer healthcare). Using secondary data extracted from the Air Force Medical Service's electronic health record system at several military hospitals, this study will present …

Driving Qi With Research: Findings From Public Health Pbrns, Glen P. Mays

Health Management and Policy Presentations

Public health agencies are increasingly experimenting with quality improvement (QI) strategies designed to enhance the effectiveness and efficiency of their efforts. Does QI work in public health, and if so for whom and under what circumstances? What QI strategies work best for which types of public health process failures, and at what cost? Research underway through the Public Health Practice-Based Research Networks (PBRN) Program is examining these types of questions to build an evidence base for public health QI.

Measuring Accessibility To Primary Care Physicians In The Nashville Metropolitan Statistical Area, Sami M. Almudaris

Masters Theses & Specialist Projects

The growing concern for the shortage of primary care physicians (PCPs) prompted a government legislation to designate areas where shortage in the delivery of primary care services occurs. The implemented systems (e.g., HPSA, MUA, and MUP) analyze utilization of health services within confined administrative units and fail to account for spatial interactions that occur across administrative borders. This research examines the spatial accessibility to PCPs and the underlying demographic and socioeconomic settings. With the Nashville Metropolitan Statistical Area (MSA) as a study area, this study utilized data from the U.S. Census 2000 and 2010, as well as the known locations …

The Science Of Public Health Delivery: Evidence, Uncertainties & Research Needs, Glen P. Mays

Health Management and Policy Presentations

Policy initiatives to reform the nation's health system increasingly recognize the need to incorporate public health and prevention strategies. The nation's delivery system for public health, however, varies widely across states and communities in its structure, authority, and capabilities. This session examines research from the growing field of public health services and systems research to identify directions for improving public health delivery.

Estimating The Value Of Public Health Services & Systems: Evidence, Uncertainties, And Research Needs, Glen P. Mays

Health Management and Policy Presentations

The Affordable Care Act authorized the largest expansion in federal funding for public health services and delivery systems in decades. These provisions, designed to support programs and services that promote health and prevent disease and injury on a population-wide basis, remain controversial because of uncertainties regarding their effectiveness in improving health and constraining medical cost growth. This session examines a series of recent studies to shed light on the health and economic value of spending on public health.

Disparities Research In Public Health Pbrns, Glen P. Mays

Health Management and Policy Presentations

Public health agencies are well positioned within the health system to play key roles in addressing oral health issues on a population-wide basis, However, current evidence reveals wide geographic variation in the delivery of public health interventions for oral health promotion. This session explores the factors contributing to this variation, and it highlights studies underway through the Public Health Practice-Based Research Networks (PBRNs) to produce more and better evidence about public health delivery and impact.

Book Review: Nurturing Children And Families: Building On The Legacy Of T. Berry Brazelton, Kathleen Fite

Administrative Issues Journal

Lester, B. M., & Sparrow, J. D. (Eds.). (2001). Nurturing children and families: Building on the legacy of T. Berry Brazelton. Malden, MA: Wiley-Blackwell. 376 pp. ISBN 978-1-4051-9600-0

Leveraging The Mbti To Affect Change, Maryrose Hart

Administrative Issues Journal

This presentation will discuss how the Myers-Briggs Type Indicator (MBTI) instrument can best be used to facilitate positive change in an organization. The Myers-Briggs Type Indicator (MBTI) is an instrument based on research conducted by Carl Jung and Isabel Briggs Myers. Briggs originally developed the concept to better understand the behaviors of normal individuals. The strength of the MBTI instrument lies in helping managers understand preferences, nuances, behaviors, and mental processes of individual employees. By using the MBTI, a person can predict what types of information disparate individuals prefer, the format and delivery, and orientations toward change. This insight can …